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Articles 31 - 60 of 5472
Full-Text Articles in Entire DC Network
From Silence To Story: Reconstructing Narratives Of Mental Illness, Family, And Self Among U.S. Adult Children Of Parents With Mental Illness, Mallory M. Mccorkle
From Silence To Story: Reconstructing Narratives Of Mental Illness, Family, And Self Among U.S. Adult Children Of Parents With Mental Illness, Mallory M. Mccorkle
Seton Hall University Dissertations and Theses (ETDs)
The existing literature on children of parents with mental illness has largely focused on developmental risks and psychological outcomes, with limited attention to how these individuals construct narratives of mental illness, family, and self within broader sociocultural contexts. Guided by social constructionism, symbolic interactionism, and the master narrative framework, this qualitative study explored how adult children of parents with mental illness make meaning of their experiences within the sociocultural context of the United States. Utilizing narrative analysis within a critical paradigm, semi-structured interviews were conducted with 11 adult children who grew up with at least one parent with a mental …
Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma
Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma
Electronic Theses and Dissertations
The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …
Reflections On Focus Group Participant Recruitment In An Indian Youth Mental Health Study, Debanjali Saha, Ketoki Mazumdar
Reflections On Focus Group Participant Recruitment In An Indian Youth Mental Health Study, Debanjali Saha, Ketoki Mazumdar
The Qualitative Report
In this article, I (DS) critically reflected on my journey as an Indian graduate student while navigating dissonant expectations versus reality from the planning to data collection phase of my doctoral research, especially the challenges involved in the participant recruitment process for focus group discussions. The goal of my study was to understand the narratives of various stakeholders of the Indian higher education community on students’ mental health on Indian college campuses using Participatory Action Research strategy with the help of focus group discussions. Recruiting participants was a crucial first step in this endeavor. Six FGDs were conducted with a …
Sexual Grooming And Other Barriers To Disclosure Of Childhood Sexual Abuse, Lillian A. Steedman
Sexual Grooming And Other Barriers To Disclosure Of Childhood Sexual Abuse, Lillian A. Steedman
Theses, Dissertations and Culminating Projects
Child sexual abuse is a serious and prevalent problem in the United States and is associated with negative consequences across numerous life domains (e.g., psychological, physical, socioeconomic). Disclosure of sexually abusive experiences may facilitate victims’ abilities to obtain psychological, social, and legal support. It has been theorized that sexual grooming plays a role in decreasing the likelihood of disclosure and of disclosures being believed. Therefore, this dissertation examined associations among sexual grooming, other barriers, and disclosure decisions and timing. Participants were recruited and screened online for eligibility to participate in a survey examining details of the abuse, trauma-related shame, disclosure …
Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston
Supporting Every Student: Optimizing School-Based Mental Health Services For Students With Intellectual Disabilities, Sarah K. Eggleston
Educational Specialist, 2020-current
Youth with intellectual disabilities (ID) are at considerably greater risk of developing mental health problems compared with the general population; however, their needs are less likely to be identified, and they often face barriers to accessing quality mental health care. School-based mental health professionals (SBMHPs) are uniquely positioned to support students within their natural learning environments, where many common barriers to service provision have been removed. The present study examined the current state of practice among SBMHPs in Virginia in identifying and supporting the needs of students with ID, as well as SBMHPs’ training experiences. An online cross-sectional, mixed-methods survey …
Social Workers’ Lived Experiences Of Trauma-Informed Training, Ashley Ann Johnson
Social Workers’ Lived Experiences Of Trauma-Informed Training, Ashley Ann Johnson
Walden Dissertations and Doctoral Studies
Social workers report limited formal training in trauma-informed approaches, and implementation of trauma-informed care varies widely across settings, with inconsistent training uptake and organizational support for sustained practice change. The purpose of this qualitative phenomenological study was to explore the lived experiences of social workers in trauma-informed training. The study was guided by trauma-informed care principles and an experiential learning framework. The research question examined how social workers develop trauma-informed competence and how systemic factors influence practice. Data were collected through 11 semi structured interviews with social workers and analyzed using thematic analysis. Three key themes emerged: (a) trauma-informed competence …
Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin
Leveraging Technology To Measure The Strength Of Demand For Commercial And Trafficked Sex, Michael D. Shively, Bob Rodgers, Courtney Furlong, Brooke Ruffin
Dignity: A Journal of Analysis of Exploitation and Violence
The article examines Transaction Intercept (TI), an artificial‑intelligence platform designed to reduce sex trafficking by disrupting the revenue streams that draw organized crime into the market. Transaction Intercept deploys decoy online ads that appear to offer commercial sexual exploitation or prostitution. Automated "decoy" personas connect to individuals who click on these ads and engage them in text conversations. These exchanges can remain fully automated, ending with deterrence messages, or be transferred to police for potential enforcement action or to trained volunteers who attempt to discourage further attempts to buy sex. Transaction Intercept generates extensive, real‑time data on local demand for …
Establishing And Validating Foundational Competencies In The Application Of Behavioral Gerontology Through Expert Consensus, Alexandra Doran
Establishing And Validating Foundational Competencies In The Application Of Behavioral Gerontology Through Expert Consensus, Alexandra Doran
Dissertations
Behavioral gerontology continues to evolve and grow as an application of behavior analysis, but there remains a critical need to define competencies necessary for behavior analysts to provide ethical, effective care within their scope of competence. This study sought to establish and validate foundational competencies for Board Certified Behavior Analyst s® (BCBA s® ) working in this area. A mixed-methods design using three experiments was used. In Experiment 1, a review of discipline-specific competency frameworks and a job mapping process yielded a preliminary set of behavior-analytic competencies for behavioral gerontology. This produced a preliminary framework consisting of 142 competencies. Experiment …
Counselors’ Training Needs In Effectively Engaging With Psychedelic-Assisted Therapy, Elif Bor
Counselors’ Training Needs In Effectively Engaging With Psychedelic-Assisted Therapy, Elif Bor
Counseling & Human Services Theses & Dissertations
As public and scientific interest in psychedelic-assisted therapy (PAT) continues to grow, counselors are increasingly encountering clients who are exploring or engaging in psychedelic use for therapeutic purposes. Such encounters introduce new ethical, clinical, and professional considerations. Counselors must develop an informed understanding of psychedelics and their effects, recognize the emotional and cognitive processes that may emerge during psychedelic experiences, and be prepared to respond to potential risks or adverse reactions (Aicher et al., 2025). They also need to competently answer client questions, assess risk and suitability, facilitate the integration of psychedelic experiences, and collaborate with medical and other professionals …
Exploring The Experiences Of Women In Mental Health Therapy After The Occurrence Of Perinatal Loss, Courtney Allison Nishnick
Exploring The Experiences Of Women In Mental Health Therapy After The Occurrence Of Perinatal Loss, Courtney Allison Nishnick
Counseling & Human Services Theses & Dissertations
Perinatal loss encompasses losses of pregnancies at any gestational age, as well as deaths occurring within one year post-birth. In the United States, around 40 thousand stillbirths and infant deaths occur every year (Ely & Driscoll, 2025; Gregory et al., 2025), with about 23 million miscarriages also occurring annually worldwide (Quenby et al., 2021). Perinatal loss experiences lead to distressing mental health symptoms not limited to anxiety, depression, posttraumatic stress, and grief (Crockett et al., 2019; Wamser & Ferro, 2025). While there is extensive research on perinatal loss as it pertains to medical context, there is minimal research relating to …
How Psychological Capital Promotes Student Flourishing: Mediating Effects Of Career Adaptability And Study Engagement, Sana Nisar, Adnan Adil, Sultan Shujja, Samina Rashid
How Psychological Capital Promotes Student Flourishing: Mediating Effects Of Career Adaptability And Study Engagement, Sana Nisar, Adnan Adil, Sultan Shujja, Samina Rashid
Journal of Social, Behavioral, and Health Sciences
In today’s rapidly evolving academic and occupational landscape, understanding the psychological resources that support student well-being is critical. This study investigates the predictive role of academic psychological capital (PsyCap) in fostering flourishing among Pakistani university undergraduates, specifically identifying the mediating mechanisms of career adaptability and study engagement. Grounded in career construction theory and the JD-R model, the research contributes to theory by positioning PsyCap as a key personal resource that facilitates adaptive capacity and meaningful engagement. Data from 350 undergraduates in public-sector universities were analyzed using path analysis. Results revealed that PsyCap significantly predicted flourishing (β = .35, p …
The Relationship Between Imposter Syndrome And Organizational Citizenship Behaviors: The Moderating Role Of Gender, Sakina I. Read
The Relationship Between Imposter Syndrome And Organizational Citizenship Behaviors: The Moderating Role Of Gender, Sakina I. Read
Master's Theses
Prior research consistently shows that imposter syndrome is associated with a wide variety of negative psychological and work-related outcomes such as stress, burnout, and lower job satisfaction. However, other research suggests that individuals with higher levels of imposter syndrome may engage in compensatory behaviors such as increased effort and discretionary helping for impression management purposes. Additionally, research has found that women tend to report higher levels of imposter syndrome and higher engagement in organizational citizenship behaviors (OCBs) than men, suggesting a gender difference in both variables. The present study sought to examine the relationship between imposter syndrome and OCBs and …
The Role Of Social Emotional Learning In Utah’S Implementation Of Essa, Sharon Walles
The Role Of Social Emotional Learning In Utah’S Implementation Of Essa, Sharon Walles
Transforming Communities
The Every Student Succeeds Act (ESSA), as a policy, offers an additional tool to address the escalating adolescent mental health crisis. By acknowledging the critical link between student well-being, academic success, and evidence-based practices, this policy analysis explores how funding from ESSA can be leveraged to integrate Social Emotional Learning (SEL) within Utah’s schools. Experts, educators, and parents can be voices to combat misinformation surrounding the recent politicization of SEL and its implementation. This analysis connects Bronfenbrenner’s Ecological Theory, which highlights the interconnectedness of the environment, with the importance of prioritizing mental health within schools to help adolescents with issues …
Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez
Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez
McNair Scholars Research
This study examined the relationship between sense of safety and quality of life among Hispanic/Latinx immigrant communities. The study sought to determine whether perceived sense of safety was associated with quality of life and whether differences existed based on immigration status, gender, and age. A quantitative, non-experimental survey design was used with a convenience sample of 33 first- and second-generation Hispanic immigrants from Arkansas. Participants completed a survey combining the Immigrant Enforcement Fear Scale and the 10-Item Well-being Instrument, which were translated into Spanish to increase accessibility. Data were analyzed using Pearson correlation coefficients and independent-samples t-tests with an alpha …
Lived Experiences Of Emotional Competence Development Among Online Doctoral Clinical Psychology Students During Clinical Training, Michelle Davis
Lived Experiences Of Emotional Competence Development Among Online Doctoral Clinical Psychology Students During Clinical Training, Michelle Davis
Walden Dissertations and Doctoral Studies
Emotional competence is essential for effective clinical practice, professional development, and client care. However, limited research has examined how emotional competence develops among students in fully online doctoral clinical psychology programs. This qualitative descriptive phenomenological study explored how students enrolled in online doctoral clinical psychology programs experience the development of emotional competence during clinical field training. Guided by Goleman’s emotional competence framework, the lived experiences of doctoral students as they developed emotional awareness, emotional regulation, empathy, and relationship management skills was examined. Data were collected through semistructured interviews with 10 purposively selected participants enrolled in online doctoral clinical psychology programs …
Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt
Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt
Journal of Justice-Informed Social Work Practice and Research
Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …
Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit
Residual Effects Of Childhood Sexual Victimization On Black Caribbean Immigrants’ Adult Functionality, Sophia Elaine Profit
Walden Dissertations and Doctoral Studies
Childhood sexual victimization is associated with long-term psychological, emotional, and functional challenges that may persist into adulthood. Despite a growing body of literature on childhood trauma, limited research has explored its residual effects on adult functionality among Black Caribbean immigrants. The purpose of this qualitative phenomenological study was to explore the residual effects of childhood sexual victimization on adult functionality among Black Caribbean immigrants. Purposive and snowball sampling were used to recruit 9 participants through social media platforms. Rational choice theory served as the conceptual framework to examine how trauma-related and sociocultural factors shaped participants' decision-making processes. Data were collected …
The Primary Care Brief Intervention Competency Assessment Tool (Bi-Cat): Examining Reliability And Validity, Arielle Guillod
The Primary Care Brief Intervention Competency Assessment Tool (Bi-Cat): Examining Reliability And Validity, Arielle Guillod
Dissertations
Within primary care, the Primary Care Behavioral Health (PCBH) model integrates behavioral health services into medical settings through brief, population‑based interventions delivered by behavioral health consultants (BHCs). Although effective performance in this role requires competencies distinct from traditional mental health practice, few psychometrically sound tools exist to assess clinical skills in primary care. The Brief Intervention Competency Assessment Tool (BICAT) is commonly used for this purpose but lacks published evidence supporting its reliability and validity. This dissertation examined the psychometric properties of the BICAT across two studies. Study 1 evaluated factor structure, internal consistency, and construct validity in a heterogeneous …
Psychosocial Characteristics Of Self-Identifying Incels, Joleen Koroluck
Psychosocial Characteristics Of Self-Identifying Incels, Joleen Koroluck
Walden Dissertations and Doctoral Studies
Research examining individuals who self-identify as involuntary celibates (incels) has increased in response to concerns surrounding online grievance communities and violence-related rhetoric. Despite growing scholarship, limited research has examined the psychosocial lived experiences of individuals who identify as incels. The purpose of this qualitative study was to explore these experiences and examine factors associated with violent or extremist beliefs within incel-related online communities. Guided by social comparison theory and social identity theory, reflexive thematic analysis was used to examine 90 publicly available forum posts collected from 4Chan, Incel.is, and Looksmaxx. The data were manually coded and analyzed through iterative thematic …
Navigating Leadership With A History Of Parental Incarceration: An Interpretative Phenomenological Analysis Of Nurse Managers’ Professional Relationships And Coaching Receptivity, Demetria Hazlett
Walden Dissertations and Doctoral Studies
Nurse managers play a critical role in healthcare organizations, yet limited research has examined how early-life adversity, such as parental incarceration, influences leadership relationships and development. The purpose of this qualitative phenomenological study, guided by interpretative phenomenological analysis (IPA), was to explore how nurse managers’ lived experiences of parental incarceration made sense of their influenced attachment-related relational patterns, professional relationships, and receptivity to leadership coaching. The attachment theory and Karpman’s Drama Triangle grounded this study. The participants comprised eight nurse managers in six states within the United States. Data were collected through semistructured interviews and analyzed using the IPA analytic …
A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering
A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering
Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies
Aim: This study sought to explore the impact of a Christ-centered, holistic wellness course on college-aged students’ understanding of key wellness principles. The goal was to gain insight into how students comprehend and apply these principles considering their spiritual and personal development.
Background: Wellness education for undergraduate students is both timely and essential, especially within Christian higher education, where nurturing the whole person is a core value. A common misconception is that wellness pertains only to physical and mental health. However, Scripture affirms that human flourishing involves a harmony of body, mind, and spirit. A holistic, biblically informed approach to …
How Wounded Healer Trainees Develop Self-Awareness Of Their Wounds And Use This Self-Awareness In Clinical Work, Nishi Ravi
Dissertations (1934 -)
The wounded healer, a concept originally introduced by Carl Jung (1951), characterizes individuals who, having undergone personal struggles or ‘wounding,’ feel inclined to alleviate the suffering of others. Extant literature attests to the prevalence of woundedness among counseling professionals and to the potential benefits and risks their wounds pose in clinical practice. Despite its widespread use across the literature, the wounded healer concept has yet to be formally and empirically operationalized, and this study addresses that gap by offering a concrete, empirically grounded definition of the construct. Yet, while wounded healers are increasingly recognized across counseling training contexts, little research …
Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala
Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala
Dissertations
Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …
Parent-Child Interaction Therapy For Toddlers In Japan: Comparing Outcomes For Children With And Without Autism And/Or Developmental Delays, Emily-Anne Sevilla Del Rosario
Parent-Child Interaction Therapy For Toddlers In Japan: Comparing Outcomes For Children With And Without Autism And/Or Developmental Delays, Emily-Anne Sevilla Del Rosario
Graduate Theses and Dissertations
Parent-Child Interaction Therapy for Toddlers (PCIT-T) is a toddler adaptation of Parent-Child Interaction Therapy designed to improve social-emotional development and parenting practices among children under two years of age. This study evaluated the effectiveness of PCIT-T among Japanese families and explored whether treatment outcomes differed between neurotypical toddlers and autistic children and/or children with developmental delays. Data was analyzed from 83 parent-child dyads who received PCIT-T in community-based agencies across Japan between 2018 and 2023. Results indicated significant improvements in children’s protective developmental factors, caregiver use of PRIDE skills, and reductions in Avoid skills following treatment. CARES skills did not …
Protecting Graduate Students From Burnout With Self-Compassion And Authenticity, Michael S. Leeman, Joshua J. Castleberry, Anna A. Ellenson, Morgan Wallbrown
Protecting Graduate Students From Burnout With Self-Compassion And Authenticity, Michael S. Leeman, Joshua J. Castleberry, Anna A. Ellenson, Morgan Wallbrown
Journal of Social, Behavioral, and Health Sciences
This study investigated whether practicing self-compassion and embracing one's authentic self could protect graduate students from burnout. Researchers also empirically examined the mediating effect of authenticity in the relationship between self-compassion and burnout. A total of 318 master's degree students in a helping profession completed surveys assessing their levels of self-compassion, authenticity, and burnout. Results found that graduate students with higher levels of self-compassion and authenticity tended to have lower levels of burnout. Additionally, authenticity mediated the relationship between self-compassion and burnout. The findings suggest that practicing self-compassion and embracing one's authentic self may lead to lower levels of burnout …
Kelelahan Kerja, Kualitas Tidur, Dan Pengetahuan Mengemudi Defensif Sebagai Faktor Risiko Perilaku Defensive Driving Pada Pengemudi Grabcar Malang, Elisa Lutfiyah Azizah, Dian Puspitaningtyas Laksana, Marji Marji, Agung Kurniawan
Kelelahan Kerja, Kualitas Tidur, Dan Pengetahuan Mengemudi Defensif Sebagai Faktor Risiko Perilaku Defensive Driving Pada Pengemudi Grabcar Malang, Elisa Lutfiyah Azizah, Dian Puspitaningtyas Laksana, Marji Marji, Agung Kurniawan
National Journal of Occupational Health and Safety
Online transportation activities contribute to the increasing volume of vehicles, particularly GrabCar drivers in Malang City, which has the potential to worsen traffic congestion. Identification results showed that GrabCar drivers experienced drowsiness while driving and work fatigue due to the habit of working at night and for more than eight hours per day, accompanied by limited understanding related to defensive driving. This study aimed to determine the effect of work fatigue and knowledge, as well as differences in sleep quality scores, on defensive driving behavior. This study employed an observational analytic design with a cross-sectional approach involving 87 GrabCar drivers …
Examining The Impact Of A Positive Psychology Service-Learning Experience On Undergraduates’ Mental Health And Career Intentions, Cydney E. Williams
Examining The Impact Of A Positive Psychology Service-Learning Experience On Undergraduates’ Mental Health And Career Intentions, Cydney E. Williams
USF Tampa Graduate Theses and Dissertations
Universities currently face a growing public health concern regarding college students’ mental health and well-being (Hobbs et al., 2022; Sheldon et al., 2021). Given this, research has explored experiences that are advantageous for students’ overall well-being, including courses on positive psychology and service-learning experiences that may promote flourishing (Hobbs et al., 2022; Maples et al., 2022). Service-learning is also well situated to support undergraduate career development (Collison & Eck, 2022). Kranzler et al. (2011) described how the pedagogical approach of service-learning aligns well with positive psychology, leading them to implement a positive psychology service-learning course. However, to date, no study …
Young Adults Describe Their Lived Experiences Of Adverse Childhood Experiences Through The Lens Of A Secure Attachment, Martin Weinberger
Young Adults Describe Their Lived Experiences Of Adverse Childhood Experiences Through The Lens Of A Secure Attachment, Martin Weinberger
Walden Dissertations and Doctoral Studies
No abstract provided.
Pubertal Timing, Physical Activity, And Internalizing Symptoms In Adolescent Girls, Kirby Knapp
Pubertal Timing, Physical Activity, And Internalizing Symptoms In Adolescent Girls, Kirby Knapp
Master's Theses
Puberty brings marked changes in physical appearance, biological functioning, psychological well-being, and behavior, making it one of the most pivotal transitions in adolescence. Those who experience puberty earlier than their same-aged peers are at an elevated risk of psychological disorders and physical inactivity. Research shows that there are links between physical activity and psychological disorders, yet few have examined the directional relations between physical activity and internalizing symptoms or whether a certain amount of physical activity is necessary to prevent internalizing symptoms. Therefore, the current study examined (1) the directional relations between internalizing symptoms and physical activity, (2) the degree …
Caregiver Depression And Psychological Distress As Predictors Of Substantiated Maltreatment In Nscaw Ii (Wave 2 Cps Sample): A Quantitative Archival Study, Gloria Forotan
Doctoral Dissertations and Projects
This quantitative archival analysis examined whether caregiver mental health is associated with child maltreatment outcomes through CPS involvement, using the National Survey of Child and Adolescent Well-Being II (NSCAW II), Wave 2. Child maltreatment remains a persistent public health concern with long-term effects on children's emotional, psychological, and physical development. Although caregiver mental health is consistently identified as a significant risk factor for maltreatment, few studies have utilized nationally representative child welfare data with standardized measures to test these associations.
Caregiver mental health variables were operationalized using NSCAW II indicators of major depression and depressive symptoms (DP2), psychological distress (K6 …