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Full-Text Articles in Psychology

A Review Of A Ketogenic Diet In The Treatment Of Autism Spectrum Disorder, Eugene Reznik Jun 2024

A Review Of A Ketogenic Diet In The Treatment Of Autism Spectrum Disorder, Eugene Reznik

Loma Linda University Electronic Theses, Dissertations & Projects

Autism Spectrum Disorder effects millions of people every year, however pharmacological and behavioral treatments remain limited. The need for adjunctive therapies such as diet invervention [sic] that target autism spectrum disorder symptoms Is [sic] needed now more than ever. A connection between a ketogenic diet, which is high in fat and low in carbohydrates, and autism spectrum disorder can be made as the diet has shown potential in ameleriotating [sic] common comorbidities within the autism spectrum disorder population such as metabolic dysfunction, gut-microbiome dysfunction, medication resistant epilepsy, and various psychiatric disorders. Hence, this review focuses on the results and methods …


The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons May 2024

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …


Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs Jan 2024

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …


An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma Jan 2024

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …


Non-Pharmacological Interventions For Alzheimer’S Disease Patients, Mariam Hanna Sep 2023

Non-Pharmacological Interventions For Alzheimer’S Disease Patients, Mariam Hanna

Loma Linda University Electronic Theses, Dissertations & Projects

Alzheimer’s Disease (AD) research often focuses on the pharmacological treatment and neurological basis of the disease. However, in the absence of disease-modifying treatments, interventions that target symptom reduction may improve quality of life and delay institutionalization. Given the limitations and risks associated with pharmacological AD treatments, this paper reviews non-pharmacological interventions to improve memory function and reduce symptoms of depression in patients with AD including music therapies, Cognitive Rehabilitation, and Bright Light Therapy.


A Mental Health Needs Assessment Of Students Attending An Alternative High School, Kelly Sachdev Sep 2023

A Mental Health Needs Assessment Of Students Attending An Alternative High School, Kelly Sachdev

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that students who attend urban or alternative schools experience higher rates of poverty, family instability, and violence victimization. These risk factors can result in higher rates of depression, school absences, and lower academic performance. This needs assessment explores the mental health needs of students at a low-income, urban, alternative high school in Southern California from the perspective of students, teachers, and staff in order to better understand the stressors and mental health needs of this vulnerable population. Four focus groups were conducted with students (n = 9), teachers (n = 7), and staff (n = 13). Audio files …


Depression As A Mediator Between Combat Deployment And Substance Use Among Veterans, Brooke Kania Millham Sep 2023

Depression As A Mediator Between Combat Deployment And Substance Use Among Veterans, Brooke Kania Millham

Loma Linda University Electronic Theses, Dissertations & Projects

Individuals who deploy to combat zones often develop increased rates of substance use problems, which may be due to self-medication for depressive symptoms. This study used logistic simple mediation analyses with bootstrapping to test whether depression mediates the relationship between combat zone experience and substance dependence or abuse (alcohol, nicotine, marijuana, opioids, other illicit drugs, and concurrent substance misuse) among military veterans via secondary data analysis of the 2013 to 2018 National Survey on Drug Use and Health (NSDUH; N = 14,121; 87.9% male; 54.4% age 50+; 75.2% white; 34.5% with combat zone experience). Analysis revealed that depression was only …


Sleep, Body Dissatisfaction, And Eating Among Adolescents, Megan White Sep 2023

Sleep, Body Dissatisfaction, And Eating Among Adolescents, Megan White

Loma Linda University Electronic Theses, Dissertations & Projects

Sleep difficulties in adolescence have been linked to greater impulsivity, negative affect, propensity to interpret neutral stimuli as negative, and higher rates of anxiety and depressive symptomatology (Van Dyk, 2016). However, minimal research has looked at the relationship among sleep difficulties, emotional eating, and body dissatisfaction within this population. Therefore, the aim of the current study was to explore the relationship among sleep difficulties, emotional eating, and body dissatisfaction among adolescents aged 12-18 years. Specifically, the current study stands to 1) confirm the relationship between emotional eating and body dissatisfaction; 2) test if sleep difficulties are related to emotional eating; …


The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli Aug 2023

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …


Does Convenience Come With A Price? The Impact Of Remote Testimony On Expert Credibility And Decision-Making, Ashley Jones Aug 2023

Does Convenience Come With A Price? The Impact Of Remote Testimony On Expert Credibility And Decision-Making, Ashley Jones

Dissertations

Legal cases involving expert testimony, especially by forensic mental health professionals, is increasingly relying on remote testimony to reduce associated costs and increase availability of such services. There is some evidence to show that expert testimony delivered via videoconference (VC) is comparable to expert testimony delivered in person; however, the most compelling evidence for this claim is unpublished. Other evidence across disciplines showed relative comparability between VC and in-person modalities across various types of outcomes. Based on both unpublished and published findings, this study tested the hypothesis that minimal differences in measures of expert credibility, efficacy, and weight assigned to …


Predictors Of Relational Aggression In Women Across Adulthood, Alison Poor Aug 2023

Predictors Of Relational Aggression In Women Across Adulthood, Alison Poor

Dissertations

Relational aggression involves behavior intended to harm victims’ social status or reputation through acts like manipulation, gossip, exclusion, and blackmail. Most of the research on relational aggression has focused on children and early adolescents, with college students receiving some attention in recent years. A smaller body of work supports the relevance of relational aggression among adults in workplace settings, marital relationships, and assisted-living facilities. While few studies with adults have been integrated into the literature on relational aggression, they provide evidence that these behaviors continue into adulthood. The current study explored relational aggression among women between the ages of 18 …


Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter Aug 2023

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …


Patterns Of Classroom Organization In Classrooms Where Children Exhibit Higher And Lower Language Gains, Laura Cutler, Rachel E. Schachter, Clariebelle Gabas, Shayne B. Piasta, Kelly M. Purtell, Nathan P. Helsabeck Jul 2023

Patterns Of Classroom Organization In Classrooms Where Children Exhibit Higher And Lower Language Gains, Laura Cutler, Rachel E. Schachter, Clariebelle Gabas, Shayne B. Piasta, Kelly M. Purtell, Nathan P. Helsabeck

Faculty Publications, Department of Child, Youth, and Family Studies

Previous research suggests that the ways in which early childhood classrooms are organized may facilitate children’s language learning. However, different measures of classroom organization often yield inconsistent findings regarding child outcomes. In this study, we investigated multiple aspects of classroom organization across two time points in classrooms where children made varying language gains. Using a purposeful sample of 60 early childhood classrooms, 30 in which children made higher language gains and 30 in which children made lower language gains, we explored the organization of the physical classroom literacy environment, classroom management, classroom time, and classroom activities. Research Findings: Results indicated …


Employee Engagement Is The Key: Its Mediating Role Between Person–Environment Fit And Organizational Commitment Among Filipino Employees, Ma. Criselda T. Pacquing Jul 2023

Employee Engagement Is The Key: Its Mediating Role Between Person–Environment Fit And Organizational Commitment Among Filipino Employees, Ma. Criselda T. Pacquing

Makara Human Behavior Studies in Asia

Employee engagement has been a popular topic in human resources management and development for several years now. However, the majority of the information on this construct came from the perspective of other cultures, and scientific research-based literature conducted on the engaging behavior of Filipinos, most notably on the antecedents and consequences, is limited. Thus, this study aimed to examine P–E fit and organizational commitment as an antecedent and the consequence of employee engagement, respectively. Similarly, the mediating function of employee engagement on the association of P–E fit with organizational commitment was explored. A total of 1252 employees from different Filipino-owned …


The Impact Of Single Motherhood On A Child’S Emotional Disposition In Asia: A Scoping Review, Afiq Azri Mohd Ghani, Fatin Syamilah Che Yob, Lim Seong Pek, Rita Wong Mee Mee, Md Rosli Ismail, Uzzairah Nabila Ahmad Tazli, Tengku Shahrom Tengku Shahdan Jul 2023

The Impact Of Single Motherhood On A Child’S Emotional Disposition In Asia: A Scoping Review, Afiq Azri Mohd Ghani, Fatin Syamilah Che Yob, Lim Seong Pek, Rita Wong Mee Mee, Md Rosli Ismail, Uzzairah Nabila Ahmad Tazli, Tengku Shahrom Tengku Shahdan

Makara Human Behavior Studies in Asia

Corresponding to the current pandemic issue, Covid-19 has driven unprecedented economic loss and instability to many, particularly among low-income families, especially in Asia. In context, families involved single mothers who are markedly affected by job loss; thus, low-income households had markedly affected the well-being and development of children. In addition to family environment, sociodemographic variables, such as socioeconomic status, educational level of parents, and parental conflict, had also been associated with problematic or competent behaviors during childhood. This scoping review aimed to determine current knowledge regarding the impact of single motherhood on the emotional well-being of a child. This review …


Parental Psychological Maltreatment In Egypt: Exploring Intergenerational Parenting Behavior And Identifying Protective Factors, Sylvia Said Jun 2023

Parental Psychological Maltreatment In Egypt: Exploring Intergenerational Parenting Behavior And Identifying Protective Factors, Sylvia Said

Theses and Dissertations

Psychological maltreatment is an under-recognized problem, even though it is a widespread form of child maltreatment and has detrimental consequences, whether in the short or long term. This study aims to explore the intergenerational patterns of parenting behaviors, measure the difference in emotionally abusive behaviors between mothers and fathers, investigate the relationship between childhood emotional abuse and adopting different parenting styles, and identify the protective factors against parental psychological maltreatment. A mixed-methods approach was used to answer these research questions thoroughly. Online versions of the survey, in English and Arabic, were shared on social media platforms, and online interviews were …


An Inaugural, Qualitative Examination Of The Relationships Between People With Gender Nonconforming Expression And Social Anxiety, Chrystiana Jones Jun 2023

An Inaugural, Qualitative Examination Of The Relationships Between People With Gender Nonconforming Expression And Social Anxiety, Chrystiana Jones

Dissertations

The focus in this research was on the experience of social anxiety associated with people with gender nonconformity. The study involved consideration of the issues people with gender nonconformity face as well as the mental impact that often occurs as a result of the rejection of other people in their lives, including their family and friends, as well as how and in what ways gender nonconforming people are affected by negativity in their environment. Data related to the problems that develop with such people, in particular the impact of stigmatization, discrimination, and social anxiety on people with gender nonconformity were …


Project Soaring: Feasibility Of A Tier 2 Dbt-Based Program, Chalita Antommarchi Jun 2023

Project Soaring: Feasibility Of A Tier 2 Dbt-Based Program, Chalita Antommarchi

Loma Linda University Electronic Theses, Dissertations & Projects

Adolescents living in poverty are more likely to experience intense and/or multiple stressors during childhood (Evans & Kim, 2012). These increases in stress levels can lead to patterns of pervasive emotion dysregulation which, in turn, can affect academic achievement (Ivcevic & Brackett, 2014). Dialectical Behavior Therapy (DBT) is a promising intervention that can target emotion dysregulation and other symptomatology in adolescents (Miller et al., 2006). Although DBT has gained traction in the treatment of adolescent suicide and self-harm (Glenn et al., 2019), it has yet to be tested as an early intervention in a school-based setting (Fasulo et al., 2015; …


Adverse Childhood Experiences(Aces) And Nonverbal Reasoning Skills, Monika Malinowska Jun 2023

Adverse Childhood Experiences(Aces) And Nonverbal Reasoning Skills, Monika Malinowska

Dissertations

Severe stress and interpersonal traumatic experience in childhood have a cascade effect on an individual's physical and mental health. There is evidence that people with complex adverse childhood experiences have diminished cognitive abilities. However, there are few studies on the effects of Adverse Childhood Experiences (ACE) on non-verbal reasoning skills. This study aimed to assess the relationships between ACEs, non-verbal reasoning skills, and academic achievement.


Perceptions Of The Veterans Administration And Mental Health Treatment Seeking Intentions Among Veterans, Hilary Hines Jun 2023

Perceptions Of The Veterans Administration And Mental Health Treatment Seeking Intentions Among Veterans, Hilary Hines

Dissertations

Among the veteran population there is a trend of underutilizing mental health services despite the higher number of veterans with mental health diagnoses. Though previous research has examined barriers to mental health care such as stigma and a warrior mentality, there may be additional barriers that emanate from the system to which veterans are entitled and encouraged to use, the Veterans Administration (VA). This study examined the mediational relationships among perceptions of the VA, attitudes about seeking mental health treatment at the VA, and intentions to seek mental health treatment at the VA among veterans. Data from 96 veterans were …


The Development Of The Holistic Pastoral Wellbeing Assessment: A Mixed Methods Study, Timothy Captain May 2023

The Development Of The Holistic Pastoral Wellbeing Assessment: A Mixed Methods Study, Timothy Captain

Dissertations

Some pastors are clearly in crisis. Research has indicated that clergy struggle to cope with the stressors of their profession. While pastoral work is overtly spiritual in nature, day-to-day tasks include interactions with God, themselves, congregants, and the world at large. Without multi-dimensional tools to consider their wellbeing, specifically assessments that reflect their worldview and role, pastors may remain unaware of dangerously low levels of wellbeing until they reach a place of crisis. Therefore, in this mixed methods study, the Holistic Pastoral Wellbeing Assessment (HPWA) was developed and tested to offer a validated, useful tool for pastors and those who …


Using Expressive Arts Therapy To Develop Coping Mechanisms To Manage Substance Use, Zayna Mcdonald May 2023

Using Expressive Arts Therapy To Develop Coping Mechanisms To Manage Substance Use, Zayna Mcdonald

Expressive Therapies Capstone Theses

This paper examines past and current usages of expressive arts therapy in developing coping mechanisms for substance use recovery and explores possibilities for further integration in the adolescent and young adult population around the world. Abundant information is available on the effects of drugs and other substances on mental health, but more research is needed on how the integration of expressive arts therapy can enhance substance abuse programs for these populations. According to the CDC, elevated adverse effects on mental health occurred during the COVID-19 pandemic in the US with young adults reporting increased substance use (Czeisler et al., 2020). …


Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner May 2023

Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner

Expressive Therapies Capstone Theses

Those undergoing neurorehabilitation after stroke and traumatic brain injury report a diminished sense of overall wellness. This paper examines the conceivable benefits of introducing expressive arts therapies, which is the therapeutic use and combination of the visual arts, movement, drama, music, writing and other intermodal creative processes, into physical therapy and neurorehabilitation treatment planning. Expressive arts therapies have the capacity to engage with an individual’s physical, emotional, social and spiritual states concurrently. They simultaneously offer the ability to promote an increased sense of well-being, address mind-body disconnects, and process trauma non-verbally.

The sections of this narrative literature review focus on …


Colorism, Colonial Mentality, And Dating And Relationships For Filipino American Women, Gabrielle A. Abrazaldo May 2023

Colorism, Colonial Mentality, And Dating And Relationships For Filipino American Women, Gabrielle A. Abrazaldo

Senior Theses

As a consequence of a long colonial history under Spain and then the United States that lasted over 300 years, Filipinos have internalized a sense of cultural and ethnic inferiority known as ‘colonial mentality.’ When it comes to Filipino women, who have historically entered into romantic or sexual relationships with their colonizers, in which they were often mistreated, degraded, and discriminated against, colonial mentality continues to have an impact on their dating behaviors, attitudes, and experiences. This paper reviews a variety of literature, drawing particularly on qualitative sources such as personal narratives and interviews, to build case studies that effectively …


The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe May 2023

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …


Facilitating Attachment Through Therapeutic Rapport And Expressive Arts Therapy With Children Experiencing Complex Trauma: A Literature Review, Johanna Voeller May 2023

Facilitating Attachment Through Therapeutic Rapport And Expressive Arts Therapy With Children Experiencing Complex Trauma: A Literature Review, Johanna Voeller

Expressive Therapies Capstone Theses

The aim of this capstone is to review the connection between therapeutic alliance and attachment with traumatized children supported by expressive arts in therapy and to the impact on therapeutic outcome. Within the therapeutic encounter is a potent opportunity to develop healthy attachment patterns that bridge into the client’s other relationships in their life. Complex trauma affects children physically and psychologically leaving lifelong consequences of interpersonal challenges. The impetus for study of this topic was curiosity centered on the impact of the therapeutic alliance as it relates to attachment, and therapeutic outcomes. Throughout the course of this literature review, the …


Examining State Of Flow And Its Future In Dance/Movement Therapy: A Literature Review, Rachael A. Cohen May 2023

Examining State Of Flow And Its Future In Dance/Movement Therapy: A Literature Review, Rachael A. Cohen

Expressive Therapies Capstone Theses

This paper analyzes State of Flow, the definition codified by Mihaly Csikszentmihalyi and analyzes how Flow as a concept has developed in current psychological and artistic research, alternative therapies, and mainstream medias. This paper also views existing Dance/Movement Therapy frameworks such as Body-Mind Centering and Kestenberg Movement Profile to see how Csikszentmihalyi’s definition could integrate into current Dance/Movement Therapy practice, as well as looks at Laban Movement Analysis and its future in Dance/Movement Therapy. This thesis also examines how gender and neurodivergence may impact how one can experience State of Flow.


There Is A Place For You And Your Little Ones: Homiletics And Liturgy In View Of Pregnancy Loss, Joseph Michael Baumgarten May 2023

There Is A Place For You And Your Little Ones: Homiletics And Liturgy In View Of Pregnancy Loss, Joseph Michael Baumgarten

Doctor of Ministry Major Applied Project

Baumgarten, Joseph M. There is a Place for You and Your Little Ones: Homiletics and Liturgy in View of Pregnancy Loss. Doctor of Ministry. Major Applied Project, Concordia Seminary, 2022. 81 pp.

Pregnancy loss and the grief that follows is more common than most people think. However, there is a gap in resources, discussion, and care for those who have experienced such losses. This is true in wider culture as well as in the church. While there are a few resources available, they are limited. This project addresses the church’s ability to provide proper recognition of pregnancy loss, the validation …


The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie May 2023

The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie

Doctoral Dissertations

This study aimed to examine the association between psychotic symptoms and the quality of romantic relationships amongst ethnic minority young adults. Approximately 10.4 million people, which represents 4.2% of the adult population in the U.S, are currently diagnosed with severe mental illnesses, including psychotic disorders. Prior research found that ethnic minorities, in general, have an increased risk of developing psychotic disorders such as schizophrenia. People with SMI generally have issues being and maintaining romantic relationships. However, being in positive romantic relationships is associated with better physical and mental well-being. The final sample size for the study consisted of 411 young …


Approaching Trans Healthcare Competency: The Implementation Of Trans Health Education For Medical Providers In Appalachia, Rebecca Altschuler May 2023

Approaching Trans Healthcare Competency: The Implementation Of Trans Health Education For Medical Providers In Appalachia, Rebecca Altschuler

Electronic Theses and Dissertations

Barriers to competent and safe healthcare disproportionately impact people who are marginalized because of their race, ethnicity, gender, or socioeconomic status. It is well documented that transgender patients in particular experience barriers to both accessing care and receiving high quality, non-discriminatory care (Hatzenbuehler & Pachankis, 2016; James et al., 2016; Rahman et al., 2019; Safer et al., 2016). This lack of access to culturally competent healthcare services contributes to health disparities that disproportionately impact the trans community. Literature on barriers to competent care for trans patients indicates that providers experience discomfort related to their ability to provide competent care (Safer …