Social and Behavioral Sciences Commons^™

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Validation Of The Pcl-5, Phq-9, And Gad-7 In A Sample Of Veterans, Aazi Ahmadi, Warren Ponder, Jose Carbajal, Donna Schuman, James Whitworth, R Andrew Yockey, Jeanine Galusha

Faculty Publications

Objective: Veterans can present at nongovernment (Department of Defense, Department of Veterans Affairs) mental health agencies with complex symptom constellations that frequently include posttraumatic stress disorder, depression, and generalized anxiety. To date, no veteran study has validated these measures on a treatment-seeking sample of veterans outside the DoD and VA. Methods: We used a treatment-seeking sample of veterans (N = 493) to validate measures that assess these constructs (PTSD Checklist 5, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7). Results: The seven-factor posttraumatic stress disorder hybrid configuration was the best fit. The best fitting model of the depression …

Differences In Suicidality In Non–Treatment-Seeking And Treatment-Seeking Law Enforcement Officers: A Cross-Sectional Study, Warren N. Ponder, Alaina M. Beauchamp, Donna L. Schuman, Jose Carbajal, Katelyn K. Jetelina, Jeanine M. Galusha

Faculty Publications

Objective: Law enforcement officers (LEOs) are exposed to high levels of occupational trauma and face added stress from heightened public scrutiny and COVID-19, which may result in suicide. It is crucial to understand differences between LEOs who seek treatment and those who do not. Method: We compared LEOs from the same greater metropolitan area who sought treatment with those who did not. Participants completed validated measures assessing posttraumatic stress disorder, generalized anxiety, depression, and suicidality. Results: The treatment-seeking sample scores were higher on all standardized assessments. Bivariate logistic regression results indicated that the non–treatment-seeking sample's odds of experiencing suicidality were …

Maternal Depression Moderated By Family Resources When Children Have Developmental Disabilities., Timothy B. Smith, Terisa P. Gabrielsen

Faculty Publications

Children with developmental disabilities require extensive parental involvement in intervention, but parents with depression may be less able to intervene effectively. We examined prevalence of depression symptoms and predictors among 131 mothers of children with disabilities enrolled in early childhood special education. Participants completed several self-report measures of depression and child and family functioning. Children were directly evaluated using the Battelle Developmental Inventory. One year later, 68 mothers repeated self-report measures. Participants (30%) reported elevated depression symptoms across time. Depression scores were correlated with parental stress and family resources. An interaction between higher maternal depression and higher child functioning with …

Mindfulness, Psychological Distress, And Somatic Symptoms Among Women Engaged In Sex Work In China, Cheuk Chi Tam, Yuejiao Zhou, Shan Qiao, Xiaoming Li Ph.D., Zhiyong Shen

Faculty Publications

Women engaged in sex work (WSW) in China encounter numerous disadvantages (e.g., exposure to violence) and have substantial risk for psychological distress and somatic symptoms. Intervention literature has attended to mindfulness, which is a protective factor for psychological outcomes, and its influences can further improve physical health. However, mindfulness has not been well studied in WSW. We aimed to examine the association among mindfulness, psychological distress, and somatic symptoms among Chinese WSW. Data were collected from 410 WSW in Guangxi, China, using an anonymous, self-administered survey evaluating demographics, mindfulness, psychological distress (i.e., depression, loneliness, and perceived stress), and somatic symptoms …

A Scoping Review Investigating Relationships Between Depression, Anxiety, And The Prep Care Continuum In The United States, Sarah J. Miller, Sayward Harrison, Kamla Devi Sanasi-Bhola

Faculty Publications

Men who have sex with men and transgender women in the United States are at increased risk for HIV and may benefit from pre-exposure prophylaxis (PrEP), a once-a-day pill to prevent HIV. Due to stigma and discrimination, sexual and gender minority (SGM) populations are also at risk for depression and anxiety. This scoping review sought to identify literature addressing relationships between the PrEP care continuum, depression, and anxiety among SGM individuals and others at high risk for HIV. We conducted a systematic review of four databases (i.e., PubMed, PsycInfo, Web of Science, Google Scholar) and identified 692 unique articles that …

Increased Mood Disorder Symptoms, Perceived Stress, And Alcohol Use Among College Students During The Covid-19 Pandemic, Nora E. Charles, Stephanie J. Strong, Lauren C. Burns, Margaret R. Bullerjahn, Katherine M. Serafine

Faculty Publications

The COVID-19 pandemic caused significant disruption during the spring of 2020. Many college students were told to leave campus at spring break and to complete the semester remotely. This study evaluates effects of this disruption on student well-being. Measures of psychological symptoms, perceived stress, and alcohol use during the pandemic were completed by 148 students in spring 2020 and 352 students in fall 2020 at a university in the southeastern U.S. Results from both cohorts were compared to 240 students who completed the same measures in the fall 2019 semester. Participants in spring 2020 reported more mood disorder symptoms, perceived …

Insomnia Is Associated With Frequency Of Suicidal Ideation Independent Of Depression: A Replication And Extension Of Findings From The National Health And Nutrition Examination Survey, Zach Simmons, Lance D. Erickson, Dawson Hedges, Daniel Kay

Faculty Publications

Objective: Insomnia is associated with suicidality, although the mechanisms of this association are unclear. This study sought to replicate previous findings showing that insomnia symptoms but not sleep duration are associated with frequency of suicidal ideation in adults. We further investigated whether depression or sleep duration moderates the association between insomnia symptoms and frequency of suicidal ideation.

Materials and Methods: We used the 2005–2006 cycle of the National Health and Nutrition Examination Survey to replicate previously reported findings from the 2007–2008 cycle. We used ordered logistic regression to determine whether insomnia symptoms were associated with frequency of suicidal ideation independently …

Parenting Paused: Pathological Video Game Use And Parenting Outcomes, Laura Stockdale, Sarah M. Coyne

Faculty Publications

For most people, playing video games is a normal recreational activity, with little disruption to gamers’ emotional, social, or physical health and well-being. However, for a small percentage of gamers, video gaming can become pathological (Fam, 2018). Substantial research has examined pathological gaming in teens and young adults (Cheng, Cheung, & Wang, 2018; Choo, Gentile, Sim, Khoo, & Liau, 2010), yet pathological gaming in adults (c.f.Holgren, 2017), especially in the context of parenthood, has been relatively ignored. The current study sought to address this limitation by studying associations between pathological gaming characteristics and parenting outcomes in a sample of men …

Are Father Depression And Masculinity Associated With Father Perceptions Of Maternal Gatekeeping?, Clare R. Thomas, Erin Kramer Holmes

Faculty Publications

Maternal gatekeeping has been associated with reductions in father involvement and can have a negative impact on the family. Few researchers, however, have focused on how characteristics of the father contribute to gatekeeping. Consequently, this brief report is focused on associations between father depression, father adherence to masculine norms, and father reports of maternal gatekeeping. We further test whether a father's adherence to traditional masculine norms interacts with the relationship between depression and father reports of maternal gatekeeping. This study adds to the current literature on both maternal gatekeeping and father mental health. Participants in this study include 2,214 fathers …

Does Time Spent Using Social Media Impact Mental Health?: An Eight Year Longitudinal Study, Sarah M. Coyne, Adam A. Rogers, Jessica D. Zurcher, Laura Stockdale, Mccall Booth

Faculty Publications

Many studies have found a link between time spent using social media and mental health issues, such as depression and anxiety. However, the existing research is plagued by cross-sectional research and lacks analytic techniques examining individual change over time. The current research involves an 8-year longitudinal study examining the association between time spent using social media and depression and anxiety at the intra-individual level. Participants included 500 adolescents who completed once-yearly questionnaires between the ages of 13 and 20. Results revealed that increased time spent on social media was not associated with increased mental health issues across development when examined …

Paternal Self-Efficacy: A Parenting Resilience Factor For Fathers With Depression, Mark Herrick Trahan, Kevin Shafer

Faculty Publications

Parental depression has a negative effect on child development including mental and physical health, language and development, and externalizing and internalizing behavior. This quantitative research study examined the relationship between paternal self-efficacy (PSE) and parenting behaviors often associated with paternal depression. Data from the Survey of Contemporary Fathers were used and responses from self-identified fathers (n = 1,156) on paternal involvement, warmth, harsh parenting practices, and parenting self-efficacy were analyzed to assess the association between depression and PSE on fathering behavior. Ordinary least squares regression analysis indicated that depression was associated with harsh parenting and parenting warmth, while parenting self-efficacy …

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 …

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 …

Understanding The Role Of Religious Comfort And Strain On Depressive Symptoms In An Inpatient Psychiatric Setting, Alexis D. Abernethy, Joseph M. Currier, Charlotte Vanoyen-Witvliet, Sarah A. Schnitker, Katharine M. Putman, Lindsey M. Root Luna, Joshua D. Foster, Andrene Spencer, Heather Jones, Karl Vanharn, Janet Carter

Faculty Publications

Understanding the role of religion in mental illness has always been complicated as some people turn to religion to cope with their illness, whereas others turn away. The overarching purpose of this study was to draw on quantitative and qualitative information to illuminate ways in which religiousness might be associated with changes in depressive symptomatology in a spiritually integrated inpatient treatment program. This repeated measures mixed method study examined the relations among religious comfort (RC), religious strain (RS), and depression in an inpatient psychiatric sample. Adult inpatients (N=248; Mage = 40.78 years; SD = 18.97) completed measures of RC, RS, …

Similarities And Differences In The Influence Of Paternal And Maternal Depression On Adolescent Well-Being, Kevin Shafer, Brandon Fielding, Douglas Wendt

Faculty Publications

Depressed parents may negatively influence the well-being and outcomes of their children. However, prior research has mostly addressed mother's depression and early childhood outcomes, whereas fathers and adolescents have been largely ignored in the literature. Using data from the sixth grade and age 15 waves of the Eunice Kennedy Shriver National Institute of Child Health and Human Development's Study of Early Child Care and Youth Development, this study addresses similarities and differences in the influence of paternal and maternal depression on adolescent behavior. Results from structural equation models showed that paternal depression had direct effects on both internalizing and externalizing …

Relationship Of Religiosity And Spirituality To Hazardous Drinking, Drug Use, And Depression Among Sexual Minority Women, Laurie Drabble, Cindy Veldhuis, Barth Riley, Sharon Rostosky, Tonda Hughes

Faculty Publications

Using data from Wave 3 of the Chicago Health and Life Experiences of Women (CHLEW) study (N = 699), we explored whether religiosity and spirituality were associated with risk of hazardous drinking, drug use, and depression among sexual minority women (SMW; i.e., lesbian, bisexual) and possible differences by race/ethnicity. Participants were more likely to endorse spirituality than religiosity, and endorsement of each was highest among African American SMW. We found no protective effect of religiosity or spirituality for hazardous drinking or drug use. An association initially found between identifying as very spiritual and past-year depression disappeared when controlling for help-seeking. …

The Relationship Between Family Support; Pain And Depression In Elderly With Arthritis, Wendy C. Birmingham, Man Hung, Jerry Bounsanga, Maren W. Voss, Anthony B. Crum, Wei Chen

Faculty Publications

The prevalence and chronic nature of arthritis make it the most common cause of disability among U.S.A adults. Family support reduces the negative impact of chronic conditions generally but its role in pain and depression for arthritic conditions is not well understood. A total of 844 males (35.0%) and 1567 females (65.0%) with arthritic conditions (n = 2411) were drawn from the 2012 Health and Retirement Study to examine the effect of family support on pain and depressive symptoms. Using regression analysis and controlling for age, ethnicity, gender, marital/educational status and employment/income, physical function/disability status, pain and antidepressant medications, and …

Divorce Stress, Stepfamily Stress, And Depression Among Emerging Adult Stepchildren, Kevin Shafer, Todd M. Jensen, Erin K. Holmes

Faculty Publications

Several decades of research have shown that parental divorce can be a stressful experience for children and may lead to depression and other negative outcomes. Similarly, research has highlighted the stressors often induced by stepfamily formation and their effects on children. Although singular family transitions can exert influence, few studies explore how the combined stress from two family transitions may interact to influence long-term outcomes. Our study addresses this gap by using national data from 1142 respondents who experienced parental divorce and a subsequent transition to stepfamily life. Congruent with prior research, we find that retrospective reports of divorce and …

The Deception Of Depression: How A Melancholy Mood Can Sink A Marriage, Jason B. Whiting

Faculty Publications

Logan was a doctoral student studying ancient Italian poetry. His life was filled with shelves of old books and a teaching job where he was supposed to inspire lethargic freshmen. His doctoral adviser was difficult and inconsistent, and Logan was a people- pleaser who worried that his adviser and students were always upset with him. He came to see me at the request of his wife, Yuko, who was starting to panic at his change in personality. “He used to be cheerful, fun-loving, and interested in his work,” she said. “Now he is a zombie. He goes through the motions …

Economic Pressure, Individual And Family Processes, And Children’S Reticence In Romanian Families, Susanne Olsen Roper, Jennifer George, Larry J. Nelson, Jeremy B. Yorgason, Franklin O. Poulsen

Faculty Publications

Using Conger’s family stress model as a theoretical framework, a series of mediated associations among economic hardship, perceived economic pressure, parental depression, marital conflict, psychologically controlling parenting, and children’s reticent behaviors in Romanian families were studied. The sample consisted of 121 Romanian mothers and fathers of 4–5-year-old children. Children’s kindergarten teachers living in urban and rural locations evaluated child reticence. Findings generally support the family stress model. Structural equation modeling showed that after controlling for living in a rural location, economic pressure was indirectly linked with marital conflict through depression. Depression was indirectly related to psychological control through marital conflict, …

Insomnia Is Associated With Suicide Attempt In Middle-Aged And Older Adults With Depression, Daniel Kay, Alexandre Y. Dombrovski, Daniel J. Buysse, Charles F. Reynolds Iii, Amy Begley, Katalin Szanto

Faculty Publications

Background—Insomnia increases in prevalence with age, is strongly associated with depression, and has been identified as a risk factor for suicide in several studies. The aim of this study was to determine whether insomnia severity varies between those who have attempted suicide (n = 72), those who only contemplate suicide (n = 28), and those who are depressed but have no suicidal ideation or attempt history (n = 35).

Methods—Participants were middle-aged and older adults (Age 44–87, M = 66 years) with depression. Insomnia severity was measured as the sum of the early, middle, and late insomnia items from the …

The Interactive Effect Of Major Depression And Nonsuicidal Self-Injury On Current Suicide Risk And Lifetime Suicide Attempts, Anne C. Knorr, Matthew T. Tull, Michael D. Anestis, Katherine L. Dixon-Gordon, Mary F. Bennett, Kim L. Gratz

Faculty Publications

Objectives: This study examined the main and interactive effects of MDD and lifetime nonsuicidal self-injury (NSSI) on current suicide risk and past suicide attempts. We predicted that individuals with a history of NSSI and current MDD would be at greater suicide risk than those with either risk factor alone. An interaction between lifetime MDD and NSSI was hypothesized for past suicide attempts.

Methods: 204 substance dependent inpatients completed self-report measures and a diagnostic interview.

Results: Patients with both a history of NSSI and current MDD, relative to all other groups, had the greatest suicide risk. No support …

Gender Differences In Depression Across Parental Roles, Kevin Shafer, Garrett T. Pace

Faculty Publications

Prior research has focused on the relationship between parenthood and psychological well-being, with mixed results. Some studies have also addressed potential gender differences in this relationship, again yielding varied findings. One reason may be methodological choices pursued in these studies, including the lack of focus on combined parental roles (for example, biological parent and stepparent). The authors used data from the National Longitudinal Survey of Youth, 1979 (N = 6,276) and multinomial treatment models to address how combined roles influence depressive symptoms in mothers and fathers. Further, they explored potential gender differences. Their results indicated that having multiple parental roles …

“Technoference”: The Interference Of Technology In Couple Relationships And Implications For Women’S Personal And Relational Well-Being, Brandon T. Mcdaniel, Sarah M. Coyne

Faculty Publications

Technology use has proliferated in family life; everyday intrusions and interruptions due to technology devices, which we term “technoference,” will likely occur. We examine the frequency of technoference in romantic relationships and whether these everyday interruptions relate to women’s personal and relational well-being. Participants were 143 married/cohabiting women who completed an online questionnaire. The majority perceived that technology devices (such as computers, cell or smartphones, or TV) frequently interrupted their interactions, such as couple leisure time, conversations, and mealtimes, with their partners. Overall, participants who rated more technoference in their relationships also reported more conflict over technology use, lower relationship …

Serotonin Transporter Genotype Modulates Hpa Axis Output During Stress: Effect Of Stress, Dexamethasone Test And Acth Challenge, Andrea N. Sorenson, Erin C. Sullivan, Sally P. Mendoza, John P. Capitanio, James Dee Higley

Faculty Publications

Background—Studies show that the hypothalamic–pituitary–adrenal (HPA) axis is dysregulated in depression. Some studies suggest that variation in the serotonin transporter genotype (hereafter 5HTT) modulates both risk for depression and psychopathological HPA axis responsiveness. Rhesus monkeys are well suited to model such relationships. Rhesus macaque models of human psychopathology have assessed the effect of the serotonin transporter (rh5HTT) on levels of cortisol in stressed subjects. These studies show that that under conditions of stress, heterozygous females (Ls) reared under adversity exhibit high levels of cortisol. Studies have not to our knowledge, however, assessed the potential additive effect on the cortisol response …

Serotonin Transporter Genotype Modulates Hpa Axis Output During Stress: Effect Of Stress, Dexamethasone Test And Acth Challenge, Andrea N. Sorenson, Erin C. Sullivan, Sally P. Mendoza, John P. Capitanio, James Dee Higley

Faculty Publications

Background—Studies show that the hypothalamic–pituitary–adrenal (HPA) axis is dysregulated in depression. Some studies suggest that variation in the serotonin transporter genotype (hereafter 5HTT) modulates both risk for depression and psychopathological HPA axis responsiveness. Rhesus monkeys are well suited to model such relationships. Rhesus macaque models of human psychopathology have assessed the effect of the serotonin transporter (rh5HTT) on levels of cortisol in stressed subjects. These studies show that that under conditions of stress, heterozygous females (Ls) reared under adversity exhibit high levels of cortisol. Studies have not to our knowledge, however, assessed the potential additive effect on the cortisol response …

Life Stressors And Resources And The 23-Year Course Of Depression, Ruth Cronkite, Erin Woodhead, Andrea Finlay, Christine Timko, Kirsten Hu, Rudolf Moos

Faculty Publications

Background Life stressors and personal and social resources are associated with depression in the short-term, but little is known about their associations with the long-term course of depression. The current paper presents results of a 23-year study of community adults who were receiving treatment for depression at baseline (N=382). Methods Semi-parametric group-based modeling was used to identify depression trajectories and determine baseline predictors of belonging to each trajectory group. Results There were three distinct courses of depression: high severity at baseline with slow decline, moderate severity at baseline with rapid decline, and low severity at baseline with rapid …

Marital Satisfaction And Depressive Symptoms In China, Richard B. Miller, Tiffany M. Mason, Jerevie M. Canlas, Dahua Wang, David A. Nelson, Craig H. Hart

Faculty Publications

Although there is substantial evidence that low marital satisfaction is a significant risk factor for depression, little research has examined this relationship in cultures outside of the U.S. and Europe. The validity of the marital discord model of depression in Chinese culture was tested by studying 391 couples living in Beijing and Hangzhou, China. Results of structural equation modeling using an actor–partner interdependence model strategy indicated that husbands’ and wives’ marital satisfaction was significantly predictive of their own depressive symptoms. In addition, wives’ marital satisfaction significantly predicted husbands’ depressive symptoms. These results provide evidence that the marital discord model of …