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Wordless And Anthropomorphic Picture Books Featuring Insect Characters, Jocelyn Norcross Jan 2026

Wordless And Anthropomorphic Picture Books Featuring Insect Characters, Jocelyn Norcross

Children's Book Writing and Illustrating (MFA) Theses

This thesis explores the intersection of wordless narration and insect anthropomorphism in children’s literature through the creation and analysis of three original picture books: Clawula, Fly, and Home. These works utilize wordless (or near-wordless) storytelling to feature insect characters that possess human emotional qualities while remaining grounded in their true biological environments.

The research begins with a historical overview of wordless picture books, examining their definition, educational utility, and global classification as "silent books." To establish a foundation for visual narrative techniques, a case study is conducted on the wordless trilogy of South Korean author-illustrator Suzy Lee, …


Showpony, George Theodore Ellington Jan 2026

Showpony, George Theodore Ellington

Undergraduate Theses, Professional Papers, and Capstone Artifacts

The poetry collection Showpony focuses on the real-life experiences of a woman in her twenties during the 1970s, who is treated by psychiatrist Dr. Robert J. Stoller at UCLA in a desperate attempt to make her normal. Mrs. G struggles with homicidal and suicidal thoughts, psychosis, as well as her homosexuality and transgender identity. Showpony examines the ways in which psychology has pathologized these experiences and the ramifications for patients, particularly those who have been publicly showcased as examples of their conditions used to train future students. The collection critiques the exploitation of patients by psychiatrists and psychologists, highlighting unethical …


Know Fear: The Culture Of Fear In Community Conversations, Penelope Meredyk, Lotus Porte-Moyel, Fiona Carson, Cosley Bruno, Barrett Clement, Sophia Sproull, Morgan Davis Jan 2026

Know Fear: The Culture Of Fear In Community Conversations, Penelope Meredyk, Lotus Porte-Moyel, Fiona Carson, Cosley Bruno, Barrett Clement, Sophia Sproull, Morgan Davis

Undergraduate Theses, Professional Papers, and Capstone Artifacts

“K(no)w Fear” is an award winning piece of verbatim theater based on word-for-word interviews and collected research that's goal was to cultivate a connective and thoughtful community open to exploring what shapes us all: fear. Our GLI Capstone team gathered the resources for this theater piece by conducting interviews with a mixed demographic of people we know as well as strangers on the street, asking questions like: “How do you feel about death?” and “If fear were a place for you, where would it be?” With consent, their answers were used to build an immersive, verbatim theatre piece where actors …


Evaluating The Role Of Provider Perspective And Their Impact On Individuals With Sickle Cell Disease In The United States Of America, Jadyn C. Oppong Jan 2026

Evaluating The Role Of Provider Perspective And Their Impact On Individuals With Sickle Cell Disease In The United States Of America, Jadyn C. Oppong

Undergraduate Theses and Capstone Projects

Individuals affected by invisible disabilities, such as Sickle Cell Disease (SCD), have additional challenges beyond the physical manifestation of their disease, which is otherwise unknown externally. SCD patients continually consider disease manifestation in everyday life and experience varying degrees of disease perception in and out of the hospital environment. Additional considerations of a patient’s other intersecting identities, such as race and cultural identity, call attention to the sociological landscape of the United States of America. The dynamics observed within this landscape can be seen through the symbolic interaction of these identities with the invisible disability identity, in which a compounding …


Janusz Krupski And His Times: Moral Rearmament From A Historical And Religious Perspective, Christopher Garbowski Jan 2026

Janusz Krupski And His Times: Moral Rearmament From A Historical And Religious Perspective, Christopher Garbowski

Occasional Papers on Religion in Eastern Europe

This paper explores the concept of moral rearmament in contemporary East-Central Europe through the historical and religious legacy of Polish anti-communist opposition figure Janusz Krupski (1951–2010). Responding to sociologist Frank Furedi’s critique regarding the "moral disarmament" of the West, the author contends that religion serves as an essential—and frequently overlooked—pillar in restoring historical consciousness and moral resilience against totalitarian and geopolitical threats.

Focusing on the unique intellectual ecosystem of the Catholic University of Lublin (KUL) during the communist regime, the article details Krupski’s pioneering role in establishing an underground publishing movement, most notably the independent Catholic journal Spotkania (Encounters …


The Influence Of Social Connectedness And Adverse Childhood Experiences: Understanding Motivation To Change In Early Substance Use Disorder Recovery, Adam M. Daniel Jan 2026

The Influence Of Social Connectedness And Adverse Childhood Experiences: Understanding Motivation To Change In Early Substance Use Disorder Recovery, Adam M. Daniel

Theses, Dissertations and Culminating Projects

Substance use disorder is a significant issue facing society today. As the rate of individuals with substance use disorders continues to rise, so too does the need of the counseling profession to explore further the ways to best support this population. The purpose of this study was to explore two specific variables for their impact on motivation to change for individuals in early recovery: social connectedness and adverse childhood experiences. Grounded in the Process-Person-Context-Time model, this study focused on the ways in which an individual’s motivation to change in early sobriety relates to their sense of connectedness to their family …


Legislative Debate-Attributed Suicidality Among Lgbtq+ Adults: The Buffering Effect Of Community Belongingness, Keith J. Watts, Shawndaya S. Thrasher, Laneshia Conner, Nicole Campbell, Louis G. Baser, Dekeitra Griffin, Sydney Howard, Missy Spears, Justin X. Moore Jan 2026

Legislative Debate-Attributed Suicidality Among Lgbtq+ Adults: The Buffering Effect Of Community Belongingness, Keith J. Watts, Shawndaya S. Thrasher, Laneshia Conner, Nicole Campbell, Louis G. Baser, Dekeitra Griffin, Sydney Howard, Missy Spears, Justin X. Moore

Social Work Faculty Publications

Background: In recent years, the sociopolitical landscape in the United States has shifted due to an increase in state-level legislation regarding LGBTQ+ rights, a trend that has been particularly pronounced in the Commonwealth of Kentucky. While the mental health impacts of enacted laws are increasingly documented, a critical gap remains in understanding the psychological toll of the legislative debates themselves—the prolonged periods of public discourse surrounding the restriction of rights.

Methods: Utilizing data from the 2025 Queer Kentucky Survey (N = 817), this exploratory study examined the association between LGBTQ+ community belongingness and acute suicidality attributed specifically to anti-LGBTQ+ legislative …


Modeling Determinants Of Significant Noncompliance In The U.S. Mining Sector: A Fixed Effects Logistic Regression Approach, Eli Johnson Jan 2026

Modeling Determinants Of Significant Noncompliance In The U.S. Mining Sector: A Fixed Effects Logistic Regression Approach, Eli Johnson

Dissertations, Master's Theses and Master's Reports

This study examines environmental compliance behavior among mining facilities regulated under the U.S. Clean Water Act (CWA). Using a national quarterly panel of National Pollutant Discharge Elimination System (NPDES)-permitted mining facilities, the analysis evaluates whether local socioeconomic and demographic indicators are associated with the likelihood that a facility enters significant noncompliance (SNC) status. Facility compliance histories are compiled from the U.S. Environmental Protection Agency’s Enforcement and Compliance History Online (ECHO) database and is merged with county- and state-level socioeconomic indicators and election data. A fixed-effects logistic regression model is used to account for time-invariant facility heterogeneity. The results suggest that …


Intergenerational Resilience: Exploring Whether Positive Childhood Experiences Buffer The Transmission Of Harsh And Neglectful Parenting, Patricia J. Dixon Jan 2026

Intergenerational Resilience: Exploring Whether Positive Childhood Experiences Buffer The Transmission Of Harsh And Neglectful Parenting, Patricia J. Dixon

West Chester University Doctoral Projects

Childhood abuse and neglect are associated with lasting negative mental and physical health outcomes across the lifespan. In contrast, positive childhood experiences (PCEs) can promote long-term health and wellbeing and mitigate the harmful effects of childhood adversity. A primary risk factor for child maltreatment is parental experiences of maltreatment whereby history of childhood trauma increases the likelihood of utilizing harsh and/or neglectful parenting towards one’s children. This study employed secondary data analysis of the National Longitudinal Study of Adolescent to Adult Health to test whether cumulative PCEs confer protective effects against the generational transmission of harsh and neglectful parenting. Consistent …


A Review Of Replications Over 88 Years Of The American Speech-Language Hearing Association Journal Publications, Andrea L.B. Ford, Jessica S. Riccardi, Austin Thompson, Helen L. Long, James C. Borders, Scott R. Schroeder, Alisa Baron, Mariam El Amin, Danika L. Pfeiffer Jan 2026

A Review Of Replications Over 88 Years Of The American Speech-Language Hearing Association Journal Publications, Andrea L.B. Ford, Jessica S. Riccardi, Austin Thompson, Helen L. Long, James C. Borders, Scott R. Schroeder, Alisa Baron, Mariam El Amin, Danika L. Pfeiffer

Speech-Language Pathology Faculty Publications

Purpose: This review aimed to determine the prevalence of replication studies in the field of Communication Sciences and Disorders and examine longitudinal changes in this prevalence across American Speech-Language-Hearing Association (ASHA) journals from 1936 to 2024. It is a conceptual replication of Cook and colleagues' review of replications in special education journals.

Method: Our data source comprised 17,843 journal articles published in seven ASHA peer-reviewed journals between 1936 and 2024. We identified 3,903 articles, excluding duplicates, that had at least one instance of replicat*. Two research team members screened articles independently, and then one research team member coded each article, …


The Absent Monster: Personal And Cultural Fears Through Kiyoshi Kurosawa’S Pulse, Gracie J. Huras Jan 2026

The Absent Monster: Personal And Cultural Fears Through Kiyoshi Kurosawa’S Pulse, Gracie J. Huras

Laurier Undergraduate Journal of the Arts

No abstract provided.


Perinatal Inflammation And Oxidative Stress Alter Adult Rat (Rattus Norvegicus) Motor Behavior, Alexander Young Jan 2026

Perinatal Inflammation And Oxidative Stress Alter Adult Rat (Rattus Norvegicus) Motor Behavior, Alexander Young

Honors College Theses

Recent evidence in comparative animal models suggests that early life exposure to elevated inflammation (via LPS exposure) and oxidative stress (via acetaminophen exposure) may synergistically interact to alter typical neurodevelopmental trajectories, resulting in lasting effects on both behavior and gut-brain neurochemistry. The current study observed emotional and motor behaviors and collected fecal-boli to measure Tyrosine (TE) levels in male and female Long-Evans (Rattus norvegicus) rats. Subjects were either treated with [1] saline [2] lipopolysaccharide (LPS) to introduce an inflammatory state, [3] acetaminophen (APAP) to introduce oxidative stress, or [4] a dual-hit of both LPS + APAP on postnatal day (PD) …


A Critical Discourse Analysis Of Racial Justice In Virginia Higher Education, Abigail Green Jan 2026

A Critical Discourse Analysis Of Racial Justice In Virginia Higher Education, Abigail Green

Honors Theses

This honors thesis examines the extent to which public Virginia higher education institutions engage their institutional histories in leadership rhetoric when responding to the Trump administration’s anti-diversity, equity, and inclusion (DEI) policies. Employing a Critical Discourse Analysis (CDA) following Mullet’s (2018) seven-step framework with an inductive coding approach and grounded in rhetorical history theory, this study analyzes official statements from the Offices of the President and Provost across four case study institutions: the University of Virginia (UVA), George Mason University (GMU), the College of William & Mary (W&M), and Longwood University (LU). Data sources span two time periods: May 2020 …


An Investigation Into Distinctions Between Nonsuicidal Self-Injury And Disordered Eating Behaviors, Kyle Ross Jan 2026

An Investigation Into Distinctions Between Nonsuicidal Self-Injury And Disordered Eating Behaviors, Kyle Ross

West Chester University Graduate Theses, Dissertations, and Final Projects

The investigation of nonsuicidal self-injury (NSSI) and eating disorders (EDs) is important for the field of clinical psychology to clearly conceptualize and treat self-destructive behaviors. The present study aimed first to understand experiences of NSSI and ED behaviors and then to determine the best way to conceptualize indirect versus direct self-harm behaviors to inform treatment. Four research questions focused on (1) experiences of the behaviors, (2) functions of the behaviors, (3) conceptualization of direct/indirect self-harm, and (4) descriptions of treatment experiences. Interviews were conducted with nine people (eight women, one nonbinary) with a mean age of 31 years old. Participants …


The Physiology Of Burnout: A Neuro Sustainable Model For Social Work Stability, Mindi Radtke Jan 2026

The Physiology Of Burnout: A Neuro Sustainable Model For Social Work Stability, Mindi Radtke

Social Work Student Works

The Physiology of BurnoutThis independent study introduces NeuroSustainability, a professional framework designed to move the discourse of clinician endurance away from "individual grit" and toward the preservation of Cognitive Capital. In the modern social work landscape, practitioners are trapped in an Implementation Paradox, where the biological necessity of recovery is undermined by high-friction work environments and systemic noise. This chronic friction facilitates allostatic overload, a state of biological debt that triggers structural remodeling of the brain: specifically, the atrophy of the prefrontal cortex-the seat of complex decision-making-and the hypertrophy of the amygdala, which increases reactive anxiety.  The paper identifies three …


Comorbidity And Violence: What Role Does Resilience Play In Preventing Violent Acts?, Madeline J. Petit Jan 2026

Comorbidity And Violence: What Role Does Resilience Play In Preventing Violent Acts?, Madeline J. Petit

Theses and Dissertations

The conjunction of substance use disorders, mental illnesses, and violence has been shaped through traditional risk-centered models, yet these approaches fail to explain why most individuals do not engage in violent behavior despite being high risk. This study aims to investigate how resilience may buffer the criminogenic effects of comorbidity and help understand the majority of those at risk who remain nonviolent. The data for this study is drawn from the MacArthur Violence Risk Assessment Study, which consisted of 2.255 person-waves, as the data examined comorbidity across 5 waves, consisting of 451 participants in each wave.Each participant in each wave …


Emotion Regulation Difficulties And Substance Use: The Role Of Conscientiousness, Caitlyn M. Donnelly Jan 2026

Emotion Regulation Difficulties And Substance Use: The Role Of Conscientiousness, Caitlyn M. Donnelly

Theses and Dissertations

Difficulties in emotion regulation have been consistently linked to substance use among college students. However, individual differences may influence this relationship. Conscientiousness, a personality trait characterized by self-control, planning, and goal-directed behavior, has been proposed as a potential protective factor. The present study examined associations among difficulties in emotion regulation, conscientiousness, and substance use behaviors, as well as whether conscientiousness moderates the relationship between emotion regulation difficulties and substance use. Using a quantitative, cross-sectional, correlational design, data was collected from college students recruited through a university participant pool. Participants completed self-report measures of emotion regulation difficulties, conscientiousness, and substance use …


The Restorative Effects Of Virtual Reality Nature Simulations: An Empirical Investigation, Isabel T. Folger, Yichen Zhang, Kenneth B. Abrams Jan 2026

The Restorative Effects Of Virtual Reality Nature Simulations: An Empirical Investigation, Isabel T. Folger, Yichen Zhang, Kenneth B. Abrams

Psychology Faculty Work

Although extensive research demonstrates that nature films can facilitate recovery from stress and cognitive overload, it remains unclear whether more immersive media, such as virtual reality (VR), are more effective than similar two-dimensional films. The present study examined the effects of immersiveness on affective, cognitive, and physiological restoration. Three levels of immersiveness for film viewing were employed: 2D (computer monitor), standard VR (visual and auditory input), and enhanced VR (standard VR plus olfactory and haptic input). All participants were exposed to parallel versions of a six-minute nature film. We hypothesized that greater immersiveness would produce stronger restorative effects. All versions …


Cohabitation And Child Educational Outcomes: An Examination Of Family Stability And Transition In Australia, Shana Pribesh, Emily E. Pulsipher, Mikaela J. Dufur, Jonathan A. Jarvis, Ashley Weisman, Yuanyuan Yue Jan 2026

Cohabitation And Child Educational Outcomes: An Examination Of Family Stability And Transition In Australia, Shana Pribesh, Emily E. Pulsipher, Mikaela J. Dufur, Jonathan A. Jarvis, Ashley Weisman, Yuanyuan Yue

STEMPS Faculty Publications

Cohabitation has become an increasingly common context for childrearing, yet children living with cohabiting parents often exhibit poorer academic outcomes than peers with married parents. This study examines whether these disparities stem from cohabitation itself, subsequent family transitions, or underlying mechanisms related to resources, stress, or selectivity. Using data from the Growing Up in Australia: Longitudinal Study of Australian Children (LSAC), we follow 920 children born to cohabiting parents and track family structure changes alongside teacher-rated literacy and mathematics performance from ages 6 to 11 years. Generalized estimating equation models show that, although children whose parents transitioned to single-parent or …


J Am Coll Dent 2026 92 2b Jan 2026

J Am Coll Dent 2026 92 2b

Journal of the American College of Dentists

This special issue of the Journal of the American College of Dentists responds to a growing but long-underrecognized demand for humanities and ethics in dental education, practice, and scholarship. It emerges from the work of the National Collaborative on Humanities and Ethics in Dentistry (NCHED), a multi-institutional partnership formed in 2023 to address the persistent exclusion of dentistry from broader health humanities conversations. Through national webinars and scholarly collaboration, NCHED has demonstrated substantial interest in ethical reflection, historical analysis, narrative inquiry, and the arts as essential to understanding oral health and dental care.

The unexpectedly strong response to the call …


From Deference To Dialogue: How International Gtas From High Power Distance Cultures Adapt To U.S. Classroom Dynamics, Deborah Akua Afi Appiah Jan 2026

From Deference To Dialogue: How International Gtas From High Power Distance Cultures Adapt To U.S. Classroom Dynamics, Deborah Akua Afi Appiah

Theses and Dissertations

International graduate teaching assistants (GTAs) from high power distance cultures play a significant role in undergraduate education at U.S. universities, yet they face challenges that go well beyond language proficiency. Coming from educational backgrounds where teacher authority is unquestioned and hierarchical, these GTAs must navigate American classrooms that operate on fundamentally different assumptions, where authority is earned rather than assumed, informality is the norm, and students expect to question, negotiate, and be personally known by their instructors. The present study examined how eighteen (18) international GTAs from seven (7) high power distance countries perceived and adapted to these differences while …


"Aren't You Old Enough To Know Better?": Judgments Surrounding Infidelity As A Function Of Age And Gender, Josephine Kirby Jan 2026

"Aren't You Old Enough To Know Better?": Judgments Surrounding Infidelity As A Function Of Age And Gender, Josephine Kirby

Theses and Dissertations

Relationships are often deeply affected by infidelity on several indicators such as marital satisfaction, forgiveness, and relationship longevity. With older adults often stereotyped as being asexual and women often being judged more harshly due to a sexual double standard, how do people perceive these groups in the context of infidelity? The purpose of my study was to investigate whether perceptions and judgments surrounding infidelity are affected by the age and gender of the person who committed infidelity. Using an experimental vignette method, participants were randomly assigned one version of a hypothetical couples’ counseling intake assessment form that, in part, described …


Towards Energy Access For All: Developing The Lived Energy Experience Index (Leei), Kentina Annie Ishimwe Jan 2026

Towards Energy Access For All: Developing The Lived Energy Experience Index (Leei), Kentina Annie Ishimwe

Electronic Theses and Dissertations

Energy is the fuel that powers the engine of civilization. Energy access metrics ensure that nations continuously work towards providing access for all. However, the prevalent binary indicator fails to consider that energy needs to be usable, accessible, affordable, and reliable. As a result, numerous tiered and multidimensional metrics, such as the Multi-Tier Framework, came about to bridge the gap but proved to be complex and complicated to implement. This study presents the existing literature review, assesses the limitations of current energy access measurement frameworks, and compares household energy needs with reported access statistics. Based on the findings, the Lived …


Cultivating Holistic And Mindful Rest Practices: A Workbook, Cecelia V. Murray Jan 2026

Cultivating Holistic And Mindful Rest Practices: A Workbook, Cecelia V. Murray

Mindfulness Theses

In a cultural moment that conflates productivity with self-worth, rest is often undervalued or seen as indulgent. This thesis explores mindfulness as a means of reframing rest as an essential human right and a cornerstone of holistic wellness. Drawing on Bill Hettler’s Six Dimensions of Wellness (i.e. physical, intellectual, emotional, social, spiritual, and occupational wellness), this project situates mindful rest as a multidimensional practice that supports balance across body, mind, and spirit. This work also highlights the social, structural, and psychological barriers that affect individuals’ access to rest. It argues that while mindfulness alone cannot resolve systemic inequities, it can …


Mindfulness And Psychedelics: Rethinking The Fifth Precept, Ernesto Londono Jan 2026

Mindfulness And Psychedelics: Rethinking The Fifth Precept, Ernesto Londono

Mindfulness Studies Theses

The fields of psychedelics and mindfulness have a long history of cross-pollination in the United States that dates to the counterculture movement in the 1960s. As the use of these mind-altering compounds in therapeutic and spiritual contexts has become less stigmatized and more popular in recent years, psychedelic retreats and therapies are once again drawing people who also value contemplative practices. This paper explores the historic and contemporary tension people with overlapping interests in mindfulness and psychedelics have faced as they interpreted the Fifth Precept, the Buddhist guideline that advises people to abstain from intoxicants. Taking stock of the history …


Court-Mandated Parenting Intervention: A Parenting Program To Reduce Conflict And Increase Positive Coping Skills For High-Conflict Parents In Family Court, Joshua T. Metcalf Jan 2026

Court-Mandated Parenting Intervention: A Parenting Program To Reduce Conflict And Increase Positive Coping Skills For High-Conflict Parents In Family Court, Joshua T. Metcalf

Psychology Doctoral Specialization Projects

The number of children in the United States whose parents have either separated or divorced has continued to increase over time. While some parents are able to effectively co-parent their children after separation or divorce, others may be unwilling or unable to effectively do so. Parents who ineffectively co-parent their children, often referred to as high conflict co-parents, can often over utilize family court resources to solve disputes and to make co-parenting decisions. In the literature review presented, current co-parenting resources often utilized by family courts are explored and research regarding current co-parenting interventions is discussed. Additionally, key components of …


The Role Of Parenting In Mitigating Epigenetic Cardiometabolic Risk In Predominantly Latino Preschoolers, Adamari López Jan 2026

The Role Of Parenting In Mitigating Epigenetic Cardiometabolic Risk In Predominantly Latino Preschoolers, Adamari López

Open Access Master's Theses

Background: Childhood obesity is a highly prevalent public health concern with significant consequences for health and development across the lifespan. Risk is disproportionately elevated among children from marginalized racial and ethnic groups and socioeconomically disadvantaged backgrounds, highlighting persistent disparities in long-term health outcomes. Epigenomic mechanisms, including DNA methylation (DNAm), have emerged as a promising approach for understanding the biological embedding of metabolic risk; however, prior research has largely emphasized deficit-based models, with limited attention to protective family-level factors. The present study examined whether participation in a positive parenting intervention was associated with epigenetic cardiometabolic risk among preschool-aged children. Methods …


Visual Genealogies Of Disability In Mexican Visual Culture, Daniela Calvache Garcia Jan 2026

Visual Genealogies Of Disability In Mexican Visual Culture, Daniela Calvache Garcia

Theses and Dissertations--Hispanic Studies

Disability in Mexico is a visually constructed category, shaped by a long genealogy of representation in which images of bodily difference actively participate in defining power and the management of all bodies. The discursive forces that define disability as unproductivity reduce body-minds to the service of the economic system, affecting our relationship with death, illness, reproduction, size, youth, and beauty. Across the Mesoamerican visual space, such representations have long unsettled dominant systems of truth about bodies. This dissertation examines how conceptions of disability are produced, negotiated, and reimagined through three historical moments and cultural expressions: Pre-Hispanic Mayan imagery, Mexican colonial …


Books Of Interest Spring 2026 Jan 2026

Books Of Interest Spring 2026

Comparative Civilizations Review

No abstract provided.


The Caregiving Experience: Comparing Stress And Quality Of Life Among Caregivers Of Children With And Without Autism Spectrum Disorder, Mona Khayal Jan 2026

The Caregiving Experience: Comparing Stress And Quality Of Life Among Caregivers Of Children With And Without Autism Spectrum Disorder, Mona Khayal

Antioch University Dissertations & Theses

This comparative cross-sectional study investigated caregiving burden, quality of life, and anxiety among primary caregivers of children with autism spectrum disorder compared to caregivers of typically developing children. Using Bronfenbrenner’s Ecological Systems Theory, 66 caregivers (31 autism, 35 comparison) of children aged 6-18 completed the Zarit Burden Interview-12, WHO Quality of Life-BREF, and GAD-7. According to the results, autism caregivers reported substantially higher burden (M = 31.26 vs. 13.23, d = 2.42) and anxiety (M = 9.13 vs. 4.63, d = 1.04), with 90% exceeding clinical burden thresholds compared to 26% of comparison caregivers. Quality of life was lower across …