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Articles 5431 - 5460 of 48999
Full-Text Articles in Entire DC Network
Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy
Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy
Antioch University Dissertations & Theses
The counseling profession is struggling to meet the rising demand for mental health care due to a growing workforce shortage driven by burnout, inadequate support, and low compensation—pressures that disproportionately impact pre-licensed clinicians. Despite their critical role in sustaining the field, pre-licensed counselors often face systemic barriers with little structural support. This qualitative study explored the lived experiences of pre-licensed clinical mental health clinicians through social-ecological and reality shock theories. Participants included 14 pre-licensed clinical mental health counselors who had graduated from CACREP-accredited programs within the last five years. Individual interviews were conducted to gain a deeper understanding of participants’ …
The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler
The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler
Antioch University Dissertations & Theses
Graduate students in clinical and counseling psychology programs face an inordinate amount of stress: coursework, learning a new job, emotional challenges inherent to providing therapeutic services, and general life stressors. Some trainees seek personal therapy and usually describe their experience as positive for both personal and professional reasons. Psychologists working as researchers and clinicians generally advocate for therapists to engage in personal therapy. However, research into the impact of personal therapy on professional functioning remains scarce. The extant literature includes numerous critiques of the methodologies used to investigate the impact of personal therapy, such as small sample sizes, unclear methods, …
Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer
Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer
Antioch University Dissertations & Theses
The purpose of this phenomenological descriptive-interpretive study was to understand the lived experience of maintaining attention to one’s responsibilities while grieving among adults diagnosed with ADHD who have recently experienced bereavement in the United States. The population for this study included adults aged 18 and over who had experienced the loss of a loved one in the past 5 years and had a current diagnosis of ADHD. Participants were recruited using a sample of convenience via social media, email, and flyers, employing a snowball sampling technique. There were eight participants who met the inclusion criteria and participated in a semi-structured …
Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee
Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee
Antioch University Dissertations & Theses
This qualitative dissertation examines how Hong Kong-based art therapists trained in Western graduate programs adapt their educations to the cultural, institutional, and sociopolitical realities of their local contexts. Using photovoice methodology informed by decolonial, liberatory, and trauma-informed frameworks—referred to as stir fry praxis—the study centers the experiences of 11 participants navigating professional reentry, identity formation, and systemic constraints. Seven interrelated themes emerged: The evolving and precarious landscape of art therapy in Hong Kong; the dual role of practitioners as therapists and educators; the impact of sociopolitical forces, including self-censorship and limited access to care; the limitations of Western-centric education; grassroots …
Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts
Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts
Antioch University Dissertations & Theses
This dissertation explores the lived experiences of self-identified bisexual adults through a qualitative, narrative inquiry approach that centers how folx construct their story of sexuality and individual meaning making capacities based on held intersections of identity. Using Queer theory and intersectionality as a theoretical framework, this study investigates and advocates that sexual orientation is not validated or invalidated by its fluidity but aims to understand how bisexuality is an integrative part of an individual’s identity. This dissertation explores how society’s tendency to view sexuality as divided between heterosexuality and homosexuality erases the complexity and spectrum of sexual orientations that exist …
Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann
Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann
Antioch University Dissertations & Theses
The purpose of this study was to explore the intersectional possibilities between the fields of drama therapy and mental health counseling through the lens of transformative learning theory. Specifically, the research sought to understand the lived experiences of professionals trained in both disciplines to identify how these fields might mutually inform, strengthen, and enhance one another through collaboration and/or dual training. Data were collected through a qualitative online survey and analyzed using thematic analysis. Five themes emerged: (a) Theoretical and Practical Overlaps and Distinctions; (b) Drama Therapy-Informed Counseling: Embodiment, Creativity, and Experiential Practice; (c) Counseling-Informed Drama Therapy: Frameworks for Practice, …
Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan
Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan
Antioch University Dissertations & Theses
This study explored the perceptions and experiences of child welfare professionals on trauma-informed care and implications for deinstitutionalization in Trinidad and Tobago. The qualitative study utilized research interviews from 21 participants to inform findings. The participants included professionals from various agencies who work with children in care and protection. Thematic analysis was used to analyze the data, yielding six overarching themes (1) the need for training and capacity building in child protection, (2) systemic and organizational challenges to trauma informed care, (3) cultural and community factors impacting child protection, (4) the need to support family units as a pathway to …
Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar
Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar
Antioch University Dissertations & Theses
Female veterans are currently the fastest growing population of veterans in the United States (U.S. Department of Veterans Affairs, 2022) and have a higher prevalence of posttraumatic stress disorder (PTSD) than male veterans (Na et al., 2021), yet there has been limited research done on this population. Females have also been found to experience more posttraumatic growth (PTG) than males (Kalaitzaki, 2021; Prieto-Ursa & Jordar, 2020; Yildiz, 2021). Furthermore, women’s use of emotion-focused coping strategies has been shown to play a role in increasing experiences of PTG during the COVID-19 pandemic (Chu-Si & Yunhwan, 2022). Yet, while research has examined …
A Pedagogy Of Self: A Critical Autoethnography Evaluating The Self And The Lessons Of Exposure, Experience, Action, And Inaction, Jeremy Grisham
A Pedagogy Of Self: A Critical Autoethnography Evaluating The Self And The Lessons Of Exposure, Experience, Action, And Inaction, Jeremy Grisham
Antioch University Dissertations & Theses
This dissertation is a critical autoethnography, which evaluates a lifetime of experience through the lens of an educational theory in critical pedagogy, and two psychological theories in liberation psychology and feminist therapy. These theoretical frameworks will help me evaluate how the lessons of my life have acted in both oppressive ways, and ways in which I have supported and benefited from systemic oppression. This research demonstrates that the existence of my own diagnosed psychopathologies, which have provided symptomatic pressures, have ultimately stemmed from systemic pressures, even those systems of which I have inherently benefited. Through this research, I conclude that …
An Exploration Of Traumatic Experiences In Adults With Adhd, Anna E. Lee
An Exploration Of Traumatic Experiences In Adults With Adhd, Anna E. Lee
Antioch University Dissertations & Theses
This dissertation explored the lived experiences of psychological trauma in adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). Using an Interpretative Phenomenological Analysis (IPA) methodology, seven participants exhibiting clinically significant symptoms of psychological trauma completed semi-structured interviews to share their personal narratives. Following analysis, data was consolidated into five group experiential themes: (a) patterns of negative relationships, (b) dysfunctional family dynamics, (c) recognition of role in interpersonal conflict, (d) validation through ADHD diagnosis, and (e) ADHD and trauma as intertwined. The identified themes underscore the importance of trauma-informed clinical approaches that address relational difficulties and emotional regulation among this population, while emphasizing …
Geriatric Care In Corrections: An Exploratory Study Of Cross-Disciplinary Perspectives On The Needs Of An Aging Prison Population, Cynthia A. Scheiderer
Geriatric Care In Corrections: An Exploratory Study Of Cross-Disciplinary Perspectives On The Needs Of An Aging Prison Population, Cynthia A. Scheiderer
Antioch University Dissertations & Theses
The incarcerated population in the United States is aging. The proportion of adults 55 or older in prison rose from 3% in 1993 to 16% at year-end 2022 (Carson & Sabol, 2016; Carson & Kluckow, 2024). Researchers have consistently found evidence that the prevalence of disabilities and functional impairment is higher among older adults who are incarcerated than among those in the community. As the incarcerated population ages, corrections professionals responsible for providing safety, housing, and health care must respond to the needs of the population. In this qualitative study, 21 corrections professionals from the disciplines of custody, classification, medical, …
Reassessing Criminogenic Risk: How Trauma-Informed Assessment More Accurately Predicts In-Prison Behavior Than Traditional Models, Bree E. Derrick
Reassessing Criminogenic Risk: How Trauma-Informed Assessment More Accurately Predicts In-Prison Behavior Than Traditional Models, Bree E. Derrick
Antioch University Dissertations & Theses
Criminogenic risk-needs assessment is the cornerstone of recidivism reduction models in the correctional sector. Despite decades of using criminogenic risk-need tools, recidivism outcomes remain stubbornly high in the U.S. This non-traditional dissertation explored how traditional criminogenic assessments could be improved with the addition of measures of childhood adversity and maltreatment. This study found that the prevalence of ACEs was significantly greater in an adult prison population of 1,522 in a rural, western state than in the general public. Utilizing logistic regression, this research also found that ACEs were better predictors of in-prison misconduct than traditional criminogenic risk-needs assessments, although traditional …
Ecological Attunement: Exploring Eco-Informed Clinical Supervision, Ari C. Bonagofski
Ecological Attunement: Exploring Eco-Informed Clinical Supervision, Ari C. Bonagofski
Antioch University Dissertations & Theses
This dissertation examined what constitutes eco-informed clinical supervision, identified its essential components, described its practical implementation, and analyzed how it expands systemic practice. The lack of attention climate- and nature-related issues receive in the couple and family therapy field coupled with the climate crisis and disconnection from nature create a gap in training and care for those experiencing ecological distress. Clinical supervision is one method of addressing this issue by teaching and developing competence working with climate- and nature-related issues. Using a modified three-part Delphi methodology, this study included two surveys followed by an optional individual interview. Panelists agreed on …
“In The Name Of The Father:” Disclosure And Clergy Perpetrated Sexual Abuse, Alexandra L. Frederick
“In The Name Of The Father:” Disclosure And Clergy Perpetrated Sexual Abuse, Alexandra L. Frederick
Antioch University Dissertations & Theses
The current study offers a case study utilizing records from assessments conducted for civil suits by men who survived clergy perpetrated sexual abuse (CPSA) in their childhoods. The focus of this study is to contribute to our understanding of the disclosure process following the abuse. A qualitative analysis was conducted to highlight common themes, including experiences of disclosure, emotional experiences, the decision-making process, and potential feelings of regret toward disclosure. Research questions examined the time and age of disclosure, how close the survivor was to the priest at the time of the abuse and any trends that exist between that …
Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar
Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar
Antioch University Dissertations & Theses
Incels have gained mainstream attention in recent years because of increasing sexism and hatred that have manifested as violent acts committed towards women in the real world. This has led to growing research and discussion on social and political culture. The goal of this study is to understand why men join the incel community, to find ways to mitigate the need for men to join such communities. A theoretical thematic analysis was conducted using a survey to gain a deeper understanding of why men choose to join the incel community. A decolonial feminist interpretive framework was used to analyze the …
Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker
Antioch University Dissertations & Theses
Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …
The Experience Of Psychologists In Providing Unexpected Feedback During Neurodevelopmental Evaluations, Alyssa J. Mayer
The Experience Of Psychologists In Providing Unexpected Feedback During Neurodevelopmental Evaluations, Alyssa J. Mayer
Antioch University Dissertations & Theses
The purpose of this study was to describe the experience of licensed psychologists who provided unexpected feedback to assessment clients about not meeting the criteria for neurodevelopmental disorders. Individuals are increasingly seeking formal evaluation for neurodevelopmental disorders based on anecdotal information they come across on the internet. Many people develop strong identity attachments to these diagnostic labels, and it can be incredibly dysregulating to learn that they do not meet the criteria for a diagnosis. Six psychologists participated in semi-structured virtual interviews to share their experiences providing clients with this type of unexpected feedback. Through an interpretive phenomenological analysis framework, …
Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry
Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry
Antioch University Dissertations & Theses
Using a qualitative survey design, this study sought to understand the experiences of fully civilian providers who had achieved self-perceived military cultural competence when working with military or veteran clients or their families. This study also sought a better understanding of what pathways fully civilian providers took in this process, as well as their perceptions of how to better equip other fully civilian providers for work with military and veteran clients and their families. The results of this study yield recommendations for changes in graduate training programs; for example, through more inclusion of the military as a culture in cross …
Frozen: A Grounded Theory Of Transgenerational Trauma Cycles In The Evangelical Slavic Diaspora Of Former Soviet Union Refugees, Yulia Shtareva
Frozen: A Grounded Theory Of Transgenerational Trauma Cycles In The Evangelical Slavic Diaspora Of Former Soviet Union Refugees, Yulia Shtareva
Antioch University Dissertations & Theses
This dissertation builds on historical and scientific assertions that Former Soviet Union immigrants survived distinct political traumas, resulting in unique, culturally adaptive behaviors and beliefs. Using constructivist grounded theory, it examined how these behaviors manifest in the evangelical Slavic community (ESC) of former Soviet Union Refugees (FSURs) in the U.S. The researcher asserts that (a) adaptations are generationally preserved in the ESC through a “cycle of authoritarianism,” and (b) survival strategies became maladaptive in new social environments. Narratives from eight young adults raised in the ESC were analyzed alongside a literature review and lived experience. Findings show that coping strategies …
Humane Education And Animal Assisted Interventions To Reduce Trauma Impacts: A Scholarly Personal Narrative, Nina Wiebalk
Humane Education And Animal Assisted Interventions To Reduce Trauma Impacts: A Scholarly Personal Narrative, Nina Wiebalk
Antioch University Dissertations & Theses
The burgeoning fields of trauma-informed therapy and humane education are increasingly incorporating Animal Assisted Intervention (AAI). Given the growing understanding of trauma’s impact on developing brains, implementing humane education and AAI programs, such as the one I created, is crucial. This study will detail my efforts establishing and managing this program at a small non-profit within a major metropolitan city located within the Eastern United States, an agency dedicated to preventing and treating child abuse and trauma. To support this mission, I collaborated with our Executive Director to launch an AAI and humane education program, training and partnering with two …
Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young
Antioch University Dissertations & Theses
While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …
Mirrors Of The Reel: Black Women's Identity In American Cinema (2009-2024), Melanie-Penny Harrison
Mirrors Of The Reel: Black Women's Identity In American Cinema (2009-2024), Melanie-Penny Harrison
Antioch University Dissertations & Theses
This study investigates whether white supremacy structures, embodied in Hollywood’s predominantly white leadership, drive negative portrayals of Black women in 31 mainstream American films from 2009 to 2024. Employing a mixed-methods approach—quantitative content analysis, qualitative content analysis (QCA), and narrative methodology—I code portrayals for racism, patriarchy, heterosexism, colorism, and internalized racism, classifying them as progressive (e.g., empowered roles), regressive (e.g., subservient stereotypes), or hybrid. Guided by Critical Race Theory and intersectionality, the analysis examines narrative structures, character agency, symbolism, and dialogue to uncover intersectional patterns (e.g., race, gender, class) across three periods: 2009–2013, 2014–2018, and 2019–2024. Across these periods, cultural …
Childhood Aggression: A New Conceptualization, Hannah G. Harrison
Childhood Aggression: A New Conceptualization, Hannah G. Harrison
Antioch University Dissertations & Theses
Childhood aggression is a frequently observed behavioral phenomenon, yet lacks a precise
definition in both the DSM-5-TR and current research literature. Definitional ambiguity and
construct enmeshment continue to create construct confusion for researchers, clinicians, and
informants. This empirical review of the current literature and diagnostic criteria examines how
childhood aggression has been historically conceptualized, defined, and described. The primary
aim was to identify and clarify inconsistencies in current definitions and to address knowledge
gaps to improve diagnostic clarity. Through a thematic synthesis of recent literature, several key
issues emerged: the absence of a precise definition of childhood aggression; reliance on …
Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike
Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike
Antioch University Dissertations & Theses
Mental health literature, including in couple and family therapy (CFT), is sparse when it comes to transgender and gender diverse (TGD) topics. This is all the more the case when it is discussing instances where the provider themself is the one who is TGD. Very little literature exists that acknowledges the existence of trans clinicians and often focuses solely on whether their transness should even be disclosed. This study aimed to address this gap and explore the experiences of TGD CFTs, particularly focusing on training experiences in programs accredited by the Commission on Accreditation for Marriage and Family Therapy Education …
Exploring The Imposter Phenomenon Among Spanish Esl Doctoral-Level Psychology Students, Celia E. Arauz
Exploring The Imposter Phenomenon Among Spanish Esl Doctoral-Level Psychology Students, Celia E. Arauz
Antioch University Dissertations & Theses
In this study, I examined the impostor phenomenon experienced by bilingual Latina/o doctoral-level psychology students with English as a second language (ESL) who attend predominantly White institutions. To address the lack of literature, I explored how individuals perceive and cope with experiences generated by cultural, linguistic, and racialized academic environments, using the Clance Impostor Phenomenon Scale (CIPS) and interpretative phenomenological analysis. Seven participants completed demographic questionnaires, CIPS screening, and semistructured interviews. I analyzed participants' narratives in an Adlerian framework, emphasizing inferiority, belonging, and purposeful thriving. Findings demonstrated impostor feelings were prevalent. Students experienced multiple challenges when attending mainstream programs. Despite …
Embracing The Suck: Overcoming Moral Injury-Related Attachment Trauma Through Outdoor Adventure, Emerald D. Ralston
Embracing The Suck: Overcoming Moral Injury-Related Attachment Trauma Through Outdoor Adventure, Emerald D. Ralston
Antioch University Dissertations & Theses
Moral injury is increasingly recognized as a distinct and debilitating consequence of military service, arising when individuals engage in, witness, or are unable to prevent actions that transgress their deeply held moral beliefs. In this dissertation, I argue that this form of trauma can be experienced as an attachment rupture, particularly when the military—functioning as an institutional attachment figure—betrays the servicemember’s trust. Such experiences compromise internal working models (IWMs) of self, others, and the world, and may result in complex trauma symptoms, including dissociation, depersonalization, and profound relational disconnection. These injuries are frequently stored in the body, rendering traditional cognitive …
The Gut-Brain Axis: Investigating The Effects Of Diet, Physical Activity, And Prior Adversity On Anxiety Via Autonomic Nervous System, Jenna L. Pennella
The Gut-Brain Axis: Investigating The Effects Of Diet, Physical Activity, And Prior Adversity On Anxiety Via Autonomic Nervous System, Jenna L. Pennella
UNF Graduate Theses and Dissertations
Previous literature has highlighted a bidirectional relationship between the gut and brain called the gut-brain axis (de Punder & Pruimboom, 2015; Hill et al., 2008; Leistner & Menke, 2020). The current study aimed to investigate directional relations between different stressors (e.g. poor diet, vigorous activity, and prior adversity) and anxiety and how interactions with gut issues and autonomic dysfunction may impact these relationships. Based on previous literature, we examined (a) physical activity and diet as moderators of stress and anxiety as well as stress and GI symptoms, (b) GI symptoms as a mediator between various predictors (i.e., diet, stress, physical …
Alexithymia: Toward An Experimental, Processual Affective Science With Effective Interventions, Olivier Luminet, Kristy A. Nielson
Alexithymia: Toward An Experimental, Processual Affective Science With Effective Interventions, Olivier Luminet, Kristy A. Nielson
Psychology Faculty Research and Publications
Alexithymia is a multi-dimensional personality trait involving difficulty identifying feelings, difficulty describing feelings, and an externally oriented thinking style. Poor fantasy life is debated as another facet. For over 50 years, the alexithymia literature has examined how alexithymia-related disturbances in perceiving and expressing feelings contribute to mental and physical disorders. We review the current understanding of alexithymia—including its definition, etiology, measurement, and vulnerabilities for both mental and physical illness—and its treatment. We emphasize the importance of further experimental and processual affective science research that (a) emphasizes facet-level analysis toward an understanding of the nuanced bases of alexithymia effects on neural, …
Editorial: To Know Or Not To Know: Causes And Evolution Of Lack Of Awareness Of Cognitive Decline In Neurodegenerative Diseases, Volume Ii, Federica Cacciamani, Kristy A. Nielson, Bernard J. Hanseeuw, Geoffroy P. Gagliardi, Patrizia Vannini
Editorial: To Know Or Not To Know: Causes And Evolution Of Lack Of Awareness Of Cognitive Decline In Neurodegenerative Diseases, Volume Ii, Federica Cacciamani, Kristy A. Nielson, Bernard J. Hanseeuw, Geoffroy P. Gagliardi, Patrizia Vannini
Psychology Faculty Research and Publications
Anosognosia, or the lack of awareness of cognitive, behavioral, or functional deficits, represents a critical challenge in the clinical management of neurodegenerative diseases such as Alzheimer's disease (AD) and frontotemporal dementia. This condition not only impacts patients, caregivers, and healthcare systems (D'Souza et al., 2011; Turró-Garriga et al., 2013) but also raises important questions about its underlying mechanisms and evolution (Hanseeuw et al., 2020; Starkstein, 2014; Vannini et al., 2017). Despite its critical importance, significant gaps remain in our understanding of cognitive self-awareness in neurodegenerative diseases. Building on the momentum of the first edition of To Know or Not to …
Editorial: Midlife Brain Health: Understanding Brain Aging In Middle-Age And Effects Of Interventions To Prevent Neurodegeneration In Late Life, Junyeon Won, Marissa A. Gogniat, Takuya Kurazumi, Kristy A. Nielson
Editorial: Midlife Brain Health: Understanding Brain Aging In Middle-Age And Effects Of Interventions To Prevent Neurodegeneration In Late Life, Junyeon Won, Marissa A. Gogniat, Takuya Kurazumi, Kristy A. Nielson
Psychology Faculty Research and Publications
With the rapid increase in the aging population, the prevalence of age-related neurodegenerative diseases such as Alzheimer's disease (AD) has risen significantly, affecting over 55 million people worldwide in 2023, with projections suggesting this number will exceed 78 million by 2030 (Better, 2023). While much research has been focused on understanding and treating AD in older adults, there is growing emphasis on early interventions to prevent its onset (Crous-Bou et al., 2017; Dohm-Hansen et al., 2024). In this regard, middle-age has gained recognition as a critical period for the development and prevention of AD (Ritchie et al., 2017). For example, …