Date on Master's Thesis/Doctoral Dissertation

12-2020

Document Type

Doctoral Dissertation

Degree Name

Ph. D.

Department

Nursing

Degree Program

Nursing, PhD

Committee Chair

Hines- Martin, Vicki

Committee Member

Hall, Lynne

Committee Member

Batscha, Cathy

Committee Member

Beebe, Lora

Author's Keywords

self-care; depression; executive functions; vignettes

Abstract

This dissertation encompasses a study of the effect of impaired executive functions on decision-making and self-care of depressive illness. The first chapter provides an introduction and summarizes the body of literature on the executive functions and its association with depressive symptoms. The second chapter contains the second of two systematic reviews which examines conceptualizations of executive functions, classical and current measures used to assess the executive functions, and challenges and limitations related to current methods of assessment. The third chapter describes the development of a vignette technique and its use in a study to examine the association of depressive symptoms with self-care and other functional outcomes. The fourth chapter describes the details of the study and findings, Perceptions of Executive Functions and Self-care Actions among Individuals with Major Depressive Disorder. The final chapter provides a brief discussion of lessons learned and potential future directions for nursing research and practice.

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