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This study explored the perceptions of post-secondary students and counsellors towards the use of antidepressants and counselling to manage depression. Student depression is increasing and antidepressants appear to be the most frequently used treatment by students. The literature reveals that most depressed students are not accessing campus mental health centres, and counsellors are noting increased severity of illness for those that do seek help. Therefore, in an attempt to gain increased understanding of students who use antidepressants as well as counselling, the student and counsellor perspective is essential. In this study, 10 students and 6 counsellors were interviewed by the researcher. Interviews were digitally recorded and transcribed verbatim. Thematic analysis guided by van Manen’s (1990) hermeneutic phenomenology was used. Overall, the themes identified aim to represent the lived experience of the students who are living with depression and to better assist counsellors in understanding and developing interventions suited to student need. / ix, 129 leaves ; 29 cm

This study explores where African American college students find mental health support and why those supports are chosen. Greater knowledge of the sources of mental health support sought by African American college students can assist higher education institutions in adapting current services to meet the needs of this specific student population. A qualitative phenomenological approach was utilized, and the study's sample included twelve participants, 6 female and 6 male, from a large public four-year university in Texas. These participants, undergraduate students with ages ranging from 18 to 24, were given a survey and completed two semi-structured interviews throughout one semester. Results indicated that study participants were more likely to utilize informal than formal support for their mental health and many had no source of support. Family stigma, peer attitudes, as well as internal and external pressures all influenced participant's choices to seek support. Based on findings from the study, recommendations for two distinct groups, counseling center directors and higher education administrators, are also discussed.

published_or_final_version / Psychiatry / Doctoral / Doctor of Philosophy

published_or_final_version / Social Work / Master / Master of Social Work

The Depressive Experiences Questionnaire Dependency scale has been used extensively by researchers to measure a personality style vulnerable to depression. However, subsequent studies have demonstrated that the DEQ-Dependency is composed of two distinct forms of dependency, "Connectedness" and "Neediness", which may have different implications for mental health. While Connectedness may represent a more mature form of dependency than Neediness, it may not represent an entirely "healthy" form of relatedness as previously suggested. Although these scales are being used in current research, it is not yet clear what they represent. One goal of the present study was to further examine the construct validity of Connectedness and Neediness in order to differentiate these constructs. Gender, self-efficacy, relationship quality, and interpersonal behavior were chosen because of their proposed significance in differentiating forms of dependency. 265 undergraduates completed the DEQ, Beck Depression Inventory (BDI), the Mutual Psychological Development Questionnaire (MPDQ), and the Inventory of Interpersonal Problems (IIP). Overall, results supported the importance of distinguishing between these two factors of dependency. Neediness was associated with more maladaptive correlates for both genders. The picture is more complex for Connectedness, however, and it appears that Connectedness is less healthy for women than for men.

Emerging adulthood is a term coined to recognize 18 to 25 year-olds who engage in self-exploration while not yet fully identifying as adults. Many emerging adult college students experience stress, anxiety, and depression. Although many colleges provide affordable and available mental health resources for students, many students who need help appear to not utilize these services. Gaining greater understanding of underlying processes that influence psychological treatment-seeking behavior is imperative. The current study sought to explore the role experiential avoidance (EA) plays as a treatment-seeking barrier in the context of emerging adulthood. Undergraduate students completed online measures of emerging adulthood dimensions, psychological symptoms, EA, self-stigma of, perceived public stigma of, intentions to, and attitudes and beliefs towards seeking treatment, treatment seeking behavior, and a demographics questionnaire. Binomial hierarchical logistic regressions and correlational analyses examined the relationship of EA and treatment-seeking behaviors, accounting for known barriers and emerging adult characteristics. After controlling for demographic variables, results indicated that EA was significantly positively correlated with self-stigma (r = .187), p < .001), perceived public stigma (r = .178, p < .001), intentions (r - .207, p < .001), psychological symptoms (r = .713, p < .001), and attitudes and beliefs (r = .009, p = .003). These and other findings are discussed further, along with the study limitations and implications, as well as possible future directions for work in this area.

The subject of drug and alcohol abuse on college campuses across the country is the concern of many college administrators. There exists a relatively high consumption pattern of drug and alcohol abuse among college students when compared to the general population. This pattern of alcohol abuse has remained stable despite the presence of substance abuse programs on campuses that are specifically targeted toward the student population. There exists little research on how these programs operate and how they address the problem of substance abuse on campuses. Most of the research that exists is of survey design. This study examined through a descriptive case study, the substance abuse programs in three public universities in Oregon. The study used descriptive case study to describe what components comprised the programs as well as how the programs functioned under the various organizational structures. Three organizational structures were identified. The first university's organizational structure was under the health center, both administratively and physically. The second university studied had part of the program under the counseling center and other components under the athletic department and the health center. The third university had what was termed as a de-centralized structure, with the treatment component under the health center, the prevention component under an academic department, and the peer education component under the health center. The various organizational structures were also examined for their influence on the respective program. The 1989 Drug-Free Schools and Campuses Act Amendment, required institutions of higher education receiving federal funds to have programs. The impact of the Act on both the program and the organizational structure of the program was also examined. The study demonstrated an impact of the legislation on the programs in the form of funding that made possible new services. The study also suggested an influence of the organizational structure on the programs in the form of the funding of new program components that changed the organizational structure. Implications for programming as well as research as a result of this study's findings are presented. Recommendations for program models are also presented. / Graduation date: 1994

Stress is an important feature of the lives of college students and can impact negatively on learning. The effectiveness of an in-class stress management intervention for improving course content retention was tested with a cross-over design in two introductory graduate biostatistics classes. Each class met one day per week for the duration of the semester, and was taught by the same instructor, following the same syllabus. A pretest duplicating items on the midterm and final exam was administered to all students at the first class meeting. Identical midterm and final exams were administered in both classes. During the first half of the semester, each class session in one section was preceded by a ten minute deep breathing stress management procedure (n = 30). During the second half of the semester this procedure was discontinued in the first section and implemented in the other section (n = 10). There were no significant differences by age, citizenship, or gender between the two sections of the course. Based on the statistical analyses between the two groups the study did not give a clear answer if stress management was effective in improving learning.

This study was designed to better understand psychological support services available and desired for students and group leaders of study abroad experiences. It was hypothesized that study abroad group leaders 1) would witness psychological distress among their students and 2) would not have an action plan addressing psychological distress while abroad. The participants consisted of thirty-seven faculty and staff members who led a study abroad excursion in the past five years at a mid-sized, public university in the Midwest. Each participant answered an online needs assessment comprised of questions regarding demographics, trip logistics, and mental health concerns. The results indicated that nearly 50% of all study abroad trip leaders reported a student with a mental health issue and 75% of these group leaders believed that the students either did not have access to mental health services or only had medical assistance available. Limitations and recommendations for future studies are reported. / Department of Counseling Psychology and Guidance Services