Quantitative Psychology Commons^™

Towards Scalable Mental Health: Leveraging Digital Tools In Combination With Computational Modeling To Aid In Treatment And Assessment Of Major Depressive Disorder, Matthew D. Nemesure

Dartmouth College Ph.D Dissertations

Major depressive disorder (MDD) is a debilitating disorder that impacts the lives of nearly 280 million individuals worldwide, representing 5% of the overall adult population. Unfortunately, these statistics have been both trending upward and are also likely an underestimate. This can be primarily attributed to lack of screening paired with a lack of providers. Worldwide, there are roughly 450 individuals living with MDD per mental health care provider. Adding to this burden, approximately half of affected individuals that do receive care of any kind will fail to remain in remission. The goal of this thesis work is to leverage statistical …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This study Investigates more dimensions than previous studies simultaneously: pilots’ duty rosters, stress, sleep difficulties, fatigue levels, wellbeing, symptoms of depression, anxiety, and common mental disorders (CMD), and how they are interrelated.

Background

Several scientific studies have confirmed that fatigue can pose a significant risk to flight safety. Other studies reported positive depression screening results for more pilots, compared with the general population.

Method

A cross-sectional online survey was completed by 406 international pilots, who reported their duty rosters of the last two months. Pilots also self-assessed their stress-levels, sleep problems, fatigue, wellbeing, and mental health.

Results

Although pilots …

It’S All The Rage: An Animated Approach To Screening For Postpartum Depression, Amanda Gorham

Doctoral Dissertations

Postpartum depression presents a complication for mothers which can, in some cases, be severe and even life-threatening. Instruments commonly used to screen for this psychological condition have been challenged by an extensive body of literature, with many mothers being unidentified and even untreated for their symptoms. The presented research introduces a newly developed screening instrument for detecting probable postpartum depression using text-free scenario-based animations, based on the lived experience of the condition as qualified by empirical research and the existing body of literature. Developed items were controlled for quality via Think Aloud Protocol and alignment studies with subject matter experts …

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

MSU Graduate Theses

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

Strong Black Women, Depression, And The Pentecostal Church, Dawn E. Davis

Walden Dissertations and Doctoral Studies

Depression is a global health concern and among the top two causes of disability

and disease. African-Americans often seek help from the Black church, but

Pentecostal churches may fail to provide effective support due to doctrinal beliefs.

African-American women with depression struggle due to psychosocial implications

of the diagnosis. This research study used social constructionism and the

biopsychosocial model of health to explore the lived experiences of African-

American women suffering from self-reported depression while attending

Pentecostal churches in the Northeast United States. Fourteen women, ages

20 to 76, participated in this qualitative, phenomenological study. Data obtained

from the semistructured, …

Mentorship Programs, Depression Symptomatology, And Quality Of Life, Tiesha L. Scott

Walden Dissertations and Doctoral Studies

Depression is a debilitating mental health disorder that has the potential to affect an individual's lifespan adversely; adolescents who reside in low-income urban environments are more at risk of developing the disorder. The purpose of this quantitative ex post facto study was to compare depression symptomatology and quality of life rates among emerging adults who enrolled and emerging adults who did not enroll in a mentorship program as an adolescent while in high school. Beck's cognitive model of depression was used as a theoretical foundation to determine how negative schemas are formed in adolescents who show symptoms of depression. The …

Exercise Adherence And Depression, Cory Reed Sullins

Walden Dissertations and Doctoral Studies

In this study, exercise adherence levels were examined from archival data collected from 2004 to 2006 to determine if an association existed with the levels of depression among individuals over 49 in 3 rural community centers. Abundant research has shown that exercise is effective in alleviating depression but has not shown how levels of exercise adherence may impact the efficacy of exercise in the treatment of depression. The focus of the study was to determine if an increase in exercise adherence may be associated with a decrease in the symptoms of depression. An ANCOVA was used to determine if differences …

An Exploratory Structural Equation Modeling Bi-Factor Analytic Approach To Uncovering What Burnout, Depression, And Anxiety Scales Measure, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

In this study, we addressed the ongoing debate about what burnout and depression scales measure by conducting an exploratory structural equation modeling (ESEM) bifactor analysis. A sample of 734 U.S. teachers completed a survey that included the Center for Epidemiologic Studies Depression scale (CES-D-10), the depression module of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), and the Maslach Burnout Inventory (MBI), which contains emotional exhaustion (EE), depersonalization (DP), and (diminished) personal accomplishment (PA) subscales. Job adversity and workplace support were additionally measured for the purpose of a nomological network analysis. EE, burnout’s core, was more highly …

The Effects Of Oral Contraceptives On Mood And Affect: A Meta-Analysis, Erica M. Motter

Cal Poly Humboldt theses and projects

Combined oral contraceptive (COC) pills are widely used by women of reproductive age, but there is still little conclusive evidence that exists about the mood-related side effects associated with their use. This meta-analysis examined the relationship between oral contraceptive use and mood effects such as depression and anxiety to determine what role, if any, that COCs may have in the worsening or improvement of women’s mood when taking them. Effect sizes compared the differences in women’s mood scores before taking COCs and after one or more cycles of use. Seventeen studies made up of 25 individual samples contributed 71 effect …

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …

Assessing The Ordinality Of Response Bias With Item Response Models: A Case Study Using The Phq-9, Venessa N. Singhroy

Dissertations, Theses, and Capstone Projects

Improper scale usage in psychological and clinical assessment is an important problem. If respondents do not use the scales in a consistent manner, the reliability of a composite is likely to be attenuated. This is particularly problematic when particular items are singled out for special treatment or when subscales are of interest, not just a total score. This study used both non-parametric and parametric item response theory (IRT) methods to gain further insight into the validity of the PHQ-9, a dual purpose instrument that assesses the severity of depressive symptoms using nine Likert-scale items and allows the investigator to establish …

Media Body Images And Males' Body Dissatisfaction, Muscularity, Disordered Eating, And Depression, Diana Carrillo

Walden Dissertations and Doctoral Studies

Body objectification theories propose that humans have an innate desire to compare themselves with others. When self-objectification is influenced by media exposure to idealized body images, results may be unrealistic self-perceptions and increased risk of depression, eating pathology, and overexercising. Although considerable work has been done to study these processes among women, much less is known about effects of media exposure on adult men. In response to this gap, this quantitative research study examined effects of exposure to an idealized man's body image on men observers' body dissatisfaction and related behaviors. A convenience sample of 119 freshman and sophomore community …

Substance Abuse And Mental Illness Among Youth In The United States, Emmanuel Xavier Okoro

Walden Dissertations and Doctoral Studies

Despite the trends showing a reduction in the use and abuse of drugs among American adolescents, the prevalence rates remain high. There is also comorbidity of mental illnesses among the adolescents using drugs. The aim of this study was to determine the presence and nature of the association between the use and abuse of marijuana and alcohol and mental illnesses among the American adolescent population. The noted comorbidities and the hypothesized association between the substance abuse and mental illnesses were explained using the expectancy theory. Using a quantitative research methodology, secondary data from the National Survey on Drug Use and …

Factors That Influence Whether Mexican Americans With Depression Seek Treatment, Irene Rodriguez

Walden Dissertations and Doctoral Studies

Mexican Americans, the largest Hispanic subgroup in the United States, tend to underuse mental health services. Grounded in Andersen's behavioral model of health services use, the purpose of this nonexperimental study was to examine the likelihood of birth country, education, income, and insurance predicting which respondents would report seeking mental health services to treat depression. The Mini International Neuropsychiatric Interview was used to diagnose depression in 203 Mexican Americans whose data was archived from the primary study. This archived data was analyzed within this study. The results of the 2 x 2 chi-square tests of independence indicated a significant association …

Prospective Associations Of Homocysteine, Executive Function, And Depressive Symptoms, Peter J. Dearborn

Electronic Theses and Dissertations

Associations of cardiovascular risk factors, cognitive performance, and depressive symptoms have been well established. However, the directionality of these associations as well as the specificity of these associations with respect to executive function are less clear. Additionally few studies have determined whether genetic risk factors, such as apolipoprotein-E4 (APOE-E4) genotype, and age moderate the associations of cardiovascular risk factors such as homocysteine with changes in depressive symptoms and how these associations may be mediated by cognitive performance. The primary aim of this study was to analyze the bidirectional associations of a full range of cognitive domains and symptoms of depression …

Cumulative Sexual Victimization And Mental Health Outcomes Among Incarcerated Women, Jennifer Hartsfield, Susan F. Sharp, Sonya Conner

Dignity: A Journal of Analysis of Exploitation and Violence

This research explores the relationship between three different types of self-reported sexual victimization and subsequent mental health problems in a sample of incarcerated women. Previous literature establishes a link between victimization histories and poor mental health outcomes. This study focuses on sexual victimization experienced as a child, as an adolescent and as an adult, both individually and cumulatively, in relation to entering prison with a mental health diagnosis as well as reporting current depressive symptoms while incarcerated. Each type of victimization is significantly related to both prior mental health diagnosis and current depression in prison. Furthermore, there is an additive …

Meta-Analyses Of The Relationship Between Depression And Nine Dimensions Of Perfectionism, Gabriel Lynn Hottinger

Electronic Theses and Dissertations

Perfectionism has been shown to be related to depression, but perfectionism is multidimensional. Some dimensions are related to positive psychological characteristics and outcomes and other dimensions are related to negative psychological characteristics and outcomes. This study reports results of nine meta-analyses performed to investigate the association between each of nine subscales of perfectionism and depression to determine which dimensions of perfectionism are most strongly associated with depression. The two subscales that were used from the Hewitt and Flett (1991b) Multidimensional Perfectionism scale were Self-Oriented Perfectionism (SOP) and Socially-Prescribed Perfectionism (SPP). The five subscales that were used from the Frost et …

The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson

Walden Dissertations and Doctoral Studies

Identifying depressive symptoms in community-dwelling elders has been problematic, due to a lack of resources and training for health clinicians. Previous researchers have indicated that older adults who engage in physical activities can prevent, or mitigate depression, but no model has included this variable in conjunction with factors such as lifestyle or sociodemographic characteristics. In this study, a predictive design was used with a regression analysis. The purpose of this quantitative study was to investigate the relationship between depressive symptoms and the different factors identified in the literature as significant contributors to its prevalence among older community-dwelling adults. Erikson's theory …

The Effects Of Mindfulness On Affect And Substance Use, Alicia D. Carter

Honors College Theses

Previous studies have explored the impact of mindfulness on Big 5 personality traits, personality disorders, suicidal ideation, and alcohol use; additionally, mindfulness-based interventions (MBIs) have been used to treat individuals suffering from depression and anxiety. However, the practical application of mindfulness has been complicated by contradictory findings in the literature and inconsistent conceptualizations of the construct. The current study sought to investigate potential relationships between types of mindfulness, facets of mindfulness, substance use, and affect. Participants completed a battery of questionnaires related to mindfulness, correlates of neuroticism (i.e., depression, anxiety, and subjective happiness), and drinking-related consequences. Correlational analyses revealed significant …

The Effects Of Religious Coping And Drinking To Cope On The Relationship Between Depressive Symptoms And Alcohol-Related Problems, Adrian J. Bravo

Psychology Theses & Dissertations

The present research examined the moderating effect of religious coping (positive or negative) on the relationship between depressive symptoms and alcohol-related problems. Furthermore, the current study examined the moderating effects of positive and negative religious coping in the context of the confirmed mediation of drinking to cope on depression and alcohol related problems (i.e., moderated-mediation). The study consisted of 294 religious undergraduate student drinkers from a large southeastern university. The majority of participants identified themselves as Christian (n = 257, 87.4%), were female (n = 218, 74.1%), and reported a mean age of 21.85 (SD = 5.57) …

Teacher Support Mediates Concurrent And Longitudinal Associations Between Temperament And Mild Depressive Symptoms In Sixth Grade, Kathleen Moritz Rudasill, Patrick Pössel, Stephanie Winkeljohn Black, Kate Niehaus

Department of Educational Psychology: Faculty Publications

The combination of changes occurring at the transition to middle school may be a catalyst for the onset of depressive symptoms, yet teacher support at this transition is protective. Research points to certain temperamental traits as risk factors for developing depressive symptoms. This study examines student reports of teacher support and teacher reports of student–teacher relationship (STR) quality as mediators of associations between child temperament (i.e. negative emotionality at age 4½ : and emotional reactivity in elementary grades) and depressive symptoms in sixth grade. Results indicate (a) negative emotionality predicted emotional reactivity and depressive symptoms; (b) emotional reactivity predicted depressive …

The Stigma Of Mental Illness, Ambivalent Attitudes, And Motivation To Learn, Jennifer Moore

Honors Capstone Projects - All

Prior research has demonstrated that much of the stigma of mental illness falls under the category of ambivalence. In other words, individuals hold both positive and negative impressions of mentally ill individuals and their attitudes tend to not be restricted to one side. On the positive end, they may feel sympathetic toward these individuals, as they understand they are not responsible for their illnesses. On the negative side, they may also believe these individuals are more unpredictable and dangerous than their mentally healthy counterparts. These ambivalent attitudes subsequently result in a feeling of uneasiness, as people feel more comfortable when …

Self-Criticism Versus Neuroticism In Predicting Depression And Psychosocial Impairment For 4 Years In A Clinical Sample, David M. Dunkley, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

The present study extended previous findings demonstrating self-criticism, assessed by the Dysfunctional Attitude Scale (DAS) (Weissman AN, Beck AT. Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Paper presented at the 86th Annual Convention of the American Psychological Association, Toronto, Ontario, Canada, 1978), as a potentially important prospective predictor of depressive symptoms and psychosocial functional impairment over time. Using data from a prospective, 4-year study of a clinical sample, DAS self-criticism and neuroticism were associated with self-report depressive symptoms, interviewer-rated major depression, and global domains of psychosocial functional impairment 4 years later. Hierarchical multiple regression results indicated …

Perfectionism And Depressive Symptoms 3 Years Later: Negative Social Interactions, Avoidant Coping, And Perceived Social Support As Mediators., David M. Dunkley, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Although research has demonstrated perfectionism to have a negative impact on the treatment of depression, little research has examined the mechanisms or processes through which perfectionism predicts subsequent depressive symptoms in clinical populations over time. Using data from a prospective, 3-year study of a clinical sample (N = 96), hierarchical regression analyses indicated that perfectionism, assessed by the Dysfunctional Attitude Scale (Weissman AN, Beck AT. Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Paper presented at the 86th annual convention of the American Psychological Association, Toronto, Ontario, Canada; 1978), is distinguished from major depression and neuroticism for …

Validity Of Das Perfectionism And Need For Approval In Relation To The Five-Factor Model Of Personality, David M. Dunkley, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

This study examined the validity of the perfectionism and need for approval scales of the Dysfunctional Attitude Scale (DAS; Weissman & Beck, 1978) by locating these measures within a comprehensive framework of personality, provided by the revised NEO Personality Inventory (NEO-PI-R; Costa & McCrae, 1992), in a clinical sample (N ¼ 132). The results indicated that: (1) DAS perfectionism reflects the self-critical aspects of the broader perfectionism construct rather than the active achievement striving aspects; (2) DAS need for approval generally lacks an association with positive interpersonal traits and shares much in common with DAS perfectionism; and (3) with shared …