Counseling Commons^™

The Impact Of Psychological Abuse On A Female’S Engagement In Subsequent Relationships And How They Heal From The Abuse, Nicole Kratimenos

Dissertations

ABSTRACT

Objective: This study examined (a) the impact of psychological abuse on a female’s subsequent intimate relationships, and (b) what assisted the female victims of such abuse to heal and build subsequent healthy relationships. Psychological intimate partner abuse is connected to various long-term negative consequences, such as anxiety, posttraumatic stress disorder, self-esteem struggles and trust issues. However, no studies have investigated how these negative consequences affect the female victim’s subsequent intimate relationships, nor what helps the victim heal enough to move on to engaging in healthy subsequent relationships. This study is the first to examine both of these aspects of …

Implementing Universal Depression Screening In A College Health Clinic, Marilyn J. Grabau

Doctor of Nursing Practice Scholarly Projects

BACKGROUND: College students are at high risk for depression, and this carries a considerable burden. The American College Health Association supports depression screening on college campuses recognizing that early identification leads to better outcomes.

LOCAL PROBLEM: The project site is a public university located in New England. The college campus health center incorporates medical and counseling services. From August 2019 to December of 2019, 67% of students seen in the counseling center described depressed mood as the presenting concern. Currently there is no routine depression screening in place.

METHODS: This QI project implemented universal depression screening at the student health …

A Mediation Analysis: Adult Children Of Alcoholics, Resilience, Depression, Anxiety, And Attachment Disruption With The Role Of Self-Compassion: A Moderation Analysis, Jessica Ellen Kuehne

Doctoral Dissertations and Projects

This study intends to address the gap in the literature on treatment options for adult children of alcoholics (ACOAs). The theoretical and conceptual framework for this study was centered on three main ideas: attachment styles, resilience, and self-compassion. Studies have indicated that exposure to parental alcoholism increases the risk of depression, anxiety, and insecure attachment, and ACOAs tend to have higher resilience than non-ACOAs. Researchers have examined different treatment approaches and clinical outcomes for ACOAs. Some holistic treatment choices, specifically self-compassion, have grown ubiquitous for a broad spectrum of individuals with trauma. The purpose of this study is to assess …

Sadness And Social Media: An Analysis Of The Effects Of Social Media On Depression In Young African American Females, Rosa Lee Sutton

Doctoral Dissertations and Projects

Social media has the propensity to inadvertently cause the vicarious traumatization of its users due to their witnessing violent or distressing content. This current research proposes that African American social media users suffer vicarious traumatization via social media and suffer the effects of direct, historical, racialized trauma. In the past decade, through social media, Black Americans have vividly witnessed videos depicting several high profile, violent deaths at the hands of law enforcement, police brutality, racial violence, civil unrest, the birth of the Black Lives Matter movement, experienced blatant discrimination, engaged in racially divisive discourse, and have witnessed attempts to have …

Alaskan Rural Pastors' Lived Experiences With Mental Health Stigma, Josephine Kay Barry

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of rural Alaskan pastors with mental health and mental health stigma both personally and professionally. While there were few studies available to assist with the framework of this research there were some that focused on pastors, depression, burnout and collaboration with counselors in rural areas. A Conceptual Mapping Task (CMT) was used to conduct the interview of five pastors within an isolated Alaskan community. Pastors were asked to describe in detail their lived encounters with mental health stigma and how it impacted them and their congregation. Interviews were …

The Impact Of Mindfulness Practices In Teachers, Shawn M. Martin Hettinga

ATU Theses and Dissertations 2021 - Present

Mindfulness training has been identified as a promising means for cultivating social and emotional competencies and reducing stress. The purpose of the quantitative pre-post study using convenience sampling of educators in a rural K-12 in the Arkansas River Valley was to examine whether teachers’ participation in mindfulness activities were associated with changes in levels of stress, anxiety, depression, and job satisfaction. The study used the Depression, Anxiety, and Stress Scale (DASS-21) and the Job Satisfaction Survey (JSS) and measured the responses from novice (0-3 years) and experienced (4+ years) teachers. The findings revealed that there was no difference between the …

Effect Of Computer-Assisted Cognitive Behavior Therapy Vs Usual Care On Depression Among Adults In Primary Care: A Randomized Clinical Trial, Jesse H. Wright, Jesse J. Owen, Tracy D. Eells, Becky F. Antle, Laura B. Bishop, Renee Girdler, Lesley M. Harris, R. Brent Wright, Michael J. Wells, Rangaraj Gopalraj, Michael E. Pendleton, Shehzad Ali

Counseling Psychology: Faculty Scholarship

Importance Depression is a common disorder that may go untreated or receive suboptimal care in primary care settings. Computer-assisted cognitive behavior therapy (CCBT) has been proposed as a method for improving access to effective psychotherapy, reducing cost, and increasing the convenience and efficiency of treatment for depression.

Objectives To evaluate whether clinician-supported CCBT is more effective than treatment as usual (TAU) in primary care patients with depression and to examine the feasibility and implementation of CCBT in a primary care population with substantial numbers of patients with low income, limited internet access, and low levels of educational attainment.

Design, Setting, …

A Quantitative Study Of Child Sexual Assault Survivors’ Struggles With Poor Marital Satisfaction: Mediated By Loneliness And Depression, Thomas Litzinger

Doctoral Dissertations and Projects

Child sexual assault (CSA) is growing at startling rates in the United States and is related to a staggering number of adult psychosomatic modification problems and outcomes. CSA has been a subject of interest in sexual health research for many years; however, research regarding the sexual health consequences of CSA has been hampered by methodologic changeability. CSA and the sexual victimization of boys and men has been understudied despite its prevalence and potentially detrimental outcomes in the U.S. and worldwide. A large body of research has revealed many adverse psychological and social impacts of CSA in samples of adult male …

An Analysis Of The Effects Of Covid-19 On Students At The University Of Mississippi: Family, Careers, Mental Health, Hannah Newbold

Honors Theses

This study analyzes the effects of COVID-19 on students at the University of Mississippi. For students, COVID-19 changed the landscape of education, with classes and jobs going online. Students who graduated in May 2020 entered a poor job market and many ended up going to graduate school instead of finding a job. Access to medical and professional help was limited at the very beginning, with offices not taking patients or moving appointments to virtual only. This would require that each student needing help had to have access to quality internet service, which wasn’t always guaranteed, thus producing additional challenges.

These …

Exploring Online Mental Health Services: A Qualitative Study For First-Year College Students, Leandrian J. Wright

Electronic Theses and Dissertations

American first-year college students are faced with mental health issues, such as anxiety and depression, which can have a negative impact on their academic performance. Research shows that students who suffer from mental illness, such as anxiety and depression, fear their condition will be perceived negatively by their peers and professors. The literature also suggests that U.S. colleges and universities can be more proactive in offering students resources for their mental health concerns to decrease anxiety and depression. It appears that absent or limited mental health resources have failed to address rising cases of student mental illness, and more specifically, …

The Association Between Witnessing Cyberbullying And Depressive Symptoms And Social Anxiety Among Elementary School Students, Diana M. Doumas, Aida Midgett

Counselor Education Faculty Publications and Presentations

Cyberbullying is a significant problem among school-aged youth. Although a growing body of literature has documented the association between cyberbullying victimization and mental health risks, there is limited research examining the impact of witnessing cyberbullying, particularly among elementary school students. To address this gap, we conducted a cross-sectional study with elementary school students (N = 122). Students completed questionnaires assessing witnessing cyberbullying, witnessing school bullying, bullying victimization, depressive symptoms, and social anxiety. Regression analyses revealed that witnessing cyberbullying was positively associated with depressive symptoms (β = 0.25, p < 0.04) and social anxiety (β = 0.30, p < 0.01), even after controlling for frequency of witnessing school bullying and bullying victimization. Further, the moderating effect of witnessing school bullying was significant for depressive symptoms (β = −0.44, p < 0.001) and social anxiety (β = …

Parental Perceived Need For Counseling For Adolescents’ Anxiety And Depression Symptoms: A Cross-Sectional Study, Isak Kim, Nayoung Kim

Counseling Faculty Publications

Objective

This study examined the association between parental perceived need for counseling or mental health care services and adolescents’ subgroups of anxiety and depression symptoms (Anxiety-only, Depression-only, Anxiety-Depression, and None).

Method

Adolescent sample (N = 20,486, M = 14.69  years old, SD = 1.69) was drawn from the National Survey of Children’s Health 2017–2018 (NSCH 2017–2018). A chi-square test was used to analyze the association between two categorical variables.

Results

The Chi-square test was statistically significant, Χ2(6) = 7,914.33, p < .01, V = .44. Adolescents from the Anxiety-Depression group received counseling or mental health care the most (80.94%), while 69.03% of those in the depression-only group and 44.86% in the Anxiety-only group received mental health services.

Conclusions

Caregivers of adolescents with Anxiety-only tended to perceive the least need for counseling or mental health care, …

Independent And Cumulative Impacts Of Adverse Childhood Experiences On Adolescent Subgroups Of Anxiety And Depression, Isak Kim, Angélica Galván, Nayoung Kim

Counseling Faculty Publications

The purpose of this study is to investigate the independent and cumulative impacts of Adverse Childhood Experiences (ACEs) on the subgroups of anxiety and depression among 12–17 aged adolescents in the U.S. A sample of 21,496 cases was derived from the 2017–2018 National Survey of Children’s Health (NSCH). Four adolescent subgroups were identified depending on their mental health condition: Anxiety-only (7.2%), Depression-only (1.5%), Anxiety-Depression (6.3%), and None (85.0%). All sociodemographic characteristics such as sex, age, race/ethnicity, and family structure had significant associations with the subgroups. Two multinomial logistic regression analyses were conducted to examine the independent and cumulative effects of …

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 …

The Effect Of Solo-Masturbation And Moral Disapproval On The Relationship Between Internet Pornography Use, Religious Struggles, Sexual Shame, And Depression: A Moderated Mediation Model, Ken Derance Miller

Doctoral Dissertations and Projects

Recently, the topics of Internet pornography use and masturbation have received increased attention among researchers, even though there is a cultural reluctance to discuss the common sexual behavior. This reticence is particularly true for religious and moral communities that have stigmatized the behavior and have historically viewed masturbation as taboo and morally offensive. Similarly, many religious groups morally disapprove of sexually explicit media. Despite morally disapproving of viewing pornography, the nearly universal availability of Internet pornography has resulted in an unprecedented increase in religious individuals viewing Internet pornography. Researchers have found a connection between the moral incongruence associated with Internet …

Using Therapeutic Photography Techniques To Increase The Wellbeing Of College Students, Licia Tourigny, Ivelina Naydenova

Journal of Counseling and Psychology

In this study the benefits of therapeutic photography techniques were analyzed for people with varying degrees of depression and anxiety. In study 1, participants were placed in groups after taking the Beck’s Depression Inventory. After they were placed in groups, they also took Beck’s Anxiety Inventory and the Life Satisfaction Scale. For four weeks, participants were asked to take pictures of what makes them happy and share and discuss them with their groups. After four weeks, they took all three inventories a second time. We found significant results between the pretest and posttest scores of the depression and anxiety inventories; …

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

Graduate Theses/Dissertations

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …

The Current Mental Health Status Of Professional Asl/English Interpreters In The United States As It Pertains To Disorders: Specifically Focusing On Anxiety, Depression, Stress-Related Disorders, Personalities, And Work-Related Influencers, Nicole Denu Thorn

Doctoral Dissertations and Projects

The purpose of this quantitative, variable-centered, correlational research design is to assess the mental health status of professional ASL/English interpreters currently working in the field. Specifically, this study looked at levels of anxiety, depression, and secondary stress within this population. It was postulated that many factors impact the mental health of professional interpreters; therefore, internal factors such as personality as well as external factors such as job demands were assessed. The findings of the research may prove helpful in developing future interpreter education as well as mental health care for current interpreters. A brief history of the profession is given …

Promoting Resilience In Self-Management (Prism): Adverse Childhood Experiences And Impacts On Emotion Regulation, Kasey Ann Macedo

Honors Scholar Theses

PRISM (Promoting Resilience in Self-Management) is a mindfulness-based intervention that aims to strengthen emotion regulation skills among individuals by employing cognitive behavioral therapy components. The purpose of the current study is to identify the relationship between adverse childhood experiences (ACEs) and depression, as well as to examine the changes in emotion regulation strategies of participants by comparing pre and post test data. The participants were voluntarily recruited from the Cornerstone Foundation, a homeless shelter, food pantry, and community center in Vernon, CT. The 13 participants completed PRISM through four weeks of two-hour workshop sessions in a small-group format. Results indicate …

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

National Youth Advocacy & 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.

Empty Cribs: Infertility Challenges For Orthodox Jewish Couples, Itay Kohane

Antioch University Dissertations & Theses

This dissertation discusses an issue that is of importance to many people throughout their lifetime—infertility. One in every eight couples (12%) is incapable of carrying a pregnancy to term after one year of natural attempts. This paper further examines the prevalence of infertility among couples, bringing into focus more common variables such as gender and age. But, going beyond these, the present study will demonstrate that other variables including stressors such as social factors, interpersonal dynamics, and personal judgment affect couples in a manner which indirectly reduces their chances of conceiving a child. This research will touch on a number …

Adverse Childhood Experiences And The Associations With Depression And Anxiety In Adolescents, Hye Yeon Lee, Isak Kim, Jeongwoon Jeong

Counseling Faculty Publications

Objectives

There has been increasing attention to adverse childhood experiences (ACEs) among adolescents in the U.S because ACEs may result in severe mental health issues. Although associations between ACEs and mental health have been explored, research on how different types or combinations of ACEs render different impacts on adolescents is limited. Therefore, this study aims to (a) examine latent classes of ACEs among adolescents who have experienced at least one ACE and (b) investigate associations of each latent group of ACEs with mental health problems, depression and anxiety.

Method

Questionnaires on ACEs and depression/anxiety from the 2016 National Survey of …

A Commentary On Trauma’S Different Layers, Mike Kaufman , M.A., L.M.F.T.

Counseling and Family Therapy Scholarship Review

This article highlights how trauma may be caused by factors aside from catastrophic events, physical violence or accidents resulting in physical injury. Examples of trauma beyond the more commonly known causes are detailed. This article also emphasizes how individuals engaging in psychotherapy may at times lack awareness that their self-reported dilemma, or symptoms, may stem from early relational trauma. The following commentary originated with first-hand clinical experience and was reinforced by literature. It is important to recognize that individuals reporting symptoms of depression and anxiety are most effectively treated in psychotherapy when past trauma is accurately identified as the root …

Undergraduates And Stress, Mahra Crone

Honors Projects

America is facing a serious mental health crisis, which may be an effect of increased chronic stress. Students, in particular, are vulnerable to this hazard as most face a moderate to extreme amount of stress. The programs which colleges and universities have put into place are outdated. Ineffective treatment of mental health crises leads to disastrous consequences. The present study analyzed the effects of major and grade level on stress level and sources of stress for undergraduate universities at both a large, public university and a small, private college. The author found that a student’s grade level and choice of …

The Relationship Between Mindfulness, Surrender, And God Attachment And Its Impact On Depression And Anxiety, Shalana Marlene Palermo

Doctoral Dissertations and Projects

The purpose of this study was to explore how God attachment may impact surrender to God and how mindfulness relates to the relationship between surrender and God attachment. Additionally, this study explores how surrender, God attachment and mindfulness might work together to impact symptoms of depression and anxiety. This study comprised 82 participants from a large Christian university that was enrolled in the university’s online doctoral counseling program. Using a quantitative survey research design, participants completed the following self-report measures online: Five Facet Mindfulness Questionnaire, Surrender Scale, Attachment to God Inventory, and Depression, Anxiety, and Stress Scale-21. Bivariate and multiple …

Depression In Black Men: One Church’S Solution, Dwayne T. Baskin

Doctoral Dissertations and Projects

This dissertation examines the Black Church’s influence on Pentecostal African-American men who are depressed, and how the church may assist these men to heal from the wounds of despair through a Pentecostal experience. While many Pentecostal African-American men have matriculated through the ranks of leadership, establishing successful businesses, churches, ministries, and organizational denominations; they are teetering on the edge of an emotional and spiritual breakdown. Researchers have found that African-American men are understudied and underdiagnosed as it pertains to depression. Eight African-American Pentecostal men were interviewed and given questionnaires to examine how depression affected them while maintaining leadership roles in …

A Phenomenological Exploration: The Black Bile Of Depression, Charles L. Dunlap Ii, M.A.

Counseling and Family Therapy Scholarship Review

The phenomenon of depression manifests itself in many different forms, haunting us with its simultaneously inescapable, diffuse and pervasive presence. The rich thickness of depression is often severely drained and confined within the overall field of psychology, in which this phenomenon is regularly expressed as an all-encompassing, diagnostic label, to limitedly describe an almost endless number of symptomatic permutations. We shall attempt to distill something of depression’s essence in returning to its ancient, etymological, spiritual and metaphysical roots, in order to begin transcending the traditional clinical notion of depression as simply a disease to be cured and suppressed. The relatively …

Mental Health And Traumatic Brain Injury Survivors: The Relationship Between Self-Esteem, Shame, And Depression To Quality Of Life After Mild And Moderate Traumatic Brain Injury, Lisa Marie Ansell

Doctoral Dissertations and Projects

Self-esteem, shame, and depression are three factors which can impact quality of life. Mental health counseling and perceived satisfaction of mental health services can also have an impact on quality of life. This study focused on the how mild and moderate traumatic brain injury survivors within a small sample population perceived how self-esteem, shame, and depression were predictors of quality of life. Through survey research, an online survey was utilized to solicit responses to questions related to self-esteem, shame, depression, quality of life, counseling services, and counseling service satisfaction among mild and moderate traumatic brain injury survivors who participate in …

Spiritually Focused Mindfulness Meditation: An Interpretative Phenomenological Analysis Of The Effect Of Spiritually Focused Mindfulness Meditation On Depression With A Clinical Population, Grace Lynn Bellingham

Doctoral Dissertations and Projects

This interpretative phenomenological analysis explored the use of spiritually focused mindfulness meditation for clinical depression. Although antidepressant medication and cognitive behavioral therapy are the leading evidence-based treatments for clinical depression, major depressive disorder is recurrent, and progressive and relapse rates are increasing. Numerous studies examining the use of complementary and alternative medicine therapies, which include the use of meditation to treat depression, have emerged in the literature. In this study, three individuals who met diagnostic criteria for major depressive disorder used spiritually focused mindfulness meditation for three weeks and participated in in-depth interviews to explore their experiences. Findings revealed significant …

Effectiveness Of Religious Cognitive Behavior Therapy For The Treatment Of Clinical Depression In Religious People: A Single-Case Research Design Analysis, Richard Mark Cozart

Doctoral Dissertations and Projects

This study used a single-case research design analysis to investigate the efficacy and effectiveness of the Duke University Center for Spirituality, Theology and Health (Duke Center)’s religious cognitive behavior therapy (RCBT) with four deeply religious Christians reporting moderate to severe depression. Literature suggests that religious individuals prefer interventions that reflect their religiosity and experience at least equal recovery rates compared to the use of conventional cognitive behavior therapy (CBT); however, they may not have access to effective religious treatments in customary religious venues, and there is a lack of understanding of why such individuals respond to religious treatments. The four …