Mental Disorders Commons^™

Using A Psychopharmacology Education Program To Increase Primary Care Provider Comfort With Treating Basic Psychiatric Disorders, Latesha Reed

DNP Scholarly Projects

BACKGROUND: Almost 1 in 5 people have been diagnosed with a mental health illness but the supply of psychiatric providers does not meet patient’s needs. Multiple reasons contribute to this shortage and nurse practitioners are part of the solution. Even with nurse practitioners specializing in psychiatric mental health there is still a shortage. Primary care is where most patients first present their mental health issues.

METHODS: Literature review informed the development of the educational intervention presented to the primary care providers using a digital, asynchronous learning format. A gap analysis of organizational needs and weaknesses was used to determine the …

Ability Status, Self-Advocacy, And Individuals With Neurodevelopmental Disabilities: Neurodiversity-Informed Training For Professionals And Caregivers, Allison N. Simpson

Psychology Doctoral Specialization Projects

Ability status in U.S. society is a critical social and cultural identity. “Disability” is often viewed through the lens of pathology as an illness. This kind of view affects not only the personal identity of individuals with neurodevelopmental disabilities, but also their treatment by others in the community, employers, caregivers, and others in their system of interaction. Even individuals who are strong self-advocates can be silenced by this kind of lens. A more empowering way to view individuals with neurodevelopmental disabilities is through the lens of neurodiversity in order to see their abilities, needs, wishes, and lives. The current project …

The Efficacy Of Mdma-Assisted Psychotherapy Compared To The Efficacy Of Traditional Psychotherapy In Treating Anxiety-Related Symptoms In 18–40-Year-Old Adults Diagnosed With Post-Traumatic Stress Disorder (Ptsd), Blake Beasley

Capstone Showcase

Introduction: MDMA, or 3,4-methylenedioxymethamphetamine, is a psychoactive chemical which stimulates the release of serotonin, oxytocin, prolactin, and cortisol. Up until it became a Schedule I drug in 1985, making the chemical completely illegal in the US, MDMA was used as an “adjunct to the therapeutic process” in therapeutic settings, though no known controlled therapeutic studies were performed up until that point. More recently, research has been conducted studying the effects of MDMA-Assisted Psychotherapy on helping to eliminate the fear responses common in patients afflicted with PTSD. Some researchers have further hypothesized that MDMA has a stronger, longer lasting effect …

Naloxone/Buprenorphine, Methadone, Naltrexone And Their Role In Medication Assisted Treatment, Robert Barrett

Capstone Showcase

Abstract

Opioid use disorder (OUD) is an increasingly common diagnosis that has drastically increased in the last 5 years. Though multiple treatment modalities exist for treating OUD (naltrexone, buprenorphine, methadone), few studies have compared treatment outcomes in adults on long term therapy. This is an important topic to understand as providers as we will undoubtedly come into contact with patients either actively abusing opioid antagonists or in recovery from opioid abuse. Since the introduction of Oxycontin and subsequent over prescription of opioid analgesics, opioid overdoses have increased by over twelve-fold. Once providers began to realize a widespread pattern of abuse, …

The Effects Of Psychological Intervention On Pregnant Women With Elevated Cortisol Levels And Adverse Birth Events, Megan Mellon

Capstone Showcase

Elevated levels of stress, anxiety, and depression during pregnancy are thought to influence cortisol levels. Dysregulations in cortisol, as a byproduct of the hypothalamic-pituitary axis, have been associated with preterm birth and adverse birth outcomes. Studies have demonstrated poorer long-term effects of antenatal stress on child neurodevelopment, temperament, and cognition. Psychological interventions of cognitive behavioral therapy (CBT), mindfulness, and gratitude have shown to have a positive effect on psychological wellbeing across various populations. The purpose of this literature review was to analyze a collection of randomized-controlled trials to conclude if psychological interventions during pregnancy for women with elevated levels of …

A Systematic Review Of Culturally Sensitive Interventions For Ethnic Minority Elders With Mental Illness, Sarah Littlefield, Rosalinda Villareal

Williams Honors College, Honors Research Projects

Honors Research Proposal

Goals and Objectives

Our systematic review asks the question: In ethnic minority elders with mental illness, how does culturally sensitive care, compared to current practices, affect patient outcomes? Our project goal is identifying evidence based practice with the goal of improving patient outcomes for ethnic minority elders with mental illnesses.

Methodology:

We will compile evidence from 20 current peer-reviewed studies. These studies will be selected from the CINAHL Plus med database, and key search terms will include: culturally sensitive care, culture, ethnic, mental health, intervention. All selected articles will be current within the last five years.

Outcomes: …

Precarious Enjoyment: Suicide Contra Schizophrenia, Mohammed Rawwas

Honors Program Theses

Mainstream psychology denies the unconscious, and is therefore unequipped to properly address the problematic of mental health, instead providing the coordinates for the symptom-formation of mental unwellness as a reaction to the inherent split of the subject, through the installation of the myth of the self-identical I. This same myth is perpetuated through capitalist individualism and the imperative to enjoy, and in the University through the discourse of science. The aim of psychoanalysis is to traverse the fantasy of this symptom-formation, and return the split to the subject. Finally, suicide is posited as the inevitable result of a self-identical notion …

A Hopeless Illness Representation Style: Examining Chronic Illness And Depression With Coping As A Mediator, Dana Arnold

UNF Graduate Theses and Dissertations

The self-regulation theory of illness representations (Leventhal et al., 2003) and the hopelessness theory of depression (Abramson et al., 1989) were used to observe how hopeless illness representations, depression, and coping styles interact. 238 participants with a chronic illness lasting three months or more were observed through the VOICE (Verification of Illness and Coping Experience) survey. Mediation was used to analyze the relationship between hopeless illness representations and depression, with passive coping as the mediator. All regressions in the mediation analysis were significant, and partial mediation was found. Patients with hopeless illness representations were more likely to use passive coping …

The Role Of Alexithymia And Affective Lability In Disordered Eating Behaviors, Anna Marie Lilia Ortiz

Theses and Dissertations--Psychology

Affective distress may influence eating disorder behaviors in multiple ways. Affective lability refers to the tendency to experience frequent and striking fluctuations in mood. There is considerable evidence that it predicts eating disorder symptoms. Further, alexithymia is characterized by difficulties identifying and describing feelings and an externally oriented thinking style. Alexithymia has also been implicated in the development and maintenance of eating disorders. To date, these risk factors have been studied separately. Given the evidence that both alexithymia and affective lability are affective components associated with eating disordered behaviors, it may be important to examine possible relationships among alexithymia, affective …

Strengthening Mental Health Diagnostic Detection In Integrated Primary Care, Julia Brechbiel

Theses and Dissertations

Primary care behavioral health (PCBH) is crucial for providing mental health treatment to underserved, minority, and uninsured populations. There is a lack of knowledge about accurate mental health diagnoses at PCBH. Underdetection of mental health symptoms has the potential to worsen racial and socioeconomic disparities. Using an expert review process, I developed an abbreviated diagnostic clinical interview (ADCI) for integrated primary care. Next, patients (N = 82) completed the interview after attending PCBH appointments. According to the interview, 63.4% of participants met criteria for a diagnosis, while 64.7% received a diagnosis from their provider. A large portion of patients …

Nurse Practitioners’ Knowledge And Perceptions Regarding Substance Use, Audrey Bailey, Paden Dawkins, Amber Hankins, Erin Mckinney

MSN Research Projects

Substance use disorder (SUD) is an illness impacting many people today and continues to not be truly understood, even by providers. To gain a greater understanding of this issue in relation to nurse practitioners, the researchers surveyed nurse practitioners in the Southeastern United States. The goal of the study was to identify knowledge and perceptions of nurse practitioners regarding substance use and misuse. Watson’s Theory of Caring was used to guide the study. The research questions that guided this study were 1. Do nurse practitioners have a bias toward patients with substance use disorder, and 2. Do nurse practitioners believe …

Differences In Smoking Behaviors And Readiness To Change For Patients With Copd And Differing Categories Of Depression, Jessica M. Floyd

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the world. Depression is a common comorbidity of COPD and affects patient outcomes and smoking cessation. The purpose of this study was to explore and describe factors influencing smoking behaviors and readiness to change in patients with comorbid COPD and depression.

Aims: The research question that guided this study was, “What are the relationships among smoking, COPD, and depression?” The following aims stemmed from the research question: to describe the characteristics of a convenience sample of people living with COPD and differing categories of depression who …

Does A Brief Mindfulness Induction Change Delay Discounting In Individuals With High Levels Of Obsessive-Compulsive Symptoms?, Cierra B. Edwards

Graduate Theses, Dissertations, and Problem Reports (ETD)

Obsessive-compulsive disorder (OCD) is a mental illness characterized by obsessions and compulsions that cause significant distress and/or functional impairment. Delay discounting, the decline in value of a reward with the delay of its receipt, is linked to a range of maladaptive behaviors and mental disorders. Increased delay discounting is related to obsessive-compulsive disorder (OCD), reflecting that compulsive behaviors that aim to counteract obsessive thoughts are viewed as uncontrollable by the sufferer. We aimed to experimentally reduce delay discounting in individuals with high levels of obsessive-compulsive symptoms through a brief mindfulness induction. Eligible participants were randomly assigned to receive either a …

Sexual Orientation Intrusive Thoughts And Well-Being: The Mediating Role Of Psychological Inflexibility, Julie M. Petersen, Michael P. Twohig

Psychology Student Research

Sexual orientation intrusive thoughts are a debilitating form of obsessive compulsive disorder (OCD). The present study aimed to elucidate how psychological inflexibility and dysfunctional beliefs may impact the relationships of sexual orientation intrusive thoughts and obsessive-compulsive (OC) symptoms with well-being. A total of 181 undergraduate students completed measures of sexual orientation intrusive thoughts, OC symptoms, psychological inflexibility, dysfunctional beliefs, and well-being. Results indicated positive correlations between psychological inflexibility, sexual orientation intrusive thoughts, dysfunctional beliefs, and OC symptoms, along with negative correlations between well-being and sexual orientation intrusive thoughts, OC symptoms, dysfunctional beliefs and psychological inflexibility. Psychological inflexibility acted as a …