Social and Behavioral Sciences Commons^™

Breaking The Silence: Investigating The Impact Of Stigma On Help-Seeking Behaviors Among Adults With A History Of Adverse Childhood Experiences In Ghana, Deborah Amoako-Atta

West Chester University Graduate Theses, Dissertations, and Final Projects

In Ghana, cultural beliefs often silence open discussion about mental health. Many view emotional struggles as spiritual weakness, leading to stigma and avoidance of care. For adults who experienced Adverse Childhood Experiences (ACEs), this silence can worsen the long-term impact of trauma. While Western research links stigma to reduced help-seeking and shows that trauma knowledge can promote openness, little is known about how these relationships function within Ghana’s cultural context. This cross-sectional study examined how stigma and trauma knowledge influence help-seeking behaviors among 103 Ghanaian adults (ages 19-62, M = 30.0; 49% women) with childhood adversity histories. Participants completed anonymous …

The Impact Of Mindfulness-Based Relapse Prevention In Rolling-Admission Format On Mental Health Outcomes Of Adults In Residential Treatment For Opioid Use Disorder, Alice Laughlin

West Chester University Graduate Theses, Dissertations, and Final Projects

Opioid use disorder is associated with serious psychological, social, and public health consequences. Co-occurring mental health difficulties further complicate recovery, underscoring the need for interventions that address psychological well-being alongside substance use. This study examined the impact of Mindfulness-Based Relapse Prevention adapted for rolling admission (MBRP-RA) on trait mindfulness, global mental health, and abstinence self-efficacy among adults in residential treatment for opioid use disorder. Participants were randomly assigned to adjunctive MBRP-RA plus treatment as usual (MBRP+TAU) or treatment as usual (TAU) only. Two-way mixed analyses of variance indicated significant treatment condition × time point interactions for trait mindfulness and global …

Emotion Regulation In Relation To Cumulative Stress And Cortisol For Children Attending Head Start Preschool, Emily Schnarr

West Chester University Graduate Theses, Dissertations, and Final Projects

The present study examined the relations among cumulative poverty-related stressors, emotion regulation (ER), and cortisol functioning among children attending Head Start preschool through a bioecological framework and tested whether children’s ER moderated the association between cumulative poverty-related stressors and cortisol functioning among low-income preschool children attending Head Start. Approximately 288 children attending one of two Head Start preschools participated in the study. Cumulative poverty-related stressors included primary caregiver high school dropout, unemployment, relationship status, disrupted primary caregiving, residential instability, and family size. Child ER was measured via teacher reports, and salivary cortisol was sampled five times across the day. Hierarchical …

The Moderating Role Of Perceived Resource Abundance In The Links Between Self-Compassion, Self-Coldness, Coping Strategies, And Mental Health, Evan E. Ozmat

Electronic Theses & Dissertations (2024 - present)

Undergraduate students increasingly present to college counseling centers with pre-existing mental health concerns, including depression and suicidal ideation, emphasizing the urgent need for effective interventions and a deeper understanding of contributing factors. Self-compassion—responding kindly to oneself amid suffering—and its theorized counterpart, self-coldness—characterized by self-judgment and isolation—have emerged as key constructs influencing mental health. The two-factor model of self-compassion, grounded in Gilbert’s (2005a) Theory of Social Mentalities (TSM), posits that self-compassion and self-coldness are distinct unipolar continua shaped by evolved safeness and threat-defense systems that regulate social behaviors and mental health outcomes. The present study examines the mediating role of prosocial …

Mindfulness And Anxiety Symptoms: The Role Of Cognitive Reappraisal In Community Adults, Calla L. Pritulsky

College of Graduate Studies: Theses & Dissertations

Anxiety is the most common mental health condition worldwide and contributes to substantial societal costs, personal distress, and impairment (World Health Organization, 2023). Given its high prevalence, low treatment utilization, and modest response rates, identifying protective factors to inform prevention efforts is critical (Mamede et al., 2022; Mendelson & Eaton, 2018). Mindfulness, or the ability to nonjudgmentally pay attention to the present moment, comprises five key facets: observing, describing, acting with awareness, nonjudging, and nonreactivity (Baer et al., 2006b). Although mindfulness is inversely associated with anxiety, the mechanisms underlying this relationship remain unclear (Desrosiers et al., 2013). Cognitive reappraisal, defined …

Evaluating Measurement Models Of Problematization: Connections With Identity Empowerment And Community Connectedness, Angel Long

College of Graduate Studies: Theses & Dissertations

Consistent with Liberation theory, problematization is the process of creating critical reflection, a means by which critical consciousness occurs. It is a method for understanding issues faced by oppressed populations, while centering the perspective of these populations. Within Liberation spaces, problematization is critical for fostering critical consciousness, disrupting oppression, and promoting strength. However, problematization is a theoretical concept frame from narrative responses and lived experiences of marginalized individuals. There are few resources highlighting depictions of problematizing/critical consciousness and cultural strengths captured by measures of BIPOC community functioning. Therefore, there is a need to empirically evaluate major tenets of the concept …

Turning To The Sacred: The Role Of Religious/Spiritual Coping In Psychological Outcomes Of Childhood Interpersonal Trauma, Vanessa S. Tomasik

College of Graduate Studies: Theses & Dissertations

Adverse Childhood Experiences (ACEs) are widespread and associated with significant and lasting psychological consequences, including posttraumatic stress symptoms (PTSS) and dissociation. Much of the existing literature has focused on adult trauma or narrowly examined childhood abuse and neglect, with comparatively limited attention given to other forms of childhood adversity such as witnessing intimate partner violence, parental separation, or household dysfunction. As a result, the differential psychological impact of distinct types of ACE exposure (i.e., maltreatment vs. household dysfunction) remains insufficiently understood. Emerging literature on coping identifies religious and spiritual (R/S) coping as an important factor in trauma adaptation. Positive R/S …

The Power Of The Mind: Exploring The Perceived Benefits Of Spiritual Meditation For Children's Loss And Grief, Shefali Bhalla

Theses and Dissertations (Comprehensive)

Grief and loss can significantly affect children’s emotional, cognitive, and social development, yet many existing interventions remain difficult to access due to stigma, cost, and limited cultural fit. Meditation has shown promise as a low-cost and adaptable strategy for supporting emotional regulation, but little is known about how children themselves perceive its usefulness in grief-related contexts. The present study explored children’s beliefs about the usefulness of spiritual meditation as a coping strategy across grief, interpersonal conflict, and positive emotional vignettes. Fourteen children between the ages of 8 and 13 participated in individual Zoom sessions in which they listened to three …

Diverging Impacts Of Organizational Dei Practices: The Role Of Objective And Subjective Group Status, Julia Oberlin, Claudia Toma, Tessa L. Dover

Psychology Faculty Publications and Presentations

Purpose – While DEI practices aim to enhance the outcomes of disadvantaged groups, their impact remains uncertain, with disparities often persisting. This paper examines whether the accumulation of DEI practices helps reduce psychological and work disparities between employees, considering both their objective (e.g. gender and race) and subjective (or perceived) (dis)advantage.

Design/methodology/approach – Study 1 surveyed 602 employees to assess the impact of perceiving their organization as having many orfew DEI practices on theirsense ofinclusion and job satisfaction. Study 2 used an experimental design (N 5 739) to extend the findings of Study 1 by manipulating the number of DEI …

The Impact Of A Play-Based Nature Camp On Self-Regulation In School-Age Children, Margaret Berkemeyer

Doctoral Dissertations

This study is a program evaluation with a mixed-methods design that evaluated the effectiveness of Y Rangers, a summer camp offered by the YMCA of San Francisco, in increasing the self-regulation abilities of school-age children. A total of 18 caregivers completed the quantitative portion of this study that included pre/post-test analyses of self-regulation measures. There were no statistically significant changes between pre and post assessments of self-regulation. A subset of seven caregivers and three Y Rangers counselors participated in interviews, the transcripts of which were analyzed using interpretive phenomenological analysis. Caregivers experienced Y Rangers as a unique opportunity for their …

The Relationship Between Acculturative Stress, Body Dissatisfaction, And Disordered Eating Behavior Among Latina Women In The United States, Emily Lillian Johnson

Doctoral Dissertations

The majority of research on body dissatisfaction and disordered eating behaviors focuses predominantly on the experiences of white women, neglecting the significant impact of acculturative stress on these issues, especially among understudied groups like Latina women. The present study seeks to address the gap in the literature by obtaining data that explores the extent to which acculturative stress, body dissatisfaction, and disordered eating behavior have a relationships. Additionally, it investigates the roles of cultural values and ethnic identification in protecting against body dissatisfaction and disordered eating behavior within this population. To determine whether acculturative stress is predictive of body dissatisfaction …

Depression, Psychological Distress, And Coping Strategies Among African Migrants In Australia: A Cross-Sectional Web-Based Study, Uchechukwu Levi Osuagwu, Lillian Mwanri, Edith N. Botchway-Commey, David Chisanga, Agness Tembo, Nnaemeka Meribe, Kathomi Gatwiri, Obed Adonteng-Kissi, Kerrie P. Doyle, Frank Darkwa Baffour, Ahmed A. Moustafa

Research outputs 2022 to 2026

Background: African migrants constitute a significant proportion of the Australian population. While migration and resettlement offer opportunities, the associated stressors may adversely affect the mental health and well-being of African migrants. This study explored, for the first time, the prevalence of depression and psychological distress among African migrants in Australia and the relationship between coping mechanisms and mental health outcomes. Methods: A web-based cross-sectional survey of adult African migrants in Australia was conducted between February and May 2022. Participants (N = 167) who did not have a refugee status who resided in Australia for at least 12 months were recruited …

Evolving Ai Integration In Complex Medical Decision-Making And Multidisciplinary Transplant Care: A Systematic Review Of Human-Ai Collaboration, Rachel L. Dzieran, Cihan H. Dagli, Robert J. Marley

Engineering Management and Systems Engineering Faculty Research & Creative Works

Purpose of Review: Artificial intelligence (AI) in healthcare has evolved dramatically from early expert systems, which were initially considered replacements for clinical judgment, to today's collaborative frameworks that aim to augment physician decision-making. This evolution is particularly crucial in domains such as transplant surgery, where decisions carry irreversible consequences and require the integration of complex, often ambiguous data. Drawing on peer-reviewed literature from 2019 to 2025, we conducted a systematic review that analyzed key elements distinguishing successful human-AI partnerships from those that fail. Recent Findings: The ideal balance incorporates human expertise into AI systems through weighted integration approaches, rather than …

Efficacy And Engagement In Digital Acceptance And Commitment Therapy: A Meta-Analysis And Investigation Of Mechanisms, Korena S. Klimczak

All Graduate Theses and Dissertations, Fall 2023 to Present

Digital mental health interventions offer a more accessible, affordable, and flexible option for mental health support. These apps and websites draw from the same therapeutic models as face-to-face therapy, but are available on demand at a fraction of the cost. In exchange, digital formats give up the personal relationship, accountability, and scheduled structure that keep people connected to treatment. This places a greater burden on users to stay involved on their own, and as a result, engagement is widely believed to be the main bottleneck limiting the impact of digital mental health care.

This dissertation examined engagement in digital programs …

Serotonin 1b/1a Receptor Modulation On Probabilistic Reversal Learning In The Btbr Mouse Model Of Autism Spectrum Disorder, Magdalena R. Gonzales

Electronic Theses, Projects, and Dissertations

Autism spectrum disorder (ASD) is known for developmental disability that typically emerges around infancy and early childhood due to a possible combination of genetics, environment or a combination of both. A diagnosis of ASD is determined by behavioral measures due to the lack of reliable biomarkers. Such symptoms include social impairment, and restricted and repetitive behaviors. Restricted and repetitive behaviors often present as rigid behavior or behavioral inflexibility. Behavioral flexibility is often described as the ability to adapt to changing environments. Previous research has shown that serotonin (5-HT) 1B and 1A receptor upregulation may attenuate restricted, repetitive behaviors found in …

Ring Ring Goes The Telephone, Answer That Email: The Immediacy Of Information Communication Technologies And Their Effects On Employee Well-Being, Concepcion Rodriguez

Electronic Theses, Projects, and Dissertations

Rapid technological advances have resulted in information communication technologies (ICTs) with revolutionary capabilities, allowing employees easy access to the workplace without the impediments of time or space. Initial inception of ICTs in the workplace were expected to increase autonomy (Heller, 1989), but the ability to be reachable at any time proved disadvantageous to employee well-being by creating a culture in which immediate responses were expected and precipitating the psychological phenomenon of workplace telepressure, an overwhelming preoccupation and urge experienced by workers to respond to work-related messages (Barber & Santuzzi, 2015; Mazmanian et al., 2013). The current study centered on exploring …

Exploring Burnout Among Ncaa Collegiate Athletes: The Impact Of Gender, Sport, Seasonal Demands, And Other Contributing Factors, Anneliese Wong

Undergraduate Honors Theses

The purpose of this study was to examine burnout among NCAA Division I student-athletes at one mid-sized University in the Rocky Mountains region of the United States and determine whether differences existed based on gender, sport type, competitive season stage, and burnout dimension. A quantitative, cross-sectional survey design was used and data was collected from 76 student-athletes across 11 varsity sports. Burnout was assessed using items adapted from the Athlete Burnout Questionnaire (ABQ; Raedeke & Smith, 2001), along with additional items assessing fatigue and seasonal experiences.

Descriptive results showed the student-athletes reported the highest mean level of physical burnout, followed …

The Downstream Effect Of Gender Bias On Academic Performance And Career Aspirations Amongst Female Students In Stem Via Gender-Professional Identity Integration (G-Pii), Chi-Ying Cheng, Shuna Shiann Khoo, Shih-Fen Cheng, Yeow Leong Lee, Vandana Ramachandra Rao

Research Collection School of Social Sciences

Background Gender imbalance in STEM, characterized by a significant underrepresentation of women, remains a significant challenge. Although gender bias is a well-known contributor to women’s attrition from STEM, the psychological mechanisms linking gender bias to departure are less well understood. Our research investigates early antecedents of attrition and the psychological processes that precede leaving the STEM pathway in tertiary education. Drawing upon identity integration research, we propose that perceived gender bias exerts undermines female STEM students’ academic performance and career aspirations by reducing their Gender-Professional Identity Integration (G-PII), a construct that captures individual differences in the perceived compatibility between a …

Correctional Officer Suicide: A Theory-Driven Investigation Of Acquired Capability And Suicide Behavior, Abigail R. Andersen

All-Inclusive List of Electronic Theses and Dissertations

A growing body of research suggests that correctional officers (COs) die by suicide at a significantly higher rate compared to the general population and some other public safety personnel. Despite what is known about this phenomenon, an understanding of the risk factors driving the high rate of suicide among this population remains unclear. Specifically, little attention has been paid to specific risk factors for suicide among this population and there is an overall absence of theory-driven research investigating CO suicide. The present study sought to address the gap in this area of research by investigating potential risk factors for suicide …

Evaluating The Pulse Of Exercise Programs: Developing And Validating The Intervention Usability Scale For Exercise (Iuse) To Enhance Implementation And Adherence, Anne Inger Mørtvedt, Eva Ageberg, Steven Elmer, Kevin Trewartha, Erich Petushek

Michigan Tech Publications

Background: Adherence to exercise interventions is often suboptimal, despite numerous studies documenting barriers and facilitators. Usability may be a critical yet underexplored determinant of adherence. This study aimed to develop and assess the psychometric properties of the Intervention Usability Scale for Exercise (IUSE). Methods: Item generation and content validation involved cognitive interviews and feedback from eight exercise intervention stakeholders and ten target users from the general public. Subsequently, 526 target users from University, Qualtrics and Prolific participant panels assessed exercise programs through an online survey. Dimensionality was assessed using Principal Component Analysis (PCA), Exploratory Factor Analysis (EFA), and bifactor models. …

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …

Perceptions, Attitudes, And Experiences Of Persons Who Work In Forensic Mental Health Systems, Abigail Wiser

Electronic Theses and Dissertations

The forensic mental health system serves clients with dual needs —serious mental health concerns like psychosis and suicidality, and management of risk. Experiences and perceptions of professional and direct care staff may impact daily and therapeutic interactions and client success. These experiences may be marked by stigma, such as beliefs about what led to hospitalization, treatability of mental health concerns, and intentionality of behavior. Understanding this stigma, as well as the role of vicarious trauma, workplace burnout, and other relevant individual factors, may help us understand staff experiences and guide training, thus improving client care. 146 staff members across three …

We All Read: Adapting An Early Literacy Program For Children With Developmental Differences And Their Families, Rachel Podl

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Children with developmental differences face elevated risk for early literacy delays, while their caregivers experience significant difficulty accessing appropriate and supportive resources. This paper describes an adaptation of WeRead, an existing story-time and psychoeducation program through the University of Denver's Baby S.T.E.P.S. Lab, for children ages 0–7 with developmental differences and their caregivers. The program integrated a neurodiversity-affirming read-aloud, a strengths-based art activity, movement and music, caregiver psychoeducation on visual schedules, and collaboration with four community partners. The event drew approximately 65 attendees. A post-program survey, though limited by few responses, indicated that caregivers valued the program's accessibility, community partnerships, …

The Heroic Behaviors Of Havka Folman-Raban, Courier In The Warsaw Ghetto, Beth S. Dotan

Heroism Science

This article analyzes the elements of heroic behavior of Havka Folman-Raban during her experiences as a courier in the underground of the Warsaw Ghetto during World War II. Drawing on numerous missions she completed prior to being arrested in Kraków, Poland, and others made during her internment at Auschwitz-Birkenau and the Auschwitz subcamp Harmęże, this assessment considers!how Havka Folman-Raban’s wartime activities and convictions that continued throughout the rest of her life align with four commonalities of heroism identified in heroic behavioral sciences. We consider how Havka’s participation in the Socialist Zionist Pioneering Movement influenced her actions. To understand the breadth …

Stress In Educational Context, Sarah Matthews

Spark! Innovations in Early Childhood Education: A Research-to-Practice Journal for Educators

This paper examines stress within educational contexts as a complex, relational, and systemic experience rather than solely a negative condition. Drawing on research related to stress perception, coping, leadership, trauma, and resource access, the paper highlights how stress affects educators, students, and families across early childhood and special education settings. Key themes include the role of perception in shaping stress responses, the impact of resource availability and socioeconomic factors, the transfer of stress within classroom environments, and the influence of leadership and organizational stability on teacher and student well-being. Using an ecological framework, the paper emphasizes that stress operates across …

Notice, Respond, Observe, Adjust: Everyday Co-Regulation With Infants And Toddlers, Tony Kung

Spark! Innovations in Early Childhood Education: A Research-to-Practice Journal for Educators

Co-regulation is central to infants’ and toddlers’ developing emotional regulation, yet educators often need to make responsive decisions in real time during everyday classroom routines. This research-to-practice article translates developmental and early childhood research into a practical four-part reflection guide: Notice, Respond, Observe, and Adjust. The article examines how educators can attend to children’s gestures, movements, vocalizations, and participation when supporting arrival and separation, caregiving routines, play, and peer encounters. It emphasizes responsive support that adapts to children’s individual communication, developmental needs, family knowledge, and classroom context. Drawing on recent empirical research and published educator observations, the article offers practical …

The Mediation Role Of Teacher Engagement In The Relationship Between Teacher Self-Efficacy And The Implementation Of Universal Design For Learning (Udl) In Inclusive Primary School, Dea Karlina, Farida Kurniawati

Psychological Research on Urban Society

The number of students with diverse characteristics in primary education is increasing, Its challenging teachers to design learning experiences that accommodate the diverse needs of students. Universal Design for Learning (UDL) is a flexible learning framework accessible to all students, aiming to reduce learning barriers by providing multiple means of engagement, representation, and action/expression. This study adopts the Job Demand-Resource (JDR) framework, specifically the motivational process, assuming that teacher self-efficacy as the personal resource influences UDL practices through the mediation of teacher engagement. This correlational quantitative study involved 318 inclusive primary school teachers across Indonesia who completed a self-report questionnaire. …

Therapeutic Harmony: Combining Music Therapy And Psychedelic Treatments In Psychiatric Care, Dominikus David Biondi Situmorang, Nadiya Kurniati, Gita Arisara, Listya Istiningtyas, Rose Mini Agoes Salim

Buletin Konseling Inovatif

Focusing on the synergistic efficacy of music therapy and psychedelic treatment in improving patient recovery, this paper addresses their possible integration in the treatment of psychiatric diseases. The authors give background in the introduction on the need of looking for alternative therapies for psychiatric disorders, presenting music therapy to enhance emotional and cognitive well-being in patients and psychedelic treatment as a hopeful approach for treating conditions untreatable with conventional techniques. An integrative narrative review, choosing studies that address the use of music therapy, psychedelic treatment, and a combination of the two, constitutes the approach taken in this paper. The findings …

How Should Sincerity Be Measured? A Rasch-Based Validation Of The Adolescent Sincerity Scale, Cicca Kusumawardani, Wahyu Nanda Eka Saputra, Rohmatus Naini, Agus Ria Kumara, Agus Supriyanto

Buletin Konseling Inovatif

Although various instruments for measuring sincerity have been developed, limitations remain regarding comprehensive construct validity, sample diversity, and the application of Rasch analysis in psychometric evaluation among student populations in Indonesia. Sincerity is a multidimensional spiritual value that contributes to personal integrity, psychological well-being, and positive social relationships. This study aims to develop a sincerity instrument with adequate psychometric characteristics using the Rasch Analysis approach. The study employed an instrument development method involving 759 high school and vocational high school students in Yogyakarta, selected through stratified random sampling. The analysis results showed a person measure of 1.18 logits, indicating that …

A Correlational Study Of Work Stress And Marital Stability Among Married Female Police Personnel In Kwara State, Nigeria, Haruna Ibrahim

Buletin Konseling Inovatif

This study investigated the relationship between job stress and marital stability among married female police personnel in Kwara State, Nigeria. A Descriptive Research Design of correlational type was adopted. The sample size (Target Population) of the study comprised all the 112 married female police personnel in Kwara State, Nigeria. Based on the relatively small sample size, population census (Total enumeration) was adopted for this study, where all the married female police personnel were sampled. The Operational Police Stress Questionnaire and Dyadic Adjustment Scale were used for data collection. Findings revealed a significant correlation between the independent variables and the dependent …