SACM - United States of America
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9668
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Item Restricted Mindfulness as a Culturally Sensitive Moderator Between Stress and Anxiety in Saudi Female International Students(University of Cincinnati, 2024) Aldosari, Hend Abdullah; Brubaker, MichaelInternational students studying in the U.S. are becoming increasingly more common as students take advantage of new and existing educational opportunities. One of the larger populations of international students in the U.S. are Saudi students. While students face a number of stressors and anxieties related to schooling, Saudi international students face additional stressors related to adapting and acclimating to the new cultural environment. This is especially exacerbated in Saudi women, as they face discrimination based on the way they dress and have additional burdens such as family and childcare. However, culturally sensitive counseling approaches which address this unique population have yet to be fully investigated or developed. Mindfulness is a technique which involves quieting one’s mind and body and reflecting on one’s situation and circumstances without self-judgment. This approach has been used extensively as a technique to reduce and moderate the relationship between stress and anxiety generally and has been found to be effective in international students as well. Furthermore, mindfulness intersects directly with the principles of Islam through its focus on self-reflection and calming one’s mind, making it a culturally sensitive approach for Muslim clients, such as Saudi women. However, the moderating effects of mindfulness on stress and anxiety in Saudi female international students has yet to be investigated. The goal of this dissertation is to review what is known on the effects of mindfulness on stress and anxiety in international students and to investigate the moderating effects of mindfulness on stress and anxiety in Saudi female students in the U.S.19 0Item Restricted The Relationship between Child Maltreatment, Religiosity, and Adult-onset Anxiety and Depressive Disorders among Participants in the Saudi National Mental Health Survey (SNMHS)(University of Washington, 2024) Gadi, Ghadah; Sharif, MienahThis dissertation explores the interrelationships among childhood maltreatment (CM), religiosity, and adult-onset depressive and anxiety disorders using data from the Saudi National Mental Health Survey (SNMHS). It addresses whether parental religiosity is associated with CM and differs by gender, the influence of CM on adult religiosity and its gender-dependence, and the association between CM and adult-onset anxiety and depressive disorders with religiosity as a moderating factor. The first study (Chapter 2) investigates the correlation between parental religiosity and CM, finding no overall significant association but a significant protective effect against CM, particularly physical abuse, among males. The second study (chapter 3) explores the impact of CM on adult religiosity, revealing no significant association or gender differences. The third study (Chapter 4) examines the link between CM and adult-onset anxiety and depressive disorders, with religiosity moderating these effects. Sexual abuse significantly increases the risk of depressive disorders, while physical abuse increases anxiety disorder risk. Seeking religious comfort moderates these associations. In conclusion, this dissertation highlights that parental religiosity generally protects against CM, especially physical abuse among males, while CM does not influence adult religiosity. CM is associated with higher risks of mental health disorders, with religious coping moderating these effects. The findings emphasize the need for culturally tailored interventions in Saudi Arabia to promote healthy religious parenting, encourage seeking professional help, and address cultural and gender dynamics influencing CM experiences and mental health outcomes.20 0Item Restricted Anxiety in International Graduate Students with U.S. Education(Florida Institute of Technology, 2023-12-16) Zarraa, Aeshah Turki; Sudhakaran, Sneha; Nur, Nasheennxiety in international graduate students is a significant concern for most students planning to move out of their home country to pursue higher education in the United States. The primary purpose of this research is to identify the prime causes of anxiety triggers in the targetted Graduate students, thereby determining a step-wise methodology development to address the causes. The study initially identified a set of graduate students who were voluntarily willing to collaborate and address their concerns anonymously to identify the significant issues faced by current students and alumni of the Florida Institute of Technology, Melbourne, Florida. Several questions were identified for collecting data through student surveys, including age, demographics, behavioral issues, and the analysis of educational methodologies. We conducted a meticulous analysis for survey question generation by considering all ethical considerations, including country-specific and religious emotions. The research helped us identify responses from surveys, which gave us an initial idea of how students experience anxiety and what were the significant reasons that triggered the anxiety. Using the survey results, we concluded that academic pressures, diculties with environment and cultural adaptation, and language barriers are three of the most significant causes of anxiety among students. The study in the current progress emphasizes looking further into the causes to expand more on how to de- velop a methodology that would require the university and administrative authorities to include more resources to accommodate students facing these anxieties in the future. Organizations can utilize methodologies to improve upcoming students’ academic experience and general well-being. The value of accommodating methodology to address students with international anxiety extends beyond the classroom because of the beneficial effect it could have on these students’ lives and, thereby, improve their learning environment.23 0Item Restricted The Relationship between Depression, Stress-Related Neurobiology, and Incident Heart Failure: Understanding the Neurobiological Mechanisms Underlying Exercise as a Preventive Measure(Saudi Digital Library, 2023-04) Alhamam, Abdulaziz Arif Abdulaziz; Tawakol, AhmedBackground: Depression is associated with risk of developing heart failure (HF). Also, higher stress-related neural activity (SNA) associates with subsequent risk of cardiovascular disease. We investigated whether depression predicts subsequent HF through heightened SNA. Methods: Individuals (N=102,028; median age 57 years; 42.6% male) enrolled in the Mass General Brigham Biobank were identified to study the association of depression and incident HF, subset of 1,227 who underwent clinically indicated 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) imaging were retrospectively identified. SNA was measured using validated methods, as amygdalar metabolic activity corrected for regulatory brain (i.e., medial prefrontal cortical) activity. Depression and subsequent development of HF was determined via medical record review using International Classification of Diseases 10 (ICD-10) codes. Survival analyses using Cox and Kaplan-Meier models were performed. Results: Over a median follow-up period of 3.5 (IQR 2.0-5.0) years, 2,631 (2.6%) individuals developed HF (717 Heart failure with reduced ejection fraction (HFrEF), 1,214 Heart failure with preserved ejection fraction (HFpEF)). Individuals with subsequent HF (versus no HF) had higher baseline SNA (mean Z-score 0.19 ± 1.07 versus -0.08 ± 0.99; p=0.005, adjusted for age and sex). SNA associated with subsequent HF when divided into tertiles (Figure 2B) and as a continuous measure (standardized HR [95% CI]: 1.40 [1.13-1.74], p=0.002, adjusted for age, sex, hypertension, hyperlipidemia, diabetes, and smoking). The association between depression and HF subtype was stronger for HFpEF (1.46 [1.28-1.65], p<0.001) than for HFrEF (1.09 [0.92 -1.3], p=0.32). Conclusion: In this retrospective study of individuals with depression have higher risk of incident HF through heightened SNA with a somewhat stronger association for HFpEF. Understanding the link between depression and subsequent HF may provide important insights into better HF prevention and management strategies.16 0