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- All Subjects: Mental Health
- Creators: Barrett, The Honors College
Description
ABSTRACT Post-Traumatic Stress Disorder (PTSD), depression, and insomnia are prevalent among United States (US) military veterans. This study investigates whether Brain Boosters, a new cognitive enhancement group therapy, improves symptoms of PTSD, depression, and insomnia among veterans completing the groups. The study population includes 64 US military veterans treated in the setting of the Veterans Affairs (VA) Health Care System in Phoenix, AZ. Group members were US military veterans, age 22 to 87 (mean age=53.47), who had served in or after World War II (WWII), who sought mental health care at the Phoenix VA from 2007 through 2011. Participants were treated with Brain Boosters therapy. They completed measures of mental-health related symptoms before and after this therapy. Participants were assessed pre and post group with the PTSD Checklist for military personnel (PCL-M), the Patient Health Questionnaire (PHQ-9; a measure of depression symptoms), and the Insomnia Severity Index (ISI). Statistical analyses were done with paired samples t-tests and McNemar's tests, using SPSS. The hypotheses were that symptoms of PTSD, depression, and insomnia would show statistically significant improvement with Brain Boosters therapy. Results supported the hypotheses that symptoms of PTSD and depression would improve significantly. Insomnia did not show significant improvement. The results showed the mean PCL-M score was 54.84 before Brain Boosters therapy and 51.35 after (p= 0.008). The mean PHQ-9 score was 15.21 before Brain Boosters therapy and 13.05 after (p= 0.002). The mean ISI score was 15.98 before Brain Boosters Therapy and 14.46 after (p= 0.056). Although this is a nonrandom, uncontrolled trial, findings nevertheless suggest that Brain Boosters may be an effective therapy to reduce PTSD symptom severity and depression symptom severity. This may be especially important for veterans seeking alternatives to pharmacological intervention or traditional therapeutic interventions.
ContributorsWalter, Christina M (Author) / Roberts, Nicole A. (Thesis advisor) / Burleson, Mary H. (Committee member) / Miller, Paul (Committee member) / Arizona State University (Publisher)
Created2012
Description
Emotion regulation repertoire, or the number of emotion regulation strategies one is able to employ when needed, is an important element of emotion regulation flexibility. Emotion regulation flexibility, the ability to regulate in accordance with changing situational contexts and demands, is predictive of emotion regulation success. Currently, little is known about emotion regulation repertoire and its association with emotional health and well-being. In particular, more can be learned about how the different strategies in one’s repertoire interact, and which strategies show stronger relationships with mental health. The current study aimed to assess the relationship of different emotion regulation strategies to mental health, including their individual and combined influence. In addition, the interaction between the use of specific emotion regulation strategies and emotion regulation flexibility with respect to mental health was examined. I hypothesized (1a) reappraisal and (1b) acceptance, two strategies previously associated with positive psychological outcomes, would be significant predictors of mental health, and (2) better flexibility would predict better mental health. In addition, I hypothesized that (3) strategies often found to be maladaptive (suppression, distraction, rumination, and experiential avoidance) would have an inverse relationship with mental health. Finally, (4) maladaptive strategies would be associated with worse mental health for those lower in flexibility. These hypotheses were tested through a questionnaire as part of a larger in-lab study. Results revealed that reappraisal and rumination were the strongest predictors of mental health. Emotion regulation flexibility did not predict mental health or moderate the relationship between individual emotion regulation strategies and mental health. Results from this study suggest some emotion regulation strategies are stronger predictors of mental health than others. This will guide future research on specific emotion regulation strategies in a repertoire as well as their combined effect on mental health. Creating a clearer picture of how different strategies interact and influence mental health will also be vital for clinical interventions.
ContributorsSchmitt, Marin (Author) / Roberts, Nicole A. (Thesis advisor) / Burleson, Mary (Committee member) / Robles-Sotelo, Elias (Committee member) / Arizona State University (Publisher)
Created2018
Description
The challenges that face student-athletes when they retire from formal sport participation coincides with their loss of their athletic identity (how much they identify with their athlete role), often geographic upheaval, uncertainty of the future regarding alternate roles, and change in social support systems, which make this period more difficult to adjust to. This study explored the experiences of the retirement transition of graduating student-athletes. The current study aims to examine this unique experience through qualitative investigation into the collective experiences of student-athletes to identify overarching relevant themes common throughout this experience. The participants were 13 student-athletes who graduated in the Spring Semester of 2017 (May- June 2017), played their sport at a National Collegiate Athletics Association (NCAA) Institution at the Varsity level, and were not continuing to play their sport at the elite level. Semi-structured interviews were conducted with participants between five and eight months post-graduation. Thematic analysis was used to categorize participants’ responses and allow for an in-depth investigation of different factors affecting personal adjustment throughout this period. The five overarching themes identified were: the need for social connection, the impact of a goal-oriented mindset, preparedness for the transition, translatable skills from being a student-athlete, and the perspective of their own identity and purpose. The ability to shift perspective to retrospectively appreciate the student-athlete experience, while incorporating it as one part of their overall life journey, is discussed as a protective factor for positive transition outcomes. As the large majority of collegiate athletes do not continue to play their sport professionally, this population is in high need of continued guidance. The present work can inform interventions to aid student-athletes in this difficult transitional period. Mentorship from previously graduated student-athletes, coaches, or administrative programs are suggested as a tangible positive intervention strategy based off of the results.
ContributorsKnizek, Olivia Alison (Author) / Meân, Lindsey J. (Thesis advisor) / Roberts, Nicole A. (Thesis advisor) / Mickelson, Kristin (Committee member) / Arizona State University (Publisher)
Created2018
Description
Humans are social beings, which means interpersonal relationships are important contributors to our psychological health. Our health and behavior is manifested through a dynamic cycle of interacting factors: environmental, personal, and behavioral. Contributing to this interaction, interpersonal relationships provide benefits such as increased social support and decreased loneliness. The care and attention of relationship partners are communicated in multiple ways, one of which is interpersonal touch. Although touch can communicate positive feelings and support, it can also be used negatively in certain contexts. Unwanted or forced touch occurs when an individual experiences sexual or physical trauma. Experiencing this type of trauma often results in negative psychological consequences. Exactly how sexual or physical trauma—both of which involve unwanted touch—might influence an individual’s attitudes towards touch is important to explore. If an individual feels negatively about interpersonal touch due to previous experience of trauma, this might negatively influence the amount of current touch with a partner, and also the survivor’s psychological well-being.
In the current study, I proposed that previous occurrence of sexual or physical trauma would predict both decreased frequency of touch in a current intimate relationship and poorer individual well-being, and that these relations would be explained by negative touch attitudes. Results supported these hypotheses, suggesting that lingering negative touch attitudes following trauma could be an underlying mechanism affecting social and individual functioning. As seen in our model, these attitudes fully mediated the effects between previous sexual or physical trauma and individual well-being, as well as frequency of touch. This understanding can help provide further insight into the repercussions of trauma and the underlying mechanisms attributing to continued negative effects.
In the current study, I proposed that previous occurrence of sexual or physical trauma would predict both decreased frequency of touch in a current intimate relationship and poorer individual well-being, and that these relations would be explained by negative touch attitudes. Results supported these hypotheses, suggesting that lingering negative touch attitudes following trauma could be an underlying mechanism affecting social and individual functioning. As seen in our model, these attitudes fully mediated the effects between previous sexual or physical trauma and individual well-being, as well as frequency of touch. This understanding can help provide further insight into the repercussions of trauma and the underlying mechanisms attributing to continued negative effects.
ContributorsHurd, Julie Ann (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Miller, Paul A. (Committee member) / Arizona State University (Publisher)
Created2018
Description
Social-emotional learning (SEL) methods are beginning to receive global attention in primary school education, yet the dominant emphasis on implementing these curricula is in high-income, urbanized areas. Consequently, the unique features of developing and integrating such methods in middle- or low-income rural areas are unclear. Past studies suggest that students exposed to SEL programs show an increase in academic performance, improved ability to cope with stress, and better attitudes about themselves, others, and school, but these curricula are designed with an urban focus. The purpose of this study was to conduct a needs-based analysis to investigate components specific to a SEL curriculum contextualized to rural primary schools. A promising organization committed to rural educational development is Barefoot College, located in Tilonia, Rajasthan, India. In partnership with Barefoot, we designed an ethnographic study to identify and describe what teachers and school leaders consider the highest needs related to their students' social and emotional education. To do so, we interviewed 14 teachers and school leaders individually or in a focus group to explore their present understanding of “social-emotional learning” and the perception of their students’ social and emotional intelligence. Analysis of this data uncovered common themes among classroom behaviors and prevalent opportunities to address social and emotional well-being among students. These themes translated into the three overarching topics and eight sub-topics explored throughout the curriculum, and these opportunities guided the creation of the 21 modules within it. Through a design-based research methodology, we developed a 40-hour curriculum by implementing its various modules within seven Barefoot classrooms alongside continuous reiteration based on teacher feedback and participant observation. Through this process, we found that student engagement increased during contextualized SEL lessons as opposed to traditional methods. In addition, we found that teachers and students preferred and performed better with an activities-based approach. These findings suggest that rural educators must employ particular teaching strategies when addressing SEL, including localized content and an experiential-learning approach. Teachers reported that as their approach to SEL shifted, they began to unlock the potential to build self-aware, globally-minded students. This study concludes that social and emotional education cannot be treated in a generalized manner, as curriculum development is central to the teaching-learning process.
ContributorsBucker, Delaney Sue (Author) / Carrese, Susan (Thesis director) / Barab, Sasha (Committee member) / School of Life Sciences (Contributor, Contributor) / School of Civic & Economic Thought and Leadership (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
The goal of our study is to identify socio-economic risk factors for depressive disorder and poor mental health by statistically analyzing survey data from the CDC. The identification of risk groups in a particular demographic could aid in the development of targeted interventions to improve overall quality of mental health in the United States. In our analysis, we studied the influences and correlations of socioeconomic factors that regulate the risk of developing Depressive Disorders and overall poor mental health. Using the statistical software STATA, we ran a regression model of selected independent socio-economic variables with the dependent mental health variables. The independent variables of the statistical model include Income, Race, State, Age, Marital Status, Sex, Education, BMI, Smoker Status, and Alcohol Consumption. Once the regression coefficients were found, we illustrated the data in graphs and heat maps to qualitatively provide visuals of the prevalence of depression in the U.S. demography. Our study indicates that the low-income and under-educated populations who are everyday smokers, obese, and/or are in divorced or separated relationships should be of main concern. A suggestion for mental health organizations would be to support counseling and therapeutic efforts as secondary care for those in smoking cessation programs, weight management programs, marriage counseling, or divorce assistance group. General improvement in alleviating poverty and increasing education could additionally show progress in counter-acting the prevalence of depressive disorder and also improve overall mental health. The identification of these target groups and socio-economic risk factors are critical in developing future preventative measures.
ContributorsGrassel, Samuel (Co-author) / Choueiri, Alexi (Co-author) / Choueiri, Robert (Co-author) / Goegan, Brian (Thesis director) / Holter, Michael (Committee member) / Sandra Day O'Connor College of Law (Contributor) / School of Molecular Sciences (Contributor) / School of Politics and Global Studies (Contributor) / Economics Program in CLAS (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This thesis examines youth with mental health disorders in the juvenile justice system, and when their stories intersect with media coverage. In addition to exploring the history of juvenile justice in the United States, it reviews the relationship with youths who have a mental health disorder within the system, criticism of media’s coverage on these topics, and expert opinion on how this can be improved. Typically, both print and broadcast media have utilized these stories for sensationalism: slapping these crimes across the front page of the paper, or leading in a broadcast news show. Yet the journalistic responsibility of educating the community is tragically over looked, with these stories adding to the stigma of mental health. With this research, I aim to gather insight on how word choices, details, and story structure can improve daily reporting in a world of tight deadlines and competing interests—moving into a higher-quality news product.
ContributorsClark, Lauren Louise (Author) / McGuire, Tim (Thesis director) / Griller-Clark, Heather (Committee member) / School of Politics and Global Studies (Contributor) / Walter Cronkite School of Journalism and Mass Communication (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This study investigates how the patient-provider relationship between lesbian, gay, and bisexual women and their healthcare providers influences their access to, utilization of, and experiences within healthcare environments. Nineteen participants, ages 18 to 34, were recruited using convenience and snowball sampling. Interviews were conducted inquiring about their health history and their experiences within the healthcare system in the context of their sexual orientation. The data collected from these interviews was used to create an analysis of the healthcare experiences of those who identify as queer. Although the original intention of the project was to chronicle the experiences of LGB women specifically, there were four non-binary gender respondents who contributed interviews. In an effort to not privilege any orientation over another, the respondents were collectively referred to as queer, given the inclusive and an encompassing nature of the term. The general conclusion of this study is that respondents most often experienced heterosexism rather than outright homophobia when accessing healthcare. If heterosexism was present within the healthcare setting, it made respondents feel uncomfortable with their providers and less likely to inform them of their sexuality even if it was medically relevant to their health outcomes. Gender, race, and,socioeconomic differences also had an effect on the patient-provider relationship. Non-binary respondents acknowledged the need for inclusion of more gender options outside of male or female on the reporting forms often seen in medical offices. By doing so, medical professionals are acknowledging their awareness and knowledge of people outside of the binary gender system, thus improving the experience of these patients. While race and socioeconomic status were less relevant to the context of this study, it was found that these factors have an affect on the patient-provider relationship. There are many suggestions for providers to improve the experiences of queer patients within the healthcare setting. This includes nonverbal indications of acknowledgement and acceptance, such as signs in the office that indicate it to be a queer friendly space. This will help in eliminating the fear and miscommunication that can often happen when a queer patient sees a practitioner for the first time. In addition, better education on medically relevant topics to queer patients, is necessary in order to eliminate disparities in health outcomes. This is particularly evident in trans health, where specialized education is necessary in order to decrease poor health outcomes in trans patients. Future directions of this study necessitate a closer look on how race and socioeconomic status have an effect on a queer patient's relationship with their provider.
ContributorsRajan, Sindhu (Co-author) / Bradley, Arianna (Co-author) / Larson, Michelle (Co-author) / Alvarado, Aimee (Co-author) / Ingram-Waters, Mary (Thesis director) / Arnold, Michelle (Committee member) / School of Molecular Sciences (Contributor) / School of Social Transformation (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / College of Public Service and Community Solutions (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Previous research has found improvements in motor and cognitive measures following Assisted Cycle Therapy (AC) in adolescence with Down syndrome (DS). Our study investigated whether we would find improvements in mental health in older adults with DS as measured from the Adapted Behavior Dementia Questionnaire (ABDQ), Physical Activity Self Efficacy Scales (PACES), Children's Depressive inventory, which are early indicators of Alzheimer's disease (AD) in persons with Down syndrome. This study consisted of seven participants with Down syndrome between the ages of 31 and 54, inclusive, that cycled for 30 minutes 3 x/week for eight weeks either at their voluntary cycling rate (VC) or approximately 35% faster with the help of a mechanical motor (ACT). Our results were consistent with our prediction that self efficacy improved following ACT, but not VC. However, our results were not consistent with our prediction that dementia and depression were improved following ACT more than VC. These results were interpreted with respect to the effects of exercise in older adults with DS. Future research should focus on recruiting more participants, especially those with deficits in mental health.
ContributorsPandya, Sachin (Author) / Ringenbach, Shannon (Thesis director) / Coon, David (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Exercise is a great boon to both the health of individuals and the national as a whole. Exercise provides a wide range of significant and well established benefits to both physical and psychological health, with many benefits that are still being discovered. The effects of exercise on health are somewhat unique, as exercise is one of a limited number of ways to improve health that is not harm a reduction strategy, but instead increases health through direct benefit, rather than increasing health by decreasing damage and harm. Support is also given to the proposal that individuals are in best position to determine the intensity of exercise and to choose primary activities to participate in, in order to provide near maximum physical and psychological benefit, with the understanding that frequency of exercise is of the upmost importance for benefit. The accessibility of exercise and the tremendous health benefit of exercise, makes exercise a huge asset in reducing the exorbitant health care spending and improving mediocre health outcomes in this country; a reasonable goal as numerous countries have better health the United States, even though the United States spends the more than any other country on health.
ContributorsRael, Ashur Scott (Author) / Kashiwagi, Dean (Thesis director) / Kashiwagi, Jacob (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor) / School of Film, Dance and Theatre (Contributor)
Created2015-05