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Full-Text Articles in Social and Behavioral Sciences

Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis Nov 2019

Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis

Journal of Rural Social Sciences

The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, …


Trans Collaborations Clinical Check-In (Tc3): Initial Validation Of A Clinical Measure For Transgender And Gender Diverse Adults Receiving Psychological Services, Natalie R. Holt, Terrence Z. Huit, Grant Shulman, Jane L. Meza, Jolene Smyth, Nathan Woodruff, Richard Mocarski, Jae Puckett, Debra A. Hope Nov 2019

Trans Collaborations Clinical Check-In (Tc3): Initial Validation Of A Clinical Measure For Transgender And Gender Diverse Adults Receiving Psychological Services, Natalie R. Holt, Terrence Z. Huit, Grant Shulman, Jane L. Meza, Jolene Smyth, Nathan Woodruff, Richard Mocarski, Jae Puckett, Debra A. Hope

Trans Collaborations Academic Papers

One key aspect of evidence-based psychological services is monitoring progress to inform treatment decision making, often using a brief self-report measure. However, no such measure exists to support measurement based care given the distinct needs of transgender and gender diverse people (TGD), a group facing large documented health disparities and marginalization in healthcare. The purpose of the present study was to develop and provide initial psychometric validation of a short, behavioral health progress monitoring self-report measure, the Trans Collaborations Clinical Check-in (TC3). TGD communities, providers identified as TGD-affirmative, and relevant academic experts contributed to item and scale development. The final …


Variations In Parent And Teacher Ratings Of Internalizing, Externalizing, Adaptive Skills, And Behavioral Symptoms In Children With Selective Mutism, Evelyn R. Klein, Cesar E. Ruiz, Kylee Morales, Paige Stanley Oct 2019

Variations In Parent And Teacher Ratings Of Internalizing, Externalizing, Adaptive Skills, And Behavioral Symptoms In Children With Selective Mutism, Evelyn R. Klein, Cesar E. Ruiz, Kylee Morales, Paige Stanley

Psychology Faculty Work

Selective mutism (SM) is an anxiety disorder that impacts communication. Children with SM present concerns to parents and teachers as they consistently do not speak in situations where there is an expectation to speak, such as at school, but speak in other settings where they feel more comfortable, such as at home. The purpose of this study was to investigate the relationship between parents’ and teachers’ perceptions of children with SM on behavioral rating scales and language measures. Forty-two children (22 boys and 20 girls, ranging from 2.4 to 13.8 years, with a mean age of 7.1 years) took part …


Variations In Parent And Teacher Ratings Of Internalizing, Externalizing, Adaptive Skills, And Behavioral Symptoms In Children With Selective Mutism, Evelyn R. Klein, Cesar E. Ruiz, Kylee Morales, Paige Stanley Oct 2019

Variations In Parent And Teacher Ratings Of Internalizing, Externalizing, Adaptive Skills, And Behavioral Symptoms In Children With Selective Mutism, Evelyn R. Klein, Cesar E. Ruiz, Kylee Morales, Paige Stanley

Communication and Speech Disorders Faculty work

Selective mutism (SM) is an anxiety disorder that impacts communication. Children with SM present concerns to parents and teachers as they consistently do not speak in situations where there is an expectation to speak, such as at school, but speak in other settings where they feel more comfortable, such as at home. The purpose of this study was to investigate the relationship between parents’ and teachers’ perceptions of children with SM on behavioral rating scales and language measures. Forty-two children (22 boys and 20 girls, ranging from 2.4 to 13.8 years, with a mean age of 7.1 years) took part …


Discrepant Responding Across Measures Of College Students’ Sexual Victimization Experiences: Conceptual Replication And Extension, Raeann E. Anderson, Douglas D. Delahanty Sep 2019

Discrepant Responding Across Measures Of College Students’ Sexual Victimization Experiences: Conceptual Replication And Extension, Raeann E. Anderson, Douglas D. Delahanty

Psychology Faculty Publications

Sexual violence victimization affects approximately 1 in 5 college women and 1 in 6 college men; however, rates of sexual victimization vary widely, in part due to measurement issues. The present study is the first to compare the Sexual Experience Survey-Short Form Victimization to a measure of sexual victimization designed to capture gender differences, the Post-Refusal Sexual Persistence Scale-Victimization (PRSPS-V). Prior research has compared the perpetration versions of these questionnaires and found large discrepancies. College students (N = 673: 367 women, 298 men, 8 gender minority) were surveyed. The SES-SFV identified 260 cases of sexual victimization whereas the PRSPS-V identified …


Context And Regulation Of Homeschooling: Issues, Evidence, And Assessment Practices, Janet F. Carlson Aug 2019

Context And Regulation Of Homeschooling: Issues, Evidence, And Assessment Practices, Janet F. Carlson

Buros Center: Professional Staff Publications

The article discusses salient factors that influence the current context within which homeschooling occurs. Individual states have applied various approaches to establish regulations that both preserve the rights of homeschooling parents and fulfill the state’s obligation to ensure that its residents receive the education to which they are constitutionally entitled. Case and ethnographic studies or research involving small and selected samples often appear in outlets associated with homeschool advocacy groups or in outlets that are not mainstream. The paucity of empirical evidence derived from methodologically strong research paradigms has led to little certainty about many aspects of homeschooling including its …


Addressing Content, Convergent And Predictive Validity Of Implicit Pain-Related Fear In Chronic Low Back Pain, Eric S. Kruger Jul 2019

Addressing Content, Convergent And Predictive Validity Of Implicit Pain-Related Fear In Chronic Low Back Pain, Eric S. Kruger

Psychology ETDs

Chronic low back pain (CLBP) is a common condition that can lead to emotional distress and physical disability. Fear of pain, a phobic-like response to pain, can contribute to significant avoidance behavior and is associated with disrupted physical and emotional functioning. While questionnaires remain the standard for measurement of pain-related fear, recent work has explored the use of implicit methods. This study aimed to use an implicit measure, the Implicit Relational Assessment Procedure (IRAP), to assess convergent and predictive validity of implicit pain-related fear in relation to explicit self-report measures. Seventy-four participants with CLBP were recruited and completed the pain-related …


Criterion-Related Validity Of Forced-Choice Personality Measures: A Cautionary Note Regarding Thurstonian Irt Versus Classical Test Theory Scoring, Peter A. Fisher, Chet Robie, Neil D. Christiansen, Andrew B. Speer, Leann Schneider Jul 2019

Criterion-Related Validity Of Forced-Choice Personality Measures: A Cautionary Note Regarding Thurstonian Irt Versus Classical Test Theory Scoring, Peter A. Fisher, Chet Robie, Neil D. Christiansen, Andrew B. Speer, Leann Schneider

Personnel Assessment and Decisions

This study examined criterion-related validity for job-related composites of forced-choice personality scores against job performance using both Thurstonian Item Response Theory (TIRT) and Classical Test Theory (CTT) scoring methods. Correlations were computed across 11 different samples that differed in job or role within a job. A meta-analysis of the correlations (k = 11 and N = 613) found a higher average corrected correlation for CTT (mean ρ = .38) than for TIRT (mean ρ = .00). Implications and directions for future research are discussed.


The Frequency Of Sexual Perpetration In College Men: A Systematic Review Of Reported Prevalence Rates From 2000-2017, Raeann E. Anderson, Kristin E. Silver, Alyssa M. Ciampaglia, Amanda M. Vitale, Douglas L. Delahanty Jul 2019

The Frequency Of Sexual Perpetration In College Men: A Systematic Review Of Reported Prevalence Rates From 2000-2017, Raeann E. Anderson, Kristin E. Silver, Alyssa M. Ciampaglia, Amanda M. Vitale, Douglas L. Delahanty

Psychology Faculty Publications

Background: The prevalence of sexual perpetration in college men is unknown. Prior reviews of sexual violence prevalence rates have produced wide-ranging estimates, likely due to wide variation in measurement strategies.

Objectives: This paper systematically reviewed research findings (from 2000-2017) regarding prevalence rates of sexual perpetration in college men and measurement strategies.

Data Sources: PsycINFO and Web of Science databases.

Eligibility Criteria: Empirical reports published between 2000-2017 that included male participants, available in English, and reported lifetime prevalence findings in Canadian or American college students.

Participants: Data from 78 independent samples including 25,524 college men.

Results …


Discordance Between The Sexual Experiences Surveys-Short Forms And The Revised Conflict Tactics Scales In College Men, Raeann E. Anderson, Shawn P. Cahill, Douglas D. Delahanty Jul 2019

Discordance Between The Sexual Experiences Surveys-Short Forms And The Revised Conflict Tactics Scales In College Men, Raeann E. Anderson, Shawn P. Cahill, Douglas D. Delahanty

Psychology Faculty Publications

Objective: Sexual victimization affects at least one in five college women and up to one in six college men; however, the exact rates of sexual perpetration are difficult to ascertain because of inconsistencies in the measurement of these behaviors. The present study is the first to evaluate the extent to which three commonly used measures of sexual violence (The Sexual Experiences Survey- Short Form Victimization (SES-SFV), The Sexual Experiences Survey-Short Form Perpetration (SES-SFP) and the Revised Conflicts Tactics Scales-Sexual Coercion Subscale (CTS2-SC)) concurred in identifying cases of sexual victimization and sexual perpetration. This is the first study to simultaneously examine …


Assessing Intersectional Identity: Investigating The Scales Of Contextualized Identity And Perceived Marginalization, Lauren Yadlosky Jul 2019

Assessing Intersectional Identity: Investigating The Scales Of Contextualized Identity And Perceived Marginalization, Lauren Yadlosky

Dissertations (1934 -)

The existing literature highlights chronic and extensive psychological and physical health disparities between minority and majority individuals across a variety of identity dimensions including but not limited to race, ethnicity, gender, sexual orientation, and socio-economic class. Existing methods used to assess the minority identities associated with these health disparities are theoretically and statistically limited and often reinforce the oppressive mechanisms with which disparities are associated. While numerous researchers have identified these concerns, no quantitative assessment measure addressing them currently exists.To address this gap in the literature, researchers introduced the Scales of Contextualized Identity and perceived Marginalization (SCIM). The resulting measure …


Further Developments Of The Santa Clara Ethics Questionnaire, Thomas G. Plante, Anna Mccreadie Jun 2019

Further Developments Of The Santa Clara Ethics Questionnaire, Thomas G. Plante, Anna Mccreadie

Psychology

Ethics and ethical decision-making are critically important for high-functioning communities, including those on college campuses. This brief paper provides further research support for the Santa Clara Ethics Questionnaire, a brief and no-cost 10-item questionnaire assessing general ethics. The questionnaire was administered to 329 university students along with several other measures to assess convergent and divergent validity. Results suggest that compassion, hope, and self-esteem predict about one-third of the variance in ethics scores. Implications for future research and use are discussed.


Functional Assessment And Treatment Of Elopement Occasioned By Transitions, Denice Rios Mojica Jun 2019

Functional Assessment And Treatment Of Elopement Occasioned By Transitions, Denice Rios Mojica

Dissertations

Elopement is a dangerous behavior in children with developmental disabilities because it greatly increases the risk of accidents that lead to serious injury or death. The dangers of elopement are especially high during transitions because these situations increase the chance that a child will gain unsupervised access outside, where the most serious accidents typically occur. Despite its severity, assessment methodologies that specifically evaluate the contextual variables found during transitions are not available. Additionally, treatment for elopement during transitions typically involves antecedent interventions which do not address function. Continued research on effective and efficient means for the assessment and treatment of …


Assisting Elders With Dementia In Residential Settings Through Music Therapy: A Literature Review, Benjamin Burke May 2019

Assisting Elders With Dementia In Residential Settings Through Music Therapy: A Literature Review, Benjamin Burke

Expressive Therapies Capstone Theses

Dementia is one of the most prevalent diagnoses for elders causing strain and debilitation of their social, mental, physical, emotional, behavioral and psychological faculties. Due to the nature of this condition, treatments for dementia have been structured to aid and improve the well-being and quality of life for those afflicted. Some of the goals that assisted-living services establish include reducing anxiety, increasing levels of comfort, improving mood, memory care and bettering verbal processing. Music therapy has been an intervention that assists with establishing these goals and implementing strategies resulting in short-term and long-term effects for those receiving treatment for dementia. …


Adhd Malingering In A College Setting, Peerasin Chatchawarat May 2019

Adhd Malingering In A College Setting, Peerasin Chatchawarat

Electronic Theses and Dissertations

An increase in the number of adults seeking ADHD evaluations as college students in recent years raises concerns of malingered or exaggerated attentional impairments. Some students may falsely report ADHD symptoms in an attempt to obtain academic accommodations as well as prescriptions for stimulant medications. Meanwhile, little attention has been given to the development of either self-reported measures or performance-based tests that can ensure the validity of reported or exhibited attentional symptoms. In 2015, Multi-Health Systems Inc. (MHS) released an improved version of a continuous performance test, the Conners Continuous Performance 3rd Edition (Conners CPT 3), which may have improved …


Scoring Divergent Thinking Tests: A Review And Systematic Framework, Roni Reiter-Palmon, Boris Forthmann, Baptiste Barbot May 2019

Scoring Divergent Thinking Tests: A Review And Systematic Framework, Roni Reiter-Palmon, Boris Forthmann, Baptiste Barbot

Psychology Faculty Publications

Divergent thinking tests are often used in creativity research as measures of creative potential. However, measurement approaches across studies vary to a great extent. One facet of divergent thinking measurement that contributes strongly to differences across studies is the scoring of participants’ responses. Most commonly, responses are scored for fluency, flexibility, and originality. However, even with respect to only one dimension (e.g., originality), scoring decisions vary extensively. In the current work, a systematic framework for practical scoring decisions was developed. Scoring dimensions, instruction-scoring fit, adequacy of responses, objectivity (vs. subjectivity), level of scoring (response vs. ideational pool level), and the …


Rapid Assessment Of Problem Solving For Kids (Raps-K), Hannah Perdew Apr 2019

Rapid Assessment Of Problem Solving For Kids (Raps-K), Hannah Perdew

Mahurin Honors College Capstone Experience/Thesis Projects

The Rapid Assessment of Problem Solving (RAPS) is a clinical assessment of verbal problem solving skills created by Dr. Robert Marshall and colleagues (Marshall, 2003). The assessment, originally developed for adults, is based on the well-known twenty questions game. The clinician administering the assessment chooses a target picture and the participant asks yes or no questions to eliminate incorrect answers and, eventually, identify the target picture. Question asking efficiency, indicated by the number of choices eliminated, is considered to reflect levels of cognitive functioning, specifically problem solving. Recently, the RAPS has been utilized with typically developing children and children with …


The Acceptance And Action Questionnaire – Ii: An Item Response Theory Analysis, Clarissa W. Ong, Benjamin G. Pierce, Douglas W. Woods, Michael P. Twohig, Michael E. Levin Mar 2019

The Acceptance And Action Questionnaire – Ii: An Item Response Theory Analysis, Clarissa W. Ong, Benjamin G. Pierce, Douglas W. Woods, Michael P. Twohig, Michael E. Levin

Psychology Faculty Research and Publications

Psychological flexibility is the act of being open to internal experiences while pursuing valued life directions and has been implicated in positive mental health. A lack of psychological flexibility has been implicated in a wide range of mental health problems. In most research, assessment of psychological (in) flexibility has been done with the Acceptance and Action Questionnaire – II (AAQ-II), yet researchers have noted that items on the AAQ-II may not adequately discriminate between responses to experiences and the experiences themselves. Furthermore, little research has examined whether items on the AAQ-II function as intended in terms of assessing psychological (in) …


Assessing Executive Function In Adolescence: A Scoping Review Of Existing Measures And Their Psychometric Robustness, Moses K. Nyongesa, Derrick Ssewanyana, Agnes M. Mutua, Esther Chongwo, Gaia Scerif, Charles R. J. C. Newton, Amina Abubakar Mar 2019

Assessing Executive Function In Adolescence: A Scoping Review Of Existing Measures And Their Psychometric Robustness, Moses K. Nyongesa, Derrick Ssewanyana, Agnes M. Mutua, Esther Chongwo, Gaia Scerif, Charles R. J. C. Newton, Amina Abubakar

General Surgery, East Africa

Background: There is much research examining adolescents' executive function (EF) but there is little information about tools that measure EF, in particular preference of use, their reliability and validity. This information is important as to help both researchers and practitioners select the most relevant and reliable measure of EF to use with adolescents in their context.

Aims: We conducted a scoping review to: (a) identify the measures of EF that have been used in studies conducted among adolescents in the past 15 years; (b) identify the most frequently used measures of EF; and (c) establish the psychometric robustness of existing …


The Santa Clara Ethics Scale, Thomas G. Plante, Anna Mccreadie Jan 2019

The Santa Clara Ethics Scale, Thomas G. Plante, Anna Mccreadie

Psychology

Ethics and ethical decision-making are important for well-functioning communities and societies, including college campuses. Yet, there are very few high quality, cost-effective, relevant, and easy-to-use assessment instruments currently available. This paper introduces the new Santa Clara Ethics Scale, a very brief no-cost questionnaire assessing general ethics. The 10-item scale was administered to 200 university students along with several other measures to assess convergent and divergent validity. Information regarding the validity and reliability of the scale along with test utility is presented. Implications for future research and use are discussed as well.


An Analysis And Comparison Of Wms-Iii And Wms-Iv Verbal Paired Associates: Practical Implications For Neuropsychologists, Anthony Paul Andrews Jan 2019

An Analysis And Comparison Of Wms-Iii And Wms-Iv Verbal Paired Associates: Practical Implications For Neuropsychologists, Anthony Paul Andrews

Theses and Dissertations

The current study examined the performance of clinical outpatients on the Verbal Paired Associates (VPA) subtest from current and prior versions of the Wechsler Memory Scale (WMS). It was predicted that VPA from the WMS-III (VPA3) would be similar in agreement to the WMS-IV (VPA4) and that VPA4 would show a stronger relationship than VPA3 with intellectual abilities, sustained attention, and executive function abilities as assessed by the WAIS-IV; CPT-2; and the TMT, Category Test, and Stroop, respectively. Thirty-six adults were administered both the WMS-III and the WMS-IV, along with the other measures as part of a larger neuropsychological battery. …


The Eyes Never Lie: Detecting Simulated Traumatic Brain Injury With Eye-Tracking, Robert John Kanser Jan 2019

The Eyes Never Lie: Detecting Simulated Traumatic Brain Injury With Eye-Tracking, Robert John Kanser

Wayne State University Dissertations

Performance validity test (PVT) inaccuracies can be explained by both test and extra-test (e.g., research design components) factors. Eye-tracking is a promising technology to enhance assessment of performance validity. Prior research has established that ocular behaviors are reliable biomarkers of (un)conscious cognitive processes. Experimental research on deception has shown that ocular behaviors reliably distinguish feigned concealment of information from honest responding. The primary objective of this study was to examine the incremental utility of incorporating eye-tracking into a clinical PVT to distinguish adults with verified TBI from adults coached to feign cognitive impairment. A secondary objective was to determine the …


Multicultural Face Recognition Memory And Own-Race-Bias Among Adults With Acquired Brain Injury, Nia M. Billings Jan 2019

Multicultural Face Recognition Memory And Own-Race-Bias Among Adults With Acquired Brain Injury, Nia M. Billings

Wayne State University Dissertations

Own-race bias (ORB) is a well-documented phenomenon that may influence face memory, such that face memory is improved when the observed target matches the observer’s racial background. However, the clinical measures widely used in neuropsychological evaluations lack racial diversity that may disenfranchise and disadvantage minority patients. Further, these existing measures have been criticized for having inconsistent visual contrast and facial content, as well as too much variability of non-facial information which may confound its acceptability as a measure of face memory specifically. To address these limitations, standardized, multicultural images with validated facial expressions (Beaupré et al., 2000) were used to …


The Provision Of Psychological Assessment Feedback To Children: A Survey Of Practitioners, Caitlin P. Dolan Jan 2019

The Provision Of Psychological Assessment Feedback To Children: A Survey Of Practitioners, Caitlin P. Dolan

Antioch University Dissertations & Theses

Psychological assessment, long a cornerstone of psychological practice, has been the subject of substantial empirical research and clinical devotion. Far less attention, however, has been given to the process of assessment feedback—the task of communicating psychological test results to clients. Research has demonstrated the therapeutic value of providing clients with feedback, including improved insight and functioning. Providing assessment feedback is also mandated by professional standards. Still, to date, there is minimal published research examining the actual feedback practices of psychologists, or their perspectives on such practices. That which does exist focuses on adult testing clients, not children. It is largely …


Childhood And Trauma: The Effects Of Adverse Childhood Experiences On The Brain, Behavior, And Learning In The Elementary School Classroom, Aeryn Aguilar Jan 2019

Childhood And Trauma: The Effects Of Adverse Childhood Experiences On The Brain, Behavior, And Learning In The Elementary School Classroom, Aeryn Aguilar

Cal Poly Humboldt theses and projects

A variety of studies have been conducted on how trauma, caused by emotional, physical, or verbal abuse, impact children’s lives. Many of the studies which involved observations and assessments were done with the preexisting knowledge that these children had been through a traumatic experience. Instead of looking at behavior of known cases, this study’s goal is to find out whether or not children’s observable behaviors can predict cases of trauma. For example, is acting out or defiance a key sign of trauma or is it part of the typical development for the elementary school-age group? This thesis takes into account …


Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor Jan 2019

Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant academic impairment and multiple interventions have been developed to address common academic problems, such as difficulties with homework, organization, and planning skills. Given cost and resource constraints, research is needed on factors that mental health providers can use to select the most appropriate interventions. To date, there has been minimal research evaluating moderators of response to ADHD interventions. Further, many of the variables that have been studied do not have strong theoretical ties to the mechanisms of change invoked by the interventions. This study examined potential moderators of treatment response to two academic …


Striving For Credibility In The Face Of Ambiguity: A Grounded Theory Study Of Extreme Hardship Immigration Psychological Evaluations, Susan M. Burke Jan 2019

Striving For Credibility In The Face Of Ambiguity: A Grounded Theory Study Of Extreme Hardship Immigration Psychological Evaluations, Susan M. Burke

Antioch University Dissertations & Theses

Psychological evaluations are frequently used in extreme hardship immigration cases in the United States. These evaluations are complex; they are inherently ambiguous, and they require extensive training and specialized knowledge. General guidance for mental health professionals is available from professional organizations, the federal government, and articles in the legal and mental health literature. However, there is a lack of detailed guidance, best practices, training, and supervision so many evaluators learn on their own. Unfortunately, this has resulted in assessment processes and evaluation reports that vary widely in terms of professionalism and quality which negatively impacts the vulnerable families seeking these …


Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury Jan 2019

Internalized Homophobia Of Lgb Emerging Adults: Identity Complexities And Mental Health, Emily Christine Newbury

Antioch University Dissertations & Theses

Meyer’s (2003) minority stress model explores the relationship between the social stress of sexual minorities and mental health. Internalized homophobia is linked to feelings of shame, guilt, and worthlessness, and contributes to the development of mental health problems (Ramirez-Valles, Molina, & Dirkes, 2013). The present study examined the relationship between internalized homophobia and mental health in young adults who identify as LGB. Participants (N =130) were recruited from universities in Connecticut and Georgia, as well as from the Amazon Mechanical Turk website. It was hypothesized that higher levels of internalized homophobia would be related to higher levels of self-reported anxiety, …