Psychology Commons^™

The Effectiveness Of An Anxiety Intervention On Decreasing State And Trait Anxiety Among University Students, Lea D. Hart

Doctor of Psychology (PsyD)

Anxiety is the most common rising public health concern for college students (Center for Collegiate Mental Health, 2023; Haikalis et al., 2022). In 2022–2023, 65% of college students seeking counseling noted anxiety as their primary concern, rising 10% in the last 10 years (Center for Collegiate Mental Health, 2023). As a result, higher education institutions are seeking proactive solutions that are efficacious, evidence-based, and proactive for non-clinical university populations to reduce rising rates of anxiety. Thus, the purpose of this study was to explore if a population-based intervention could reduce state and trait anxiety immediately and over time. The results …

Exploring College-Aged Student Anxiety: Aggravating Factors And Coping Strategies, Julie E. Volkman Phd, Bianca M. Wolf, Chris Morse, Ella Browning, Andrew High, Heather P. Lacey, Joseph J. Trunzo, Wendy Samter

Communications and Language Studies Faculty Journal Articles

Undergraduate college-aged students are increasingly experiencing anxiety. Yet, many struggle to cope effectively, resulting in poor school performance and compromised health and well-being. Our goal was to identify common anxiety-inducing and aggravating stressors, as well as preferred adaptive coping strategies, in this exploratory study to inform anxiety intervention development. A total of 19 undergraduate students (17 female and 2 male) were recruited. Students previously diagnosed or treated for anxiety by a clinician participated in a two-week, daily diary entry study. A total of 219 diary entries were transcribed and thematically analyzed for student reports of awareness variables and associated coping …

Nuanced Relationships Between Indices Of Smartphone Use And Psychological Distress: Distinguishing Problematic Smartphone Use, Phone Checking, And Screen Time, Yue Qi Germaine Tng, Hwajin Yang

Research Collection School of Social Sciences

Recent theoretical and empirical accounts maintain that different indices of smartphone use—including problematic smartphone use, phone-checking, and screen time—tap distinct facets of smartphone use. This highlights the importance of disentangling potentially unique associations between facets of smartphone use and psychological distress outcomes. The present study examined fine-grained relationships between several smartphone-use indices and facets of psychological distress. Further, we probed whether sex modulated the relationships between smartphone-mediated behaviours and distress outcomes. Using structural equation modelling, we analysed data from young adults (N = 364) and evaluated the associations of smartphone-related behaviours—problematic use, phone checking, and overall screen time—with depression, anxiety, …

What Family Mealtime Brings To The Table, Alicia Kirby Leon

Doctoral Dissertations and Projects

Family mealtimes together appear to play an important role in adolescent mental health. Family mealtime frequency is associated with positive outcomes such as greater well-being, self-esteem, happiness, and better mental health in adolescents. However, the aftermath of the COVID-19 lockdown left behind even higher levels of depression and anxiety and other mental health concerns in adolescents. Moreover, children from lower SES tend to have higher anxiety levels, depressive affect, and stress. In this study, I proposed to help bridge that gap in the research by examining adolescents from low SES families and help determine how much family mealtimes may benefit …

Triple-Negative Breast Cancer Survivors: Post-Traumatic Stress Disorder, Post-Traumatic Growth, Quality Of Life, And Unmet Mental Health Needs, Carla Horton Gray

Doctoral Dissertations and Projects

The purpose of this mixed-method study was to investigate levels of PTSD, PTG, QOL, their relationships, and unmet mental health needs of triple-negative breast cancer survivors diagnosed between stages 2b-4 and 2-5 years post-treatment. Participants were recruited through two cancer organizations, breast health navigators, TNBC support groups, and online breast cancer support groups. Sixty-one participants completed the PTSD Checklist-Civilian Version (PCL-C), Post-Traumatic Growth Inventory, and the Functional Assessment of Cancer Therapy-Breast (FACT-B). Thirty participants completed the optional short answer questions about unmet mental health needs. Participants’ mean score of 48 (SD=12.22) on the PCL-C was higher than 44, PTSD scores …

The Impact Of Perceived Administrative Support On Teacher Burnout, Madison L. Kelly

Electronic Theses and Dissertations

Teachers are crucial to many facets of life (Güneyli, 2012). Due to current occupational requirements and emotional demands, many educational professionals experience burnout (Roethler, 2021). Burnout occurs when daily occupational challenges overpower one's ability to maintain a healthy emotional state and meet professional demands (Roethler, 2021). Previous studies have been conducted on the levels of teacher stress and burnout (Agyapong et al., 2022; Chang, 2009; Lindqvist et al., 2021; Skaalvik & Skaalvik, 2021), while few studies explored the impact of administrative support and its contribution to burnout within the teacher population (Howard et al., 2017; Jacob, 2007; McCray-Davis, 2022; Tickle …

Engagement And Retention Of College Students With Anxiety And Depressive Symptoms In A Digital Mental Health Intervention Using A Brief Peer Support Model, Emily A. Kline

Theses, Dissertations and Culminating Projects

Digital mental health interventions (DMHIs) show promise in improving access to mental health care for college students suffering from depression and anxiety symptoms. Nonetheless, the usefulness of DMHIs is limited by high user attrition. Leveraging peer support among college populations may be a feasible and cost-effective option to improve DMHI engagement and improve mental health outcomes. This open pilot study evaluated the feasibility, acceptability, and initial efficacy of a skill-based peer support group in enhancing user engagement in a DMHI for depression and anxiety symptoms. Participants were 20 undergraduate students at a university in New Jersey with elevated depression and …

Exploring The Relationship Between Cognitive Inflexibility And Anxiety In Youth On The Autism Spectrum, Farah Mahmud

Theses, Dissertations and Culminating Projects

Anxiety symptoms are prevalent among autistic youth but frequently get overlooked due to issues of diagnostic overlap and atypical presentations of anxiety (Kerns et al., 2014; Wood & Gadow, 2010). Emerging literature suggests that cognitive differences specific to autism, such as cognitive inflexibility, may be associated with vulnerability of developing and maintain anxiety symptoms (Stark et al., 2021). Cognitive flexibility (CF), the ability to shift thinking and attention according to situational demands, is thought to be impaired in many autistic children, given the behavioral rigidity observed in this population (Geurts et al., 2009). However, further work is needed to tease …

Mental Health Of Healthcare Workers In Kosovo During The Covid-19 Pandemic, Latif Hoxha

All Dissertations

ABSTRACT

This study explored the mental health of healthcare practitioners in Kosovo during the COVID-19 pandemic, focusing on the prevalence of stress, depression, and anxiety, and the associated individual, family, and work-related factors. The research employed a cross-sectional design with a sample of 449 healthcare workers from two hospitals in Kosovo. The Depression, Anxiety, and Stress Scale (DASS-21) was used to assess mental health symptoms, while socio-demographic and work-related information was collected through a questionnaire.

Based on the descriptive statistics of DASS-21 scores, the prevalence of mental health issues among the participants included high levels of depression (18%), anxiety (25%), …

Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger

Electronic Theses and Dissertations

Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …

Gpr171 Modulates Mood, Consummatory Behaviors, And Morphine Antinociception In A Sexually Dimorphic Pattern In Mice, Megan C. Raddatz

All Graduate Theses and Dissertations, Fall 2023 to Present

Receptors in the brain influence everything from complex behaviors related to mood, all the way to simple physiological functions like the way a person moves. Receptors are activated or inactivated by chemicals or hormones that the body produces or that are created to mimic the body’s natural chemicals. Of the hundreds of receptors in the brain, GPR171 is particularly interesting because new drugs have been created to activate or block the receptor, and are being proposed for the treatment of different disorders, particularly disorders related to pain. GPR171 has been shown to affect pain behaviors, eating, and mood-related behaviors, but …

Examining Social Anxiety, Generalized Anxiety, And Major Depression’S Symptom Comorbidity In Children And Adolescents: A Longintudinal Test Of The Multiple Pathway Model, Paige Picou

LSU Doctoral Dissertations

Anxiety and depressive disorders are highly prevalent in and impairing for children and adolescents and are highly comorbid. Many theories have been proposed to explain this co- occurrence, with recent models postulating multiple pathways in which specific anxiety disorders and depression may co-occur both concurrently and over time. Unfortunately, little research has evaluated these pathways longitudinally across development in a community sample. The current study tested the multiple pathway model in a sample of 9 to 12-year-old youth (Mage = 9.48, SD= 0.51) at baseline and at two-year follow-up using a subsample of the Adolescent Brain Cognitive Development …

A Comparison Of Cognitive Impairment In Health Anxiety, Generalized Anxiety Disorder, And Posttraumatic Stress Disorder And The Moderating Role Of Social Connectedness, Kaitlyn B. Schodt

Psychology ETDs

Mood symptomatology often negatively impacts cognitive functioning; however, little is known about how some disorders, like health anxiety, might be unique contributing factors. Social connectedness has been found to protect against cognitive decline, and thus might mitigate some of the mental health-related negative effects on cognitive functioning. The current study aimed to: 1) examine the associations between PTSD, generalized anxiety disorder (GAD), and health anxiety symptomatology and cognitive functioning, and between 2) social connectedness and cognitive functioning, as well as the moderating roles of 3) social connectedness and 4) biological sex and race/ethnicity in the association between mental health symptomatology …

Alexithymia Profiles And Depression, Anxiety, And Stress, David A. Preece, Ashish Mehta, Kate Petrova, Pilleriin Sikka, Ethan Pemberton, James J. Gross

Research outputs 2022 to 2026

Background: Alexithymia is a multidimensional trait comprised of difficulties identifying feelings, difficulties describing feelings, and externally orientated thinking. It is regarded as an important risk factor for emotional disorders, but there are presently limited data on each specific facet of alexithymia, or the extent to which deficits in processing negative emotions, positive emotions, or both, are important. In this study, we address these gaps by using the Perth Alexithymia Questionnaire (PAQ) to comprehensively examine the relationships between alexithymia and depression, anxiety, and stress symptoms. Methods: University students (N = 1250) completed the PAQ and the Depression Anxiety Stress Scales-21. Pearson …

Case Report Of A Brief Modular Anxiety Intervention For Integrated Primary Care: Addressing Clinician Feasibility Concerns And Barriers To Using Manualized Treatments, Katherine Buckheit, Robyn L. Shepardson, Luke Mitzel, Risa B. Weisberg, Stephen A. Maisto, Jennifer Funderburk

The Journal of Integrated Primary Care

Individuals with anxiety symptoms commonly present in primary care settings and prefer behavioral health (versus pharmacotherapy) treatment, but behavioral health interventions are underutilized. Primary care behavioral health (PCBH) models, in which embedded behavioral health providers deliver behavioral treatment in primary care, may help address the gap in provision of anxiety treatment. However, evidence-based anxiety treatment options feasible for delivery in primary care are limited, and clinicians often report concerns about using manualized interventions. Recent recommendations by the U.S. Preventative Services Task Force to increase anxiety screening among adults in primary care may result in increased identification of individuals with anxiety …

The Hidden Impact Of Sociocultural Determinants In Adolescence, Lauren B. Robins, Nicholas Schmoyer, Atiya Smith, Krystal L. Clemons, Jill Kivikoski

Journal of Human Services Scholarship and Interprofessional Collaboration

This study, guided by the Social Determinants of Health framework and Social Ecological Model, examined how SDOH impact the presence of anxiety during adolescence. This study set out to understand what sociocultural determinants predict anxiety, using the 2018 National Survey of Children’s Health dataset. The analysis included a logistic regression to determine the predictability of SDOH on anxiety in adolescence. The results indicated that various SDOH are significant predictors of anxiety, while also indicating that the absence of adverse SDOH predicts the lack of anxiety. Further, unique findings related to race/ethnicity, age, and gender set the stage for additional research …

Childhood Maltreatment And Amygdala-Mediated Anxiety And Posttraumatic Stress Following Adult Trauma, Farah Harb, Michael T. Liuzzi, Ashley A. Huggins, E. Kate Webb, Jacklynn M. Fitzgerald, Jessica L. Krukowski, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background

Childhood abuse (physical, emotional, and sexual) is associated with aberrant connectivity of the amygdala, a key threat-processing region. Heightened amygdala activity also predicts adult anxiety and posttraumatic stress disorder (PTSD) symptoms, as do experiences of childhood abuse. The current study explored whether amygdala resting-state functional connectivity may explain the relationship between childhood abuse and anxiety and PTSD symptoms following trauma exposure in adults.

Methods

Two weeks posttrauma, adult trauma survivors (n = 152, mean age [SD] = 32.61 [10.35] years; women = 57.2%) completed the Childhood Trauma Questionnaire and underwent resting-state functional magnetic resonance imaging. PTSD and anxiety …

The Impact Of A 4-Domain Wellness-Initiative Curriculum On Internal Medicine Resident Physicians, Esha Vallabhaneni, Luigi Cubeddu, Ryan Petit, Fernando Poli, Premal Patel, Cynthia Rivera

HCA Healthcare Journal of Medicine

Background

There is a trend toward fostering well-being, or the state of being happy and healthy, within the medical community. Historically, resident physicians have faced high rates of distress during training. A structured well-being curriculum in residency programs may shift residents' mindsets from survival and resilience to one centered on purpose, engagement, and joy.

Methods

An original well-being curriculum was administered to residents in person at a single institution every 5 weeks for approximately 10 well-being workshops, totaling around 20 hours of curriculum exposure during every academic year. The well-being curriculum was divided into 4 domains: cognitive distortions and problematic …

Make It Funny! Developing A Novel Humor-Based Digital Positive Psychology Intervention To Investigate The Influence Of Duchenne Laughter And Mirth On Psychological Distress In Daily Life, Joshua Semko

Electronic Theses and Dissertations

The aim of the present research was to develop a novel digital humor-based PPI (Make it Funny!) to investigate the influence of Duchenne laughter and mirth on psychological distress in daily life. Participants (N = 159; Age_­median­ = 39 years; 47.77% biologically female; 68.15% White) were tasked with completing Make it Funny! or a placebo activity every day for 7 days. Duchenne laughter frequency had a small negative cross-sectional moderation effect on the relationship between the occurrence of stressful events psychological distress (t(79.71) = -2.33, b = -10.89, p = .022). Within participants, Duchenne laughter …

The Influence Of Working Memory And Anxiety In Adolescents, Donna M. Ward

Doctoral Dissertations and Projects

Literature supports a reliable link between lower working memory (WM) performance and higher anxiety, and both anxiety and WM are reported as comorbid with neurodevelopmental disorders (NDDs). This study sought to understand to what extent WM deficits and anxiety exists in adolescent NDD and non-NDD groups. Participants (N = 11,400; ages 9-10) were obtained from the Adolescent Brain Cognitive Development (ABCD) study archived dataset, with the approval of the NIMH approval. Participants in the dataset were recruited from 21 sites across the U.S. A Mann-Whitney U test, comparing the NDD (N=2756) and non-NDD (N=8644) groups was statistically significant, noting a …

Pre-Stimulus Anticipation And Unconscious Fear Learning Disparities In Individuals With Varying Levels Of Anxiety, Anastasiya Rumyantseva Kharlamova

Dissertations, Theses, and Capstone Projects

The current study employed a Pavlovian conditioning paradigm to investigate the influence of pre-stimulus unconscious threat anticipation on subsequent fear responses in associative learning. Additionally, we explored the differences in pre-stimulus anticipation among individuals with varying levels of anxiety. Electrodermal response (EDA) was chosen as a primary measure due to its robustness in fear conditioning paradigms. Moreover, the State-Trait Anxiety Inventory (STAI) was utilized to assess anxiety levels in participants. Twenty-seven subjects were recruited to determine if pre-stimulus skin conductance responses (SCR) would exhibit stimulus-specific patterns influenced by implicit cues (L-shaped configurations) that indicated an upcoming face or a house …

Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman

Expressive Therapies Capstone Theses

Experiences of loneliness and social isolation among college students pose a concern for emerging adults’ mental and physical health, as well as greater impacts on university systems across the country. While social isolation and loneliness are subjective experiences, there are a range of factors rooted in developmental psychology and sociocultural theory that influence the rising rates and acuity of loneliness. Attachment theorists posit that secure attachment early in life can impact how individuals make lasting interpersonal connections long after their childhood. Secure and insecure attachment styles combined with the dramatic transition to college for a young adult are influencing factors …

Barriers To Mental Health Treatment Among U.S. Army Aviation Personnel, Aric James Raus

Doctoral Dissertations and Projects

Safe and effective Army aviation operations require a clear focus from all involved. Yet, after more than two decades of U.S. combat aviation operations, little is known about the barriers experienced by aviators when considering mental health evaluation and treatment. An extensive literature review found no published studies examining mental health treatment hesitance among Army Aviation personnel or the perceived acceptability of self-help treatment options. This study identifies the relationships between age, gender, and aviation career specialty on the self-disclosed instrumental, attitudinal, and stigma-based barriers to care among U.S. Army aviation personnel. Additionally, the research determines relationships between the population’s …

The Effects Of Online Learning On Mental Health During A Pandemic, Christina J. Mcrae

Doctoral Dissertations and Projects

This study investigated the effects of online learning on mental health. The focus included six aspects: academic performance, physical activity, social isolation, food insecurity and other stressors, pros and cons, and religion and mental health. Each aspect included advantages and disadvantages that adolescent students experienced. The study included 6th - 12th graders attending a Charter school. The eligibility requirement was that participants participated in online learning during the 2020-2021 school year. Academic performance data was obtained from the school office for students who attended the school during online learning and requested from parents if they attended other schools. Both positive …

Predicting Personal Growth: An Analysis Of Self-Relevant Approaches, Cole Morse

Honors Theses

Identifying predictors of personal growth–defined as striving to fulfill one’s unique potential–may be important for achieving a life of flourishing (Ryff & Singer, 2008). While existing research demonstrates the link between self-esteem and personal growth, gaps remain in our knowledge of the relationship between other potential self-referential predictors and personal growth (Paradise & Kernis, 2002). The intention of the current study is to not only conceptually replicate the link between positive self-regard (i.e., a positive self-evaluation that is theoretically akin to self-esteem) and personal growth, but to also investigate whether different ways of relating to the self offer unique pathways …

Assessing The Link Between Stress, Anxiety, And Depression In College Students And Their Academic Major, Intersectionality, Support, And Demographics, Joisy A. Santa

Theses and Dissertations

The present study examined the relationship between academic major, intersectionality, support, and housing as predictors of stress, anxiety, and depression in college students. The subject population was Hunter College students. Results indicated differential effects of the predictor variables as a function of students’ financial situation, gender, race, and peer support.

Student Mental Health During And After The Coronavirus Pandemic, Olivia Harner

Masters Theses & Specialist Projects

The educational setting serves as an influential force when considering the impacts that school can have on student mental health. Following the onset of the coronavirus pandemic, research revealed negative effects on mental health for a variety of populations across the globe; however, comprehensive reviews about the effect that the pandemic had on the mental health of American K-12 students are limited. Consequently, the purpose of this specialist project is to evaluate the effects of the coronavirus pandemic on the mental health of American students in grades K-12 through a review of literature. Utilizing PRISMA procedures, 19 articles were selected …

Bidirectional Relationships Between Use Of Popular Social Media Platforms And Anxiety, Depression, And Social Support, Olivia Dick

Masters Theses & Specialist Projects

The relationship between social media use and mental health outcomes among young populations has been a cause for increasing concern in research. However, the directionality of these relationships remains ambiguous due to existing literature being largely cross-sectional and having limited focus on individual platforms. This study aimed to explore the bidirectional relationship between social media use across prominent platforms and various mental healthrelated outcomes among young adults. A sample of 203 young adults, ages 18-29, completed baseline and 6-month follow-up assessments measuring social media use across Instagram, TikTok, and Snapchat, as well as measures of depression, anxiety, and perceived friend …

An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley

Psychological Science Undergraduate Honors Theses

The current study sought to understand help-seeking behaviors for diverse psychological disorders across different demographic groups. Previous literature finds that help-seeking behaviors are greater in non-minority women in higher socioeconomic statuses, and greater for neurocognitive disorders. This study focuses specifically on university students (N= 276). Participants took diagnostic measures and then were told their scores were clinically elevated for either anxiety or ADHD. Participants were then asked qualitative questions regarding their help-seeking intentions. Findings that were consistent with previous literature are that women were more likely to help-seek than men, and participants in the ADHD condition were more likely to …

Regarding The Gender Gap: Interrogating Mcarthur’S Hypothesis On Dyslexia, Anxiety, And Inattention, Caroline Lynch

Honors Scholar Theses

This study interrogated the pervasive gender gap in dyslexia diagnosis. In order to do so, we analyzed Dr. Genevieve McArthur’s recent hypothesis that poor reading is linked to poor self-concept, anxiety, and inattention, which begins the cycle once again. Using a subset of data from the Child Mind Institute’s Healthy Brain Network biobank (children aged 7-11, n=1,725), we evaluated McArthur’s proposed relationships, and possible gendered differences within those relationships through probing which factors were important predictors of if a child did or did not receive a dyslexia diagnosis. We looked at word reading, biological sex, anxiety and inattention as possible …