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Disparities In Use Modalities Among Adults Who Currently Use Cannabis, 2022–2023, Meman Diaby, Osayande Agbonlahor, Bethany Shorey Fennell, Joy L. Hart, Delvon T. Mattingly 2025 University of Kentucky

Disparities In Use Modalities Among Adults Who Currently Use Cannabis, 2022–2023, Meman Diaby, Osayande Agbonlahor, Bethany Shorey Fennell, Joy L. Hart, Delvon T. Mattingly

Behavioral Science Faculty Publications

Purpose

Following the legalization of cannabis in several U.S. states, the cannabis market has expanded, leading to a wider range of products including smoked, edible, and vape products which have variable health effects. This proliferation highlights the need for more research on patterns of current cannabis use among U.S. adults.

Methods

We used combined data on adults who currently use (i.e., past 30-day use) cannabis (n = 16,999) from the 2022 and 2023 National Survey on Drug Use and Health. We analyzed whether seven cannabis use modalities including smoking, vaping, dabbing, consuming edibles, taking pills, applying topicals, and absorbing …


Examining The Relationship Between Racial, Ethnic, And Economic Residential Segregation And Cigarette Smoking Among A Nationally Representative Sample Of Young Adults, Shyanika W. Rose, Mary Kay Rayens, Mona Azadi, Elexis C. Kierstead, Amanda Y. Kong, Kimberly Horn 2025 University of Kentucky

Examining The Relationship Between Racial, Ethnic, And Economic Residential Segregation And Cigarette Smoking Among A Nationally Representative Sample Of Young Adults, Shyanika W. Rose, Mary Kay Rayens, Mona Azadi, Elexis C. Kierstead, Amanda Y. Kong, Kimberly Horn

Behavioral Science Faculty Publications

Introduction

Predominantly Black, Hispanic or Latino, and lower-income communities are overexposed to tobacco. This study investigated the relationship between cigarette smoking and racial/ethnic and economic segregation using the Index of Concentration at the Extremes (ICE). Aims and Methods

A nationally representative sample of 4091 (aged 18–34 years) was surveyed between September and October 2016. We calculated census-tract population estimates to form ICE measures for ethnicity, race, income, ethnicity and income, and race and income. Quintiles were determined, with Quintile 1 (Q1) representing the most Hispanic/Latino, Black, and lowest-income neighborhoods and Q5 representing the most non-Hispanic/Latino, White, and highest-income neighborhoods. State …


Blood Biomarkers In Down Syndrome: Facilitating Alzheimer’S Disease Detection And Monitoring, Melissa E. Petersen, Lisi Flores-Aguilar, Elizabeth Head, Laia Montoliu-Gaya, Andre Strydom, Sarah E. Pape, Juan Fortea, Nicholas J. Ashton, Chinedu Udeh-Momoh, Sid E. O’Bryant, Dwight German, Florin Despa, Mark Mapstone, Henrik Zetterberg 2025 University of North Texas Health Science Center

Blood Biomarkers In Down Syndrome: Facilitating Alzheimer’S Disease Detection And Monitoring, Melissa E. Petersen, Lisi Flores-Aguilar, Elizabeth Head, Laia Montoliu-Gaya, Andre Strydom, Sarah E. Pape, Juan Fortea, Nicholas J. Ashton, Chinedu Udeh-Momoh, Sid E. O’Bryant, Dwight German, Florin Despa, Mark Mapstone, Henrik Zetterberg

Neurology Faculty Publications

Blood-based biomarkers continue to be explored for disease detection, monitoring of progression, and therapeutic outcomes as the diagnostic determination of Alzheimer’s Disease in Down Syndrome (DS-AD) remains challenging in clinical settings. This perspective highlights the current status of this effort. Overall, amyloid (A), tau (T), and neurodegeneration (AT[N]) blood-based biomarkers have been shown to increase with disease pathology for individuals with DS. Phosphorylated tau biomarkers (p-tau217, p-tau181) have been consistently shown to track disease progression for DS-AD and are likely good candidates for use in clinical settings. Biomarkers of inflammation (glial fibrillary acidic protein) also show promise; however, additional work …


The Psychological Impact Of Denied Blood Transfusions By Jehovah's Witness Parents In Pediatric Patients, Jaelyn Capablanca Braganza 2025 Dominican University of California

The Psychological Impact Of Denied Blood Transfusions By Jehovah's Witness Parents In Pediatric Patients, Jaelyn Capablanca Braganza

Nursing | Student Research Posters

Jehovah's Witnesses believe that it is against God's will to receive blood from someone else, or to tamper with their own blood, influencing them to deny blood transfusions for themselves and for their children. Since minors are legally not allowed to make healthcare decisions on their own until they reach 18 years of age, this decision made by the parents to deny transfusions on the pediatric patient's behalf may create significant emotional and psychological challenges, potentially influencing family dynamics, mental health, and overall well-being. Understanding these effects, especially for the pediatric patient, is crucial for healthcare providers, social workers, and …


Effectiveness Of Post-Discharge Interventions Following Psychiatric Hospitalization On Readmissions And Suicide Prevention Among Adolescents, Maria Paz Eladia Posadas 2025 Dominican University of California

Effectiveness Of Post-Discharge Interventions Following Psychiatric Hospitalization On Readmissions And Suicide Prevention Among Adolescents, Maria Paz Eladia Posadas

Nursing | Student Research Posters

Background: Suicide is a pervasive and far-reaching issue. Psychiatric hospitalization is often used as an intervention for individuals, including adolescents, experiencing suicidal ideation and/or behavior. However, post-discharge care may lack structure or clearly defined follow-up services, which can result in rehospitalizations and increased suicidality. Objective: The goal of the proposed research study is to investigate how implementation of peer support groups for adolescents following psychiatric hospitalization can assist in reducing readmissions and mitigating suicide risk. This can also help shape strategies for managing care after discharge. Method: The proposed research study utilizes a quantitative quasi-experimental design to determine the efficacy …


Forgiveness Of Self And Others: A Group Approach To The Treatment Of Ptsd And Other Trauma Related Experiences, Jarrod A. Mask 2025 Eastern Kentucky University

Forgiveness Of Self And Others: A Group Approach To The Treatment Of Ptsd And Other Trauma Related Experiences, Jarrod A. Mask

Psychology Doctoral Specialization Projects

Forgiveness is often misinterpreted as the act of forgetting what happened or offering one’s offender the ability to redeem themselves for their wrongdoings. This is simply not the case. Rather, forgiveness is the process of the individual making the unprovoked choice to release their resentment in their own voyage towards living a free and happy life without being imprisoned from the emotions un-forgiveness produces. Forgiveness, as it may be a necessary process for the individual is to attain a sense of peaceful acceptance and liberation from their pain, is not an easy process. Providing a peer-based support system in the …


Reducing Stress Related To Injection Therapy: A Zen Bundle Approach, Valoree Bowen 2025 University of Texas at Arlington

Reducing Stress Related To Injection Therapy: A Zen Bundle Approach, Valoree Bowen

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Needle fear and stress are common barriers preventing adults from seeking necessary medical treatments, including intramuscular (IM) injection therapy. Research highlights the need for evidence-based interventions to mitigate this fear and improve patient experience.

Objective: This evidence-based pilot project included a Zen Bundle—an intervention incorporating shared decision-making, aromatherapy, and distraction—to evaluate the impact on stress reduction and patient satisfaction in a retail vitamin shop in North Texas.

Methods: The project utilized a pre-and post-intervention design over eight weeks. Participants completed pre-surveys assessing stress levels using a Visual Analog Scale before choosing an intervention (aromatherapy, distraction, or both) during IM …


Investigating The Role Of Dynamic Signaling Of Nrg3-Erbb4 In The Prefrontal Cortex In Mediating Nicotine Withdrawal Phenotypes, Emily Prantzalos 2025 University of Kentucky

Investigating The Role Of Dynamic Signaling Of Nrg3-Erbb4 In The Prefrontal Cortex In Mediating Nicotine Withdrawal Phenotypes, Emily Prantzalos

Theses and Dissertations--Pharmacy

While several pharmacotherapies are currently available for nicotine use disorder (NUD), smoking cessation success rates remain below 10% each year. The molecular mechanisms underlying failed quit attempts continue to represent a critical gap in our knowledge. However, recent advances in understanding the genetic contributions to nicotine dependence offer a promising avenue for developing more effective cessation therapies. Prior research has identified genetic variation in Neuregulin 3 (Nrg3) and its cognate receptor ErbB4 as potential contributors to affective nicotine withdrawal (WD) phenotypes and cessation outcomes. Therefore, this dissertation aims to systematically investigate the region-specific, functional role of the Neuregulin Signaling Pathway …


Early Adversity, Impulsivity, And Health Behaviors, Amy Lynn Meadows 2025 University of Kentucky

Early Adversity, Impulsivity, And Health Behaviors, Amy Lynn Meadows

Theses and Dissertations--Clinical and Translational Science

Childhood trauma and early adversity are associated with a variety of negative health outcomes, some of which may be mediated by changes to impulsivity as described by the cumulative risk model. The purpose of this project is to provide insight into the effects of cumulative adverse childhood experience on impulsivity in various populations. Three studies examine the effects of early adversity on impulsivity in normal volunteers, parents caring for a child with medical needs, and in patients with diabetes or pre-diabetes with data collected through crowdsourcing. The strongest effects for early adversity on impulsivity were seen in the patients with …


Autism And The Delay Of Diagnosis In African American Communities, Kiara Loud 2025 Columbus State University

Autism And The Delay Of Diagnosis In African American Communities, Kiara Loud

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a developmental disability accompanied by a wide range of neurodevelopmental disorders. ASD can affect anyone regardless of race, socioeconomic status, or ethnicity (CDC, 2025). Individuals with ASD tend to have issues with various challenges and strengths regarding how they learn, think, and solve problems. Some children with ASD have repetitive patterns of behavior, restricted interest in activities, and difficulty in communication and social interaction.

According to the World Health Organization, the global prevalence of ASD 1 in 100 children diagnosed with Autism. Additional data supplied by the CDC states that the number of children with …


Ketamine Infusion Treatment For Depression, Isabella Schwing 2025 Arcadia University

Ketamine Infusion Treatment For Depression, Isabella Schwing

Capstone Showcase

Depression remains a significant public health challenge in the U.S., affecting millions of adults and contributing to both psychological and financial burdens. Major depressive disorder impacts approximately 14.5 million U.S. adults, with about 30% of cases classified as treatment-resistant depression. Traditional antidepressant therapies, including selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors, often have delayed onset and limited efficacy, leaving a substantial portion of patients without adequate relief. Given these limitations, there is an urgent need for alternative treatment options.

Recent research has highlighted ketamine as a promising intervention for Major Depressive Disorder and Treatment Resistant Depression. Initially identified as …


Evaluating The Acceptability Of Ptsd Treatment Among Justice-Involved Women In Kentucky With Histories Of Opioid Use, Jesse P. McCann 2025 University of Kentucky

Evaluating The Acceptability Of Ptsd Treatment Among Justice-Involved Women In Kentucky With Histories Of Opioid Use, Jesse P. Mccann

Theses and Dissertations--Psychology

Rates of trauma and PTSD as well as histories of opioid use are high among justice-involved women, particularly in Kentucky. However, there are many barriers to receiving treatment. There is a pressing need for brief, trauma-focused interventions that can be more feasibly delivered in jail or prison settings as well as by community clinicians serving women on probation or parole. This study explores the acceptability of treatment for PTSD, particularly Written Exposure Therapy (WET), among justice-involved women on probation or parole with a history of illicit or nonmedical prescription opioid use. The research aims to deepen our understanding of factors …


Confronting Indecision, Lane Allison Murray 2025 Dartmouth College

Confronting Indecision, Lane Allison Murray

ENGS 15.11: Design and Education

This course aims to increase students' understanding of indecision and how to confront it. The class provides insight into how the fear of the unknown holds people back from making decisions and about understanding one's values as a means to combat indecision. Students and teachers alike explore instances of indecision and evaluate their own impulses & thought processes by reflecting on the deeper reasons for their choices. Students will increase their comfort level of asking themselves and their peers questions about the values that guide them and, in doing so, strengthen their relationships with themselves and others.


Leadership In Behavioral Health, Rebecca McCoy 2025 Hamline University

Leadership In Behavioral Health, Rebecca Mccoy

School of Business Student Theses and Dissertations

Abstract

Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.

The study is based on phenomenological research to gain an understanding of the individual experience …


A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried 2025 Dominican University of California

A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried

Art Therapy | Master's Theses

This mixed methods, randomized, single-session study tested whether integrating text-to-image generations into Solution-Focused Brief Art Therapy alters therapeutic rapport and short-term outcomes relative to traditional artmaking materials. Participants were assigned by coin flip to create using either a text-to-image generator or convention media (23 per group), completing immediate and three-day follow-ups. Alliance was measured using DREAM (Dimensions of Regard, Empathy, and Authenticity Metric), and problems were rated pre/post; groups did not differ significantly on DREAM total or facets, and both modalities produced reliable pre-to-post reductions in problem severity. At the same time, process differences were pronounced: the AI condition showed …


Comparing Approaches To Estimating Person Parameters For The Mupp Model, David M. LaHuis, Caitlin E. Blackmore, Gage M. Ammons 2025 Wright State University - Main Campus

Comparing Approaches To Estimating Person Parameters For The Mupp Model, David M. Lahuis, Caitlin E. Blackmore, Gage M. Ammons

Psychology Faculty Publications

This study compared maximum a posteriori (MAP), expected a posteriori (EAP), and Markov Chain Monte Carlo (MCMC) approaches to computing person scores from the Multi-Unidimensional Pairwise Preference Model. The MCMC approach used the No-U-Turn sampling (NUTS). Results suggested the EAP with fully crossed quadrature and the NUTS outperformed the others when there were fewer dimensions. In addition, the NUTS produced the most accurate estimates in larger dimension conditions. The number of items per dimension had the largest effect on person parameter recovery.


Feasibility Testing Of A Web-Based Phq-9 Test For Student Depression, Israel Oluwagbenga Odugboye 2025 West Virginia University

Feasibility Testing Of A Web-Based Phq-9 Test For Student Depression, Israel Oluwagbenga Odugboye

Graduate Theses, Dissertations, and Problem Reports (ETD)

Feasibility Testing of a Web-Based PHQ-9 Test for Student Depression

Israel Odugboye

Student depression stands as a critical public health issue because it affects numerous young adults who experience academic decline, disability, absenteeism, productivity reduction, and suicidal thoughts. The general population shows a 10% to 15% lifetime risk of developing depression which leads to a twentyfold elevation in suicide risk for depressed individuals [3]. The Patient Health Questionnaire-9 (PHQ-9) serves as a popular tool for detecting depressive symptoms and determining severity levels among students from different cultural backgrounds. The assessment contains 27 possible scores which follow DSM depressive symptom criteria …


To Be Or Not To Be Controlled: The Making Of Thespians In Nineteenth-Century Asylums, Olivia Kurylo 2025 The University of Akron

To Be Or Not To Be Controlled: The Making Of Thespians In Nineteenth-Century Asylums, Olivia Kurylo

Williams Honors College, Honors Research Projects

Throughout the 1800s, superintendents of insane asylums incorporated the works of Shakespeare into their medical practices. Shakespearean plays became a conduit of power for the asylum superintendents, providing them with a literary model of sanity that they imposed on patients while simultaneously becoming a mode of communication for asylum patients to perform as ‘sane’ in accordance to the superintendents’ definitions. While the superintendents imposed a Shakespearean model of social normalcy onto the patients, the asylum patients used Shakespeare’s plays as a conduit for verbal expression. Essentially, asylums became Shakespearean plays as both the medical staff and the asylum patients employed …


Psychological Interventions In The Work Environment And Reducing Burnout In Critical Care Nurses, Amelia Bloom, Isabella Tisevich 2025 The University of Akron

Psychological Interventions In The Work Environment And Reducing Burnout In Critical Care Nurses, Amelia Bloom, Isabella Tisevich

Williams Honors College, Honors Research Projects

Burnout is an increasing issue in the nursing field, particularly for critical care nurses. The purpose of this systematic review is to discover how the work environment impacts burnout of critical care nurses, and how different psychological interventions instituted by the workplace impact their burnout levels. The PICO question is: In critical care nurses, do work environments that provide psychological interventions compared to work environments that do not provide psychological interventions document outcomes of less burnout? The articles used within this systematic review were found using the databases Academic Search Complete and PubMed. Articles were selected based on the inclusion …


Effects Of Exercise On Cognitive Performance, Autumn Bailey 2025 The University of Akron

Effects Of Exercise On Cognitive Performance, Autumn Bailey

Williams Honors College, Honors Research Projects

This research project “Effects of Exercise on Cognitive Performance” will be conducted with the purpose of determining the relationship between exercise and cognitive performance. The relationship between injury and cognitive performance will also be investigated. In order to investigate these relationships 60 participants who are current students at the University of Akron will be asked to complete three cognitive assessments, one while at rest, one while riding an exercise bike, and one following the completion of exercise. The results of these three assessments will be compared to determine the relationship between cognitive performance in all three states. Participants will include …


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