Medicine and Health Commons^™

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

Graduate Theses/Dissertations

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 …

Mhpaea & Marble Cake: Parity & The Forgotten Frame Of Federalism, Taleed El-Sabawi

Dickinson Law Review (2017-Present)

No abstract provided.

Perceptions Of Mental Health: Eight Conversations With Mainers From Africa, Teresa Sosa, Emelda Ogweta

Thinking Matters Symposium Archive

As of 2016, 42 million refugees from around the world had been forced to flee their homes due to war, persecution, or natural disaster (George & Jettner, 2016). Due to these factors, as well as relocation and resettlement, refugees are at a significant risk for trauma and other mental health issues (George & Jettner, 2016). While the literature consistently validates this heightened risk for mental illness in refugees, more research is needed into refugee's perspectives on mental health. Through analysis of semi-structured interviews with eight refugees from Africa, this phenomenological study investigated refugee's perceptions of mental health and mental illness. …

Examining The Nexus Of Obesity, Mental Health And Rural County Level Food Access: Testing The Enduring Role Of Persistent Poverty, Margaret Ralston, Kecia Johnson, Leslie Hossfeld, Bettina Beech

The Journal of Sociology & Social Welfare

This study investigates the nexus between obesity, mental health, and food access across counties in the state of Mississippi. Recent research suggests that food access and poor nutrition may not only lead to poor physical health, but may also increase depression. Data from the USDA and the CDC were used to estimate obesity and mental health rates across counties. Analyses revealed that poverty was the key factor influencing on obesity and mental health at the county level. More specifically, county level per capita SNAP benefits and status of persistent poverty were predictors of obesity and mental health. Findings are discussed …

Exposure To Community Violence And Substance Use Among Black Men Who Have Sex With Men: Examining The Role Of Psychological Distress And Criminal Justice Involvement, Dexter R. Voisin

Faculty Scholarship

Young Black MSM (YBMSM) are disproportionately affected by violence, criminal justice involvement, and other structural factors that also increase vulnerability to HIV. This study examined associations between exposure to community violence (ECV) and substance use, psychological distress, and criminal justice involvement (CJI) among YBMSM in Chicago, IL. Respondent driven sampling was used to recruit a sample of 618 YBMSM (aged 16–29) from the South Side of Chicago between June 2013 and July 2014. Weighted logistic regression assessed the direct effects of ECV, CJI, and psychological distress on substance use outcomes. Indirect effects were assessed via path analysis with mean and …

Disabled And Out? Social Interaction Barriers And Mental Health Among Older Adults With Physical Disabilities, Raeda Anderson

Department of Sociology: Dissertations, Theses, and Student Research

Over one-third of older adults in the U.S. are physically disabled. Having a disability is a chronic stressor for older adults, and this chronic stress significantly compromises mental health. Because disablement likely restricts older adults' ability to engage in interpersonal interactions, the link between physical disability and mental health may reflect consequences of such unmet social needs. Social interactions are associated with better mental health, yet prior work on social context of disablement focuses on the quality of social relations or perceptions of support, not on actual access to social interactions. There remains a need to understand how and why …

The Perceived Mental Health Effects Of China’S One-Child Policy, Avery Rasmussen

Independent Study Project (ISP) Collection

This study looked at the perceived impacts of China’s 30 year One-Child Policy (OCP). Previous studies suggested the OCP affected Chinese culture and society in a number of ways, however no studies (to the knowledge of the principal investigator) had looked at perceptions of the effects of the OCP on anxiety levels and other mental health issues of students in China. This study sought to fill the aforementioned knowledge gap and aimed to determine perceptions about the mental health effects of the OCP on students. Specifically, this study endeavored to gain a better understanding of perceptions of the effects of …

Disadvantaged Status And Health Matters Networks Among Low-Income African American Women, Erin Pullen, Carrie B. Oser

Sociology Faculty Publications

A significant gap in current network research relates to understanding the factors that shape the health matters (HM) networks of marginalized, socially disadvantaged populations. This is noteworthy, given that these networks represent a critical resource for mitigating the adverse health effects of both acute and chronic strains associated with marginalized status. Further, research has suggested that the networks of such populations—especially low-income African American women—are unique, and may operate in substantively different ways than those of other groups. Using two waves of data from a sample of low-income African American women, this research identifies the demographic, health status, and health …

Threat Of Deportation As Proximal Social Determinant Of Mental Health Amongst Migrant Workers, Nicholas Harrigan, Yee Koh Chiu, Amirah Amirrudin

Research Collection School of Social Sciences

While migration health studies traditionally focused on socioeconomic determinants of health, an emerging body of literature is exploring migration status as a proximate cause of health outcomes. Study 1 is a path analysis of the predictors of mental health amongst 582 documented migrant workers in Singapore, and shows that threat of deportation is one of the most important proximate social determinants of predicted mental illness, and a mediator of the impact of workplace conflict on mental health. Study 2 is a qualitative study of the narratives of 149 migrant workers who were in workplace conflict with their employers, and demonstrates …

A Longitudinal Study Of Resident Emotional Stability, Self-Reported Health And Perceptions Of Programmatic Support, Aaron B. Franzen, Benjamin R. Doolittle

Faculty Publications

Purpose: Certain characteristics such as acceptance, planning, and humility have correlated with less burnout among resident physicians. However, less is known about residency program culture, socialization, and support. The purpose of this study is to investigate social isolation, solidarity, stress, and frustration over time, their self-reported health, as well as the programmatic support.

Methods: A longitudinal self-administered survey implemented within an academic pediatric residency program to track resident characteristics over time.

Results: In Wave 1, among 101 residents, 78 (77%) responded. In Wave 2, among 98 residents, 73 (74%) responded. 45 residents were in both Wave 1 and 2. All …

Stress Buffer Or Identity Threat?: Negative Media Portrayal, Public And Private Religious Involvement, And Mental Health In A National Sample Of Us Adults, Samuel Stroope, Mark H. Walker, Aaron B. Franzen

Faculty Publications

Guided by the stress process tradition, complex links between religion and mental health have received growing attention from researchers. This study gauges individuals’ public and private religiosity, uses a novel measure of environmental stress—negative media portrayal of religion—and presents two divergent hypotheses: (1) religiosity as stress-exacerbating attachment to valued identities producing mental health vulnerability to threat and (2) religiosity as stress-buffering social psychological resource. To assess these hypotheses, we analyze three mental health outcomes (generalized anxiety, social anxiety, and general mental health problems) in national U.S. data from 2010 (N = 1,714). Our findings align with the stress-buffering perspective. Results …

Mental Health Disparities By Identity Among Gender And Sexual Minorities, Shelby Flanagan

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

One of the major obstacles faced by the queer and trans community is the poorer mental health outcomes this group tends to have. There is a disparity in mental health between people who are part of gender and sexual minority groups, and those who are not, meaning that gender and sexual minorities tend to have poorer mental health outcomes and higher incidences of mental health symptoms than people outside of that community. Due to the connection between mental health, marginalization, and stigma in society, this disparity may weigh more heavily on people whose identities are especially marginalized, such as bisexuals, …

The Role Of Afrocentric Features In Mental Healthcare Utilization And Counselor Preferences In Black College Students, Randl B. Dent

Theses and Dissertations

Though mental health issues are prevalent in Black young adults, they underutilize mental healthcare services. This research examined the role of feature-based discrimination in mental healthcare (under)utilization. Study 1, a secondary analysis of the National Longitudinal Study of Adolescent to Adult Health, provided no evidence supporting a link between skin tone and mental healthcare utilization, when controlling for depression diagnosis. However, when controlling for depression symptoms, there was a trend such that Black young adults with darker, as opposed to lighter, skin tone utilized healthcare less. Study 2, an experimental study with 33 Black college students, showed 73% of the …

Involvement In The Juvenile Justice System For African American Adolescents: Examining Associations With Behavioral Health Problems, Dexter R. Voisin

Faculty Scholarship

While researchers have found that African American youth experience higher levels of juvenile justice involvement at every system level (arrest, sentencing, and incarceration) relative to their other ethnic counterparts, few studies have explored how juvenile justice involvement and number of contacts might be correlated with this broad range of problems. A convenience sample of 638 African American adolescents living in predominantly low-income, urban communities participated in a survey related to juvenile justice involvement. Major findings using logistic regression models indicated that adolescents who reported juvenile justice system involvement versus no involvement were 2.3 times as likely to report mental health …

Gender Differences In Social Support, Self-Salience, And Mental Health, Ee Shin (Emily) Hum, Christina Falci

UCARE: Research Products

Men and women tend to manifest distinct mental health outcomes. Specifically, women report higher levels of internalizing symptoms, such as depression and anxiety, whereas men report higher levels externalizing symptoms, such as alcohol abuse (Rosenfield, S., Lennon, M. C., & White, H. R., 2005; Rosenfield, S., & Smith, D., 2010). However, it is unclear what mechanisms shape the gender differences in mental health outcomes. This research will explore two key possible mechanisms: social support and self-salience. Our aims in this study are to examine how and why mental health outcomes vary by gender? And also to what extent do social …

Gender And Attitudes About Mental Health Help Seeking: Results From National Data, Douglas Wendt, Kevin Shafer

Faculty Publications

Men often express less emotion than women do, are hesitant to express weakness, and seek professional help much less frequently than do their female counterparts. The lack of help seeking is common across characteristics such as age, race, ethnicity, and nationality. Authors used data from the 2006 General Social Surveys mental health module to suggest that the gender gap in help seeking may be rooted in attitudes regarding help-seeking behaviors generally. Using structural equation modeling, we linked vignette type (depression and schizophrenia) to the endorsement of help seeking from informal and formal sources. Men showed similar support for informal help …

Men's Mental Health: A Call To Social Workers, Kevin Shafer, Douglas Wendt

Faculty Publications

Substantial attention is paid to the mental health needs of women and children by social work researchers, educators, and practitioners—and with good reason, as these are two vulnerable populations in U.S. society. However, the status of men's mental health; its resulting effect on individuals, families, and communities; and the various challenges associated with it are often overlooked by social workers. The authors document the prevalence of common mental health issues among men in the United States, the unique problems that men face, and help-seeking behaviors. They also discuss how social work is in an exceptional position to help men, and …

Normalizing Abnormality: An Exploration Of Social Forces Driving Gendered Disparity In Rates Of Anxiety Disorder Diagnoses, Sara Tebeau

Senior Independent Study Theses

According to recent statistics provided by the National Institute of Mental Health (2013), American women are twice as likely as men to face diagnosis with an anxiety disorder. While there are existing bodies of sociological and feminist work theorizing both the social construction of mental illness categories and the historical pathologization of women, there is no contemporary dialogue centered on gendered disparity in anxiety diagnosis rates. In this paper, I contribute to ongoing discussion of neoliberal influence on the gendering of mental illness through an exploration of the forces contributing to disparity in rates of diagnosis with anxiety disorders. In …

Out Of The Night, Riley Gryc

SURGE

I did not graduate.

After four years of college, waiting for the day I could shake President Riggs’ hand, receive my diploma, and depart our campus with pride and honor, that day never came. One of the hardest things I’ve ever had to do was watch from the back row of the audience as everyone I had attended school with for the last four years, my classmates, my friends, all received their diplomas and moved on without me. The stares from teachers I knew, the surprised looks from underclassmen, the careful tact with which everyone avoided the subject of not …

Disparities In Mental Health Utilization Among Persons With Chronic Diseases, Saundra Glover, Keith Elder, Sudha Xirasagar, Jong-Deuk Baek, Crystal Piper, Dayna Campbell

Journal of Health Disparities Research and Practice

This study used Aday and Andersen’s Behavioral Model of Health Services Use to examine the role of chronic disease and the joint impact of race and chronic disease type on mental health utilization. Using data from Community Tracking Survey Household Survey, we tested the assumption that chronic disease, chronic disease type, and race are related to lower rates of mental health visits when adjusted for predisposing, enabling, and need factors. After adjusting for population characteristics, we found that race significantly moderated the impact of chronic disease type on mental health utilization, showing that African Americans with cardiovascular disease were half …

Romantic Relationships And The Physical And Mental Health Of College Students, Scott R. Braithwaite, Raquel Delevi, Frank Fincham

Faculty Publications

This study tested the hypothesis that, analogous to married individuals, college students in committed romantic relationships experience greater well-being than single college students. In a sample of 1,621 college students, individuals in committed relationships experienced fewer mental health problems and were less likely to be overweight/obese. There were no significant differences between groups in frequency of physical health problems. Examination of 2 models suggested that being in a committed romantic relationship decreases problematic outcomes largely through a reduction in sexual partners, which in turn decreases both risky behaviors and problematic outcomes. These results are discussed in the context of how …

Mental Health And Psychosocial Distress Sequelae Of Katrina: An Empirical Study Of Survivors, Francis O. Adeola

Sociology Faculty Publications

This study focuses on mental health and psychosocial distress sequelae of Hurricane Katrina cataclysm among survivors. The purpose of this article is to: (1) assess the variation in psychosocial distress among the survivors of Katrina by socio-demographic, structural and situational factors; (2) determine if there are significant racial and gender differences in the extent of psychological stress, especially between Black and White, male and female survivors; and (3) to evaluate the influence of resource loss or financial burden imposed, social support, and perceived victimization on psychosocial distress among survivors. The Gallup/CNN/USA Today survey data collected in 2005 and 2006 from …

Disability Rights And Resources In Nevada, Janet S. Belcove-Shalin

Social Health of Nevada Reports

Attitudes toward people with disabilities have changed dramatically over the course of the last hundred years. In the 19th century, individuals with serious physical or mental issues were singled out for pity and urged to accept their afflictions as the will of God. The government offered no assistance to these persons, relying instead on alms giving from religious institutions and philanthropic organizations.