Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

PDF

Psychology

Theses/Dissertations

2017

Anxiety

Institution
Publication

Articles 1 - 30 of 36

Full-Text Articles in Entire DC Network

Psychological Distress And Adjustment In College Students, Donovan A. Miles Dec 2017

Psychological Distress And Adjustment In College Students, Donovan A. Miles

Theses and Dissertations

The mental health needs of college students have risen dramatically. According to Kitzrow (2003), an estimated 84% of students who walked into a school counseling centers show significant causes for concern. These students were at high risks because of a variety of psychological distress. The current study sought to understand the multidimensional impact of mental health concerns on students' academic adjustment. Undergraduate students from a northeast public university completed an online survey that comprised of demographic information and two Likert type scales that measured psychological distress and academic adjustment. Results indicated that depression, generalized anxiety, social anxiety, and eating concerns …


Better Health Through Horticulture: Using Horticulture To Influence Behavior And Reduce Stress, Rachel Ochylski Nov 2017

Better Health Through Horticulture: Using Horticulture To Influence Behavior And Reduce Stress, Rachel Ochylski

All NMU Master's Theses

Horticultural intervention in the form of gardening workshops connect participants to nature while they nurture another living organism. Horticultural intervention provides opportunities to socialize and engage in a meaningful activity, which have been recognized as helpful in the treatment of common mental health difficulties such as depression and anxiety. There is a lack of experimental studies based on quantitative data that focus on the effects of horticulture on holistic human health. The author evaluated the effects of a horticultural intervention on two separate groups, older adults and college students. The behavioral effects of engaging in gardening activities were evaluated using …


Physiological Correlates Of Affective Decision-Making In Anxiety And Depression, Louisa I. Thompson Sep 2017

Physiological Correlates Of Affective Decision-Making In Anxiety And Depression, Louisa I. Thompson

Dissertations, Theses, and Capstone Projects

Improving our understanding of cognitive and physiological profiles in anxiety and depression has the potential to reveal novel ways to target and improve treatments for these prevalent mental health conditions. The present study examined the impact of self-reported anxiety and depression symptoms on three established decision-making measures, the Iowa Gambling Task (IGT; Bechara, Damasio, Damasio, & Anderson, 1994), Balloon Analogue Risk Task (BART; Lejuez et al., 2002), and Game of Dice Task (GDT; Brand et al., 2005), in a diverse sample of 100 college students (age 18 to 35). Physiological measures of tonic heart rate variability and galvanic skin response …


A Tale Of Two Tasks: Comparing Steady-State Visually Evoked Potentials With The Dot Probe As Measures Of The Anxiety-Related Threat Bias, Aqib J. Chowdhury Aug 2017

A Tale Of Two Tasks: Comparing Steady-State Visually Evoked Potentials With The Dot Probe As Measures Of The Anxiety-Related Threat Bias, Aqib J. Chowdhury

Theses and Dissertations

The present study explored how the anxiety-related threat bias (TB) measured by the dot probe is associated with steady-state visually evoked potentials (ssVEPs). ssVEPs were not significantly correlated with TB measured by the dot probe, suggesting that the dot probe and ssVEPs may index distinct components of attention to threat.


Self-Forgiveness In Japanese Adolescents., Tetsuo "Ted" Sato Aug 2017

Self-Forgiveness In Japanese Adolescents., Tetsuo "Ted" Sato

Electronic Theses and Dissertations

The literature of forgiveness has been proliferated the last two decades (Davis et al., 2015b), but it has primarily focused on forgiveness of others and the research of self-forgiveness has just increased in recent years (Worthington & Langberg, 2012). Woodyatt and Wenzel (2013a) proposed a process-oriented approach of self-forgiveness while considering three possible responses to the self (i.e., genuine self-forgiveness, pseudo self-forgiveness, and self-punitiveness) after interpersonally offending others. Self-forgiveness among children and adolescents and in Japanese culture was discussed. The association of self-forgiveness to depressive and anxiety symptoms, and culturally and developmentally unique factors (i.e., fear of negative evaluation and …


Health Literacy, Depression, Anxiety, And Posttraumatic Stress Disorder As Predictors Of Biological Markers Of Immune Functioning In Youth And Young Adults With Hiv, Courtney A. Lynn Jul 2017

Health Literacy, Depression, Anxiety, And Posttraumatic Stress Disorder As Predictors Of Biological Markers Of Immune Functioning In Youth And Young Adults With Hiv, Courtney A. Lynn

USF Tampa Graduate Theses and Dissertations

Human immunodeficiency virus (HIV) is a virus that affects the body’s immune system (Centers for Disease Control [CDC], 2016a). HIV is a worldwide epidemic and disproportionately impacts youth in the United States. Youth living with HIV (YLWH) face significant mental health problems, namely depression, anxiety, and posttraumatic stress disorder (PTSD) with rates of these disorders discrepant from those in the general population. In addition to psychological difficulties, health literacy is another factor that influences individuals with HIV and is a priority of research with adolescents (Kalichman et al., 2000; Manganello, 2008). The National HIV/AIDS Strategy: Update 2020 (White House Office …


The Relationship Between Anxiety, Mind Wandering And Task-Switching: A Diffusion Model Analysis, Andree Hartanto Jul 2017

The Relationship Between Anxiety, Mind Wandering And Task-Switching: A Diffusion Model Analysis, Andree Hartanto

Dissertations and Theses Collection

Although the negative impact of anxiety on task-switching has been documented, little is known about the extent or mechanisms of this impairment primarily because of the complex nature of task-switching and difficulty in probing the occurrence of worries within participants. To address this issue, we employed a stochastic diffusion model analysis along with a novel thought-probe technique in task-switching paradigm. Across 152 participants, we found state anxiety was linked to higher switch costs in nondecision time but not drift rate parameter of diffusion model, which indicates that the locus of task-switching impairment in anxious individuals is pertinent to the efficiency …


The Effect Of Therapy Dogs On Children In A Learning Environment, Kimberly Ann Sheckler Jun 2017

The Effect Of Therapy Dogs On Children In A Learning Environment, Kimberly Ann Sheckler

Theses and Dissertations

Having a dog in school can seem exciting for many students, but can these furry companions actually help students attain higher levels of academic success? The benefits of therapy dogs in an educational setting can be seen in many research studies. Dogs in the classroom can be used to calm fears, relieve anxiety, and teach skills to students (Lessons Learned from Dogs in the Classroom, 1996). Even though there is much evidence of the positive benefits of therapy dogs in a school, many schools still choose not to have therapy dog programs. This thesis looks at the benefits of therapy …


Psychiatric Disorders Memory And The Future: The Effect Of Anxiety And Depression On Self- Defining Memory And Self-Defining Future Projections, Sarah Irvine Jun 2017

Psychiatric Disorders Memory And The Future: The Effect Of Anxiety And Depression On Self- Defining Memory And Self-Defining Future Projections, Sarah Irvine

Honors Theses

Prior research has found that depression affects how individuals recall self-defining memories by preventing individuals from properly encoding and retrieving memories, resulting in a suspected inability to recall specific events and information (Conway, 1990). The current study aimed to replicate this finding and to examine whether this phenomenon exists within those with higher levels of anxiety, a concept not previously studied. Fifty-three participants were asked to recall two self-defining memories (Singer & Blagov, 2000) and forty- seven participants described where they saw themselves two years from now in order to determine whether depression and anxiety affect future projections as well …


The Contributions Of Perceived Ethnic Discrimination And Rumination To Depression, Anxiety, And Anger In Emerging Adults, Alexis M. Lima May 2017

The Contributions Of Perceived Ethnic Discrimination And Rumination To Depression, Anxiety, And Anger In Emerging Adults, Alexis M. Lima

Psychology

Perceived ethnic discrimination (PED), a type of race-based social stress, is conceptualized as a subjective experience of discrimination based on phenotype, linguistic, or cultural characteristics. As an environmental stressor, it is associated with the same negative outcomes as other stressors such as greater depressive and anxious symptoms, poorer academic performance, and poorer health outcomes. Previous research has focused on PED’s association with mental and physical health outcomes, but cognitive factors (i.e., cognitive ruminations, coping strategies, executive functioning) that might mediate or moderate outcomes have received less attention. Moreover, while some research has investigated the associations of anger rumination and perceived …


Symptoms Of Anxiety And Depression And Suicidal Behavior In College Students: Conditional Indirect Effects Of Non-Suicidal Self-Injury And Self-Compassion, Andrea R. Kaniuka May 2017

Symptoms Of Anxiety And Depression And Suicidal Behavior In College Students: Conditional Indirect Effects Of Non-Suicidal Self-Injury And Self-Compassion, Andrea R. Kaniuka

Electronic Theses and Dissertations

Young adults of college age are at particular risk for psychopathology, non-suicidal self-injury (NSSI) and consequent suicidal behavior, perhaps in a continuum of increasing severity. However, not all persons who experience psychopathological symptoms, or who self-harm, go on to engage in suicidal behavior, perhaps due to protective factors such as self-compassion that buffer this progression. We examined the mediating effect of NSSI on the relation between anxiety/depressive symptoms and suicide risk, and the moderating role of self-compassion on these linkages. Our collegiate sample (N=338) completed: Beck Depression Inventory, Beck Anxiety Inventory, Self-Harm Inventory, Suicidal Behavior Questionnaire-Revised, and the Self-Compassion Scale. …


Anxiety-Like Behaviors And C-Fos Expression In Adult Zebrafish: Effects Of Housing Conditions, Alcohol And Caffeine, Adam Douglas Collier May 2017

Anxiety-Like Behaviors And C-Fos Expression In Adult Zebrafish: Effects Of Housing Conditions, Alcohol And Caffeine, Adam Douglas Collier

Dissertations

Alcohol abuse is the third largest risk factor for disease world, responsible for an estimated 3.3 million deaths each year. The concomitant ingestion of alcohol and caffeine is hypothesized to increase risk factors associated with alcohol use alone by reducing subjective effects of intoxication. The zebrafish (Danio rerio) has recently garnered attention from researchers as an effective pre-clinical in-vivo animal model in behavioral pharmacology research, largely due to small size, low-cost and ease of drug delivery. A number of studies have reported the effects of alcohol and caffeine on zebrafish behavior at a variety of doses. However, the …


Towards A Better Understanding Of Zebrafish Sleep Behavior, Kanza Musarrat Khan May 2017

Towards A Better Understanding Of Zebrafish Sleep Behavior, Kanza Musarrat Khan

Master's Theses

Sleep serves many vital functions in humans, ranging from energy restoration to memory consolidation and information integration. Sleep deprivation is linked to worsened physiological states and psychological conditions. Zebrafish are an emerging model in neurobehavioral research and have recently demonstrated great utility in the study of sleep. This teleost species possesses several of the same neurotransmitter and neuropeptide systems that are involved in the regulation of sleep and waking rhythms in higher order mammals. Previous study of these animals has revealed a differential gene and proteomic expression following sleep deprivation through changes in environmental stimuli. The present study sought to …


Effects Of A Classroom Intervention On Academic Engagement Of Elementary School Students With Anxiety, Lychelle Leatham May 2017

Effects Of A Classroom Intervention On Academic Engagement Of Elementary School Students With Anxiety, Lychelle Leatham

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study evaluated the impact of anxiety reduction on academic engagement for elementary students experiencing high levels of anxiety. For participating students, the anxiety appeared to be impacting academic performance in the school setting. Student participants received modified cognitive behavioral therapy (CBT) including exposure tasks with adult support in the school setting. Both anxiety and academic engagement was monitored by participating students and their teachers. Results show that this intervention has promising outcomes and provides initial support that anxiety reduction increases academic engagement for anxious elementary students


Temperament And Behavior Factors In A Community Sample Of Youth With Selective Mutism, Rachele Alexandra Diliberto May 2017

Temperament And Behavior Factors In A Community Sample Of Youth With Selective Mutism, Rachele Alexandra Diliberto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Children with selective mutism often present as a very diverse population, with both oppositional (APA, 2013; Cohan et al., 2008; Steinhausen & Juzi, 1996), and anxious symptoms (APA, 2013; Kristensen, 2000; Vecchio & Kearney, 2009) most commonly reported. The first aim of the current study was to validate the presence of previously identified anxious and oppositional behavior factors in a community sample of youth with selective mutism. These factors were previously identified in a clinic sample of youth with selective mutism (Diliberto & Kearney, 2016). The second aim was to examine the association of anxious and oppositional behavior factors with …


The Role Of Perceived Stress In The Relationship Between Purpose In Life And Mental Health., Anne Guzman Apr 2017

The Role Of Perceived Stress In The Relationship Between Purpose In Life And Mental Health., Anne Guzman

Psychology ETDs

Although purpose in life (PIL) has been consistently related to better mental health, there is little understanding of whether that may be explained by reducing appraisal of or reactivity to stress. The sample consisted of 546 undergraduate students who completed measures of PIL, perceived stress, and measures of both positive mental health (positive affect, life satisfaction) and negative mental health (negative affect, anxiety, depression). The hypotheses were that PIL would (1) be related to more positive and less negative mental health and (2) be related to less perceived stress, and (3) reduce the effects of perceived stress in increasing negative …


Sex Differences In The Anxiety Effects Of Cannabinoids, Helen T. French Feb 2017

Sex Differences In The Anxiety Effects Of Cannabinoids, Helen T. French

Dissertations, Theses, and Capstone Projects

Aim: Anxiety disorders are twice as common among women, and those with anxiety disorders are 2-3 times more likely to have a substance abuse disorder than the general populace. However, little data exists on the sexually dimorphic effects of cannabinoids. In male humans and rodents, low acute doses of cannabinoids are anxiolytic while high and/or chronic doses are anxiogenic. In the dose response curve (DRC), we examined whether the biphasic effects of cannabinoids observed in males are also present in females. In the CB1R antagonism study, CP55,940-induced CB1R activation was antagonized via the CB1R-selective antagonist rimonabant to test the hypothesis …


Sticking To The Recipe: How Do Adherence And Differentiation To A Cbt Protocol Affect Client Outcomes In Youths With Anxiety?, Ruben G. Martinez Jan 2017

Sticking To The Recipe: How Do Adherence And Differentiation To A Cbt Protocol Affect Client Outcomes In Youths With Anxiety?, Ruben G. Martinez

Theses and Dissertations

Objective: Understanding the pathways through which treatments work to change symptom and diagnostic outcomes is important to the development and delivery of evidence-based treatments. This study assessed the extent to which adherence (therapist’s delivery of prescribed therapeutic interventions) and differentiation (therapist’s delivery of non-prescribed therapeutic interventions) to Coping Cat, a CBT program, affected client symptom and diagnostic outcomes. Method: The Therapy Process Observational Coding System for Child Psychotherapy – Revised Strategies Scale (McLeod et al., 2015) was used to characterize therapeutic interventions delivered within and outside of the Coping Cat program with youths aged 7-15 receiving treatment in one efficacy …


Exploring The Predictive Values Of Self-Evaluations And Cognitive Distortions In Relation To Childhood Anxiety Among Hispanic/Latino Youth, Cristina J. Sperrazza Jan 2017

Exploring The Predictive Values Of Self-Evaluations And Cognitive Distortions In Relation To Childhood Anxiety Among Hispanic/Latino Youth, Cristina J. Sperrazza

PCOM Psychology Dissertations

The purpose of this study was to determine whether self-evaluation and cognitive distortions are predictors of anxiety in Hispanic/Latino youth. Hispanic/Latino elementary- and middle-school students (n = 84) from Grades 4 through 8 (42.9% female; average age = 11.80 years) attending a bilingual inner-city public charter school completed self-reports of anxiety, self-evaluation, and cognitive distortions in their school setting. The selected measure of cognitive distortions, Inventory of Cognitive Distortions (Yurica & DiTomasso, 2005), was revised and factor analyzed for the current child sample. Findings demonstrated that, while taking grade and gender into account, different domains of self-evaluation and cognitive distortions …


Exploring Mediators And Moderators In The Relationship Of Acculturative Stress And Internalizing Symptoms In Hispanic Youth, Victoria A. Schlaudt Jan 2017

Exploring Mediators And Moderators In The Relationship Of Acculturative Stress And Internalizing Symptoms In Hispanic Youth, Victoria A. Schlaudt

Theses and Dissertations

The population of Hispanic children is quickly growing in the United States. Unfortunately, this group has a significant risk of developing internalizing symptoms. The present study examined the complex relationships of cultural and cognitive factors with symptoms of anxiety and depression. Literature suggests that acculturative stress, or the difficulty experienced when adjusting to a new culture, is related to depression and anxiety in Hispanic youth. However, the mechanisms by which acculturative stress relates to anxiety and depression in this population are unknown. Thus, this study attempted to fill these gaps in the current literature by examining potential mediators and/or moderators. …


Longitudinal Bidirectional Relations Between Subtypes Of Anxiety And Callous-Unemotional Traits In Early- To Mid-Adolescence, Stephanie A. Hitti Jan 2017

Longitudinal Bidirectional Relations Between Subtypes Of Anxiety And Callous-Unemotional Traits In Early- To Mid-Adolescence, Stephanie A. Hitti

Theses and Dissertations

Callous-Unemotional (CU) traits are characterized by limited empathy, lack of guilt or remorse, and callous use of others. They are a risk factor for adult psychopathy, especially when comorbid with conduct problems. Thus, efforts to identify risk factors and consequences of CU traits have been prominent. One construct that may act as both a risk factor for and consequence of CU traits among youth is anxiety. While the most consistent finding is in this literature is a negative relation between CU traits and anxiety, findings have been mixed. The present study examined bidirectional relations between three subtypes of anxiety (i.e. …


Biased Attentional Processing For Negative Emotion And Youth Internalizing Psychopathology: The Role Of Attentional Control Deficits, Lauren Darlene Gulley Jan 2017

Biased Attentional Processing For Negative Emotion And Youth Internalizing Psychopathology: The Role Of Attentional Control Deficits, Lauren Darlene Gulley

Electronic Theses and Dissertations

Biased attention for salient negative emotional stimuli is a proposed cognitive mechanism of internalizing disorders, namely depression and anxiety. Previous studies have demonstrated biases in bottom-up, stimulus-driven attentional systems, as well as top-down, goal-oriented attentional systems, in the context of negative emotion. However, the underlying cognitive mechanisms that drive these biases, such as attentional control deficits, are not well understood. Furthermore, given the high degree of conceptual and empirical overlap between depression and anxiety, it is unclear how biased attention might relate to constructs common across both disorders, such as general distress, versus what is specific to each disorder. The …


Synchrony And Concordance: A Multilevel Analysis Of The Effects Of Individual Differences During A Co2 Challenge, Rachel E. Wallace Jan 2017

Synchrony And Concordance: A Multilevel Analysis Of The Effects Of Individual Differences During A Co2 Challenge, Rachel E. Wallace

Theses and Dissertations

Emotion theories posit that emotion systems (e.g., behavior, self-report, physiology) should be related when an emotion is being elicited because this serves an adaptive purpose and allows the individual to respond appropriately to the present situation. Oftentimes, this coherent relationship is not found, and research has hypothesized that the type of analyses used and lack of examination of individual differences could be affecting this relationship. Most studies examine the relationship between emotion systems between-subjects when within-subjects analyses may be more appropriate. The present study examined the relationship between self-reported distress (SUDS) and heart rate, and whether trait differences of anxiety …


Loneliness And Student Health: Replication And Exploratory Analysis, John Copeland Jan 2017

Loneliness And Student Health: Replication And Exploratory Analysis, John Copeland

UNF Graduate Theses and Dissertations

Loneliness occurs in the absence of belonging or social connectedness and has been linked to many physical and mental health problems. Among these conditions are depression, anxiety, sleep disturbance, and stress. College students report these four conditions as the largest barriers to good academic performance. For as much is known about loneliness, much less is known about belonging and health or the role loneliness plays in these relationships prompting a need for investigation. Using a sample of 301 university students, we replicated previous findings that loneliness predicts depression, anxiety, sleep disturbance, and stress. Next we replicated and contributed new findings …


Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson Jan 2017

Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson

Walden Dissertations and Doctoral Studies

Mental health conditions, such as internalizing disorders, in children and adolescents have been attributed to higher than expected levels of high school dropouts, juvenile crimes, and suicide. Previous research studies provide limited information on factors influencing treatment success for children and adolescents diagnosed with internalizing disorders. This study utilized a nonequivalent comparison group design gathered from an archived data set from a sample of children and adolescents (N = 215) who participated in an intensive outpatient managed mental health care treatment program. Self-report data were retrieved from previous responses to the Children's Depression Inventory and Revised Children's Manifest Anxiety Scale …


A Critical Look Through The Eyes Of Youth : A Study Examining High School Student Experiences Of Disrespect From Teachers In Relation To Race And Anxiety And Depression, Annika L. Marques Yokum Jan 2017

A Critical Look Through The Eyes Of Youth : A Study Examining High School Student Experiences Of Disrespect From Teachers In Relation To Race And Anxiety And Depression, Annika L. Marques Yokum

Theses, Dissertations, and Projects

This study examined high school students’ experiences of perceived disrespect enacted by a teacher. The study was grounded in a critical race theory approach that informed data collection and results. Quantitative and qualitative reports were evaluated to determine possible relations between race, non-clinical reports of anxiety and depression and teacher-disrespect in high school. Participants were recruited from East Coast and West Coast regions and included current high school students and emerging adults creating a final sample size of 20 participants. Findings revealed that most participants discussed racial microaggressions when asked about disrespect and experienced significant symptoms of anxiety and depression …


The Mobius Strip Of Total Health: Manipulation Of Thinking Prior To Exercise Activity, Joseph A. Schenk Jan 2017

The Mobius Strip Of Total Health: Manipulation Of Thinking Prior To Exercise Activity, Joseph A. Schenk

Honors College Theses

Research shows mental and physical health are interdependent. We sought to test various methods of external motivation to effect change in the physical performance and mental health of students enrolled in walking classes. We hypothesized that if there was a correlation between physical exercise and mental health and we could motivate individuals to exercise, then that motivation would in turn result in better mental health. Participants, 19 in the pilot and 320 in the main study, were randomly assigned into three groups to receive messages prior to conducting physical activity: those who received neutral messages about exercise, those who received …


Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere Jan 2017

Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere

UNF Graduate Theses and Dissertations

This study explores whether the observed effects of coloring on anxiety and stress apply to the elderly. Two coloring activities were administered to elderly participants to evaluate the effects on stress, anxiety, and working memory. The Mini Mental State Examination was used to establish cognitive level. The Perceived Stress Scale and Brief State Trait Anxiety Inventory were administered to obtain pretest and posttest scores on stress and anxiety levels. Working memory was measured using the Backward Digit Recall to test if the potential calming effects improve working memory. A near significant increase in stress scores was demonstrated in the mandala …


Exploring Racial Ideology And Coping As Moderators Of The Association Between Experiencing Racial Microaggressions And Psychological Outcomes In Black College Student, Terrence Harper Ii Jan 2017

Exploring Racial Ideology And Coping As Moderators Of The Association Between Experiencing Racial Microaggressions And Psychological Outcomes In Black College Student, Terrence Harper Ii

Master's Theses and Doctoral Dissertations

Recently, researchers have investigated how racial identity status attitudes may influence the relationship between experiencing racism and affective responses (i.e., it has been suggested that racial identity may act as a buffer against experiencing negative affect as a consequence of exposure to racial discrimination). While this question has received increased attention in recent years, this literature has not extensively examined this association with more current and refined conceptualizations of subtle discrimination (i.e., microaggressions) and racial ideology. Additionally, the impact of racial coping styles on this association has not yet been examined. As such, the purpose of this study was to …


The Effect Of Cognitive Behavioral Therapy And Chiropractic Care On Stress Reduction, Tracee Felice Williams Jan 2017

The Effect Of Cognitive Behavioral Therapy And Chiropractic Care On Stress Reduction, Tracee Felice Williams

Walden Dissertations and Doctoral Studies

Decreasing the impact of stressors on the body remains an important area of study for the affected population. While there is evidence showing that cognitive behavior therapy (CBT), a psychotherapy approach, results in decreased stress, little was found about the effects of chiropractic treatment (CC) on stress. The purpose of this quantitative archival study was to determine whether the combination therapy of CC and CBT was more effective in decreasing stress than CBT independently. Cognitive neuropsychology served as the theoretical lens. Client data from a mental health and chiropractic care center on the West coast (N = 112) were divided …