Health Psychology Commons^™

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne

Student Theses

People with intellectual disability deserve a system that offers flexible, timely, and person-centered support — one that is innovative, sustainable, and holistic in enabling them to live fulfilling lives. This qualitative study, grounded in Critical Participatory Action Research (CPAR), examines how people with intellectual disability experience participation in decision-making within New York State's disability service system. By centering lived experience, the study identifies factors that facilitate or hinder participation in decision-making and examines structural, social, and policy-related barriers that limit agency. Through six focus groups and a Photovoice project with self-advocates receiving OPWDD services, participants described systemic barriers that limited …

A Poetic Call For And A Reflection And Commentary On Clarity, Understanding, Hope, Courage, And Compassion, Carroy U. Ferguson

Psychology Faculty Publication Series

Finding a published poem I had written as a teenager, titled “The Heavens Weep.” this article uses that poem as the basis for a commentary that reflects on the state of the world today (2026),  As a commentary, the article uses the poetic and metaphoric words in the poem as a relevant "reality check" for what is still going on today.  In essence, the commentary is about a call for Clarity, Understanding, Hope, Courage, and Compassion, or what I call Archetypal Energies, Higher Vibrational Energies that operate deep within our individual and collective psyches to creatively urge us to "see" …

A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Aim: This study sought to explore the impact of a Christ-centered, holistic wellness course on college-aged students’ understanding of key wellness principles. The goal was to gain insight into how students comprehend and apply these principles considering their spiritual and personal development.

Background: Wellness education for undergraduate students is both timely and essential, especially within Christian higher education, where nurturing the whole person is a core value. A common misconception is that wellness pertains only to physical and mental health. However, Scripture affirms that human flourishing involves a harmony of body, mind, and spirit. A holistic, biblically informed approach to …

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …

Internalized Homophobia As An Influence On Participation In Hiv Prevention Among Young Men Who Have Sex With Men (Ymsm), Kasey I. Brazee

Honors Scholar Theses

Stigma is a known barrier to accessing preventative services for human immunodeficiency virus (HIV), however, the types of stigmas involved in this relationship remain not well defined. Homophobia, or negative attitudes directed towards homosexuality, is a particularly important type of stigma considering the disproportionate effect of HIV on men who have sex with men (MSM). Young MSM (YMSM) are especially impacted, making them a key population in the context of HIV prevention research.  Internalized homophobia, which refers to homophobia that one directs towards themselves, is under researched regarding its role in participating in HIV prevention. In this study, we aimed …

Climate Anxiety Shapes Career And Parenthood Decisions In College Students, Minha Hossain, Patrycja Sleboda-Sobolev

Publications and Research

This study examined how climate anxiety influences future-oriented decision-making among college students, with particular attention to four decision-making domains: career planning, parenthood decisions, sustainability behaviors, and geographic mobility. Although climate anxiety has become increasingly common among young adults, less research has explored how it shapes long-term life decisions within diverse U.S. college populations or how psychological and contextual factors influence these relationships. A sample of 257 undergraduate students from Baruch College completed a Qualtrics survey measuring climate anxiety, climate-related emotions, hope, self-efficacy, migration background, and future-oriented decision-making domains. Results indicated that climate anxiety significantly predicted career and parenthood decision-making, but …

Starting With Story, Not Symptom: Narrative Collapse And Cultural Repair In Appalachia, Wayne Coombs Ph.D.

Journal of Appalachian Health

Appalachia’s opioid crisis reflects uneven burdens, especially in distressed coalfield counties, and it cannot be solved by symptom tracking alone. This commentary argues for a narrative shift, starting with story and cultural repair alongside clinical care. Narrative collapse is defined here as the loss of shared, dependable public meaning across groups, not the absence of storytelling in families, churches, and recovery circles. Trauma science suggests that chronic threat reshapes nervous systems across generations, making safety a prerequisite for renewed trust. Drawing on narrative identity research, the piece proposes peer story work as infrastructure that can reduce shame, support treatment engagement, …

Introduction To Panelists: Sex Trafficking Of Black Women And Girls, Stephany Powell

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Perspectives Of University Leaders On Adoption And Scaling E Mental Health Support For Students: An Exploratory Analysis, Choongo Mulungu, Esin Nisan Yildirim

Journal of Human Services: Training, Research, and Practice

ABSTRACT

University students face rising mental health challenges, yet adoption of digital support services in higher education remains limited, especially in the Global South. This qualitative study explored perceptions of 18 senior administrators from universities across Africa, Europe, Asia, and North America. Findings revealed a significant implementation gap, with few institutions offering formal platforms. Leaders cited barriers including limited institutional prioritisation, counsellor overload, financial ambiguity, ethical concerns, and absent policy frameworks. Addressing these challenges requires deliberate policy action, equitable resource allocation, and culturally responsive strategies for sustainable integration.

No-Show Characteristics Of Rural Clients With Mental Health Conditions, Christy R. Collins, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged …

Rural Voices On The Opioid Epidemic In Deep East Texas, Jose Carbajal, H. Stephen Cooper

Journal of Human Services: Training, Research, and Practice

Opioid use is a major concern in the United States. Rural communities face even greater difficulties in addressing opioid use and related challenges. An appreciative inquiry was employed to assess the degree to which the opioid crisis has affected the rural region of Deep East Texas and to develop recommendations for a regional action plan. One hundred and eight participants attended eleven conversation cafés across the region. Response analysis revealed eight primary themes and 11 sub-themes. Community awareness and education are crucial in combating the opioid crisis, as some participants were unaware of the prevalence of prescription opioid abuse in …

Humanity Is Evolving Its Consciousness: The Role Of Archetypal Energies As Guides During An Unfolding Weeding Out And Alignment Process, Carroy U. Ferguson

Psychology Faculty Publication Series

Humanity is evolving its consciousness at individual and collective levels.  Given these seemingly tumultuous times, as of this writing (January 2026), to make such a statement may sound like a strange thing to say.  However, I suggest that if you are alive today and if you are reading these words, these are the very times for which you were born—to assist Humanity as it evolves its consciousness with your unique gifts, whatever they may be.  That is, this period of our individual and collective human being-ness may be characterized as an unfolding period of weeding out and alignment with the …

A Phenomenological Exploration Into The Interpersonal Relationships And Mental Health Impacts Of Physical Activity, Movement, And Play On The Lived Experiences Of Caribbean Mothers, Janelle Chase-Mayers, Theresa D. Thomas

Journal of Interprofessional Practice and Collaboration

Purpose: To explore the impact of wellness strategies incorporating movement, physical activity, and play on the mental health and interpersonal relationships of Caribbean mothers aged 25 and older.

Methods: A phenomenological study was conducted in 2021 to delve into the lived experiences of seven Caribbean mothers. Semi-structured interviews were employed to gather rich, qualitative data on their perceptions of wellness, motherhood, and the role of movement and physical activity in their lives.

Results: Over 700 codes resulted in 6 themes and 100 subthemes. Thematic analysis revealed six key themes: 1. Family of Origin Influences: Participants discussed how …

Affect Regulation In The Context Of Sexual And Gender Minority Stress: A Scoping Review Protocol, Daphne Y. Liu, Benjamin A. Swerdlow, Shao Yuan Chong, Nadia Kako, Alex Rubin, Nicholas S. Perry

Psychology: Faculty Scholarship

Objective

To provide a broad, comprehensive picture of affect regulation in the context of sexual and gender minority stress, this scoping review aims to identify and synthesize methods, methodologies, and available evidence pertinent to emotion regulation and coping in the context of minority stress among sexual and gender minority (SGM) people.

Introduction

SGM people face disproportionately high rates of mental health problems due to experiences of minority stress and lack of social safety. Theories and growing evidence suggest that affect regulation plays a critical role in SGM people’s well-being in the face of minority stress. Researchers have largely studied emotion …

Visual Aids And Numeracy In Healthcare: Leveraging The Drawing Effect, Zephyr J. Markley

Capstone Showcase

Healthcare decisions often require patients to interpret numerical risk information under stress, yet many struggle with low numeracy, which can distort comprehension and undermine informed consent. Well-designed visual aids can improve diagnostic inference, calibrate confidence, and support better choices, especially for patients with limited numeracy, but their impact depends on whether users can actually interpret the format accurately. Drawing may further enhance these tools by adding a tactile, generative layer that engages visual, semantic, and motoric processing while helping patients organize information into concrete models.

Passive visual aids appear useful but limited because they often position patients as observers rather …

Cultural Schemas Regarding Resilience And Strength In Blacks: Implications For Well-Being And Academic Success, Aniya G. Ashford

Honors Undergraduate Theses

Culturally shaped strength-based coping frameworks among Black college students, particularly the Strong Black Woman Schema and John Henry’s Active Coping, are associated with responses to racism-related stress and academic pressure, yet the ways these internalized expectations interact with emotional regulation, perceived cultural norms, and academic functioning remain unclear. Prior research has primarily examined these constructs in isolation or focused on psychological distress or physical health outcomes, often relying on single-method self-report designs that do not capture how culturally embedded coping processes are reflected in lived experiences; as a result, limited work has integrated identity-based schemas, behavioral coping strategies, and narrative …

Injury To Insight: Exploring The Influence Of Media On Acl Rehabilitation Experiences Of Female Soccer Players, Chynna Ho-Young Cadogan, Jill Tracey

Theses and Dissertations (Comprehensive)

Participation in soccer inherently carries a risk of injury, with female athletes facing a significantly higher susceptibility to anterior cruciate ligament (ACL) injuries (Campbell et al., 2014; Le et al., 2025; Silvers-Granelli, 2021). The increasing participation in women’s soccer, coupled with the growing demand for its consumption through spectatorship, has contributed to a rise in ACL injuries, and increase in media coverage on this phenomenon (Parsons et al., 2021). Understanding how media narratives surrounding ACL injuries and recovery may influence rehabilitation experiences can educate coaches, mental performance consultants, athletic therapists, and female soccer players to better understand and navigate ACL …

More Than Surviving: Brazilian Immigrants' Stories Of Growth And Wellbeing In The United States, Virginia Veronica Lemos

Antioch University Dissertations & Theses

Immigration in the United States is often conceptualized within clinical psychology through deficit-oriented frameworks that emphasize risk, trauma, and psychological distress. While this work is essential for documenting vulnerability and inequity, it offers limited guidance for understanding how immigrants sustain wellbeing and meaning amid ongoing sociopolitical and institutional constraints. Brazilian immigrants represent a large and growing population in the US whose experiences remain comparatively understudied, particularly from strengths-based and interpretive perspectives. To address this gap, this qualitative study explores how Brazilian immigrants make sense of immigration and wellbeing through the narratives they construct about their lives in the US. Grounded …

John Henryism And The African American Experience: An Exploration Of Risk And Protective Factors And Health Outcomes, Joseph L. Twitdy

All-Inclusive List of Electronic Theses and Dissertations

Racial discrimination has been tied to adverse mental and physical health outcomes among African Americans. In the face of this adversity, African Americans have developed strategies for coping with everyday experiences of discrimination. One such coping method is based on the concept of John Henryism. The folktale of John Henry tells the story of an African American steel-driver racing against a steam-powered drill to clear a path for trains through a mountain. Although John Henry wins the race, he later dies due to exhaustion, ultimately passing with his hammer in his hand. The psychological concept of John Henryism (JH) refers …

Perceived Neighborhood Cohesion And Well-Being During The Covid-19 Pandemic In The U.S., Jennifer W. Robinette, Brooke Jenkins, Nicole-Marie Duran, David A. Frederick

Psychology Faculty Articles and Research

The U.S. entered a “second pandemic” characterized by depression and loneliness after the initial outbreak of COVID-19. These psychological consequences have driven researchers to identify protective factors during this crisis. The present study tested whether perceived neighborhood cohesion, or that neighbors trust and count on one another, related to fewer depressive symptoms and less loneliness as the pandemic unfolded. Two waves of data were collected online from the same adults in April and October, 2020 (N = 1,928). People who reported greater neighborhood cohesion had fewer depressive symptoms (b = −1.01, p <  0.001) and were less lonely (b = −0.20, p <  0.001), even when considering other pandemic-related risk factors. The association between cohesion and loneliness was even stronger 6 months into the pandemic (b = …

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …

Venezuelan Migrants In Prostitution: A Personal Decision?, Yazmin Maria Lucila Cadena Camargo, Izara Maite Mondragon Moreno, Isabela Osorio Jaramillo, Paula Angélica Suárez Álvarez, Andrés Duarte Osorio, Carlos Gómez-Restrepo

Dignity: A Journal of Analysis of Exploitation and Violence

This paper explores the multifaceted experiences of Venezuelan migrant women engaged in prostitution, framed through three critical moments: the “decision to enter in prostitution,” the unique abuses faced, and the resultant consequences on mental, physical, and social health. The study highlights how socioeconomic vulnerabilities—exacerbated by migration and poverty—significantly influence the likelihood of entering prostitution. It also shows how traumatic experiences, particularly in childhood and adolescence, coupled with a lack of support networks, contribute to a heightened risk of exploitation. Eleven life stories were collected through a phenomenological approach, revealing a common narrative of abuse, poverty, and the search for survival …

Digital Learning And Healing: Impacts Of Ai In Art Therapy, Cassandra E. Buffington-Bates

Journal of Human Services: Training, Research, and Practice

Art therapy, a creative approach to mental and emotional healing, is evolving with digital technologies to improve accessibility and care. This paper explores how artificial intelligence (AI) enhances art therapy by fostering emotional intelligence, collaboration, and personalized interventions. It highlights AI’s potential to support therapy while addressing challenges like empathy, data privacy, and training gaps. Through a literature review, the study offers insights into integrating AI with human-centered practices, providing innovative solutions for emotional and cognitive well-being.

Associations Between Individual And Structural Level Discrimination And Psychological And Physiological Stress Indicators During Pregnancy, Özlü Aran, Melissa Nevarez-Brewster, Kimberly D'Anna-Hernandez, Julia Dmitrieva, Curt A. Sandman, Laura M. Glynn, Elysia Poggi Davis

Psychology Faculty Articles and Research

In the United States (U.S.) pervasive health disparities in prenatal care disproportionately impact marginalized individuals. The present study investigates whether discrimination at the individual and structural levels are associated with indicators of psychological and physiological stress among pregnant Latinx people living in the U.S., including both U.S. and foreign-born individuals. Pregnant participants (n = 109) reported on birthplace, lifetime experiences of racial and ethnic discrimination, perceived levels of stress, acculturation, social support, and provided residential address data and hair samples for cortisol analysis. Regression analysis revealed that individual level discrimination was linked to higher psychological stress during pregnancy ( …

Personality As A Moderator Of The Relationship Between Casual Sex Behavior And Psychopathology, Dean J. Harris

Theses and Graduate Projects

Prior research has evaluated the impact of casual sex on mental health outcomes; however, there is a lack of research on the possible moderating effects of personality traits on this relationship. Thus, the purpose of this study was to clarify whether personality traits -specifically extraversion and neuroticism- are protective or risk factors for symptoms of anxiety and depression among individuals who engage in casual sexual behaviors, particularly in college-aged individuals. Using a cross-sectional design, 108 participants who met survey criteria completed self-report measures assessing casual sex behavior, the PHQ-9, the GAD-7, the International Big-Five Mini- Markers, and demographic questions. Moderation …

A Religious Etiology Of Genito-Pelvic Pain And Pain With Penetration, Emily L. Carlson

Theses and Graduate Projects

Pelvic pain during penetration (PPDP) has been described using various diagnostic terms, including vaginismus, dyspareunia, and vulvodynia. The most recent and comprehensive classification is Genito-pelvic pain/penetration disorder (GPPPD) which is characterized by psychological distress associated with pain during or in anticipation of vaginal penetration (DSM-5-TR; American Psychiatric Association [APA], 2022). The etiology of PPDP is multifactorial, involving a complex interplay of biological, psychological, and relational factors. Religious and cultural influences may play a significant role in shaping individuals’ experiences of sexual pain. This study investigated the etiology of PPDP in relation to the religious influences among women raised in Judeo-Christian …

Understanding The Physical Health Associations Of Intra-Individual Variability In Life Satisfaction Among Older Adults, Frosch Y. X. Quek, Kenneth Tan, David Chan

Research Collection School of Social Sciences

It is well established that inter-individual differences in life satisfaction positively predict health, but it is less clear how intra-individual variability in life satisfaction across time could influence health, particularly across individuals with different satisfaction levels. To address this gap, we analysed a large panel dataset from a national sample of 8,674 older adults, aged 50–70 (M = 59, SD = 5.42) in Singapore who completed surveys over 53 consecutive months. Results from multi-level modelling showed an interaction between variability in life satisfaction and life satisfaction mean on physical health. Specifically, there was no association between variability and health among …

The Role Of Neuroscience In Mental Health Management Within The Adhd Population, Kadi Rae Smith

University Honors Theses

Neuroscience-based educational interventions play a role in the management of Attention Deficit Hyperactive Disorder (ADHD), including the regulation of ADHD-correlated depression and anxiety. Existing research shows that elevated rates of depression correspond to anxiety within the ADHD community; approximately 8.83% of the global population. Social ostracization and isolation are established contributors to depression and anxiety which are commonly comorbid with ADHD. The need exists for further investigation of the beneficial impact that an accurate, biological understanding of how the brain works has on the mental health of the ADHD population, and by extension their families, education systems, and medical industries. …

Beyond The Genome: The Racialized Exposome, Flourishing, And Stress Biology In African Americans, A Non-Exhaustive Review, Enye Washington

University Honors Theses

Racial health disparities remain an enduring challenge in the United States, disproportionately impacting African American communities through higher rates of chronic disease and premature mortality. This non-exhaustive literature explores how the racialized exposome - a term denoting the totality of social, environmental, and structural stressors rooted in systemic racism - biologically embeds itself via stress-responsive pathways. Specifically, it examines the interaction between racial stress, flourishing, and key biological markers, including allostatic load and telomere length, considering the gut-brain axis. The review highlights robust evidence that chronic exposure to racial discrimination and structural adversity contributes to multisystem dysregulation and accelerated cellular …