Clinical Psychology Commons^™

Gender As An Environmental Stressor In Individuals Genetically Predisposed To Mood Disorders: A Preliminary Analysis, Kara West

Audre Lorde Prize

Given the recent ‘epidemic’ of mental health disorders, we urgently need to better understand who is suffering and how. One aspect of this that research has come closer to identifying is where symptoms and diagnoses are missed in certain individuals, especially based on gender. However, if certain genders are actually more likely to deal with certain disorders we need to understand why and where that comes from. There is a general consensus in the medical field that some individuals are simply genetically predisposed to various disorders based on sex, but there is limited evidence that sex actually determines genetic predisposition. …

Covid-19, Olfactory Functioning, And Depressive Symptoms, Kevin Davis Psy.D.

Dissertations

The focus in this study was to investigate whether people who continue to experience a disordered sense of smell after recovering from COVID-19 are more likely to have higher levels of depressive symptoms. Data collection involved two questionnaires: the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Assessment of Self-Reported Olfactory Functioning and Olfaction-Related Quality of Life (ASOF) to assess olfactory functioning. Additionally, general survey questions were asked to evaluate physical and mental health outcomes related to COVID-19. Results showed individuals who did not subjectively return to their baseline sense of smell after recovering from COVID-19 had lower …

Replacing Adjunctive Medications For Treatment-Resistant Depression Using Repetitive Transcranial Magnetic Stimulation: Case Report, Anita Vaishampayan Bs, Bassem Saad Md, Daniel Amarasinghe Bs, Carly Brin Lmsw, Richard Balon Md, Nicholas Mischel Mdphd

Medical Student Research Symposium

Repetitive transcranial magnetic stimulation (rTMS) is an effective treatment for depression. As the left prefrontal cortex activity is linked to depression, rTMS induces blood flow in the left dorsolateral prefrontal cortex (dlPFC). Long acting psychostimulants are sometimes prescribed as an adjunctive antidepressant treatment throughout rTMS therapy. We used rTMS to treat resistant depression in a middle-aged male patient over a twelve month period where a psychostimulant medication was also discontinued. He had been consistently taking duloxetine 60 mg BID, clonazepam 0.5 mg BID, and dextroamphetamine-amphetamine extended release 30 mg once daily prior to the onset of rTMS treatment. The patient …

The Moderating Effects Of Religious/Spiritual Coping On The Depression-Suicidal Thoughts Relationship, Rebecca Aryeh M.S.

Selected Full Text Dissertations, 2011-

Religious coping refers to the various ways individuals respond to distress, involving cognitive, emotional, and behavioral approaches centered around their religious or spiritual (R/S) beliefs. This coping mechanism can be classified into two main facets: positive religious coping, which involves constructive approaches, and negative religious coping, encompassing struggles in the spiritual realm. During periods of depression, some individuals rely on religious or spiritual coping mechanisms. Currently, there is a lack of research examining the moderating effect of positive and negative religious coping on the relationship between depression and suicidal thoughts, especially within the Jewish community. The primary objective of the …

Sexual Violence, Identity Centrality, And Mental Health Among Racial And Sexual Minoritized Individuals: An Application Of Cultural Betrayal Trauma Theory, Brettland D. Coolidge

Honors Undergraduate Theses

Sexual violence (SV) is a pressing concern in the United States. SV (i.e., unwanted sexual contact, coercion, and wanted or unwanted penetration of another). Individuals with minoritized sexual, racial/ethnic, and gender identities experience worse psychosocial outcomes than their majority counterparts. People with multiple marginalized identities have been shown to experience traumatic events at greater rates and with significantly different outcomes compared to those with one minoritized identity. Cultural betrayal trauma theory proposes that these differences in mental health outcomes may be explained in part by a shared cultural identity between a SV perpetrator and victim, which is posited to exacerbate …

Does Need For Social Support Moderate The Relationship Between Perceived Availability Of Social Support And Depression, Anxiety, And Stress?, Katherine E. Whisenhunt

Masters Theses

This study was designed to determine whether the need for social support moderates the relationship between social support (both perceived and enacted) and depression, anxiety, and stress. The study tested the role of Need for Support in the context of both buffering and direct effect models of the effect of social support on mental health and well-being. If perceived availability of social support (i.e., PASS) had a direct effect on well-being, then a simple moderation was predicted. If a buffering effect was present, then a moderated moderation was predicted. This study also predicted a positive relationship between need for social …

Verbal Barriers To Self-Compassion : The Frequency And Impact Of Frames Of Coordination And Opposition On Indices Of Distress And Well-Being, Shannon B. Underwood

Legacy Theses & Dissertations (2009 - 2024)

Background: Self-compassion has received increased attention as a process of change inevidence-based psychotherapies, owing to its relation with numerous positive health outcomes. Though several practices have been shown to increase self-compassion, our aim here is to evaluate the utility of one particular practice, namely loving-kindness or metta meditation (LKM). Despite evidence supporting biological and psychological benefits of LKM, other research has identified various nonspecific barriers and challenges associated with this practice that are linked with poor response to the practice itself. Relational Frame Theory (RFT) provides a behavioral and contextual perspective that may help clarify for whom LKM would likely …

When The Bough Breaks: Alcohol Misuse Among Jamaican Young Adults, Marsha Smith

Antioch University Dissertations & Theses

The incidence of alcohol misuse globally continues to be a significant problem with copious adverse health and social causes and implications. The prevalence of alcohol misuse in Jamaica, British West Indies, instigated the trifold objective of this study. The ecological systems model provided a framework for conceptualizing multilayered biological and social processes that interact to determine mental health. This study examined anxiety and depression, family structure, and perceived parental warmth and control as predictors of alcohol misuse among young adults ages 18 to 30 residing in Jamaica. The current study revealed a correlation between alcohol misuse and higher levels of …

Examining Social Media Use, Connectedness, And Depression In Graduate Students, Marisa Gretz

PCOM Psychology Dissertations

This study examined the relationship between social media use, sense of connectedness, and depression among graduate students. Graduate students are at risk of depression and often disconnect from their social supports due to their program's demands. Literature on the impact of social media on depression is discrepant. The relationship between a sense of connection, the use of social media, and depression in a graduate student population is a novel area of research. Graduate students at The Philadelphia College of Osteopathic Medicine (PCOM) and other universities, including healthcare and non-healthcare-related disciplines, were included. Participants were recruited via social media or email. …

Association Between Trauma History And Body Image, Depression, Posttraumatic Stress, And Relationship Satisfaction In Postpartum Women, Kristen Hawk-Purcell

PCOM Psychology Dissertations

The postpartum period can be a time of significant change and transition. Little is known about how a history of trauma may impact functioning during this critical time. English-speaking adult women (age ≥ 18 years, N = 61) who gave birth in the United States in the past year, but not in the last month, were in an intimate relationship, and did not use any assisted reproductive technology to conceive participated in the study. Participants were recruited through social media and online forums related to pregnancy and the postpartum period. They completed a demographic questionnaire, the PTSD Checklist for Diagnostic …

The Impact Of Gender Minority Stress On Eating Pathology And Body Checking Behaviors In Transgender And Non-Binary Adults, Klaudia Bialy

PCOM Psychology Dissertations

Transgender and gender non-binary (TNB) individuals commonly report diminished mental health when compared to cisgender individuals. TNB individuals experience unique stressors due to their gender identity such as gender-based discrimination and victimization, internalized transphobia, and non-affirmation of their gender. Due to these unique stressors, TNB individuals experience elevated rates of psychological distress such as anxiety, depression, and suicidality. Additionally, TNB individuals report body image issues and disordered eating. This study examined if gender minority stress predicts the relationship between body checking behaviors and eating pathology amongst TNB individuals. Simple linear regression models were used to assess the possible impact gender …

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …

You've Got A Friend: Social Factors And Depressive Symptoms In Older Adults, Erika A. Fenstermacher

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depression in late life has been associated with disability, lower quality of life, increased mortality, and increased risk of suicide (Fiske et al., 2009; Rodda et al., 2011). Research suggests that functional disability, which is often brought about by a medical condition, may precede depressive symptoms and may be a major factor for older adults developing depression (Ormel et al., 2002). Social support can be beneficial for both emotional and physical health (Fiori & Jager, 2021). Numerous studies found evidence that social networks, perceived and subjective social support, and satisfaction with support received moderated the relation between health problems and …

A Novel Test Of Emotion Recognition Bias Using Dynamic Facial Morphing, Michael R. Gallagher

Theses and Dissertations

Depressed persons have demonstrated emotion based cognitive biases, specifically surrounding vigilance of negative information and avoidance of positivity. These biases are sometimes operationalized through emotion recognition tasks. However, previous emotion recognition tasks lack in their ability to accurately measure and decompose positivity avoidance with enhanced negativity, while accounting for basic cognitive processes that can drive the results. Therefore, we developed a novel emotion recognition task that examines emotional intensity thresholds, while accounting for general response bias. Linear mixed effects modeling revealed substantial individual differences on all conditions in the task, using both frequentist and Bayesian approaches. Additionally, the findings suggest …

Psychophysiological Effects Of Increasing Awareness Of Nondual Consciousness In Young Adults With Depression And Anxiety, Milena Braticevic

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Young adults increasingly suffer from anxiety and depression during the time of transition into adulthood. This research study examined the effects of increasing awareness of nondual consciousness in young adults who were experiencing various levels of anxiety and depression. The methodology was mixed-method and included four 1-hour group-based sessions over 4 weeks. Increasing awareness of nondual consciousness through educational, experiential, and behavioural components resulted in reduction in the average depression score from 19.4 (borderline clinical depression) to 10 (normal), and reduction in the average anxiety score from 12.7 (moderate anxiety) to 6.9 (mild). Participants reported increased mental, emotional, physical, and …

Individual Differences And Neural Correlates Of Emotion Reactivity And Regulation: Potential Intervention Targets In Depression, Ian James Kahrilas

Dissertations

Depression, Electroencephalography, Emotion reactivity, Emotion regulation

The Impact Of Peer Supportive Accountability On Use Of A Mindfulness App In Depressed College Students: A Mixed Methods Study, Carol Hundert Gonzales

Dissertations

Depression, Mental Health App, Mindfulness, Supportive Accountability

An Electrophysiological Examination Of Attentional Biases To Emotional Faces In Depression And Social Anxiety, Nathan M. Hager

Psychology Theses & Dissertations

Cognitive theories have proposed that major depressive disorder (MDD) and social anxiety disorder (SAD) involve attentional biases toward and away from specific environmental stimuli. Research has often examined these biases in response to emotional facial expressions, but evidence of attentional biases is mixed. An event-related potential called the N2pc offers advantages over other measures of attentional bias and may clarify conflicting findings. Studies on the N2pc and social anxiety have found consistent results, but there is little work examining depression. Previous N2pc studies are limited by the types of emotional faces they use and by comparing attention for emotional faces …

Ssri-Induced Emotional Blunting: A Study Of Cognitive Changes In Pharmaceutically Treated Depression, Carly Tocco

Dissertations, Theses, and Capstone Projects

Objective: In recent years, approximately 12.7% of the American population are on a prescribed antidepressant medication. Selective Serotonin Reuptake Inhibitors (SSRIs) are a widely used pharmacological treatment for depressive and anxiety disorders, primarily due to their tolerance levels, mild side effects in comparison to other antidepressants, and broad range of clinical indications. However, there are still numerous concerns about SSRIs’ ability to improve depressive symptoms without adding side effects such as sexual dysfunction, gastrointestinal upset, and a restricted range of emotions. Although patients typically claim that they have less emotional pain while on SSRIs than they do during a depressive …

Is The Phq-9 A Unidimensional Measure Of Depression? A 58,272-Participant Study, Renzo Bianchi, Jay Verkuilen, Sharon Toker, Irvin Sam Schonfeld, Markus Gerber, Elmar Brähler, Kurt Kroenke

Publications and Research

The PHQ-9 has become a measure of reference in depression research and clinical practice. However, the issue of the PHQ-9’s unidimensionality has not been fully elucidated, and the usability of the PHQ-9’s total score requires clarification. In this study, we examined the dimensionality, scalability, and monotonicity properties of the PHQ-9 as well as the scale’s total-score reliability. We did so based on exploratory structural equation modeling (ESEM) bifactor analysis and Mokken scale analysis (MSA). We relied on a total of 58,272 participants (63% female; Mage = 43, SDage = 13) from 29 samples involving seven different countries (e.g., Germany, the …

Predictors Of Emotional Health Across Autistic And Non-Autistic Students' First Semester Of College, Erin E. Mckenney

Theses and Dissertations

The prevention and treatment of mental health concerns, including depression, are significant priorities for autistic adults. While several theories have been proposed to explain the high prevalence of depression in autistic populations, little longitudinal research has been done on potential causal mechanisms. Additional research is needed to explore how proposed contributors to depression from general population research -- namely, negative repetitive thinking, lack of social opportunity, and attributional style -- predict and/or moderate the development of depressive symptoms in autistic individuals. The current study investigates these potential predictors' relationship to internalizing symptoms over the course of college students' first semester. …

The Role Of Prenatal Anxiety Sensitivity On Postpartum Anxiety And Depression, Ryann Holman

Honors Theses

Pregnancy is a vulnerable period for women, with roughly 15% of women experiencing psychopathology during pregnancy and postpartum. The most common mental health concerns during this period are anxiety and depression, which have been linked to adverse outcomes on both mother and baby, such as low birth weight and preterm birth. In understanding their onset, anxiety sensitivity has been found to be a potential mechanism for the development of both anxiety and depressive disorders. The goal of the current study was to examine the association between prenatal anxiety sensitivity and postpartum anxiety and depression. Pregnant women were given a battery …

The Effects Of Covid-19 Induced Stress, Anxiety And Depression On The Eating Behavior Of College Women, Natalie Simpson

Undergraduate Honors Thesis Collection

Increases in the prevalence of disordered eating patterns have been linked to distress and poor mental well-being. Additionally, COVID-19 has been linked to both depressive and anxious symptomatology, along with increased feelings of distress (Fitzpatrick et al., 2020). Because disordered eating is particularly prevalent among college-aged women, this study sought to determine how depression, anxiety, and stress affect eating behaviors of college women in the context of the COVID-19 pandemic. 179 women at Butler University, aged 18-24, gave informed consent before completing a questionnaire pertaining to their demographics, their stress surrounding COVID, and their weight change since March 2020. The …

The Relationship Between Racial Microaggressions, Mental Health, And Academic Self- Efficacy In Black College Students : Is A Supportive Mentor Protective?, Devanté J. Cunningham

Theses, Dissertations and Culminating Projects

Racial microaggressions are daily, often subtle, verbal, environmental, and behavioral slights and insults targeted at a person or their race. Racial microaggressions can have deleterious effects on the mental health and academic outcomes of Black college students. As research on this relationship increases, it is essential to assess factors that may moderate, or lessen, the impact of racial microaggressions. There is evidence that mentoring, a form of social support, may attune the adverse effects of racial microaggressions on mental health and academic outcomes. The current study explored the relationship between racial microaggressions and mental health and academic outcomes (social anxiety, …

Predictors Of Depression In Different Subgroups Of Parkinson's Disease: A Neuroimaging Study, Yenny Gabriela Valenzuela

Electronic Theses, Projects, and Dissertations

Parkinson’s disease (PD) is one of the most debilitating neurodegenerative diseases in the world. PD is typically characterized by its motor symptoms which commonly include tremors, rigidity, postural instability, and repetitive or involuntary muscle movements. Some of the most common non-motor symptoms include cognitive impairment, personality changes, depression, and anxiety. Depression has shown to be a prominent symptom in individuals with PD which affects them at any point during disease progression. However, it has been suggested that depression is more common among individuals with early-onset PD compared to individuals with later onsets. Our first aim investigated depression rates among individuals …

The Role Of Trauma Coping Self-Efficacy And Shame In The Relationship Between Variants Of Self-Blame And Psychological Outcomes, Melody Robinson

Electronic Theses, Projects, and Dissertations

Exposure to sexual violence is associated with deleterious mental health consequences (Campbell et al., 2009). Survivors’ perceptions of self-blame can exacerbate these difficulties (Miller at al., 2007). Characterological self-blame has been associated with negative outcomes (e.g., PTSD, depression, & anxiety; Hassija & Gray, 2013; Janoff-Bulman, 1979). On the other hand, behavioral self-blame may be more adaptive, especially when the victim believes they have control over their future behavior (Hassija & Gray, 2013). However, the underlying mechanisms that account for both variants of self-blame’s impacts warrant further investigation. We predicted that posttraumatic shame, conceptualized as negative attributions and criticisms towards the …

Barriers To Care, Depressive Symptoms, And Moderating Factors Among Patients With Esrd, Amarachukwu O. Nwangwu

Honors Theses

End-Stage Renal Disease (ESRD) is the fifth and final stage of Chronic Kidney Disease (CKD) and has been reported to have the highest prevalence rate in the United States, with about 2,242 cases per million in the total population in 2017 (Johansen et al., 2021). Current studies document a high prevalence of depression among patients with ESRD which may lead to increased mortality (Shirazian et al., 2017). Additionally, barriers in access to care, which may be understood as the barriers that prevent individuals from seeking mental health services, has been linked to increased levels of undertreatment (Clement et al., 2012). …

Smoking And Opiate Withdrawal Symptoms: The Impact Of Psychosocial Variables Among Individuals Receiving Medication Assisted Treatment For Opioid Detox, Cristina Abarno

LSU Master's Theses

Individuals with opioid use disorder (OUD) endorse high rates of combustible smoking (Zale et al., 2015) which is associated with poorer outcomes (e.g., opioid craving and lower detoxification completion rates) among individuals receiving medication-assisted treatment (MAT; Mannelli, Wu, Peindl, & Gorelick, 2013) and lower smoking cessation rates in smoking cessation treatment (Okoli et al., 2010). The complex pharmacological relationship between opioids and nicotine may help explain these findings (Kohut, 2017), however little is known about psychosocial variables that influence MAT processes among combustible smokers with OUD. The present study sought to expand upon prior work (Mannelli et al., 2013) by …

Examining A Neural Measure Of Attentional Bias To Emotional Faces In Social Anxiety And Depression, Nathan M. Hager, Matt R. Judah, Alicia L. Milam, Hannah C. Hamrick, Catherine R. Glenn

College of Sciences Posters

Cognitive theories suggest that attentional biases may contribute to both social anxiety and depression, such that attention may be biased to focus on or away from certain information (e.g., rejecting or sad images; Clark & McManus, 2002; Lemoult & Gotlib, 2019). Although research is mixed, recent studies using a neural measure called the N2pc (an event-related potential) has indicated attentional biases in social anxiety. However, little N2pc research has examined depression or co-occurring depression and social anxiety.

The current study used electroencephalography to measure the N2pc during a dot-probe task in which images of faces with emotional or neutral expressions …

Impact Of Covid-19 Pandemic On Women Interpersonal Violence Survivors, Melissa Fernandez

Theses and Dissertations

Women have a significant risk of experiencing interpersonal violence over the course of their lifetime. There has been some suggestion that this risk has been exacerbated by the isolation experienced during the COVID-19 pandemic. The proposed study will evaluate levels of stress associated with interpersonal violence during the COVID-19 pandemic. Depression, coronavirus anxiety, Posttraumatic symptoms, and COVID-19 stress levels will be evaluated. It is hypothesized that participants who experienced interpersonal violence (childhood abuse, physical assault, unwanted sexual experiences, and/or intimate partner violence) will endorse higher levels of COVID-19 stress, Posttraumatic symptoms, depression. These outcomes would be mediated by experiential avoidance. …