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Full-Text Articles in Social and Behavioral Sciences

The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams May 2023

The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams

Undergraduate Honors Theses

Risky sexual behaviors (RSB) have the potential to negatively impact individuals by increasing the risk of mental health issues, sexually transmitted infections (STIs), and unwanted pregnancies. Adverse childhood experiences (ACEs) and mental health disorders, such as anxiety, PTSD, and depression, have been known to increase RSB. The purpose of this study was to see if these mental health disorders mediate the relationship between ACEs and RSB. Participants (n = 342, mean age = 32) were recruited through social media to complete an online questionnaire. While history of ACEs significantly predicted engagement in RSB as well as all three of the …


Analyzing Emerging Adulthood Narratives And The Role Of Anxiety In Developmental Functioning, Daryl Parungao Dec 2022

Analyzing Emerging Adulthood Narratives And The Role Of Anxiety In Developmental Functioning, Daryl Parungao

Electronic Theses and Dissertations

Emerging adulthood is a developmental period characterized by the themes of identity exploration, instability, feeling in-between, being self-focused, and exploring possibilities (Arnett, 2006). Emerging adults are at higher risk for anxiety as they navigate novel developmental experiences and responsibilities (Kranszler et al., 2019). This study explores whether these themes map on to the experiences of modern-day emerging adults, and whether developmental functioning corresponds to anxiety. College students completed standard questionnaires and provided free-text responses about adjusting to adulthood. Identity exploration and instability were perceived as the most positive and negative aspects of aging, respectively, though response-type varied by participant demographics. …


The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell May 2022

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …


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 …


Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini Dec 2019

Investigating The Eeg Error-Related Negativity In College Students With Adhd, Anxiety, And Depression, Mariacristina Canini

Undergraduate Honors Theses

Error-related negativity (ERN) is an event-related potential elicited by the commission of errors. It appears as a negative deflection peaking between 50ms and 100ms after an erroneous response. Previous literature demonstrated that individuals who suffer from either anxiety or depression display a higher ERN amplitude compared to a control group. It has also been shown that people with ADHD display a lower ERN amplitude. Based on these findings, we investigated the relationships between these three disorders and their effects on the amplitude of the ERN. We recruited thirty-one students at East Tennessee State University and gathered data on their level …


Internalizing Symptoms Associated With Emotional Abuse: An Examination Of Religious Social Support As A Moderating Variable, Jessica Chambers, Diana Morelen, Jason Steadman, Michelle Hurley May 2018

Internalizing Symptoms Associated With Emotional Abuse: An Examination Of Religious Social Support As A Moderating Variable, Jessica Chambers, Diana Morelen, Jason Steadman, Michelle Hurley

Undergraduate Honors Theses

Emotional abuse in childhood is linked to an increased risk for internalizing symptoms such as depression and anxiety in adulthood. Religious social support offers a promising defense in maintaining mental well-being in the face of trauma. This study aims to investigate if religious social support in childhood will moderate the impact of negative outcomes associated with emotional abuse. Further, this study will examine whether and how gender and ethnicity impact this relationship. The sample includes undergraduate students attending East Tennessee State University, located in the southeastern United States (n = 471, 73% female, 11% African American, M age = 20.37, …


Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen Jan 2018

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …


Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen Jan 2018

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …


Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen Jan 2018

Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …


Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp Jan 2018

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …


Symptoms Of Anxiety And Depression And Suicidal Behavior In College Students: Conditional Indirect Effects Of Non-Suicidal Self-Injury And Self-Compassion, Andrea R. Kaniuka May 2017

Symptoms Of Anxiety And Depression And Suicidal Behavior In College Students: Conditional Indirect Effects Of Non-Suicidal Self-Injury And Self-Compassion, Andrea R. Kaniuka

Electronic Theses and Dissertations

Young adults of college age are at particular risk for psychopathology, non-suicidal self-injury (NSSI) and consequent suicidal behavior, perhaps in a continuum of increasing severity. However, not all persons who experience psychopathological symptoms, or who self-harm, go on to engage in suicidal behavior, perhaps due to protective factors such as self-compassion that buffer this progression. We examined the mediating effect of NSSI on the relation between anxiety/depressive symptoms and suicide risk, and the moderating role of self-compassion on these linkages. Our collegiate sample (N=338) completed: Beck Depression Inventory, Beck Anxiety Inventory, Self-Harm Inventory, Suicidal Behavior Questionnaire-Revised, and the Self-Compassion Scale. …


Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen Jan 2017

Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen

ETSU Faculty Works

Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether …


Mental Health Referral In Primary Care: Influence Of A Screening Instrument And A Brief Educational Intervention, Michael T. Miesner Aug 2014

Mental Health Referral In Primary Care: Influence Of A Screening Instrument And A Brief Educational Intervention, Michael T. Miesner

Electronic Theses and Dissertations

Although less than half of all patients with mental disorders seek mental health treatment per se, approximately 80% of all people will visit their primary care physician (PCPs) within a year (Strosahl, 1998). However, it is not well understood how to best handle patients presenting with mental health issues in primary care practices. The purpose of this project was to implement an intervention involving a screening measure for anxiety and mood disorders in a primary care setting to increase the volume of anxiety and mood disorder screening, to increase the accuracy of disorder detection, and to also enhance PCPs patterns …


Addressing Self-Reported Depression, Anxiety, And Stress In College Students Via Web-Based Self-Compassionate Journaling, Jessica Rose Williamson Aug 2014

Addressing Self-Reported Depression, Anxiety, And Stress In College Students Via Web-Based Self-Compassionate Journaling, Jessica Rose Williamson

Electronic Theses and Dissertations

Depression, anxiety, and stress in the college undergraduate population have been steadily rising over the past decade. Trait self-compassion has been shown to be significantly and negatively related to perceptions of stress and symptoms of depression and anxiety. Research has indicated that self-compassion inductions are effective in increasing state self-compassion. In general, selfcompassion inductions are designed to be easily self-administered. Current research on Internetbased interventions indicates that self-administered therapeutic techniques are effective in reducing self-reported depression, anxiety, and stress. The goal of the current study was to compare the effects of self-compassionate journaling, narrative journaling, and a true control group …


Traumatic Life Events And Symptoms Of Anxiety: Moderating Effects Of Adaptive Versus Maladaptive Coping Strategies, Alishia Foster May 2014

Traumatic Life Events And Symptoms Of Anxiety: Moderating Effects Of Adaptive Versus Maladaptive Coping Strategies, Alishia Foster

Electronic Theses and Dissertations

The experience of trauma is prevalent among young adult college students and is often associated with poor mental health outcomes such as symptoms of anxiety. Not all individuals who have experienced trauma, however, develop anxiety, perhaps due to individual-level adaptive characteristics, such as use of adaptive rather than maladaptive coping strategies. Yet, little research has examined the interrelationships between the experience of trauma, specific types of coping strategies, and subclinical anxiety symptoms. A sample of 915 undergraduate students completed self-report measures of trauma, coping strategies, and anxiety symptoms. We hypothesized that traumatic life events would be associated with anxiety symptoms, …


Identity Discrepancy, Male Role Norms, And Mental And Physical Health, Daniel Kevin Mckelvey Dec 2012

Identity Discrepancy, Male Role Norms, And Mental And Physical Health, Daniel Kevin Mckelvey

Electronic Theses and Dissertations

Male gender role norms were considered from a self-discrepancy perspective. The male gender role was divided into 4 perspective domain combinations based on the participant's perceptions: self-ideal/ought, other-ideal/ought, self-actual, other-actual. These categories were assessed using an adapted form of the Male Role Norms Inventory-Revised (Levant et al., 2007). It was hypothesized that large discrepancies between the perspective domains in a male's gender role concept would be significantly related to depression, anxiety, and lower general health quality, and this relationship would be moderated by the centrality of the perspective domains to the participant's gender role concept and by the centrality of …


Examining Differences In Stress Symptoms Based On Sexual Orientation, Ashley Danielle Dickson May 2012

Examining Differences In Stress Symptoms Based On Sexual Orientation, Ashley Danielle Dickson

Electronic Theses and Dissertations

The present study examined stress symptoms in relation to self-identified sexual orientation and identity-related constructs among gays and lesbians. Multiple identity constructs have played a significant role in determining anxiety levels in ethnic minorities but have not been examined among gays and lesbians. Secondary data analysis was conducted on a sample of participants who completed an online survey "Study of Attitudes about Sexual Orientation." Results indicated homosexuals reported higher levels of public and self-stigma and lower public regard than heterosexuals. Additionally, higher self-stigma and lower private regard about sexual orientation were related to increased stress. Finally, gays and lesbians reported …


Associations Between Mindfulness And Symptoms Of Anxiety., Leisa L. Wells Aug 2010

Associations Between Mindfulness And Symptoms Of Anxiety., Leisa L. Wells

Electronic Theses and Dissertations

This cross-sectional exploratory study considered the associations between mindfulness and symptoms of anxiety. The participants in this study were 183 undergraduate students at a regional university in the southeastern United States. The general hypothesis was that higher levels of mindfulness would be associated with lower levels of anxiety. Hierarchical multiple regression analyses were used to examine the association between a variety of aspects of mindfulness and symptoms of anxiety while controlling for a variety of demographic and historical variables, including previous experience with meditation. Results suggest that not all aspects of mindfulness were related to anxiety. Of the 12 specific …


Religiousness, Coping, And Locus Of Control As Predictors Of Anxiety., Rebecca Brooks May 2009

Religiousness, Coping, And Locus Of Control As Predictors Of Anxiety., Rebecca Brooks

Electronic Theses and Dissertations

In order to evaluate the cognitive appraisal and meaning-making components of the Transactional Model (Lazarus & Folkman, 1984) and Meaning-making Model (Park & Folkman, 1997) of coping, several specific forms of appraisal and coping strategies were analyzed in the present study. It has been proposed that religiousness and time influence the meaning-making process (Park, 2005); therefore, an interaction of intrinsic religiousness and time were key variables in the study as well. A survey designed to address relationships among locus of control, type of situation, intrinsic religious orientation, specific coping styles, and maladaptive psychological symptoms was administered to 240 students of …