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2020

Depression

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Influences Of Salvinorin A And Sex Differences On Depressive- And Anxiety-Like Behaviors In A Chronic Mild Stress Paradigm, Sarah Mitchell Apr 2020

Influences Of Salvinorin A And Sex Differences On Depressive- And Anxiety-Like Behaviors In A Chronic Mild Stress Paradigm, Sarah Mitchell

Theses

Kappa opioid receptors are colocalized with dopamine receptors and are frequently associated with depression, anxiety, stress, and drug use and abuse. KOR antagonism has widely been considered anti-depressive and anxiolytic in animal models while agonism is pro-depressive and anxiogenic. However, recent findings suggest that SalvA, a natural kappa agonist derived from a plant in the mint family, can reduce depressive- and anxiety-like behavior in rats. The current study investigated the effects of chronic mild stress on behavior, attenuation by SalvA, and sex differences. 52 Long-Evans rats, 26 males and 26 females, were exposed to six weeks of CMS. Animals received …


Exploring How Media Portrayals Of Mental Health Affect Public Perceptions Through Devised Theatre, Lauren Lash Apr 2020

Exploring How Media Portrayals Of Mental Health Affect Public Perceptions Through Devised Theatre, Lauren Lash

Honors Projects

A performance piece and this corresponding paper serve as my honors project, which has two main foci: devised theatre and how the media affects perceptions of mental health. This packet is a documentation of the rehearsal process and sources that influenced the piece and a link to the piece itself. Documenting the rehearsal process included a list of songs, rehearsal plans, rehearsal schedules, and my reflections on the process. Helpful sources included a photo release form, which allowed me to include a recording in this packet, and my annotated bibliography included sources about devising, portraying mental health in theatre, and …


Validating The Collegiate Optimism Orientation Test And Exploring Its Correlation To Gpa And Mental Health Among College Students, Emilia Bingham Mar 2020

Validating The Collegiate Optimism Orientation Test And Exploring Its Correlation To Gpa And Mental Health Among College Students, Emilia Bingham

Undergraduate Honors Theses

The Collegiate Optimism Orientation Test (COOT) was designed to provide a more specific and accurate understanding of an individual’s optimism in a collegiate setting. The current study investigates the reliability and validity of the COOT in order to demonstrate its usefulness as a measure of optimism in college students and examines the relationship between optimism and both mental health and GPA. Participants were gathered using online survey websites, one of which was specific for students at Brigham Young University specifically and the other of which was open to any college student in the United States. Participants took a survey consisting …


Relationship Between Body Image Dissatisfaction And Disordered Eating: Mediating Effect Of Selfesteem And Depression Among Female University Students, Agatha Teni Wunyala-Bukari Feb 2020

Relationship Between Body Image Dissatisfaction And Disordered Eating: Mediating Effect Of Selfesteem And Depression Among Female University Students, Agatha Teni Wunyala-Bukari

Psychology Theses

The objectives of this study were to examine the relationship between body dissatisfaction and disordered eating and to examine whether depression and self - Esteem mediate the relationship. The sample consisted of 186 undergraduate and post graduate female university students. Data collection tools were the Body-Image Ideals Questionnaire (BIQ), the Eating Attitude Test (EAT-26), the Rosenburg Self-Esteem Scale (SES) and the Beck Depression Inventory (BDI). The Linear Structural Relations (LISREL) software and Structural Equation Modeling (SEM) were used for the analysis of data. The findings of this study showed a significant positive correlation between body dissatisfaction and disordered eating. In …


Community Violence Exposure Among Ethnic Minority Youth: Understanding The Predictive Roles Of Depressive Symptoms And Risky Behavior In A Community Sample, Amanda Nicole Burnside Jan 2020

Community Violence Exposure Among Ethnic Minority Youth: Understanding The Predictive Roles Of Depressive Symptoms And Risky Behavior In A Community Sample, Amanda Nicole Burnside

Dissertations

Ethnic-minority youth residing in urban communities are disproportionately impacted by community violence exposure (ECV), and despite decades of research, rates of ECV in youth continue to increase. Further, person-based analyses have demonstrated variability in rates of ECV, even among youth who share similar risky demographic factors and it is important to examine the utility of psychological factors as predictors of ECV. Drawing from public health frameworks and the reciprocal-stress model, the current study seeks to better understand the longitudinal relationship between various components of depressive symptoms (depressed affect, somatic symptoms, depressive cognitions, suicidal thoughts and behaviors) in the prediction of …


Humor As A Moderator Of Neuroticism’S Effect On Psychopathology And Life Satisfaction, Adir Pinchot Jan 2020

Humor As A Moderator Of Neuroticism’S Effect On Psychopathology And Life Satisfaction, Adir Pinchot

Theses and Dissertations

Previous research studies evaluated self-enhancing humor (also referred to as coping humor) as a coping strategy that enables an individual to better manage the negative emotions elicited by external stressors. Research has not, however, adequately considered the role that humor may play for neurotic individuals who are characterized by a propensity to experience stress and negative emotions and are, therefore, more susceptible to developing depression, anxiety, and low life satisfaction. Nor has research adequately explored how self-enhancing humor interacts with the maladaptive form of self-directed humor, namely, self-defeating humor. This study attempts to address these lacunae by analyzing whether self-enhancing …


Breaking Away: The Role Of Homeostatic Drive In Perpetuating Depression, Jonathan Tory Toole Jan 2020

Breaking Away: The Role Of Homeostatic Drive In Perpetuating Depression, Jonathan Tory Toole

Theses and Dissertations

The brain can be considered a complicated system of feedback mechanisms that maintain physiological homeostasis. Through psychological activity, neurochemicals act as homeostatic regulators. This study proposes that these components are part of a regulatory system that is capable of supporting multiple homeostatic regimes that, in turn, give rise to self-sustaining psychological behaviors. This project hypothesizes that such alternate regulatory programs may play a role in perpetuating psychological dysfunction. Interactions within and between components of the neurotransmitter network are represented as a set of discrete logic circuits. Neurotransmitter levels are linked to psychological constructs such as depression based on current literature. …


Does Overweight/Obesity Moderate The Association Between Adhd And Internalizing Difficulties In Young Adults?, Breanna Badripersaud Jan 2020

Does Overweight/Obesity Moderate The Association Between Adhd And Internalizing Difficulties In Young Adults?, Breanna Badripersaud

Dissertations and Theses

This study’s objective was to investigate if ADHD symptoms and BMI are associated with internalizing impairments of depression, anxiety, stress and lower self-esteem in college students. It was predicted that higher ADHD symptoms would be associated with elevated depression, anxiety, stress, and low self-esteem, especially if BMI fell in the overweight/obese range. Undergraduate students [N= 580; Mean (SD) age= 20.7 (3.10)] from an urban campus completed an online survey comprising self-report measures of demographics, height/weight, attention and hyperactivity/impulsivity (Barkley Deficits Executive Functioning Scale ADHD- Executive Function Index), depression, anxiety, stress (all using the Depression Anxiety and Stress Scale) and self- …


Effects Of Depression And Health Habits On Diabetes Outcomes, Yvonne Marie Chapa Jan 2020

Effects Of Depression And Health Habits On Diabetes Outcomes, Yvonne Marie Chapa

Walden Dissertations and Doctoral Studies

Diabetes mellitus outcomes are intensified by the lack of screening and awareness for depressive symptoms, alcohol consumption, cigarette use, and gender difference. The purpose of this quantitative survey study, grounded in biopsychosocial theory, was to investigate the best predictor (alcohol consumption, cigarette use, and the exploratory variable gender) of diabetes outcome in a Mexican American population. Data were collected using the Patient Health Questionnaire-9 with 120 Mexican American patients from a diabetic clinic in Southern Texas. Results from a multiple regression analysis indicated that gender was the best predictor. A series of Pearson correlations revealed a significant positive relationship between …


Impairment Or Underestimation? Negative Illusory Bias In Depressive Symptoms And Theory Of Mind, Jaclyn Boyer Jan 2020

Impairment Or Underestimation? Negative Illusory Bias In Depressive Symptoms And Theory Of Mind, Jaclyn Boyer

Undergraduate Honors Thesis Collection

Theory of Mind (ToM) is the social-cognitive skill of attributing beliefs, feelings, and intentions to others in order to predict their future behavior. Past research on ToM and depression is quite ambiguous; some studies have found significant impairment of ToM performance in depressed individuals, while others have found that depressed individuals perform better than those without depression. The purpose of the study was to clarify this ambiguity by considering the phenomenon of negative illusory bias (NIB) as a potential mediating variable. NIB refers to the tendency of competent individuals to underestimate their abilities. Therefore, along with measures of ToM and …


Help-Seeking Behaviors Among Filipino Americans: Understanding Enculturation, Depression, And Anxiety, Kristoffer John Almazan Rouse Jan 2020

Help-Seeking Behaviors Among Filipino Americans: Understanding Enculturation, Depression, And Anxiety, Kristoffer John Almazan Rouse

Walden Dissertations and Doctoral Studies

Filipino Americans have some of the highest levels of psychological distress among all Asian Americans. However, underrepresentation in psychological studies and a unique set of cultural values and norms contribute to the lack of literature on the sources of this distress among Filipino Americans. The purpose of this quantitative study was to examine how aspects of cultural assimilation and norms of Filipino culture affect willingness of Filipino Americans to seek mental health services. Several factors, enculturation, anxiety, and depression, among Filipino Americans were examined to predict influence on help-seeking behaviors. A sample of 120 Filipino Americans living in the Pacific …


The Correlation Between Maternal Postpartum Depression And Child Psychopathology, T'Keyah I. Vaughan Jan 2020

The Correlation Between Maternal Postpartum Depression And Child Psychopathology, T'Keyah I. Vaughan

Theses and Dissertations

Background: Postpartum depression (PPD) is a phenomenon that affects nearly 10-15% of pregnancies in the US. It is characterized by depressed mood or anhedonia and lasting for more than 2 weeks. PPD changes how moms interact with family members and child-rearing behavior. Depression is a phenomenon that is also known to affect the psychopathology of children. However, the specifics of how postpartum depression impacts children remains controversial. Many studies do not control for major depressive disorder which makes it difficult to disentangle the impact depression has within the first year of life. Furthermore, other PPD risk factors may be confounding …


How 6-12th Grade Staff Support Students With Depression: A Pilot Study To Develop Measures Of Implicit Associations, Explicit Attitudes And Helping Behavior, Paul M. Thompson Jan 2020

How 6-12th Grade Staff Support Students With Depression: A Pilot Study To Develop Measures Of Implicit Associations, Explicit Attitudes And Helping Behavior, Paul M. Thompson

Electronic Theses and Dissertations

Students with emotional disabilities are disproportionately suspended and expelled in K-12 schools. Attribution theory suggests individuals are less likely to provide assistance to others if they believe the individuals are responsible for their own difficulties. To test attribution theory, this study created new measures of explicit attitudes and implicit associations of licensed 6-12th grade staff regarding students with depression as well as a helping behavior measure of staff toward students with depression. The survey was distributed within a single school district in the western United States. A majority of the sample (N = 52) held a mental health license (60%), …


Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder Jan 2020

Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder

Graduate Theses, Dissertations, and Problem Reports

Women experience barriers that impede progress in a career and career goals, resulting in reduced career-related outcomes. Although gender discrimination has been identified as a contributing factor to the differential career development of men and women in the United States (U.S.), women’s career-related outcomes may be better explained by unaccounted for career barriers. Most notably, internalization of sociocultural standards of beauty, depression, and anxiety have been found to reduce women’s career-related outcomes. Therefore, the goal of this study was to explore career barriers that currently impact women’s career development in the U.S. Based on Social Cognitive Career Theory (Lent, Brown, …


Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst Jan 2020

Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst

Theses and Dissertations

Depression and anxiety during adolescence includes symptoms of irritability, sleeplessness, feelings of guilt or worthlessness, worry, avoidance, and/or restlessness. Anxiety and depressive symptoms are often comorbid and are associated with impairments across academic, social, and emotional areas of functioning. No studies to date have examined patterns of depressive and anxiety symptoms together for African American adolescents using person-centered analyses. The current study examined patterns of symptoms and domains of anxiety and depression during early adolescence using latent profile analyses (LPA). A sample of 196 African American early adolescents in grades six through eight (Mage = 12.6; 50% female) were …


Dysfunctional Beliefs As Moderators Of The Association Between Personality Dysfunction And Negative Emotion, Syeda Zahura Jan 2020

Dysfunctional Beliefs As Moderators Of The Association Between Personality Dysfunction And Negative Emotion, Syeda Zahura

Theses and Dissertations

This study examined the potential role of dysfunctional beliefs as moderators of the association between personality dysfunction and negative emotion. Specifically, we focused on three negative emotions, depression, social anxiety, and anger. There was a total of 454 participants, 210 males, and 243 females, all 18 years of age or older, recruited on Amazon Mechanical Turk (MTurk) and SJU Psychology Department’s subject pool. We found that personality dysfunction and dysfunctional thinking are associated with negative emotional outcomes. Higher levels of personality dysfunction and higher levels of dysfunctional thinking were associated with higher levels of anxiety, depression, and anger. In a …


Sleep, Experiential Avoidance, And Mental Health Symptoms, Anthony Reffi Jan 2020

Sleep, Experiential Avoidance, And Mental Health Symptoms, Anthony Reffi

Graduate Research Theses & Dissertations

The explanatory mechanisms by which sleep disturbances promote psychopathology are not well understood. Given that poor sleep promotes a broad range of negative emotions the next day, sleep disturbances may increase the tendency to identify inner experiences as aversive, thereby promoting experiential avoidance (EA). Though temporarily effective, the frequent and rigid use of EA has been shown to worsen mental health. Therefore, using a seven-day ecological momentary assessment design, this study investigated momentary EA as a mechanism linking subjective sleep quality and quantity with subsequent anxiety and depressive symptoms. Undergraduate participants (N = 86, Mage = 19.72) first completed an …


Sexual Risk: Contributing Factors To High-Risk Sexual Behaviors In A Transgender/Gender Non-Conforming Population, Jo Crowl Jan 2020

Sexual Risk: Contributing Factors To High-Risk Sexual Behaviors In A Transgender/Gender Non-Conforming Population, Jo Crowl

Doctor of Psychology (PsyD)

There are a variety of factors associated with the frequency of risky sexual behaviors. Whereas spirituality is a protective factor for certain populations, depression is correlated with higher rates of sexual risk behaviors. Until now, the relationship between access to healthcare and these risky sexual behaviors has not been studied. This study sought to determine the impact of spirituality, depression, and access to healthcare with risky sexual behaviors for individuals who identify as transgender/gender non-conforming (TGNC). Data was collected from TGNC adults over the age of 18 using an online survey method. This study did not find significant relationships involving …


Ketamine Pre-Exposure Does Not Influence Later-Life Responses To Reward-Related Stimuli In Female C57bl/6 Mice, Israel Garcia Jan 2020

Ketamine Pre-Exposure Does Not Influence Later-Life Responses To Reward-Related Stimuli In Female C57bl/6 Mice, Israel Garcia

Open Access Theses & Dissertations

Preclinical work indicates that exposure to traditional antidepressant medications, in adolescent and adult female subjects, alters reward-related behavior later in life. In recent years, the anesthetic ketamine (KET), now used as a fast-acting antidepressant, has shown promising therapeutic efficacy for the management of depression. However, the potential long-term behavioral consequences of KET exposure across development have not been thoroughly assessed. Thus, to address this issue, we examined if KET exposure, during adolescence or early adulthood, results in enduring alterations in responsivity to the rewarding properties of sucrose and cocaine later in life. Specifically, female C57BL/6 mice were randomly assigned to …


What Happens When Youth Talk About Their Problems? Co-Rumination As A Mechanism Of Stress Generation, Jaclyn T. Aldrich Jan 2020

What Happens When Youth Talk About Their Problems? Co-Rumination As A Mechanism Of Stress Generation, Jaclyn T. Aldrich

Clinical Psychology Dissertations

During adolescence, rates of depression increase significantly, necessitating understanding of interpersonal and intrapersonal factors that contribute to the occurrence of depressive symptoms. Prominent theories of depression, such as stress generation theory, suggest that depressed individuals experience more interpersonal stress that is dependent on their own actions or behavior. The current study sought to examine the role of co-rumination in the generation of stress and development of depression over the course of a year. Participants were 150 adolescents (48.7% female, 77.5% Caucasian) ages 11 to 14 years old (M = 13.03, SD = 0.93). Three models assessed the directional relationship …


I’M Sexy And I Know It: The Impact Of Sexual Self-Esteem And Body Satisfaction On Disordered Eating Behavior, Marissa Parks Jan 2020

I’M Sexy And I Know It: The Impact Of Sexual Self-Esteem And Body Satisfaction On Disordered Eating Behavior, Marissa Parks

Scripps Senior Theses

Rates of dieting, disordered eating, and eating disorders are continuing to rise in the United States. Many factors influence decisions to engage in problematic eating, including body satisfaction and self-esteem. This paper outlines two studies that examined these relationships and proposed an intervention to reduce disordered eating. In the first study participants were primed to think about a time when they had negative thoughts about their intelligence, their body, or their sexual self-esteem and then measured body image avoidance, self-esteem, sexual self-esteem, disordered eating behaviors, well-being, and depressive symptoms. Consistent with previous research, it was found that having participants recall …


Patients' Expectations' Effects On Treatment Outcome In Major Depressive Disorder (Mdd) In Intensive Short-Term Dynamic Psychotherapy (Istdp), Taylor Kahn Jan 2020

Patients' Expectations' Effects On Treatment Outcome In Major Depressive Disorder (Mdd) In Intensive Short-Term Dynamic Psychotherapy (Istdp), Taylor Kahn

Scripps Senior Theses

Existing research has supported the influence of patients’ expectations on symptom reduction in both antidepressant trials and cognitive behavioral therapy (CBT) for individuals suffering from major depressive disorder (MDD). Intensive short-term dynamic psychotherapy (ISTDP) is effective in treating individuals with MDD, and its structured sessions, similar to the replicable format of CBT, offer a valid psychodynamic therapy that can be compared to past CBT research. This study will attempt to examine whether patients’ expectations will affect equal or greater symptom reduction when being treated with ISTDP than if treated with CBT. It will also examine whether patients’ expectations affect the …


How Our Public Education System Discourages Curiosity And Encourages Depression And Anxiety, Michael Buffett Greenberg Jan 2020

How Our Public Education System Discourages Curiosity And Encourages Depression And Anxiety, Michael Buffett Greenberg

Senior Projects Spring 2020

The increase in adolescent depression over the last decade has been well- documented. Though promising treatments continue to be developed, the rate of increase is clearly outpacing our ability to help those who suffer. As such, it is worth taking a look at what factors may be contributing to this increase. The argument contained in this paper is that the nature of public education, in particular its existential reliance on extrinsic motivation, encourages depression through both implicit and explicit discouragement of curiosity. Curiosity will be posited as key marker of human vitality, and human vitality will be investigated as an …


Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons Jan 2020

Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons

Masters Theses

The purpose of this study was to replicate the construct validity of a new measure of depression, the Teate Depression Inventory (TDI; Balsamo & Saggino, 2013), with the primary focus on Black/African American participants. Research has purported that Black/African Americans experience inequality in obtaining mental health care for internalizing disorders. This may partially be caused by errors in diagnosing these individuals with symptoms. Correctly diagnosing internalizing disorders is a critical step in obtaining appropriate treatment. More research on depression and anxiety is needed to enhance mental health practices by addressing the need for professionals to be culturally competent and conscious …


The Relationship Of Legal History To Mood And Substance Abuse Symptoms Among Homeless Men And Women In A Residential Recovery Program, Lily A. Mkhitarian Jan 2020

The Relationship Of Legal History To Mood And Substance Abuse Symptoms Among Homeless Men And Women In A Residential Recovery Program, Lily A. Mkhitarian

Theses and Dissertations

Homelessness is a devastating experience that impacts hundreds of thousands of individuals in the U.S. each day. It has been widely reported that homeless persons experience higher rates of mental disorder, substance abuse, and physical illness than domiciled individuals. Homelessness is also associated with increased risk of exposure to trauma. In addition, about a quarter of homeless individuals in the U.S. report a history of incarceration. Certainly there are multiple pathways to both homelessness and incarceration. More research is needed on the implications and consequences of having a legal history on homeless persons. The purpose of this archival study was …


Support For Screening And Intervening On Adolescent Depression: Provider-Reported Training Outcomes, Leah Rose Lalonde Jan 2020

Support For Screening And Intervening On Adolescent Depression: Provider-Reported Training Outcomes, Leah Rose Lalonde

Master's Theses and Doctoral Dissertations

Given the potential consequences of untreated adolescent depression and the prevalence of untreated mental health among adolescents, the American Academy of Pediatrics has strongly recommended active support and monitoring of depressive symptoms in pediatric primary care. Primary care providers (PCPs), however, do not have sufficient training to provide this level of care, contributing to low rates of identification and management of depression. The purpose of the current pilot study was to evaluate a training aimed at supporting providers in the management of adolescent depression. Results demonstrated that providers were accepting of the training and that provider knowledge of depression management …


College Students' Social Media Uses And Affective Correlates, Jennifer L. Lippold Jan 2020

College Students' Social Media Uses And Affective Correlates, Jennifer L. Lippold

Graduate Student Theses, Dissertations, & Professional Papers

Given the high prevalence of mental health conditions such as depression and anxiety among college students, research on social media use, a salient feature of the modern college experience, is increasingly warranted. While research documents a link between negative psychological symptomology and social media use, few studies have examined what specific patterns of use may be more or less harmful than others. Therefore, the present study investigated whether specific types of social media use (socially oriented uses, information seeking uses, and entertainment uses) are more or less strongly associated with affective variables (depression, anxiety, positive affect, and negative affect). Utilizing …


Shyness Mindset And Sexual Harassment Responses Among Female College Students, Jessica Rose Winder Jan 2020

Shyness Mindset And Sexual Harassment Responses Among Female College Students, Jessica Rose Winder

Graduate Research Theses & Dissertations

Sexual harassment is a common problem that has negative consequences on society as a whole and on individual well-being. Confronting sexual harassers has been shown to be an effective response. Victims of sexual harassment are also encouraged to report harassment. Sexual harassment has been associated with internalizing responses, such as depression and decreased self-esteem. These responses could negatively influence confronting and reporting behaviors. This study draws from previous mindset research. Results from this prior research showed evidence that shyness mindset affects responses to peer victimization among adolescents and college students. This study hypothesized that shyness mindset among female college students …


The Roles Of Rumination And Social Support In Victimization And Depression, Nicole Dorio Jan 2020

The Roles Of Rumination And Social Support In Victimization And Depression, Nicole Dorio

Graduate Research Theses & Dissertations

Unfortunately, bullying is a common phenomenon many adolescent students experience during middle school (National Center for Education Statistics, 2015). Given the negative outcomes often associated with experiencing victimization, it is important to understand the underlying mechanisms involved in these associations as well as potential protective factors (Nakamoto & Schwartz, 2010). Using 89 students in grades 5 through 8, the current study focused on the negative outcome of depression and it explored rumination as a mediator in this association. Additionally, the roles of gender and social support (from parents, teachers, and close friends) were explored within this mediation model as moderators. …


Financial Incentives For Smoking Cessation Among Perinatal Women At Risk For Depression: Effects On Smoking Abstinence And Depressive Symptoms, Ivori Zvorsky Jan 2020

Financial Incentives For Smoking Cessation Among Perinatal Women At Risk For Depression: Effects On Smoking Abstinence And Depressive Symptoms, Ivori Zvorsky

Graduate College Dissertations and Theses

Introduction: Financial incentives increase smoking abstinence among pregnant and postpartum women. They have also been reported to reduce psychological symptoms using the Beck Depression Inventory (BDI) and Brief Symptom Inventory (BSI) in women at risk for perinatal depression. This prospective study aims to replicate and extend these findings using the BDI and Edinburgh Postpartum Depression Scale (EPDS). Methods: Participants were 169 pregnant cigarette smokers who were assigned to one of two treatment conditions: Best Practices only (n=88), which entails brief counseling and a referral to a pregnancy-specific quit-line, or Best Practices + Incentives (n=81). Participants were categorized as at increased …