Psychology Commons^™

Variables Associated With Patient Activation In Persons With Multiple Sclerosis, Marie-Christine Rutter Goodworth, Lara Stepleman, Judith Hibbard, Lisa Johns, Dustin Wright, Mary D. Hughes, Mitzi J. Williams

Faculty Publications - Doctor of Psychology (PsyD) Program

Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activation. Results of a hierarchical regression indicated that patient activation was significantly related to educational attainment, depression, and self-efficacy but not to quality of life. The results suggest several possible targets for intervention to increase patient activation, including health literacy, depression symptoms, and self-efficacy for …

The Interactive Effects Of Biofeedback-Assisted Stress Management And Training Acquisition In Predicting Health Outcomes, Cary M. Sears

ETD Archive

Thirty-seven chronic disease patients were randomized to either a biofeedback-assisted stress management (BFSM) experimental group or a usual care (UC) control condition. It was hypothesized that participants enrolled in the BFSM treatment group would demonstrate lower levels of norepinephrine and depression than those in the UC control condition. It was further hypothesized that training acquisition would modify the main effect of group assignment on depression and norepinephrine. The BFSM group demonstrated significantly lower levels of norepinephrine than the UC group. There were no main effects of BFSM on depression. The training acquisition X group assignment interaction was not significant. Results …

An Interpersonal Model Of Depression: A Psychophysiological Perspective, Kelsey J. Pritchard

ETD Archive

This study examined whether parasympathetic nervous system (PNS) activity predicts depression risk through excessive reassurance seeking (ERS) which subsequently erodes social support and generates stress. Recent theories suggest that the PNS evolved to regulate social interaction and that the PNS is associated with depression and interpersonal deficits. Therefore, PNS deficits may be associated to ERS, given its interpersonal function. Participants (N= 65) completed measures of ERS, interpersonal stressors, social support quality, depression symptoms, and a protocol that measured indices of the PNS (i.e., respiratory sinus arrhythmia; RSA) at rest and during a paced breathing task. Multiple mediator models …

Burnout-Depression Overlap: A Study Of New Zealand Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Mayor, Eric Laurent

Publications and Research

We examined the overlap of burnout with depression in a sample of 184 New Zealand schoolteachers. Burnout and depressive symptoms were strongly correlated with each other (r = .73; disattenuated correlation: .82) and moderately correlated with dysfunctional attitudes, ruminative responses, and pessimistic attributions. All the participants with high frequencies of burnout symptoms were identified as clinically depressed. Suicidal ideation was reported by 36% of those participants. Three groups of teachers emerged from a two-step cluster analysis: “low burnout-depression,” “medium burnout-depression,” and “high burnout-depression.” The correlation between the affective-cognitive and somatic symptoms of depression was similar in strength to the burnout-depression …

The Moderating Effects Of Protective And Risk Factors On Outcomes For Behavioral Smoking Cessation Treatment, Holly Reid

Wayne State University Dissertations

The rate of cigarette smoking is three-fold higher among adults living with Human Immunodeficiency Virus (HIV)/Autoimmune Deficiency Syndrome (AIDS) than in the general population (Centers for Disease Control and Prevention, 2015). Relative to non-smoking HIV-positive adults, HIV-positive cigarette smokers have even higher mortality rates, more physical health problems, greater tobacco-related health disparities, lower quality of life, and more barriers to treatment. These barriers are often interrelated with the significantly higher rate of trauma and violence exposure reported in both cigarette smokers and persons living with HIV/AIDS (PLWHA; CDC). Violence exposure not only predicts emotional distress and substance use, but also …

Delinquency, Depression, Religiosity, And Social Support In The Prediction Of Substance Use: Findings From Add Health, Nicholas Francesco Heimpel

Departmental Honors Projects

Delinquency, depression, religiosity, and social support have been demonstrated to relate to substance use in adolescence. We examined relations between these factors and substance use (cigarette use, marijuana use, frequency of intoxication using alcohol, and lifetime substance use) using the National Study of Adolescent to Adult Health (ADD Health), a large-scale nationally representative epidemiological study (N = 6504). Our results suggested that: 1) in simple correlations, delinquency and depression appeared to be related to higher levels of all forms of substance use, whereas religiosity and social support appeared to be inversely related with all forms of substance use, 2) in …

Self-Evaluative Salience And Motivational Salience As Predictors Of Depressive Affect And Appearance Based Rejection Sensitivity., Mandana Toosi

Walden Dissertations and Doctoral Studies

Although the psychological effects of appearance schemas have been studied in the general population, we know little about the relation of these schemas to appearance-based rejection sensitivity. This study examined the relations among predictive variables of appearance-invested self-schemas (self-evaluative salience [SES] and motivational salience [MS]), appearance-based rejection sensitivity, and depressive affect. Self-discrepancy theory was used to theorize that when individuals experience discrepancies with self, conflict arises in self-schemas, and that this conflict relates to an increase in depressive affect and appearance-based rejection sensitivity. The sample consisted of 131 adult female college students participating in a continuing education program. Multiple regression …

Impact Of Stigma On Attitudes Towards Seeking Professional Psychological Help For Depression, Anna Marie Dierks

All Graduate Theses, Dissertations, and Other Capstone Projects

Depression is the most common mental illness, affecting almost seven percent of Americans each year. Although mental illness treatment through professional psychological services has been proven to be effective, underutilization of these services is high. Underutilization of seeking help could lead to serious consequences, such as suicide. Suicide is the second leading cause of death among adolescents and young adults aged 15-34 years old and in 2013 the highest rates of suicide were among adults aged 45-64 years old. Stigma has been viewed as a barrier to seeking professional psychological help.

Two age groups were chosen for this research due …

Daily Hassles Among College Students: The Role Of Spirituality On Risky Behaviors And Emotional Distress Indices, Kristen N. Campbell

College of Graduate Studies: Theses & Dissertations

Stressful life events are correlated with a higher likelihood of engaging in maladaptive coping techniques (Boden et al., 2014; Kohn, Lafreniere, & Gurevich, 1990; Park, Armell, & Tennen, 2004). One type of maladaptive coping technique is engagement in risky behaviors (e.g., high-risk sports, risky sexual behaviors, illicit drug use; Fromme, Katz, & Rivet, 1997). College students are at an increased risk of engaging in these behaviors. Research demonstrates that stressful life events are also correlated with higher levels of depression and anxiety (Kohn, Lafreniere, & Gurevich, 1990). As college students are exposed to a more stressful environment, they are at …

Factors Influencing Resilience Among Haematological Cancer Survivors, Katherine S. Gallager

Theses: Doctorates and Masters

Haematological cancers in bone marrow (leukaemia) and the immune system (lymphomas or myeloma) represent the sixth most common adult tumour group in Australia. These cancers often develop without warning and require intensive treatment regimes that last on average eight months, but may continue for a lifetime depending on the diagnosis. Encouragingly, advancing cancer treatments, a key accomplishment of cancer research over the past 40 years, have resulted in a growing community of cancer survivors. Approximately two in three adults diagnosed with haematological cancer (HC) can now expect to survive more than five years. However, they must attempt to navigate the …

Validity Of Center For Epidemiologic Studies Depression (Ces-D) Scale In A Sample Of Iraq And Afghanistan Veterans, Ana R. Quiñones, Stephen M. Thielke, Michael E. Clark, Kristin M. Phillips, Christine Elnitsky, Elena M. Andresen

Psychology Faculty Publications

Objectives: Optimal depression screening necessitates measurement tools that are valid across varied populations and in the presence of comorbidities.

Methods: This study assessed the test properties of two versions of the Center for Epidemiologic Studies Depression scale against psychiatric diagnoses established by the Mini International Neuropsychiatric Interview among a clinical sample of US Veterans deployed during Operations Enduring Freedom, Iraqi Freedom, and New Dawn. Participants (N = 359) recruited from two Department of Veterans Affairs hospitals completed a clinical interview, structured diagnostic interview, and self-reported measures.

Results: Based on diagnostic interview and the Diagnostic and Statistical Manual of Mental Disorders …

Becoming Adults: Trajectories Of Adult Identity Development Among Undergraduate Students With Implications For Mental Health, Jenna Shapiro

Master's Theses

One of the defining developmental processes that occur during the unique stage of emerging adulthood is the emergence of adult identity, or the subjective sense of adulthood. Adult identity has been hypothesized to grow gradually, linearly, and at different rates for subgroups of individuals over the course of this stage (Arnett, 2006; Côté, 2006). Differences have also been suggested to predict wellbeing and distress (Côté, 2006; Kroger, 1996; Kroger, Martinussen, & Marcia, 2010). The goals of the current study were to examine heterogeneity in adult identity development over four years in college and to examine differences in self-esteem and negative …

Cortical And Psychological Mechanisms Of Visceral Pain, Kelly L. Polnaszek

Master's Theses

Objective: Dysmenorrhea is an incapacitating type of visceral pain that affects numerous menstruating women and is defined by painful menstrual cramps and often occurs in the absence of pelvic pathology. Women with dysmenorrhea have reported higher sensitivity to experimental pain, and vulnerability to pain sensitivity may be a primary risk factor for developing chronic pelvic pain for women with dysmenorrhea. Cross-organ sensitization (COS), or the theory that uterine inflammation during menstruation can contribute to chronic pelvic pain by generating neurogenic inflammation in other organs, may be a primary mechanism associated with pelvic pain in women with dysmenorrhea. Dysmenorrhea sufferers with …

The Association Of Internalized Stigmas, Culture-Specific Coping, And Depression In Gay And Bisexual Black Men, Duane Glen Khan

Legacy Theses & Dissertations (2009 - 2024)

Gay and bisexual Black men experience higher lifetime depression rates than both White and Black heterosexual men. Some social stress researchers argued that this rate may be due to having two stigmatized minority identities and therefore being at greater risk. However, gay and bisexual Black men also experience lifetime depression rates significantly below White LGB people, suggesting resilience to depression for those with these intersecting identities, race and sexuality. This study attempted to address the debate between greater risk versus resilience in gay and bisexual Black men.

Perceived Racial Microaggressions And Psychological Well-Being Among African American College Students, Daniel Knauer

Legacy Theses & Dissertations (2009 - 2024)

The purpose of this study was to examine the relationships among perceived racial microaggressions, social support, and indicators of psychological well-being in a sample of 155 African American college students from a stress and coping perspective. Perceived racial microaggressions were associated with greater symptoms of anxiety and depression. However, life satisfaction did not account for this relationship, as expected. Two forms of social support, general social support and social support matched for racial situations, were tested as buffers of the effects of perceived microaggressions on psychological outcome variables within a regression framework. The buffering model, which predicted that social support …

The Role Of Stressors And Academic Competence In Adolescent Depression By Race, Ishani Ravindra Deo

Legacy Theses & Dissertations (2009 - 2024)

Objectives: The purpose of this study is to investigate whether adolescents’ perceptions of academic competence serve as a mediator of the relationship between various kinds of stressful experiences and depression symptoms. Additionally, we hypothesized that the utility of this model would change with adolescents’ race. Methods: The sample consisted of 260 adolescents, approximately half of whom were African American (N = 141) and half of whom were European American (N = 119). Measures were administered to participants at a single time point via in-school questionnaires, and the resulting data were analyzed both for mediation and with moderated path analyses. Results: …

Exposure To Interparental Aggression During Youth And Internalizing Psychopathology In Adulthood : The Moderating Role Of The Autonomic Nervous System, Alison J. Rivers

Legacy Theses & Dissertations (2009 - 2024)

The present study examines the impact of respiratory sinus arrhythmia (RSA), an indicator of parasympathetic nervous system (PNS) activity, and skin conductance level (SCL), an indicator of sympathetic nervous systems (SNS) activity, on the relationship between interparental aggression exposure in childhood and adolescence and internalizing psychopathology (anxiety, depression symptoms, and posttraumatic stress disorder symptoms) in young adulthood. Participants completed self-report questionnaires regarding youth interparental aggression exposure and current young adult psychopathology. Participants included 188 adults (mean age = 19.45 years old; 72% Caucasian/white; 55% female). Results demonstrate that co-activation of the PNS and SNS in the context of high interparental …

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and sociodemographic variables.The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited stigma scores signaling agreement with the proposed …

Narratives Of Aging And Patient Activation, T. A. Hulslander

Antioch University Dissertations & Theses

I highlight the generally negative social discourse on aging in the United States, which is often characterized by themes of marginalization and stagnation, and I advocate for a more developmental view. I propose a conceptual framework of social constructionism to consider how the intersection between social discourse and personal narrative regarding aging might influence older adults’ patient activation; Interpretative Phenomenological Analysis (IPA) is an appropriate qualitative methodology through which to understand these relational dynamics. Key constructs are defined and evidentiary, social justice, and pragmatic rationales are provided. In a discussion of the application to clinical psychology I suggests that how …

Depressive Symptoms And Alcohol-Related Problems Among College Students: A Moderated-Mediated Model Of Mindfulness And Drinking To Cope, Adrian J. Bravo, Matthew R. Pearson, Leah E. Stevens, James M. Henson

Psychology Faculty Publications

Objective: In college student samples, the association between depressive symptoms and alcohol-related problems has been found to be mediated by drinking-to-cope motives. Mindfulness-based interventions suggest that mindfulness may attenuate the conditioned response of using substances in response to negative emotional states, and trait mindfulness has been shown to be a protective factor associated with experiencing fewer alcohol-related problems. In the present study, we examined trait mindfulness as a moderator of the indirect associations of depressive symptoms on alcohol-related problems via drinking-to-cope motives. Method: Participants were undergraduate students at a large, southeastern university in the United States who drank at least …

Control, Care, And Stress: Parenting's Effect On Child Internalizing Symptoms, Maysa Kaskas

LSU Master's Theses

Theoretical models of childhood psychopathology suggest that the parent-child relationship serves an influential role in the development and maintenance of internalizing disorders such as anxiety and depression. However, there is a great deal of inconsistency in the research literature on the predictive power of parenting variables such as parental control and parental care. Furthermore, these parenting variables are often poorly defined and inconsistently operationalized across studies, hampering interpretation of results and limiting conclusions on the strength of the effect. Additionally, few studies have examined the role of parenting with careful attention to moderators. In order to investigate these problems, 189 …

The Effects Of Pet Ownership On Anxiety And Depression Among Trauma-Exposed College Students, Dung N. Nguyentran, Marlene A. Michniak, James J. Jung, Christine Q. Do

Undergraduate Research Posters

Rates of anxiety and depression are prevalent in college students and can be attributed in part to stress and trauma-related events. However, studies suggest that pet ownership has the possibility of alleviating symptoms of anxiety, depression, negative emotions, and suicide. The purpose of this study was to determine the relationship between pet ownership and levels of anxiety and depression among those who have experienced a traumatic event. The sample was comprised of five hundred and forty-seven VCU students who completed an online survey from Spit for Science during their junior year. Linear regressions were performed to determine the nature and …

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the self-esteem …

Social Comparison And Self-Presentation On Social Media As Predictors Of Depressive Symptoms, Janet L. Uhlir

Scripps Senior Theses

Social media, an online arena for social behaviors such as self-presentation and social comparison, may have effects on users’ mood and mental health. Favorably presenting oneself is linked to positive outcomes such as higher self-esteem, whereas social comparison, in general and specifically upward social comparison to higher-performing others, is related to feelings of inadequacy, envy, and depression. Social comparison may explain the “Facebook depression effect,” acting as a mediator between time spent on social media and depressive symptoms. A correlational study is proposed that will ask 200 participants to report their time spent on various social media sites, self-presentation of …

Aggressive And Depressed: Long-Term Outcomes Of Childhood Maltreatment, Elizabeth Dotson

EWU Masters Thesis Collection

"Prior research has established a relationship between childhood maltreatment and resulting maladaptive outcomes, specifically, aggressive behaviors and depressive symptomology. The present research sought to extend the current body of literature by determining whether distinctive forms and functions of aggression are related to severity of childhood maltreatment, and whether gender plays a moderating role in this relationship, and if depression is uniquely associated with maltreatment and aggression type within an undergraduate population. Results were analyzed through a 2 x 2 between­ group factorial analysis of variance. Findings from the current study suggest that physical and psychological abuse are the strongest predictors …

The Impact Of African-Centered Psychotherapy On Depressive Symptoms And Africentric Worldview In African Americans, Larae Tillis

Walden Dissertations and Doctoral Studies

Depression is a prominent issue in the African American community. However, there are significant gaps in the literature on the delivery and outcomes of culturally relevant mental health psychotherapy to African Americans. Cultural variables, such as worldview, have been noted to impact an individual's overall psychosocial functioning and have significant implications for mental health service delivery. The purpose of this study was to use archival data to analyze the impact of African-centered therapeutic services on depressive symptoms and on Africentric worldview among African Americans. Archival data on 38 African American adults, recorded from 2012-2015, were obtained from a community mental …

Oh, What A Tangled Web We Weave: Cyberbullying, Anxiety, Depression, And Loneliness, Kristen Laprade Johnson

Electronic Theses and Dissertations

Cyberbullying can be defined as any intentionally aggressive act occurring through electronic forms of communication. Drawing on literature examining traditional, face-to-face bullying, it is likely that this relatively contemporary form of victimization is associated with emotional distress. This has yet to be examined with any empirical rigor, however, as there are few studies of the construct. The present research assessed prevalence rates of cyberbullying in youth in North Mississippi using a psychometrically sound measure. These rates were found to be towards the higher end of previous studies (67.6% with exposure to cyberbullying and 6.3% with clinically elevated levels of cyberbullying). …

Slam Poetry: An Online Intervention For Treating Depression, Spencer J. Ruchti, Mercedes Becker, Cara Mckee, Austin Herron, Alex Swalling

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Given that depression is the “leading cause of disability worldwide,” and that less than 50% of people suffering from depression receive treatment, this study aims to provide support for a globally accessible depression treatment (WHO, 2012). The study conducted implemented an internet-based treatment for depression in which users were provided an opportunity to watch slam poetry videos related to mental health issues and write free responses regarding the content of the videos and their subjective experience of depression. Numerous studies provide support for the effectiveness of expressive writing, online mental health interventions, and slam poetry in particular for reducing symptoms …

Burnout In Firefighters: A Word On Methodology, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

At least three methodological problems affect the study by Katsavouni et al. (2016). First, there are currently no diagnostic criteria for burnout, neither in the DSM-5, nor in the ICD-10. Second, one extremely important variable was omitted from this study of firefighters, namely, depression. Third, the authors did not control for relevant nonoccupational factors such as stressors occurring outside of work.

Depression Intervention Programs In Low-Income High Schools, Gopika Hari

Undergraduate Research Posters

It is estimated that 2.6 million adolescents suffer from major depressive episodes each year. Research has noted that symptoms in youth have become indicators of mental health complications later in life. Studies reveal that low income is a risk factor for depression and that socioeconomically-disadvantaged teenagers are more than twice as likely to develop mental illnesses. Only roughly 25% of children with mental illnesses receive adequate help and 80% of these resources come from schools. This study focuses on establishing the importance of depression intervention programs in low-income high schools and on designing novel guidelines for effective protocols. A compilation …