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- Creators: Arizona State University
The effects of an internet-based self-compassion writing intervention for adults with mental illness
Description
Multiple studies have found that writing with self-compassion about a difficult event helps promote mental health and improve affect in college students and non-clinical populations (Johnson & O'Brien, 2013; Leary et al, 2007; Shapira & Mongrain, 2010). This study investigated whether a self-compassion writing intervention would lead to increases in self-compassion and proactive coping and reductions in depression and physical symptoms in a sample of individuals with different types of mental illness. This study also looked more broadly at the feasibility of conducting an online randomized trial on individuals with mental illness, including psychotic disorders, on Amazon MTurk. Individuals with schizophrenia, schizoaffective disorder, bipolar disorder and/or depression on Amazon MTurk were recruited and randomly assigned to either a (1) treatment condition in which participants wrote with self-compassion or a (2) neutral condition in which participants wrote about how they spent their time. Participants were asked to write for 20 minutes each day for three consecutive days. Outcome measures were administered at baseline, after the three-day intervention, and one month later. Computerized linguistic analysis (LIWC; Pennebaker et al., 2015) was also used to analyze participants' writing to determine if the intervention had the intended effect. Both the treatment and control groups showed significant improvements in self-compassion, proactive coping, general mental health and physical health following the intervention and both groups showed significant improvements in self-compassion, proactive coping and general mental health between the post-test and 1-month follow-up. In addition, the self-compassion writing group's positive affect improved significantly more than the control group after the wave 1 writing intervention and the control group's negative affect improved significantly more than the self-compassion writing group after the wave 2 writing intervention. Overall, the results suggest both self-compassion writing and writing about how one spends one's time may be beneficial for individuals with mental illness with different needs. Moreover, it was found Amazon MTurk may not be a reliable platform for recruiting individuals with psychotic disorders, and that the prevalence of individuals with any mental illness on MTurk may be equal or greater than the prevalence of any mental illness in the general population.
ContributorsUrken, Debra (Author) / LeCroy, Craig W. (Thesis advisor) / Holschuh, Jane (Committee member) / Stalker, Katie (Committee member) / Arizona State University (Publisher)
Created2018
Description
Opioid use in the United States is skyrocketing. Overdose deaths have increased 433% in
the last decade and will continue climbing. In addition to the mortality caused by illicit
opioid misuse, morbidity rates have also risen. People Who Inject Drugs (PWID)
demonstrate higher rates of Human Immunodeficiency Virus (HIV), Hepatitis C Virus
(HCV), Endocarditis, Persistent Abscesses, Staphylococcus Aureus (S. aureus, Staph)
and other skin infections. This thesis serves as (1) a systematic review of the differences
in health conditions experienced by PWID and (2) an examination of the trends in skin
and soft tissue infection from a small sample in Phoenix, Arizona. The author argues that
PWID suffer from an increased rate of comorbid conditions associated with substance
use. Targeted social work interventions could be useful in reducing the rates of disease
and their impact on the individual and community.
the last decade and will continue climbing. In addition to the mortality caused by illicit
opioid misuse, morbidity rates have also risen. People Who Inject Drugs (PWID)
demonstrate higher rates of Human Immunodeficiency Virus (HIV), Hepatitis C Virus
(HCV), Endocarditis, Persistent Abscesses, Staphylococcus Aureus (S. aureus, Staph)
and other skin infections. This thesis serves as (1) a systematic review of the differences
in health conditions experienced by PWID and (2) an examination of the trends in skin
and soft tissue infection from a small sample in Phoenix, Arizona. The author argues that
PWID suffer from an increased rate of comorbid conditions associated with substance
use. Targeted social work interventions could be useful in reducing the rates of disease
and their impact on the individual and community.
ContributorsCohen, William H (Author) / Mendoza, Natasha (Thesis advisor) / Wolfersteig, Wendy (Committee member) / McLoone, Claire (Committee member) / Arizona State University (Publisher)
Created2019
Description
The tendency for psychopathology to aggregate within families is well-documented, though little is known regarding the level of specificity at which familial transmission of symptomology occurs. The current study first tested competing higher-order structures of psychopathology in adolescence, indexing general and more specific latent factors. Second, parent-offspring transmission was tested for broadband domain specificity versus transmission of a general liability for psychopathology. Lastly, genetic and environmental mechanisms underlying the familial aggregation of psychopathology were examined using nuclear twin-family models. The sample was comprised of five hundred adolescent twin pairs (mean age 13.24 years) and their parents drawn from the Wisconsin Twin Project. Twins and parents completed independent diagnostic interviews. For aim 1, correlated factors, bifactor, and general-factor models were tested using adolescent symptom count data. For aim 2, structural equation modeling was used to determine whether broadband domain-specific transmission effects were necessary to capture parent-offspring resemblance in psychopathology above and beyond a general transmission effect indexed by the latent correlation between a parental internalizing factor and offspring P-factor. For aim 3, general factor models were fitted in both generations, and factor scores were subsequently extracted and used in nuclear twin-family model testing. Results indicated that the bifactor model exhibited the best fit to the adolescent data. Familial aggregation of psychopathology was sufficiently accounted for by the transmission of a general liability. Lastly, the best fitting reduced nuclear twin-family model indicated that additive genetic, sibling-specific shared environmental, and nonshared environmental influences contributed to general psychopathology. Parent-offspring transmission was accounted for by shared genetics only, whereas co-twin aggregation was additionally explained by sibling-specific shared environmental factors. Results provide novel insight into the specificity and etiology of the familial aggregation of psychopathology.
ContributorsOro, Veronica (Author) / Lemery-Chalfant, Kathryn (Thesis advisor) / Chassin, Laurie (Committee member) / Doane, Leah D (Committee member) / Arizona State University (Publisher)
Created2019
Description
Development of effective therapeutic interventions for the treatment of mental health disorders has been a significant driving force in the search to understand the human brain. Current treatments for mental health disorders rely on modulating neurotransmitter systems such as norepinephrine (NE), serotonin (5-HT), dopamine (DA) and γ-aminobutyric acid (GABA) to achieve clinically relevant relief of symptoms. While many medications are available to the clinician that individually target these neural systems, treatment often results in patients reporting unwanted side effects or experiencing incomplete relief. To counter this lack of treatment efficacy, further investigation of other avenues for achieving similar or better outcomes and potentially reach patients refractory to common therapies must be undertaken. One of these potential new target systems is the endogenous cannabinoid system (ECS), which is currently composed of cannabinoid receptor 1 (CB1) and cannabinoid receptor 2 (CB2). These metabotropic seven transmembrane (7-TM) loop G-protein coupled receptors (GPCR) are responsible for mediating the effects of acute Cannabis ingestion as well as modulating several core functions of the nervous system including emotion, memory, and learning behavior. Due ubiquitous expression of ECS proteins, there is broad overlap between brain regions that show high levels of receptor expression and those thought to be involved in the etiology of a range of mental health disorders including depression, anxiety and schizophrenia. Consequently, modulation of cannabinoid receptor function is a novel and potentially clinically relevant mechanism for influencing the levels of other neuromodulators and neurotransmitters, such as dopamine, that are known to play crucial roles in the progression of mental illness. In addition, characterization of endogenous cannabinoids and cannabinoid receptors with respect to their normal physiological function and possible roles in pathophysiology may provide insight for the development of future ECS-based therapies.
ContributorsStratton, Harrison (Author) / Shafer, Michael (Thesis advisor) / Olive, Micahel F (Thesis advisor) / Wu, Jie (Committee member) / Arizona State University (Publisher)
Created2019
Description
By focusing on photojournalists for LIFE and Ladies’ Home Journal, I investigate mental health care in state institutions located in America during the Great Depression and World War II immediately prior to the great deinstitutionalization that began in the 1950s. Relying upon scholars of medical humanities, social theory, disability studies, feminist studies, the history of psychiatry, and the history of art, I consider the iconography used to represent mental illness in photography during the first half of the twentieth century to explore the ways mentally ill individuals were presented as disordered and lacking humanity. I explore the didactic nature of both photography and film, emphasizing how the artists and directors imbued their mediums with medical credibility and authority. The photographs of Alfred Eisenstaedt, Jerry Cooke, and Esther Bubley from the 1930-40s reveal the state of mental health care in America during the Great Depression and World War II. I will investigate the stereotypes seen in representations of mental illness in photographs and how these depictions shaped and were in dialogue with popular films like Spellbound (1945), The Snake Pit (1948), The Three Faces of Eve (1957), and Marnie (1964). As a point of contrast to the images and films representing mental illness, I examine depictions of healthy people in mental health clinics during this time. Finally, I offer four examples of public, contemporary art, including House for a Gordian Knot (2013), Bloom (2013), 1000 Shadows (2013), and Faces of Mental Health Recovery (2013), that explore mental illness to illustrate the enduring legacy of the iconography and stereotypes represented in the photography and films explored in the first half of this dissertation.
ContributorsTaggart, Vriean Diether (Author) / Fahlman, Betsy (Thesis advisor) / Codell, Julie (Committee member) / Lussier, Mark (Committee member) / Moore, Sarah (Committee member) / Arizona State University (Publisher)
Created2019
Description
Youth who turn 18 in the foster care system often face the difficulty of transitioning to adulthood without traditional emotional and financial supports. Early experiences of trauma impact their mental health and receipt of services both while in care as well as decisions whether to continue services after leaving care.
Using the behavior analytic model, this dissertation explores the challenging and supportive situations former foster youth experience with mental health services while transitioning to adulthood. Qualitative interviews and focus groups inform the development of a quantitative instrument in a mixed methods, sequential exploratory research design. The resulting instrument identifies the most intense and frequently encountered situations former foster youth experience, related to their mental health and transitions to adulthood.
Results indicate the most challenging situations foster youth experience during the transition are related to overwhelming expectations, receiving mixed messages from professionals, feelings of isolation, and a lack of voice and choice with regard to mental health services. Young adults in this study also emphasized the importance of responsive engagement, self-efficacy, and consistency in relationships both formally and informally.
This research provides important implications for social work practice, policy, and education. Acknowledging the voice of foster youth gives them a choice in services and allows for realistic transition planning. Developing problem-solving skills and a support network beyond foster care are necessary strategies of preparation to age out. Finally, practitioners should recognize the impact of trauma and other contextual factors when conducting assessment and treatment, to promote positive outcomes.
Using the behavior analytic model, this dissertation explores the challenging and supportive situations former foster youth experience with mental health services while transitioning to adulthood. Qualitative interviews and focus groups inform the development of a quantitative instrument in a mixed methods, sequential exploratory research design. The resulting instrument identifies the most intense and frequently encountered situations former foster youth experience, related to their mental health and transitions to adulthood.
Results indicate the most challenging situations foster youth experience during the transition are related to overwhelming expectations, receiving mixed messages from professionals, feelings of isolation, and a lack of voice and choice with regard to mental health services. Young adults in this study also emphasized the importance of responsive engagement, self-efficacy, and consistency in relationships both formally and informally.
This research provides important implications for social work practice, policy, and education. Acknowledging the voice of foster youth gives them a choice in services and allows for realistic transition planning. Developing problem-solving skills and a support network beyond foster care are necessary strategies of preparation to age out. Finally, practitioners should recognize the impact of trauma and other contextual factors when conducting assessment and treatment, to promote positive outcomes.
ContributorsHayes, Megan Jill (Author) / Lietz, Cynthia A. (Thesis advisor) / LeCroy, Craig W. (Committee member) / Lacasse, Jeffrey R. (Committee member) / Arizona State University (Publisher)
Created2015
Description
The purpose of this study is to understand and explore the perspectives of caregivers of children receiving mental health services in the Southwest. The data collected examines areas of caregiver satisfaction of services including, perceived barriers and agency’s ability to effectively apply the System of Care model’s core values. Participants (N=100) were interviewed using the System of Care Practice Review, Revised. Data results include descriptive quantitative analysis, correlation and means comparisons, and thematic analysis of qualitative responses. The research indicates that as a whole, caregivers are satisfied with child mental health services. Data suggests that providers should continue to strive for improvement and excellence in several areas of service, including intervention effectiveness, family participation, cultural competence, communication and interpersonal relationships.
ContributorsSchackart, Audrey Michelle (Author) / LeCroy, Craig W. (Thesis advisor) / Williams, Lela R (Committee member) / Sangalang, Cindy C (Committee member) / Arizona State University (Publisher)
Created2015
Description
Procedural justice has become a widely researched topic in the criminological field with applicability to multiple arenas, including policing, corrections, and courts. Its main tenents suggest that through fair treatment, respectful dialogue and being given a proper voice, citizens will view their experiences with authority more justly. However, though the literature regarding procedural justice has grown immensely, it is still unclear whether certain characteristics of individuals, such as gender and mental health, play a role in their perceptions of procedural justice. Using secondary data originally collected for Rossman, Roman, Zweig, Rempel and Lindquist’s Multi-Adult Drug Court Evaluation (MADCE), an attempt is made to address the previously neglected association between procedural justice, gender, mental health and the added aspect of specialized drug court participation. Results suggest that both gender and mental health, namely depression, play a significant role in predicting procedural justice. Additionally, being a drug court participant was significantly related to higher levels of perceived procedural justice. Implications for theory, research, and policy are discussed.
ContributorsSomers, Logan J (Author) / Reisig, Kristy (Thesis advisor) / Telep, Cody (Committee member) / Wang, Xia (Committee member) / Arizona State University (Publisher)
Created2016
Description
There has been a rise in heroin use throughout the United States due to doctors increasingly prescribing painkillers to patients with chronic pain (Kanouse & Compton, 2015; Compton, Boyle, & Wargo, 2015). Individuals get addicted to painkillers and, when their doctor will no longer prescribe them, turn to alternative methods of relief; heroin is often their cheapest option (Kolodny, Courtwright, Hwang, Kreiner, Eadie, Clark, & Alexander 2015). Heroin users are three to four times more likely to die from overdose than other types of drug users (Darke & Hall, 2003). The purpose of this study is to determine the likelihood that heroin users successfully reenter the community upon release from prison in comparison to other types of drug users. There are several re-entry outcomes that can be considered “success”; this study measures success as an index of the quality of the returning offender’s familial relationships as well as recidivism. The data used for this analysis is the Serious and Violent Offender Reentry Initiative (SVORI). The sample consists of male offenders, aged 18 years and older, who have been convicted of and imprisoned for a serious or violent crime. Findings suggest familial social support does not have an effect on heroin use, but heroin use increases the risk of recidivism. These findings will provide a context for rehabilitation of heroin offenders and will launch future research focusing on the differences between heroin users and other types of drug users.
ContributorsGriffin, Amber (Author) / Wallace, Danielle (Thesis advisor) / Wright, Kevin (Committee member) / Chamberlain, Alyssa (Committee member) / Arizona State University (Publisher)
Created2016
Description
Romantic relationships are an important aspect of anyone's life. For individuals with an autism spectrum disorder, this is true as well. However, these people may experience relational dynamics and trajectories that are in some aspects either similar to or markedly different from those who are not on the spectrum. There are very few studies analyzing and understanding how adults with an ASD navigate romantic relationships. This particular study examined how turning points pertaining to relational escalation or de-escalation were recognized and understood by eight individuals (four men and four women) possessing an ASD. The Retrospective Interview Technique (RIT) was implemented in order to accrue data from participants. Each participant completed a RIT graph mapping out a romantic relationship of their choice by understanding when a turning point was identified and placing a mark next to the corresponding level of relational closeness or attachment. Once all turning points were mapped out, they were connected with lines so that a visual representation of the entire relationship may be viewed. Participants were then queried about how they knew that particular event (or mark) to be a turning point, how it impacted the relationship, and how they were, personally, influenced by it (how they responded to the event). Interviews were transcribed and explored through a grounded theory approach. Specifically, Braun and Clarke's thematic analysis method was applied to articulate interview data. The research revealed four main themes (Relational Genesis, Relational Escalation, Relational De-escalation and Conflict Management) as well as seventeen sub themes. Limitations for this study, information relating to discourses surrounding autism spectrum disorders and romantically intimate relationships, as well as, areas for future study are also discussed.
ContributorsMontpetit, Michael (Author) / Waldron, Vincent (Thesis advisor) / Kelley, Douglas (Committee member) / Nadesan, Majia (Committee member) / Arizona State University (Publisher)
Created2016