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Clinical Psychology

Theses/Dissertations

2009

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Full-Text Articles in Social and Behavioral Sciences

Body Self-Esteem And Sexual Risk-Taking In Caribbean Adolescents, Stephanie Anne Devore Dec 2009

Body Self-Esteem And Sexual Risk-Taking In Caribbean Adolescents, Stephanie Anne Devore

Loma Linda University Electronic Theses, Dissertations & Projects

One of the primary tasks of adolescence is the development of body self-esteem as they transition from children to young adults. This is also a time when many adolescents make decisions about risk behaviors that may affect their developing bodies such as drug use, smoking, and engaging in sexual activity. The current study examined the link between body self-esteem and sexual activity with the aim of predicting if high body self-esteem individuals differ from low body self-esteem individuals with regards to sexual risk-taking. This study was part of a larger study whose survey was based on two widely used and …


Factors Associated With Physical Activity Behaviors Among Rural Adolescents, Kenli A. Urruty Dec 2009

Factors Associated With Physical Activity Behaviors Among Rural Adolescents, Kenli A. Urruty

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The "obesity epidemic" in the United States is a current health concern that has sparked research interest in physical activity as a means of weight management. However, little research has examined the physical activity behaviors of rural adolescents. The goal of the current study was to use a biopsychosocial framework to examine the physical activity behaviors of a sample of rural adolescents, and explore factors associated with physical activity participation.

A sample of 162 ninth- and tenth-grade students in a rural, western community were recruited for this study. Generally, the sample reported levels of physical activity for both genders that …


A Molecular Analysis Of Training Multiple Versus Single Manipulations To Establish A Generalized Manipulative Imitation Repertoire, Breanne K. Hartley Dec 2009

A Molecular Analysis Of Training Multiple Versus Single Manipulations To Establish A Generalized Manipulative Imitation Repertoire, Breanne K. Hartley

Dissertations

This study evaluates the necessity of training multiple versus single manipulativeimitations per object in order to establish generalized manipulative-imitation. Training took place in Croyden Avenue School's Early Childhood Developmental Delay preschool classroom in Kalamazoo, MI. Two groups of 3 children each were trained to imitate in order to determine the most appropriate number of manipulations required (per object) to establish a generalized manipulative-imitation repertoire. Three children received single-manipulations training, and 3 children received multiple-manipulations training. It was anticipated that the multiple-manipulations training group would acquire a greater amount of generalized manipulative-imitation because the training required that the children discriminate between …


Validating The Attitudes Toward Sex Offenders Scale, Charmeka. Whitehead Dec 2009

Validating The Attitudes Toward Sex Offenders Scale, Charmeka. Whitehead

Dissertations

This study investigated the reliability and validity of the Attitudes Toward Sex Offenders Scale (ATS) measurement by assessing attitudes of counselors in training towards juvenile sex offenders. The specific aims of this study were to determine (a) internal consistency of the ATS, (b) construct validity of the ATS based on exploratory factor analysis, and (c) the degree to which this instrument has convergent and discriminate validity. The intellectual merit of this study was to provide appropriate scale validation of the ATS so that it might be used to assess attitudes of mental health professionals who work with juvenile sex offenders. …


The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom Dec 2009

The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to develop an advanced filial therapy model by examining the experiences of seven parents who participated in a preliminary advanced filial therapy intervention. These parents had previously completed a 10-week basic filial therapy model called Child Parent Relationship Therapy. A phenomenological qualitative design was employed, wherein data was obtained from parent playtime notes, researcher field notes, group process transcriptions, and focus groups. Parent experiences of the intervention were examined from a systems-relational lens, and four categories emerged, which include relational epiphanies, enhanced understanding of the playtimes, model format, and skill development. Additionally, a variety of themes were …


An Examination Of Love And Marital Satisfaction In Long-Term Marriages, Rebeca Isabel Estrada Nov 2009

An Examination Of Love And Marital Satisfaction In Long-Term Marriages, Rebeca Isabel Estrada

Electronic Theses and Dissertations

There has been little marital research that focuses on contributing factors to successful long-term marriage and even less focus on the role that love plays in long-term marriage. As a means of furthering this research, the purpose of the current study was to examine levels of satisfaction in couples in long-term marriages and to identify contributing factors to an enduring marriage. This study also examined the significance of love and changes in love after 35+ years of marriage. Through the use of qualitative methodology five couples who were self-identified as "happy" in their marriage and who had been married at …


The Impact Of Pre-Treatment Identification Of Personality Style And Personality Disorder Symptoms On Psychotherapy Outcomes In A Training Clinic, Shauncie Marie Skidmore Oct 2009

The Impact Of Pre-Treatment Identification Of Personality Style And Personality Disorder Symptoms On Psychotherapy Outcomes In A Training Clinic, Shauncie Marie Skidmore

Master's Theses and Doctoral Dissertations

To investigate the clinical and fiscal feasibility of administering a pre-treatment, dimensional personality assessment to clients seeking treatment at university-based counseling centers, a multi-phase study was conducted. This study sought to replicate the results of a recent study conducted by Ryder, Costa Jr., and Bagby (2007) regarding the validity of the DSM-IV-TR PD symptoms and their relationship to normal personality traits. This study also investigated the clinical utility of providing pre-treatment personality information to therapists, as assessed by a dimensional measure of normal personality the NEO-PI-R. Impact on treatment outcome was evaluated. After completing a pre-treatment assessment battery, university-affiliated clinic …


The Role Of Motivation To Change In The Treatment Of Obsessive-Compulsive Disorder, Christopher M. Spofford Sep 2009

The Role Of Motivation To Change In The Treatment Of Obsessive-Compulsive Disorder, Christopher M. Spofford

Open Access Dissertations

The primary purpose of this study was to examine the role of motivation in the treatment of individuals hospitalized for severe OCD, specifically, the extent to which an individual’s motivation for treatment and motivational orientation (intrinsic or extrinsic motivation) predict OCD treatment response. The sample consisted of 142 individuals diagnosed with severe treatment-refractory OCD participating in an intensive treatment program. Patients completed a measure assessing overall motivation and motivational orientation at admission (TSRQ), and measures assessing depressive severity (BDI) and OCD symptom severity (Y-BOCS) at admission and discharge. Hierarchical multiple regression analyses were performed in which admission levels of overall …


Neurodevelopmental Outcome & Mr Spectroscopy Of Therapeutic Hypothermia After Pediatric Drowning, Sharon Mieras Perugini Sep 2009

Neurodevelopmental Outcome & Mr Spectroscopy Of Therapeutic Hypothermia After Pediatric Drowning, Sharon Mieras Perugini

Loma Linda University Electronic Theses, Dissertations & Projects

Despite advances in medical treatment and technology, outcome following pediatric drowning can vary widely from mild to severe impairments and death. Prognosis is often difficult to predict given a number of contributing factors. As such, this study examined the relationship between clinical indicators including submersion duration, initial GCS and PRISM scores, and waking time with outcome as well as metabolite ratios based on magnetic resonance spectroscopy. Research stemming from the area of cardiac arrest as well as anecdotal case study reports of cold water drownings suggests that lowering the body temperature may be helpful and protective. As such, the use …


Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan Sep 2009

Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan

Loma Linda University Electronic Theses, Dissertations & Projects

Patient-focused research methods have been used in adult mental health treatment to improve outcomes by tracking individual treatment response and comparing it with expected recovery patterns. One such approach has used rationally- and empirically-derived methods to analyze data from the OQ-45 and identify patients who are not responding as expected to treatment. Treatment is then adjusted, improving outcomes and lowering overall costs.

Similar but less extensive research has shown analogous methods can be used with children and adolescents. This would be particularly useful in residential treatment, which is an expensive and inadequately researched approach. This study used archival data gathered …


Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell Sep 2009

Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell

Loma Linda University Electronic Theses, Dissertations & Projects

Tiefer, Hall, and Tavris (2002) described factors comprising four categories of female sexual function. They suggested that unique factors need to be examined to understand sexual function in women. Socio-cultural, political, or economic factors, partner and relationship factors, psychological factors, and medical factors were described as aspects of women’s lives that can be the source of sexual dysfunction. In a previous study, Merrell (2007) utilized Tiefer et al’s (2002) four factor model of sexual functioning to examine female sexual functioning looking specifically at body shame, relationship satisfaction, positive and negative affect, sexual self-schema, and overall health. Based on the results …


The Relationship Of Infant Feeding And Self-Regulation In Pediatric Obesity, Amy Rebecca Beck Sep 2009

The Relationship Of Infant Feeding And Self-Regulation In Pediatric Obesity, Amy Rebecca Beck

Loma Linda University Electronic Theses, Dissertations & Projects

Pediatric overweight and obesity is a growing national epidemic with 15 percent of children ages 6-19 considered obese and at least 22 percent considered overweight. Although there are many suggested causes, treatments, and preventions for this epidemic, a construct that is showing promise in the current literature as a preventive factor against obesity is breastfeeding in infancy. However, the mechanisms by which breastfeeding may impact later childhood weight are unknown. Some of the literature posits the possibility of self-regulation as a key mechanism in the role of breastfeeding in pediatric overweight/obesity. The purpose of this study was to examine the …


Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne Sep 2009

Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the increase in children born prenatally exposed to methamphetamine, little is known about the cognitive and neuropsychological outcomes of these children. Research specific to prenatal-methamphetamine exposure is extremely limited and has been primarily restricted to rat studies. This research combined with the few studies examining children prenatally exposed to methamphetamine suggests that methamphetamine-exposure is associated with various cognitive and neuropsychological delays and is impacted by both biological and environmental factors. Given the scarcity of research in this area, the current study used archival data from a psychological assessment clinic to (1) describe the frequency of prenatal methamphetamine-exposure cases, (2) …


Child Sexual Trauma And Traumagenic Dynamics: The Mediating Role Of Family Environment On Adulthood Functioning Among Hispanic And Caucasian Females, Jose Mauricio Ramirez Sep 2009

Child Sexual Trauma And Traumagenic Dynamics: The Mediating Role Of Family Environment On Adulthood Functioning Among Hispanic And Caucasian Females, Jose Mauricio Ramirez

Loma Linda University Electronic Theses, Dissertations & Projects

Child Sexual Abuse has received great attention in the last three decades and a major societal issue today. Several studies have suggested that the prevalence of CSA in women is in the range of 6% to 62% depending on how the data was collected (e.g., interviews, surveys) and the nature of the population sampled (e.g., general population, clinical population). Because of CSA, victims are impacted by the experience and encounter a change in the way they perceive the world on both the way they act and react upon it. Some research on the characteristics of CSA and effects in adult …


Trajectory Of Quality Of Life In Advanced Parkinson's Patients Receiving Bilateral Subthalamic Nucleus Deep Brain Stimulation, Karl S. Chiang Aug 2009

Trajectory Of Quality Of Life In Advanced Parkinson's Patients Receiving Bilateral Subthalamic Nucleus Deep Brain Stimulation, Karl S. Chiang

Electronic Theses and Dissertations

Quality of Life (QOL) in Parkinson's disease (PD) patients after Deep Brain Stimulation (DBS) neurosurgery generally improves between 3 to 24 months post-operatively. However, QOL beyond 2 year follow-up is generally unknown. This study examined the QOL in 16 advanced PD patients who received DBS at an average of 7.5 year follow-up with the Parkinson's Disease Questionnaire (PDQ-39). Participants had an average Disease Duration of 20.57 years (SD 5.7) and a mean Age of 63.50 (SD 8.05). Linear regression analyses suggested a constellation of changes involving Time, Age, and Disease Duration. As Time progressed since DBS intervention, the PDQ-39 Cognitions …


The Effect Of Holland's Person-Environment Fit On Trait Anger, Interpersonal Conflict At Work, And Workplace Aggression, Aimee Chantelle Pseekos Aug 2009

The Effect Of Holland's Person-Environment Fit On Trait Anger, Interpersonal Conflict At Work, And Workplace Aggression, Aimee Chantelle Pseekos

Dissertations

This study examined the effect of Person-Environment fit, as defined by Holland's (1997) theory, on trait anger, interpersonal conflict at work, and workplace aggression in a sample of employees in the United States. Job satisfaction was also examined with regard to concurrent and discriminant validity information for this sample. Results indicated that there was not a statistically significant effect of Person- Environment fit on trait anger, interpersonal conflict at work, or workplace aggression. The concurrent and discriminant validity of findings was supported through relationships between job satisfaction, Person-Environment fit, and workplace aggression. Limitations and implications for further research related to …


Attachment Anxiety And Avoidance: Relationship To Body Image And Exercise Behavior, Kathryn Louise Brown Aug 2009

Attachment Anxiety And Avoidance: Relationship To Body Image And Exercise Behavior, Kathryn Louise Brown

Dissertations

This study was designed to investigate the role of attachment anxiety and avoidance in predicting persons' body image, body appreciation, and obligatory exercise behavior. Two hundred and twenty eight participants (100 men and 128 women) completed the Relationship Scales Questionnaire (RSQ; Griffin & Bartholomew, 1994), Multidimensional Body-Self Relations Questionnaire (MBSRQ; Cash, 2000), Body Appreciation Scale (BAS; Avalos et al., 2005), and Obligatory Exercise Questionnaire (OEQ; Pasman & Thompson, 1988). Results provided at least partial support for many of the hypotheses. The current study replicated results from previous research pertaining to the relationship between attachment and body image. However, the results …


A Psychometric Evaluation Of The Revised Optimism-Pessimism Scale Of The Mmpi-2, Ginger Burge Debrule Aug 2009

A Psychometric Evaluation Of The Revised Optimism-Pessimism Scale Of The Mmpi-2, Ginger Burge Debrule

Dissertations

The present study tested the psychometric properties of the Revised Optimism-Pessimism Scale (PSM-R) of the MMPI-2. This scale purportedly measures the respondent's explanatory style on a dimension of optimism and pessimism. Participants included 92 college undergraduates and 2,729 participants from archived outpatient data. The PSM-R is a reliable measure, based on test-retest reliability and internal consistency. However, the construct validity of the measure is questionable. Evaluation of the PSM-R items suggests that the items are not all related to the optimism-pessimism construct. In addition, convergent validity of the PSM-R was assessed using measures of attributional style, dispositional optimism, hope, depression, …


A Longitudinal Examination Of Outcomes Related To Emotional Abuse In Children, Lauren Seale Fryer Aug 2009

A Longitudinal Examination Of Outcomes Related To Emotional Abuse In Children, Lauren Seale Fryer

Dissertations

Emotional abuse has been linked to both intemalizing and extemalizing outcomes in adults and children, even after controlling for the presence of physical and/or sexual abuse in childhood (Braver, Bumberry, Green, & Rawson, 1992; Gibb et al., 2001; Kaufman & Cicchetti, 1989; Kim & Cicchetti, 2006). The developmental/organizational perspective, as well as attachment theory, suggests that emotional abuse occurring in childhood will result in disrupted views of subsequent relationships, leading to maladaptive outcomes such as aggression, depression, and low self-esteem (Cicchetti & Toth, 1995). The current study examined these relations in an archival sample of lowincome urban children ages 5 …


Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby Aug 2009

Informed Consent As A Predictor Of Working Alliance And Perception Of Counselor/Psychotherapist, Scott E. Kerby

Dissertations

Client informed consent is an important component and ethical dimension of counseling and psychotherapy required by each of the mental health professions. The purpose of this study was to examine the extent to which informed consent in counseling/psychotherapy may relate to client perceptions of the working alliance, measured by the Working Alliance Inventory - Short Version (WAI-S) (Tracey and Kokotovic, 1989), and clients' general opinion of the counselor/psychotherapist, measured by the short form of Counselor Rating Form (CRF-S) (Corrigan and Schmidt, 1983). In particular, the study investigated: (1) how discussion and understanding of informed consent related to client perceptions of …


Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale Aug 2009

Phenomenological Study Of Resilience In The Lives Of White, Midlife Lesbian Psychologists In Clinical Practice, Melissa A. Lidderdale

Dissertations

The unique experiences and adversities encountered by midlife lesbian therapists have not been directly investigated. How the midlife lesbian women in this study were influenced by their individual experiences and cultural changes, both in general society and within the mental health profession, are paramount to more fully understanding the adversities, support, and resilience that they experienced while becoming psychologists. Due to the scarcity of empirical literature pertaining to the therapist's experience of resilience and the paucity of empirical literature related to resilience in lesbians, phenomenological research methods were chosen for this study. The goal of this study was to provide …


Test Anxiety And Other Factors As Predictors Of Outcome For An Undergraduate University's Examination Of Writing Competency, Carrie D. Smith Jul 2009

Test Anxiety And Other Factors As Predictors Of Outcome For An Undergraduate University's Examination Of Writing Competency, Carrie D. Smith

Psychology Theses & Dissertations

Testing in American schools has increased dramatically in recent years (Cizek & Burg, 2006), increasing the need for research in test anxiety (TA). Writing apprehension, a subcategory of TA, may be of particular concern among students at all levels of education given the recent addition of writing assessments on the SAT and GRE tests.

Very few recent studies have examined demographic correlates of TA and the demographics of students in higher education have been changing for some time. These changes include an increase in all categories of nontraditional students. Nontraditional students, by definition, face a particular set of challenges in …


Massachusetts Youth Screening Instrument Long-Term Outcomes And Scale Stability, Elise Christina Simonds Bisbee Jul 2009

Massachusetts Youth Screening Instrument Long-Term Outcomes And Scale Stability, Elise Christina Simonds Bisbee

Psychology Theses & Dissertations

The Massachusetts Youth Screening Instrument-2 (MAYSI-2; Grisso & Barnum, 2006) was developed in 1998 to offer an efficient measure for identifying adolescents within the juvenile justice system in need of further psychiatric evaluation, treatment, or specialized care. Since the instrument's publication, several studies have evaluated the psychometric properties and clinical utility of the MAYSI-2. The current study adds to the literature examining the reliability and validity of this measure. Specifically, the current study sought to evaluate the long-term characteristics and predictive utility of the MAYSI-2 scale scores. This study utilized a sample of 8,929 boys (n = 6.780) and …


Detection Of Malingering Via Cognitive Cues, Birgit M. Smart Jul 2009

Detection Of Malingering Via Cognitive Cues, Birgit M. Smart

Doctoral Dissertations

Malingering is a frequently encountered problem of faking psychological or physiological symptoms or exaggerating existing conditions for external gain. Malingerers typically are seen in clinical and forensic settings and create a burden to our society due to loss of economic resources or professional time. The impact of malingering is difficult to calculate due to problems with identifying actual cases of malingering. Psychological tests traditionally have been used in the assessment of malingering. Despite major improvements in instruments and clinical interviewing techniques, however, no failsafe assessment tool has been identified for the accurate detection of malingering. Cognitive studies of lie detection …


Examination Of The Clinical Benefit Of Adding Reversal Theory Concepts To The Expressive Writing Paradigm, Stephanie Ellis Jul 2009

Examination Of The Clinical Benefit Of Adding Reversal Theory Concepts To The Expressive Writing Paradigm, Stephanie Ellis

Doctoral Dissertations

Expressive writing as a form of emotional disclosure produces many physical and psychological benefits (Pennebaker, 2004). Central to the present study are findings that expressive writing decreases symptoms of depression, anxiety, and PTSD (Koopman, Ismailji, Holmes, Classen, Palesh, & Wales, 2005; Opre, Coman, Kallay, Rotaru, & Manier, 2005; Russ, 1992). Reversal Theory (RT) suggests that individuals experience the world from eight different psychological states including serious, playful, conforming, rebellious, mastery, sympathy, self, and other (Apter, 2007). Teaching individuals to be aware of and elicit these states also decreases depression and anxiety (Charat, 2006). The present study sought to determine if …


Effects Of An Educational And Support Program For Family And Friends Of A Substance Abuser, Amanda Jeffrey Platter Jul 2009

Effects Of An Educational And Support Program For Family And Friends Of A Substance Abuser, Amanda Jeffrey Platter

Psychology Theses & Dissertations

Many family members are adversely affected by their loved ones drinking or drug problem. The aim of the present study was to explore changes in coping and enabling behaviors among family members who attended a community educational and psychosocial group for friends and family of a substance abuser, and to examine the concerns of these family members.

Participants were 32 family members (i.e., parents, spouses/romantic partners, and siblings) who attended one of four consecutive Family and Friend (FF) programs between fall and spring of 2008. Participants completed the Behavioral Enabling Scale (Rotunda & Doman, 2001) and Brief COPE Inventory (Carver, …


Relationships Between Black Female College Students' Relationships With Their Fathers And Adult Romantic Attachment, Nicole A. Dock Jul 2009

Relationships Between Black Female College Students' Relationships With Their Fathers And Adult Romantic Attachment, Nicole A. Dock

Psychology Theses & Dissertations

The current study examined the relationships between the quality and quantity of time that young Black female college students spent with their fathers during high school as related to romantic attachment and fear of intimacy. Although researchers have investigated the impact that early attachment bonds to mothers have for later psychosocial development, much less research has examined how attachment to fathers may be associated with psychosocial adjustment in young adulthood. In particular, there is a lack of information on how relationships to one's father or father figure may be associated with adjustment in young women from culturally diverse populations.

To …


Relationship Predictors Of Unwanted Pursuit, Farrahdya Tassy Jul 2009

Relationship Predictors Of Unwanted Pursuit, Farrahdya Tassy

Psychology Theses & Dissertations

The present study investigated relationship variables related to unwanted pursuit post dissolution of a romantic relationship. Online surveys were administered to 277 undergraduate and graduate students from a large southeastern university. Participants completed questionnaires that assessed levels of idealization, satisfaction, perceptions of alternatives to the relationship, investment size, commitment, and unwanted pursuit. These variables are often essential in romantic involvements, and contribute greatly to the continuation of a relationship. Additional measures of attachment, self-esteem, neuroticism, and jealousy were included to control for their potential effect on pursuit. The sample consisted of individuals who engaged in the pursuit of a former …


Predictors Of Help-Seeking In Returning Operation Enduring Freedom (Oef) And Operation Iraqi Freedom (Oif) Veterans, Carole Porcari Jun 2009

Predictors Of Help-Seeking In Returning Operation Enduring Freedom (Oef) And Operation Iraqi Freedom (Oif) Veterans, Carole Porcari

Master's Theses and Doctoral Dissertations

Despite a significant number of Afghanistan and Iraqi veterans who reported symptoms of PTSD, depression, anxiety, and substance abuse, the majority of these veterans did not seek help for these problems. Past research has shown several variables that may contribute to an individual seeking help for a mental health problem including demographic variables, nature and severity of the mental health problem, and psychological variables. All Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans and service members that registered with the Ann Arbor VA Healthcare System between 2001 and 2007 were contacted by mail and asked to participate in …


Intentions To Seek Therapy, Attitudes, And Stigma: An Analysis Of The Theory Of Reasoned Action, Matthew J. Altiere Jun 2009

Intentions To Seek Therapy, Attitudes, And Stigma: An Analysis Of The Theory Of Reasoned Action, Matthew J. Altiere

Master's Theses and Doctoral Dissertations

The relatively low utilization of mental health care is a concern for psychology, as only 32% of individuals with a psychological disorder receive treatment (Andrews, Issakidis, & Carter, 2001). It is typically attitudinal rather than structural barriers that influence individuals when deciding to pursue treatment (Outram, Murphy, & Cockburn, 2004). This study utilized the theory of reasoned action as a model to test the relationship among variables hypothesized to contribute to the intention to seek therapy: public stigma, self-stigma, social support, self-efficacy, attitudes toward seeking therapy, and psychological distress. Both quantitative and qualitative methods were used to evaluate barriers to …