Digital Commons Network^™

Housing Insecurity Among Black Women Surviving Intimate Partner Violence During The Covid-19 Pandemic: An Intersectional Qualitative Approach, Tiara C. Willie, Sabriya L. Linton, Shannon Whittaker, Karlye A. Phillips, Deja Knight, Mya C. Gray, Gretta Gardner, Nicole Overstreet

Psychology

Background: Housing instability is highly prevalent among intimate partner violence (IPV) survivors, and the coupling consequences of structural racism, sexism, classism, and the COVID-19 pandemic, may create more barriers to safe and adequate housing, specifically for Black women IPV survivors. In particular, the consequences of the COVID-19 pandemic had the potential to amplify disadvantages for Black women IPV survivors, yet very little research has acknowledged it. Therefore, the current study sought to assess the experiences of housing insecurity among Black women experiencing intimate partner violence (IPV) while navigating racism, sexism, and classism during the COVID-19 pandemic. Methods: From January to …

Social Capital And Changes Of Psychologic Distress During Early Stage Of Covid-19 In New Orleans, Kimberly Wu, Erica Doe, Gabriella D. Roude, Jasmine Wallace, Samantha Francois, Lisa Richardson, Katherine P. Theall

Psychology

Here we report on the relationship between measures of social capital, and their association with changes in self-reported measures of psychological distress during the early period of the COVID-19 pandemic. We analyze data from an existing cluster randomized control trial (the Healthy Neighborhoods Project) with 244 participants from New Orleans, Louisiana. Changes in self-reported scores between baseline (January 2019–March 2020) and participant’s second survey (March 20, 2020, and onwards) are calculated. Logistic regression is employed to examine the association between social capital indicators and measures of psychological distress adjusting for key covariates and controlling for residential clustering effects. Participants reporting …

An Exploration Of Turnover Intentions Of Substance Abuse Treatment Rns During The Covid-19 Pandemic: A Qualitative Study, Ciara Patrice Jones

Doctoral Dissertations and Projects

The COVID-19 pandemic has affected nurses working in many different settings. As they were frequently the last personnel left at the frontline during COVID-19, nurses’ experiences provide distinctive narratives in the alcohol and other drug treatment workforce. Since the COVID-19 pandemic, nurses working in a substance abuse treatment setting have experienced significantly increased stressors, including fear and anxiety, the lack of personal protective equipment (PPE), and a lack of workforce sustainability. Therefore, this generic qualitative study explored the perceptions and experiences of nurses working in a substance abuse treatment program on the barriers in their workforce that influence their turnover …

A Transcendental Phenomenological Study Exploring How Licensed Marriage And Family Therapists Describe The Emotional Impact Of The Covid-19 Pandemic, Melissa Lund

Doctoral Dissertations and Projects

The purpose of this qualitative, phenomenological study was to describe the experiences of Licensed Marriage and Family Therapists (LMFT) in private practice during the COVID-19 pandemic. The study was viewed through the lens of resilience theory, which suggests that an individual's ability to adapt and overcome adverse experiences is based on their individual level of resilience. Eight LMFTs varying in demographics, such as age, gender, and ethnicity, as well as length of time in practice participated in individual interviews exploring their lived experiences during the pandemic. The study's questions aimed to gain a better understanding of the emotional impact of …

Effects Of Covid-19 On Mental Health Workers' Job Satisfaction, Employee Burnout, And Intent To Leave, Colton Jacobs

Doctoral Dissertations and Projects

The COVID-19 disease emerged in December 2019 and created a worldwide pandemic. As the COVID-19 virus spread, healthcare workers faced increased workloads and burnout due to increased stress. With a current abundance of research to better understand how the pandemic affected healthcare workers, minimal research has been conducted to investigate the effects on mental health workers. It is imperative to better understand how the consequences of the pandemic affected mental health workers due to their importance in supporting the mental well-being of our communities. This study focused on how the COVID-19 pandemic influenced job satisfaction, burnout syndrome, and intent to …

Mental Health Training For Teachers Since Covid-19, Patricia M. Van Prooyen

Doctoral Dissertations and Projects

This study used a qualitative case study approach to examine teachers’ experiences returning to school following the COVID-19 pandemic and determine if mental health training for teachers to support student mental health would ease the return to school. The researcher recruited 12 Christian school teachers that taught in the classroom pre- and post-COVID-19. Inclusive criteria included teaching two years before the shutdown, teaching during the shutdown, returning to in-person teaching, and being at least 25 years old with no gaps in teaching between 2018-2022. All participants participated in a 30-45-minute audio-recorded, semi-structured, one-on-one interview in a discreet safe venue, such …

Continuing Bonds Experiences Of Bereaved Adults Within The Context Of The Pandemic, Benjamin Lyons

Honors Program Theses and Projects

COVID-19 has impacted the lives of countless people and has resulted in the death of millions. Due to this, there is a need to understand how individuals coped with the losses that came with this uniquely difficult circumstance. With this in mind, my project investigates how the COVID-related death of a loved one influences the continuing bonds relationship of bereaved adults within the context of the pandemic. Ten participants who lost a loved one to a COVID-related death during the pandemic were interviewed about their grief experiences and audio recorded. Using qualitative thematic analysis, themes in the data were constructed …

Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb

Antioch University Dissertations & Theses

In this dissertation, I used an exploratory research approach to examine White psychology trainees’ affective responses to race-related material and how they relate to trainees’ self-perceived levels of multicultural competence amidst the COVID-19 pandemic and the rise of the Black Lives Matter movement. Participants completed self-report instruments about their experiences and identities, their affective responses to racial content, and their grasp of facets of multicultural competence. Significant correlations were found between affective responses—specifically White guilt and negation—and multicultural competence. The relationship found between White guilt and multicultural competence may speak to the power of guilt to motivate trainees’ pursuit of …

Navigating Covid-19 And Racial Trauma As A Black Student At Predominantly White Institutions, Samantha Francois, Joan Blakey, Rae Stevenson, Timothy Walker, Curtis Davis

Psychology

Black students at predominantly White institutions (PWIs) contend with racial microaggressions that can lead to negative mental health and academic outcomes. The physical and mental health consequences of the novel coronavirus pandemic are well-known. What remains unknown is how targeted racial hate during a pandemic might have a compounded effect on Black essential workers. The current study examines how future essential workers in helping professions cope with dual crises as they navigate mostly White universities. Study participants were Black university students attending PWIs in the United States enrolled in social work, public health, or psychology programs during the 2020–2021 academic …

Psychological Distress And Behavioral Vigilance In Response To Minority Stress And Threat Among Members Of The Asian American And Pacific Islander Community During The Covid-19 Pandemic, Andrew S. Franks, Rin Nguyen, Y. Jenny Xiao, Dena Abbott

Department of Educational Psychology: Faculty Publications

Stigmatization, hostility, and violence towards the Asian American and Pacific Islander (AAPI) community have increased sharply during the COVID-19 pandemic. It is important to conduct research to promote understanding of the effects of such stigmatization on the AAPI community. Accordingly, the present study used a combined minority stress and integrated threat framework to examine whether factors related to AAPI identity would moderate the relationship between stigmatization/threat associated with AAPI identity and increased psychological distress and behavioral vigilance. AAPI individuals were recruited online from both Turk Prime and Reddit and completed measures of perceived stigmatization; integrated threat; depression, anxiety, and stress; …

Racial Discrimination And Interpersonal Violence In Asian American Adolescents During The Covid-19 Pandemic, Yu Lu, Elizabeth Baumler, Leila Wood, Vi D Le, Shannon P Guillot-Wright, Jeff R Temple

Student and Faculty Publications

PURPOSE: Racial discrimination targeting Asians in the United States has increased sharply since the COVID-19 pandemic. Despite a well-established link with mental/physical health outcomes, little is known about how racial discrimination relates to interpersonal violence, particularly in adolescents. To address this gap in knowledge, we examined cross-sectional and longitudinal (1-year follow-up) associations between racial discrimination and interpersonal violence perpetration and victimization in Asian American adolescents in a large US city.

METHODS: Data from Waves 3 (2020) and 4 (2021) of a randomized clinical trial of a school-based violence prevention program were examined. We limited our sample to participants who identified …

Profiles Of Activity Engagement And Depression Trajectories As Covid-19 Restrictions Were Relaxed, Jonathan L. Chia, Andree Hartanto, William Tov

Research Collection School of Social Sciences

Given elevated depression rates since the onset of the pandemic and potential downstream implications, this research examined the association between activity engagement and depression among middle-aged and older adults postlockdown. This study aimed to (a) identify activity engagement profiles among middle-aged and older adults, (b) understand factors associated with profile memberships, and (c) compare depression trajectories across profiles as COVID-19 restrictions eased over 16 months in Singapore. This longitudinal study involved 6,568 middle-aged and older adults. Latent growth analysis was first conducted to obtain estimates of depression trajectories for each individual. Latent profile analysis was then conducted to identify different …

A Dual-Angle Exploration Towards Understanding Lapses In Covid-19 Social Responsibility, Sean T. H. Lee, Jerome J. X. Mah, Angela K. Y. Leung

Research Collection School of Social Sciences

Breaking infection chains requires not just behaviours that allow individuals to stay healthy and uninfected (i.e. health protective behaviours) but also for those who are possibly infected to protect others from their harboured infection risk (i.e. socially responsible behaviours). However, socially responsible behaviours entail costs without clear, immediate benefits to the individual, such that public health-risking lapses occur from time to time. In this important yet understudied area, the current exploratory study sought to identify possible psychological factors that may affect people's likelihood of engaging in socially responsible behaviours. Assuming that self-perceived infection should provide an impetus to engage in …

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …

Understanding The Experience Of Mothers In Higher Education During The Covid-19 Era, Shannan L. Engel

Antioch University Dissertations & Theses

This exploratory study aimed to understand the experience of mothers in higher education both during the COVID-19 pandemic and toward the end of restrictions. The population included academic mothers with children at home during the pandemic. Data was analyzed thematically by a team of researchers. The results generated six themes: (a) life changed suddenly, (b) remote work, school, and life, (c) unsupported, (d) sense of control, (e) support, and (f) positive aspects of COVID. These findings are important to the field of mental health counseling profession, supervision, and higher education because of the circumstances exemplified by the pandemic that highlight …

Maternal Burden: The Interplay Of Parental Burnout, Insomnia, And The Covid-19 Pandemic Among First-Time Mothers, Kaila Kutz

Antioch University Dissertations & Theses

The current study sought to better understand the relationship among parental burnout, insomnia, and first-time motherhood within the context of the novel coronavirus (COVID-19) pandemic. A thorough review of the literature was conducted in order to position this dissertation and its questions within the current research landscape. A quantitative, survey-based research methodology was used to explore the association between the aforementioned variables of interest through correlational analyses. Findings of the study suggest a positive association between parental burnout and insomnia, though nonsignificant findings between motherhood groups in relation to insomnia and parental burnout suggest that continued investigation into these variables …

Navigating New Normals: Student Perceptions, Experiences, And Mental Health Service Utilization In Post-Pandemic Academia, Hadiza Galadima, Anne Dumadag, Cara Tonn

Community & Environmental Health Faculty Publications

This study explores the profound impacts of the COVID-19 pandemic on higher education, focusing on shifts in learning experiences and students’ intentions to utilize mental health services post-pandemic. Utilizing Andersen’s Behavioral Model of Health Services Use, this study assesses perceptions from a stratified random sample of college students on post-pandemic learning experiences and mental health service utilization intentions. Findings reveal a positive reception to university initiatives and a preference for ongoing virtual classes. There is an evident increase in, and varying intentions for, using mental health services, shaped by demographics, employment, and prior service utilization. Younger and female students showed …

Where I Am From Matters: Factors Influencing Behavioral And Emotional Changes In Autistic Individuals During Covid-19 In Latin America, María Cecilia Montenegro, Ana C. Ramírez, Juventino Hernandez Rodriguez, Bianca T. Villalobos, Gabriela Garrido, Cecilia Amigo, Daniel Valdez, Natalia Barrios, Sebastián Cukier, Cecilia Montiel-Nava

Psychological Science Faculty Publications and Presentations

Background: The COVID-19 pandemic brought an increased incidence of disease and mortality in the world at large, making it a particularly salient and stressful life event. For those individuals residing in Latin America, the pandemic was met with fragmented healthcare systems, economic downturn, and sociopolitical crisis which puts autistic individuals at risk for more detrimental outcomes. Behavioral and emotional challenges experienced by autistic individuals at the beginning of the pandemic could later develop into more severe symptomatology as the pandemic progresses. The present study aimed to explore changes in dysregulated (overt and internalizing) behaviors and preoccupation with getting sick during …

Greater Traditionalism Predicts Covid-19 Precautionary Behaviors Across 27 Societies, Theodore Samore, D. M. T. Fessler, A. M. Sparks, C. Holbrook, L. Aaroe, Norman P. Li, Kai Lin Lynn Tan, Et Al

Research Collection School of Social Sciences

People vary both in their embrace of their society’s traditions, and in their perception of hazards as salient and necessitating a response. Over evolutionary time, traditions have offered avenues for addressing hazards, plausibly resulting in linkages between orientations toward tradition and orientations toward danger. Emerging research documents connections between traditionalism and threat responsivity, including pathogen-avoidance motivations. Additionally, because hazard-mitigating behaviors can conflict with competing priorities, associations between traditionalism and pathogen avoidance may hinge on contextually contingent tradeoffs. The COVID-19 pandemic provides a real-world test of the posited relationship between traditionalism and hazard avoidance. Across 27 societies (N = 7844), we …

Lived Experiences Of Counselors: Navigating The Changing Role Using Emotional Intelligence, Marissa Joelle Stelzer

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of counselors during the transition from traditional face-to-face counseling to a teletherapy format during the COVID-19 pandemic and how counselors were able to utilize emotional intelligence skills/abilities during this time. The theories that guided this study were the ability model of emotional intelligence and social constructivism. The following questions guided this study: How did counselors experience their changing role from primarily face-to-face counseling to teletherapy during the COVID-19 pandemic? How did counselors experience emotional intelligence during the transition from traditional face-to-face counseling to teletherapy during the COVID-19 pandemic? …

Development And Psychometric Validation Of The Pandemic-Related Traumatic Stress Scale For Children And Adults, Courtney K. Blackwell, Phillip Sherlock, Kathryn L. Jackson, Julie A. Hofheimer, David Cella, Molly A. Algermissen, Akram N. Alshawabkeh, Lyndsay A. Avalos, Tracy Bastain, Clancy Blair, Michelle Bosquet Enlow, Patricia A. Brennan, Carrie Breton, Nicole R. Bush, Aruna Chandran, Shaina Collazo, Elisabeth Conradt, Sheila E. Crowell, Sean Deoni, Amy J. Elliott, Jean A. Frazier, Jody M. Ganiban, Diane R. Gold, Julie B. Herbstman, Christine Joseph, Margaret R. Karagas, Barry Lester, Jessica A. Lasky-Su, Leslie D. Leve, Kaja Z. Lewinn, W. Alex Mason, Elisabeth C. Mcgowan, Kimberly S. Mckee, Rachel L. Miller, Jenae M. Neiderhiser, Thomas G. O’Connor, Emily Oken, T. Michael O’Shea, David Pagliaccio, Rebecca J. Schmidt, Anne Marie Singh, Joseph B. Stanford, Leonardo Trasande, Rosalind J. Wright, Cristiane S. Duarte, Amy E. Margolis

Department of Child, Youth, and Family Studies: Faculty Publications

To assess the public health impact of the COVID-19 pandemic on mental health, investigators from the National Institutes of Health Environmental influences on Child Health Outcomes (ECHO) research program developed the Pandemic-Related Traumatic Stress Scale (PTSS). Based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) acute stress disorder symptom criteria, the PTSS is designed for adolescent (13–21 years) and adult self-report and caregiver-report on 3–12-year-olds. To evaluate psychometric properties, we used PTSS data collected between April 2020 and August 2021 from non-pregnant adult caregivers (n = 11,483), pregnant/postpartum individuals (n = 1,656), …

Outbreak Communication: Exploring The Relationships Between Health Information Seeking Behaviors, Vested Interests, And Covid-19 Knowledge In U.S. Midwest Populations, Alicia Mason, Josh Compton, Elizabeth Spencer, Kaitlin Barnett

Faculty Submissions

On February 15, 2020, the World Health Organization (WHO) Director, General Tedros Adhanom Ghebreyesus, stated at a Munich Security Conference, “We’re not just fighting an epidemic; we’re fighting an infodemic,” (Zarocostas, 2020, p. 676). The term ‘infodemic’ refers to the onslaught of both accurate and inaccurate health information surrounding the COVID-19 pandemic. The concept of an ‘infodemic’ was quickly integrated into mass media, popular culture (i.e., documentaries, podcasts), and eventually scholarly literature. In response to COVID-19, health communication scholars have centered on understanding specific messaging strategies such as the use of fear appeals (Stolow et al., 2020), nature of advertising …

Mixed Method Approach Towards The Life Of University Students During The Covid-19 Pandemic, Raihan Khan, Andrew White, Tony Jehi

Department of Health Sciences - Faculty Scholarship

Background

The COVID-19 pandemic negatively impacted the higher education system. This mixed-methods study aimed to assess COVID-19 fear, anxiety, and stress among Shenandoah Valley college students.

Methods

An online survey was fielded and completed by n=680 students. Qualitative semi-structured interviews were conducted with 20 students.

Results

The mean participant age was 22.14±5.48 years, and primarily White (81.9%), women (80.4%), and undergraduate (78.0%) students. Approximately 41% were enrolled in health-related majors (41.4%). Women students had significantly higher anxiety, depression, and fear of contracting COVID-19 than men. Undergraduate students had significantly higher depression than graduate students. Qualitative analysis revealed several major themes: …

How Did Latinxs Near The U.S.-Mexico Border Fare During The Covid-19 Pandemic? A Snapshot Of Anxiety, Depression, And Posttraumatic Stress Symptoms, Bianca T. Villalobos, Juventino Hernandez Rodriguez

Psychological Science Faculty Publications and Presentations

Introduction: The current study documented levels of anxiety, depression, posttraumatic stress, and COVID-19 fears and impacts among Latinxs living near the U.S.-Mexico border during the COVID-19 pandemic.

Methods: Participants of this cross-sectional study were 305 Latinx adults living in the Rio Grande Valley (RGV) who completed an online survey between June and November 2020.

Results: About half of participants scored above the cut-off for anxiety (50.2%; GAD-7 scores ≥10) and depression (48.8%; PHQ-9 scores ≥10), and more than a quarter of participants showed clinical levels of posttraumatic stress (27.3%; PCL-5 scores ≥31). Latinxs reported on average 22 types of negative …

The Impact Of Covid-19 On Collaboration Between School Psychologists And Board-Certified Behavioral Analysts, Taylor Bronaugh

Department of Graduate Psychology - Graduate Student Scholarship

The aim of this paper is to examine the impact of communication styles brought on by distanced learning and its effect on collaboration for school psychologists and Bord Certified Behavioral Analysts (BCBAs). Prior studies have addressed collaboration habits between these school-based professionals. The current study aims to analyze the impact that COVID-19 had on these practitioners’ collaboration habits and to investigate their current communication and collaboration habits. A mixed methods locally developed anonymous survey was created and used for data collection. Participants were recruited through social-media groups and via word-of-mouth sharing. 20 school-based practitioners shared their perceptions and experiences with …

The Role Of Cosmopolitan Orientation In Covid-19-Related Attitudes: Perceived Threats And Opportunities, Vaccination Willingness, And Support For Collective Containment Efforts, Angela K. Y. Leung, Brandon Koh, Verity Yu Qing Lua, James H. Liu, Sarah Y. Choi, I-Ching Lee, Michelle Lee, Mei-Hua Lin, Darrin Hodgetts, Sylvia X. Chen

Research Collection School of Social Sciences

Cosmopolitan individuals identify themselves as "citizens of the world." In the present research, we tested the idea that endorsing a cosmopolitan orientation (CO) is adaptive in the COVID-19 crisis. Cosmopolitan individuals more readily transcend national parochialism, show greater concern for all humanity, and prioritize collective interests. In a two-wave multi-region investigation with six samples from China, Hong Kong, Taiwan, Malaysia, Singapore, and the U.S., we first established longitudinal and cross-cultural measurement invariance of the CO scale. Next, we found that people with a higher CO tended to perceive over time a greater threat posed by COVID-19, take more safety measures, …

Dating During The Time Of Covid-19: Risk Perceptions And Political Ideology, Danielle L. Kellogg, Tracy Dehart, Julie Longua Peterson, Hannah R. Hamilton

Psychology: Faculty Publications and Other Works

This study examined predictors of single people's beliefs about COVID prevention behaviors, intentions to engage in COVID prevention behaviors while dating, and actual dating behavior during the pandemic. Results revealed that single participants engaged in “riskier” dating behaviors (i.e., in-person unmasked) more frequently than “safer” dating behaviors (i.e., remote, or in-person masked/distanced). Individuals who perceived greater (vs. lesser) risk associated with COVID more strongly endorsed beliefs about social distancing (self and other) and were more likely to personally (or request others) engage in COVID prevention behaviors while dating. However, perceived risk did not predict actual dating behaviors. Conservatives (vs. liberals) …

Detecting Mental Distresses Using Social Behavior Analysis In The Context Of Covid-19: A Survey, Sahraoui Dhelim, Liming Chen, Sajal K. Das, Huansheng Ning, Chris Nugent, Gerard Leavey, Dirk Pesch, Eleanor Bantry-White, Devin Michael Burns

Computer Science Faculty Research & Creative Works

Online social media provides a channel for monitoring people's social behaviors from which to infer and detect their mental distresses. During the COVID-19 pandemic, online social networks were increasingly used to express opinions, views, and moods due to the restrictions on physical activities and in-person meetings, leading to a significant amount of diverse user-generated social media content. This offers a unique opportunity to examine how COVID-19 changed global behaviors regarding its ramifications on mental well-being. In this article, we surveyed the literature on social media analysis for the detection of mental distress, with a special emphasis on the studies published …

Negative Impact Of Chronic Pandemic-Specific Financial Stress On Food Security Among College Students, Julia N. Soulakova,, Lisa J. Crockett, Mary Schmidt-Owens, Eric W. Schrimshaw

Department of Psychology: Faculty Publications

Since the pandemic started, food insecurity has become a more serious issue for U.S. college students. The study goals were to evaluate whether pandemic-specific stress contributes to current food insecurity (as of February–March of 2022) and to determine which student characteristics are associated with food insecurity. We used the 2022 Spring American College Health Association— National College Health Assessment data (n = 620) collected at a public university. We estimated two multiple logistic regression models. The odds of having very low food security (OR = 8.65, 95% CI = 4.84:15.43) and low food security (OR = 2.87, 95% CI …

Stress Levels, Psychological Symptoms, And C-Reactive Protein Levels In Covid-19: A Cross-Sectional Study, Taiane De Azevedo Cardoso, Ritele H Silva, Jessica L Fernandes, Camila O Arent, Graziela Amboni, Laura A Borba, Alex Paulo Z Padilha, Maria Eduarda M Botelho, Amanda L Maciel, Tatiana Barichello, Rodrigo Morales, Silvio José B Soares, Margarete D Bagatini, Claudia Dallagnol, Marta Elisa Brighenti, Zuleide Maria Ignácio, João Quevedo, Luciane B Ceretta, Gislaine Z Réus

Student and Faculty Publications

BACKGROUND: Although many studies have pointed out a possible relationship between COVID-19 and the presence of psychiatric disorders, the majority of the studies have significant limitations. This study investigates the influence of COVID-19 infection on mental health.

METHODS: This cross-sectional study included an age- and sex-matched sample of adult individuals positive (cases) or negative (controls) for COVID-19. We evaluated the presence of psychiatric conditions and C-reactive protein (CRP).

RESULTS: Findings showed greater severity of depressive symptoms, higher levels of stress, and greater CRP in cases. The severity of depressive and insomnia symptoms, as well as the CRP were more remarkable …