Mental and Social Health Commons^™

Physical Inactivity: A Behavioral Disorder In The Physical Therapist’S Scope Of Practice, Matthieu P. Boisgontier, Maura D. Iversen

SHU Faculty Publications

In health, the gold standard is a state of complete physical, mental, and social well-being.This state is weakened by physical inactivity, which involves a higher risk of cardiovascular disease, hypertension, diabetes, cancer, depression, and obesity. Moreover, 6% to 10% of all deaths from non-communicable diseases worldwide can be attributed to physical inactivity. These adverse effects of physical activity provide evidence that physically active individuals are closer to the gold standard of health than inactive individuals. Therefore, physical activity – not inactivity – should be the standard reference behavior. In this framework, physical inactivity is a clinically significant disturbance in an …

Managing Stress In A Constantly-Changing Workforce, Lorri Burch-Hubbard

Electronic Theses and Dissertations

When staffing reductions occur in the workplace, staff left behind may face increased stress, may not be given the support they need to manage the feelings caused by the reduction. This study was conducted to evaluate the impact of stress caused by staffing reductions has on medical technologists (MT), medical technicians (MLT) and respiratory therapists (RT), and to identify any common methods of stress management used by those staff who remain in the organization.

Literature research showed the negative impact stress can have on individuals when it is not addressed, such as decreased work performance, health issues, and even the …

Preferences In Information Processing, Marginalized Identity, And Non-Monogamy: Understanding Factors In Suicide-Related Behavior Among Members Of The Alternative Sexuality Community, Robert J. Cramer, Jennifer Langhinrichsen-Rohling, Andrea R. Kaniuka, Corrine N. Wilsey, Annelise Mennicke, Susan Wright, Erika Montanaro, Jessamyn Bowling, Kristin E. Heron

Psychology Faculty Publications

Suicide-related behavior (SRB) is a mental health disparity experienced by the alternative sexuality community. We assessed mental health, relationship orientation, marginalized identities (i.e., sexual orientation minority, gender minority, racial minority, ethnic minority, and lower education), and preferences in information processing (PIP) as factors differentiating lifetime SRB groups. An online cross-sectional survey study was conducted in 2018. Members of the National Coalition for Sexual Freedom (NCSF; n = 334) took part. Bivariate analyses identified the following SRB risk factors: female and transgender/gender non-binary identity, sexual orientation minority identity, lower education, suicide attempt/death exposure, Need for Affect (NFA) Avoidance, depression, and anxiety. …

Behers' "Spiritual Care For People Living With Dementia Using Multisensory Interventions: A Practical Guide For Chaplains" (Book Review), Craighton Hippenhammer

The Christian Librarian

No abstract provided.

Depressive Symptoms As A Moderator Of Diurnal Trends In Reward Seeking, Erick Albert William Rogers

UNLV Theses, Dissertations, Professional Papers, and Capstones

Anhedonia, a cardinal symptom of a major depressive episode, is the decreased motivation to seek rewards. Individuals with depressive symptoms tend to report reduced positive affect, a distal measure of reward motivation, and engage in less reward-motivated behavior (i.e., reward seeking). However, diurnal rhythms may also influence reward-seeking. Both self-reported positive affect and behavioral measures of reward-seeking increase from the morning to the afternoon and then decreased in the evening. Therefore, the aim of this study was to examine whether reward-seeking varied across time of day and whether anhedonia moderated variation. Overall, reward-seeking did not vary across time of day. …

#Thisiswhatanxietyfeelslike: Twitter Users’ Narratives About The Interpersonal Effects Of Anxiety, Raechel B. Russo

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Tweets containing the popular hashtag #ThisIsWhatAnxietyFeelsLike were analyzed in this study. Six themes emerged from our phenomenological analysis of relational experiences with anxiety as conveyed by the Twitter users including: (a) deflated self in relation to others and their perceptions; (b) fear, worry and avoidance behaviors that influence relationships; (c) negative emotional responses leading to feeling misunderstood, lonely, and like a failure (self-fulfilling prophecy); (d) social triggers; (e) anxiety management strategies; and (f) things for others to avoid. This paper will highlight how anxiety symptoms affect relationships and interactions with others, and implications for clinical work and future research.

Baseline Data Collection On The Overall Health Of First-Year Engineering Students At The University Of Arkansas, Braeley George

Biomedical Engineering Undergraduate Honors Theses

Many factors contribute to college student's success both inside and outside of the classroom. Physical activity, mental health, sleep, and grit are key influences for academic achievement and retention. Exercise is Medicine (EIM) On Campus is part of a worldwide initiative through the American College of Sports Medicine that recognizes the importance of physical activity for health by both assessing and promoting physical activity to all students, faculty, and staff. The EIM survey is a tool for collecting general health information about a campus population, as it consists of questions on demographic information, health status, familial health history, diet choices, …

Practitioner Use Of And Attitudes Toward Video-Conferencing For The Delivery Of Evidence-Based Telemental Health Interventions, Kathryn Parisi

Graduate Theses and Dissertations

Compared to telehealth delivery of interventions for physical health issues, the implementation of evidence-based psychosocial interventions using technology has less support. Video-conference delivery (VCD) has the potential to increase accessibility to effective treatments, although its use remains limited and understudied. This study employed a mixed methods approach in surveying mental health practitioners about their attitudes regarding the use of video-conference methods to deliver evidence-based interventions. One hundred and eleven practitioners were sampled from several national and regional practice organizations and administered quantitative surveys about their use of and attitudes towards VCD of evidence-based interventions. The relationship between clinician-level technology access, …

Associations Of Sex, Gender, And Gender Role Beliefs With Mental Health Attitudes, Ariel Erazo

Graduate Theses and Dissertations

Mental health stigma is a strong deterrent for individual with mental illness utilizing mental healthcare. Individuals living with a mental illness experience shame and marginalization due to stigma. Stigma is perpetuated through stereotypes created and used by people in the majority. Studies have been done to assess individual’s attitudes toward mental healthcare seeking in regards to gender, age, race, and profession. This study aimed to look at traditional gender role beliefs, sex, and gender expression as predictors of individual’s mental health attitudes and individual’s views of mental health norms. Using a cross-sectional survey, 392 participants completed scales that included the …

The Moderating Effect Of Social Support On The Impact Of Perceived Loneliness On The Mental Health Of Long-Term Care Nursing Home Residents, Lindsay Nicole Stivers

Electronic Theses and Dissertations

The purpose of the present study is to examine the moderating effect of social support on the impact of loneliness on anxiety and depression in long-term care residents in nursing homes. Recent research suggests that a relationship exists between loneliness and rates of depression and anxiety in long-term care nursing home residents. The present study seeks to examine the buffering effect of social support and utilize the findings to provide suggestions for policy, practice, and research. A binary logistic regression and a series of multiple linear regressions were conducted to examine the relationships between the variables. The present study’s sample …

Perceptions Of Help-Seeking Likelihood For Depression: Examining The Relative Predictive Value Of Ethnicity And Barriers To Care, Linda Esperanza Guzman

Graduate Theses and Dissertations

Latinx and non-Latinx White adults 18 years of age and older experience depression at proportional rates. However, Latinxs seek specialized care for depression at lower rates than non-Latinx Whites, suggesting these groups experience barriers in accessing care differently. This study sought to test the theoretical steps of help-seeking as informed by the Gaining Access and Treatment Equity model (GATE model; Bridges, 2018). According to the GATE model, successful help-seeking means navigating a series of barriers: sequentially, these are perceived need, attitudinal barriers, and structural barriers. Participants (N = 987) were either Latinx (n = 437) or non-Latinx White (n = …

Barriers To Integrated Primary Care And Specialty Mental Health Services: Perspectives From Latinx And Non-Latinx White Primary Care Patients, Elizabeth A. Anastasia

Graduate Theses and Dissertations

High need, low access, and rising health care costs reveal the inadequacies of the current mental health system in the U.S. Racial/ethnic minorities, including Latinxs, face substantial disparities in accessing mental health treatment compared with non-Latinx Whites. Integrated primary care (IPC) offers an alternate model for meeting mental health needs by providing care in a way that is accessible to the general population. Though it has been suggested that IPC may reduce health disparities by decreasing barriers to mental health treatment, empirical data relevant to this question are limited. A series of three studies were conducted using a mixed methodology …

An Interdisciplinary Study To Understand Treatment Seeking Behavior Among Female Survivors Of Anorexia Nervosa, Meaghan Victoria Tipton

Graduate Theses and Dissertations

This study was done to examine what psychosocial factors influence treatment seeking behavior among female survivors of eating disorders. This study uses a mixed methods survey consisting of open-ended item questions regarding treatment experience and social environment, and close-ended items to measure constructs from the Health Belief Model. Fourteen participants were recruited for this study to retrospectively detail their experiences of treatment during their eating disorder. All fourteen participants identified as Caucasian, thirteen identified as female, one identified with other gender, each with a history of medically diagnosed anorexia nervosa. The mean of age of current participants was 29.46, and …

Nicaraguan Homeowner Showing Gratitude For Concrete Flooring As Part Of A Public Health Mission Trip, Breonna Kinnison

HCA Healthcare Journal of Medicine

I’m Bree Kinnison, a fourth-year medical student and aspiring psychiatrist. When I’m not studying, I enjoy painting using acrylics. This painting depicts a very fond memory of mine. After completing the medical portion of our mission trip in Nicaragua, we began our public health portion. Along with fellow students, I laid concrete flooring in this woman’s house. For all 76 years of her life, she had never experienced anything other than a dirt floor in her home. Traditional dirt flooring in Nicaraguan homes is responsible for many preventable illnesses. When shown the final product, she reached out and hugged the …

Acute Disseminated Encephalomyelitis, Ashan Hatharasinghe, Hossein Akhondi, Don Pepito

HCA Healthcare Journal of Medicine

Introduction: Acute Disseminated Encephalomyelitis (ADEM) is a rare autoimmune demyelinating disorder of the central nervous system. Clinical manifestations include encephalopathy, motor deficits, ataxia, and meningeal signs. In most cases, ADEM is preceded by either vaccination or viral illness. Here, we present a case with neither of the two predisposing elements.

Discussion: A 28-year-old Hispanic female presenting with substance use and suicidal ideation was placed on an involuntary psychiatric hold, started on olanzapine and scheduled for a psychiatric facility transfer. The following day, she was noted to have neurological deficits when ambulating. Computed tomography of the brain showed a right frontal …

Mindfulness And Testing: An Exploration Of The Benefits Of Mindfulness Based Cognitive Meditation Practice On Test Anxiety, Anastasia Quirk

Graduate Theses, Dissertations, and Capstones

Test anxiety is a growing concern for students as it can negatively impact student performance. Mindfulness is a practice of focused breathing meditation intended to increase awareness of oneself and the present moment and decrease anxiety. With the recent increase in mindfulness practices in schools, this research examines the potential impact of mindfulness-based cognitive practice on anxiety levels, test anxiety, and standardized test scores through the use of the ACT standardized placement test, the TAI-G, a self-administered Test Anxiety Inventory, and the Biodot, a device measuring physiological indications of anxiety. Using analysis of variance and paired samples t-tests, a significant …

Publicly Available Machine Learning Models For Identifying Opioid Misuse From The Clinical Notes Of Hospitalized Patients, Brihat Sharma, Dmitriy Dligach, Kristin Swope, Elizabeth Salisbury-Afshar, Niranjan S. Karnik, Cara Joyce, Majid Afshar

Biostatistics Collaborative Core: Faculty Publications and Other Works

Background: Automated de-identification methods for removing protected health information (PHI) from the source notes of the electronic health record (EHR) rely on building systems to recognize mentions of PHI in text, but they remain inadequate at ensuring perfect PHI removal. As an alternative to relying on de-identification systems, we propose the following solutions: (1) Mapping the corpus of documents to standardized medical vocabulary (concept unique identifier [CUI] codes mapped from the Unified Medical Language System) thus eliminating PHI as inputs to a machine learning model; and (2) training character-based machine learning models that obviate the need for a dictionary containing …

Promoting Resilience In Self-Management (Prism): Adverse Childhood Experiences And Impacts On Emotion Regulation, Kasey Ann Macedo

Honors Scholar Theses

PRISM (Promoting Resilience in Self-Management) is a mindfulness-based intervention that aims to strengthen emotion regulation skills among individuals by employing cognitive behavioral therapy components. The purpose of the current study is to identify the relationship between adverse childhood experiences (ACEs) and depression, as well as to examine the changes in emotion regulation strategies of participants by comparing pre and post test data. The participants were voluntarily recruited from the Cornerstone Foundation, a homeless shelter, food pantry, and community center in Vernon, CT. The 13 participants completed PRISM through four weeks of two-hour workshop sessions in a small-group format. Results indicate …

Finding Common Threads: How Patients, Physicians And Nurses Perceive The Patient Gown, Christy M. Lucas, Cheryl Dellasega

Patient Experience Journal

Evidence-based care is standard practice in medicine, but the patient gown has fallen outside the scope of scholarly research. The current gown renders a patient vulnerable, diminishing patients’ sense of identity, agency, and dignity with its one-size-fits-none design. The impact on providers is similarly neglected. Our objective was to explore how patients and providers derive meaning from patient gowns. A convenience sample at an academic medical center was interviewed utilizing a standardized framework developed by a medical student and two PhD-prepared researchers with experience in qualitative methods. The study was inductive in nature, seeking to understand perceptions of the patient …

A Proposed Music Therapy Protocol For Trauma-Informed, Culturally Aware Practice With Migrants At The Us-Mexico Border, Mackenzie K. Conner

Expressive Therapies Capstone Theses

This paper reviews current literature surrounding therapeutic work done with the migrant population and considers it through the lens of future music therapy interventions to be done at the United States (US)-Mexico border. The migration process across the US-Mexico border is often filled with danger and treachery, leading to trauma responses, such as depression, anxiety, and post traumatic stress disorder. These traumatic experiences are augmented even further if there is a detention period or separation of families. In work reported by psychotherapists, counselors, and expressive arts therapists, there is often a focus of building empowerment, resilience, and coping skills. Yet …