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Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel Dec 2025

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …


Substance Misuse And Suicidal Behaviors In An Lgbtqia+ Sample: Examining The Buffering Effects Of Psychological Flexibility And Emotional Regulation, Mariano Ottone Jan 2025

Substance Misuse And Suicidal Behaviors In An Lgbtqia+ Sample: Examining The Buffering Effects Of Psychological Flexibility And Emotional Regulation, Mariano Ottone

Electronic Theses and Dissertations

Suicidal behaviors among LGBTQIA+ individuals, particularly in the context of substance misuse, present a significant area of exploration for mental health research and intervention. It is particularly important to evaluate factors capable of moderating this relationship, to promote more culturally affirming prevention models. This study aimed to explore the moderating roles of emotion regulation (ER) and psychological flexibility in the relationship between substance misuse and suicidal behaviors within the LGBTQIA+ community. Data were collected from 537 LGBTQIA+ adults through an online survey platform. Participants were asked to self-report on measures assessing the constructs of interest. The analysis focused on understanding …


How Does Psychopathology Impact The Trajectory From State To Trait Mindfulness?, Veronica O'Brien Jan 2025

How Does Psychopathology Impact The Trajectory From State To Trait Mindfulness?, Veronica O'Brien

Electronic Theses and Dissertations

Previous research has found that higher levels of trait mindfulness protect against psychopathology (e.g., Chiesa & Serretti, 2013; Desrosiers et al., 2013; Sevilla-Llewellyn-Jones et al., 2018); however, the research on state mindfulness and psychopathology is more mixed. These mixed findings suggest that some clients with higher levels of psychopathology may have greater difficulty engaging with mindfulness practice thereby hampering their progression towards trait mindfulness and its associated benefits. The present study sought to explore how psychopathology (i.e., anxiety, trauma, alcohol use, and depression) relates to the growth of state and trait mindfulness. The present study recruited 274 participants from a …


Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas Dec 2024

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …


P300 Event-Related Potential Responses To Self-Relevant Stimuli, Jordan Razzak May 2024

P300 Event-Related Potential Responses To Self-Relevant Stimuli, Jordan Razzak

Electronic Theses and Dissertations

Previous literature has suggested an apparent P300 sensitivity to self-relevant stimuli. To further explore this relationship, we asked participants to submit 10 photos, each of a particular category (e.g. footwear, plants), to be used as either targets or distractors in a given condition of an oddball task. Furthermore, we attempted to see whether the effect of self-relevance on the P300 could be induced in a participant by allowing them to study a set of unique photos which would then be used as targets. Our analysis suggested that P300 amplitude elicited in response to self-relevant stimuli used as targets was statistically …


Paranormal Beliefs And The Big Five: Extrinsic Optimism, Trust In People, And Fantasy Proneness, Caitlyn Ariel Irene Harvey May 2024

Paranormal Beliefs And The Big Five: Extrinsic Optimism, Trust In People, And Fantasy Proneness, Caitlyn Ariel Irene Harvey

Electronic Theses and Dissertations

There are many inconsistent findings on the relationship between paranormal beliefs and The Big Five. This study aims to clarify the correlations by assessing extrinsic optimism, trust in people, and fantasy proneness. Extrinsic optimism is associated with neuroticism and extraversion. Trust is associated with agreeableness. Lastly, fantasy proneness is associated with openness to experience. It was predicted that paranormal beliefs would be positively correlated with extrinsic optimism, trust in people, and fantasy proneness. It was also predicted that paranormal beliefs would be positively correlated with extraversion, agreeableness, and openness. Correlational and regression analyses were run to test these predictions. Results …


Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price May 2024

Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price

Electronic Theses and Dissertations

Introduction

The prevalence of prediabetes in adults aged 18 or older was as high as 38% between 2017-2020. Youth-onset T2DM is a more aggressive phenotype than T2DM that occurs later in life. Young adults with T2DM have poorer health outcomes, lose an average of 15 years of life, all resulting in significant economic burden impacting the person. Current self-management interventions do not improve health outcomes in young adults with T2DM.

Purpose

The purpose of this research was to explore the self-care experiences of young adults living with T2DM.

Methods

Existential hermeneutic phenomenology informed the research. Inclusion criteria as follows: adults …


The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell May 2024

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …


Harnessing The Power Of Cliftonstrengths®: How Multinational Corporations Can Use Deep-Level Diversity To Enhance Organizational Inclusion, Trapper Kay Pace Apr 2024

Harnessing The Power Of Cliftonstrengths®: How Multinational Corporations Can Use Deep-Level Diversity To Enhance Organizational Inclusion, Trapper Kay Pace

Electronic Theses and Dissertations

This research explicitly investigated how multinational corporations can enhance workplace inclusion through the novel use of the CliftonStrengths® assessment as a dimension of deep-level diversity. The study gleaned insights from employees’ perspectives, employing a constructivist grounded theory approach to explicate their experiences in rich qualitative narratives. Through open-ended surveys and intensive interviews, participants were selected using purposeful sampling to ensure meaningful data collection from the study organizations’ three global regions. The researcher conducted the analysis systematically through the constant comparison of data utilizing the NVivo14 software to assist in constructing codes, themes, and a theoretical schema. Results highlighted the significance …


A Phenomenological Study Of School Psychologists: The Influence Of Implicit Bias On The Disproportionate Identification Rates Of African American Students Evaluated For Emotional Disturbance, Sonya Coe-Milo Mar 2024

A Phenomenological Study Of School Psychologists: The Influence Of Implicit Bias On The Disproportionate Identification Rates Of African American Students Evaluated For Emotional Disturbance, Sonya Coe-Milo

Electronic Theses and Dissertations

As advocates, school psychologists remain ethically responsible and uniquely positioned to identify social injustices and promote nondiscriminatory practices in prekindergarten through grade 12 public education institutions. Implicit bias and its influence on African American students is one such practice. In public education, implicit bias contributes to discipline disproportionality, differentiated teacher support, pedagogical practices, and adult perceptions and expectations of appropriate and inappropriate behaviors. These factors directly correlate to the disproportionate identification rates of African American students for special education and related services. Therefore, this phenomenological qualitative study examined the personal, lived experiences and perceptions of school psychologists regarding implicit bias …


Portraits Of Hispanic And/Or Latino Leadership Development In The Military, Michael Lugo Mar 2024

Portraits Of Hispanic And/Or Latino Leadership Development In The Military, Michael Lugo

Electronic Theses and Dissertations

Abstract

The study presented denotes a continuous transition among the Hispanic and/or Latino demographics in the military and the cadet accounts of military inequality incidents while in the military (Cabrera et al., 2017; Eckel & King, 2004). To assist Hispanic and/or Latino needs based on demographics and environment (National Center for Education Statistics, 2019). Military leaders contribute to growing a diverse, inclusive, and equitable military force for all ethnic groups. The Department of Defense (DoD) is the most racially and ethnically diverse workplace in the United States (Daniel et al., 2022). Nevertheless, racial/ethnic harassment and discrimination in the military continue …


Empowering Voices: Exploring The Career Trajectories Of Women Of Color Hr Professionals Amid Disruptive Change, Brandi R. Muñoz Mar 2024

Empowering Voices: Exploring The Career Trajectories Of Women Of Color Hr Professionals Amid Disruptive Change, Brandi R. Muñoz

Electronic Theses and Dissertations

This study investigated strategies to enhance diversity, equity, inclusion, and belonging initiatives in organizational leadership, focusing on supporting women of color in the workplace. The specific problem addressed was the underrepresentation and barriers faced by women of color in leadership positions despite their potential contributions to organizational success. The study employed a qualitative approach, combining qualitative interviews with socioeconomic data analysis. Data collection methods included semistructured interviews with women of color and a survey to gather demographic and employment information. The sample consisted of 16 women of color human resource professionals working in various industries and organizational settings across the …


Pathways From Childhood Sexual Abuse To Sexual Risk Behaviour In Msm: A Mixed Methods Study, Daniel Provenzano Jan 2024

Pathways From Childhood Sexual Abuse To Sexual Risk Behaviour In Msm: A Mixed Methods Study, Daniel Provenzano

Electronic Theses and Dissertations

Men who have sex with men (MSM) are disproportionately affected by childhood sexual abuse (CSA) compared to heterosexual men. CSA has been associated with a wide range of adverse outcomes later in life, including engagement in sexual risk behaviours (e.g., condomless anal intercourse), that place MSM at greater risk for HIV acquisition and transmission. Although the links between CSA and sexual risk are well-established among MSM, little research has investigated psychosocial factors that may mediate this relationship. Using a mixed-method approach, this study (a) explored psychosocial factors as pathways linking a composite of complex CSA experiences (i.e., CSA complexities) with …


Social Support In Black Individuals: The Moderating Effects On The Relationship Between Resilience And Well-Being, Imani Elise Crosby Jan 2024

Social Support In Black Individuals: The Moderating Effects On The Relationship Between Resilience And Well-Being, Imani Elise Crosby

Electronic Theses and Dissertations

Black individuals possess numerous strengths and positive contributions that build strong communities and cultivate psychological well-being (Biglan et al., 2012). However, much of the current literature focuses on hardships Black individuals face, skewing the larger discourse of their lived experience. This exclusive focus on adversity often neglects pathways by which Black people thrive and flourish. It is important to consider how Black experiences relate to a sense of well-being. Resilience, or the ability to “bounce back” from adverse experiences is linked well-being outcomes (APA, 2012). However, it is unknown whether the promotive effects of resilience directly contribute to well-being outcomes …


Development Of A Measure Assessing Adolescent Aggression: The Aggressive Behavior Risk Assessment- Adolescent- Parent Report (Abra-A-Pr), Katherine Fallon Jan 2024

Development Of A Measure Assessing Adolescent Aggression: The Aggressive Behavior Risk Assessment- Adolescent- Parent Report (Abra-A-Pr), Katherine Fallon

Electronic Theses and Dissertations

Although parent-report scales for general behavioral difficulties and aggression (e.g., verbal and physical aggression) exist, there are currently no measures assessing sexual behaviors in this context. Commonly, parent-report measures provide a few items relevant to behavioral aggression, and items encompassing sexually aggressive behaviors are frequently vague and non-specific in the actions being committed by the adolescent. The primary purpose of this project was to develop a comprehensive and multifaceted parent-report measure for aggressive behavior in adolescents. Three separate studies were conducted to evaluate the psychometric properties of the measure. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to investigate …


At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas Jan 2024

At-Risk Children: Adult Perception And Recognition Of Mental Health Concerns, Abby D. Lucas

Electronic Theses and Dissertations

Approximately 20% of children ages nine to 17 in the United States struggle with mental health concerns each year (Gamm et al., 2010). Early identification of child and adolescent mental health concerns is crucial for initiating treatment to prevent recurrence or persistence of pathology into adulthood (Logan & King, 2001). Children are primarily dependent upon adults in their lives (e.g., parents/caregivers, education professionals, healthcare providers) to recognize mental health concerns and seek services (Sayal et al., 2010). Providing these adults with guidance on how to appropriately identify and recognize these mental health needs in children is critical (Crouch et al., …


Examining The Moderating Effect Of Self-Compassion Between Rumination And Alcohol Use, Victoria Forgea Allen Jan 2024

Examining The Moderating Effect Of Self-Compassion Between Rumination And Alcohol Use, Victoria Forgea Allen

Electronic Theses and Dissertations

Abundant research suggests alcohol use among college students as a public health concern (SAMHSA, 2014). Previous studies support rumination, a manner of responding to emotional distress which involves repetitively and passively focusing on the distress, is linked to problematic alcohol use among college students (Oswalt et al., 2020). On the other hand, not all college students who experience rumination engage in problematic alcohol use which suggests the presence of a moderating variable. Due to its emotion regulating abilities and positive associations to well-being, self-compassion may be on factor that affects the relationship between rumination and alcohol use (Diedrich et al., …


Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen Jan 2024

Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen

Electronic Theses and Dissertations

Alcohol is the most regularly used intoxicating substance in most geographic locations. Alcohol use in the United States specifically is well over global averages. While alcohol misuse is generally considered to be understood as a problem for younger adults, it is often unrecognized and understudied older adult populations. Currently, there is an absence of a comprehensive tool measuring for developmentally salient behaviors, symptoms, and features of alcohol misuse in older adulthood, which blocks researchers’ ability to measure alcohol misuse well. The purpose of this study is to develop a psychometrically valid and reliable assessment of alcohol misuse for older adult …


Psychotherapist Awareness And Competence Managing Social Media Concerns, Jing Wen Ong Jan 2024

Psychotherapist Awareness And Competence Managing Social Media Concerns, Jing Wen Ong

Electronic Theses and Dissertations

Social media use increased substantially in recent years, spurring the growth of research focused on its association with mental health. Previous research examined the relationship between positive and negative aspects of mental health and social media use. Other studies explored the relevance of social media to professional practice of psychologists including the use of social media to reach populations with limited access to mental health services and ethical dilemmas arising from social media use; however, there is limited understanding of the pertinence of social media to concerns that clients discuss in therapy and therapist competence in handling these discussions. The …


Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield Jan 2024

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

Electronic Theses and Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …


Functional Cynicism, Michelle Fried Dec 2023

Functional Cynicism, Michelle Fried

Electronic Theses and Dissertations

Trait cynicism, or “cynical hostility” as measured by the Minnesota Multiphasic Personality Inventory’s Cook-Medley Scale, is defined and studied as characteristics associated with psychopathology, interpersonal conflict, and negative health outcomes including heart disease and cognitive decline. Likewise, “organizational cynicism” is operationalized in industrial/organizational psychology for the purpose of describing and identifying an undesirable employee type in the workplace. This research proposes an alternative assessment. It reconnects cynicism with its roots in ancient philosophy by asking if cynical attitudes, despite their negative valence ascribed in the modern literature and conventional opinion, may serve a practical purpose. This study of Functional Cynicism …


Negative Psychology Of Anti-Semitism: Fear Of The Uncategorizable, Benjamin Strosberg Dec 2023

Negative Psychology Of Anti-Semitism: Fear Of The Uncategorizable, Benjamin Strosberg

Electronic Theses and Dissertations

Anti-Semitism is a pervasive global issue, particularly prominent in the United States. Studying and defining anti-Semitism prove remarkably challenging for scholars, leading to inadequate understanding and exclusion from contemporary academic discourse and social justice initiatives. In this dissertation, I made the case that anti-Semitism is hard to categorize, stemming, in part, from the difficulty in categorizing what it is to be Jewish, which seems to be multi-form (a figure of thought, a race, an ethnicity, a religion, a nation, none of the above). In thinking about the difficulty in categorization, I constellated various instances of anti-Jewish practices across historical epochs …


A Demonstration Of Enactivist Personality Assessment Using The Five-Factor Model, Garri Hovhannisyan Dec 2023

A Demonstration Of Enactivist Personality Assessment Using The Five-Factor Model, Garri Hovhannisyan

Electronic Theses and Dissertations

This dissertation seeks to extend the intellectual and existential horizon of the enactive approach by bringing forth an enactivist understanding of human cognitive life as it is lived from the perspective of personality traits. The theoretical task of this dissertation is to review existing evidence in support of the Enactivist Big-5 Theory (EB5T) of personality and its potential for bridging the phenomenological gap between minimal and human cognition. As a phenomenologically grounded theory of personality, EB5T conceptualizes individual differences not merely as differences in trait measures within a person but as differences in styles of how individuals bring forth, experience, …


The Impact Of Sitting And Crawling On The Acquisition Of Object Permanence In Infants With Motor Delays And Infants With Typical Development, Karl Jancart Dec 2023

The Impact Of Sitting And Crawling On The Acquisition Of Object Permanence In Infants With Motor Delays And Infants With Typical Development, Karl Jancart

Electronic Theses and Dissertations

Object permanence (OP) is the ability to understand that objects continue to exist even when they cannot be perceived. During play, infants with an understanding of OP will continue searching for toys when the toys have been obscured by other items. Searching requires movement. The theory of embodied cognition maintains that the form and function of an organism’s body influence how the organism learns; Therefore, if a child has difficulties with movement, as demonstrated by children with motor delays, they will likely have difficulty engaging in play, the modality by which children learn about their world. The current research is …


Understanding The Psychological Significance Of Astrology In Millennial Women's Lives, Rachel June Floyd Dec 2023

Understanding The Psychological Significance Of Astrology In Millennial Women's Lives, Rachel June Floyd

Electronic Theses and Dissertations

In North America, astrology has been experiencing a resurgence in popularity. This is immediately remarkable given that the United States and Canada are industrialized, modern societies where astrology is widely lamented as a pseudoscience. This dissertation presents a phenomenological exploration of the underlying reasons for this cultural trend, particularly among the demographic that uses it most: millennial women. Existing psychological literature on astrology is primarily dominated by correlational studies or historical analyses and lacks the depth and richness of direct experiences of individuals engaging with this phenomenon. This study sought to address this gap within psychological literature specifically, by conducting …


Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill Dec 2023

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …


Connections Between Polyvictimization, Daily Stress, Emotion Regulation, And Mental Health Symptoms: An Ecological Momentary Assessment Study., Zoe L. Bridges-Curry Dec 2023

Connections Between Polyvictimization, Daily Stress, Emotion Regulation, And Mental Health Symptoms: An Ecological Momentary Assessment Study., Zoe L. Bridges-Curry

Electronic Theses and Dissertations

Background and Objectives: Individuals who experience polyvictimization, or victimization across multiple life contexts, evidence particularly severe outcomes across a range of mental health diagnoses. Preliminary evidence suggests that emotion regulation difficulties and stress sensitization effects may help explain observed links between trauma exposure and mental health symptoms. However, the use of between-subjects designs to address within-subjects processes – a common approach across this literature – can result in erroneous interpretation of findings. Moreover, widespread reliance on retrospective trait measures of emotion regulation, daily stressors, and mental health symptoms have limited insight into the ways that these processes unfold in daily …


Formalizing The Faustian Bargain Within The Healthcare Domain: An End-Of-Life Approach., Rachel Appel Dec 2023

Formalizing The Faustian Bargain Within The Healthcare Domain: An End-Of-Life Approach., Rachel Appel

Electronic Theses and Dissertations

A Faustian Bargain refers to an individual making a “deal with the devil,” exchanging something moral or sacred for an unattainable earthly good. The Faustian Bargain has been used to describe a ubiquitous social dilemma inherent to human civilization: exchanging individual liberty for public goods (e.g., security) provided by societal leaders and governments (Ostrom, 1980). Research on Faustian Bargains often examines tradeoffs between outcome utility (i.e., value derived from the outcomes of a decision) and procedural utility (i.e., value derived from being involved in the decision process (e.g., Frey et al., 2004). Much of the research on Faustian Bargains has …


A Study Of Group Effectiveness In A Virtual Reality Environment., Dalton Clay Sparks Dec 2023

A Study Of Group Effectiveness In A Virtual Reality Environment., Dalton Clay Sparks

Electronic Theses and Dissertations

Virtual Reality (VR) technology has revolutionized the study of team effectiveness, yet many studies in this domain lack a comprehensive approach, focusing narrowly on performance metrics. This thesis investigates VR team effectiveness by integrating traditional Team Effectiveness frameworks with VR-specific dynamics. Utilizing Data Envelopment Analysis (DEA) and Group Style Inventory (GSI), this study assesses teams within a VR environment, specifically a multiplayer submarine simulation game, IronWolfVR. Fifteen groups, totaling 45 participants, were observed for their collaborative gameplay, incorporating physiological measures (Heart Rate and Electrodermal Activity), team coordination dynamics, and various survey-based assessments (demographics, System Usability Scale, Simulator Sickness Questionnaire, and …


The Association Of Perceived Stress With Anxiety-Related Symptoms During Use Of The Mindshift App, Emily Jerome Nov 2023

The Association Of Perceived Stress With Anxiety-Related Symptoms During Use Of The Mindshift App, Emily Jerome

Electronic Theses and Dissertations

Background: Despite their potential to increase public accessibility for mental health resources, little prior research evaluated factors that may moderate the utility of e-mental health interventions. Research to identify moderators of e- mental health response would guide the development of interventions to meet the needs of presently underserved populations. Objective: The present study extended a North American open label trial of a smartphone-based mental health app (MindShift, Anxiety Canada) designed by psychologists and psychiatrists to increase public accessibility to evidence-based anxiety resources. Specifically, this study examined the role of perceived self- efficacy and helplessness to moderate individuals’ response to use …