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Full-Text Articles in Medicine and Health Sciences

A Helping Hand Out Of The River: Refugee Perspectives For Provider Engagement, Brian L. Isakson, Elizabeth R. Stein, Alexandra Olson, Destiny Waggoner, Jill Holtz, Sara Ali, Suha Amer, Martin Ndayisenga Nov 2023

A Helping Hand Out Of The River: Refugee Perspectives For Provider Engagement, Brian L. Isakson, Elizabeth R. Stein, Alexandra Olson, Destiny Waggoner, Jill Holtz, Sara Ali, Suha Amer, Martin Ndayisenga

Journal of Patient-Centered Research and Reviews

Purpose: A growing number of refugee groups are seeking care within the U.S. health care system for medical, psychological, and social needs. Research is limited in understanding refugee-specific conceptualizations of helping relationships and provider characteristics that improve interactions in health systems. This study aimed to identify provider characteristics that facilitate engagement and helpfulness in a refugee-specific population from refugee participant voices to inform future practices of health care clinics.

Methods: Semi-structured interviews with refugee participants were conducted to assess 1) experiences moving on from difficult experiences, 2) engagement with the health system, and 3) provider characteristics that facilitated engagement and …


Crossing Schools, Language, And Migration Borders: The Experiences Of Latinx And Caribbean Emergent Multilingual Mothers In K-12 Public Schools, Michelle Angelo-Rocha Nov 2023

Crossing Schools, Language, And Migration Borders: The Experiences Of Latinx And Caribbean Emergent Multilingual Mothers In K-12 Public Schools, Michelle Angelo-Rocha

USF Tampa Graduate Theses and Dissertations

Anti-immigrant sentiment and "English-only" ideologies have a significant impact on educational policies, practices, and processes. This includes parental engagement, the quality of education and life opportunities offered to immigrant children, and families’ well-being. The purpose of this study was to examine how Latinx and Caribbean mothers in Florida with various immigration statuses (i.e., undocumented, asylum seekers, refugees, international students, and mixed-status) and often with limited financial resources attempt to steward their children through the U.S. educational system. The research question was: How did emergent multilingual immigrant mothers experience the K-12 education system in Florida? The sub-question was: How did schools …


The Power Of Protective Factors: A Framework For Mental Health Action And Education, Rich Stowell Sep 2023

The Power Of Protective Factors: A Framework For Mental Health Action And Education, Rich Stowell

Journal of Nonprofit Innovation

Mental health advocates, practitioners, and research have long used the framework of risk factors and protective factors to understand mental health. This article examines the origins of the concept of protective factors and describes how it contributes to the applications of resources in the mental health space.


Non-Prescribed Pain Reliever Trends From 2011-2020 And Their Effects On Uninsured Americans’ Mental Health, Samantha M. Guajardo, Wan-Lin Chang Sep 2023

Non-Prescribed Pain Reliever Trends From 2011-2020 And Their Effects On Uninsured Americans’ Mental Health, Samantha M. Guajardo, Wan-Lin Chang

Research Symposium

Background: In 2019, it was reported by the National Survey of Drug Use and Health (NSDUH) that 10.1 million Americans misuse pain relievers, and of those individuals, 50.8% were not prescribed by a health care provider. The same report also indicates that there is a direct correlation between substance use and mental health disorders (NSDUH, 2019). In 2020, the NSDUH reported that 49.5% of Americans do not receive mental health treatment for their substance use disorder. Of that percentage, 30.4% did not receive treatment for health insurance reasons. According to the CDC, 31.6 million Americans reported not being insured in …


Effect Of Depression And Anxiety On Rehabilitation Adherence And Injury Recovery In Collegiate Athletes, Luis Torres, Shala E. Davis, Colleen A. Shotwell, Frederick A. Gardin Sep 2023

Effect Of Depression And Anxiety On Rehabilitation Adherence And Injury Recovery In Collegiate Athletes, Luis Torres, Shala E. Davis, Colleen A. Shotwell, Frederick A. Gardin

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: The noted prevalence of depressive and anxious symptomology both pre-injury and post-injury in collegiate athletes raises concern regarding their ability to maintain appropriate rehabilitation adherence in their recovery from sports injury. The purpose of this study was to further explore the effect of depressive and anxious collegiate athlete symptoms on athletic trainers’ perceptions of rehabilitation adherence and return-to-play. Methods: NCAA Division II and Division III injured collegiate athletes (N = 19, M age = 20.58 ± 1.31) were observed throughout their rehabilitation programs by 5 separate collegiate athletic trainers. Collegiate athlete depressive and anxious symptoms were assessed during preseason …


Policy Analysis Report: Later Class Start Time For Adolescents, Lee Anne Brannon Sep 2023

Policy Analysis Report: Later Class Start Time For Adolescents, Lee Anne Brannon

Journal of Multicultural Affairs

This policy analysis offers possible solutions to the problem of early school start times across the United States. The average start time in middle and high school campuses is earlier than the recommended start time outlined by medical professionals. This report offers the rationale and research-based evidence to help schools understand the need for later start times, as developmentally appropriate for adolescent students.


The Relationship Between Obesity And Depression Among Federally Qualified Health Center Patients, Hwanseok Choi Sep 2023

The Relationship Between Obesity And Depression Among Federally Qualified Health Center Patients, Hwanseok Choi

Journal of Public Health in the Deep South

Background: Obesity has reached epidemic levels in Mississippi. In the shadow of these skyrocketing obesity levels, there are comorbid high levels of depression. Both obesity and depression complicate and, in many cases, compromise critical health outcomes. A significant association between obesity and depression has been suspected for decades. Purpose: The purpose of this study is to examine the relationship between obesity and depression among patients receiving medical care from a Federally Qualified Health Center (FQHC) in a southern state. Methods: The sample was comprised of 3,272 subjects. The Patient Health Questionnaire (PHQ-9) was used to measure the severity of depression, …


Perceptions Of Mental Health Among Pakistani Women With Micro-Finance Loans: An Interpretive Descriptive Study, Farhana Irfan Madhani, Catherine Tompkins, Susan Jack, Carolyn Byrne Aug 2023

Perceptions Of Mental Health Among Pakistani Women With Micro-Finance Loans: An Interpretive Descriptive Study, Farhana Irfan Madhani, Catherine Tompkins, Susan Jack, Carolyn Byrne

The Qualitative Report

Mental health has gained significant recognition and importance as a crucial aspect of overall well-being. An individual's mental health is influenced by the intersection of individual, social, cultural, and systematic sources of stress and resilience. It is important to include subjective conceptualizations of mental health and well-being to develop culturally sensitive approaches to mental health promotion. This qualitative study aimed to understand how urban-dwelling women living in Pakistan who are micro-finance loan recipients conceptualize the meaning of mental health. Using interpretive description methodology, data were collected and analyzed through in-depth, semi-structured interviews conducted in Urdu with a purposeful sample of …


Supporting Oaxacan Youth Mental Health, Academic Achievement, And Cultural Connection, Itahi Arteaga, Jazminne Orozco Arteaga, Rebecca Heymann Aug 2023

Supporting Oaxacan Youth Mental Health, Academic Achievement, And Cultural Connection, Itahi Arteaga, Jazminne Orozco Arteaga, Rebecca Heymann

Summer 2023 Virtual OTD Capstone Symposium

Oaxacan Indigenous youth in the U.S. experience generational, cultural, and social conflicts that impact their participation, performance, and well-being, yet there are no occupation-based programs that address their mental health, academic achievement, and cultural connection In San Diego.

The purpose of the capstone project was to develop a culturally-informed occupational therapy program for Oaxacan indigenous youth that will motivate and provide the skills needed to navigate different cultures while encouraging belonging.


Employment And Mental Matters Amongst Formerly Incarcerated Women, Convalecia Johnson, Monica Watford, Stephanie Riedmueller Aug 2023

Employment And Mental Matters Amongst Formerly Incarcerated Women, Convalecia Johnson, Monica Watford, Stephanie Riedmueller

Summer 2023 Virtual OTD Capstone Symposium

The purpose of this project was to implement a program for formerly incarcerated women to provide employment preparation and mental health resources to address recidivism. An occupational therapy lens was used to develop and execute this program. One on one Zoom sessions were held for participants to work on resumes and mock interviews for employment preparation. Participants were also provided with a resource guide for future reference. A mixed methods approach was utilized to analyze the data from the pre and post program surveys administered to the participants. Based on the results, the participants found the program to be beneficial …


Navigating The Legal Landscape Of Mental Health In The Workplace: Insights For The Dental Practice, Gary Chamberlin Milr, Jd Aug 2023

Navigating The Legal Landscape Of Mental Health In The Workplace: Insights For The Dental Practice, Gary Chamberlin Milr, Jd

The Journal of the Michigan Dental Association

Dealing with an employee’s mental health situation poses complex challenges for human resource professionals. Dental practices, typically run by busy dentists or administrative managers, often lack a human resource professional and the legal expertise needed to navigate the intricacies of employment laws pertaining to mental health disabilities. Moreover, mental health issues in the workplace are sensitive, private matters that intersect with disability and leave laws and are still associated with cultural stigmas despite evolving societal attitudes. This article provides specific scenarios that give insights into the legal issues when managing dental office employees with mental health conditions. Readers should address …


Sleep Health Of Young Adults In Western Australia And Associations With Physical And Mental Health: A Population-Level Cross-Sectional Study, Alexandra P. Metse, Peter Eastwood, Melissa Ree, Adrian Lopresti, Joseph J. Scott, Jenny Bowman Aug 2023

Sleep Health Of Young Adults In Western Australia And Associations With Physical And Mental Health: A Population-Level Cross-Sectional Study, Alexandra P. Metse, Peter Eastwood, Melissa Ree, Adrian Lopresti, Joseph J. Scott, Jenny Bowman

Research outputs 2022 to 2026

OBJECTIVES: This article aims to report on the sleep health characteristics of a population-level sample of young Australian adults and examine associations with measures of physical and mental health. METHODS: A cross-sectional study using data from the Raine Study. Data from participants (n = 1234) born into the study (Generation 2) at the 22-year follow-up were used, including data from a self-report questionnaire and polysomnography. RESULTS: The highest prevalence of suboptimal sleep health was seen on measures of sleep duration (30%), onset latency (18%), satisfaction (25%) and regularity (60%). Dissatisfaction with sleep (physical health: =0.08; mental health: =0.34) and impaired …


The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia Aug 2023

The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia

Psychology Theses & Dissertations

For decades, scientific literature has shown that sexual minority individuals across populations are disproportionately affected by negative mental health outcomes when compared to their heterosexual counterparts. These disparities are largely attributable to minority stress. Coping is a significant factor that can impact the content and severity of mental health outcomes and coping behaviors have been shown to vary based on sexual orientation. Mental health outcomes may also differ between sexual minority subgroups due to additional factors such as double discrimination and bisexual invisibility/erasure. Moreover, factors such as internalized homophobia and community connectedness have demonstrated strong associations with sexual minority mental …


A Qualitative Study Of The Experiences Of Obesity, Body Image, And Mental Health Of British-Born Afro-Caribbean Male Students At A West Yorkshire University In England, Johnson Mbabazi, Dorothy Irene Nalweyiso, Fiona Macgregor, Jeff Breckon, Edward Kunonga, Barry Tolchard, Rosemary Dawson, Jennifer Teke, Josette Bettany Saltikov, George William Kagugube, Lawrence Achilles Nnyanzi Jul 2023

A Qualitative Study Of The Experiences Of Obesity, Body Image, And Mental Health Of British-Born Afro-Caribbean Male Students At A West Yorkshire University In England, Johnson Mbabazi, Dorothy Irene Nalweyiso, Fiona Macgregor, Jeff Breckon, Edward Kunonga, Barry Tolchard, Rosemary Dawson, Jennifer Teke, Josette Bettany Saltikov, George William Kagugube, Lawrence Achilles Nnyanzi

International Journal of Physical Activity and Health

Obesity, body image, and depression are all biopsychosocial phenomena that are frequently misunderstood across cultures. Body dissatisfaction is a psychological aspect of obesity that has been associated with disordered eating, low self-esteem, and depression. Nevertheless, body image dissatisfaction may affect non-obese individuals too. Those with a positive body image are more likely to participate in physical activity than those with a negative body image. Individuals who are satisfied with their body image are more likely to possess high self-esteem, confidence, and healthy eating habits. Obesity prevention among the black population is increasingly important. This study sought to examine the perceptions …


Mental Health Care Health Professional Shortage Areas (Hpsas) In The Mountain West, Nicole Diaz Del Valle, Caitlin J. Saladino, William E. Brown Jr. Jul 2023

Mental Health Care Health Professional Shortage Areas (Hpsas) In The Mountain West, Nicole Diaz Del Valle, Caitlin J. Saladino, William E. Brown Jr.

Health

Using data from the Kaiser Family Foundation’s “Mental Health Care Health Professional Shortage Areas (HPSAs)” 2022 report, this fact sheet looks at the mental health care health professional shortage area (HPSA) designations for Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah.


On-Campus Mental Health Service Use Among College Students With Autism: A Case Study Applying The Andersen Behavioral Model Of Health Services Use, Estella C. Lilyquist Jul 2023

On-Campus Mental Health Service Use Among College Students With Autism: A Case Study Applying The Andersen Behavioral Model Of Health Services Use, Estella C. Lilyquist

Electronic Theses and Dissertations

The unique set of impairments and limitations presented by students with autism spectrum disorder (ASD) make the accessing of campus-based nonacademic resources more difficult and complicated than their typically developed peers. Each year, the rate of students entering college with disabilities continues to grow, but their mental well-being is relatively poor. The purpose of this qualitative case study was to apply the conceptual framework of the Andersen behavioral model of health services use (ABMHSU) to the experiences of college students with ASD to understand and predict their utilization of campus-provided mental health resources. The participants were seven college students with …


The Impact Of School-Based Support Services On Mental Health And Academic Performance, Joshua A. Kent Jun 2023

The Impact Of School-Based Support Services On Mental Health And Academic Performance, Joshua A. Kent

2023 Symposium

Background: There has been a continued presence of mental health issues among high-school aged youth. As a result, many have a diminished ability to be successful in school. It is a societal problem as discussed in the literature. Legislation within the last 23 years has created more access for students but there is still a gap in services. This gap is mostly seen by not having enough personnel to address the amount of students that need assistance. There is also an inconsistent use of school-based health centers and other school-based interventions. Too many schools are using different interventions and …


Psychometric Properties Of The Suicide Behaviors Questionnaire-Revised (Sbq-R) In American Sign Language, Jared A. Embree, Amanda M. Hinson-Enslin, Kathy Taylor, Josephine Wilson Jun 2023

Psychometric Properties Of The Suicide Behaviors Questionnaire-Revised (Sbq-R) In American Sign Language, Jared A. Embree, Amanda M. Hinson-Enslin, Kathy Taylor, Josephine Wilson

JADARA

Limited research has focused on the risk of suicide within the deaf community, and no published studies to date report SBQ-R scores in deaf populations. The purpose of this study was to adapt the Suicide Behaviors Questionnaire-Revised into American Sign Language (SBQ-R-ASL). After the translation protocol was completed, the SBQ-R-ASL was field-tested with 340 deaf individuals in a national sample. Data analysis indicated satisfactory validity and internal consistency, and a Principal Components Analysis resulted in one factor. Field-test data revealed a mean SBQ-R-ASL score of 8.76, which is above published cutoff scores for suicide risk. These findings demonstrate a crucial …


Tackling The Complexities Of The Obesity Pandemic Among The Bame Population In The Uk Through Identification Of The Social Determinants Of Mental Health And Wellbeing: A Narrative Review, Johnson Mbabazi, Fiona Macgregor, Jeff Breckon, Dorothy Irene Nalweyiso, Alan Rhodes, Edward Kunonga, Barry Tolchard, Jennifer Teke, Lawrence Achilles Nnyanzi May 2023

Tackling The Complexities Of The Obesity Pandemic Among The Bame Population In The Uk Through Identification Of The Social Determinants Of Mental Health And Wellbeing: A Narrative Review, Johnson Mbabazi, Fiona Macgregor, Jeff Breckon, Dorothy Irene Nalweyiso, Alan Rhodes, Edward Kunonga, Barry Tolchard, Jennifer Teke, Lawrence Achilles Nnyanzi

International Journal of Physical Activity and Health

Obesity's multifaceted causes give rise to a complex and diverse range of health associated morbidities and comorbidities, including diabetes, hypertension, and cardiovascular disease, particularly among British Asian and Minority Ethnic (BAME) populations within in the UK. As found within the recent COVID-19 pandemic these can have wider reaching implications including increased risk of mortality within this population group. Understanding the potential social determinants of the causes of obesity is essential if effective strategies are to be developed to tackle this. A comprehensive search of the CINAHL, ASSIA and Web of Science databases was undertaken with 148 papers identified. Through application …


Therapeutic Gardening For Mental Health In Substance Use Recovery, Stephanie E. Schafer May 2023

Therapeutic Gardening For Mental Health In Substance Use Recovery, Stephanie E. Schafer

Master's Projects and Capstones

Abstract

As the clinical nurse leader (CNL) in this project, I used the “[CNL]

Essential 1: Background for Practice from Sciences and Humanities” (Competencies and Curricular Expectations for Clinical Nurse Leader Education and Practice, 2013) and its competencies to focus on designing nursing care for a clinical or community-focused population based on biopsychosocial, public health, nursing, and organizational sciences and to synthesize evidence for practice to determine appropriate application of interventions across diverse populations. With the help of the CNL competencies and collaboration with the healthcare team, we created and implemented a therapeutic garden for residents in a substance use …


An Exploration Of Intimate Partner Violence In Lgbt Relationships, Amaris Sanvictores, Karen Park May 2023

An Exploration Of Intimate Partner Violence In Lgbt Relationships, Amaris Sanvictores, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

Background: Lesbian, gay, bisexual, and transgender (LGBT) individuals experience disproportionate rates of intimate partner violence (IPV) compared to their heterosexual and cisgender counterparts. Findings report rates of IPV among LGBT individuals ranging from 31.1%-61.1%, which is higher compared to 29%-35% with their cisgender peers. There is limited research regarding the impact of IPV in LGBT relationships through an occupational therapy lens. Purpose: This research project intends to identify occupational limitations by addressing the required needs and resources of individuals from LGBT IPV to improve their quality of life. The research acquired can be used to identify problem areas to provide …


The Last Of Us In Therapy: How Mind-Controlling Fungi And Gut Bacteria Affect Your Mental Health, Anastasia Lyon May 2023

The Last Of Us In Therapy: How Mind-Controlling Fungi And Gut Bacteria Affect Your Mental Health, Anastasia Lyon

Journal of Pharmacology & Nutritional Sciences

The "psilocybiome" represents the mutually beneficial relationship between ourselves, our bacteria, and psychedelic drugs. This short review briefly discusses the benefits and limitations surrounding the potential for psychedelic therapy to synergize with gut bacteria to help regulate and maintain proper balance in the immune system, diet, and stress levels. Psychedelic therapy is a novel treatment strategy that has the potential to improve patient mental health, and, by identifying the types of gut bacteria present in patients, it can aid in personalizing medicine by determining how well their "psilocybiome" may respond.


Prescription Drug Misuse Among Graduate Students: Prevalence And Links To Mental Health And Academic Burnout, Madison De Gruiter May 2023

Prescription Drug Misuse Among Graduate Students: Prevalence And Links To Mental Health And Academic Burnout, Madison De Gruiter

Honors Theses

The aims of this study are to examine the prevalence of prescription drug misuse (PDM) among doctoral students and assess associations between PDM and anxiety and burnout in this population. Additional analyses analyzed differential associations by doctoral degree type (i.e., research versus professional programs). A sample of doctoral students (n=131) affiliated with the University of Mississippi participated in an anonymous survey to assess research aims.


Prescribing Music To Forensic Settings: A Literature Review, Sydney A. Bouchard May 2023

Prescribing Music To Forensic Settings: A Literature Review, Sydney A. Bouchard

Expressive Therapies Capstone Theses

Though prison is inherently musical, evidence-based forensic music therapy is rather understudied. This thesis critically reviews musical experiences in forensic environments and synthesizes its intersection with inmates' psychological distress. Additionally, the literature explores how forensic music therapy can act as a health and social resource for the incarcerated and their communities. Engaging in this work is vital because healthier correctional systems mean healthier communities (Hopwood, 2021). This review synthesizes relevant literature to inform better practices in music therapy, counseling, and healthcare and seeks to popularize discussion around an otherwise unpopular population, incarcerated folx. Emerging themes include (1) incarceration breeds negative …


An Occupational Therapy Guide To Regulation And Resilience In The Classroom, Catherine Newton, Jazminne Orozco-Arteaga May 2023

An Occupational Therapy Guide To Regulation And Resilience In The Classroom, Catherine Newton, Jazminne Orozco-Arteaga

Spring 2023 Virtual OTD Capstone Symposium

An occupational therapy educational program that focuses on increasing teachers' knowledge surrounding childhood trauma as well as promoting regulation and resilience in the classroom.


Inner Portraits, Bethany Salisbury May 2023

Inner Portraits, Bethany Salisbury

Graduate Theses

This paper investigates the many interconnected layers of women’s mental health through portraiture and how animal and plant symbolism can represent the way women's hormones and bodily health affect their mental health. I reveal how the artwork created presents these connections and inner mental health narratives to the viewer, creating a space of empathy, destigmatization, and self-reflection. This body of portraiture art connects five women through a series of both two-and three-dimensional portraits based on interviews using my own adaptation of Sara Lawrence-Lightfoots’ (1983) portrait methodology.

Women and non-binary individuals have always dealt with difficult interactions of bodily and mental …


Social Media And Wellbeing, Aditya Adsule May 2023

Social Media And Wellbeing, Aditya Adsule

Honors College Theses

This psychology thesis paper investigates the existing body of scientific literature surrounding the effects of social media on the wellbeing of adolescents and adults ages 18-29. The current body of scientific literature supports the overall finding that social media has a negative impact not only on mental health, but on physical health. There are also key findings showing the impact of social media on other facets of life such as sleep patterns, social interactions, and physical activity. Current intervention therapies need to be revisited and the DSM categorization of social media addiction needs to be investigated further.


Comprehensive Literature Review: Assessing The Impact Of Covid-19 Policies, School Closures And Social Distancing, On The Mental Health Of School Age Children, Fatuma A. Hassan May 2023

Comprehensive Literature Review: Assessing The Impact Of Covid-19 Policies, School Closures And Social Distancing, On The Mental Health Of School Age Children, Fatuma A. Hassan

Capstone Experience

Mental health is vital to the well-being of all individuals, especially children. COVID-19 unveiled a significant public health issue with poor mental health during the pandemic. There is limited literature about the mental health implications of COVID-19 policies for children and adolescents and preventive strategies for future pandemics. This comprehensive literature review seeks to further investigate the mental health impacts of school shutdowns and social distancing, which were nonpharmaceutical strategies, on school-aged children, 5-18 years old, and propose recommendations for public health officials to mitigate the mental health impacts for future pandemics. Additionally, the review aims to highlight the potential …


Mental Health Awareness Month Display, Isabella Piechota, Arianna Tillman, Kalea Brown May 2023

Mental Health Awareness Month Display, Isabella Piechota, Arianna Tillman, Kalea Brown

Library Displays and Bibliographies

A bibliography created to accompany a display about Mental Health Awareness Month in May 2023 at the Leatherby Libraries at Chapman University.


The Effect Of Minority Stress On Sexual Minority College Students' Mental Health: The Role Of General Social Support And Sexuality-Specific Social Support, Lee A. Golembiewski May 2023

The Effect Of Minority Stress On Sexual Minority College Students' Mental Health: The Role Of General Social Support And Sexuality-Specific Social Support, Lee A. Golembiewski

Psychology Theses & Dissertations

Sexual minority (SM) college students continue to face greater mental health problems relative to their heterosexual peers (Woodford et al., 2014; Wilson & Liss, 2022). According to minority stress theory, SM individuals face distal (e.g., heterosexist discrimination) and proximal (e.g., expectations of rejection, internalized homophobia, and concealment) stressors related to their SM identity which can have negative effects on their mental health (Douglass & Conlin, 2020; Meyer, 2003). However, social support has been hypothesized to help protect against the effects of minority stress experienced by SM individuals (Cohen & Wills, 1985; Moody & Smith, 2013). Most of the existing research …