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An Evaluation Of A School Mental Health Program For Underserved Youth In Rural South Carolina, Tristan Collier Jul 2022

An Evaluation Of A School Mental Health Program For Underserved Youth In Rural South Carolina, Tristan Collier

Theses and Dissertations

School, community, and youth-serving system partnerships can support implementing comprehensive school mental health (SMH) systems including services beyond direct therapy for students (i.e., multiple tiers of support). Utilizing a comprehensive approach to SMH allows clinicians to form stronger relationships with administrators, school staff, and most importantly, students who may need services. This comprehensive approach to SMH includes incorporating the SMH clinician into the culture and daily activities of the schools (e.g., helping direct students in the bus line), to increase the visibility of the clinician and services available as well as provide opportunities for direct outreach to students. One such …


Neighborhood Socioeconomic Disadvantage And The Neurobiology Of Uncertainty In Traumatically Injured Adults, Carissa W. Tomas, E. Kate Webb, Kenneth P. Bennett, Ashley A. Huggins, Jacklynn M. Fitzgerald, Tara A. Miskovich, Jessica L. Krukowski, Terri A. Deroon-Cassini, Christine L. Larson Jul 2022

Neighborhood Socioeconomic Disadvantage And The Neurobiology Of Uncertainty In Traumatically Injured Adults, Carissa W. Tomas, E. Kate Webb, Kenneth P. Bennett, Ashley A. Huggins, Jacklynn M. Fitzgerald, Tara A. Miskovich, Jessica L. Krukowski, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background

Individuals residing in more socioeconomically disadvantaged neighborhoods experience greater uncertainty through insecurity of basic needs such as food, employment, and housing, compared with more advantaged neighborhoods. Although the neurobiology of uncertainty has been less frequently examined in relation to neighborhood disadvantage, there is evidence that neighborhood disadvantage is associated with widespread neural alterations.

Methods

Recently traumatically injured participants (n = 90) completed a picture anticipation task in the magnetic resonance imaging scanner, in which they viewed images presented in a temporally predictable or unpredictable manner. We investigated how neighborhood disadvantage (via area deprivation index [ADI]) was related to …


Examining The Social Validity Of Parent Training: Post-Participation Parent Perceptions And Reflections Of Group Triple P, Nycole C. Kauk Jul 2022

Examining The Social Validity Of Parent Training: Post-Participation Parent Perceptions And Reflections Of Group Triple P, Nycole C. Kauk

USF Tampa Graduate Theses and Dissertations

Child behavior problems are highly prevalent and impactful on the child and their family system, bringing both short-term and long-term consequences (Sanders, 2012). Many risk factors for child behavior problems are modifiable via the use of Behavioral Family Interventions, such as behavioral parent training programs (Kazdin, 1991). Behavioral Family Interventions (BFI) modify factors within the family system to minimize modifiable risk factors and engineer protective factors to produce behavior change (Kazdin, 1991). While several manualized behavioral parenting interventions exist, the Triple P parenting program is one of the most researched and effective programs used internationally, particularly the Level 4 package; …


Mindfulness Based Cognitive Therapy And Stress Reduction, John C. Buchanan Jun 2022

Mindfulness Based Cognitive Therapy And Stress Reduction, John C. Buchanan

Sabbatical Projects

During my sabbatical, I worked to increase my knowledge of Mindfulness Based Cognitive Therapy (MBCT) through formal training and credentialing, also through retreat experiences and daily practice, and to apply that knowledge to enhance the resources and service delivery of stress management and wellness programming for JCCC students, staff and faculty. My goal was to enhance and improve related campus resources such as the written handbook on stress management, and educational programming/ curriculum for students and staff such as presentations to JCCC staff and faculty through staff development days and expansion of resources for students in high stress programs such …


Algorithmic Manipulation: How Social Media Is Shaping Our Theology, Ethan Jago Jun 2022

Algorithmic Manipulation: How Social Media Is Shaping Our Theology, Ethan Jago

Liberty Theological Review

The average individual in Generation Z spends nine hours a day on social media and derives over 62% of the information retained from social applications such as YouTube and Instagram. Social media applications are designed to track and adapt a user's activity to custom-tailor their internet experience resulting in a controlled, one-sided view of the information flow custom-tailored to an individual's usage, which subtly changes the disposition concerning the interpretation of theological and biblical truths. The algorithm of social media responds adapts and directly impacts individuals in what they think, purchase, and places they visit. Social media is not neutral …


Outcomes Of A Telehealth Adaptation Of A Trauma-Based Parent Training Program, Holland Hayford Jun 2022

Outcomes Of A Telehealth Adaptation Of A Trauma-Based Parent Training Program, Holland Hayford

USF Tampa Graduate Theses and Dissertations

Approximately 25% of children will experience a traumatic event by the age of four. If trauma symptoms remain untreated, these traumatic experiences during early childhood can negatively impact a child’s executive functioning skills, mental health, social interactions, and relational attachments to other individuals. Due to the harmful impact of untreated trauma symptoms on children’s wellbeing and development, several evidence-based interventions have been developed. One such intervention is Smart Start: Parenting Tools for Children with Developmental Delay, Social-Emotional Concerns, and Trauma (version 5), which targets children’s disruptive behaviors and trauma symptoms, caregivers’ parenting stress, and the caregiver-child relationship. This study utilized …


Too Much For A Heart To Bear: A Systematic Review And Mini Meta-Analysis On The Role Of Skin-Deep Resilience In The Weathering Of Black People In America, Chantelle Miller Jun 2022

Too Much For A Heart To Bear: A Systematic Review And Mini Meta-Analysis On The Role Of Skin-Deep Resilience In The Weathering Of Black People In America, Chantelle Miller

College of Science and Health Theses and Dissertations

Current public health data underscore CVD as the most predominant public health crisis affecting the U.S population, claiming over 655,000 lives annually as the primary cause of one out of every four deaths (Kochanek, 2020; Rana et al., 2020; Salim et al., 2020). Current approaches to CVD primarily utilize a biomedical approach, are extremely costly to the U.S economy, and appear to disproportionately support positive health outcomes in White individuals while Black individuals continue to exhibit heart health disparities (Carnethon et al., 2017; Ferdinand, 2016). Race-related health inequities must be addressed with a biopsychosocial preventative health approach to effectively redirect …


Evaluating The Effects Of Mindfulness Practice On Attentional Control And Episodic Memory, Jacob M. M. Namias Jun 2022

Evaluating The Effects Of Mindfulness Practice On Attentional Control And Episodic Memory, Jacob M. M. Namias

Master's Theses

Mindfulness refers to a mental state of being that involves nonjudgmental acceptance of current cognitions and emotions with awareness of the present moment. Researchers and clinicians have shown the efficacy of mindfulness as a treatment for psychological disorders such as anxiety and depression and have found reductions in reported stress. Building on clinical benefits, mindfulness practice may also facilitate attentional processes as practitioners are required to inhibit distracting thoughts and re-direct their focus to the present moment. My thesis examined the relationship between mindfulness practice and attentional control and potential spillovers to episodic memory. Experiment 1 gauged the relationship between …


A Digital Application For Assessment Of Neurocognitive Disabilities, Thomas H. Auriemma Jun 2022

A Digital Application For Assessment Of Neurocognitive Disabilities, Thomas H. Auriemma

Theses and Dissertations

Background: Neuropsychological assessment is designed to identify neurocognitive impairment and has traditionally relied on pen-and-paper tests. The behavior collected from these tests is usually expressed as a total summary score or a score that reflects a restricted number of features that assess errors. There is now interest in coupling traditional paper and pencil tests with digital assessment technology. In this context traditional metrics such as summary scores are still available. However, using digital technology, a host of time-based parameters can now be obtained. These time-based parameters include the total time to complete the task or total time to completion, as …


Is The Phq-9 A Unidimensional Measure Of Depression? A 58,272-Participant Study, Renzo Bianchi, Jay Verkuilen, Sharon Toker, Irvin Sam Schonfeld, Markus Gerber, Elmar Brähler, Kurt Kroenke Jun 2022

Is The Phq-9 A Unidimensional Measure Of Depression? A 58,272-Participant Study, Renzo Bianchi, Jay Verkuilen, Sharon Toker, Irvin Sam Schonfeld, Markus Gerber, Elmar Brähler, Kurt Kroenke

Publications and Research

The PHQ-9 has become a measure of reference in depression research and clinical practice. However, the issue of the PHQ-9’s unidimensionality has not been fully elucidated, and the usability of the PHQ-9’s total score requires clarification. In this study, we examined the dimensionality, scalability, and monotonicity properties of the PHQ-9 as well as the scale’s total-score reliability. We did so based on exploratory structural equation modeling (ESEM) bifactor analysis and Mokken scale analysis (MSA). We relied on a total of 58,272 participants (63% female; Mage = 43, SDage = 13) from 29 samples involving seven different countries (e.g., Germany, the …


The Acute, Systemic Effects Of Aerobic Exercise In Recently Concussed Adolescent Student-Athletes: Preliminary Findings, Scott Burkhart Jun 2022

The Acute, Systemic Effects Of Aerobic Exercise In Recently Concussed Adolescent Student-Athletes: Preliminary Findings, Scott Burkhart

Faculty Publications - Doctor of Psychology (PsyD) Program

Objectives

Examine the acute effects (pre-, during, post-intervention) of two different intensities of aerobic exercise or rest on autonomic, oculomotor, and vestibular function and symptom burden in patients with a recent sport-related concussion (SRC) and compare their responses to sex-matched, age-stratified, non-concussed (HEALTHY) student-athletes.

Methods

Student-athletes between the ages of 13 and 18 that presented to the sports medicine clinic within Day 3–7 post-SRC and from local schools were recruited for a randomized controlled trial (RCT). The participants were administered the Vestibular/Ocular Motor Screening (VOMS), King-Devick (K-D), and Post-Concussion Symptom Scale (PCSS) before and after the intervention. Heart rate variability …


Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar Jun 2022

Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar

Loma Linda University Electronic Theses, Dissertations & Projects

Pathways for Healing: An Online Therapeutic Support Group Program (OTSG) is for women, ages 18 to 65 years old, diagnosed with chronic pelvic floor dysfunction (PFD). The program focuses on women living in Texas rural communities with limited access to mental health providers. The aim for this study is to determine if an OTSG program, utilizing narrative therapy (NT) within a biopsychosocial-spiritual lens (BPS-S) will improve overall health-related quality of life (HRQOL). Support groups are provided in English and Spanish, over the course of 12 weeks, facilitated by a licensed marriage and family therapist (LMFT) and licensed pelvic floor physical …


Impact Of Difficult Dialogues On Social Justice Attitudes During A Multicultural Psychology Course, Elizabeth Tish Hicks, María De La Caridad Alvarez, Melanie M. Domenech Rodríguez Jun 2022

Impact Of Difficult Dialogues On Social Justice Attitudes During A Multicultural Psychology Course, Elizabeth Tish Hicks, María De La Caridad Alvarez, Melanie M. Domenech Rodríguez

Psychology Faculty Publications

Background Previous research shows that Multicultural Psychology courses can produce significant improvements in students’ cultural competence-related atttitudes in in-person and online courses. Objective We evaluated the impact of adding a skills-focused group assignment (i.e., Difficult Dialogues) to an online asynchronous Multicultural Psychology course. Method Undergraduate students filled out a battery of self-report measures at the beginning and end of the course. Of the 192 total students, 107 were in course sections which completed a Difficult Dialogue (DD) group project, and 85 were in the teaching as usual (TAU) section. Results Students in DD groups had significantly greater pre-to post-increases on …


Foundations: Eating. Loving. Praying., George Conesa May 2022

Foundations: Eating. Loving. Praying., George Conesa

The International Journal of Ecopsychology (IJE)

Kurt Goldstein imagined that at every stage of their development, organisms are, to characterize, wrestling with the imminent and inescapable realities (bio-socio-psychological) of energy (e.g., food and sleep), safety (e.g., hygiene; home and a family), and possibility (e.g., learning; opportunities and luck), and importantly, simultaneously. To oversimplify, Maslow would like us to eat before loving or praying, whereas Goldstein intuits that human motivations are dynamically complex and multifactorial -- in others words, integrally transactional and ongoing. It is Goldstein’s more complex idea that this essay supports.


Ontological Awareness In Food Systems Education, Colin C. Dring May 2022

Ontological Awareness In Food Systems Education, Colin C. Dring

The International Journal of Ecopsychology (IJE)

We review efforts in Sustainable Food Systems Education and Critical Food Systems Education literature to employ education in ways that seek social and environmental transformation of food systems. Here, we argue that forms of food systems education that are disconnected from awareness of their ontological roots are destined to reproduce the same food systems with the same consequences for life on Earth. This theoretical paper invites discussions that unpack “habits of being” underpinning modern/colonial conceptualizations of food system issues, transformation efforts, and pedagogies. We note the risk of reinscribing, within food systems education, specific onto-epistemological norms and values that are …


Drama Therapy Interventions That Support Students With Asd During Covid-19, Olivia Reyes May 2022

Drama Therapy Interventions That Support Students With Asd During Covid-19, Olivia Reyes

Expressive Therapies Capstone Theses

Due to the coronavirus (COVID-19) pandemic that began in December 2019, many people experienced traumatic losses, environmental stressors, and overall daily challenges. One of the populations most at risk during this time were those with an autism spectrum disorder (ASD). Those with mental health illness and developmental differences are experiencing the pandemic in different ways. Individuals with ASD tend to have both developmental differences and mental health challenges that motivate individuals to seek medicinal and therapeutic help, along with other services to support their daily needs. This literature review addresses the negative and positive impacts COVID-19 has had on the …


Dance/Movement Therapy As A Transdisciplinary Approach To Treating Trauma, Destany Schadder May 2022

Dance/Movement Therapy As A Transdisciplinary Approach To Treating Trauma, Destany Schadder

Expressive Therapies Capstone Theses

This thesis considers dance/movement therapy as a transdisciplinary approach to treating trauma in the body. It explains what the functions of the brain are, how trauma negatively affects it, and how posttraumatic stress disorder is expressed in both the body and the brain. It discusses multidisplinary approaches, it shows how these approaches leverage the body in treating trauma. Moreover, it demonstrates the benefits and advantages of a dance/movement therapist in supporting individuals who have experienced traumatic events. To achieve these goals, this thesis discusses research by neuroscientists, such as Damassio (1999), who maintain that the body and mind directly affect …


Moderators To The Effects Of Childhood Traumatic Stress On Childhood Physical Health, Shaneze Gayle Smith May 2022

Moderators To The Effects Of Childhood Traumatic Stress On Childhood Physical Health, Shaneze Gayle Smith

Seton Hall University Dissertations and Theses (ETDs)

According to the United States National Statistics on Child Abuse, in 2017 Child Protective Service agencies in the United States received an estimated 4.1 million referrals involving approximately 7.5 million children. A substantial body of research has revealed that adverse childhood experiences (ACEs) have detrimental long-term effects on physical health and a large number of health conditions. However, little research exists regarding the effects of childhood maltreatment on childhood physical health. Identifying protective factors such as self-esteem can moderate the effects of ACEs, help children thrive, and potentially lower the risk of a variety of conditions like cardiovascular disease, cancer, …


From Mission To Competition: The Experiences Of 10 Lds Missionary Student-Athletes Returning To Competition In The National Collegiate Athletic Association Division I, Matthew J. Moore, Leslee A. Fisher, Lindsey A. Miossi, Zach T. Smith, Jacob C. Jensen, May 2022

From Mission To Competition: The Experiences Of 10 Lds Missionary Student-Athletes Returning To Competition In The National Collegiate Athletic Association Division I, Matthew J. Moore, Leslee A. Fisher, Lindsey A. Miossi, Zach T. Smith, Jacob C. Jensen,

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

The purpose of the current study was to explore the experiences of LDS missionary student-athletes returning to competition in the National Collegiate Athletic Association (NCAA) Division I (DI). Using Consensual Qualitative Research methods (CQR; Hill, 2012) including a semi-structured interview guide, 10 DI student-athletes/returned LDS missionaries were interviewed regarding their experience (i.e., mean age of 25 years; baseball, cross-country/track and field, football, and swimming). A research team with five members constructed four domains and 16 categories representing DI student-athlete/returned LDS missionary chronological identity changes during this experience: (a) the development of an LDS missionary identity; (b) challenges associated with returning …


The Relationship Between Perceived Stress And Disordered Eating In Undergraduate Students During The Covid-19 Pandemic, Caroline G. Martin May 2022

The Relationship Between Perceived Stress And Disordered Eating In Undergraduate Students During The Covid-19 Pandemic, Caroline G. Martin

Gettysburg College Headquarters

The COVID-19 pandemic has affected and imposed challenges on nearly everyone, including college students. Despite their already stressful situations, previous research has demonstrated increased stress levels among college students during the COVID-19 pandemic. Additionally, research has also shown an increase in disordered eating for college students during the pandemic. However, few studies have investigated the relationship between both perceived stress and disordered eating during the COVID-19 pandemic. Therefore, the present study used a correlational design to investigate a potential association between perceived stress and disordered eating among undergraduate college students during the COVID-19 pandemic. By administering the EAT-26, the CSSEC, …


Sex Trafficking And Mental Health Treatments, Maria A. Georgescu May 2022

Sex Trafficking And Mental Health Treatments, Maria A. Georgescu

Student Theses

Currently there is no agreement amongst professionals on a specific approach for providing for victims of sex trafficking. A two-part study was conducted in order to screen mental health professionals who have experience providing for victims of sex trafficking to participate in a semi-structured qualitative interview. Through a grounded theory approach, light is shed on what mental health providers experienced with providing for victims of sex trafficking find effective.

The main findings highlight how being forced into sex trafficking young (under 18) is impactful for the course of treatment according to 100 % (n=6) of participants, meeting the patient where …


Neoliberalism And Perceptions Of Charitable Food Assistance Recipients, Lucas G. Hopper May 2022

Neoliberalism And Perceptions Of Charitable Food Assistance Recipients, Lucas G. Hopper

Senior Honors Projects, 2020-current

Previous research has suggested that recipients of charitable food assistance experience stigma and may be seen as undeserving. Neoliberal worldviews have also been identified in discourse around charitable food assistance (CFA) and CFA settings, and tied to stigma and undeservingness. However, there is relatively little research on the context of CFA overall and a paucity of research that has examined the relationship between these factors of CFA perceptions, particularly in individuals who are not directly involved as recipients or volunteers. This study consists of a quantitative survey administered to 266 psychology students at a large university measuring their perceptions of …


Training Packages For The Use Of Child Development Tools In Low/Middle-Income Countries: A Review, Maria Neocleous, Katelyn Hepworth, Vanessa Cavallera, Melissa Gladstone May 2022

Training Packages For The Use Of Child Development Tools In Low/Middle-Income Countries: A Review, Maria Neocleous, Katelyn Hepworth, Vanessa Cavallera, Melissa Gladstone

Department of Child, Youth, and Family Studies: Faculty Publications

Background We are now moving beyond the focus of ’child survival’ to an era which promotes children thriving and developing rather than simply ’surviving’. In doing so, we are becoming more aware of the large variation of child development screening tools available globally, but in particular, those in low/middle-income countries (LMICs).

Methods This narrative review identifies 24 child development tools used in LMICs. We aimed to identify information on training accessibility and training design, assessment methods and cost of training. For those tools with no training information identified or for any tools identified as providing online training, the tool author …


Posttraumatic Stress Symptoms, Anger, And Substance Use As Risk Factors For Trauma Revictimization, Hannah E. Walker May 2022

Posttraumatic Stress Symptoms, Anger, And Substance Use As Risk Factors For Trauma Revictimization, Hannah E. Walker

Dissertations

Maltreatment survivors are at an increased risk for adult revictimization. Yet, existing work has specifically focused on sexual revictimization, and it is unclear what factors increase one’s risk for revictimization more broadly. Posttraumatic stress symptoms (PTSS), anger, and substance use have been identified as potential risk factors for sexual revictimization. Still, the role of these variables is ambiguous in the broader revictimization framework. There is also a lack of understanding regarding the roles of the DSM-5 posttraumatic stress disorder (PTSD) symptom clusters and revictimization. This study aims to: 1) examine the links between maltreatment and revictimization and three factors (i.e., …


Pattern Differentiation And Tuning Shift In Human Sensory Cortex Underlie Long-Term Threat Memory, Yuqi You, Lucas R Novak, Kevin J Clancy, Wen Li May 2022

Pattern Differentiation And Tuning Shift In Human Sensory Cortex Underlie Long-Term Threat Memory, Yuqi You, Lucas R Novak, Kevin J Clancy, Wen Li

Faculty, Staff and Student Publications

The amygdala-prefrontal-cortex circuit has long occupied the center of the threat system 1, but new evidence has rapidly amassed to implicate threat processing outside this canonical circuit 2-4. Through non-human research, the sensory cortex has emerged as a critical substrate for long-term threat memory 5-9, underpinned by sensory cortical pattern separation/completion 10,11 and tuning shift 12,13. In humans, research has begun to associate the human sensory cortex with long-term threat memory 14,15, but the lack of mechanistic insights obscures a direct linkage. Towards that end, …


Effects Of The Covid-19 Pandemic On Health Behaviors And Mental Health During Pregnancy: A Systematic Review, Kara C. Middleton May 2022

Effects Of The Covid-19 Pandemic On Health Behaviors And Mental Health During Pregnancy: A Systematic Review, Kara C. Middleton

Honors College Theses

The Coronavirus pandemic had many negative impacts on healthcare. During the COVID-19 pandemic, specialist care providers closed their offices to reduce transmission. Maternal healthcare was severely impacted. Mothers were unable to receive the prenatal and perinatal care they needed. Other specialist care, such as mental healthcare was severely impacted as well. There was also a lack of prenatal care occurring due to offices being closed. There is an established link between anxiety, depression, emotional eating, and Gestational weight gain. Gestational Weight Gain is associated with a higher prevalence of behavioral health conditions that were exacerbated by the COVID-19 pandemic.


Investigation Into The Comorbidities Of Disordered Eating And Social Anxiety Disorder In College Students, Alice Mccraney May 2022

Investigation Into The Comorbidities Of Disordered Eating And Social Anxiety Disorder In College Students, Alice Mccraney

Honors Theses

In recent years, psychiatrists have reported a trend that individuals with social anxiety disorders are more likely to also have disordered eating and vice versa. Research into this connection has suggested that risk factors, such as stress reactivity, negative self- esteem, perfectionism and fear of negative evaluation are potential links. This is important because understanding the correlation between the two disorders could help develop better treatments plans for people who suffer from these disorders. This study investigates the relationship between the two. A total of 257 college students between ages 18-22 completed a questionnaire using the Disordered Eating Attitude Scale …


Reflective Journaling Intervention To Impact Self-Awareness, Professional Health, And Overall Well-Being In Nurses, Brittany M. Langan, Katherine Keppen May 2022

Reflective Journaling Intervention To Impact Self-Awareness, Professional Health, And Overall Well-Being In Nurses, Brittany M. Langan, Katherine Keppen

Doctor of Nursing Practice Projects: College of Nursing

Background. Burnout among nurses has been on the rise and was exacerbated with the pandemic. Reflective journaling after work may be a strategy to decrease feelings of burnout. Reflective journaling, as an intervention, has been shown to improve self-awareness, compassion fatigue, and burnout among nurses. The purpose of this study was to pilot a 4-week reflective journaling intervention in hospital-based nurses and describe participant professional quality of life, self-awareness, and overall well-being.

Theoretical Framework. The Theory of Reasoned Action (TRA) was chosen as the theoretical framework because it identifies the belief that performing a particular behavior will lead to a …


Patterns Of Diet And Physical Activity In Adolescent Cancer Survivors, Madison Fertig May 2022

Patterns Of Diet And Physical Activity In Adolescent Cancer Survivors, Madison Fertig

Theses and Dissertations

Diet and physical activity have been shown to reduce the risk of obesity and related diseases in cancer survivors. Adolescents are at a unique developmental stage where they have more control over their own health behaviors, indicating an important time to develop and maintain healthy behaviors.


Physical Activity As A Means Of Improving Quality Of Life In Individuals With Chronic Pain, Tracy Tauro May 2022

Physical Activity As A Means Of Improving Quality Of Life In Individuals With Chronic Pain, Tracy Tauro

Rowan-Virtua Research Day

Pharmacologic management of chronic pain has variable results, sometimes resorting to ineffective and dangerous opioids that can potentiate substance abuse in a vulnerable population.

Exercise is unique in its ability to positively impact both the molecular and psychological aspects of chronic pain. Its role in decreasing inflammation as well as improving mental health make it an excellent option for improving quality of life.

Physicians should work with their patients to develop a patient-centered exercise plan to manage chronic pain.