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Full-Text Articles in Entire DC Network
Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger
Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger
Electronic Theses and Dissertations
Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …
Gpr171 Modulates Mood, Consummatory Behaviors, And Morphine Antinociception In A Sexually Dimorphic Pattern In Mice, Megan C. Raddatz
Gpr171 Modulates Mood, Consummatory Behaviors, And Morphine Antinociception In A Sexually Dimorphic Pattern In Mice, Megan C. Raddatz
All Graduate Theses and Dissertations, Fall 2023 to Present
Receptors in the brain influence everything from complex behaviors related to mood, all the way to simple physiological functions like the way a person moves. Receptors are activated or inactivated by chemicals or hormones that the body produces or that are created to mimic the body’s natural chemicals. Of the hundreds of receptors in the brain, GPR171 is particularly interesting because new drugs have been created to activate or block the receptor, and are being proposed for the treatment of different disorders, particularly disorders related to pain. GPR171 has been shown to affect pain behaviors, eating, and mood-related behaviors, but …
Alexithymia Profiles And Depression, Anxiety, And Stress, David A. Preece, Ashish Mehta, Kate Petrova, Pilleriin Sikka, Ethan Pemberton, James J. Gross
Alexithymia Profiles And Depression, Anxiety, And Stress, David A. Preece, Ashish Mehta, Kate Petrova, Pilleriin Sikka, Ethan Pemberton, James J. Gross
Research outputs 2022 to 2026
Background: Alexithymia is a multidimensional trait comprised of difficulties identifying feelings, difficulties describing feelings, and externally orientated thinking. It is regarded as an important risk factor for emotional disorders, but there are presently limited data on each specific facet of alexithymia, or the extent to which deficits in processing negative emotions, positive emotions, or both, are important. In this study, we address these gaps by using the Perth Alexithymia Questionnaire (PAQ) to comprehensively examine the relationships between alexithymia and depression, anxiety, and stress symptoms. Methods: University students (N = 1250) completed the PAQ and the Depression Anxiety Stress Scales-21. Pearson …
The Hidden Impact Of Sociocultural Determinants In Adolescence, Lauren B. Robins, Nicholas Schmoyer, Atiya Smith, Krystal L. Clemons, Jill Kivikoski
The Hidden Impact Of Sociocultural Determinants In Adolescence, Lauren B. Robins, Nicholas Schmoyer, Atiya Smith, Krystal L. Clemons, Jill Kivikoski
Journal of Human Services Scholarship and Interprofessional Collaboration
This study, guided by the Social Determinants of Health framework and Social Ecological Model, examined how SDOH impact the presence of anxiety during adolescence. This study set out to understand what sociocultural determinants predict anxiety, using the 2018 National Survey of Children’s Health dataset. The analysis included a logistic regression to determine the predictability of SDOH on anxiety in adolescence. The results indicated that various SDOH are significant predictors of anxiety, while also indicating that the absence of adverse SDOH predicts the lack of anxiety. Further, unique findings related to race/ethnicity, age, and gender set the stage for additional research …
The Impact Of A 4-Domain Wellness-Initiative Curriculum On Internal Medicine Resident Physicians, Esha Vallabhaneni, Luigi Cubeddu, Ryan Petit, Fernando Poli, Premal Patel, Cynthia Rivera
The Impact Of A 4-Domain Wellness-Initiative Curriculum On Internal Medicine Resident Physicians, Esha Vallabhaneni, Luigi Cubeddu, Ryan Petit, Fernando Poli, Premal Patel, Cynthia Rivera
HCA Healthcare Journal of Medicine
Background
There is a trend toward fostering well-being, or the state of being happy and healthy, within the medical community. Historically, resident physicians have faced high rates of distress during training. A structured well-being curriculum in residency programs may shift residents' mindsets from survival and resilience to one centered on purpose, engagement, and joy.
Methods
An original well-being curriculum was administered to residents in person at a single institution every 5 weeks for approximately 10 well-being workshops, totaling around 20 hours of curriculum exposure during every academic year. The well-being curriculum was divided into 4 domains: cognitive distortions and problematic …
The Influence Of Working Memory And Anxiety In Adolescents, Donna M. Ward
The Influence Of Working Memory And Anxiety In Adolescents, Donna M. Ward
Doctoral Dissertations and Projects
Literature supports a reliable link between lower working memory (WM) performance and higher anxiety, and both anxiety and WM are reported as comorbid with neurodevelopmental disorders (NDDs). This study sought to understand to what extent WM deficits and anxiety exists in adolescent NDD and non-NDD groups. Participants (N = 11,400; ages 9-10) were obtained from the Adolescent Brain Cognitive Development (ABCD) study archived dataset, with the approval of the NIMH approval. Participants in the dataset were recruited from 21 sites across the U.S. A Mann-Whitney U test, comparing the NDD (N=2756) and non-NDD (N=8644) groups was statistically significant, noting a …
Pre-Stimulus Anticipation And Unconscious Fear Learning Disparities In Individuals With Varying Levels Of Anxiety, Anastasiya Rumyantseva Kharlamova
Pre-Stimulus Anticipation And Unconscious Fear Learning Disparities In Individuals With Varying Levels Of Anxiety, Anastasiya Rumyantseva Kharlamova
Dissertations, Theses, and Capstone Projects
The current study employed a Pavlovian conditioning paradigm to investigate the influence of pre-stimulus unconscious threat anticipation on subsequent fear responses in associative learning. Additionally, we explored the differences in pre-stimulus anticipation among individuals with varying levels of anxiety. Electrodermal response (EDA) was chosen as a primary measure due to its robustness in fear conditioning paradigms. Moreover, the State-Trait Anxiety Inventory (STAI) was utilized to assess anxiety levels in participants. Twenty-seven subjects were recruited to determine if pre-stimulus skin conductance responses (SCR) would exhibit stimulus-specific patterns influenced by implicit cues (L-shaped configurations) that indicated an upcoming face or a house …
Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman
Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman
Expressive Therapies Capstone Theses
Experiences of loneliness and social isolation among college students pose a concern for emerging adults’ mental and physical health, as well as greater impacts on university systems across the country. While social isolation and loneliness are subjective experiences, there are a range of factors rooted in developmental psychology and sociocultural theory that influence the rising rates and acuity of loneliness. Attachment theorists posit that secure attachment early in life can impact how individuals make lasting interpersonal connections long after their childhood. Secure and insecure attachment styles combined with the dramatic transition to college for a young adult are influencing factors …
The Effects Of Online Learning On Mental Health During A Pandemic, Christina J. Mcrae
The Effects Of Online Learning On Mental Health During A Pandemic, Christina J. Mcrae
Doctoral Dissertations and Projects
This study investigated the effects of online learning on mental health. The focus included six aspects: academic performance, physical activity, social isolation, food insecurity and other stressors, pros and cons, and religion and mental health. Each aspect included advantages and disadvantages that adolescent students experienced. The study included 6th - 12th graders attending a Charter school. The eligibility requirement was that participants participated in online learning during the 2020-2021 school year. Academic performance data was obtained from the school office for students who attended the school during online learning and requested from parents if they attended other schools. Both positive …
Assessing The Link Between Stress, Anxiety, And Depression In College Students And Their Academic Major, Intersectionality, Support, And Demographics, Joisy A. Santa
Theses and Dissertations
The present study examined the relationship between academic major, intersectionality, support, and housing as predictors of stress, anxiety, and depression in college students. The subject population was Hunter College students. Results indicated differential effects of the predictor variables as a function of students’ financial situation, gender, race, and peer support.
Student Mental Health During And After The Coronavirus Pandemic, Olivia Harner
Student Mental Health During And After The Coronavirus Pandemic, Olivia Harner
Masters Theses & Specialist Projects
The educational setting serves as an influential force when considering the impacts that school can have on student mental health. Following the onset of the coronavirus pandemic, research revealed negative effects on mental health for a variety of populations across the globe; however, comprehensive reviews about the effect that the pandemic had on the mental health of American K-12 students are limited. Consequently, the purpose of this specialist project is to evaluate the effects of the coronavirus pandemic on the mental health of American students in grades K-12 through a review of literature. Utilizing PRISMA procedures, 19 articles were selected …
Impact Of Perinatal Escitalopram Exposure On Adolescent Behavior, Jessica Bezenah - Bottorff
Impact Of Perinatal Escitalopram Exposure On Adolescent Behavior, Jessica Bezenah - Bottorff
Electronic Theses, Projects, and Dissertations
Escitalopram (EST), a selective serotonin reuptake inhibitor (SSRI), is an antidepressant frequently used during pregnancy, yet there is limited knowledge of its long-term effects on maternal use. Past studies suggest that maternal exposure may adversely affect the fetus, which may be due to the hyperserotonergic environment caused by the nature of SSRIs during early development. Modifications of the serotonergic system in offspring during certain critical periods of development may result in long-term behavioral and cognitive changes in adulthood. Further, recent human studies have demonstrated that prenatal exposure to SSRIs in humans may increase susceptibility to autism spectrum disorder (ASD) and …
Bidirectional Relationships Between Use Of Popular Social Media Platforms And Anxiety, Depression, And Social Support, Olivia Dick
Bidirectional Relationships Between Use Of Popular Social Media Platforms And Anxiety, Depression, And Social Support, Olivia Dick
Masters Theses & Specialist Projects
The relationship between social media use and mental health outcomes among young populations has been a cause for increasing concern in research. However, the directionality of these relationships remains ambiguous due to existing literature being largely cross-sectional and having limited focus on individual platforms. This study aimed to explore the bidirectional relationship between social media use across prominent platforms and various mental healthrelated outcomes among young adults. A sample of 203 young adults, ages 18-29, completed baseline and 6-month follow-up assessments measuring social media use across Instagram, TikTok, and Snapchat, as well as measures of depression, anxiety, and perceived friend …
An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley
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 …
Regarding The Gender Gap: Interrogating Mcarthur’S Hypothesis On Dyslexia, Anxiety, And Inattention, Caroline Lynch
Regarding The Gender Gap: Interrogating Mcarthur’S Hypothesis On Dyslexia, Anxiety, And Inattention, Caroline Lynch
Honors Scholar Theses
This study interrogated the pervasive gender gap in dyslexia diagnosis. In order to do so, we analyzed Dr. Genevieve McArthur’s recent hypothesis that poor reading is linked to poor self-concept, anxiety, and inattention, which begins the cycle once again. Using a subset of data from the Child Mind Institute’s Healthy Brain Network biobank (children aged 7-11, n=1,725), we evaluated McArthur’s proposed relationships, and possible gendered differences within those relationships through probing which factors were important predictors of if a child did or did not receive a dyslexia diagnosis. We looked at word reading, biological sex, anxiety and inattention as possible …
The Effectiveness Of Weighted Blankets As A Sleep Promoting Behavior: A Quasi -Experimental Study, Irish Amalia, Sali R. Asih, Inge U. Wiswanti, Ina Saraswati
The Effectiveness Of Weighted Blankets As A Sleep Promoting Behavior: A Quasi -Experimental Study, Irish Amalia, Sali R. Asih, Inge U. Wiswanti, Ina Saraswati
Psychological Research on Urban Society
Sleep is crucial to the overall well-being of individuals. Sleep deficiency can lead to various physical and mental health issues, including more severe insomnia, anxiety, and depressive symptoms. Improving sleep quality is often emphasized through sleep hygiene. An emerging nonpharmacological intervention is the use of weighted blankets, which apply deep-pressure stimulation to promote feelings of relaxation, comfort, and security similar to a gentle hug. This study explored the effects of weighted blankets on sleep quality and symptoms of insomnia, anxiety, and depression. Thirty participants (M = 33 years, SD = 9.13) used weighted blankets for 14 nights. They completed the …
The Mental And Physical Health Of College Students, Cole Palmer, Tiffany Strickland, Nolan Moore, Salvatore Moore, Juan Martinez
The Mental And Physical Health Of College Students, Cole Palmer, Tiffany Strickland, Nolan Moore, Salvatore Moore, Juan Martinez
ENGL 1102 Showcase
The physical and mental health of college students has been a big topic in recent years, and it is the one that we have chosen. Our inspiration for choosing this topic came from being college students and getting a firsthand view of this issue. Since we are college students, who are navigating the difficulties of higher education daily, we see the issues of mental and physical health in ourselves and among our peers. Exploring the interconnectedness of societal attitudes, nutrition, and physical health regarding mental health is the inspiration for these topics as well. Each individual topic in this paper …
Impact Of Parental Spirituality On Child Depression, Anxiety, And Ptsd After A Surgical Procedure, Ashlee M. Schendel
Impact Of Parental Spirituality On Child Depression, Anxiety, And Ptsd After A Surgical Procedure, Ashlee M. Schendel
Honors Thesis
Higher levels of religiosity and spirituality (R/S) have been associated with lower levels of depressive symptoms (Lucchetti, Koenig, & Lucchetti, 2021; Braam & Koenig, 2019). While it is unknown why the relationship exists, it may be a result of the social support obtained from attending a place of worship (Gwin et al., 2020). The relationship between anxiety and R/S is far more mixed, with studies having found both positive and negative correlations (Lucchetti, Koenig, & Lucchetti, 2021). It is theorized spirituality may be used to cope with anxiety both negatively (e.g., God hates me) and positively (e.g., God wants to …
Communication Of Mental Health Diversity To The Early Childhood Age Group: “The Adventures Of Anxious Anderson, Distracted Daniel, And Organized Olive”, Jessica Gower
Honors Projects
In this project, I aim to explore various aspects of communication, cognitive ability, and mental health diversity in early child development. The three research questions guiding this project are: What cognitive and language abilities do children in the early childhood stage of development have? What are the most effective strategies for communicating information about mental health disorders to children ages 4 to 7 through storytelling? And lastly, how do anxiety, attention-deficit/ hyperactivity disorder (ADHD), and obsessive-compulsive disorder (OCD) manifest, particularly in children? The storybook's purpose is to create a sense of empathy and understanding of mental health diversity in children …
The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright
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 …
Pediatric Anxiety Disorders And Their Accommodation In The Classrom, Olivia Hobson
Pediatric Anxiety Disorders And Their Accommodation In The Classrom, Olivia Hobson
Honors Theses
This project is an exploration of the origins, neurology and impacts of pediatric anxiety disorders, as well as the research-backed best practices for their accomodation within the school classroom setting.
An Exploration Of Self-Reported Training Needs For Anxiety Interventions Among Primary Care Behavioral Health Consultants, Katherine Buckheit, Ryan Willard, Kyle Possemato, Robyn Shepardson, Abigail Lashinsky, Jen Funderburk
An Exploration Of Self-Reported Training Needs For Anxiety Interventions Among Primary Care Behavioral Health Consultants, Katherine Buckheit, Ryan Willard, Kyle Possemato, Robyn Shepardson, Abigail Lashinsky, Jen Funderburk
The Journal of Integrated Primary Care
Introduction: Despite the need for greater training in evidence-based interventions for the treatment of anxiety in primary care behavioral health (PCBH), there are limited data on which interventions are desired by behavioral healthcare consultants (BHCs). The objective of this study was to identify which interventions BHCs desired more training in when treating anxiety in PCBH practice, and to examine if this preference was associated with theoretical orientation. Method: We conducted an online survey of PCBH providers regarding their training preferences for treatment of anxiety symptoms. The final sample comprised 291 BHCs recruited from e-mail listservs of national professional organizations. Providers …
Anxiety In Children And Adolescents With Autism Spectrum Disorder: Behavioural Phenotypes And Environmental Factors, Caitlin E. Leachman Miss
Anxiety In Children And Adolescents With Autism Spectrum Disorder: Behavioural Phenotypes And Environmental Factors, Caitlin E. Leachman Miss
Electronic Thesis and Dissertation Repository
Anxiety is the most prevalent comorbidity among children and adolescents with autism spectrum disorder (ASD). The phenotypical presentation of anxiety among children and adolescents with ASD is lacking within the literature. This study sought to differentiate behavioral phenotypes associated with anxiety in children with ASD from anxiety in typically-developing children. Participants completed a series of child and parent reports measuring anxiety, depressive symptoms, ASD symptom severity, emotional problems, parental stress, and socioeconomic factors. Three distinct anxiety profiles, including moderate, high, and low, were identified. Results demonstrated that depression is the strongest predictor of high anxiety among children and adolescents with …
The Psychological Effects Of Solitary Confinement On Incarcerated Individuals: A Systematic Literature Review, Lara Z. Parkes, Jonathan C. Dowers
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. …
Exploring The Interrelationship Between Anxiety, Academic Apathy, And Avoidance In Community College Students, Katey R. Leverson
Exploring The Interrelationship Between Anxiety, Academic Apathy, And Avoidance In Community College Students, Katey R. Leverson
Education Doctorate Dissertations
The purpose of this quantitative study was to investigate aspects of mental health and the approaches students take when coping with stress. Specifically, this study sought to understand the interrelationship between anxiety levels, feelings of academic apathy, and the use of avoidance coping strategies. Students from seven public, two-year colleges within a Midwest college and university system served as this study’s sample. Data collection took the form of a non-experimental self-report structure and included the use of three empirically established and valid measures: The Self-rating Anxiety Scale (SAS), Bresso’s Academic Burnout Questionnaire, and the Coping Inventory for Stressful Situations (CISS). …
Impact Of Mindfulness Training On Test Anxiety In College Students, Lindsay Alcock
Impact Of Mindfulness Training On Test Anxiety In College Students, Lindsay Alcock
ELAIA
Background Mindfulness is defined as the state of giving full attention to a stimulus, internal or external, without inducing judgment or becoming reactional about the feelings experienced, positive or negative (Davis & Hayes, 2012). Previous studies have investigated the relationship between mindfulness techniques and the reduction of anxiety (Chambers et al., 2008; Macdonald & Olsen, 2020); a smaller number of studies have considered test anxiety (Cho et al., 2016; Sparks, 2017). Prior research has used multiple mindfulness techniques to measure the impact on test anxiety, but few have isolated mindfulness trainings to compare the relative impact of each type on …
Stress, Anxiety, And Depression In Aerospace Students, Harley L. Waters
Stress, Anxiety, And Depression In Aerospace Students, Harley L. Waters
National Training Aircraft Symposium (NTAS)
This study investigates and compares the levels of stress, anxiety, and depression among a sample of 574 undergraduate students in the Aerospace Professional Pilot concentration, Aerospace majors in concentrations other than Professional Pilot, and Non-Aerospace students at Middle Tennessee State University. This study sought to determine if Aerospace students exhibited higher levels of depression, anxiety, and stress. The participants of this study completed the DASS-21, a survey instrument that measures three separate constructs: depression, anxiety, and stress. The scores from this survey were used to compare depression, anxiety, and stress levels between the three groups of students using ANOVA and …
Barriers To Mental Health Seeking Among Army Aviation Personnel: A Preliminary Report, Aric J. Raus
Barriers To Mental Health Seeking Among Army Aviation Personnel: A Preliminary Report, Aric J. Raus
National Training Aircraft Symposium (NTAS)
This research explores barriers to mental health seeking, self-reported symptoms, and perspectives on self-help mental-wellness options among U.S. Army Aviation Personnel. Safe aviation operations require constant focus and mental clarity. These requirements expand when considering the implications and added stress of military operations, especially in combat scenarios. Yet, recent studies demonstrate that aviation personnel avoid seeking healthcare due to fears of losing their medical certification. This report provides preliminary results from the first known study on barriers to mental health seeking among U.S. Army aviation personnel. Utilizing an anonymous survey instrument, facilitated primarily through Social Media recruiting of current and …
A Prospective Longitudinal Study Of Depression, Perceived Stress, And Perceived Control In Resettled Syrian Refugees’ Mental Health And Psychosocial Adaptation, B.C.H Kuo, Lance M. Rappaport
A Prospective Longitudinal Study Of Depression, Perceived Stress, And Perceived Control In Resettled Syrian Refugees’ Mental Health And Psychosocial Adaptation, B.C.H Kuo, Lance M. Rappaport
Psychology Publications
This prospective study examined the psychosocial adaptation of a community sample of newly resettled Syrian refugees in Canada (N = 235). Specifically, depressive symptoms, perceived stress, and perceived control were collected in Arabic at baseline and 1-year follow-up. Two theory-informed, cross-lagged panel models demonstrated that higher baseline depressive symptoms predicted lower perceived self-efficacy and lower perceived control at 1-year follow-up. Similarly, baseline depressive symptoms were concurrently correlated with higher perceived helplessness, lower perceived self-efficacy, and lower perceived control. Secondary regression analyses further demonstrated that baseline depressive symptoms predicted lower perceived social support and higher anxiety symptoms, though neither were …
Impact Of Equine Interaction During Psychotherapy On Anxiety And Depression For Residential Treatment Program Patients Experiencing Substance Withdrawal, Molly M. Friend, Molly C. Nicodemus, Clay Cavinder, Caleb Lemley, Pauline Prince, Katherine A. Cagle-Holtcamp, Rebecca M. Swanson
Impact Of Equine Interaction During Psychotherapy On Anxiety And Depression For Residential Treatment Program Patients Experiencing Substance Withdrawal, Molly M. Friend, Molly C. Nicodemus, Clay Cavinder, Caleb Lemley, Pauline Prince, Katherine A. Cagle-Holtcamp, Rebecca M. Swanson
People and Animals: The International Journal of Research and Practice
As incidences of substance use disorders (SUD) increase in the wake of the COVID-19 pandemic, there is a need for more effective treatment approaches. Further, treatment approaches currently available struggle to retain patients during the period of substance withdrawal in early treatment due to patients’ withdrawal symptoms including increased feelings of anxiety and depression. Withdrawal symptoms have been linked to dysregulated cortisol concentrations present in this period. Psychotherapy incorporating equine interaction (PIE) has emerged in other populations as a treatment that decreases cortisol concentrations and improves treatment retention. The present study investigated the impact of 4 weeks of PIE on …