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The Impact Of Family Variables On The Mental Health Of Gender Expansive Transitional Age Youth And Adults, Courtney Erdly Jan 2025

The Impact Of Family Variables On The Mental Health Of Gender Expansive Transitional Age Youth And Adults, Courtney Erdly

West Chester University Doctoral Projects

Gender expansive individuals are at an elevated risk for stress and poor psychological outcomes such as depression, substance abuse, and death by suicide due to minority stress. Family variables can either protect against or perpetuate poor psychological outcomes. There is need to examine specific protective and risk factors in families with gender expansive children. The present study explores the relationship between family and caregiver relationship variables and well-being in a sample of 39 gender expansive individuals. Participants completed an online survey consisting of questionnaires measuring current internalizing and externalizing symptoms and their perception of their family structure, functioning, and parental …


The Mediating Role Of Emotion Regulation Between Parent-Child-Relationship Quality And Psychological Health Of Adolescent Girls, Ethan Marcus Rick Jan 2025

The Mediating Role Of Emotion Regulation Between Parent-Child-Relationship Quality And Psychological Health Of Adolescent Girls, Ethan Marcus Rick

Senior Honors Theses and Projects

Emotion regulation plays a crucial role in adolescent psychological health and is influenced by the quality of parent-child relationships. Prior research suggests that supportive relationships foster adaptive emotion regulation, while conflict-ridden relationships contribute to emotion regulation difficulties, leading to negative psychological outcomes. This study examines the mediating role of emotion regulation difficulties in the association between mother-daughter relationship quality and adolescent psychological maladjustment, including anxiety, depression, and disordered eating. A sample of 106 adolescent girls (ages 11–21) in the United States completed self-report measures assessing relationship closeness and discord, emotion regulation difficulties, and psychological distress. Results indicated that relationship discord …


Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia Jan 2025

Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia

Master's Theses and Doctoral Dissertations

Fifty percent of children do not receive care for their mental health concerns, while 95% are seen annually within primary care by age 6. Individual, cultural, and systemic barriers limit access to mental health care. Integrating mental health services into primary care has the potential to increase awareness, reduce costs, and decrease stigma. However, integrated primary care often relies on a brief and targeted intervention approach that may not be suitable for all families. Therefore, it is important to examine differential outcomes within this setting. Methods: This study analyzed retrospective data from 3,494 new patient medical records at a large …


Examination Of Barriers To Accessing Integrated Behavioral Health Care, Alyssa Buthman Jan 2025

Examination Of Barriers To Accessing Integrated Behavioral Health Care, Alyssa Buthman

Master's Theses and Doctoral Dissertations

Research has found that pediatric integrated behavioral health (IBH) significantly increases utilization of behavioral health services, but there are still families who are missing out. The purpose of the current study is to examine characteristics that may influence or impede utilization of an IBH referral. Phase 1 utilized survey methodology paired with electronic medical record review in a sample of 24 caregivers to pediatric patients to investigate whether parent-reported perceived stigma of accessing mental health care, barriers to accessing health care in general, and child symptom severity uniquely predicted referral utilization. Phase 2 used electronic medical record data in a …


The Impact Of Parenting Behaviors On The Development Of Hope In Young Children Experiencing Homelessness, Gracie Munnie Jan 2025

The Impact Of Parenting Behaviors On The Development Of Hope In Young Children Experiencing Homelessness, Gracie Munnie

Psychology Theses

Research in resilience science has revealed a “short-list” of protective factors that support positive development in contexts of risk and adversity (Masten, 2014). One such factor is hope, which includes agency thinking (i.e., the belief in one’s ability to accomplish their goals) and pathway thinking (i.e., the ability to produce attainable routes to those goals; Sparks, 2021; Synder, 1997). In families, parents with high levels of hope set intentional parenting goals and encourage their children to create goals as well; these parents also report better psychological functioning and increased ability to cope with parenting stressors (Cole & Molloy, 2023). Although …


Psychosocial Factors Affecting Quality Of Life In Kidney Transplant Recipients, Lawrence Panlilio Jan 2025

Psychosocial Factors Affecting Quality Of Life In Kidney Transplant Recipients, Lawrence Panlilio

Nursing | Senior Theses

Background: Kidney transplantation is the best solution to save lives for those that have end-stage renal disease. However, psychosocial issues play a huge role in their quality of life after the procedure which can affect these individuals negatively. These issues recipients face include depression and anxiety, a lack of social support, and self management difficulties. Objective: This research consists of investigating psychosocial factors that affect kidney transplant recipients’ quality of life. Evidenced by research, focused assistance with ongoing support in patients is essential after receiving surgery and recovery. A literature review was conducted that consists of research on studies with …


Improving The Psychosocial Work Environment To Prevent Sickness Absence And Turnover In Nurses: A Systematic Review, Laurent Corthésy-Blondin, Alessia Negrini, Samantha Vila Masse, Christine Genest Jan 2025

Improving The Psychosocial Work Environment To Prevent Sickness Absence And Turnover In Nurses: A Systematic Review, Laurent Corthésy-Blondin, Alessia Negrini, Samantha Vila Masse, Christine Genest

Revues de littérature, synthèses de connaissances

In nurses, the high rates of sickness absence (SA) and turnover generate staggering costs. Their prevalence could be reduced by acting on the work-related psychosocial factors (WRPFs) that can impact the mental health of nurses and lead to their absences and departures. However, there is a lack of consensus regarding the effectiveness of interventions that target WRPFs from a SA and turnover prevention perspective. This systematic review aims to identify interventions that target WRPFs to reduce SA and turnover in nurses, describe the methods used to evaluate their effectiveness, and report on their effectiveness at improving SA, turnover rates, and …


A Conceptual Replication Of An Implicit Test Of Grammatical Gender Effects On Inanimate Concepts, D. Mahajan, Frank H. Durgin Jan 2025

A Conceptual Replication Of An Implicit Test Of Grammatical Gender Effects On Inanimate Concepts, D. Mahajan, Frank H. Durgin

Psychology Faculty Works

It has been argued that the incidental and arbitrary use of gender markings for inanimate concepts in language may affect the conceptualization or semantics of those inanimate concepts. The present article sought to replicate the findings of a classic paper that made this argument. Konishi used the potency dimension of the semantic differential method as an implicit measure of perceived gender. He reported that words for inanimate concepts of masculine grammatical gender were rated as higher in potency than words for the same concepts that had feminine grammatical gender. Two preregistered replication studies are reported here. The first was a …


Figurative Language Is (Implicitly) More Dynamic And Emotionally Deeper Than Literal Language, Tshering Yangzom Dorji , '23, Frank H. Durgin Jan 2025

Figurative Language Is (Implicitly) More Dynamic And Emotionally Deeper Than Literal Language, Tshering Yangzom Dorji , '23, Frank H. Durgin

Psychology Faculty Works

Two experiments investigated the nature of the emotional differences between figurative language and literal counterparts. The semantic differential method was used with principal component analysis as a data-driven implicit method for distinguishing emotional variables. The first experiment found that metaphoric stories were reliably different in emotionality than their literal counterparts along three different data-defined dimensions. The second experiment extended the conclusions to the evaluation of individual words used figuratively (including simile and metaphor). In both studies, principal component analysis revealed three distinct underlying sources of variance implicit in the ratings of experimental items including the dimensions of dynamism and depth, …


I Love You, But I’Ve Got To Cancel You: Psychological Determinants And Consequences Of Cancel Culture Participation, Rebecca Tukachinsky Forster, Daniel H. Spitz Jan 2025

I Love You, But I’Ve Got To Cancel You: Psychological Determinants And Consequences Of Cancel Culture Participation, Rebecca Tukachinsky Forster, Daniel H. Spitz

Communication Faculty Articles and Research

This study explores how individuals react to celebrities who take a political stance that contradicts and threatens their social identity. An online experiment examines these questions in the context of the Israeli war against Hamas in the wake of the October 7 terror attack. Israeli Jewish participants who were led to believe that a beloved celebrity fully embraced the Palestinian’s narrative and condemned Israel experienced more negative and less positive emotions and had a greater intention to cancel the celebrity. However, writing a comment or a social media post (particularly if the comment bashed the celebrity) partially buffered these emotional …


Supports For Mental Well-Being Valued By Healthcare Workers: Qualitative Analysis Of Data From A Canadian Cohort Of Healthcare Workers During The Covid-19 Pandemic, Shannon Marie Ruzycki, Anil Adisesh, Quentin Durand-Moreau, France Labrèche, Tanis Zadunayski, Erica Stroud, Nicola Cherry Jan 2025

Supports For Mental Well-Being Valued By Healthcare Workers: Qualitative Analysis Of Data From A Canadian Cohort Of Healthcare Workers During The Covid-19 Pandemic, Shannon Marie Ruzycki, Anil Adisesh, Quentin Durand-Moreau, France Labrèche, Tanis Zadunayski, Erica Stroud, Nicola Cherry

Études primaires

A prospective cohort of 4964 HCWs from four Canadian provinces was established early in the COVID-19 pandemic. Participants were invited to comment about workplace mental health supports at three time points. We performed a thematic content analysis of responses from 1738 participants using the Social Support Behaviour Code framework to categorize barriers to support as informational, tangible, emotional, social, or expressing esteem. Themes were synthesized into suggestions for healthcare organizations to prepare for future crises. Formal and informal peer support, workplace mental health supports, and one-on-one counseling were most often mentioned as valued. Analysis suggested that workplace social networks as …


The Effects Of Schema Therapy On Shame In Victims Of Intimate Partner Violence, Annette Ibarra Skeen Jan 2025

The Effects Of Schema Therapy On Shame In Victims Of Intimate Partner Violence, Annette Ibarra Skeen

Theses and Dissertations

Intimate partner violence (IPV) is prevalent in the United States and worldwide. Despite the deleterious effects of IPV on personal and societal wellness, there is limited research on effective interventions for IPV victims. Among the detrimental effects of IPV on mental health, shame is a common emotion experienced by IPV victims. Shame can contribute to an array of mental health concerns, such as depression, anxiety, low self-esteem, PTSD, substance abuse, and suicidality. Using a multiple baseline, singe case design, the aim of the current study was to evaluate the effects of Schema Therapy (ST) on shame on IPV victims. Based …


Integrating School Mental Health Services: How Therapeutic Alliance May Improve Outcomes In A Mental Health Literacy Intervention, Alena Quinn Jan 2025

Integrating School Mental Health Services: How Therapeutic Alliance May Improve Outcomes In A Mental Health Literacy Intervention, Alena Quinn

Theses and Dissertations

The youth mental health crisis continues to face persistent barriers of stigma, workforce shortages, and fragmented service delivery systems. Schools play a pivotal role in addressing these challenges, as youth are six times more likely to access mental health services in schools than in community settings. Frameworks such as the Comprehensive School Mental Health Systems (CSMHS) and the Interconnected Systems Framework (ISF) have improved access and quality of school-based mental health services through integration and partnership efforts. However, stigma remains a persistent barrier for seeking help and perpetuating untreated mental health difficulties. Research has found that mental health literacy (MHL) …


Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu Jan 2025

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …


Self-Regulation In Children With Fragile X Syndrome: Biobehavioral Underpinnings, Familial Predictors, And Outcomes, Erin Evelyn Hunt Jan 2025

Self-Regulation In Children With Fragile X Syndrome: Biobehavioral Underpinnings, Familial Predictors, And Outcomes, Erin Evelyn Hunt

Theses and Dissertations

Self-regulation is a multifaceted construct that occurs on biological, cognitive, emotional, and behavioral levels. Self-regulatory abilities typically emerge in the first years of life and continuously develop through early adulthood. There is considerable interindividual variability in developmental trajectories of self-regulation which are associated with numerous adaptive and maladaptive outcomes. Factors influencing the development of self-regulation include interacting genetic and social environmental factors. Given the high heritability of self-regulation, within-family associations are common.

Individuals with Fragile X syndrome (FXS), an inherited, single-gene neurodevelopmental disorder, have heightened vulnerability for self-regulation deficits that are evident in early infancy; however, the developmental trajectories and …


Cerebellar Contributions To Speech And Clinical Outcomes In Stroke: A Multimodal Investigation Of Structural Integrity Across Chronic And Acute Cohorts, Makayla Joy Gibson Jan 2025

Cerebellar Contributions To Speech And Clinical Outcomes In Stroke: A Multimodal Investigation Of Structural Integrity Across Chronic And Acute Cohorts, Makayla Joy Gibson

Theses and Dissertations

This dissertation investigates the critical role of the cerebellum in speech production, with a focus on chronic post-stroke apraxia of speech (AOS), lesion-related cerebellar degeneration, and age-related changes in cerebellar structure among healthy individuals. While speech deficits have traditionally been attributed to cortical lesions, mounting evidence suggests that the cerebellum contributes significantly to speech-motor planning, execution, and error correction. Using multimodal neuroimaging, lesion-symptom mapping, and standardized speech assessments, this research examines cerebellar gray matter volume (GMV) across three complementary studies.

Aim 1 evaluates the association between cerebellar GMV and AOS severity in individuals with chronic left hemisphere stroke. Findings support …


Choice Overload In The Digital Age: A Cognitive Neuroscience Approach, Jacob Matthew Stanley Jan 2025

Choice Overload In The Digital Age: A Cognitive Neuroscience Approach, Jacob Matthew Stanley

Theses and Dissertations

This dissertation examines the neural mechanisms of value-based multiattribute decision making through the lens of choice overload during consumer choice. Two behavioral experiments established that choice sets of a moderate size with nine options were perceived as most optimal compared to choice sets with three and 24 options, and options chosen from the largest set size were judged to be the least satisfying. A functional MRI study then examined how the brain responds to choice sets varying in size and complexity by manipulating the number of options presented as well as the presence of asymmetrically dominated decoy alternatives during a …


Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum Jan 2025

Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum

Theses and Dissertations

Black adolescents have higher rates of physical inactivity, lower quality dietary intake, and fewer family meals compared to their White peers. These health inequities place Black adolescents at greater risk for overweight and obesity, as well as long-term health consequences, including chronic disease and early mortality. However, few health promotion programs have been successful in improving health behaviors among Black adolescents and families. Elevated rates of chronic stress, namely racial stress, among Black families may be a prominent obstacle for engagement in and effectiveness of health promotion initiatives. Limited family-based health promotion programs with Black families have incorporated cultural and …


Iq Trends In Preschoolers With Autism And Co-Occurring Developmental Delay Are Associated With Autism Severity Not Anxiety, Chandler Elizabeth Knott Jan 2025

Iq Trends In Preschoolers With Autism And Co-Occurring Developmental Delay Are Associated With Autism Severity Not Anxiety, Chandler Elizabeth Knott

Theses and Dissertations

Intellectual functioning constitutes a significant source of heterogeneity in individuals with autism spectrum disorder (ASD); however, little is known about how intellectual functioning manifests over development in preschool children with non-syndromic ASD (nsASD) and co-occurring global developmental delay (GDD) or how this relates to functionally impairing co-occurring conditions, such as anxiety. Study participants included 57 children with nsASD and co-occurring global developmental delay (ASD+GDD), 24 categorized with mild GDD, and 33 categorized with moderate GDD. Drawing on dynamic systems theory, the present study explored developmental trends within the context of multiple complex systems, including intelligence, social-emotional, and behavioral functioning. Moderated …


Yoga Sūtra Book Four And The Yogabindu, Christopher Key Chapple Jan 2025

Yoga Sūtra Book Four And The Yogabindu, Christopher Key Chapple

Monsoon: South Asian Studies Association Journal

Four themes from the fourth pāda of Patañjali’s Yoga Sūtra are examined here: karma (IV:2-13), individuality (IV:16), humility (IV:20-22), and freedom (IV:29-34). Affirmations and variant interpretations of these four are provided from Haribhadra Virahāṅka’s Yogabindu, most likely composed a century or two later.


How Identities Shape Belonging In Occupational Therapy Education: A Phenomenological Exploration Of Student Belonging, Quinn P. Tyminski, Rowhea Elmesky Jan 2025

How Identities Shape Belonging In Occupational Therapy Education: A Phenomenological Exploration Of Student Belonging, Quinn P. Tyminski, Rowhea Elmesky

Journal of Occupational Therapy Education

Belonging is defined in a variety of ways but most often refers to an individual’s feelings of acceptance, inclusion, support, and respect within a certain environment. Belonging is an innate human need and contributes to success in academic and professional settings. Within occupational therapy (OT) education, minimal attention has been paid to the specific concept of belonging with no research focused on long-term qualitative explorations of student belonging for students with historically minoritized identities (HMIs). Thus, the goal of the present study was to better understand how students with multiple HMIs experienced the phenomenon of belonging in OT education. Utilizing …


Book Of Abstracts, Iaccp Jan 2025

Book Of Abstracts, Iaccp

Papers from the International Association for Cross-Cultural Psychology Conferences

No abstract provided.


Can Secure Base Script Knowledge Predict Changes In Perceptions Of Conflict Resolution Discussions In Engaged Couples Over Time?, Sarah Finkelstein Jan 2025

Can Secure Base Script Knowledge Predict Changes In Perceptions Of Conflict Resolution Discussions In Engaged Couples Over Time?, Sarah Finkelstein

Selected Full Text Dissertations, 2011-

According to attachment theory, attachment representations shape the way in which individuals obtain and organize social information. One facet of social information processing that has been studied in relation to attachment representations is memory reconstruction, which is the process by which previous experiences and prior knowledge shape the recollection of past events. In this study, we examined how secure base script knowledge, an aspect of attachment representations that reflects access to a temporal-causal sequence regarding receiving support from close others, predicts changes in how romantic partners perceive conflict resolution discussions over time. Members of engaged couples (N =154) rated levels …


Ubuntu In Namibia And Kenya: How Emerging Adults Live An Essential African Value Today, Julia S. Rotzinger, Lene Arnett Jensen, Amber Gayle Thalmeyer Jan 2025

Ubuntu In Namibia And Kenya: How Emerging Adults Live An Essential African Value Today, Julia S. Rotzinger, Lene Arnett Jensen, Amber Gayle Thalmeyer

Psychology

Psychology in Africa often relies on Euro-American theories, despite their limitations in African cultures. Here, a shift to an Afrocentric perspective was made by exploring Ubuntu in two sub-Saharan African countries using a cultural-developmental psychology approach for in-depth emic understanding. Ubuntu (also known as botho, etc.) is a moral ideal that at core means placing a higher importance on the community than on oneself. Most literature on this important African concept has been theoretical rather than empirical, and little is known about how well it describes contemporary worldviews and experiences of emerging adults. In this interview study, Namibian and …


The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes Jan 2025

The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes

Master's Theses and Doctoral Dissertations

Early trauma is linked to adverse adult outcomes, including parenting deficits. While prior research has emphasized specific trauma types and severe parenting deficits, less is known about how cumulative trauma shapes normative parenting behaviors. Parenting self-efficacy (PSE) has been proposed as a potential mechanism linking early adversity to later parenting practices, though under-researched. This study examined the relationships between adverse childhood experiences (ACEs), PSE, and positive parenting behaviors in a sample of 56 caregivers of preschool-aged children enrolled in Head Start. PSE was significantly associated with greater use of limit-setting, positive behavior support, and proactive parenting strategies, reinforcing its role …


Exploring The Link Between Relationship Status And Emotion Regulation Strategy Use, Abigail A. Echols Jan 2025

Exploring The Link Between Relationship Status And Emotion Regulation Strategy Use, Abigail A. Echols

Honors Undergraduate Theses

Romantic relationships affect many areas of life and are important sources of interpersonal emotion regulation, yet little research has investigated whether relationship status influences emotion regulation strategy use and emotion dysregulation. Considering that the types of emotion regulation strategies individuals use significantly affect their well-being, understanding the link between relationship status and emotion regulation strategy use is important. This study compared single, partnered, and recently separated individuals’ emotion dysregulation and use of eleven intrapersonal and eleven interpersonal emotion regulation strategies in general (i.e., trait) and in a specific situation (i.e., state) through retrospective self-report scales and an autobiographical writing task. …


Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart Jan 2025

Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart

Honors Undergraduate Theses

This study explored whether negative attitudes towards seeking professional psychological help among people in Aruba who reported experiencing childhood trauma were predicted by perceived social stigma and the intensity of the trauma. An online survey measuring childhood trauma, attitudes towards seeking professional psychological help, and perceived stigma was administered to 162 participants using a cross-sectional correlational design. To determine the predictive relationship among these variables, a multiple regression analysis was performed. Results showed that perceived stigma significantly predicted more negative attitudes towards seeking professional psychological help, while the severity of childhood trauma did not. Among the trauma subscales, emotional abuse …


Pregaming Behaviors And Negative Alcohol-Related Consequences In College Students, Natalie M. Lima Jan 2025

Pregaming Behaviors And Negative Alcohol-Related Consequences In College Students, Natalie M. Lima

Honors Undergraduate Theses

This study was conducted to examine the association between pregaming behavior (i.e., frequency and quantity) and negative alcohol-related consequences among college students. Specifically, it sought to replicate previous research demonstrating significant associations between pregaming behaviors and negative alcohol-related consequences in GenZ college students. While there are some recent studies on pregaming, many studies on pregaming were conducted approximately a decade ago, and pregaming behaviors may have changed within this timeframe. This project involved secondary analysis of data collected from a multi-site study in which college students completed an online survey that included questions regarding their demographics, pregaming frequency and quantity, …


Mindfulness And Psychological Adjustment In International Students: The Mediating Role Of Emotion Regulation Strategies, Jyoti Lama Jan 2025

Mindfulness And Psychological Adjustment In International Students: The Mediating Role Of Emotion Regulation Strategies, Jyoti Lama

Masters Theses

This study examined the relationship between mindfulness and psychological adjustment among international students, focusing on the mediating roles of two emotion regulation strategies: cognitive reappraisal and expressive suppression. Specifically, it explored whether mindfulness is associated with lower acculturative stress and higher coping self-efficacy, and whether using the emotion regulation strategies of cognitive appraisal and expressive suppression mediate these relationships. Eighty-nine international students from mid-sized U.S. universities participated in an online survey assessing mindfulness, emotion regulation, acculturative stress, and coping self-efficacy. Mediation analyses using bootstrapping showed that cognitive reappraisal partially mediated the relationship between mindfulness and coping self-efficacy, but not between …


Examining Multiple Stakeholder Perspectives On The Acceptability Of Pain-Mitigation As A Tool To Manage Needle Fear, Sarah C M Morton Jan 2025

Examining Multiple Stakeholder Perspectives On The Acceptability Of Pain-Mitigation As A Tool To Manage Needle Fear, Sarah C M Morton

Theses and Dissertations

Needle fear affects up to 63% of the global adult population and is associated with significant fear-based medical care avoidance (e.g., blood donation refusal, vaccine hesitancy, insulin injection adherence). Current behavioral treatments have low acceptance in this population, and often fail to address the experience of pain associated with needle procedures. Despite the existence of evidence-based pain-mitigation for needle procedures, these interventions are not commonly used in clinical settings. The current study used qualitative methods to examine patient and provider perceptions of: 1) current methods of needle fear management, and 2) the acceptability of pain-mitigation as an effective tool to …