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How Does Educational Attainment Influence The Perceived Need For Future Assistance With Activities Of Daily Living?, Julia M. Finan Apr 2024

How Does Educational Attainment Influence The Perceived Need For Future Assistance With Activities Of Daily Living?, Julia M. Finan

Population Health Research Brief Series

Adults often underestimate whether they will need assistance with activities of daily living (ADLs) as they age. This brief summarizes the results of a recent study that used data from the 2011-2014 National Health Interview Survey (NHIS) to examine educational differences in perceived need for future ADL assistance among 54,946 adults aged 40 to 65 years in the United States. Even though adults with less education are more likely to require long-term ADL care services and supports, results show that they are less likely than their more highly educated peers to perceive the need for future ADL assistance.


Quality Of Life Outcomes Among Female Student-Athletes: Exploring The Role Of Coach-Athlete Relationships, Ashley Renee Kernan Apr 2024

Quality Of Life Outcomes Among Female Student-Athletes: Exploring The Role Of Coach-Athlete Relationships, Ashley Renee Kernan

Theses and Dissertations

The National Collegiate Athletic Association (NCAA) first integrated into collegiate athletics in 1906 with the goal to govern burgeoning sports activities. More than 1,098 colleges and universities participate in the NCAA and have sports teams on their campuses. Although NCAA athletics has gained popularity through the years, much of the research and education has focused on men's sports in the NCAA, thus ignoring the sharp increase of women participating in NCAA. This increase came after Title IX was implemented and now almost half of student-athletes in Division I sports are female. While some conducted research includes female student-athletes in the …


Non-Fatal Intimate Partner Violence In Volusia County, Fl, 2016-2020, Fiona Chanlatte, Jonzelle Bell Bs, Julio Montanez Ma, Amy Donley Phd Apr 2024

Non-Fatal Intimate Partner Violence In Volusia County, Fl, 2016-2020, Fiona Chanlatte, Jonzelle Bell Bs, Julio Montanez Ma, Amy Donley Phd

Institute for Social and Behavioral Science (ISBS)

The current white paper tabulates non-fatal intimate partner violence (IPV) offenses across Volusia County, FL by using Florida Department of Law Enforcement (FDLE) Uniform Crime Report (UCR) data.


Can Podcasts Reduce Affective Polarization By Combating Contextomy Via Long-Form Discussions?, Luke D. Hartvigsen Apr 2024

Can Podcasts Reduce Affective Polarization By Combating Contextomy Via Long-Form Discussions?, Luke D. Hartvigsen

Theses and Dissertations

There is a growing concern regarding political polarization in the United States, most notably the phenomenon of affective polarization, which is when polarization increases negative feelings toward those who differ politically. The current dissertation project sought to address this issue by testing a media intervention using podcasts. Podcasts allow speakers to talk for hours uninterrupted through long-form discussions, whereas other media often edit political discussions to the point of contextomy (editing and framing a quote out of its proper context). Podcasts were created for this dissertation which differed on the political message of the podcast guest (conservative vs. liberal), and …


What Are The Implications Of Carrying Over A Credit Card Balance For Emerging Adults During Covid-19?, Olyessa Carter Apr 2024

What Are The Implications Of Carrying Over A Credit Card Balance For Emerging Adults During Covid-19?, Olyessa Carter

Student Research Symposium

Emerging adults who carried over their credit card balances reported lower levels of financial satisfaction than those who did not carry over their balances.


How Do Youth Winter Sport Leaders Perceive Disparities In The Intermountain West?, Mitchell R. Olsen Apr 2024

How Do Youth Winter Sport Leaders Perceive Disparities In The Intermountain West?, Mitchell R. Olsen

Student Research Symposium

  • Winter sport has a unique culture and context in the Intermountain West
  • More needs to be done to address disparities across traditionally underserved youth
  • This project aims to understand youth sport leaders' perspectives on disparities across race/ ethnicity, gender, and socioeconomic status


Can A Congregation Make A Difference? The Relationship Between Social Support And Latter-Day Saint Lgbtq+ Adolescent Well-Being, Aubrey Bardsley Apr 2024

Can A Congregation Make A Difference? The Relationship Between Social Support And Latter-Day Saint Lgbtq+ Adolescent Well-Being, Aubrey Bardsley

Theses and Dissertations

This study explores the relationship between social support at church and the well-being of adolescents who currently or previously belonged to The Church of Jesus Christ of Latter-day Saints (LDS, formally known as Mormon), differentiating between LGBTQ+ and non-LGBTQ+ adolescents. Past studies show that social support is negatively related to suicidality for adolescents. However, open questions remain about if this relationship is similar for LDS adolescents who identify as LGBTQ+ compared to those who do not. To test this question, I used data from the Family Foundations of Youth Development, a project that randomly sampled adolescents from Utah, Arizona, and …


Error Processing In Adolescents With A Mild Traumatic Brain Injury (Mtbi): A Longitudinal Study, Tanner J. Jensen Apr 2024

Error Processing In Adolescents With A Mild Traumatic Brain Injury (Mtbi): A Longitudinal Study, Tanner J. Jensen

Theses and Dissertations

Error processing, a neural process critical to adaptive learning during adolescence, may be disrupted by mild traumatic brain injury (mTBI). Both cross-sectional and longitudinal studies of adults following mTBI indicate a variable impact of mTBI on neural correlates of error processing, including the error related negativity (ERN) and post error positivity (Pe) components of the scalp-recorded event-related potential (ERP). Existing studies of mTBI in adolescents indicate significantly decreased ERN amplitudes and nonsignificant differences in Pe amplitude between mTBI and control groups. However, no longitudinal studies of adolescents with mTBI are available to date despite the importance of these processes. We …


Deliberate Practice In The Skill Of Evaluating Automatic Thoughts: A Multiple Case Study, Hanni Rizk Apr 2024

Deliberate Practice In The Skill Of Evaluating Automatic Thoughts: A Multiple Case Study, Hanni Rizk

Theses and Dissertations

Deliberate Practice is an emerging technique for competency-based education within psychotherapy training. In this multiple-case study, deliberate practice is evaluated for training the cognitive-behavioral therapeutic skill of evaluating automatic thoughts, also known as Socratic questioning. Students in a Clinical Psychology Ph.D. program responded to an actress in a simulated automatic negative thought therapy scenario before and after participating in a deliberate practice workshop. The workshop consisted of an overview of Socratic questioning, roleplay, expert feedback, and behavioral rehearsal. Scenario roleplays before and after the workshop presented situations related to client "lovability" and "competence" providing an opportunity for the participants to …


Trauma And Juvenile Offending, Cynthia Vasquez, April Terry Apr 2024

Trauma And Juvenile Offending, Cynthia Vasquez, April Terry

SACAD: Scholarly Activities

Over the past few decades, studies have shown a relationship between childhood abuse and neglect and juvenile justice system involvement. Additionally, the United States supervises and incarcerates more youth than other established country. This process—from abuse to incarceration—has become known as the abuse-to-prison pipeline or victimization-to-imprisonment. Many traumatized youth find themselves responding to their trauma with behaviors deemed delinquent (e.g., skipping school and running away) which then begins their path into the juvenile justice system. For a sub-set of youth, they are dual-involved, meaning, they are supervised in both the child welfare and juvenile justice systems. For some youth, their …


The Role Of Dating Apps In The Formation Of Long-Term Relationships In College, Jalani Bodidasa Apr 2024

The Role Of Dating Apps In The Formation Of Long-Term Relationships In College, Jalani Bodidasa

Honors Thesis

As the prevalence of dating app usage continues to rise, it is imperative to explore the implications of their use, including the influence on long-term relationship formation. In this thesis, I explored whether the widespread use of dating apps amongst college students promotes long-term relationship formation. I also delved into college students’ motivations for using dating apps and whether they would want their dating app use to result in a relationship. One hundred students at the University of South Dakota were surveyed. Results indicated that 31% of respondents are current dating app users. Out of the participants who are single …


Deliberate Practice With Motivational Interviewing: Basic Helping Skills Among Novice Helpers, Angel Laurencio Vega Apr 2024

Deliberate Practice With Motivational Interviewing: Basic Helping Skills Among Novice Helpers, Angel Laurencio Vega

Theses and Dissertations

We examined the effects of deliberate practice (DP) in teaching motivational interviewing (MI) helping skills to 45 upper-level undergraduate students in a semester-long course using an experimental crossover waitlist design. Students participated in a three-hour MI skills workshop focused on open-ended questions, affirmations, reflections, and summaries (OARS) and engaged in ongoing practice throughout the semester. Students video-recorded four skill demonstrations involving real-life changes with a volunteer client, addressing behavioral change. Pre- and post-workshop video recordings were analyzed to evaluate changes in reflective listening skills and the overall consistency of using MI OARS skills. The results revealed significant increases in reflections-to-questions …


Hubungan Presepsi Dukungan Sosial Teman Sebaya Dan Supervisor Dengan Tingkat Burnout Mahasiswa Saat Melaksanakan Praktikum : Studi Pada Mahasiswa Ilmu, Zatadini K. Paradasa, Getar Hati Apr 2024

Hubungan Presepsi Dukungan Sosial Teman Sebaya Dan Supervisor Dengan Tingkat Burnout Mahasiswa Saat Melaksanakan Praktikum : Studi Pada Mahasiswa Ilmu, Zatadini K. Paradasa, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

Students assigned with field practice (practicum) are prone to experiencing burnout. This study focuses on Social Welfare students who are currently undertaking practicum assignments. Burnout conditions can disrupt their social functioning and impacting target groups, institutions, and universities. One factor related to burnout is social support perceived by students. However, there is still minimal research related to burnout and social support among practicum students from social departments in Indonesia. Therefore, this study aims to describe the relationship between social support and burnout. This study uses a quantitative approach with descriptive objectives. The sample in this study was …


Beyond Blood: Informal Adoption And Family Dynamics In Yaoundé, Cameroon. Examining The Social, Traditional, And Family Values Associated With Informal Adoption, Elizabeth Greenberg Apr 2024

Beyond Blood: Informal Adoption And Family Dynamics In Yaoundé, Cameroon. Examining The Social, Traditional, And Family Values Associated With Informal Adoption, Elizabeth Greenberg

Independent Study Project (ISP) Collection

Although formal adoption exists in Cameroon, it is governed by colonial systems that directly contrast with the values and traditions of the citizens the laws are meant to protect. For this reason, informal adoption is the most prominent method of child circulation. This informal movement of children occurs for various reasons, many of which reflect the sociocultural context in which the children live. The intention of this study was to determine how adoption processes demonstrate Cameroonian notions of family, how individuals perceive the concept of family, and how informal adoption impacts family dynamics. Informal observations and interviews informed the conclusion …


Perceptions, Attitudes, And Behaviors Of Young Jordanian Women On Their Second-Class Citizenship, Umulkair Mohamed Apr 2024

Perceptions, Attitudes, And Behaviors Of Young Jordanian Women On Their Second-Class Citizenship, Umulkair Mohamed

Independent Study Project (ISP) Collection

This case study examines the societal impact of Jordan's gender-discriminatory nationality law on the perceptions, attitudes, and behaviors of young women. Utilizing quantitative interviews with six Jordanian women, aged 21-37, the research explores their perspectives on the law's implications and justifications. Despite constitutional guarantees of equality, the 1954 Jordanian Nationality Law disproportionately favors men in citizenship transmission, violating international human rights principles ratified by Jordan. This results in Jordanian women who marry non-national men not being able to transmit their nationality to their children in most cases. Without Jordanian nationality, these children suffer many challenges such as limited employment and …


"It's Profound To Be Understood": Negotiations Of Household Labor In Trans Families, Eliza Thor Apr 2024

"It's Profound To Be Understood": Negotiations Of Household Labor In Trans Families, Eliza Thor

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The gendered division of household labor has long been of interest to family scholars. For heterosexual couples, labor is often unequally divided, with women normatively taking on more labor than their partners. This inequality is often justified through time availability, resource dependency, and gender ideology. However, less studied is the division of household labor in relationships in which at least one partner is transgender or gender diverse (TGD). Drawing on the framework of “doing gender,” I explore how performing labor that aligns with traditional gender expectations affirms the gender identities of TGD individuals, making the division of labor in the …


Safe Streets, Secure Futures: Preventing Violent Crime In The United States, Haley Aleman Apr 2024

Safe Streets, Secure Futures: Preventing Violent Crime In The United States, Haley Aleman

Posters - 2024

Violent crimes inflict not only direct physical harm but can also foster cycles of fear and mental anguish throughout affected communities.

This atmosphere can hurt and impede economic and social development. Destruction of a community’s trust in law enforcement can infect other areas of life such worsening economic development. In this, we will continue our evaluation of factors contributing to violent crime rates by exploring the following hypothesis through additional study.

This hypothesis is as follows: There is a relationship between political affiliation and violent crime rates such that democratic states have higher rates of violent crime.


Kajian Literatur Distribusi Kompensasi Dampak Tempat Pengelolahan Sampah Terpadu (Tpst) Bantargebang: Analisis Keadilan Distributif Dan Keadilan Sosial, Wahyu Pratama Tamba Apr 2024

Kajian Literatur Distribusi Kompensasi Dampak Tempat Pengelolahan Sampah Terpadu (Tpst) Bantargebang: Analisis Keadilan Distributif Dan Keadilan Sosial, Wahyu Pratama Tamba

Jurnal Ilmu Kesejahteraan Sosial

The waste problem in Jakarta is a complex issue related to the large volume of waste, dependence on Bantargebang TPST, and the various environmental impacts caused. Waste from Jakarta brought to Bantargebang TPST reaches 6,500-7,000 tons daily. This TPST hurts the environment and the health of the surrounding community, as well as the risk of ARI, air pollution, groundwater pollution, and environmental aesthetics. As compensation for these negative impacts, the DKI Jakarta Provincial Government allocates compensation funds for affected communities. This is regulated in Article 10 letter (e) of DKI Jakarta Regional Regulation number 4 of 2019 which states that …


Telaah Konsep Asset Bassed Comunity Development Bagi Pembangunan Pariwisata Berbasis Masyarakat, Silva Amanda, Rudi Saprudin Darwis Apr 2024

Telaah Konsep Asset Bassed Comunity Development Bagi Pembangunan Pariwisata Berbasis Masyarakat, Silva Amanda, Rudi Saprudin Darwis

Jurnal Ilmu Kesejahteraan Sosial

The tourism sector is one of the sectors that contributes the largest foreign exchange in Indonesia. To develop this, the Ministry of Tourism and Creative Economy continues to encourage the community-based tourism industry, with one of them developing a tourist village program. One way to realize the tourist village program in Indonesia is to use the Asset Based Community Development approach by emphasizing the use of potential assets owned by an area. The purpose of this research is to identify the potential or assets that exist in a village/region that can be developed into a tourist village by emphasizing community …


When Mothers Do It All: Gender-Role Norms And Women’S Fertility Intentions In Post-Industrial Societies, Sinn Won Han, Ohjae Gowen, Mary C. Brinton Apr 2024

When Mothers Do It All: Gender-Role Norms And Women’S Fertility Intentions In Post-Industrial Societies, Sinn Won Han, Ohjae Gowen, Mary C. Brinton

Research Collection School of Social Sciences

Post-industrial countries with high rates of female labour force participation have generally had low fertility rates, but recent studies demonstrate that this is no longer the case. This has generated increased attention to how greater gender equality in the private sphere of the household may contribute to a positive relationship between women’s employment rates and fertility. Building on recent scholarship demonstrating the multidimensionality of gender-role attitudes, we argue that conversely, the prevalence of a gender-role ideology that supports women’s employment but places greater priority on their role as caregivers may depress the higher-order fertility intentions of working mothers. Using data …


The Perception Of Children As Reliable Eyewitnesses, Shelby Mcdonald Apr 2024

The Perception Of Children As Reliable Eyewitnesses, Shelby Mcdonald

Psychology Student Papers and Posters

Eyewitness accounts have been integral to the criminal justice system. However, given that not every criminal case has forensic evidence that is available or admissible, the reliance on eyewitness accounts conjures questions about believability. This is an important area of research because the over-belief of witnesses may lead to wrongful convictions, yet under-belief may leave the victim without justice. The current study investigated how child-witness age, race, role as a witness (bystander versus victim), and the gender of the juror influenced the perception of child eyewitnesses through the lens of the Witness Credibility Model. Participants were presented with the testimony …


Conceptualizando La Movilidad Y Movimiento De Mujeres Indígenas Embarazadas En Búsqueda De Servicios Médicos Bajo Una Perspectiva Migratoria, Nazareth Castro Apr 2024

Conceptualizando La Movilidad Y Movimiento De Mujeres Indígenas Embarazadas En Búsqueda De Servicios Médicos Bajo Una Perspectiva Migratoria, Nazareth Castro

Independent Study Project (ISP) Collection

El traslado de mujeres indígenas embarazadas en Oaxaca hacia la ciudad de Oaxaca de Juárez debido a la falta de centros de salud en sus localidades se ha convertido en una realidad arraigada, impulsada en gran medida por el impacto del flujo migratorio por razones económicas durante finales del siglo XX. Sin embargo, este proceso de migración plantea una serie de complejidades para las mujeres, quienes enfrentan experiencias negativas debido a sus múltiples identidades que resultan en una exclusión social tanto dentro como fuera de sus comunidades de origen. Esta dinámica puede entenderse desde una perspectiva feminista multicéntrado, que las …


How College Graduates Decide To Remain In A Rural Community Post-Graduation, Benjamin J. Lamb Apr 2024

How College Graduates Decide To Remain In A Rural Community Post-Graduation, Benjamin J. Lamb

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Rural Brain Drain is a critical issue facing hundreds of non-metropolitan communities across the country. Existing research that addresses the outmigration of college graduates from rural areas primarily focuses on the reasons the graduates leave, and not on what influences the decision making of those who stay. This study adds to existing retention research by; establishing an initial understanding of the influential experiences rural college students have that contribute to their decision to stay in the rural community post-graduation, and providing an emergent theory for practice to help coalitions better assess and strategize efforts to create improved pathways to rural …


Adolescent Girls Initiative–Kenya: Testing For Scale—Recommendations Report, Karen Austrian, Eva Ireri Muluve, Ruth Nanjekho, John A. Maluccio, Erica Soler-Hampejsek Apr 2024

Adolescent Girls Initiative–Kenya: Testing For Scale—Recommendations Report, Karen Austrian, Eva Ireri Muluve, Ruth Nanjekho, John A. Maluccio, Erica Soler-Hampejsek

Adolescents and Young People

The Adolescent Girls Initiative-Kenya, a randomized trial implemented between 2015 and 2021, was designed to test the short- and longer-term effects of two-year multisectoral and multilevel “cash plus” programs for adolescent girls aged 11–14 years. It was implemented in two marginalized areas of Kenya: Kibera, an urban informal settlement in Nairobi, and Wajir, a pastoralist rural county. Results showed that a multisectoral approach was an effective way to create positive change across a range of well-being factors for young adolescent girls, including education, health, and economic outcomes. The program had long-term sustainable effects. Throughout the testing for scale phase, PC-Kenya …


Links Between Couples’ Cynical Hostility And Mental Health: A Dyadic Investigation Of Older Couples, Dikla Segel-Karpas, Roi Estlein, Ashley E. Ermer Mar 2024

Links Between Couples’ Cynical Hostility And Mental Health: A Dyadic Investigation Of Older Couples, Dikla Segel-Karpas, Roi Estlein, Ashley E. Ermer

Department of Family Science and Human Development Scholarship and Creative Works

Whereas sharing a life with someone with high cynical hostility can be straining, little is known about how partner’s cynical hostility is associated with one’s mental health. In this paper, we report the findings from a longitudinal dyadic study using two waves of a large and representative American sample of older adults and their spouses to examine how one’s own and their spouse’s cynical hostility longitudinally affect anxiety and depressive symptoms. Results from APIM analyses suggest that both husbands’ and wives’ anxiety and depressive symptoms were negatively associated with their own cynical hostility, both within each time point and longitudinally. …


Two Sides Of The Same Coin Or Two Different Coins? The Differential Predictors Of Casual And Committed Sex, Carson R. Dover Mar 2024

Two Sides Of The Same Coin Or Two Different Coins? The Differential Predictors Of Casual And Committed Sex, Carson R. Dover

Theses and Dissertations

The purpose of this paper is to analyze potential predictors of accumulating casual vs. committed sexual partners in emerging adulthood. Using a large, national sample of emerging adults in the United States, I examined how alcohol use and attachment orientation differentially predicted accumulating casual and committed sexual partners. I found that higher anxious attachment positively predicted the number of committed sexual partners, while higher avoidant attachment negatively predicted the number of casual sexual partners. I also found that alcohol use positively predicted both the number of casual and committed sexual partners emerging adults accumulated. Further, I tested the strength of …


Older Adults Are At Greater Risk Of Opioid Use Disorder In Communities With High Social Vulnerability, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff Mar 2024

Older Adults Are At Greater Risk Of Opioid Use Disorder In Communities With High Social Vulnerability, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Population Health Research Brief Series

The prevalence of opioid use disorder (OUD) among older adults has increased and imposes a heavy burden on the health care system in the United States. This brief summarizes findings from a study that used data from the Centers for Medicare and Medicaid Services to examine how county characteristics contributed to the prevalence of OUD among Medicare beneficiaries age 65+ in U.S. counties in 2021. They found that the prevalence of OUD among these adults is higher in counties with more place-level social vulnerability (e.g., socioeconomic disadvantage, high housing cost burden).


Juvenile Delinquency As A Contemporary Issue In Nigeria: Understanding The Impacts Of Parenting Styles, Single Parenting, And Marital Discord, Sunkanmi Folorunsho, Oluwakemi Abdulrazaq, Victor Ajayi Mar 2024

Juvenile Delinquency As A Contemporary Issue In Nigeria: Understanding The Impacts Of Parenting Styles, Single Parenting, And Marital Discord, Sunkanmi Folorunsho, Oluwakemi Abdulrazaq, Victor Ajayi

Department of Sociology: Dissertations, Theses, and Student Research

When addressing juvenile delinquencies in Nigeria, it is important to consider the roles and effects of parenting styles and family structures. Although, there are no universally accepted parenting styles, evidence and studies have pointed to some parenting styles that expose children to delinquent behaviors. We examined different parenting styles comprehensively in this article and how these styles can influence juvenile delinquencies. We also discussed the association between single-parenting and behavioral outcomes; accounting how single-parenting may increase risks of delinquencies. Furthermore, marital discord was discussed and social learning theory by Albert Bandura was adopted to buttress our positions. We concluded that …


Risk And Protective Factors For Traditional Bullying And Cyberbullying Victimization Among Adolescents : A Multilevel Cross-National Study, Patrick Chanda Mar 2024

Risk And Protective Factors For Traditional Bullying And Cyberbullying Victimization Among Adolescents : A Multilevel Cross-National Study, Patrick Chanda

Lingnan Theses (MPhil & PhD)

Background: Research has widely documented the risk factors for violent and property victimisation. Besides, research has predominantly examined the moderating role of social support in the associations of risky lifestyles and socioeconomic inequalities with violent and property victimisation. However, little is known about how adolescent risky lifestyle behaviours (i.e., alcohol use, traditional bullying perpetration and physical fighting) relate to traditional bullying and cyberbullying victimisation, and the moderating role of perceived family, peer and teacher social support in these relationships. Moreover, the influence of income and gender inequalities on cyberbullying and traditional bullying victimization, and whether public education expenditure moderates such …


Is A Dyadic Stressor Experienced As Equally Distressing By Both Partners? The Case Of Perceived Fertility Problems, Julia Mcquillan, Arthur L. Greil, Anna Rybińska, Stacy Tiemeyer, Karina M. Shreffler, Colleen Warner Colaner Mar 2024

Is A Dyadic Stressor Experienced As Equally Distressing By Both Partners? The Case Of Perceived Fertility Problems, Julia Mcquillan, Arthur L. Greil, Anna Rybińska, Stacy Tiemeyer, Karina M. Shreffler, Colleen Warner Colaner

Department of Sociology: Faculty Publications

Using data from a population survey, this article explores whether perceptions of having a fertility problem among 926 U.S. couples in heterosexual relationships (women aged 25–45 and male partners) are associated with distress. Most couples did not perceive a fertility problem (58%). In almost a third (30%) of the couples, only women perceived a fertility problem; in 4%, only the men; and in nearly a fifth (19%), both perceived a problem. Adjusted for characteristics associated with fertility problems and depressive symptoms, those who perceived a problem exhibited significantly more depressive symptoms than those who did not. Fertility problems are sometimes …