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Depression

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Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford Dec 2023

Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford

Theses and Graduate Projects

Background: Traumatic Brain Injury (TBI) is one of the leading causes of physical and cognitive disability worldwide. TBI can negatively impact cognitive, physical, social, and psychological functioning.

Objective: This study investigated interactions between TBI severity, mental health symptom severity, and community engagement among older adults. Specific aims included investigating 1) the relationship between TBI severity at the time of injury and psychiatric symptom severity at one-year post-TBI; 2) the relationship between TBI severity and community engagement at one-year post-TBI; and 3) whether mental health symptom severity moderated the relationship between TBI and post-injury community engagement.

Methods: Archival data was analyzed …


Gender Differences In Youth’S Mental Health Problems During The Covid-19 Pandemic, Kimberly A. Hohlfeld Dec 2023

Gender Differences In Youth’S Mental Health Problems During The Covid-19 Pandemic, Kimberly A. Hohlfeld

Honors Capstones

The purpose of this research paper is to examine whether young girls were more likely to experience depression and anxiety symptoms than young boys during the COVID-19 pandemic at two time points, in April of 2020 and May of 2020. An additional hypothesis that was examined was whether the presence of siblings in the home moderated the association between gender and depression and anxiety symptoms during the COVID-19 pandemic. T-tests were used to analyze the mean differences in youth mental health symptoms based on gender. Young girls were found to experience significantly higher anxiety symptoms in May of 2020 than …


Self-Reflections Through A Screen: Self-Identity, Social Media, And Psychological Well-Being, Jeremy J. Serio Dec 2023

Self-Reflections Through A Screen: Self-Identity, Social Media, And Psychological Well-Being, Jeremy J. Serio

Undergraduate Honors Thesis Collection

Social media use among emerging adults is assumed to be related to a variety of negative psychological outcomes and has, in recent years, become a widely studied phenomenon (Kim, 2017, Pew Research Center, 2018). Despite the widespread assumption, the results from empirical studies of the effects of social media use on mental health in this population have been inconsistent and inconclusive (Keles et al., 2020, Yang et al., 2021). Several meta-analyses (e.g., Keles et al., 2020) demonstrate these inconsistent results across studies and point to the need to consider individual difference factors when researching this issue. Different self-identity styles have …


Affective Liking Influences Reward Processing In Depression: A Computational Eeg Approach, Garima Singh Nov 2023

Affective Liking Influences Reward Processing In Depression: A Computational Eeg Approach, Garima Singh

Psychology ETDs

Reinforcement learning (RL) enables agents to learn through interaction with their environment. This empowers individuals to optimize actions in complex and dynamic settings. The component of event related potential (ERP) termed as the Reward Positivity (RewP) evidently signifies a fundamental reward prediction error (RPE) associated with rewards. This characteristic implies that it represents a fundamental computational process in the assessment of RL. When a reward is particularly pleasurable or liked by an individual, it tends to elicit an amplified RewP signal, reflecting the heightened positive affect. RPE arises from disparities between anticipated and actual rewarding outcomes and is known to …


Internalizing Symptoms In Autistic Young Adults: Comparing The Cognitive And Physiological Components Of Emotion Regulation, Sarah Lehman Oct 2023

Internalizing Symptoms In Autistic Young Adults: Comparing The Cognitive And Physiological Components Of Emotion Regulation, Sarah Lehman

Master's Theses (2009 -)

Autistic people experience co-occurring mental illness at a substantially greater rate compared to their neurotypical counterparts. Of these comorbid psychopathologies, internalizing disorders (anxiety and depression) are among the most prevalent. Emotion dysregulation has been identified as a contributing factor to this phenomenon and potential treatment target. The current study employed cognitive (e.g., use of suppression and use of cognitive reappraisal) and physiological (e.g., respiratory sinus arrhythmia (RSA) and heart period) measures to more holistically capture the multifaceted construct of emotion regulation compared to prior research. In a sample of autistic young adults (N = 63) ages 17-29 (M = 20.14), …


Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis Sep 2023

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …


Trauma Mediating The Severity Of Depressive Symptoms In Veterans With Ptsd, Meghan Curtin Sep 2023

Trauma Mediating The Severity Of Depressive Symptoms In Veterans With Ptsd, Meghan Curtin

Dissertations

Trauma serves as a risk factor for developing both posttraumatic stress disorder (PTSD) and depression. The purpose of this study was to examine trauma type as a mediator in the relationship between gender and severity of depressive symptoms among veterans with PTSD. The literature shows trauma type plays a role in developing PTSD and depressive symptoms. The first hypothesis was that female veterans who met the diagnostic criteria for PTSD would report higher levels of depressive symptoms than their male counterparts. The second hypothesis was that this gender difference would be partly mediated by levels of interpersonal trauma experience. Self-report …


Burnout And Depression In Teachers And Members Of Other Occupational Groups: A Systematic Review And Meta-Analyses On Potentially Overlapping Conditions, Gail Swingler Sep 2023

Burnout And Depression In Teachers And Members Of Other Occupational Groups: A Systematic Review And Meta-Analyses On Potentially Overlapping Conditions, Gail Swingler

Dissertations, Theses, and Capstone Projects

Burnout has long been recognized as a workplace issue among teachers, and other occupational groups. Burnout has potentially been increasing during the Covid-19 pandemic. Researchers tend to regard burnout as a distinct syndrome comprising emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (rPA). Recent evidence suggests that burnout (as a tripartite syndrome) lacks discriminant validity vis-à-vis depression. The overlap between burnout and depression was examined through two meta-analytic studies.

The first study (K = 13) examined the relationship between burnout and depression in teachers with burnout assessed using the MBI. The findings indicated that exhaustion (EE), and depression …


A Multi-Method Assessment Of The Impact Of Stress On Families’ Mental Health During The Covid-19 Pandemic, Andrew R. Daoust Aug 2023

A Multi-Method Assessment Of The Impact Of Stress On Families’ Mental Health During The Covid-19 Pandemic, Andrew R. Daoust

Electronic Thesis and Dissertation Repository

The COVID-19 pandemic was a pervasive disaster, creating stress for people across the globe. As such, understanding how pandemic-related stress has impacted individuals’ mental health is vital for guiding intervention programs and limiting the impact of future similar crises. This is especially true for youth, who are at heightened risk for mental disorder and may experience pandemic-related social stress as particularly aversive, given the developmental challenges unique to this period. Although substantial efforts have been made to measure the impact of the pandemic-related stress on individuals’ mental health, the pandemic’s relatively sudden onset has limited researchers’ abilities to conduct fulsome …


Profiles Of Violence Victimization And Mental Health Outcomes Among Lgbtq Survivors In Illinois: A Cluster Analysis, Mary Margaret Tull Aug 2023

Profiles Of Violence Victimization And Mental Health Outcomes Among Lgbtq Survivors In Illinois: A Cluster Analysis, Mary Margaret Tull

College of Science and Health Theses and Dissertations

Despite legal and social progress, the LGBTQ+ community faces persistent vulnerability to different forms of violence and negative life experiences, including adverse childhood experiences (ACES) and bigotry motivated violence, as well as gender-based violence (GBV). Consistent with the Minority Stress Model, exposure to these experiences are associated with negative mental health outcomes for LGBTQ+ individuals. Traditionally, research has focused on subpopulations when examining these relationships, and has often failed to account for the ways individuals experience multiple types of violence across the lifespan, and how this may influence development of mental health problems. This study (n=204) uses the …


A Post Pandemic Analysis Of Covid-19 And The Impact On Mental Health Of High School Student-Athletes—Today, More Than Ever Minds Matter, Pastora Hernandez Barbee Aug 2023

A Post Pandemic Analysis Of Covid-19 And The Impact On Mental Health Of High School Student-Athletes—Today, More Than Ever Minds Matter, Pastora Hernandez Barbee

Ed.D. Dissertations in Practice

The cancellation of sporting opportunities during the COVID-19 pandemic caused many student-athletes to feel deprived of the only outlet they had, which held a significant component of their personal and athletic identities (Grubic et al. 2021). This study aimed to answer the following research question: What are the experiences of high school student-athletes in a Pacific Northwest school district with access and support for holistic wellness in a post-pandemic COVID-19 school environment? The research methodology used was the wellness theory framework (Adams, Bezner, & Steinhardt, 1997). A total of seven student-athletes participated in the study through in-depth interviews. From the …


Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson Aug 2023

Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson

Doctoral Dissertations

In the current study, we investigated potential direct, indirect, and moderated relations in the links between exposure to sexual violence and PTSD symptom severity and depression among a sample of 440 United States women who had experienced sexual assault in adulthood. We found that sexual violence exposure was both directly and indirectly related to PTSD symptom severity via less trauma coping self-efficacy, greater behavioral and characterological self-blame, and more shame. Sexual violence exposure was also indirectly related to depression via the same explanatory variables, except for behavioral self-blame. Contrary to our hypotheses, results indicated that involvement in anti-sexual activism and …


Grief, Depression, And Well-Being: The Role Of Social Support And Psychological Inflexibility, Ashley Wicochea Aug 2023

Grief, Depression, And Well-Being: The Role Of Social Support And Psychological Inflexibility, Ashley Wicochea

Electronic Theses, Projects, and Dissertations

Grief/bereavement is a normal emotional process that individuals experience upon the death of a loved one. Complicated grief or prolonged grief disorder results when grief becomes prolonged and associated with impairment in functioning (Howarth, 2011; Al-Gamal et al., 2018). Previous research has found a positive relationship between prolonged grief and depression. Moreover, research has found that the relationship between grief and depression was strongest under conditions of low peer support (Al-Gamal et al., 2018). Previous research on psychological inflexibility has found a positive relationship with grief and psychological distress, and a negative relationship with psychological well-being (Howell & Demuynck, 2021). …


The Impact Of Historical Trauma, Self-Compassion, And Resistance Against Racism Among African Americans, Darrick Scott Aug 2023

The Impact Of Historical Trauma, Self-Compassion, And Resistance Against Racism Among African Americans, Darrick Scott

Graduate Doctoral Dissertations

For African Americans, historical trauma is described as collective psychological, emotional and cognitive distress, producing an intergenerational impact through repeated experiences of oppression that both stems from slavery and continues into the present day through patterned experiences of racism (Williams-Washington & Mills, 2018). The current study explored the association between historical racial trauma, resistance and empowerment against racism, self-compassion, and internalized racism, and symptoms of depression in a sample of 100 African American adults. Due to low internal reliability of the measure, self-compassion in the context of historical trauma could not be examined. The study included exploration of simple correlations, …


An Empirical Examination Of The Dyadic Partner-Schema Model Of Relationship Distress And Depression, Jesse Lee Wilde Ms. Jul 2023

An Empirical Examination Of The Dyadic Partner-Schema Model Of Relationship Distress And Depression, Jesse Lee Wilde Ms.

Electronic Thesis and Dissertation Repository

Romantic relationship discord is prevalent in depression and has been repeatedly associated with poor prognosis for the disorder. Although a significant body of literature has examined the ways in which depressive self-schema structures (SSS) are implicated in depression, a paucity of research has investigated the role of partner-schema structures (PSS) in the disorder. The Dyadic Partner Schema Model (DPSM; Wilde & Dozois, 2019) was recently developed as a novel theoretical model of the mechanisms that maintain relationship distress in depression. This dissertation provided the first direct empirical examination of the DPSM by examining four main research questions: (1) how are …


Implementation Of A Progressive Muscle Relaxation Intervention To Decrease Cancer Patients' Distress: A Quality Improvement Project., Theresa Thomas Jul 2023

Implementation Of A Progressive Muscle Relaxation Intervention To Decrease Cancer Patients' Distress: A Quality Improvement Project., Theresa Thomas

Doctor of Nursing Practice Papers

Background: People affected by cancer often experience psychological distress that ultimately decreases their health, adherence to treatment, overall well-being, and quality of life. Research has shown that MBIs can reduce psychological distress, depression, and anxiety and increase quality of life. A needs assessment conducted within a local cancer support organization, Gilda’s Club Kentuckiana, has expressed the need for providing a more comprehensive range of accessible MBIs in their programming to meet their psychosocial goals by reducing psychological distress in their members. PMR is an MBI not currently used by GCK that has been proven effective at reducing anxiety, depression, and …


Physical Activity And Depressive Symptoms In Adolescence: Direction Of Effects And Mechanisms Of Influence, Bridget Brush Jun 2023

Physical Activity And Depressive Symptoms In Adolescence: Direction Of Effects And Mechanisms Of Influence, Bridget Brush

College of Science and Health Theses and Dissertations

Physical activity (PA) is associated with numerous physical and mental health benefits, such as decreased rates of cardiovascular disease and depression. Stress-response systems may play an important role in this relationship as PA has been shown to cause adaptations to both physiological and psychological stress systems. Less is known about the short and long-term effects of PA on depressive symptoms in adolescents even though adolescence marks an important period of development with regard to changes in rates of depression and physical activity. The objectives of this study were to evaluate concurrent and prospective associations of PA on depressive symptoms in …


The Protective Effects Of Physical Activity Coping And Environmental Supports On Academic Stress Among Adolescents, Taylor Swenski Jun 2023

The Protective Effects Of Physical Activity Coping And Environmental Supports On Academic Stress Among Adolescents, Taylor Swenski

College of Science and Health Theses and Dissertations

This study aims to identify how physical activity (PA) coping interacts with environmental risks and resources to predict youth mental health. Academic stress poses a threat to adolescent wellbeing, and has been linked to adverse mental health outcomes, including depression and anxiety. Previous research has established that engaging in PA protects adolescents from depression and anxiety. However, very little is known about how PA may function as a coping mechanism, specifically (i.e. PA coping). PA is influenced by risks (e.g. crime, low built environment quality, etc.) and resources (e.g. accessibility, exercise equipment, etc.) in one’s environment, and accordingly, the present …


Associations Between Tiktok Use, Mental Health, And Body Image Among College Students, Alexz Carpenter May 2023

Associations Between Tiktok Use, Mental Health, And Body Image Among College Students, Alexz Carpenter

Honors Theses

Background. Social media use continues to increase globally, and there is a large field of research examining the relationships between social media use with anxiety, depression, and body image. College-aged students are particularly vulnerable to these associations because they are at a unique developmental point of their life. College-aged students also use social media more frequently than almost any other age group, which may put them at increased risk for negative mental health and body image outcomes related to their social media use. TikTok is a relatively new social media app that has exponentially risen in popularity, especially among younger …


Analyzing The Unique Role Of Repetitive Negative Thinking On Insomnia In College Students, Lara Fair May 2023

Analyzing The Unique Role Of Repetitive Negative Thinking On Insomnia In College Students, Lara Fair

Honors Theses

Repetitive negative thinking is a transdiagnostic construct that conceptually covers worry and rumination, which are strongly associated with anxiety and depression. Worry is typically future oriented, whereas rumination is past oriented. RNT has been posited as a causal and maintaining factor for multiple disorders, including generalized anxiety disorder, depression, and insomnia. The current study aimed to further understand the contribution of RNT in insomnia symptoms, after controlling for anxiety and depression. A self-report battery measuring anxiety, depression, RNT and insomnia was administered to 101 college students. In this sample, 52% of participants endorsed clinical levels of insomnia. Bivariate correlations found …


Examining The Relationship Between Misophonia And Depression, Mary Bishop May 2023

Examining The Relationship Between Misophonia And Depression, Mary Bishop

Honors Theses

Because research on misophonia is in its early stages, few studies have examined correlations with other disorders. Misophonia has been shown to co-occur with a variety of anxiety-related and mood disorders. Understanding the link between depression and misophonia is important because both disorders contribute to significant impairment in daily work, social, and role functioning. This study aims to examine the relation between misophonia and depression in a community sample, which would expand knowledge demonstrated by previous studies using clinical and college samples. We hypothesized that misophonia and depression would have a positive correlation and that women would experience higher levels …


The Potential Of Using Dance/Movement Therapy In Treating Depression In The Adult Population In Thailand: A Literature Review, Vararom Tavivoradilok May 2023

The Potential Of Using Dance/Movement Therapy In Treating Depression In The Adult Population In Thailand: A Literature Review, Vararom Tavivoradilok

Expressive Therapies Capstone Theses

Depression is becoming increasingly prevalent in Thailand, and while many depressive symptoms manifest through the physical body, there are few treatments for depression in Thailand that involve the physical body. Previous research suggests that Dance Movement Therapy (DMT) can effectively treat depression by incorporating the physical body and individuals’ embodied feelings into the treatment process. This literature review aims to explore the potential of incorporating DMT into the treatment for depression in the adult population in Thailand, by reviewing literature about DMT practice for depression and existing treatments for depression in Thailand. The findings suggest that while physical body incorporation …


Understanding The Role Of Emotion Regulation Tendencies In The Momentary Associations Between Negative Affect And Eating Disorder Behaviors., Coby D. Banet May 2023

Understanding The Role Of Emotion Regulation Tendencies In The Momentary Associations Between Negative Affect And Eating Disorder Behaviors., Coby D. Banet

College of Arts & Sciences Senior Honors Theses

Background: Eating disorders (EDs) are becoming increasingly commonplace and are associated with a broad array of dangerous medical complications. Further, EDs frequently present alongside comorbid psychiatric disorders (e.g., depressive and anxiety-related disorders), which are known to both predict ED severity and reduce treatment efficacy. While diagnostic categorization persists, Fairburn et al.’s (1993) transdiagnostic model suggests EDs may be more closely related and maintained through core, shared symptoms. To assess ED maintenance, momentary triggers such as negative affect (NA) are becoming increasingly centralized. The present study examines the roles of depressive symptoms and worry in predicting and moderating the relationships among …


Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton May 2023

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Undergraduate Theses and Capstone Projects

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …


Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton May 2023

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …


Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton May 2023

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …


Demographic And Clinical Variables Associated With Transcranial Magnetic Stimulation Response In Depression: A Growth Mixture Modeling Study, John William Capps May 2023

Demographic And Clinical Variables Associated With Transcranial Magnetic Stimulation Response In Depression: A Growth Mixture Modeling Study, John William Capps

Open Access Theses & Dissertations

Depression is a growing public health crisis impacting millions around the world. Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment for depression which has been FDA approved but the factors related to how well patients respond are still under investigation. The current study aimed to identify different treatment response patterns based on Patient Health Questionnaire (PHQ-9) scores over the course of transcranial magnetic stimulation (TMS) treatment for depression and to identify the differences between these response classes on demographic and clinical variables. A total of 285 patients from a psychiatric clinic were included with a sizable number of Hispanics and …


The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams May 2023

The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams

Undergraduate Honors Theses

Risky sexual behaviors (RSB) have the potential to negatively impact individuals by increasing the risk of mental health issues, sexually transmitted infections (STIs), and unwanted pregnancies. Adverse childhood experiences (ACEs) and mental health disorders, such as anxiety, PTSD, and depression, have been known to increase RSB. The purpose of this study was to see if these mental health disorders mediate the relationship between ACEs and RSB. Participants (n = 342, mean age = 32) were recruited through social media to complete an online questionnaire. While history of ACEs significantly predicted engagement in RSB as well as all three of the …


How Does Having A Pet During The Coronavirus-19 Pandemic Among University Students Affect Anxiety And Depression, Sugey Gonzalez-Escobedo, Jessica Morales Sanchez May 2023

How Does Having A Pet During The Coronavirus-19 Pandemic Among University Students Affect Anxiety And Depression, Sugey Gonzalez-Escobedo, Jessica Morales Sanchez

Electronic Theses, Projects, and Dissertations

This study examined whether having a pet among university and college students is associated with anxiety and depression during the Coronavirus-19 pandemic. A modified survey of a non-probability sample was conducted during a 5-month period during the Coronavirus-19 pandemic. A total of 115 students voluntarily participated and completed the survey. In the midst of the pandemic, students were forced to isolate themselves in their homes. This isolation may have caused anxiety and depression in students. However, a furry companion could have alleviated any anxiety/depression symptoms they may have endured during this time. This research contributes to the literature in regard …


Posttraumatic Stress, Depression, And Subjective Social Status: Potential Moderating Effects Of Optimism, Resilience, And Self-Efficacy, Caterina Obenauf May 2023

Posttraumatic Stress, Depression, And Subjective Social Status: Potential Moderating Effects Of Optimism, Resilience, And Self-Efficacy, Caterina Obenauf

Masters Theses

The present study investigated the potential moderating effects of optimism, resilience, and self-efficacy on the relationships between subjective social status and both posttraumatic stress and depression symptom severity in a sample of undergraduate students (N = 382, M = 19.4, SD = 1.6, 81.5% White, 60.9% cisgender women) who reported experiencing one or more traumatic events. Many participants reported the highest education level attained by at least one parent being beyond a college degree (69%). Participants completed measures assessing trauma history, subjective social status, PTSD and depression symptoms, and potential psychological resources of optimism, resilience, and self-efficacy. In the …