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Anxiety

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Full-Text Articles in Psychology

An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley May 2024

An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley

Psychological Science Undergraduate Honors Theses

The current study sought to understand help-seeking behaviors for diverse psychological disorders across different demographic groups. Previous literature finds that help-seeking behaviors are greater in non-minority women in higher socioeconomic statuses, and greater for neurocognitive disorders. This study focuses specifically on university students (N= 276). Participants took diagnostic measures and then were told their scores were clinically elevated for either anxiety or ADHD. Participants were then asked qualitative questions regarding their help-seeking intentions. Findings that were consistent with previous literature are that women were more likely to help-seek than men, and participants in the ADHD condition were more likely to …


The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright Apr 2024

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …


The Psychological Effects Of Solitary Confinement On Incarcerated Individuals: A Systematic Literature Review, Lara Z. Parkes, Jonathan C. Dowers Apr 2024

The Psychological Effects Of Solitary Confinement On Incarcerated Individuals: A Systematic Literature Review, Lara Z. Parkes, Jonathan C. Dowers

Selected Student Publications

This systematic literature review looks at previous research that explores the possibility of a correlation between solitary confinement and the presence of mental illness within those isolated inmates. Twenty percent of prison inmates experience isolation for up to twenty-two hours per day with restricted social interaction and limited amenities (Hagan et al., 2018; Ryan & DeVylder, 2020). Certain inmate demographics are more likely to be sent into isolation in an effort to protect themselves or others, including members of the LGBTQIA+ community, the developmentally impaired, and the mentally ill. However, this practice often has the opposite of its intended effect. …


Analysis Of Research On The Effects Of Auditory Stimulation On Anxiety And Stress In Clinical And General Populations, Rebecca Lee Jan 2024

Analysis Of Research On The Effects Of Auditory Stimulation On Anxiety And Stress In Clinical And General Populations, Rebecca Lee

CMC Senior Theses

The use of auditory stimulation may be a useful method in treating clinical anxiety disorders, as well as aiding in coping with daily stress among general populations. The understanding of how certain forms of auditory stimulation can increase anxiety and stress is also critical so clinicians and the general population can approach decreasing anxiety and stress in the most effective way possible. The following paper will provide a literature review on studies published after the year 2000, analyzing the various impacts of different types of auditory stimulation, including impacts of music-therapy, music and noise at different frequencies, binaural beat stimulation, …


Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose Jan 2024

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …


Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood Jan 2024

Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Research suggests that Division I college-student athletes experience higher levels of stress and other behavioral health issues than their non-athlete counterparts, with up to 20% of them suffering from depression (Sudano et al., 2017). Two studies on student athletes’ well-being conducted in 2020, reported that athletes continue to report higher levels of mental health concerns (Johnson, 2022). Since the fall of 2020, rates of mental exhaustion, depression, and anxiety have improved minimally with rates remaining 1.5 to two times higher than reported before the COVID-19 pandemic (Johnson, 2022). Naomi Osaka withdrawing from the French Open in 2021 and Simone Biles …


A Post Pandemic Analysis Of Covid-19 And The Impact On Mental Health Of High School Student-Athletes—Today, More Than Ever Minds Matter, Pastora Hernandez Barbee Aug 2023

A Post Pandemic Analysis Of Covid-19 And The Impact On Mental Health Of High School Student-Athletes—Today, More Than Ever Minds Matter, Pastora Hernandez Barbee

Ed.D. Dissertations in Practice

The cancellation of sporting opportunities during the COVID-19 pandemic caused many student-athletes to feel deprived of the only outlet they had, which held a significant component of their personal and athletic identities (Grubic et al. 2021). This study aimed to answer the following research question: What are the experiences of high school student-athletes in a Pacific Northwest school district with access and support for holistic wellness in a post-pandemic COVID-19 school environment? The research methodology used was the wellness theory framework (Adams, Bezner, & Steinhardt, 1997). A total of seven student-athletes participated in the study through in-depth interviews. From the …


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 …


The International Student Social Experience At A Predominantly White Institution, Arianna Patel Apr 2023

The International Student Social Experience At A Predominantly White Institution, Arianna Patel

Senior Theses and Projects

Past research has shown widespread disparities in the way domestic students adjust to this transition versus the way international students adjust to the transition of moving into university; especially at predominantly white institutions (PWI) within The United States of America. In many studies, international students have been found to attain elevated levels of anxiety, and experience more difficulty in finding a sense of belonging. Therefore, the present study sought to examine these concerns more carefully. 49 students from all academic years at Trinity College, a PWI, were administered two surveys in order to objectively gauge their levels of anxiety and …


Effects Of Expressive Writing On Reducing Anxiety About Attending Intergroup Dialogue On Race And Racism, Cemal Arda Aksoy Aug 2022

Effects Of Expressive Writing On Reducing Anxiety About Attending Intergroup Dialogue On Race And Racism, Cemal Arda Aksoy

Masters Theses

This experimental study examined the effects of expressive writing (EW) on the level of anxiety that White college students experience for their anticipated participation in a dialogue about race and racism with a racially diverse group of people. Ninety-one undergraduate college students, aged 18 to 25 years, living in the United States and identifying their race as White/European American were randomly assigned to an experimental or control condition for this online study. In both conditions, participants were informed that they would be participating in an online dialogue about race and racism with a racially diverse group of people after they …


Covid-19 And Anxiety And Depression Prevalence In College Counseling Centers, Elizabeth Densen Apr 2022

Covid-19 And Anxiety And Depression Prevalence In College Counseling Centers, Elizabeth Densen

Senior Theses and Projects

Today more than ever, college students in the United States feel increased stress, leaving them more vulnerable to mental illnesses like depression and anxiety. With the Coronavirus-19 pandemic running rampant throughout the world, mental health concerns have been at the forefront of our issues, especially in the already vulnerable college population. While counseling centers have been present in colleges since the 1900s, their roles have significantly changed especially in the context of COVID-19. Therefore, due to the novelty of the virus, there is little research on the effects of COVID-19 on college students’ mental health and what that means for …


The Effects Of Matched And Mismatched Social Support On Anxious And Depressive Symptoms In Women With Multiple Sclerosis, Elena A. Thomopoulos Aug 2021

The Effects Of Matched And Mismatched Social Support On Anxious And Depressive Symptoms In Women With Multiple Sclerosis, Elena A. Thomopoulos

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

There have been many significant findings and contributions to the literature on multiple sclerosis (MS) concerning both physical and mental well-being of individuals who are diagnosed with this illness. While MS is more commonly known now, more than before, there are many obstacles and challenges individuals diagnosed with MS face than people realize. Symptoms that affect individuals with MS are not easily recognized such as fatigue, blurry vision, issues with dexterity, bodily pain, numbness in extremities, and more. Due to the nature of this disease, and many adaptations in life individuals have to make due to their symptoms, studies …


Moderate Effects Of Anxiety And Physical Activities On The Relationship Between Body Image And Covid-19 Fear, Yutong Guo Jan 2021

Moderate Effects Of Anxiety And Physical Activities On The Relationship Between Body Image And Covid-19 Fear, Yutong Guo

Electronic Theses and Dissertations

Improving psychological well-being has been a hot topic in counseling psychology research. However, since the COVID-19 pandemic, people’s lifestyle has been changed that caused series mental health problems. Using a sample of 576 participants from different universities. This study examined whether Covid-19 correlated with Body image a) whether anxiety moderated this relationship. b) whether physical activities moderated this relationship. c) how does different kind of body image avoidance being influenced. Pearson’s correlation test and linear regression analyses were conducted. The result indicated that COVID-19 fear has significantly positive relationship with body image. physical activities level has significantly increase the relationship …


Communicating With Play: Helping Adults Recognize Separation Anxiety Disorder And Social Anxiety Disorder In Preschool Children, Katlynn Marie Shamro Jan 2021

Communicating With Play: Helping Adults Recognize Separation Anxiety Disorder And Social Anxiety Disorder In Preschool Children, Katlynn Marie Shamro

Senior Projects Spring 2021

Senior Project submitted to The Division of Social Studies of Bard College.

Despite well-founded and agreed upon evidence showing preschool-aged children experience anxiety (CDC, 2020), children ages 2-6 are continuously understudied, underdiagnosed, and undertreated for these disorders (NIMH, 2019). Researchers attribute this to the primarily cognitive, as opposed to behavioral symptoms of anxiety, communication deficits during the preschool years, and the nature of childhood amplifying already existing barriers to a diagnosis of anxiety. Because diagnosis is the first step to gaining access to mental health resources and early intervention mitigates symptoms and impaired functioning (Barstead et al., 2018), as well …


Do Aces Moderate Expressive Writing Outcomes? Examining The Relationship Between Exposure To Adverse Childhood Experiences And Expressive Writing Outcomes, Nick Vasquez Jan 2021

Do Aces Moderate Expressive Writing Outcomes? Examining The Relationship Between Exposure To Adverse Childhood Experiences And Expressive Writing Outcomes, Nick Vasquez

Cal Poly Humboldt theses and projects

Repeated exposure to adverse childhood experiences (ACEs) increases risks for various physical and mental health problems during adulthood. While research and policy decisions have focused primarily on early interventions and preventions, less research to date has looked at treatment options for adults with high exposure to ACEs. Cognitive behavioral therapies are viewed as an effective alternative; however, the high costs of therapy and limited efficacy for physical health problems warrant research into alternatives. Expressive writing is a well studied alternative to traditional talk-based therapies with limited demographic moderators. However, no research to date has looked at the role of ACEs …


Qualitative Exploration Of Catholic Church Leaders’ Perspectives Regarding Counseling Parishioners With Anxiety, Amy Lynn Polster Jan 2021

Qualitative Exploration Of Catholic Church Leaders’ Perspectives Regarding Counseling Parishioners With Anxiety, Amy Lynn Polster

Walden Dissertations and Doctoral Studies

There is little research addressing the mental health literacy of Roman Catholic clergy in their job as spiritual counselors for parishioners with anxiety. Devout individuals struggling with fear- or worry-driven anxiety often call on divine assistance for help as a frontline defense. Anxiety is a leading mental health problem, disturbing about 40 million U.S. adults aged 18 to 54 years. This study explored the mental health literacy perceptions of six Catholic clergy leaders and their awareness of fear- or worry-based anxiety, drawing upon the concept of the triune brain and using evolutionary threat assessment systems theory as a theoretical foundation. …


Comparing Depression And Anxiety Among Athletes And Nonathletes In A College Counseling Center Population., Alexandria Kinder Jan 2021

Comparing Depression And Anxiety Among Athletes And Nonathletes In A College Counseling Center Population., Alexandria Kinder

Graduate Theses, Dissertations, and Problem Reports

This study focused on self-reported rates of anxiety and depression when first presenting to a college counseling center at a state university in the mid-Atlantic region. The self-reported measures are the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62) and Standardized Data Set (SDS), data forms that are supported through the electronic medical record system, Titanium. The data compared clinical populations of non-student-athletes and student-athletes to understand how the additional athlete identity may contribute to mental health. This study employed a between-subjects, quantitative-descriptive, cross-sectional, design to define and describe the nature of the relationships between one continuous dependent (anxiety or depression) …


The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley May 2020

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

MSU Graduate Theses

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …


Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder Jan 2020

Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder

Graduate Theses, Dissertations, and Problem Reports

Women experience barriers that impede progress in a career and career goals, resulting in reduced career-related outcomes. Although gender discrimination has been identified as a contributing factor to the differential career development of men and women in the United States (U.S.), women’s career-related outcomes may be better explained by unaccounted for career barriers. Most notably, internalization of sociocultural standards of beauty, depression, and anxiety have been found to reduce women’s career-related outcomes. Therefore, the goal of this study was to explore career barriers that currently impact women’s career development in the U.S. Based on Social Cognitive Career Theory (Lent, Brown, …


Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons Jan 2020

Construct Validity Of The Teate Depression Inventory: Convergent And Discriminant Validity And Equivalence For Black/African American And White/Caucasian Samples, Dylin Coons

Masters Theses

The purpose of this study was to replicate the construct validity of a new measure of depression, the Teate Depression Inventory (TDI; Balsamo & Saggino, 2013), with the primary focus on Black/African American participants. Research has purported that Black/African Americans experience inequality in obtaining mental health care for internalizing disorders. This may partially be caused by errors in diagnosing these individuals with symptoms. Correctly diagnosing internalizing disorders is a critical step in obtaining appropriate treatment. More research on depression and anxiety is needed to enhance mental health practices by addressing the need for professionals to be culturally competent and conscious …


Exploring Genetic Biomarkers In A Sample Of Depressed Patients In The Uae, Nailah Mahmood Jun 2019

Exploring Genetic Biomarkers In A Sample Of Depressed Patients In The Uae, Nailah Mahmood

Psychology Theses

This study focuses on exploring the expression of genes associated with depressive and anxiety disorders (AD) among depressed individuals. Anxiety and depression are well known to co-occur with each other. Growing research in the field of genetics has indicated moderate familial aggregation for these disorders. The aim of this study is to analyze gene expression among a depressed population residing in the UAE. The genes were chosen to be studied (PPARGC1A, CAMKMT, HSD11B1, SLC6A4, and MAOA) have previously been linked to depression and anxiety in other populations. The study employed a case-control design, where gene …


Mental Health Disparities For Latino Immigrants & Its Impact On Psychological Well-Being, Ana Do Rosario Sousa May 2019

Mental Health Disparities For Latino Immigrants & Its Impact On Psychological Well-Being, Ana Do Rosario Sousa

Counseling Psychology | Master's Theses

In the present study, the researcher sought to examine the factors associated with Latino immigrants and the barriers/challenges that are faced in mental health. The main question that the researcher focuses on in the present study is: What are some of the mental health challenges for Latino immigrants & how do these disparities further impact psychological well-being? Furthermore, the research focuses on highlighting the variables that are increasingly damaging to the minority population of Latinos in the United States. These variables include lack of health insurance, stigma, acculturation issues, legal issues, and biopsychosocial factors, such as socioeconomic class. In multiple …


The Relationship Between Religious Background Of Those Who Disaffiliate From Religion And Presence Of Anxiety, Timothy B. Sellers Apr 2019

The Relationship Between Religious Background Of Those Who Disaffiliate From Religion And Presence Of Anxiety, Timothy B. Sellers

Honors College Theses

Religion plays a significant role in the personality and worldview of a many individuals. It can provide one with personal benefits such as coping mechanisms, a framework for meaning-making, and a source of motivation, while also providing social support through connections with others having the same religious beliefs. The removal of said benefits through disaffiliation from a religious identity may lead to distress or anxiety. While much research has been done sociologically regarding the increasing number of people who do not affiliate with a religious group, much less has been done to analyze the individual experience of religious disaffiliation and …


The Relationship Between Combat Experience, Veteran Pathology And The Pathology Of Their Intimate Partners: What Factors Predict The Pathology Of Veterans And Their Intimate Partners, Edwin A. Brennan Jan 2019

The Relationship Between Combat Experience, Veteran Pathology And The Pathology Of Their Intimate Partners: What Factors Predict The Pathology Of Veterans And Their Intimate Partners, Edwin A. Brennan

Dissertations

Problem Statement

Military members and their family members who are part of the Global War on Terrorism have experienced deployments and war for over sixteen years and with the resulting toll on both the veteran and their intimate partner. As a result, higher levels of pathology, such as PTSD, Anxiety, and Depression have been experienced by this population. While research has studied the effect of combat on military members, very little research has addressed the effects on family members. Further, no research that has been found by this researcher, has addressed the concept of resonating of pathology between the combat …


Psychological Relationship Between Acculturation And Caribbean Immigrants In The Northeast United States, Lisa Chamberlain- Gordon Jan 2019

Psychological Relationship Between Acculturation And Caribbean Immigrants In The Northeast United States, Lisa Chamberlain- Gordon

Walden Dissertations and Doctoral Studies

Caribbean immigrants' challenges with acculturation following immigration to the United States, could result in acculturative stress, discrimination, stereotyping, and mental health issues. This study examined the relationship between cultural levels of interaction (LCI), acculturation orientation levels (AOLs), and acculturation levels (ALs) as well as examined the relationship between acculturative stress levels (ASLs), mental health problems, and discrimination/ stereotyping among Caribbean immigrants, age 25-54, in a northeast U.S. metro. Bourhis' interactive acculturation model was the theoretical foundation for this study. It was hypothesized that (a) there would be a relationship between LCI measured in language, food, religion, and education and AOL …


Psychological Relationship Between Acculturation And Caribbean Immigrants In The Northeast United States, Lisa Chamberlain- Gordon Jan 2019

Psychological Relationship Between Acculturation And Caribbean Immigrants In The Northeast United States, Lisa Chamberlain- Gordon

Walden Dissertations and Doctoral Studies

Caribbean immigrants' challenges with acculturation following immigration to the United States, could result in acculturative stress, discrimination, stereotyping, and mental health issues. This study examined the relationship between cultural levels of interaction (LCI), acculturation orientation levels (AOLs), and acculturation levels (ALs) as well as examined the relationship between acculturative stress levels (ASLs), mental health problems, and discrimination/ stereotyping among Caribbean immigrants, age 25-54, in a northeast U.S. metro. Bourhis' interactive acculturation model was the theoretical foundation for this study. It was hypothesized that (a) there would be a relationship between LCI measured in language, food, religion, and education and AOL …


The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie Aug 2018

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …


Differential Effects Of Mindful Breathing And Loving-Kindness Meditation Exercises On College Students' Mental Health, Sarah J. Bolognino Jun 2018

Differential Effects Of Mindful Breathing And Loving-Kindness Meditation Exercises On College Students' Mental Health, Sarah J. Bolognino

LSU Doctoral Dissertations

Mindfulness and loving-kindness are two concepts with associated meditation exercises that have been evaluated as part of mindfulness-based treatment approaches (MBTAs) to improve mental health. A common MBTA, Mindfulness Based Stress Reduction (MBSR) includes multiple component exercises including mindful breathing meditation (MBM), and loving-kindness meditation (LKM). The purpose of the present study was to examine differential effects of MBM and LKM on the proposed process variables of social connectedness, cognitive fusion and experiential avoidance, present moment awareness, affect, and compassion for self and others, as well as across outcomes measures of general anxiety, social anxiety, depression, and wellbeing. Additionally the …


An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson Jan 2018

An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson

Electronic Theses and Dissertations

Employee Assistance Programs (EAPs) have grown increasingly popular over recent years. The prevalence of organizations utilizing and investing in EAP services for their employees has grown; however, companies that purchase EAPs are not well-informed as to which session-models are most effective for various diagnoses. The current study is the first to explore treatment outcomes of session-limited models (measured by Therapist Perception of Change, TPC) for diagnoses (anxiety and depression) in an EAP delivery system. Outcomes were measured by TPC ratings including: a) Regressed, b) remained at Baseline, c) Improved, and d) issue was Resolved. Analyses (Chi-Square and =t-test) were used …


Self-Forgiveness In Japanese Adolescents., Tetsuo "Ted" Sato Aug 2017

Self-Forgiveness In Japanese Adolescents., Tetsuo "Ted" Sato

Electronic Theses and Dissertations

The literature of forgiveness has been proliferated the last two decades (Davis et al., 2015b), but it has primarily focused on forgiveness of others and the research of self-forgiveness has just increased in recent years (Worthington & Langberg, 2012). Woodyatt and Wenzel (2013a) proposed a process-oriented approach of self-forgiveness while considering three possible responses to the self (i.e., genuine self-forgiveness, pseudo self-forgiveness, and self-punitiveness) after interpersonally offending others. Self-forgiveness among children and adolescents and in Japanese culture was discussed. The association of self-forgiveness to depressive and anxiety symptoms, and culturally and developmentally unique factors (i.e., fear of negative evaluation and …