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Full-Text Articles in Social and Behavioral Sciences

Exploring How Factors Affecting Exercise Adherence May Inform Strategies To Increase Adherence In General And Depressed Populations: A Literature Review, Henry D. Link Jun 2024

Exploring How Factors Affecting Exercise Adherence May Inform Strategies To Increase Adherence In General And Depressed Populations: A Literature Review, Henry D. Link

University Honors Theses

Background: Exercise is associated with numerous physical and mental health benefits; however, many people struggle to exercise a sufficient amount and thus do not reap the benefits. Exercise is recognized as an effective treatment for depression with few risks. Professionals must understand the factors affecting exercise adherence to assist individuals of different backgrounds with adhering to exercise over the long term and to avoid common pitfalls that could hinder an individual’s progress.

Objective: This literature review aimed to identify factors affecting exercise adherence and to explore how those factors could inform strategies to increase exercise adherence among depressed …


Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood Jan 2024

Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Research suggests that Division I college-student athletes experience higher levels of stress and other behavioral health issues than their non-athlete counterparts, with up to 20% of them suffering from depression (Sudano et al., 2017). Two studies on student athletes’ well-being conducted in 2020, reported that athletes continue to report higher levels of mental health concerns (Johnson, 2022). Since the fall of 2020, rates of mental exhaustion, depression, and anxiety have improved minimally with rates remaining 1.5 to two times higher than reported before the COVID-19 pandemic (Johnson, 2022). Naomi Osaka withdrawing from the French Open in 2021 and Simone Biles …


Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford Dec 2023

Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford

Theses and Graduate Projects

Background: Traumatic Brain Injury (TBI) is one of the leading causes of physical and cognitive disability worldwide. TBI can negatively impact cognitive, physical, social, and psychological functioning.

Objective: This study investigated interactions between TBI severity, mental health symptom severity, and community engagement among older adults. Specific aims included investigating 1) the relationship between TBI severity at the time of injury and psychiatric symptom severity at one-year post-TBI; 2) the relationship between TBI severity and community engagement at one-year post-TBI; and 3) whether mental health symptom severity moderated the relationship between TBI and post-injury community engagement.

Methods: Archival data was analyzed …


Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis Sep 2023

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …


Moving Forward: Studying The Impact Of Future Self-Continuity And Active Commuting On Depression, Anxiety, And Stress, Max William Gehr Jan 2023

Moving Forward: Studying The Impact Of Future Self-Continuity And Active Commuting On Depression, Anxiety, And Stress, Max William Gehr

Senior Projects Fall 2023

The current research delves into the relationship between Future Self-Continuity (FSC) and mental health, particularly in the context of commuting behaviors. It employs a cross-sectional, observational design and relies on self-reported data. While this approach provides helpful perspicuity into the nature of the observed phenomena, it also expresses methodological limitations in terms of causal inference and variable control and manipulation. The study utilizes established psychometric tools as a basis for modified measures for the sake of brevity and digestibility by recruited online participants: the Truncated Future Self-Continuity Questionnaire (FSCQ-T) and the Depression Anxiety and Stress Scale-10 (DASS-10), to measure the …


The Relationship Between Body Mass Index And Depression In College Students, Bryn Kable Jan 2023

The Relationship Between Body Mass Index And Depression In College Students, Bryn Kable

CMC Senior Theses

College student mental health has seen a serious decline over the last decade (Esaki-Smith, 2022). One factor that has been linked to both physical and mental disorders is obesity. A common way to operationalize weight is through body mass index (BMI) (Ilman et al., 2015). There is evidence that BMI and depression are correlated linearly in that individuals with higher BMIs have higher levels of depression (Badillo et al., 2022; Simon et al., 2008). The exact mechanisms of this relationship are still generally unknown; thus, the goal of this study was to investigate the relationship between BMI and depression in …


The Role Of Prenatal Anxiety Sensitivity On Postpartum Anxiety And Depression, Ryann Holman May 2022

The Role Of Prenatal Anxiety Sensitivity On Postpartum Anxiety And Depression, Ryann Holman

Honors Theses

Pregnancy is a vulnerable period for women, with roughly 15% of women experiencing psychopathology during pregnancy and postpartum. The most common mental health concerns during this period are anxiety and depression, which have been linked to adverse outcomes on both mother and baby, such as low birth weight and preterm birth. In understanding their onset, anxiety sensitivity has been found to be a potential mechanism for the development of both anxiety and depressive disorders. The goal of the current study was to examine the association between prenatal anxiety sensitivity and postpartum anxiety and depression. Pregnant women were given a battery …


Does Adhd Strengthen The Relationship Between Depression/Anxiety And Avoidance?, Ryan Wigginton Apr 2022

Does Adhd Strengthen The Relationship Between Depression/Anxiety And Avoidance?, Ryan Wigginton

Honors Theses

Objective: Attention-Deficit/Hyperactivity Disorder (ADHD) is a diagnosis often

comorbid with depression and anxiety-related disorders. Research is also indicative of a relationship between ADHD, depression, anxiety, and avoidance-related behaviors. I hypothesize that the relationship between ADHD and avoidance will be moderated by symptoms of depression and anxiety in neuro-typical college students that have not received a clinical mental health diagnosis. Method: 101 college students at the University of Richmond attended a baseline visit with a research assistant and completed baseline scale measures for symptoms of ADHD, depression, generalized anxiety, and avoidance. I used multiple regression and Hayes’ PROCESS program to analyze …


Our Thoughts Matter: The Mental Health Of College Students During The Covid-19 Pandemic, Caitlin Zarzeczny Jan 2022

Our Thoughts Matter: The Mental Health Of College Students During The Covid-19 Pandemic, Caitlin Zarzeczny

UNF Graduate Theses and Dissertations

This study aimed to explore the mental health of undergraduate college students within the context of COVID-19 pandemic, as well as cognitions about health threat and engagement in protective health behaviors during the COVID-19 pandemic. Participants were (N = 276) undergraduate students attending the University of North Florida. Students completed a SONA systems survey between March 2021 and December 2021. Participants received course credit for completing the survey. Survey questions were taken from the Perceived Effectiveness of COVID-19 Prevention Effectiveness Protocols scale (Prasetyo et al., 2020). Three types of variables were assessed: demographics, perceived threat, and planned action. Correlational …


Promotion Of Early Recognition Of Depression To Improve Health Related Quality Of Life In Pediatric Oncology Patients, Jennifer Blankenship Jan 2022

Promotion Of Early Recognition Of Depression To Improve Health Related Quality Of Life In Pediatric Oncology Patients, Jennifer Blankenship

DNP Projects

Background: Depression and anxiety are serious complications of cancer and deemed a challenging diagnosis due to the symptoms of depression mimicking common side effects of chemotherapy and radiation. Signs/symptoms frequently are underrecognized thus appropriate treatment is delayed, compromising the health-related quality of life (HRQOL) for pediatric oncology patients.

Purpose: Analyze existing physician and Advanced Practice Provider (APP) clinical practice regarding depression, via a pre- and post-survey and educational PowerPoint on the use of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) to promote early recognition of depression.

Methods: A prospective, single-arm, study was completed in the Kentucky Children’s …


Development Of A New Measure To Assess For Poverty-Based Stress: The Poverty-Based Stressor Scale (Pbss), Brianna N. Allen Jan 2022

Development Of A New Measure To Assess For Poverty-Based Stress: The Poverty-Based Stressor Scale (Pbss), Brianna N. Allen

Electronic Theses and Dissertations

Poverty, typically measured by economic well-being or depravation, is the result of systemic flaws built into the structure of society that adversely impact multiple dimensions of health and well-being. The specific stressors that disproportionately impact low-income individuals are called poverty-based stressors, and they encompass multiple categories of risk including physical, psychosocial, and financial risks. Currently, there is not an adequate measure of poverty-based stressors for low-income adults in the United States (U.S.), which restricts our ability to accurately determine the effects of poverty on important health-related outcomes. The purpose of this dissertation was to develop a psychometrically sound measure of …


The Effects Of Matched And Mismatched Social Support On Anxious And Depressive Symptoms In Women With Multiple Sclerosis, Elena A. Thomopoulos Aug 2021

The Effects Of Matched And Mismatched Social Support On Anxious And Depressive Symptoms In Women With Multiple Sclerosis, Elena A. Thomopoulos

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

There have been many significant findings and contributions to the literature on multiple sclerosis (MS) concerning both physical and mental well-being of individuals who are diagnosed with this illness. While MS is more commonly known now, more than before, there are many obstacles and challenges individuals diagnosed with MS face than people realize. Symptoms that affect individuals with MS are not easily recognized such as fatigue, blurry vision, issues with dexterity, bodily pain, numbness in extremities, and more. Due to the nature of this disease, and many adaptations in life individuals have to make due to their symptoms, studies …


Depressive Symptoms And Marijuana Outcomes In College Students: The Mediating Role Of Protective Behavioral Strategies For Marijuana, Nicholas Militello Aug 2021

Depressive Symptoms And Marijuana Outcomes In College Students: The Mediating Role Of Protective Behavioral Strategies For Marijuana, Nicholas Militello

Master's Theses

The present study evaluated the sequentially mediating role of protective behavioral strategies for marijuana (PBSM) and marijuana use frequency on the relationships depressive symptoms had with hazardous marijuana use and marijuana-related negative consequences in college students Participants were 338 (50.3% male) undergraduate college students age 18 to 25 (M = 22.10; SD = 1.97) who reported marijuana use in the past 30 days. Participants reported their gender and completed measures of depressive symptoms, PBSM use, marijuana use frequency, marijuana-related negative consequences, and hazardous marijuana use through an online survey from a 2018 project. Depressive symptoms were positively associated with …


Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton May 2021

Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton

Undergraduate Honors Theses

Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …


Binegativity And Depression: Examining Alcohol Use Among Nonexclusively-Oriented Womxn, Kaylee M. Kronsperger Jan 2021

Binegativity And Depression: Examining Alcohol Use Among Nonexclusively-Oriented Womxn, Kaylee M. Kronsperger

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Purpose:

Alcohol use disorders can lead to cirrhosis, cancer, domestic violence, and even death (Carvalho, Andre F, et al. 2019). Gender and sexual minorities (GSM; non-cisgender and nonheterosexual individuals) report elevated rates of alcohol use (“Sexual Orientation Differences”, 2013), although nonexclusively-oriented womxn (NOW; womxn-identified people attracted to more than one gender)(womxn - terminology encompassing all women identified individuals; more inclusive for transgender and nonbinary individuals) in particular report higher rates of alcohol misuse. NOW also report higher rates of depression than other sexual minority groups (Feinstein & Dyar, 2017). Minority stress theory conceptualizes health disparities as consequences of the increased …


The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, Kyle L. Mason Jan 2021

The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, Kyle L. Mason

Theses and Dissertations

Background: Gender minorities encounter a myriad of barriers to accessing general and gender affirming healthcare. Financial disparities impacting affordability of healthcare costs and insurance-based denials for gender-affirming care are among prominent barriers discussed. Considerations of the prevalence of stigma, discrimination, and erasure of gender minority identities must not be neglected when seeking to understand healthcare accessibility and utilization in this population. Previous researchers have examined gender minority patients’ experiences of discrimination in healthcare settings and delaying care due to fear of discrimination. There is a dearth of knowledge about the relationship between lifetime exposure to varied forms of healthcare discrimination …


Moving Through Depression: Development Of A Dance/Movement Therapy Method In Psychiatric Inpatient Care, Melissa Olmedo May 2020

Moving Through Depression: Development Of A Dance/Movement Therapy Method In Psychiatric Inpatient Care, Melissa Olmedo

Expressive Therapies Capstone Theses

Short-term psychiatric hospitalization is a challenging health care model due to its short duration of care, treating the highest risk psychiatric population. Priority care within a short-term psychiatric hospitalization involves monitoring a patient’s safety for stabilization by decreasing acute mental health symptoms. Holistic psychotherapy treatment options are needed to meet the severity of patients’ symptoms for effective stabilization within a short-term model of care. This paper investigates the first implementation of a dance/movement therapy (DMT) method within two short-term units in a notable Boston hospital. The DMT group called Mindful Movement was facilitated weekly as single sessions to adults ranging …


Examination Of Sleep Disturbance, Anxiety Sensitivity, And Depression In An Undergraduate Sample, Dasha Grace May 2020

Examination Of Sleep Disturbance, Anxiety Sensitivity, And Depression In An Undergraduate Sample, Dasha Grace

Honors Theses

Sleep contributes to overall well-being, mental health, and daily functioning. Sleep disturbances negatively affect psychological, physiological, and biological processing, and the quality of sleep is similarly affected by these processes. The effects of sleep disturbance call for a greater understanding of depression and anxiety sensitivity among college students. Studies have found that sleep disturbance affects nearly 90% of the college student population. The aims of the current study were to examine: 1) types and rates of sleep disturbance among a sample of college students, 2) associations between sleep disturbance, AS, and depression symptoms, and 3) AS and depression symptoms by …


The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley May 2020

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

MSU Graduate Theses

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …


Depressive Symptoms And Survival Among Lung Cancer Patients: Biomarkers And Potential Benefits Of An Ipod- And Mindfulness-Based Intervention., Chelsea J. Siwik May 2020

Depressive Symptoms And Survival Among Lung Cancer Patients: Biomarkers And Potential Benefits Of An Ipod- And Mindfulness-Based Intervention., Chelsea J. Siwik

Electronic Theses and Dissertations

Lung cancer patients experience high levels of distress, which commonly manifests as depressive symptoms. Importantly, depressive symptoms have demonstrated prognostic significance in cancer contexts, although the biological pathways by which depressive symptoms lead to poorer survival remain unclear and warrant greater attention. In addition to understanding the biological pathways by which depressive symptoms accelerate disease, identification of efficacious and effective psychological treatments for depressive symptoms are needed to improve both quality and quantity of life for cancer patients. Interventions that reduce depressive symptoms and improve downstream clinical outcomes are certainty needed; however, because many cancer patients face considerable burden, interventions …


Does Resilience Moderate The Impact Of Children’S Experiences Of Racial And Ethnic Discrimination On Internalizing Problems?, Dahlia Abbas Jan 2020

Does Resilience Moderate The Impact Of Children’S Experiences Of Racial And Ethnic Discrimination On Internalizing Problems?, Dahlia Abbas

Dissertations and Theses

This study’s objectives were to investigate how children’s experiences of discrimination impact the severity of their internalizing symptoms, and whether the relation between discrimination and internalizing symptom severity is moderated by resilience. It was predicted that children who had experienced more discrimination would have more severe internalizing symptoms, especially when they have low levels of resilience. Children [N=20; Mean (SD) age= 11.83 (2.50)] receiving low-cost music lessons in northern Manhattan were recruited into a larger study examining how learning music affects cognitive and emotional development. Children were interviewed in-person about experiences of discrimination because of their race/ethnicity using the Perceptions …


The Correlation Between Maternal Postpartum Depression And Child Psychopathology, T'Keyah I. Vaughan Jan 2020

The Correlation Between Maternal Postpartum Depression And Child Psychopathology, T'Keyah I. Vaughan

Theses and Dissertations

Background: Postpartum depression (PPD) is a phenomenon that affects nearly 10-15% of pregnancies in the US. It is characterized by depressed mood or anhedonia and lasting for more than 2 weeks. PPD changes how moms interact with family members and child-rearing behavior. Depression is a phenomenon that is also known to affect the psychopathology of children. However, the specifics of how postpartum depression impacts children remains controversial. Many studies do not control for major depressive disorder which makes it difficult to disentangle the impact depression has within the first year of life. Furthermore, other PPD risk factors may be confounding …


Undergraduates And Stress, Mahra Crone Dec 2019

Undergraduates And Stress, Mahra Crone

Honors Projects

America is facing a serious mental health crisis, which may be an effect of increased chronic stress. Students, in particular, are vulnerable to this hazard as most face a moderate to extreme amount of stress. The programs which colleges and universities have put into place are outdated. Ineffective treatment of mental health crises leads to disastrous consequences. The present study analyzed the effects of major and grade level on stress level and sources of stress for undergraduate universities at both a large, public university and a small, private college. The author found that a student’s grade level and choice of …


We All Need Somebody To Lean On: Social Support As A Protective Factor For Individuals With Childhood Adversity, Rachel Clingensmith Dec 2019

We All Need Somebody To Lean On: Social Support As A Protective Factor For Individuals With Childhood Adversity, Rachel Clingensmith

Electronic Theses and Dissertations

Extensive research has shown that childhood adversity impacts development across the lifespan and has been linked to numerous negative health outcomes. Depression symptoms are one such outcome that has been associated with ACE exposure. The literature also indicates emotion regulation may be a mediator between ACEs and depression outcomes. The primary aim of this study (N = 766) is to investigate pathways leading from ACEs to depression and potential protective factors. It was hypothesized that difficulties in emotion regulation would mediate the link between ACEs and later depressive symptoms, social support would moderate the pathway between difficulties in emotion regulation …


Diet, Inflammation, Gut Microbiome, And Mental Health, Ashley R. Polokowski Sep 2019

Diet, Inflammation, Gut Microbiome, And Mental Health, Ashley R. Polokowski

Dissertations, Theses, and Capstone Projects

Omega-3 fatty acids (ω-3 FAs) are an essential fatty acid necessary for healthy development in mammals. They possess anti-inflammatory properties and have more recently been shown to impact gut microbiota, both factors hypothesized to be associated with depression and anxiety. Thus, empirical efforts have begun to examine the benefit of ω-3 FAs as a treatment option for various psychological disorders. Although there is evidence that ω-3 FAs have favorable outcomes on depressive symptoms, the relationship between ω-3 FAs and anxiety and the pathways by which ω-3 FAs produce beneficial health effects are poorly understood. Both inflammation and the gut microbiome …


Effects Of Multivitamin-Mineral Supplementation On Mental Health Among Young Adults, Ya-Hsuan Chang Aug 2019

Effects Of Multivitamin-Mineral Supplementation On Mental Health Among Young Adults, Ya-Hsuan Chang

Graduate Theses and Dissertations

The percentage of young adults who had mental illnesses has increased from 2008 to 2015. However, few existing studies investigating the potential benefits of multivitamin-mineral (MVM) supplementation on mental health focused on young adults (18-24 years of age), whose eating behaviors are often unhealthy. The purpose of this study was to examine the effects of a MVM supplement on mental health in young adults. One hundred and thirty-three college students (Mage=20.59, SD=1.77; 80.15% female) participated in this randomized, double-blind, placebo-controlled trial. Participants consumed either a MVM supplement or a placebo for 30 days. The supplement contained B Vitamins, Vitamin C, …


Disordered Eating, Depression, And Cognitive Vulnerabilities In College Women., Kelsea Visalli Aug 2019

Disordered Eating, Depression, And Cognitive Vulnerabilities In College Women., Kelsea Visalli

Electronic Theses and Dissertations

This study tests a path model of disordered eating and symptoms of depression derived from the Hopelessness Theory of Depression (Abramson, Metalsky, & Alloy, 1989). The model proposes that cognitive vulnerabilities to depression will be associated with disordered eating behaviors and symptoms of depression in college women. A sample of undergraduate women (n = 181) completed self-report measures assessing disordered eating symptoms and symptoms of depression. Findings revealed that one, but not all, cognitive vulnerability was associated with disordered eating behavior, and that disordered eating behaviors and symptoms of depression are bi-directionally associated. Implications and future research directions are discussed.


Cognitive Functioning, Depression, And Strengths As Predictors Of Quality Of Life In Multiple Sclerosis, Tara Annthea Crouch Jun 2019

Cognitive Functioning, Depression, And Strengths As Predictors Of Quality Of Life In Multiple Sclerosis, Tara Annthea Crouch

Clinical Psychology Dissertations

Patients with multiple sclerosis (MS) are at significant risk for decreased quality of life, partly due to associated cognitive impairment (Højsgaard Chow et al., 2018). A discrepancy often exists between objective and perceived measures of cognitive impairment (Middleton et al., 2006); the paths through which they predict quality of life for MS patients remain unclear (Baumstarck-Barrau, et al., 2011). Objective cognitive functioning as well as one’s perceptions of it may differentially impact quality of life, and therefore may or may not act through the same mechanisms to impact quality of life. Depression is one possible mediator known to impact quality …


Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho May 2019

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …


The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks Mar 2019

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …