Psychiatry and Psychology Commons^™

Translating Mental Health Diagnostic And Symptom Terminology To Train Health Workers And Engage Patients In Cross-Cultural, Non-English Speaking Populations, Bibhav Acharya, Madhur Basnet, Pragya Rimal, David Citrin, Soniya Hirachan, Brandon Kohrt, +Several Additional Authors

Psychiatry and Behavioral Sciences Faculty Publications

Although there are guidelines for transcultural adaptation and validation of psychometric tools, similar resources do not exist for translation of diagnostic and symptom terminology used by health professionals to communicate with one another, their patients, and the public. The issue of translation is particularly salient when working with underserved, non-English speaking populations in high-income countries and low- and middle-income countries. As clinicians, researchers, and educators working in cross-cultural settings, we present four recommendations to avoid common pitfalls in these settings. We demonstrate the need for: (1) harmonization of terminology among clinicians, educators of health professionals, and health policymakers; (2) distinction …

Do Pediatric Gastroenterology Doctors Address Pediatric Obesity?, Suruchi Batra, Caitlin Yee, Bernadette Diez, Nicholas Nguyen, Michael J Sheridan, Mark Tufano, Natalie Sikka, Stacie Townsend, Suchitra Hourigan

Psychiatry and Behavioral Sciences Faculty Publications

Objectives:

To assess how often obesity is acknowledged at pediatric gastroenterology outpatient visits.

Methods:

A retrospective chart review was performed to identify obese children seen at a gastroenterology subspecialty clinic over a 1-year period of time; 132 children were identified. Demographics, obesity comorbidities, reasons for referral, diagnosis of obesity, and a plan to address obesity were abstracted. Chi-square or Fisher’s exact tests were used to examine statistical associations.

Results:

Only 49% of children were given a diagnosis of obesity. In total, 52% of children were given a body mass index reduction plan. Those diagnosed with obesity were more likely to …

Situational Analysis To Inform Development Of Primary Care And Community-Based Mental Health Services For Severe Mental Disorders In Nepal, Mangesh Angdembe, Brandon A. Kohrt, Mark Jordans, Damodar Rimal, Nagendra Luitel

Psychiatry and Behavioral Sciences Faculty Publications

Background

Nepal is representative of Low and Middle Income Countries (LMIC) with limited availability of mental health services in rural areas, in which the majority of the population resides.

Methods

This formative qualitative study explores resources, challenges, and potential barriers to the development and implementation of evidence-based Comprehensive Community-based Mental Health Services (CCMHS) in accordance with the mental health Gap Action Programme (mhGAP) for persons with severe mental health disorders and epilepsy. Focus Group Discussions (FGDs, n = 9) and Key-Informant Interviews (KIIs, n = 26) were conducted in a rural district in western Nepal. Qualitative data were coded using …

Tracking Radical Opinions In Polls Of U.S. Muslims, Veronika Fajmonová, Sophia Moskalenko, Clark R. Mccauley

Psychology Faculty Research and Scholarship

This Research Note examines two telephone polls (2007, 2011) and three Internet polls (2016) to track opinionsof U.S. Muslims relating to the war on terrorism. Results indicate that a small but consistent minority (five to tenpercent) justify suicide bombing of civilians in defense of Islam, while those seeing the war on terrorism as a war on Islam have declined from more than half to about a third. This decline coincided with a decline in perception of discrimination against Muslims in the U.S., and correlational results confirm that perceived discriminationis one source of seeing the war on terrorism as a war …

Constructing Terrorism: From Fear And Coercion To Anger And Jujitsu Politics, Clark Mccauley

Psychology Faculty Research and Scholarship

No abstract provided.

Sensory-Based Services In Adult Mental Health, Leslie Reed

Occupational Therapy Doctorate Capstone Projects

Purpose: The purpose of this Capstone Project was to evaluate the sensory room program used by occupational therapy to determine whether use of the sensory room and the elements within the room reduced perceived levels of distress and acting out and/or aggressive behaviors of patients with mental illness. Methods: This Capstone Project was an outcome evaluation of a routine clinical program using retrospective analysis of existing patient records to ascertain physical aggression episodes, sensory modulation ability, and self-ratings and staff ratings of patient distress levels pre- and post-sensory intervention. Results: Through analysis of quantitative data, the results of the project …

Dealing With Pre-Exposure Prophylaxis-Associated Condom Migration: Changing The Paradigm For Men Who Have Sex With Men, Richard A. Crosby

Health, Behavior & Society Faculty Publications

The behavioural aspects of pre-exposure prophylaxis (PrEP) are challenging, particularly the issue of condom migration. Three vital questions are: (1) at the population-level, will condom migration lead to increases in non-viral sexually transmissible infections?; (2) how can clinic-based counselling best promote the dual use of condoms and PrEP?; and (3) in future PrEP trials, what are the ‘best practices’ that should be used to avoid type 1 and type 2 errors that arise without accounting for condom use behaviours? This communication piece addresses each question and suggests the risk of a ‘PrEP only’ focus to widening health disparities.

Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg

Behavioral Science Faculty Publications

This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia—a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants’ perceptions of depression and treatment seeking. Even in this sample of women with diverse treatment behaviors (half reported current treatment), participants expressed ambivalence about treatment and its potential to promote recovery. …

Dancing Through Life: Dance As Physical Therapy To Prevent Falls, Salon Gegel

Honors Projects

The basis of this project was to create a series of dance-based exercise activities to be used as part of an exercise class for elderly people who are classified as fall risks. The idea was to approach exercise through a medium that was convenient and versatile for the class leader, while being comfortable and fun for participants. The activities were developed and presented over the course of the six-week P.L.A.C.E. Program, held at the Montessori School of Bowling Green. Participants met four times to take part in a guided exercise class, and enjoy other activities. At these sessions, participants were …

Consumers, Clergy, And Clinicians In Collaboration: Ongoing Implementation And Evaluation Of A Mental Wellness Program, Glen Milstein, Dennis Middel, Adriana Espinosa

Publications and Research

As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration …

A Workload-Centered Perspective On Reduced Crew Operations In Commercial Aviation, Daniela Schmid

H-Workload 2017: Models and Applications (Works in Progress)

Mental workload of a pilot, in short workload, depends on various characteristics of different accumulated tasks on the flight deck. Exogenous task demands and endogenous supply of attentional or information processing resources determine workload [1]. Performance is expect to drop if the demand exceeds the available resources of the pilot. Expertise and experience modulate the endogenous sup- ply of resources like perceiving, updating memory, planing, making a decision, and executing and processing a response. Subsequently, workload manifests in performance variables, subjective experience, and physiological parameters [2]. This is how we can summarize workload very brie y to introduce a model …

A Pilot Study Into Bio-Behavioural Measurements On Air Traffic Controllers In Remote Tower Operations, Tanja Bos, Rolf Zon, Eszter Furedi, Dezso Dudas, Daniel Rohacs

H-Workload 2017: Models and Applications (Works in Progress)

What is the impact of shifting to remote tower operations on the Air Traffic Controller? In the joint HungaroControl-Netherlands Aerospace Centre NLR pilot project an assessment of bio-behaviour on three air traffic controllers was made in a remote tower and conventional tower. The research is motivated by HungaroControl’s plans in shifting to remote tower operations at Budapest airport in the upcoming years. This pilot project is considered a feasibility study to investigate if an eye tracker and a heart rate sensor can be used to derive workload, the controllers’ division of attention over information elements, and scanning strategies in two …

A Systems Approach To Predicting And Measuring Workload In Rail Traffic Management Systems, Joanna Evans

H-Workload 2017: Models and Applications (Works in Progress)

The introduction of systems such as Traffic Management (TM) will result in a number of changes in how the railway is managed for operations and maintenance staff such as, an increase in collaborative working styles and shared responsibilities. In order to react to these changing operational demands and user needs, TM workstation designs need to have greater flexibility and be configurable to support the information requirements for each specific role as well as support each role during different scenarios. Although this flexibility in system design has the potential to enhance performance, it increases the complexity of measuring operator workload. The …

Assessing Parent Invovlment In Applied Behavior Analysis Treatment For Children With Autism, Krista Marie Clancy

Wayne State University Dissertations

The purpose of this study was to compare two groups of parents whose children participated in ABA on their levels of stress, self-efficacy, treatment acceptability, and parents’ level of involvement in their children’s treatment, and to assess variables that may explain variance in parent involvement. Parents in the treatment group participated in a voluntary parent training (n=18) and the comparison group were parents who elected not to participate in the voluntary training (n=22). This was a quasi-experimental design study where parents and their therapists completed a survey regarding parents’ involvement in their children’s treatment programs. Additional parent measures collected as …

Dementia: Incorporating Families And Caregivers In Direct Speech-Language Intervention, Jocelyn Hartley

Online Theses and Dissertations

In a survey, 50% of 1,000 caregivers reported that they received no information on dementia at the time of diagnosis (Thompson & Pulsford, 2012). This statistic provides strong evidence as to why caregivers feel ill-prepared to care for individuals with dementia. The role of a speech-language pathologist (SLP) is suggested to not only treat the individual with dementia, but consider the role and perspective of the caregiver (Watson, Aizawa, Savundranayagam & Orange, 2013). Providing education and training to caregivers of individuals with dementia is within the scope of practice of speech-language pathologists (Watson et al., 2013).

A survey design for …

The Impact Of Sexual Assault On College Students' Daily Occupations: A Phenomenological Approach, Lee Ann Hodge

Online Theses and Dissertations

It is estimated that 1 in 4 women experience sexual violence while in college (Tjaden & Thoennes, 2006), which may result in post-traumatic stress disorder (PTSD). Occupational therapy has been used to provide interventions for PTSD, but there is a gap in the literature addressing occupational therapy intervention for college students who have experienced sexual assault. The purpose of this phenomenological study was to inquire into students’ lived experiences of daily occupations while in college after having experienced sexual assault, through thematic analysis of data from two interviews conducted in Kentucky and Ohio. Six meaningful themes were developed: changes in …

Non-Suicidal Self-Injury Characteristics And How Social Support Plays A Role, Stephanie Smith-Kellen

All Graduate Theses, Dissertations, and Other Capstone Projects

NSSI affects many young adults and is associated with suicidal ideation, as well as numerous mental health disorders and other psychological variables. There were a total of 59 participants that participated in this study from an undergraduate college sample who endorsed self-injuring. An online platform for research was used to recruit participants and provide them with the online survey link. Self-injuring more than one bodily location may result in feeling more stigma than individuals who self-injure one bodily location. Self-stigma and self-injuring multiple bodily locations both significantly predicted suicidal ideation, but gender and social support did not predict suicidal ideation. …

Defining A Person: The Nurse At Risk For Compassion Fatigue, Ellen Johnston

Honors Undergraduate Theses

The intent of this thesis was to examine compassion fatigue in nurses through analysis of research studies conducted within the past five years in an effort to identify predisposing factors to the experience of compassion fatigue. Individual and institutional factors were identified as well as current strategies to assist with management of compassion fatigue. Findings indicated that being new to practice, having a trait negative affect, being younger in age, having a history of exposure to trauma and working in high emotionally stressful units predisposed individuals to the experience of compassion fatigue. Institutional factors included a lack of managerial support, …

The In-Flight Affective Brain: Decision Making Under Uncertainty And Safety Implications In Aviation, Mariateresa Sestito, Francesca Benuzzi, Seongmin Park, Pierre Wydoodt, Umberto Scoditti, Giacomo Pavesi, Paolo Frigio Nichelli, Jean-Claude Dreher

International Symposium on Aviation Psychology - 2017

Understanding the relation betweenmotivation and pilot impulsive decision-making is extremely important in the context of aviation human factors.One way to operationalize motivation is by presentingparticipantswith different reinforces, either primary (e.g. food rewards) or secondary (e.g. financial incentives,arguably playinga crucial role in in-flight decision-making).To establish the role that different reward systems play in decision-making, we tested the extent to which distinct brain regions aresensitive to the reinforcement content. Combininganeuro-economics approach with a voxel-based lesion method, we foundthat distinct regions within orbito-frontal cortex (OFC) are differentially involved in impulsivitydecisionsbased on the reinforcement type. In contrast, lesions in dorsolateral prefrontalcortex (DLPFC) were not …

Interactive Team Cognition: Do Gaze Data Also Tell The Story?, Kirk Schulze Kissing, Carmen Bruder

International Symposium on Aviation Psychology - 2017

Gaze-data could befeasible to assessinteractions within smallgroups, and provide added value for the assessment of ‘team cognition’(c.f., Cooke et al., 2013). In thesynthetic Control Center Task Environment (ConCenT) 18 teamsof three arecollectively monitoringan array of displays and predictingmalfunctions, indicated by a setpoint kickbacks.To locate potential malfunctions they have tocollaboratively determine system dynamicspatterns. Within-team expectations are measuredby gaze parameters related to situational relevantareas of interest (AoI). Within-team standard errors (SE) in fixation frequencies areutilized for post-hoc classifications of teams according to gaze-behavior homogenity. The amount of attentional resources teams allocated to relevant AoIsincreasesduring critical phases, with a change ofemphasis between the …