Counseling Commons^™

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …

Psychological Impact Of Career Roles On African American Women: A Qualitative Study On The Long-Term Effects On Behavioral Health Providers' Field, Yolanda Seals-Stewart

Doctoral Dissertations and Projects

There is an untold narrative regarding the levels of stress, anxiety, and depression. This leaves a gap in researchers understanding systemic, cultural, and social factors that shape mental health outcomes in a unique way. There is also a deeper need for exploration of resiliency and coping skills strategies utilized by African American women in the behavioral health field, as well as how behaviors such as discrimination, workplace dynamics, and microaggression impact the overall psyche. By addressing these gaps, a more thorough understanding of the long-term psychological effect can be addressed, and these women can receive support mechanisms and interventions that …

My Existence And Experience, Ava Aigner

Dissertations, Theses, and Projects

This analysis of self-paper aided me in exploring and reflecting on personal experiences that had a direct impact on my development and identity. Several elements aided in developing an indepth analysis of self, including taking and interpreting assessments, engaging in interviews with significant individuals and reflecting on their responses, and the integration of relevant theories throughout the paper in order to develop a conceptualization of self. Through this analysis, I have reflected on my life, which has helped me become more self-aware and confident in my professional abilities as I continue to evolve and learn. Keywords: Attachment styles, relationships, family, …

Beyond Symptoms: A Narrative Counseling Interpretation Of First-Year Student Anxiety In Indonesian Higher Education, Azizah Abdullah, Rizky Andana Pohan, Ramtia Darma Putri, Triyono Triyono, Marimbun Marimbun, Rahmi Dwi Febriani

Buletin Konseling Inovatif

The transition to higher education is a critical period in which first-year students face new academic demands, financial pressures, social adjustment challenges, and uncertainty about the future. However, limited research has examined how freshmen make sense of and narrate their anxiety, particularly in the Indonesian context. This study aimed to explore the main domains of anxiety among first-semester students in Indonesian public universities and to interpret these experiences through a narrative counseling lens. The study employed a qualitative online survey design with an interpretivist orientation. Data were collected from 199 first-semester students through open-ended questions addressing anxiety-provoking situations, sources of …

Nursing Interventions To Reduce Anxiety And Psychological Distress In Breast Cancer Patients In The Us, Alexis Abboud, Al Araydeh Mifleh

The Cardinal Edge

Background Breast cancer patients frequently experience psychological challenges, such as anxiety, distress, and diminished quality of life (QoL). Nursing interventions show promise in addressing these issues; however, a comprehensive synthesis of their impact is lacking. This review evaluates the effectiveness of nursing interventions in reducing anxiety and psychological distress while improving QoL.

Research Question What nursing interventions effectively reduce anxiety and psychological distress and improve QoL among breast cancer patients in the United States?

Methods A systematic review was conducted following PRISMA 2020 guidelines. Searches of CINAHL, APA PsycInfo, and Medline identified studies published in the last five years in …

Measuring Depression, Anxiety, Stress And Burnout In Paramedics, Dispatchers, And Call Takers Of Western Canada, Nahum Chi Heng Ip

Doctoral Dissertations and Projects

The following dissertation examines depression, anxiety, stress, and burnout in dispatchers and paramedics of Western Canada. This study is meant to bridge a research gap in mental health among emergency health workers in British Columbia, Canada. The samples were collected through two self-reporting surveys, the Depression, Anxiety, and Stress Scale (DASS-21) and the Maslach Burnout Index (MBI), both of which are strongly validated and widely used in similar research. Of the 948 dispatchers and paramedics who participated, 771 (81.3%) responses qualified to be included. The data was entered into the Intellectus software where a variety of tools were utilized to …

A Phenomenological Study Of The Mental Health Needs Of High School Youth In A Rural Community Post Covid-19 Pandemic, Maritza Gonzalez

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe former high school students’ experiences with mental health struggles while in high school during the COVID-19 pandemic in a rural Texas Public Independent School District. Mental illness increased among youth during the prolonged pandemic period of time and many of the pervasive mental health concerns have not been addressed effectively in the aftermath. As a result, a growing number of concerns pertaining to the mental health wellbeing of K-12 children continues to be on the rise. Thus, it is of utmost importance to learn more about the experiences of our youth …

Small Courageous Minds, Desirae Bach

Masters Theses

This thesis examines the barriers, agreements, and disagreements between mental health and Christianity, specifically as it relates to helping Christian children with anxiety. The following investigation explores how God defines and reacts to anxiety in the Bible and how anxiety is explained through scientific research. By explaining both scientific and biblical views of anxiety, the Christian community can grasp a better understanding of how to help children with anxiety. The research also builds a foundational investigation on how anxiety affects children and possible solutions for relieving anxiety in children. Educating children at a young age about mental health and offering …

The Caregiving Experience: Comparing Stress And Quality Of Life Among Caregivers Of Children With And Without Autism Spectrum Disorder, Mona Khayal

Antioch University Dissertations & Theses

This comparative cross-sectional study investigated caregiving burden, quality of life, and anxiety among primary caregivers of children with autism spectrum disorder compared to caregivers of typically developing children. Using Bronfenbrenner’s Ecological Systems Theory, 66 caregivers (31 autism, 35 comparison) of children aged 6-18 completed the Zarit Burden Interview-12, WHO Quality of Life-BREF, and GAD-7. According to the results, autism caregivers reported substantially higher burden (M = 31.26 vs. 13.23, d = 2.42) and anxiety (M = 9.13 vs. 4.63, d = 1.04), with 90% exceeding clinical burden thresholds compared to 26% of comparison caregivers. Quality of life was lower across …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Financial Stress And Academic Disruption Among U.S. Postsecondary Students: The Mediating Role Of Anxiety, Tania Akter

Journal of Higher Education & Student Affairs

Given the growing mental health challenges among students in the United States, this study examines how financial stress is associated with anxiety and assesses whether anxiety mediates the relationship between financial stress and academic disruption among U.S. postsecondary students. Data from the 2023–2024 Healthy Minds Study were analyzed using survey-weighted linear regression models to assess the association between financial stress and anxiety, and a generalized structural equation model (GSEM) to test whether anxiety mediates the relationship between financial stress and academic disruption. Results showed that financial stress was significantly associated with anxiety. Mediation analysis indicated that anxiety significantly mediated the …

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

Bereavement Experiences Of African American Women In Georgia Ages 30 To 50 As Impacted By Income, Religion, And Career, Doliah Derrelle Snead

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the grief experiences of African American women in the state of Georgia, ages 30 to 50, who have faced the loss of a spouse, parent, sibling, or child. The research questions were: How do African American females describe their experiences with grief resulting from loss in their immediate family? How do African American females describe the grieving process before, during, and after the loss of a loved one? How do African American females describe the coping strategies they used as they moved through their grieving process? How do African American females …

"Chatgpt Told Me To Say It": Ai Chatbots And Class Participation Apprehension In University Students, Daisuke Akiba

Publications and Research

The growing prevalence of AI chatbots in everyday life has prompted educators to explore their potential applications in promoting student success, including support for classroom engagement and communication. This exploratory study emerged from semester-long observations of class participation apprehensions in an introductory educational psychology course, examining how chatbots might scaffold students toward active and independent classroom contribution. Four students experiencing situational participation anxiety voluntarily participated in a pilot intervention using AI chatbots as virtual peer partners. Following comprehensive training in AI use and prompt design given to the entire class, participants employed systematic consultation frameworks for managing classroom discourse trepidations. …

Body Language In Social Interactions: Patterns Of Nonverbal Behavior, Caleb Roten, Ivelina Naydenova

Journal of Counseling and Psychology

A two-part study was conducted on the qualitative and quantitative aspects of nonverbal behavior to investigate the factors that influence physical movement. The qualitative aspects of nonverbal behavior were investigated by testing the effects of academic anxiety on the amount of body language mirroring produced by a population of collegiate honors students. The honors students were induced with varying levels of academic anxiety based on groups, and were recorded to determine the quality of their movements in relation to stress level. To test the quantitative aspects, a broad range of participants was collected and assessed on their demographic variables, emotional …

Sense, Drugs, And Rock 'N' Roll: A Critical Review Of Music And Psychedelic Literature, Sophia Harper-Hague

Expressive Therapies Theses

The use of psychedelics has been shown promising efficacy surrounding treatment-resistant mental health diagnoses, as well as improving quality of life for those not suffering from mental health conditions. Additionally, music has been seen as a significant part of psychedelic research, both by music therapists and other allied health professionals alike. This literature review explores the current research surrounding music therapy and psychedelic approaches, as well as the areas in which they intersect. The current review focuses on Post-traumatic Stress Disorder (PTSD), depression, anxiety, and self-concept, delving into the perceptions of both music and psychedelic therapy as emerging treatment options …

Relationship Of Religiosity And Depression And Anxiety Of K-12th Grade Educators, Melissa Christian Martin

Doctoral Dissertations and Projects

As more people suffer from a decline in mental health, the education profession is especially vulnerable to anxiety and depression. K-12th grade teachers face a plethora of job-related stressors that impact their mental health, which often affects the quality of education and student outcomes. Public school teachers face the daily challenge of managing student behavior, responding to parent, community, and administrator demands, high-stakes testing, and the responsibility of designing rigorous lessons. They must face these challenges while balancing personal stressors such as financial struggles with minimal pay. Additionally, teachers’ mental health influences the culture and climate of the school environment …

The Ties That Bind: Co-Twin Influences On Psychopathology In A Sample Of Twins, Anjoli E. R. Cero

Doctoral Dissertations and Projects

Research has begun to better describe twinship and twin identity development, the potential advantages and disadvantages of twinship, and factors related to twins’ shared psychological symptomatology. Research also supports the concept of emotional contagion, in which one person’s emotional state can be transmitted to another person. This phenomenon may be more common among twins due to factors such as closeness, dependence, and general similarity. The current study proposed a series of regression models to investigate how predictive pathways toward anxiety among a sample of twins could be impacted by the psychological traits and functioning of their co-twins. The current sample …

The Impact Of Covid-19 Pandemic On The Mental Health Of Frontline Workers Of Toronto Homeless Shelters (Csws), Isiaka Omotosho Akande

Doctoral Dissertations and Projects

The objective of this phenomenological research is to understand the impact of COVID-19 on the mental health of the client service workers (CSWs) in Toronto homeless shelters. Kolcaba's theory of comfort guides this study. This theory holds that being comfortable is one of the fundamental necessities for relief after stressful health care events or incidents. Comfort boosts health-seeking behaviors for patients, clients, and workers. In the context of the City of Toronto’s homeless shelters, Kolcaba’s theory of comfort suggests that if client service workers are given adequate resources to balance their health and mental needs, thus stabilizing their comfortabilities, then …

School Counselors’ Experiences With Transitioning Military-Dependent Students, Diane K. Jackson

Doctoral Dissertations and Projects

This phenomenological study examined Asia-Pacific military school counselors’ lived social-emotional experiences. The study aimed to provide a qualitative transcendental phenomenological perspective of Asia-Pacific school counselors. Furthermore, this study focused on the counselors’ reported lived experiences with military-dependent students newly transitioned from the United States to Asia-Pacific. This study investigated a phenomenon to understand human experience and how the events are perceived and experienced by school counselors in the phenomena. The theoretical framework was informed by the invitational theory, Bronfenbrenner’s theory, and the contextual model of family stress. Three research questions were answered: (a) What are the lived experiences of Asia-Pacific …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …

Mindfulness Matters: Addressing Anxiety And Navigating Toward Wellbeing Through Miea Mindfulness Practices, A Mixed-Methods Study Of Lgbtiq Graduate Writing Students, Kim Westerman

Doctoral Dissertations

ABSTRACT

Mindfulness Matters: Addressing Anxiety and Navigating Toward Wellbeing Through MIEA Mindfulness Practices, a Mixed-Methods Study of LGBTIQ Graduate Writing Students

Anxiety has always been a part of the human experience, even before the phenomenon was conceptualized in the 17^th century and named by Freud in the 19th. And human beings have devised many strategies for addressing anxiety: reducing it, ignoring it, distracting oneself from it, despairing over it, medicating it, engaging with it, moving through it, co-existing with it. The current zeitgeist, more than four years into the COVID-19 global pandemic, situates anxiety as a central facet of …

The Use Of Art Therapy On Children With Life-Limiting Conditions, Karissa K. Schillinger

Counselor Education Capstones

Art therapy is a growing therapeutic technique that is noninvasive. The present literature review sets out to determine what effect art therapy has on children with life-limiting conditions. This author completed a literature review that involved analyzing ten research studies on a variety of youth populations. Studies were found about children with cancer, a child with cerebral palsy and a child with a severe neurological disorder. Zero incidences of harm were found when using art therapy. However, the literature was complicated by the type of art therapy provided, small sample sizes, varying duration of treatment, lack of control groups, lack …

Exploring The Barriers Colleges Face Implementing Positive Psychology Interventions To Reduce Depression, Anxiety, Or Stress In College Students, Margaret U. Williams

Doctoral Dissertations and Projects

The purpose of this qualitative collective case study was to understand the barriers that colleges face implementing positive psychology interventions (PPIs) to reduce depression, anxiety, or stress (DAS) in college students. The problem was the lack of utilizing PPIs to reduce DAS in college students, despite increased reports of symptoms among this population. Several research studies have supported the use of PPIs to reduce. DAS in college students. However, no prior research was identified regarding barriers to initiating these interventions. The three research questions that guided this study were fueled by previous empirical studies that revealed three barriers to implementing …

Perceived Anxiety Disorder Stigma: A Predictive Analysis, Shawn Nabors, Richard J. Cicchetti, Gary Michael Szirony, Craig R. Blum, Sri Banerjee

Journal of Social, Behavioral, and Health Sciences

Anxiety remains one of the most commonly diagnosed mental health disorders. Systemic barriers to mental health treatment persist. Research on anxiety is robust, although research on perceived anxiety disorder stigma is limited. The purpose of this quantitative analysis was to determine whether factors including age, gender, level of education, and presence of a diagnosable anxiety disorder condition would predict perceived anxiety stigma in a population of adults from the Midwestern region of the United States who were in treatment for anxiety. Based on Goffman’s framework, we used the Generalized Anxiety Stigma Scale (GASS) to determine the presence and level of …

A Short Meditation Intervention And The Impact On Generation Z College Students' Anxiety And Academic Resilience, Alexandra Campbell

Doctoral Dissertations and Projects

This quantitative pretest-post-test evaluated the impact of a virtual guided meditation on anxiety and academic resilience levels in undergraduate, Generation Z students. A sample of 14 undergraduate males and females participated in the study. Participants used The Mindfulness App at a location and time of their choice; they meditated five minutes daily for five weeks. Participants were recruited through an accredited university and social media. Participants qualified if they were between the ages of 18-26 and were currently enrolled in undergraduate studies. The pre and post-test included the Beck Anxiety Inventory (BAI) to assess anxiety and the Academic Resilience Scale …

Challenges Faced By Adult Gifted Students Who Have Experienced Traumatic Brain Injury: A Phenomenological Study, Dawn M. Nessler

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the educational experiences of gifted adult students who have experienced traumatic brain injury (TBI). The theory guiding this phenomenological study was Kazimierz Dabrowski's theory of positive disintegration, with a focus on how the tragedy of various natures impacts the development of an individual's identity. This qualitative phenomenological study sought to understand the shared educational experiences of gifted undergraduate students who have experienced a TBI. 12 participants from Strong Minds, Kind Hearts, a Christian counseling and educational office located in Northwest Florida engaged in the study. Stratified sampling was used within the …

Differences In Students' Self-Esteem, Prosocial Behaviors, Classroom Climate, And Participation In Read To Dogs Programs: A Quantitative Comparative Study, Kimberley Anna Brush

Doctoral Dissertations and Projects

This anonymous quantitative quasi-experimental pre-post-test study was designed to determine differences in students' self-esteem, the performance of prosocial behaviors, and teachers' perceptions of the overall classroom climate after participating in Read to Dogs (RTD) programs in elementary and middle schools in East Central, New Jersey. Students with reading difficulties have higher incidences of low self-esteem and self-concept, depression, and anxiety that result in internalizing and externalizing behaviors that impact the classroom climate for all students socially and academically. Student participants completed the Rosenberg Self-Esteem Scale and the Strengths and Difficulties Questionnaire, and teacher participants completed the grade-appropriate version of the …