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Psychiatric and Mental Health Commons

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The Relationship Between Mental Illness And Mass Shooting, Priscilla Ngozi Chukwueke 2020 Walden University

The Relationship Between Mental Illness And Mass Shooting, Priscilla Ngozi Chukwueke

Walden Dissertations and Doctoral Studies

AbstractWhenever a mass shooting occurs, it impacts the immediate families of the perpetrator, victims, and the whole nation: emotionally and financially. The research on the association between mental illness (MI) and mass shooting fatalities is limited. The purpose of this quantitative, cross-sectional study was to explore the association between MI and mass shooting using the archival data of the Stanford University database of mass shootings in America from 2000 to 2016. The theoretical framework was based on Bronfenbrenner’s social-ecological theory and the cognitive-behavioral theory to explain socio-environmental factors that impact human growth and development. The results showed that the proportion …


Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis 2020 Walden University

Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this project was to address the lack of knowledge of nurses in recognizing extrapyramidal symptoms during the early stages of clinical presentation in patients taking antipsychotic medication. Nursing staff need to be properly training to be effective. Maslow's hierarchy of human needs informed this project. The primary goal of this project was to identify if an instructional seminar regarding EPS symptoms and management would increase the knowledge of the nursing staff. The project had a sample size of 7 and the criteria for inclusion included licensed professional nurses working in the clinical setting of mental health. The …


Family Interaction Patterns And A Successful College Transition, Megan Elizabeth Six 2020 Northern Illinois University

Family Interaction Patterns And A Successful College Transition, Megan Elizabeth Six

Graduate Research Theses & Dissertations

This study explored the connections between family interaction patterns in a student’s family of origin and how those interactions related to their adjustment to college as defined by grade point average and mental health. The college transition stands out as a point where the individual gains more autonomy. Successfully completing college positively impacts the life chances of the student and thus, it is important to understand how the family of origin can positively or negatively impact the student. This research examined family cohesion and flexibility as outlined by Olson’s Circumplex model, and the effect that family interaction patterns have on …


Attachment Dynamics As A Precursor For Sexual Risk-Taking Behaviors In Emerging Adulthood (18-25 Years Old), Eimileanne Delaney 2020 Northern Illinois University

Attachment Dynamics As A Precursor For Sexual Risk-Taking Behaviors In Emerging Adulthood (18-25 Years Old), Eimileanne Delaney

Graduate Research Theses & Dissertations

This study explored the relationship between attachment and sexual risk-taking behaviors in emerging adulthood. Understanding and identifying the variables that influence sexual risk behaviors are important to the design and implementation of therapeutic interventions and psychoeducation. It was hypothesized that there is a statistically significant relationship between attachment and increased levels of sexual risk-taking behaviors in emerging adults. To investigate the research hypothesis, this study used a quantitative correlational design to examine the relationship(s) between the variables. The participants completed three online questionnaires: a demographic questionnaire, the Sexual Risk Survey (SRS), and the Relationship Questionnaire (RQ). Results suggested that there …


Signaling Mechanism Responsible For 5-Ht2a Receptor Tolerance To Psychedelic Induced Head-Twitch Behavior In Mice, Audrey R. McMurtrie 2020 Virginia Commonwealth University

Signaling Mechanism Responsible For 5-Ht2a Receptor Tolerance To Psychedelic Induced Head-Twitch Behavior In Mice, Audrey R. Mcmurtrie

Theses and Dissertations

In recent years, there has been a growing interest in psychedelic compounds stemming from their promising use as therapeutic agents and research tools that can be used to treat and study several neuropsychiatric disorders. Psychedelics have proven useful in a broad range of these diseases - they serve as models for psychosis in schizophrenia but have also had promising results in treating major depressive disorder, anxiety, and other common disorders. Decreased stigmatization surrounding psychedelics has further increased their use in research and clinical settings. In light of these trends and the promising nature of their use, a thorough understanding of …


Proposing The Mindful Check-In: A Brief Mindfulness Exercise, Michael Viveiros 2020 Eastern Washington University

Proposing The Mindful Check-In: A Brief Mindfulness Exercise, Michael Viveiros

EWU Masters Thesis Collection

This study investigated the effectiveness and adherence rate of the mindful check-in compared to a traditional mindfulness exercise. This study compared the effects of a traditional mindful breathing exercise and a no-treatment control condition to the mindful check-in on measures of mindfulness, psychological flexibility, affect, compassion, and adherence to the proposed practice schedule. Statistical analyses showed that the mindful check-in reduced negative affect compared to the other two conditions, increased mindful ability on one of the two measures of mindfulness, had a marginally-significant increase in psychological flexibility, and reduced fear of receiving compassion from others and giving compassion to yourself. …


Correlates Of Poor Medication Adherence In Chronic Psychotic Disorders, Martha Sajatovic, Carol Blixen, Michelle E. Aebi, Betsy Wilson, Christopher J. Burant, Kristin A. Cassidy, Jennifer B. Levine 2020 Case Western Reserve University

Correlates Of Poor Medication Adherence In Chronic Psychotic Disorders, Martha Sajatovic, Carol Blixen, Michelle E. Aebi, Betsy Wilson, Christopher J. Burant, Kristin A. Cassidy, Jennifer B. Levine

Faculty Scholarship

Background Chronic psychotic disorders (CPDs) occur worldwide and cause significant burden. Poor medication adherence is pervasive, but has not been well studied in sub-Saharan Africa. Aims This cross-sectional survey of 100 poorly adherent Tanzanian patients with CPD characterised clinical features associated with poor adherence. Method Descriptive statistics characterised demographic and clinical variables, including barriers to adherence, adherence behaviours and attitudes, and psychiatric symptoms. Measures included the Tablets Routine Questionnaire, Drug Attitudes Inventory, the Brief Psychiatric Rating Scale, the Clinical Global Impressions scale, the Alcohol Use Disorders Identification Test and Alcohol, Smoking and Substance Involvement Screening Test. The relationship between adherence …


Adult Attachment For African American Women Who Have Mothers With Borderline Personality Disorder, Elizabeth Uchechi Onyeali 2020 Walden University

Adult Attachment For African American Women Who Have Mothers With Borderline Personality Disorder, Elizabeth Uchechi Onyeali

Walden Dissertations and Doctoral Studies

The effects that borderline personality disorder (BPD) can have on the loved ones of those who suffer from the mental illness is significant and can be deleterious and enduring. Maternal BPD can adversely impact mother-daughter relationships by fostering abnormal connections and insecure attachment bonds. This is particularly the case for African American mothers, of whom research suggests that the early attachment bond between them and their daughters significantly shapes how their daughters behave, perceive themselves, and relate to others. The purpose of this qualitative transcendental phenomenological study was to explore how the experiences of being raised by a mother diagnosed …


Strengthening Mental Health Awareness Of University Students Using An Online Training Module, Lavern Rosemarie Bourne 2020 Walden University

Strengthening Mental Health Awareness Of University Students Using An Online Training Module, Lavern Rosemarie Bourne

Walden Dissertations and Doctoral Studies

Canadian youth pursuing postsecondary education are facing a major mental health crisis. There are substantial gaps between the diagnosis and treatment of mental illnesses. The purpose of this study was to evaluate whether a web-based mental health educational intervention was an effective tool with which to increase mental health awareness and help-seeking behaviors of university students. The theory of planned behavior, the help-seeking model, and the technology acceptance model were the theories that guided this study. Using a quantitative quasi-experimental research design, data were collected from 329 undergraduate students in the Faculty of Health Sciences at a university in Eastern …


Job Self-Efficacy, Alexithymia And Secondary Traumatic Stress Among Correctional Officers, Paulette Andrea Gayle 2020 Walden University

Job Self-Efficacy, Alexithymia And Secondary Traumatic Stress Among Correctional Officers, Paulette Andrea Gayle

Walden Dissertations and Doctoral Studies

Correctional officers work in a volatile environment and are regularly exposed to inmates’ violence or cruelty. These factors negatively affect their job performance, contribute to physiological and mental health issues that could result in secondary traumatic stress (STS) symptoms. Researchers have identified job self-efficacy and alexithymia traits as mitigating factors against elevated stress. Other researchers have identified the traits as strongly associated with mental health illnesses. The purpose of this quantitative study, using a convenience sampling strategy, was to determine whether job self-efficacy and alexithymia traits were predictors of STS among a sample of 79 correctional officers working for Her …


Acknowledging And Addressing Adolescent Depression, Johnsie Burke Hughes 2020 Walden University

Acknowledging And Addressing Adolescent Depression, Johnsie Burke Hughes

Walden Dissertations and Doctoral Studies

A family practice was found to inconsistently screen adolescents for depression even with the necessary Patient Health Questionnaire (PHQ) screening tools being readily available in their electronic medical record. The development of a practice guideline that offers a systematic approach to screening using the PHQ2 and the PHQ9 will potentially result in an increased guidance and provider willingness to screen for adolescent depression in the family practice setting. The purpose of this DNP project was to determine if an algorithmic practice guideline would increase provider willingness to assess for adolescent depression and identify any barriers to the use of the …


Job Satisfaction And Turnover Among Millennial Nurses In Public Hospitals, Gwen Mancuso 2020 Walden University

Job Satisfaction And Turnover Among Millennial Nurses In Public Hospitals, Gwen Mancuso

Walden Dissertations and Doctoral Studies

This study addressed turnover of millennial generation behavioral health nurses (MGBHNs). Because retention strategies mitigate the consequences of turnover, the purpose of this quantitative, correlational study was to examine job satisfaction (JS) and anticipated turnover (AT) intention among MGBHNs employed in U.S. public hospitals. Research questions were focused on determining what, if any, correlation exists between AT and JS. The theoretical frameworks were Herzberg’s theory and person in environment theory. A multiple linear regression and 5 Spearman’s rho correlation analyses were used to analyze data from a convenience sample of 65 MGBHNs to understand the relationship between the independent variables …


Community-Based Workers’ Treatment And Relationship With African American Men With Dual Diagnosis, André V. Haley 2020 Walden University

Community-Based Workers’ Treatment And Relationship With African American Men With Dual Diagnosis, André V. Haley

Walden Dissertations and Doctoral Studies

Helping professionals have a role as service providers when working with African American men with dual diagnosis and incarceration histories. The purpose of this qualitative single case study was to understand how helping professionals provided community-based treatment and established a helper/helpee relationship with this population of African American men. Hirschi’s social control theory provided the framework for the study. Semistructured interviews were used to collect data from 9 helping professionals who worked with this population in the Northeast United States. Yin’s 5-step model for case studies was used for data analysis and thematic coding. Findings indicated that professionals lacked competency …


Epidemiology Of Marijuana Use And Mental Health In The Context Of Changing Policies, David G. Harvey II 2020 Walden University

Epidemiology Of Marijuana Use And Mental Health In The Context Of Changing Policies, David G. Harvey Ii

Walden Dissertations and Doctoral Studies

There is a growing body of evidence supporting the association between cannabis use and the development of mental health disorders, but few studies have addressed this association following the recent increase in marijuana legalization laws. Therefore, using the social ecological model and the self-medication theory of addiction as theoretical frameworks, the purpose of this retrospective database study was to assess the relationship between marijuana use and major depression and suicidal ideation in both adults and adolescents in 2008 and 2017. Data from the National Survey on Drug Use and Health were analyzed using logistic regression at the p < .05 threshold for statistical significance. Results demonstrated positive, statistically significant relationships between marijuana use and both major depression and suicidal ideation for both adults and adolescents in both 2008 and 2017. Further, the strengths of these relationships generally increased between 2008 and 2017, coincident with the increase in marijuana legalization laws. These findings provide empirical support to the association between cannabis use and the development of mental health disorders, and that the strength of these associations is increasing following the increase in marijuana legalization laws. This study has important implication for positive social change by identifying significant relationships between cannabis use and the development of mental health disorders and revealing that these relationships are strengthening over time, coincident with the increase in marijuana legalization laws.


Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby 2020 Walden University

Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby

Walden Dissertations and Doctoral Studies

Behavioral health services exist for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans diagnosed with posttraumatic stress disorder (PTSD); yet, untreated diagnoses may lead to the risk of compromised behavioral health. The purpose of this hermeneutic phenomenological study was to understand the lived experiences of OEF/OIF veterans regarding their decision to seek and retain behavioral health services for addressing PTSD. The research focus and questions were employed through the theoretical concepts of Heidegger’s hermeneutic phenomenological theory, Heider’s attribution theory, and Beck’s cognitive behavioral theory. In-person interviews were conducted to collect data from 8 OEF/OIF veterans who had encounters with behavioral …


Help-Seeking Behaviors Among Filipino Americans: Understanding Enculturation, Depression, And Anxiety, Kristoffer John Almazan Rouse 2020 Walden University

Help-Seeking Behaviors Among Filipino Americans: Understanding Enculturation, Depression, And Anxiety, Kristoffer John Almazan Rouse

Walden Dissertations and Doctoral Studies

Filipino Americans have some of the highest levels of psychological distress among all Asian Americans. However, underrepresentation in psychological studies and a unique set of cultural values and norms contribute to the lack of literature on the sources of this distress among Filipino Americans. The purpose of this quantitative study was to examine how aspects of cultural assimilation and norms of Filipino culture affect willingness of Filipino Americans to seek mental health services. Several factors, enculturation, anxiety, and depression, among Filipino Americans were examined to predict influence on help-seeking behaviors. A sample of 120 Filipino Americans living in the Pacific …


Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell 2020 Walden University

Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell

Walden Dissertations and Doctoral Studies

Tobacco use is the leading cause of preventable death and disease in the United States. According to the Centers for Disease Control and Prevention, 36.5% of adults with any mental illness use tobacco compared to 25.3% of adults without a mental illness; however, there are limited data to determine the best approaches for tobacco cessation among the mentally ill. The purpose of this quantitative, quasi-experimental study was to investigate the differences among 1-on-1 counseling versus group counseling in tobacco cessation rates among psychiatric patients aged 18 years old and older who were identified as a tobacco user upon admission to …


Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella 2020 Walden University

Exploring Young Opioid Users’ Motivation To Seek Treatment For Substance Use Disorder, Patricia Gianotti-Avella

Walden Dissertations and Doctoral Studies

In the past 15 years, the nonmedical use of opioids in the United States has reached epidemic proportions, resulting in a 21% increase in overdose fatalities. This surge in opioid use and dependence represents a shift in the demographic from inner-city populations over the age of 40 to young adults between the ages of 20 and 34 who dwell in primarily white suburban neighborhoods. Research has identified physicians’ liberal prescribing practices as one cause of this epidemic and has documented the ineffectiveness of current interventions with young addicts. The purpose of this narrative study was to gain insight into what …


Experiences Of Resiliency And Family Support In Older Women With Mental Illness, Dawn Harbin 2020 Walden University

Experiences Of Resiliency And Family Support In Older Women With Mental Illness, Dawn Harbin

Walden Dissertations and Doctoral Studies

Lack of a support system for older females with mental illness may cause reduced resiliency skills and an increase in mental illness symptoms while they attempt to manage independent living. The purpose of this qualitative study was to explore the individual stories of older women living independently who suffer from a mental illness and have a support system. Social learning theory and self-efficacy theory provided the framework for the study. Data were collected from face-to-face interviews with 8 women ages 65-80 years who are in treatment at a mental health center in South Carolina. Findings from coding analysis showed that …


Staff Instruction On Patient Health Questionnaire And Collaborative Care Model In Primary Care, Jennifer Carton 2020 Walden University

Staff Instruction On Patient Health Questionnaire And Collaborative Care Model In Primary Care, Jennifer Carton

Walden Dissertations and Doctoral Studies

The DNP project examined the effectiveness of the Patient Health Questionnaire-9 (PHQ-9) and the Collaborative Care Model (CCM) as a practice protocol for patients suffering from depression in primary care to address the problem of a shortage in mental health specialists. Research reveals an increase in Americans suffering from depression. Many primary care clinics do not have a practice protocol in place to screen and manage depression. The project's purpose was to develop a lesson plan to instruct staff on the PHQ-9 and CCM to implement into their practice. The project questions were if the lesson plan developed by the …


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