Psychiatry and Psychology Commons^™

Psychoeducational Training For Community Health Workers To Improve Confidence In Providing Mental Health Services To Migrants, Nimota M. Akintoye

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

There is a higher prevalence of mental health illnesses among migrants. This minority group is faced with challenges in accessing healthcare due to poverty, stigmatization, and fear of discrimination. Research has shown that community health workers (CHWs) bridge the gap between the health and social service sectors and the patients by improving patient access to care and healthcare outcomes. A translational project was implemented to evaluate how psychoeducational training improved the CHWs’ confidence and knowledge level in providing mental health support to the patients and community members. Sister Calista Roy’s Adaptation Model was used to guide the study by incorporating …

Evaluating Algorithmic Bias On Biomarker Classification Of Breast Cancer Pathology Reports, Jordan Tschida, Mayanka Chandrashekar, Alina Peluso, Zachary Fox, Patrycja Krawczuk, Dakota Murdock, Xiao-Cheng Wu, John Gounley, Heidi A. Hanson

School of Public Health Faculty Publications

OBJECTIVES: This work evaluated algorithmic bias in biomarkers classification using electronic pathology reports from female breast cancer cases. Bias was assessed across 5 subgroups: cancer registry, race, Hispanic ethnicity, age at diagnosis, and socioeconomic status. MATERIALS AND METHODS: We utilized 594 875 electronic pathology reports from 178 121 tumors diagnosed in Kentucky, Louisiana, New Jersey, New Mexico, Seattle, and Utah to train 2 deep-learning algorithms to classify breast cancer patients using their biomarkers test results. We used balanced error rate (BER), demographic parity (DP), equalized odds (EOD), and equal opportunity (EOP) to assess bias. RESULTS: We found differences in predictive …

Expanding “Brain Games”: What Have We Learned From A Program Designed To Support Healthy Brain Aging In Older Adults?, Ella Mckinney

Honors Capstones

This study was part of a larger investigation examining the feasibility and impact of “Brain Games,” an intergenerational program designed to provide brain health education and cognitive training for healthy aging adults to maximize cognitive function and quality of life. The purpose of this project was to explore whether and how short- and long-term effects of “Brain Games” were tempered by demographic variables, including cognitive self-efficacy and socioeconomic factors. Study participants included older adults residing in two senior living centers in the DeKalb area. All participants received cognitive training and brain health education via “Brain Games”, which was offered in …

A Clinical Review Of Suicide Risks In Dermatology, Rahib K. Islam, Victoria T. Tong, Shari R. Lipner

School of Medicine Faculty Publications

Patients with visible skin diseases, including acne, psoriasis, and atopic dermatitis, face heightened risks of psychological distress, depression, and suicidal ideation, often exacerbated by social stigma and reduced quality of life. This review explores the intersection between dermatology and suicide, highlighting the psychosocial impact of visible skin conditions and the controversies surrounding treatment-related risks, including isotretinoin and biologic exposure. Current evidence suggests that while isotretinoin has been historically linked to mood changes, robust studies do not support a direct association with suicide. Incorporating mental health screenings into dermatological practice is essential for early identification and management of at-risk patients. By …

How Ideological Background Affects Consumption Of And Attitudes Toward Pornography Amongst Women, Roslyn N. Addy

Student Scholar Symposium Abstracts and Posters

Pornography is a notoriously male dominated field in consumption terms and as such, research regarding women’s consumption of pornography is limited and often contains focus on men’s consumption of pornography. The research conducted by Roslyn Addy and Dr. Desiree Crevecoeur-MacPhail intends to bring women in the pornography sphere as consumers rather than onlookers or subjects of pornography affected by male pornography users. Little is known about women’s actual thoughts, feelings, and use of pornography which limits the market of pornography that targets women and limits real conversations about pornography between women. The researchers have found that ideology does predict pornography …

The Lasting Legacy Of Dr. Fritz Smith And Dr. Aminah Raheem: Founders Of Zero Balancing And Soul Lightening/Insight Acupressure, Deanna Waggy Otr

Journal of Transformative Touch

Dr. Fritz Smith and Dr. Aminah Raheem were pioneers in the field of holistic bodywork. Their innovative techniques, Zero Balancing (ZB) and Insight Acupressure (formerly Soul Lightening International), helped shape integrative medicine practitioners around the globe. Their marriage not only symbolized a personal union but also a professional synergy, with their complementary therapies offering a yin-yang approach to mind-body healing. Their legacy continues through the many practitioners trained in Zero Balancing and Soul Lightening/Insight Acupressure and the various organizations that uphold their commitment to research, education, and professional standards.

Lifespan Reference Curves For Harmonizing Multi-Site Regional Brain White Matter Metrics From Diffusion Mri, Alyssa H Zhu, Talia M Nir, Shayan Javid, Julio E Villalón-Reina, Amanda L Rodrigue, Lachlan T Strike, Greig I De Zubicaray, Katie L Mcmahon, Margaret J Wright, Sarah E Medland, John Blangero, David C Glahn, Peter Kochunov, Douglas E Williamson, Asta K Håberg, Paul M Thompson, Neda Jahanshad

Faculty, Staff and Student Publications

Age-related white matter (WM) microstructure maturation and decline occur throughout the human lifespan, complementing the process of gray matter development and degeneration. Here, we create normative lifespan reference curves for global and regional WM microstructure by harmonizing diffusion MRI (dMRI)-derived data from ten public datasets (N = 40,898 subjects; age: 3-95 years; 47.6% male). We tested three harmonization methods on regional diffusion tensor imaging (DTI) based fractional anisotropy (FA), a metric of WM microstructure, extracted using the ENIGMA-DTI pipeline. ComBat-GAM harmonization provided multi-study trajectories most consistent with known WM maturation peaks. Lifespan FA reference curves were validated with test-retest data …

Psycho-Sociodemographic And Substance-Related Correlates Of Non-Suicidal Self-Injurious Behavior, Nicole Doyle, Krishen Samuel, Samantha Cohen-Winans Ms, M. Allison Ford, Vinayak K. Nahar, Oluwatoyin Olatunde, Juliet Igboanugo, Mercy Irungu, Robert E. Davis

Journal of Public Health in the Deep South

Background: College students face challenging environments in which risky coping mechanisms, such as non-suicidal self-injury (NSSI) and substance use may be used to mitigate psychological strain. The purpose of this research was to examine relationships between substance use, psychological distress, and various aspects of NSSI.

Methods: Cross-sectional survey data were collected from students recruited from a large university in the southern United States (n = 502). Instrumentation included validated and reliable scales on substance use, psychological conditions, NSSI behaviors, demographics, and suicidality measures.

Results: In all, 21% reported engagement in some form of NSSI within the past year. A …

Using Expressive Arts Therapy With Autistic Children To Help Regulate And Build Coping Skills: A Literature Review, Swara Swaminathan

Expressive Therapies Theses

This literature review is about whether we can use Expressive Arts Therapy with autistic children to regulate and build coping skills. The author could not find articles that covers the entire topic, but she split the topic in terms of autism in India and various application of Expressive Arts Therapy globally. She was able to find Expressive Arts Therapy or Creative Arts Therapy was helpful to autistic children, or children with trauma. She could also notice the stigma of autism in India in some of the articles.

Dance/Movement Therapy As A Potential Complimentary Treatment For Postural Orthostatic Tachycardia Syndrome: A Literature Review, Ashley H. Marsden

Expressive Therapies Theses

Postural Orthostatic Tachycardia Syndrome (POTS) is a debilitating condition predominantly affecting younger individuals, marked by extreme heart rate fluctuations, fatigue, and cognitive disturbances. This literature review explores the multifaceted nature of POTS, emphasizing the need for effective management strategies that incorporate both pharmacological and non-pharmacological interventions. It highlights the promising role of Dance/Movement Therapy (DMT) as a complementary treatment, which fosters emotional expression and enhances physical well-being. By synthesizing current research on POTS, pharmacological options, and innovative non-pharmacological therapies like DMT, this review advocates for a holistic approach to POTS management that recognizes the complexities of the disorder and addresses …

Communing With Lions: A Critical Literature Review Exploring Pan-Asian Lion Dance Traditions Through The Lens Of Expressive Arts Therapy, Sarah T. Ngo

Expressive Therapies Theses

Lion dancing is a cultural art form practiced in numerous Asian and Asian diasporic cultures across the world. While the dance has been studied both in a historical and ethnographic manner, little research exists on its therapeutic benefits. This capstone thesis explores lion dancing through the lens of the expressive arts therapies to uncover the therapeutic factors underlying the practice. It applies the Chadian dance/movement therapy framework as well as various expressive arts therapy frameworks to the lion dance. The literature review indicates that lion dancing has the potential to be therapeutic in a number of ways, which include: 1) …

An Educational Intervention: Knowledge Acquisition Of Perimenopausal Mental Health Symptoms And Treatment Options For Women Aged 35 Years Plus, Allison M. Hopps

Doctor of Nursing Practice Scholarly Projects

Perimenopause is a span of four to six years preceding menopause when estrogen levels decline. Up to 40% of women experience depression during the perimenopause transition. Hormone replacement therapy (HRT) can be an effective treatment for depressive symptoms during perimenopause, but many healthcare practitioners prescribe antidepressants instead of HRT for the management of mood-related symptoms. Perimenopausal depression is associated with the progression of chronic conditions such as cardiovascular disease, diabetes, and dyslipidemia. The general population, including women and healthcare providers, lacks the education and awareness surrounding perimenopause symptoms and treatment. This project educated women between ages 35 to 55 on …

Implementing Lean Methodology To Decrease Wait Times In A Psychiatric Emergency Department, Kristina S. Baxter

Doctor of Nursing Practice Final Project Abstract

Purpose

This quality improvement project aimed to implement Lean strategies to optimize the intake process in a psychiatric emergency department, thereby reducing patient wait times, minimizing left-without-being-seen (LWBS) occurrences, and improving access to timely psychiatric care.

Background

The project was conducted in a hospital-based psychiatric emergency department in Southeast Texas, serving adults and children six years and older.

Methodology

Lean methodology and PDSA cycles were employed to refine the intake process and eliminate inefficiencies. Key interventions included patient transport by technicians to minimize delays, using tele-clinicians for assessments to reduce staff burden, and restructuring nursing assessments to prioritize telehealth consultations …

Examining Loss Of Imprint In F1 Hybrid Female Mice Due To X Chromosome Epimutation And The Implications For Autism, Arianna H. Roach

Honors Scholar Theses

Sex biases are prevalent among various neurodevelopmental disorders, with males experiencing them at higher frequencies or severities than females. This male bias is poorly understood, and our lab aims to elucidate this mechanism using our model of transgenerational epigenetic inheritance. Our lab identified the cluster of genes Xlr3b/4b/4c on the X chromosome that are imprinted in the female brain. Preliminary studies suggest that Xlr3 acts as a mediator molecule in our model. Xlr3 knockdown male mice exhibited significant meiocyte loss that can be attributed to Meiotic Sex Chromosome Inactivation. Their female offspring also displayed loss of imprinting of Xlr3 and …

Perception Of Emotions In Autism With Controlled Elicitation, Austin Gillespie, Rachel Dewald

Undergraduate Research Symposium Posters

Recognizing emotions play a crucial role in effective communication.(1)

Previous research has rated autistic expression as awkward.(2)

These studies captured unnaturally elicited emotions by having participants imitate emotions from scripted prompts and pictures

A Tobacco Treatment Training Program Expands The Number Of Healthcare Providers Trained To Use Evidence-Based Practices And Methods, Alex Hurst, Maher Karam-Hage, Jennifer Cofer, Mehwish Javaid, Diane Beneventi, Janice Blalock, Tiffany Winter, Paul M. Cinciripini, Ernest Hawk

Advances in Cancer Education and Quality Improvement

Tobacco-use disorder remains a global health challenge, despite declining rates, and is a leading cause of morbidity and mortality, especially among special populations that disproportionally do not have access to comprehensive treatment services. The lack of trained providers and slow dissemination of new tobacco treatment knowledge are obstacles to accessing comprehensive evidence-based treatments. Less is known about the impact of specialized training programs on healthcare professionals' ability to effectively treat tobacco use. This paper reports on the evaluation of the tobacco treatment training program, training methodology, and the demographics of the specialists trained.

MD Anderson’s Tobacco Treatment Training Program (TTTP) …

The Promise Of Psilocybin-Assisted Therapy For Opioid Use Disorder, Craig Kimble, Alberto Coustasse

Management Faculty Research

The opioid epidemic presents a profound and escalating public health and economic crisis in the United States. According to the CDC, the economic burden of opioid use disorder and fatal opioid overdose in the U.S. reached an estimated $1.02 trillion in 2017 alone, encompassing healthcare costs, lost productivity, criminal justice expenditures, and premature mortality. While current pharmacologic treatments—such as methadone, buprenorphine, and naltrexone—have proven efficacy, they are not without limitations, including high relapse rates, issues with compliance, stigma, and insufficient engagement in long-term recovery. These shortcomings necessitate an exploration of innovative, cost-effective interventions. One such promising alternative is psilocybin-assisted therapy. …

The Value Of Home: The Covid-19 Pandemic’S Influence On Living Space, Mental Well-Being, And Design Adaptability, Grace E. Woodall

2025 Spring Honors Capstone Projects - Archive

Grace Woodall, Architecture

Title: The Value of Home: The COVID-19 Pandemic’s Influence on Living Spaces, Mental Well-Being, and Design Adaptability

Faculty Mentor: Marisa Gomez Nordyke

The COVID-19 pandemic redefined how people worked, learned, socialized, and lived. This study examines how American young adults’ perceptions of home evolved during and after the isolating lockdowns. This work addressed how the COVID-19 experience altered home’s value in young adults, the spatial, mental, and experiential challenges of confined spaces during the lockdowns, and the architectural elements that responded to these shifts. By analyzing post-pandemic housing trends, a literature review of architecture, psychology, home design, …

Postpartum Depression Screening At First Year Well-Child Visits: Evaluating The Rate Of Maternal Ppd Detection, Chidera A. Speight, Bsn, Rn, Katherine Scarbrough, Bsn, Rn, Camille Jones, Bsn, Rn, Laura Reed, Dnp Fnp-C

Doctor of Nursing Practice Projects

Purpose/Background

Postpartum Depression (PPD) is a concerning mental health condition characterized by feelings of extreme sadness, exhaustion, and challenges with maternal-infant bonding. PPD effects mothers’ ability to adequately care for themselves and their newborns. Current research suggests that one in seven women experience symptoms of PPD as late as 12 months postpartum. Despite screening guidelines set forth by the American Academy of Pediatrics, 50% of mothers with PPD will not receive a diagnosis.

This study aims to evaluate the rate of PPD detection at well-child visits occurring within the first 12 months postpartum by administering the Edinburgh Postnatal Depression Scale …

Investigating Mental Health Outcomes Of National Collegiate Athletic Association (Ncaa) Division I Student-Athletes At The University Of Louisville, 2019-2023., Paul Harvey

Electronic Theses and Dissertations

Mental health outcomes among collegiate student-athletes, has become a broader concern in the 21^st century. This study examines prevalence and incidence of anxiety and depression amongst student-athletes at the University of Louisville from 2019-2023 across different Sports Groups. The prevalence of anxiety was found to be 20.22% and risk of anxiety was 15.65%. The prevalence of depression was found to be 13.11% and risk of depression was 18.75%. Logistic regression was used to estimate the association between sports groups and anxiety/depression. There was a borderline association between sports groups and prevalence of anxiety after confounder adjustment (OR=1.86, 95% CI: …

Depression, Anxiety, And Suicide Among Adolescents: Sex Differences And Future Perspectives, Giovana V.R. Toro, Paula Arias, Alejandro De La Torre-Luque, Jonathan B. Singer, Natalia Lagunas

Social Work: School of Social Work Faculty Publications and Other Works

Depression and anxiety are two disorders that significantly increase the risk of suicidal behavior. The disparity between females and males in the prevalence of these disorders becomes more pronounced from adolescence onwards. Specifically, risk factors associated with suicidal behavior in adolescent females are often linked to anxiety and depression, whereas in males, these behaviors are more frequently associated with other types of disorders, such as disruptive behavior. Furthermore, there are notable sex differences in the efficacy and acceptance of treatments aimed at preventing suicidal behavior. This review examines the sex differences in the relationship between depression, anxiety disorders, and suicidal …

Effects Of Novel Dopamine D4 Receptor-Targeted Compounds On Locomotor Activity And Anxiety-Like Behavior In Male And Female Sprague Dawley Rats, Samantha Alyse Walkow, Noah A. Ivak, Daniel Chandler, John Tkaczynski, Thomas M. Keck, Comfort A. Boateng, Eleni Papadopoulos, Barry D. Waterhouse, Rachel L. Navarra

Rowan-Virtua Research Day

The consequences of modulating subtypes of G protein coupled dopamine receptors are broadly studied for their role in decision making behavior, specifically in situations involving uncertain risk and reward. The actions of dopamine D4 receptors (D4Rs) on these complex processes are the least understood, particularly due to a lack of available compounds with suitable selectivity for D4Rs. Further, current research often fails to evaluate how modulating specific dopamine receptor subtypes may affect locomotor activity and anxiety-like behavior as confounding factors prior to assessing their function in behavioral assays of higher order decision making. The goal of the current study was …

Who Cares For The Caregivers? How Dance And Movement Can Benefit Caregiving Parents Of Children With Intellectual/Developmental Disabilities: A Literature Review, Haley E. Gilbert

Expressive Therapies Theses

Caregiver parents of people with intellectual/developmental disabilities (IDD) are not able to care for themselves as often as they should be able to for their own mental and physical wellness due to their caregiving responsibilities that often carry into adulthood. These can lead to anxiety, depression, grief, and dysregulation for the parent. Dance and movement practices have been found to relieve the symptoms of these experiences while helping the child with IDD and the parent connect more, building stronger relationships. This thesis will include a comprehensive literature review of body-based theories such as the Polyvagal Theory (Polyvagal Institute, 2025), Bowlby’s …

Who’S In Control? Perceived Stress And Emotional Regulation Partially Mediate The Impact Of Adverse Childhood Experiences (Aces) On Mental Health And Life Satisfaction., Mary A. Burdan

Psychological Science Undergraduate Honors Theses

Adverse childhood experiences (ACEs) are potentially traumatic events that occur during the first 18 years of life and have a strong potential to negatively impact health and well-being in adulthood. The exploration of this connection is important because health and lifestyle behaviors have been linked to the leading causes of death in the United States. ACEs have been found to alter brain development and have been associated with mental health issues and lower life satisfaction, but information about the pathway between these connections is scarce. The present study aimed to investigate if inadequate emotional regulation and higher levels of perceived …

At The Table Together: Exploring Child Perception Of Lunch Buddy Mentoring, Lauren K. Primm

Psychological Science Undergraduate Honors Theses

Research suggests school-based mentoring is a promising strategy for helping children who experience school bullying and peer victimization. Lunch Buddy Mentoring (LBM) is a school-based mentoring program that places mentors in the lunchroom and has them sit with the mentee and peers at the lunch table. Research shows that LBM is positively perceived by both parents and teachers, but there is little research on the perceptions of LBM held by children at the lunch table. Negative perceptions of LBM by children who sit with the mentor could reduce its success by further isolating or victimizing children it aims to support …

The Effects Of Starting Hormonal Contraceptive Use On Rumination, Abigail Brien

Psychological Science Undergraduate Honors Theses

Rumination, a cycle of repetitive dwelling on negative feelings and distress, is associated with mental health issues such as depression and anxiety. Although there is a substantial body of research on rumination and its association with depression and anxiety in women, there is a lack of studies specifically examining the role of hormonal fluctuation in this process. Changes in the menstrual cycle linked to estrogen and progesterone have been associated with mood regulation and susceptibility to depression, yet the impact of hormonal contraceptives (HCs) on rumination remains unexplored. The current study examined the role of HCs on rumination by comparing …

Improving Brain Health: Exercise As A Tool For Enhancing Executive Function And Reducing Stress In Older African Americans, Destiny Ellise Ramos

Theses, Dissertations and Culminating Projects

Older African American (AA) adults face disproportionately higher risk of stress and Alzheimer's Disease and Related Dementias (ADRD) compared to other racial and ethnic groups, yet they remain underrepresented in intervention-based research. Previous research has suggested aerobic exercise may reduce stress and benefit executive functioning, which is among the first cognitive domains to be affected in ADRD; however, no studies to date have directly tested the impact of aerobic vs. non-aerobic exercise in older AAs at high risk for developing ADRD. The current study evaluated the effects of a group-based cardio dance fitness (CDF) exercise intervention versus a strength, flexibility, …

The Role Of Endogenous Estrogen In Effects Of Non-Invasive Brain Stimulation On Cognitive Performance, Samantha Walsh

Theses, Dissertations and Culminating Projects

High-definition transcranial direct current stimulation (HD-tDCS) directly modulates brain activity, allowing the study of brain-behavior relationships in cognitive processes. However, cognitive effects of tDCS vary widely, partly due to individual differences in baseline brain activity. Estrogen levels, which fluctuate during the menstrual cycle, are known to affect cortical excitability and impact neural response to tDCS, but no research to date has examined the potential moderating role of endogenous estrogen in tDCS effects on cognition. In this study, N = 16 healthy female adults completed four sessions of a working memory (WM) task while receiving tDCS (two active sessions, two sham) …

Cobenfy(Xanomeline/Trospium) Vs. Clozapine For Treatment-Resistant Schizophrenia, Harmann Singh, Akash M. Patel, Abdullah Noory, Kush C. Patel, Simran Gandhi

Rowan-Virtua Research Day

Background: Treatment-resistant schizophrenia (TRS) poses significant therapeutic challenges. Although clozapine remains the gold-standard pharmacologic treatment for TRS, its clinical utility is hampered by severe side effects and intensive monitoring requirements. KarXT (Cobenfy), a combination of xanomeline and trospium chloride, represents a novel antipsychotic approach by targeting muscarinic M1/M4 receptors instead of dopamine D2 pathways.

Hypothesis: KarXT offers comparable efficacy to clozapine with a more favorable safety and tolerability profile, making it a viable alternative for patients with TRS.

Methods: A systematic review was conducted to identify studies from 2015–2025 evaluating KarXT in schizophrenia. Sources included PubMed, ClinicalTrials.gov, FDA databases, ICER …

Is The Vaping Epidemic Linked To Neurologic Changes And Mental Health Diagnoses Amongst Us Adolescents?, Tracy Lin, Victoria Shwe

Rowan-Virtua Research Day

Vaping has significantly increased among U.S. adolescents, driven by the rise of e-cigarettes and flavored pods. Nicotine exposure during brain development is linked to changes in the limbic-dopaminergic system, white matter integrity, and increased risk of emotional and behavioral dysregulation. Higher rates of depression, anxiety, and suicidality are reported among adolescent users, with greater symptom severity seen in those with high vaping dependence. Though studies show correlation rather than causation, findings suggest vaping may contribute to rising mental health diagnoses. Addressing vaping’s neurological and psychological impact is critical to guiding prevention efforts, regulatory policies, and support for at-risk youth.