Social and Behavioral Sciences Commons^™

Relative Effectiveness Of Online Cognitive Behavioural Therapy With Anxious Or Depressed Young People: Rapid Review And Meta-Analysis, Shikara T. Howes, Kevin M. Gorey, Carly M. Charron

Social Work Publications

Global estimates suggest that 25% and 20% of youth have reported elevated symptoms of depression and anxiety, respectively, since the beginning of the COVID-19 pandemic compared to baseline functioning (Racine et al., 2021). Cognitive behavioural therapy (CBT) has been found to significantly benefit young people experiencing anxiety and depression (Christ et al., 2020). Pandemic-related protocols have led many mental health services to shift to online platforms. We wondered about the comparative efficacy of online versus offline CBT for young people between the ages of 10-25. We responded with a rapid review and meta-analysis of eight randomized controlled trial outcomes. The …

The Effect Of Travel Burden On Depression And Anxiety In African American Women Living With Systemic Lupus, Ashley A. White, Brittany L. Smalls, Aissatou Ba, Trevor D. Faith, Viswanathan Ramakrishnan, Hetlena Johnson, Jillian Rose, Clara L. Dismuke-Greer, Jim C. Oates, Leonard E. Egede, Edith M. Williams

Family and Community Medicine Faculty Publications

The United States has a deficit of rheumatology specialists. This leads to an increased burden in accessing care for patients requiring specialized care. Given that most rheumatologists are located in urban centers at large hospitals, many lupus patients must travel long distances for routine appointments. The present work aims to determine whether travel burden is associated with increased levels of depression and anxiety among these patients. Data for this study were collected from baseline visits of patients participating in a lupus study at MUSC. A travel/economic burden survey was assessed as well as the 8-item Patient Health Questionnaire (PHQ-8) and …

Utilization Patterns Of Community-Based Mental Health Services Among School-Going Adolescent Girls In Southwestern Uganda., William Byansi

Arts & Sciences Electronic Theses and Dissertations

ABSTRACT OF THE DISSERTATION

Globally an estimated 20% of children and adolescents experience a disabling mental illness (Belfer, 2008). Mental health disorders are the second leading cause of disease burden and the eleventh leading cause in older adolescents (15-19 years). Yet, children and adolescents are over-represented in low-resourced countries and settings often characterized by violence, wars, diseases, physical and sexual abuse, all of which are associated with poor mental health functioning (Kieling et al., 2011; Naker, 2005). Moreover, in LMICs the treatment gap is about 93% of individuals without access to mental health services with virtually no coverage of evidence-based …

Exploring The Prevalence Of Social Isolation In Students At A Christian College In West Texas, David Bryan Elliott

Electronic Theses and Dissertations

The concept known as “social isolation” is a problem that affects many people, but there are certain populations that do not have adequate research performed on them. Specifically, college students face a risk of social isolation that is detrimental to their well-being and academic success, and there is a gap in the literature about this relationship. This study explored the prevalence of social isolation in college students at a Christian college in West Texas and examined various factors to determine whether any protective factors or at-risk factors existed. An online survey was sent out that used 11 demographic factor questions …

An Evidence Based Practice Guide For Parents And Schools: Supporting Kids And Adolescents' Mental Health During And After Covid-19 Pandemic, Ivanna M. Fuentes Javier

Evidence-Based Social Work Practice Guide Series

Adolescent mental health is important to consider by parents and schools. Parents need to build a strengthened mentality in their children and with the school support, the results would be greater. The active participation of schools is needed in order to support kids' and adolescents' mental health and create parent awareness about mental health. Also, when parents are able to identify early signs of mental health problems, they can prevent it from becoming greater and the school can help parents learn about these early signs. In addition, parents play a fundamental role in identifying symptoms of mental health problems in …

Correlates Of Depression Among Black Girls Exposed To Violence, Dexter R. Voisin

Faculty Scholarship

Depression rates for youth remanded to juvenile detention is double that of the general population and Black girls are especially vulnerable. A dearth of literature analyzes the factors that are correlated with depression among system-involved Black girls, ages 12–17 years old. We utilized personal agency to examine the relationship between risk factors (i.e., abuse history, and fear of condom negotiation) and protective factors (i.e., condom self-efficacy, and perceived social support) that might correlate with depression among Black girls exposed to violence. Findings indicate that fear of condom negotiation, abuse history and low condom self-efficacy are correlated with depressive symptomology while …

Barriers To Implementation Of A Technology-Based Mental Health Intervention In A Rural Setting, Becky F. Antle, Lesley M. Harris, Jesse H. Wright, Tracy D. Eells, Amy Cappiccie, Sara M. Williams, Rebecca Katz, Ashley Logsdon, Jesse Owen

Contemporary Rural Social Work Journal

This study utilized qualitative focus groups with rural health providers and patients to explore barriers to implementation of a technology-based mental health intervention for the treatment of depression in a primary care setting. A randomized controlled trial (RCT) was implemented in both urban and rural primary care practices to test the feasibility and effectiveness of computerized cognitive behavioral therapy (CCBT) for depression. Early implementation identified lower rates of willingness to participate in the intervention by rural patients. Subsequently, focus groups were conducted with rural providers and patients to explore barriers to participation and strategies to overcome these barriers in future …

A Non-Specialist Depression Care Pathway For Adolescents Living With Hiv And Transitioning Into Adult Care In Peru: A Nested, Proof Of Concept Pilot Study, Jerome T. Galea, Carmen Contreras, Milagros Wong, Karen Ramos, Valentina Vargas, Hugo Sánchez, Renato A. Errea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Background: Adolescents living with HIV (ALWH) are disproportionally impacted by depression, experiencing worse HIV outcomes. Integrated depression and HIV care may support antiretroviral adherence. This study pilot tested for proof of concept a basic depression care pathway for ALWH to inform depression care integration with HIV services in Peru.

Methods: ALWH were screened for depression with the Patient Health Questionnaire-9 (PHQ-9). Participants with PHQ-9 scores of ⩾10 or suicidal ideation (SI) were eligible for Psychological First Aid (PFA) delivered by non-mental health specialists. Participants with PHQ-9 re-assessments of ⩾20 or SI were referred to specialized services.

Results: Twenty-eight (11 female, …

Social Workers' Perspectives Of Depression In Baby Boomers Born Between 1946 And 1955, Karen Cohen

Walden Dissertations and Doctoral Studies

AbstractAs the leading-edge baby boomer (L-E boomer) cohort continues to age, demands of mental health services in treating diagnosed depression in this cohort are increasing. Licensed clinical social workers (LCSWs) are the most likely social workers to provide services to L-E boomers diagnosed with depression. LCSWs were the chosen participants for this generic qualitative study to gain knowledge of their perspectives of working with L-E boomers diagnosed with depression. Grounded in generational theory, this study used a generic qualitative approach allowing for nonrestrictive measures for capturing the data. NVIVO assisted in coding the data and identification of common themes, words, …

The Use Of Technology For Mental Wellbeing In The Era Of Covid-19, Adam Fakhri

Family Medicine Clerkship Student Projects

Prevalence of mental health issues has increased during the time of COVID-19. There are many contributing factors to consider, the main one reported has been social isolation due to quarantine precautions. Members of the community have spent extended periods of time at home and away from their loved ones during this pandemic. Many patients have reported many life events occurring including deaths in the family without the ability to even mourn with their family members. This has taken a toll on the community, especially in Vergennes where this small tight knit community that has relied on its tight social bonds …

Supporting Survivors Coming Forward, Samanta Herrera

Capstone Projects and Master's Theses

As an intern at Survivors Healing Center an issue that was identified was child sexual abuse cases are too common. The contributing factors that have a correlation to the community problem that was mentioned is denial, emotional maltreatment, and family characteristics. The consequence of the contributing factors led to depression, suicidal and a potential reacurrence of sexual abuse. The purpose of the project was to educate participants on how to support survivors who are coming forward. By educating them the expected outcome was to have some participants leaving with knowledge towards the issue. As a result of addressing the contributing …

Understanding The Role Of Past Health Care Discrimination In Help-Seeking And Shared Decision-Making For Depression Treatment Preferences, Ana M. Progovac, Dharma E. Cortés, Valeria Chambers, Jonathan Delman, Deborah Delman, Danny Mccormick, Esther Lee, Selma De Castro, María José Sánchez Román, Natasha A. Kaushal, Timothy B. Creedon, Rajan A. Sonik, Catherine Rodriguez Quinerly, Caryn R.R. Rodgers, Leslie B. Adams, Ora Nakash, Afsaneh Moradi, Heba Abolaban, Tali Flomenhoft, Ruth Nabisere, Ziva Mann, Sherry Shu Yeu Hou, Farah N. Shaikh, Michael Flores, Dierdre Jordan, Nicholas J. Carson, Adam C. Carle, Frederick Lu, Nathaniel M. Tran, Margo Moyer, Benjamin L. Cook

School for Social Work: Faculty Publications

As a part of a larger, mixed-methods research study, we conducted semi-structured interviews with 21 adults with depressive symptoms to understand the role that past health care discrimination plays in shaping help-seeking for depression treatment and receiving preferred treatment modalities. We recruited to achieve heterogeneity of racial/ethnic backgrounds and history of health care discrimination in our participant sample. Participants were Hispanic/Latino (n = 4), non-Hispanic/Latino Black (n = 8), or non-Hispanic/Latino White (n = 9). Twelve reported health care discrimination due to race/ethnicity, language, perceived social class, and/or mental health diagnosis. Health care discrimination exacerbated barriers to initiating and continuing …

Racial And Ethnic Comparison Of Ecological Risk Factors And Youth Outcomes: A Test Of The Desensitization Hypothesis, Dexter R. Voisin

Faculty Scholarship

Minority youth, because of structural, ecological, and societal inequalities, are at heightened risk of reporting depression and experiencing negative sanctions associated with delinquency. Sociological theories suggest that greater exposure to ecological risk factors at the peer, family, school and community levels are associated with elevated rates of youth depression and delinquency. Desensitization theory posits that repeated exposures to ongoing stressors result in a numbing of psychological and behavioral responses. Thus, it remains unclear whether racial/ethnic differences exist with regards to how contextual stressors correlate with depression and delinquency. Using a sample of 616 Black, 687 Latinx, and 1,318 White youth, …

Art Adherence Among Men Who Have Sex With Men Living With Hiv: Key Challenges And Opportunities, Dexter R. Voisin

Faculty Scholarship

Purpose of Review: In the USA, gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by HIV. High levels of adherence to antiretroviral therapy (ART) can dramatically improve outcomes for persons living with HIV and reduce the risk of HIV transmission to others. Yet, there are numerous individual, social, and structural barriers to optimal ART adherence. Many of these factors disproportionately impact Black MSM and may contribute to their poorer rates of ART adherence. This review synthesizes the key challenges and intervention opportunities to improve ART adherence among MSM in the USA. Recent Findings: Key …

Reducing Depression And Anxiety With Equine Activities, Denise Todd

Electronic Theses, Projects, and Dissertations

ABSTRACT

Anxiety and depression are among the most popular mental health issues in the United States and across the globe, as many people continue to face personal, familial, and systemic challenges in their lives. It is believed that equine activities (those that involve interactions with horses) can play a significant role in alleviating anxiety and depression levels in adults. So far, however, the existing scholarship contains just a handful of studies supporting such a claim. Using a pre-experimental design, this study sought to extend the mental health literature by assessing the impact of equine activities on anxiety and depression among …

Exploring The Relationships Of Social Media Usage And Symptoms Of Anxiety And Depression In Adolescents, Morgan Culpepper

Electronic Theses and Dissertations

Social media is a popular form of communication and entertainment among youth. Inconsistencies are present in the literature on the potential effects it can have on mental health. Depression and anxiety disorders are common among all age groups in the US, and this study aimed to determine the relationship social media has on symptoms of anxiety and depression. The Social Anxiety Scale for Adolescents (SAS) and the GAD-7 were used to measure symptoms of anxiety, as well as the CES-D scale to evaluate depressive symptoms in adolescents. The number of social networking sites and number of hours spent on social …

Teen Depression, Stories Of Hope And Health: A Promising Universal School Climate Intervention For Middle School Youth, Michael S. Kelly, Peggy Kubert, Heather Freed

International Journal of School Social Work

This study describes the delivery of the Teen Depression: Stories of Health and Healing (TDSHH), a brief school-based depression awareness delivered for middle school students. The main objectives of the proposed evaluation were to examine the effects of TDSHH on middle school health students in the areas of knowledge about depression, willingness to seek help from adults and belief that adults can help. Two Chicago suburban middle schools agreed to be part of the TDSHH intervention study. In both schools, a pre/post-test wait-list control quasi-experimental design was used. Each student in the study (total N=223) completed a questionnaire that incorporated …

What’S In A Name? How The Language Of Mental Health Diagnoses Affects The Ability To Heal, Elizabeth Marston, Samuel Marion

National Youth Advocacy and Resilience Conference

When a person receives a mental health diagnosis, they are often started down a path of receiving help, but also of receiving stigma. This presentation will discuss how language around a diagnosis can affect a child’s sense of self as well as either help or hurt a student’s ability to manage and heal.

Exploring The Use Of Familismo To Manage Depression Among Elderly Latino Women, Denise Ramos

Walden Dissertations and Doctoral Studies

As the elderly population continues to increase in the United States, so does the concern of major depressive disorder. Despite the need to forcefully recognize and address depression among this age group, efforts have been docile and passive; many elderly individuals continue to go undiagnosed. With the increase of Latino population within the past and upcoming decades and with studies showing that elderly Latinos appear to live longer than non-Latinos, it is critical that differences in treatment interventions be explored. This study aimed to explore the use of familismo (intense importance and attachment the Latino culture places on nuclear and …

The Importance Of “Being There”: A Qualitative Study Of What Veterans With Depression Want In Social Support, Alan R. Teo, Heather E. Marsh, S. Ono, Christina Nicolaidis, Somnath Saha, Steven K. Dobscha

School of Social Work Faculty Publications and Presentations

Background: Social connectedness exerts strong influences on health, including major depression and suicide. A major component of social connectedness is having individual relationships with close supports, romantic partners and other trusted members of one’s social network. Objective: The objective of this study was to understand how individuals’ relationships with close supports might be leveraged to improve outcomes for primary care patients with depression and at risk for suicide. Design: In this qualitative study, a semi-structured interview guide was used to probe patient experiences, views, and preferences related to social support. Participants: We conducted interviews with 30 primary care patients at …

Providing Resources For Probationers, Behavioral Health And Substance Abuse, Crystal Rangel

Capstone Projects and Master's Theses

San Benito County Probation Department is daily targeted by defendants having an issue with drugs, violations, domestic violence, battery, drug court, Post Release Community Supervision. The main issue is that the defendants relapse into drugs, which can sometimes lead themselves to committing a violation of probation. Due to a certain level of stress, depression and bad influence defendants sometimes make a bad decision and drug relapse or commit a violation. Which them leads them to incarceration, loss of family support and sometimes death because of a drug overdose. A Referral Resource Handout was created from different resources available in the …

Association Between Behavioral And Psychological Symptoms In Persons With Alzheimer's Disease And Depression In Caregivers From Low Income Families, Weizhou Tang

Theses and Dissertations

Alzheimer’s disease (AD) is the most common neurodegenerative disease and is a leading cause of dementia. Behavioral and psychological symptoms (BPS) represent a heterogeneous group of non-cognitive symptoms and behaviors occurring in persons with Alzheimer’s disease (PwAD), and they are often associated with negative outcomes for AD caregivers. Evidence indicates differences in caregivers’ mental health across race/ethnic groups. However, there is a lack of research that compares racial differences in the association between BPS in PwAD and caregiver depression. The aims of this dissertation, which are grounded in the Stress Process Model, include: 1) To compare racial differences in BPS …

The Impact Of Stigma On Adolescents Willingness To Seek Treatment, Alejandra Randol

Electronic Theses, Projects, and Dissertations

The focus of this study will be on how the stigma attached to mental illness impedes adolescent’s experiencing suicidal ideation & depression, willingness to seek out mental health services. The purpose of the study is to determine what action needs to be taken to address these issues to facilitate adolescent’s willingness to seek services. The study was qualitative and was conducted utilizing the constructivism approach with a theoretical orientation emphasized on the labeling and empowerment theory. The literature reviews focus on labeling of mental disorders and stigma, preventing factors and interventions that influence help seeking and mental health services utilization, …

Mental Health Disparities For Latino Immigrants & Its Impact On Psychological Well-Being, Ana Do Rosario Sousa

Counseling Psychology | Master's Theses

In the present study, the researcher sought to examine the factors associated with Latino immigrants and the barriers/challenges that are faced in mental health. The main question that the researcher focuses on in the present study is: What are some of the mental health challenges for Latino immigrants & how do these disparities further impact psychological well-being? Furthermore, the research focuses on highlighting the variables that are increasingly damaging to the minority population of Latinos in the United States. These variables include lack of health insurance, stigma, acculturation issues, legal issues, and biopsychosocial factors, such as socioeconomic class. In multiple …

Acculturation And Depression Among Older U.S. Immigrants: A Systematic Review, Sunghwan Cho

Master of Social Work Clinical Research Papers

This systematic review examines how acculturation affects depressive symptoms of older U.S. immigrants. Upon through review of the present literature, five articles were identified as meeting inclusion criteria and analyzed based on the ecological theory. Common themes identified throughout the reviewed studies include enhancing family support, community support, and cultural contexts. Results of this review conclude the micro and meso system such as family and social network supports help older adult immigrants interact with the mainstream American culture, which leads to a reduction of depressive symptoms of older adult immigrants. Also, the review identified that it is helpful for service …

Yoga-Specific Enhancement Of Quality Of Life Among Women With Breast Cancer: Systematic Review And Exploratory Meta-Analysis Of Randomized Controlled Trials, Daline El-Hashimi, Kevin M. Gorey

Social Work Publications

Physical activities during and after cancer treatment have favorable psychosocial effects. Increasingly, yoga has become a popular approach to improving the quality of life (QoL) of women with breast cancer. However, the extant synthetic evidence on yoga has not used other exercise comparison conditions. This meta-analysis aimed to systematically assess yoga-specific effects relative to any other physical exercise intervention (eg, aerobics) for women with breast cancer. QoL was the primary outcome of interest. Eight randomized controlled trials with 545 participants were included. The sample-weighted synthesis at immediate postintervention revealed marginally statistically and modest practically significant differences suggesting yoga’s potentially greater …

The Impact Of Paternal Involvement And United States Stay Length On Latino Youth's Depressive Symptoms, Christine Marie Bishop, Sara Makki Alamdari

Faculty Publications

Latino youth in the United States are more at-risk for depression than youth of other ethnic backgrounds. This manuscript assesses the impacts of sex, age, United States stay length, and whether or not Latino children of immigrants’ fathers live with them on the youth’s depressive symptoms. For this purpose, data of the Children of Immigrants Longitudinal Study was used. Using multiple regression analysis, the relationships among the aforementioned factors were examined among 1305 immigrant youth who were born in Latin America and Caribbean countries. The results of the study indicated that being male, living with one’s father and longer stay …

Father-Daughter Incest: Comparison Of Treated Cases To Untreated Control Subjects, Keith W. Beard, Jason E. Newsome, Karen V. Harper-Dorton, Stephen L. O'Keefe, Debra H. Young, Sam Swindell, Walter E. Stroupe, Kerri Steele, Megan Lawhon, Shih-Ya Kuo

Faculty & Staff Scholarship

Treatment of father daughter incest (FDI) survivors using the victim advocacy/child welfare approach to FDI that predominates today in the US has never been compared to results in untreated control subjects in any published report. In the present study, thirty-two survivors of FDI who received treatment based on the victim advocacy/child welfare approach to FDI were compared to 32 control subjects who did not receive treatment. No significant differences were found using analysis of variance on 21 scales and subscales. Statistical analysis of the data from all 64 of the FDI survivors showed that items reflecting a poor self-image and …

Depression Education As Primary Prevention: The Erika’S Lighthouse School-Based Program For High School Students, Michael S. Kelly, Heather Freed, Peggy Kubert, Sarah Greibler

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

Major depression is a treatable and common mental health disorder for youth. Untreated depression is a major risk factor for youth who become suicidal and die by suicide. Recent focus in the school-based literature on creating universal mental health promotion programs have recognized the need for effective depression awareness education programs to assist youth in identifying symptoms of depression in themselves and their peers, and to encourage those youth to seek trusted adults for help. A quasiexperimental design (QED) was employed in two suburban Chicago high schools (n=652) to evaluate the intervention, Real Teenagers Talking About Adolescent Depression (RTTAAD), a …

Stressors, Self-Esteem, Social Activities, And Depression: A Sample Of Patients At A Federally Qualified Health Center Who Experienced Homelessness, Joohee Lee, Morgan W. Bradwell, Michelle Brazeal, Timothy A. Rehner, Stephanie T. Mcleod

Faculty Publications

This study examined the relationships between current stressors and depressive symptoms among Federally Qualified Health Center (FQHC) patients who experienced homelessness, with a particular focus on the role of self-esteem and social activities on these relationships. The sample included patients who visited any clinic site of a FQHC in the southern part of Mississippi and qualified for the Health Care for the Homeless (HCH) Program. Assessments included the Patient Health Questionnaire (PHQ-9), the DUKE Health Profile, and a checklist of stressors. Results of the multivariate analysis using structural equation modeling revealed that ambulation difficulties were related to depressive symptoms directly …