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Articles 1 - 30 of 103
Full-Text Articles in Psychology
Stepping Outside Of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, And Relationship Satisfaction, Matthew Cook
Stepping Outside Of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, And Relationship Satisfaction, Matthew Cook
Electronic Theses and Dissertations
OVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the relationships between social anxiety and alcohol-related consequences and between social anxiety and relationship satisfaction. METHOD: College students who endorsed alcohol use within the past 30 days (n = 320) and college students who reported having been in a romantic …
The Examination Of A Mobile Application For The Reduction Of Posttraumatic Stress Related Symptoms In Emergency Dispatchers, Emy Willis
Electronic Theses and Dissertations
Emergency dispatchers report that their jobs are stressful, yet there are few controlled investigations examining their specific psychological complaints. Additionally, research examining the use of interventions directed at alleviating their work-related stress is limited. This study aims to examine the efficacy and feasibility of a mobile application (PTSD Coach) on various indicators of psychosocial well-being among emergency telecommunicator dispatchers. A sample of 117 emergency dispatchers completed self-report psychological mood assessments at baseline, weekly for five weeks during PTSD Coach use and post-treatment. Participant report of psychological symptoms showed statistically significant decreases in mood severity over the period of one month.
Development Of Filial Obligation In Young Adults: An Examination Of Crisis And Lifespan Theory, Rachel Bassett
Development Of Filial Obligation In Young Adults: An Examination Of Crisis And Lifespan Theory, Rachel Bassett
Electronic Theses and Dissertations
Formal care institutions are unable to meet care demands. As a result, informal caregivers (friends, family, neighbors) are called upon to fulfill this need. Adult children make up the majority of these informal caregivers. Adult children vary with respect to whether or not they provide care, and the amount of care provided. Filial obligation and attachment are positive predictors of these care behaviors. A better understanding of how these factors emerge and invoke caregiving behaviors is crucial. The primary hypothesis of this study was that anxiety attachment dimension score would positively relate to baseline filial obligation, and that avoid attachment …
Habituation Trajectory During Exposure Therapy: Comparing Trauma Frequency And Trauma Type, Madeline Marks
Habituation Trajectory During Exposure Therapy: Comparing Trauma Frequency And Trauma Type, Madeline Marks
Electronic Theses and Dissertations
The current DSM-5 criteria for Posttraumatic Stress Disorder (PTSD) affords heterogeneous symptom presentations; however, current treatment fails to consider differences in trauma frequency and trauma type. These different symptom profiles that exist within the PTSD framework lead to questions about the generalizability of treatment outcomes from one group to another group. One group of interest is those that experience multiple traumatic events and report multiple index traumas (trauma frequency). The second group of interest is those with a PTSD diagnosis from occupational exposure to traumatic events (trauma type). Appreciation of the reinforcement schedule may be particularly crucial for understanding treatment …
Telephone-Delivered Cognitive Behavioral Therapy For Insomnia In Patients With Cancer: A Randomized Controlled Trial, Andel Nicasio
Telephone-Delivered Cognitive Behavioral Therapy For Insomnia In Patients With Cancer: A Randomized Controlled Trial, Andel Nicasio
Electronic Theses and Dissertations
This study examined the efficacy and feasibility of a brief telephone-delivered CBT-I (TeleCBT-I) intervention in cancer patients compared to a control group. The study used a randomized controlled trial design. The TeleCBT-I program consisted of a brief four-week CBT-I program adapted for cancer patients. Patients completed assessment measures at pre-treatment, post-treatment and one-month follow-up. Out of 184 patients screened, 39 were randomly assigned, and 35 (TeleCBT-I, n = 19; Control, n = 16) completed pre- and post-treatment measures and were included in the analyses. Compared to control group, the TeleCBT-I group reported decreased insomnia severity symptoms (p < .014), improved sleep quality (p < .023), and reduced dysfunctional beliefs about sleep (p = .039) at post-treatment with sustained treatment effects at one-month follow-up. Sleep measures yielded large effect sizes (Hedges' g, 0.84-2.7). Although the TeleCBT-I group indicated improvements in fatigue, general functioning, physical well-being, functional well-being, and physical quality of life, effects at follow-up were observed only for fatigue, functional well-being and physical quality of life. No effects were found on depression at any of the time points. In terms of feasibility, TeleCBT-I demonstrated high adherence, high homework completion and high overall satisfaction. These results advance the empirical evidence of CBT-I in cancer patients and support the use of telephone-delivered CBT-I to widely disseminate and implement among patients with cancer.
Protective Behavioral Strategies And Alcohol-Related Sex Among College Students, Roselyn Peterson
Protective Behavioral Strategies And Alcohol-Related Sex Among College Students, Roselyn Peterson
Electronic Theses and Dissertations
Adverse sexual outcomes (e.g., sexual regret, sexual risk, and sexual assault) are a common experience among college students. In particular, regretted sex is reported by a third of college students and may result in psychological harm. Previous literature has found that alcohol is involved in approximately one third of regretted sex experienced by college students. A gap exists in the literature identifying who is more susceptible to experiencing a regretted sexual experience. Previous research has shown that students who implement protective behavioral strategies (PBS) while drinking are able to reduce alcohol-related negative consequences, including regretted sexual experiences. Three sub-types of …
The Efficacy And Feasibility Of Neuropsychological Services In A Primary Care Setting, Danielle Herring
The Efficacy And Feasibility Of Neuropsychological Services In A Primary Care Setting, Danielle Herring
Electronic Theses and Dissertations
Integrated primary care assimilates psychologists into the primary care setting, thus improving health outcomes and physician satisfaction. Neuropsychology has also begun to assimilate into primary care, as neurocognitive impairment is a correlate of many medical disorders. Subjective cognitive decline (SCD), a common complaint among older adults, is an increasingly recognized warning sign of non-normative cognitive aging. These patients typically present first to their primary care providers who may play a critical role in the early detection of cognitive impairment. Given the growing awareness about cognitive health and disability, the importance of neuropsychological assessment as a standard component of integrated care …
Neurological Reactivity To Personalized Odors And Sounds In Combat-Related Posttraumatic Stress Disorder, Michael Gramlich
Neurological Reactivity To Personalized Odors And Sounds In Combat-Related Posttraumatic Stress Disorder, Michael Gramlich
Electronic Theses and Dissertations
Functional near-infrared spectroscopy (fNIRS) is a neurophysiological procedure that offers immense clinical utility due to its cost effectiveness, ease of use, and mobile application. Using fNIRS to measure neurological reactions to personalized trauma-related cues might strengthen diagnostic screening, tailor treatment planning, and improve detection of remission among individuals with posttraumatic stress disorder (PTSD). Odors elicit strong emotional responses but remain underutilized in clinical research. This fNIRS study examined whether personalizing combat-related odors and sounds to have a higher or lower match to distressing combat experiences increased the observed neurological effect among combat veterans with and without combat-related PTSD. This study …
Brief Behavioral Health Intervention Program For Patients With Stable Coronary Artery Disease, Chelsea Wiener
Brief Behavioral Health Intervention Program For Patients With Stable Coronary Artery Disease, Chelsea Wiener
Electronic Theses and Dissertations
Healthy eating, physical activity, stress management, and smoking cessation are widely recognized as essential for preventing and treating coronary artery disease (CAD). Research on lifestyle programs for patients with CAD has largely focused on long-term interventions (e.g., several months to one-year in duration). Further, many studies have recruited patients immediately post-cardiac event. By contrast, evaluation of brief lifestyle interventions for stable patients treated in outpatient cardiology is lacking. The present study evaluated the feasibility, acceptability, and efficacy of a 3-session behavioral health lifestyle program for patients with stable CAD being treated in an outpatient cardiology clinic. Thirty-three patients were randomized …
Lifetime History Of Concussions And Behavioral Measures Of Anhedonia, John O'Donnell
Lifetime History Of Concussions And Behavioral Measures Of Anhedonia, John O'Donnell
Electronic Theses and Dissertations
Concussions are the most common neuropsychological problem in the United States and are associated with sequelae such as cognitive complaints and depression-related symptoms. Recent research suggests that head trauma is associated with anhedonia and that concussions have the potential to damage axons and postsynaptic connections in neural circuits that play a role in reward processing. Anhedonia may be better understood as an overarching construct with multiple subtypes including motivational, decisional, and consummatory. The current study examines the relationship between lifetime concussion history and subtypes of anhedonia using behavioral measures of reward processing: the Effort Expenditure for Rewards Task (EEfRT), Probabilistic …
Cognitive And Vascular Risk Factors For Depression: Testing An Integrated Theoretical Framework, Rosanna Scott
Cognitive And Vascular Risk Factors For Depression: Testing An Integrated Theoretical Framework, Rosanna Scott
Electronic Theses and Dissertations
Objective: Theoretical models that have guided the study of later-life depression include the vascular depression hypothesis, depression-executive dysfunction syndrome, and the CaR-FA-X model. Evidence suggests these can be integrated into a single developmental model of disordered mood (and its associated overgeneral memory feature) in later-life to delineate a mechanism of the vascular depression effect and identify modifiable intervention targets. Methods: In older adults, four serial mediation models evaluated the relationships between (1) vascular burden and depressive symptoms via executive control and rumination, and (2) vascular burden and autobiographical memory specificity (AMS) via executive control and rumination. In younger adults, four …
Childhood Experiences And Domestic Violence: The Role That Interpartner Violence Plays In Relationship Functioning And Parenting Behaviors In Adulthood., J'Nelle Stephenson
Childhood Experiences And Domestic Violence: The Role That Interpartner Violence Plays In Relationship Functioning And Parenting Behaviors In Adulthood., J'Nelle Stephenson
Electronic Theses and Dissertations
It is estimated that approximately 25% of women and 7.6% of men report experiencing violence from their romantic partner during their lifetime. Additionally, in households where interpartner violence occurs, there are between 3.3 and 10 million children in the United States alone. It is important to understand the cycle of domestic violence that can occur, as it can inform us about expected outcomes across time. This study examined mothers' childhood exposure to their own parents' domestic violence. It was hypothesized that childhood exposure to domestic violence would be related to unhealthy intimate relationships and to the development of maladaptive parenting …
Sleep Disturbances Among Firefighters: The Impact Of Shift Work On Sleep And Cognition, Jeremy Stout
Sleep Disturbances Among Firefighters: The Impact Of Shift Work On Sleep And Cognition, Jeremy Stout
Electronic Theses and Dissertations
A comprehensive sleep assessment of 45 firefighters was conducted over 9- days in an effort to determine the impact of their 24 hour work and 48 hour off work schedule on their sleep duration, sleep quality, processing speed, sustained attention, vigilance, and mental health. Chronic patterns of poor sleep are associated with an increased likelihood of performing poorly on tasks that require processing speed and sustained attention/vigilance which could lead to firefighters' suboptimal work performance or an increased risk of injury. Firefighters completed sleep actigraphy, self- report measures, as well as neuropsychological sub-tests at their beginning of their shift and …
Rumination And Executive Dysfunction: Risk Factors For Vascular Depression, David Brush
Rumination And Executive Dysfunction: Risk Factors For Vascular Depression, David Brush
Electronic Theses and Dissertations
Introduction: The widely-supported vascular depression hypothesis is underspecified with respect to cognitive mechanisms by which high cerebrovascular burden (CVB) and neuropathology relate to depressive symptoms. Integration of the vascular depression hypothesis with the CaR-FA-X model, a framework of affect regulation mechanisms, suggest that Rumination (R) and executive dysfunction (X) may increase due to altered recruitment of the dorsolateral prefrontal cortex resulting from high CVB and underlying neuropathology. This process would contribute to depressive symptomatology among older adults with high CVB. The progression of examined hypotheses included mediation models examining mechanistic relationships between predictors (CVB, DLPFC activation), cognitive correlates (rumination, executive …
Olfaction, Memory, And Presence In Warfighters: Do The Scents Of War Matter?, Benson Munyan
Olfaction, Memory, And Presence In Warfighters: Do The Scents Of War Matter?, Benson Munyan
Electronic Theses and Dissertations
Background: Exposure therapy (EXP) is a first-line intervention for combat-related PTSD. EXP works by repeatedly exposing the patient to the feared stimuli, situation, or physical sensations in the absence of actual danger until the stimuli no longer evoke maladaptive responses. Over the past decade, multiple technologies have been introduced to augment the EXP process by presenting multi-sensory cues (e.g., sights, smells, sounds) to increase patients' sense of presence. Exploratory research has only broadly examined the effect of odorants on the patient's sense of presence during simulated exposure tasks. This study hypothesized that those with autobiographical memories similar to the virtual …
The State Of Trauma-Informed Care In The Preschool, Ellen Kolomeyer
The State Of Trauma-Informed Care In The Preschool, Ellen Kolomeyer
Electronic Theses and Dissertations
This study aimed to provide a foundational knowledge base from which to begin bridging the gap between research on trauma-informed, relationship-based therapeutic interventions in early childhood preschool classrooms and the practice of such classroom-based interventions. Specifically, this study identified several specific predictors (e.g., funding) and barriers (e.g., lack of knowledge and training in assessment instruments and referral options) to gaining trauma-informed knowledge and engaging in trauma-informed practices in preschool classrooms. Individuals in leadership roles at preschools were sampled anonymously with regard to their current trauma-informed knowledge and program practices. Participants included 98 preschool leaders from Florida, 36 preschool leaders from …
Subjective-Objective Discrepancies Among Patients With Sleep Complaints In The Patient-Centered Medical Home, Keri Bayley
Subjective-Objective Discrepancies Among Patients With Sleep Complaints In The Patient-Centered Medical Home, Keri Bayley
Electronic Theses and Dissertations
Sleep misperception – the discrepancy between objective and subjective measures of sleep – has been shown to be prevalent among patients with insomnia and may be a promising target for sleep intervention. This study examined sleep misperception in a diverse outpatient medical sample using consumer-grade wearable actigraphs (i.e., Fitbit Charge HR™). Forty-four self-identified problem sleepers aged 20 to 79 participated in the study. Participants completed sleep diaries for one week while also tracking their sleep using the Fitbit Charge HR™. After receiving a personalized sleep report based on these data, participants repeated another week of sleep assessment. Sleep misperception was …
Potential Relationship Between Vascular Depression And Autobiographical Memory Specificity In An Older Adult Population According To The Car-Fa-X Model, Manuel Herrera Legon
Potential Relationship Between Vascular Depression And Autobiographical Memory Specificity In An Older Adult Population According To The Car-Fa-X Model, Manuel Herrera Legon
Electronic Theses and Dissertations
Vascular depression is a type of depression that has its onset later in life, and it has been associated with cardiovascular or metabolic diseases. Depression can be costly and associated with other health problems, which is why it becomes imperative to uncover the multiple mechanisms of action for depression symptomatology. A proposed mechanism of action for the emergence of depressive symptomatology is poor autobiographical memory specificity according to the CaR-FA-X model. However, it remains unclear whether this mechanism contributes somehow to the vascular depression specific type. The purpose of this research was to determine the potential relationship between the mechanisms …
Young Adult Development And Caregiving: Disposition And Involvement In Care, Nicholas James
Young Adult Development And Caregiving: Disposition And Involvement In Care, Nicholas James
Electronic Theses and Dissertations
Caregivers are a diverse group of individuals with a variety of backgrounds and roles; however, research has widely overlooked young adults in this population. This study investigated young adult caregiver circumstance, burden, and use of support services with the purpose of improving future caregiving research and interventions. Study 1 compared burden and circumstance among young, middle aged, and older adult caregivers (N = 285) in addition to developmental indicators among young adults caregiver and demographically matched non-caregiver peers (n = 225). Study 2 surveyed caregivers from each age group (N = 151) on barriers to care, treatment preferences, and interest …
Alcohol Pathology And The Triarchic Model Of Psychopathy: The Role Of Protective Behavioral Strategies And Impulsivity, Matthew Kramer
Alcohol Pathology And The Triarchic Model Of Psychopathy: The Role Of Protective Behavioral Strategies And Impulsivity, Matthew Kramer
Electronic Theses and Dissertations
OVERVIEW: Psychopathy has been an area of growing interest in psychology for the last half century. Currently, the most common conceptualization of psychopathy breaks it down into two factors: primary and secondary psychopathy. More recently, psychopathy has been viewed through a more nuanced model, the Triarchic Model of Psychopathy. The present study examines the relationship between the three facets of the Triarchic Model and alcohol pathology via aspects of impulsivity and Protective Behavioral Strategies (PBS). METHOD: A college student sample of n = 967 individuals who endorsed consuming alcohol completed surveys regarding the Triarchic Model, impulsivity, PBS use, and alcohol …
The Efficacy Of A 6-Week Evidence-Based Support Group For Caregivers Of Dementia In A Primary Care Setting, Mona Shah
Electronic Theses and Dissertations
More than 16 million Americans provide unpaid care for those with Alzheimer's disease and other dementias. Extant literature has well documented the increased risk for physical, emotional, social and financial burden associated with caregiving. While intensive support groups may be well-suited to caregiver needs, they are often difficult to implement given financial, personnel and resource constraints. Thus, the purpose of this study is to examine the efficacy of a theoretically-based, 6-week caregiver support group in a community primary care setting. The group focuses on self-care, behavior management techniques and interdisciplinary caregiver resources. A total of 22 participants completed the active …
How Much Is Enough? Trauma Recall And The Exposure Therapy Process, Krystal Morrison
How Much Is Enough? Trauma Recall And The Exposure Therapy Process, Krystal Morrison
Electronic Theses and Dissertations
Prevailing theoretical models of posttraumatic stress disorder (PTSD) as well as exposure therapy (EXP) methodology suggest that recall of a trauma is crucial to altering the conditioned fear response associated with PTSD (Benito & Walther, 2015; Craske et al., 2008; Foa & Kozak, 1986). However, it is unclear whether limited recall of the event impacts the EXP process and treatment outcomes. This study examined whether incomplete trauma recall affected pre-treatment PTSD severity, Initial Fear Activation (IFA), Overall Fear Activation (OFA), Within-Session Habituation (WSH), Between-Session Habituation (BSH; overall extinction), average length of EXP sessions, number of EXP sessions, and post-treatment PTSD …
Childhood Maltreatment And Mother-Child Attachment: Examining Interactions Among Attachment, Depression, Reflective Functioning, Parenting Behaviors, And Young Children's Outcomes In Mothers With Histories Of Childhood Maltreatment, Maria Khan
Electronic Theses and Dissertations
Although previous research identified mothers who experienced childhood maltreatment as exhibiting an especially heightened risk for attachment difficulties with their own young children, evidence regarding the mechanisms of action driving this relationship have been lacking. Thus, the current study introduced mothers' depressive symptoms and the novel construct of reflective functioning as potential mediators to help explain the relationship between mothers' childhood maltreatment experiences and patterns of insecure (i.e., anxious, avoidant, and disorganized) mother-young child attachment. The current study included a community sample of 146 mothers with children who ranged in age from 1 1/2-to 5-years. Mothers provided ratings of their …
Health Behaviors In Military Veterans With And Without Posttraumatic Stress Disorder, Emily Kitsmiller
Health Behaviors In Military Veterans With And Without Posttraumatic Stress Disorder, Emily Kitsmiller
Electronic Theses and Dissertations
A link between posttraumatic stress disorder and health behaviors, such as exercise, alcohol, smoking, and caffeine has been suggested. However, it is unknown whether veterans with combat-related PTSD differ from combat veterans without PTSD and whether health behaviors change over the course of exposure therapy for PTSD or differ based on PTSD severity. This study examined the relationship between health behaviors and PTSD. More specifically, combat veterans with and without PTSD were compared across self-reported levels of alcohol use, smoking, exercise, and caffeine. Health behaviors of combat veterans with PTSD were compared before and after a 17-week treatment for PTSD. …
Predicting Child Maltreatment Potential In Mothers Who Are Substance-Involved: A Study Of Childhood Adversity, Stress, Affectivity, Emotion Dysregulation, And Emotion Regulation Strategies As Mechanisms Of Action, Amanda Lowell
Electronic Theses and Dissertations
Compared to the general population, parents who are substance-involved are both more likely to have experienced adversity during childhood and to exhibit elevated child maltreatment potential later in life. Within this population, mothers with young children are particularly at-risk. In order to enhance scientific understanding of this phenomenon, this study identified and examined several characteristics that were shown previously to be related to substance misuse and to the experience and perpetration of maltreatment. These characteristics included stress, affectivity, emotion dysregulation, and emotion regulation strategies. The current study examined these variables collectively in order to clarify the mechanisms at play in …
Using Exposure Therapy To Treat People Who Stutter: A Multiple Baseline Design, Jennifer Scheurich
Using Exposure Therapy To Treat People Who Stutter: A Multiple Baseline Design, Jennifer Scheurich
Electronic Theses and Dissertations
Social anxiety disorder (SAD) is a debilitating condition, and it is estimated that approximately half of adults who stutter have SAD. Thus, there is a need for the assessment and treatment of SAD in this population. Cognitive-behavioral therapy (CBT) has shown promise in decreasing anxiety symptoms among adults who stutter and have SAD, but exposure, the key ingredient for successful CBT for SAD, has been understudied and underemphasized. The aims of this study were to develop an exposure therapy protocol specifically for people who stutter and have SAD and to evaluate its efficacy for reducing anxiety and stuttering severity. Utilizing …
How Does Brief Cognitive Behavioral Therapy Work? Potential Mechanisms Of Action For Veterans With Physical And Psychological Comorbidities, Frances Deavers
How Does Brief Cognitive Behavioral Therapy Work? Potential Mechanisms Of Action For Veterans With Physical And Psychological Comorbidities, Frances Deavers
Electronic Theses and Dissertations
Depression and anxiety are commonly comorbid among patients with chronic medical conditions. These comorbidities are associated with negative outcomes including poorer quality of life and worse physical functioning. Evidence that traditional cognitive behavioral therapy (CBT) is less effective for these populations has led to the development of brief CBT protocols that incorporate physical health self-management skills and are delivered in primary care. To continue refining treatment packages, it is important to understand how brief CBT works. The present study used the transactional model of stress and coping as a framework for investigating potential mechanisms of action of brief CBT. Veterans …
Inattentive Behavior In Boys With Adhd During Classroom Instruction: The Mediating Role Of Working Memory Processes, Sarah Orban
Inattentive Behavior In Boys With Adhd During Classroom Instruction: The Mediating Role Of Working Memory Processes, Sarah Orban
Electronic Theses and Dissertations
Children with ADHD exhibit clinically impairing inattentive behavior during classroom instruction and other cognitively demanding contexts. However, there have been surprisingly few attempts to validate anecdotal parent/teacher reports of intact sustained attention during 'preferred' activities such as watching movies. The current investigation addresses this omission, and provides an initial test of how ADHD-related working memory deficits contribute to inattentive behavior during classroom instruction. Boys ages 8-12 (M=9.62, SD=1.22) with ADHD (n=32) and typically developing children (TD; n=30) completed a counterbalanced series of working memory tests and two videos on separate assessment days: an analogue math instructional video, and a non-instructional …
Applied Problem Solving In Children With Adhd: The Mediating Roles Of Working Memory And Mathematical Calculation, Lauren Friedman
Applied Problem Solving In Children With Adhd: The Mediating Roles Of Working Memory And Mathematical Calculation, Lauren Friedman
Electronic Theses and Dissertations
The difficulties children with ADHD experience solving applied math problems (i.e., word problems) are well documented; however, the independent and/or interactive contribution of cognitive processes underlying these difficulties is not fully understood and warrant scrutiny. The current study examines two primary cognitive processes integral to children's ability to solve applied math problems: working memory (WM) and math calculation ability (i.e., the ability to utilize specific facts, skills, or processes related to basic math operations stored in long-term memory). Thirty-six boys with ADHD-combined presentation and 33 typically developing (TD) boys aged 8-12 years old were administered multiple counterbalanced tasks to assess …
Identification Of Areas Of Patient Need Using The Cancer Support Source Program, Emily Ross
Identification Of Areas Of Patient Need Using The Cancer Support Source Program, Emily Ross
Electronic Theses and Dissertations
Understanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines "psychosocial distress" as extending on a continuum, "ranging from common normal feelings of vulnerability, sadness, and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual crisis" ("National Comprehensive Cancer Network," n.d.). Findings have indicated the significant impact of poor quality of life and …