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Inside A Youth Participatory Action Research (Ypar) Process: A Practitioner’S Communicative Experience Navigating Processual And Relational Power Dynamics Within Ypar, Lacey Nicole Stein Mar 2025

Inside A Youth Participatory Action Research (Ypar) Process: A Practitioner’S Communicative Experience Navigating Processual And Relational Power Dynamics Within Ypar, Lacey Nicole Stein

Electronic Theses and Dissertations

This dissertation examines the communicative dimensions of Youth Participatory Action Research (YPAR), with particular attention to the power dynamics embedded in the processual and relational aspects of the research process. Through a meta-level examination of a nearly two-year YPAR project, this study illuminates how communication can function for YPAR practitioners as they navigate YPAR's complex power structures, thereby addressing a significant gap in existing literature. The study employs Braun and Clarke's thematic analysis to reveal nuanced findings in two key areas. First, it identifies the communicative complexities of enacting multiple adult roles within YPAR, including those of "superior" adult, facilitator, …


Bridging The Gap Between Muslim Students And School Leadership In The United States, Sahar Khawaja Mar 2025

Bridging The Gap Between Muslim Students And School Leadership In The United States, Sahar Khawaja

Electronic Theses and Dissertations

Entering the third decade of the 21st century, the political landscape in the United States presents a challenging environment for Muslims, mirroring the global trend of oppression and discrimination faced by this community (Neptune, 2021). Despite being the fastest-growing demographic in the nation (Lipka, 2017), Muslim Americans increasingly encounter discrimination. By actively addressing and dismantling these stereotypes, educators can cultivate an inclusive environment where the needs of Muslim students are understood and respected. Understanding the stories and experiences of these students is vital for school leaders, as it enables the creation of an environment where every student feels a genuine …


Value-Based Healthcare Reimagined: A Mixed-Methods Study On Behavioral Health Clinicians' Perspectives, Amanda L. Strickland Mar 2025

Value-Based Healthcare Reimagined: A Mixed-Methods Study On Behavioral Health Clinicians' Perspectives, Amanda L. Strickland

Electronic Theses and Dissertations

This study explores how behavioral health clinicians perceive Value-Based Healthcare (VBHC), a model designed by Porter and Teisberg (2006) to improve outcomes relative to costs. While widely promoted in healthcare reform, VBHC poses unique challenges when applied to behavioral health settings. Using an explanatory mixed-methods design, this study first assessed clinicians’ awareness of VBHC through a survey of 23 licensed clinicians at a Community Mental Health Center (CMHC) in Colorado. Quantitative findings revealed that one-third of participants were aware of VBHC with awareness differing by role prompting further exploration in a qualitative phase. Semi-structured interviews with eight clinicians provided deeper …


The Mediation Effect Of White Racial Affect On Color-Blind Racial Attitudes And Multicultural Counseling Competence, Noah Schieffer Scanlon Mar 2025

The Mediation Effect Of White Racial Affect On Color-Blind Racial Attitudes And Multicultural Counseling Competence, Noah Schieffer Scanlon

Electronic Theses and Dissertations

Racial bias is something that can impact many fields, including the field of psychology. There is growing research in examining the relationship between multicultural counseling competence and color-blind racial attitudes as well as other factors like White racial affect Few studies have examined the potential mediating relationship White racial affect may have on color-blind racial attitudes and multicultural counseling competence. To address this gap, this study provides insight into how White racial affect mediates the relationship between color-blind racial attitudes and multicultural counseling competence among white psychology trainees. This study also further examined the extent to which color-blind racial attitudes …


The Pragmatic Engagement Arc, Nathaniel Ahrens Mar 2025

The Pragmatic Engagement Arc, Nathaniel Ahrens

Electronic Theses and Dissertations

We don’t just buy tangible items anymore; we buy services that foster deeper and deeper relationships between ourselves and the companies that provide them. Even classic manufacturing companies have begun to consider the interaction with their customers as ongoing relationships beyond a goods exchange. Researchers in the field of consumer engagement view this relationship through consideration of intangible operant resources that generate value. The goal of this methodological study was to apply the methodology of educational criticism and connoisseurship to the field of consumer engagement. This approach allowed for consideration of the consumer-brand relationship without relying on discordant value-laden categories …


A Qualitative Study: The 4 I’S Of Transformational Leadership And The Impact It Has On Building Employee Resiliency, Jewel Hale, Jr. Mar 2025

A Qualitative Study: The 4 I’S Of Transformational Leadership And The Impact It Has On Building Employee Resiliency, Jewel Hale, Jr.

Electronic Theses and Dissertations

The COVID-19 pandemic has created a turbulent environment for governments and citizens worldwide. In this context, one concept stands out as particularly valuable: resilience. Resilience, the capacity to bounce back from adversity, is a key component in post-pandemic recovery and evolution. This phenomenological study explores the crisis through the experiences of small business owners and leaders in the Dallas/Fort Worth area of Texas during the pandemic's peak. The participants were selected for successfully navigating the pandemic and remaining in business. The study aims to examine the leadership styles used to build employee resilience, focusing on their commonalities through phenomenological research. …


Recently Terminated Ncaa Collegiate Football Coaches’ Perspectives On Organizational Support Received From Former Athletic Director And Athletic Department, Jeffery John Hancock Mar 2025

Recently Terminated Ncaa Collegiate Football Coaches’ Perspectives On Organizational Support Received From Former Athletic Director And Athletic Department, Jeffery John Hancock

Electronic Theses and Dissertations

Every year, many head football coaches at the NCAA Football Bowl Subdivision are fired

without cause. The leading factor of these dismissals occurs when the team fails to meet

stakeholders’ expectations of winning enough games. Termination is not only problematic for

the coach, but the team, athletic department, its student-athletes, and the institution, as often a

change in coach does not solve the problem. Many factors lead to a losing season in both

athletics and corporations, including the level of organizational support. In the research on

collegiate coaching, this is an overlooked topic. The purpose of this qualitative, descriptive case …


Management Of Aggressive And Disruptive Behavior In The Emergency Department Using De-Escalation Techniques And Simulation: A Quality Improvement Project To Improve The Knowledge And Confidence Of Emergency Department Nurses And Clinical Staff, Ernestine Darby-Littlejohn Mar 2025

Management Of Aggressive And Disruptive Behavior In The Emergency Department Using De-Escalation Techniques And Simulation: A Quality Improvement Project To Improve The Knowledge And Confidence Of Emergency Department Nurses And Clinical Staff, Ernestine Darby-Littlejohn

Electronic Theses and Dissertations

Abstract

Approximately 40% of all healthcare workers have reported episodes of violence by patients over the last 2 years. This Veteran’s Health Agency reported 824 disruptive events reported in the last 5 years, of which 56 occurred in the emergency department. Research shows that interventions are not always timely, resulting in the clinical staff requesting the Veteran’s Health Agency Police to intervene when a veteran’s level of stress is escalating. The gap in practice is shown to be related to a lack of knowledge in the clinical staff in managing high stress levels exhibited by some veterans, limited knowledge of …


Academic Advising Staff Turnover At A 2-Year College, Torrey Kenwunn West Mar 2025

Academic Advising Staff Turnover At A 2-Year College, Torrey Kenwunn West

Electronic Theses and Dissertations

This qualitative exploratory case study allowed the researcher to examine the critical factors between staff retention and leadership at a large 2-year community college. The problem central to this study was the high staff turnover rate at a large 2-year community college. The purpose of this study was to identify leadership and organizational aspects that positively or negatively impact employee retention. A case study methodology was utilized to collect data for this research by conducting 10 semistructured interviews with advisors at a large 2-year community college. The interviews were conducted virtually in Microsoft Teams and then transcribed for data analysis. …


K–12 Educators’ Use Of Technology And Experiences With Technostress: A Case Study, Greg Blair Pittman Feb 2025

K–12 Educators’ Use Of Technology And Experiences With Technostress: A Case Study, Greg Blair Pittman

Electronic Theses and Dissertations

Abstract

This dissertation explored the increased use of technology in K–12 classrooms, which is causing educators to experience technostress. The purpose of the qualitative, descriptive, single case study was to explore the experiences of K–12 teachers with technology and technostress—techno-insecurity, techno-invasion, techno-complexity, techno-uncertainty, and techno-overload—in a West Texas private school district. The researcher conducted one-to-one interviews with seven K-12 educators and two senior leadership team members. In addition, open-ended online questionnaires were available for K–12 educators and senior leadership team members. Thematic analysis was used to locate and communicate the findings. The principal research question was: How do K–12 classroom …


Voices From The Field: Mental Health Therapists' Perceptions Of Collaboration With Child Protective Services Workers, Tamara P. Fields Feb 2025

Voices From The Field: Mental Health Therapists' Perceptions Of Collaboration With Child Protective Services Workers, Tamara P. Fields

Electronic Theses and Dissertations

The child welfare system in the United States requires collaboration across various agencies in the provision of services. Although collaboration between mental health therapists and state agencies is fundamental when the goal is to provide quality care and achieve positive outcomes for families involved with Child Protective Services (CPS), the system is characterized as complicated and fragmented. Using Bronstein’s 2003 model of interprofessional collaboration to understand the dynamics of collaboration between mental health therapists and CPS workers in Texas, this qualitative descriptive research study described mental health therapists’ perceptions of collaborating with CPS workers in delivering therapy services to CPS-involved …


Advisor Satisfaction To Support Online Student Retention, Erica K. Whiddon Feb 2025

Advisor Satisfaction To Support Online Student Retention, Erica K. Whiddon

Electronic Theses and Dissertations

In this dissertation, the researcher explored the relationship between satisfaction with academic advising and online student retention. Online student retention is a critical issue in the context of increasing competition for students in higher education institutions. The specific problem was that online students have lower retention rates, and the reasons students typically select online degree programs are also the reasons they drop out of their degree programs. The purpose was to identify whether students’ reported satisfaction with their advisors mediated the relationship between the existence of external personal life factors and retention. A quantitative nonexperimental causal-comparative and correlational research design …


Giving And Receiving Social Support Among Individuals With Migraine, Lauren Thaxter Jan 2025

Giving And Receiving Social Support Among Individuals With Migraine, Lauren Thaxter

Electronic Theses and Dissertations

Migraine is among the most common and burdensome neurological disorders in the United States, significantly impairing daily functioning. Psychological variables such as depression, anxiety, stress, and fear of pain are known to exacerbate migraine experiences, while receiving social support has been broadly associated with improved health outcomes. Although giving and receiving social support are protective for physical and mental health, their specific influence on migraine outcomes remains underexplored. This study investigated experimentally whether giving social support increased pain tolerance and reduced pain intensity as measured using a cold pressor test among 117 individuals with migraine. This study also examined the …


Examining The Relationship Between Moral Injury, Belief In A Just World, And Substance Abuse In Military Veterans, Alyssa Mae Wood Jan 2025

Examining The Relationship Between Moral Injury, Belief In A Just World, And Substance Abuse In Military Veterans, Alyssa Mae Wood

Electronic Theses and Dissertations

Combat-exposed veterans and military service members are at high risk of experiencing mental health problems. Although moral injury is recognized as a unique contributor to mental health challenges in this population, the relationship between changes in world belief, PTSD, and substance use remains unexplored. This cross-sectional quantitative study investigated the relationship among moral injury symptoms, changes in belief in a just world (BJW) and belief in an unjust world (BUW), and substance use in a sample of 122 combat-exposed U.S. military Veterans and service members.

Hierarchical regression analyses revealed that changes in BUW following potentially morally injurious events (PMIEs) significantly …


Evaluating The Success Of The Rev It Up! Curriculum Training On The Self-Efficacy Of Sdsu Extension Expanded Food And Nutrition Education Program (Efnep) & Supplemental Nutrition Assistance Program - Education (Snap-Ed) Paraprofessional Educators In Teaching Adolescents, Oluwatemilorun Akinsanya Jan 2025

Evaluating The Success Of The Rev It Up! Curriculum Training On The Self-Efficacy Of Sdsu Extension Expanded Food And Nutrition Education Program (Efnep) & Supplemental Nutrition Assistance Program - Education (Snap-Ed) Paraprofessional Educators In Teaching Adolescents, Oluwatemilorun Akinsanya

Electronic Theses and Dissertations

Objective: Evaluate self-efficacy changes among Extension paraprofessional nutrition educators after receiving an adolescent curriculum (Rev It Up!) training. Methods: Paired t-tests on three adapted scales measured changes at pre- (T1), post- (T2), and 1 yr post-intervention (T3): the Teacher Interpersonal Self-Efficacy Scale (TISS), Nutrition Teaching Self-Efficacy Scale (NTSES), and Self-Efficacy and Nutrition Teaching Methods scale (SNTMS). Results: Six educators completed the TISS and NTSES; 5 completed the SNTMS. The TISS showed significant improvement from T1 to T2 only (p= 0.03); the NTSES showed improvement between T1 and T2 (p= 0.01) and T1 and T3 (0.01); and there were no significant …


The Implications Of The Menstrual Cycle On Upper Extremity Function And Injury Risk, Kaitlyn Ashley Armstrong Jan 2025

The Implications Of The Menstrual Cycle On Upper Extremity Function And Injury Risk, Kaitlyn Ashley Armstrong

Electronic Theses and Dissertations

BACKGROUND: Musculoskeletal disorders (MSDs) are the leading cause of time lost from work in the healthcare industry (US Bureau of Labor Statistics, 2022). Women account for 75 percent of the total employment in hospitals (BLS, 2022). It is important to identify key risk factors that may be contributing to the high rates of injury in this sector. Females bring a variety of unique factors into account, and understanding these factors could be critical for improving individual health and the burden placed on the system due to absenteeism resulting from injury. The cyclical hormonal fluctuations that occur over a menstrual cycle …


Boundaries And Barriers: A Study On The Factors Influencing Bachelor’S Degree Attainment For Women In Arkansas At Regional Public Universities, Meagan Rochelle Bowling Fudge Jan 2025

Boundaries And Barriers: A Study On The Factors Influencing Bachelor’S Degree Attainment For Women In Arkansas At Regional Public Universities, Meagan Rochelle Bowling Fudge

Electronic Theses and Dissertations

Arkansas consistently ranks among the bottom five states nationally for bachelor’s degree attainment. To explore the factors contributing to this trend and identify opportunities for increasing degree completion, this study focuses on women attending Regional Public Universities (RPUs) in Arkansas. By examining the barriers these women face, this research aims to uncover critical gaps and inform future areas for research, policy, and investment.

Women represent the largest segment of undergraduate enrollment in the state, consistently enrolling in college at higher rates than their male peers. RPUs enroll more bachelor's degree-seeking students than any other type of institution in Arkansas, including …


The Underrepresentation Of African American Male Educators In K-12 Education, Nisa Lewis Johnson Jan 2025

The Underrepresentation Of African American Male Educators In K-12 Education, Nisa Lewis Johnson

Electronic Theses and Dissertations

The American education system has struggled with a significant teacher shortage for years. Alongside this shortage is the underrepresentation of African American male teachers. Despite the increasing diversity of the student population, African American men make up less than 2% of teachers nationwide (Aftunion, 2020). This disparity denies all kids access to diverse perspectives in the classroom and limits the presence of role models for students of color. Research studies have shown that African American students who have African American teachers show improvement in their grades, standardized test scores, attendance records, and graduation rates (Breazeale, 2023). This study aimed to …


Asking Pharmacists About Over-The-Counter Oral Contraceptives: Intention Among Adolescents And Young Women, Ivy Leong Jan 2025

Asking Pharmacists About Over-The-Counter Oral Contraceptives: Intention Among Adolescents And Young Women, Ivy Leong

Electronic Theses and Dissertations

The recent availability of over-the-counter oral contraceptives eliminates many barriers to accessing birth control. Even with this easier accessibility, pharmacists can still play an important role in educating users, especially adolescents and young adults. However, hesitation to reach out to pharmacists among younger populations has been documented. Additionally, little is known about the underlying driver of this hesitation.

This study aimed to examine predictors of young females’ willingness to seek assistance from pharmacists for over-the-counter oral contraceptive use and to determine the difference in the effect of these predictors between adolescents (age 16 to 17) and young women (age 18 …


A Profile Of Contempt: Its Expressive Function In The Age Of Profilicity, Eric Michael Servatius Jan 2025

A Profile Of Contempt: Its Expressive Function In The Age Of Profilicity, Eric Michael Servatius

Electronic Theses and Dissertations

Contempt permeates modern political discourse and popular media. Nevertheless, within the psychological and philosophical literature on reactive attitudes, moral emotions, and negative sentiments, contempt remains comparatively understudied. In this paper, I examine contempt’s intimate connection with social identity and argue that existing accounts of contempt largely overlook the broader social role it plays in a contemporary moment characterized by digital communication and fluid group dynamics. I contend that public expressions of contempt serve two primary expressive functions in modern society: (1) to signal group identification and (2) to enforce group norms—not for the target of contempt, but for third party …


A Spoonful Of Sugar: A Mathematics Board And Card Games Intervention For Kindergarten Students At Risk For Mathematics Disabilities, Leah Kai Tiisler Jan 2025

A Spoonful Of Sugar: A Mathematics Board And Card Games Intervention For Kindergarten Students At Risk For Mathematics Disabilities, Leah Kai Tiisler

Electronic Theses and Dissertations

Early mathematics knowledge in kindergarten students can predict their later success in school and in life, while difficulties with mathematics early on can derail a child’s future unless they are provided with effective interventions. Ideally, interventions should be developmentally appropriate, playful, low in stress, and easy to implement. Board games and card games can be integrated into math interventions and easily adapted to include early arithmetic elements. This dissertation investigates the impact of a mathematics board and card game intervention on kindergarten students at risk for mathematics disabilities. The study employed a single-subject research design to assess the effectiveness of …


From Difficult Heritage To A Symbol Of Peace: A Case Study Of The Chibondo Mass Grave In Zimbabwe., Peter Mudzingwa Jan 2025

From Difficult Heritage To A Symbol Of Peace: A Case Study Of The Chibondo Mass Grave In Zimbabwe., Peter Mudzingwa

Electronic Theses and Dissertations

This thesis examines the contested interpretation and memorialization of the Chibondo mass grave in Zimbabwe, analyzing how unresolved historical grievances shape national reconciliation efforts. Discovered in 2011, Chibondo became a politically charged heritage site, officially framed as a symbol of liberation while simultaneously raising allegations that it contains victims of post-independence violence, including the Gukurahundi massacres. Employing the theoretical frameworks of difficult heritage, transitional justice, and memorialization, this research explores the political, social, and ethical complexities that emerge when nations confront traumatic pasts. Through a mixed-methods approach that combines semi-structured interviews, direct observations, and scholarly reviews, the study critically assesses …


The Predictive Value Of College Entrance Exams On Retention Of Domestic, First-Time, Full-Time Freshman At The University Of Mississippi, James D. Corner Jan 2025

The Predictive Value Of College Entrance Exams On Retention Of Domestic, First-Time, Full-Time Freshman At The University Of Mississippi, James D. Corner

Electronic Theses and Dissertations

This study examined the predictive value of college entrance exams specifically the ACT and SAT on the academic retention of domestic, first-time, full-time freshmen at the University of Mississippi. With the rise of test-optional admissions models, particularly during and after the COVID-19 pandemic, this research investigates whether standardized test scores remain relevant in forecasting student success, defined by persistence from freshman to sophomore year and academic performance measured through GPA in the first and second semesters. Drawing upon a conceptual framework that includes pre-college characteristics, standardized assessments, and early academic performance, this study challenges the long-held assumption that standardized exams …


Exploring Psychological Capital In Student Pharmacists: Insights, Outcomes, And Instructional Considerations, Joseph Aaron Dikun Jan 2025

Exploring Psychological Capital In Student Pharmacists: Insights, Outcomes, And Instructional Considerations, Joseph Aaron Dikun

Electronic Theses and Dissertations

Background/Objectives

The positive psychology movement served to create momentum to move from treating disease to exploring what makes life worth living, emphasizing the exploration of what contributes to human flourishing. One’s psychological capital has provided a practical framework for personal development that highlights the potential for individuals draw upon resources to thrive amidst challenges. As students face numerous stressors, including academic pressures, uncertainties, and personal struggles that threaten their well-being and performance, self-awareness and ability to utilize these intrinsic resources provide an actionable target for development. First, a measure of psychological capital was adapted and refined. Next, positive psychological capital …


Don't Let Them In: Our Vampire Stories In The French Quarter, Sela Ricketts Jan 2025

Don't Let Them In: Our Vampire Stories In The French Quarter, Sela Ricketts

Electronic Theses and Dissertations

This thesis is an exploration of vampires in New Orleans. The reason I have chosen to include the word “Our” in the title is because we created the stories that I am studying. We created, perpetuated, changed, and eventually monetized them. Throughout this paper I discuss how the vampire came to New Orleans and how that same vampire shows up in New Orleans folklore. Then I discuss how the vampire made the jump from urban legend to pop culture. In doing that it gained “humanity”. They were still monstrous, but it was enough humanity to acquire regional identity, a southern …


The Effects Of Validating And Invalidating Responses On Self-Reported Levels Of Anxiety, Leila Sachner Jan 2025

The Effects Of Validating And Invalidating Responses On Self-Reported Levels Of Anxiety, Leila Sachner

Electronic Theses and Dissertations

Given that validation and invalidation have been linked to internal factors contributing to anxiety disorders, it is important to further explore how validation and invalidation are associated with experiences of anxiety. The current study was designed to assess the association between validation/invalidation and anxiety among college students. Significant omnibus regression models emerged revealing that perceived invalidation accounted for 25.7% of the variance in self-reports of physiological anxiety symptoms and 27.6% of the variance in self-reports of generalized anxiety symptoms. A series of mixed-factorial ANOVAs revealed no main effect of experimental condition on emotional responses (anxiety, anger, arousal, valence), indicating that …


Beliefs And Factors That Influence Female College Students’ Decision To Consume Weight Loss Products, Cynthia Ummay Siddiqua Jan 2025

Beliefs And Factors That Influence Female College Students’ Decision To Consume Weight Loss Products, Cynthia Ummay Siddiqua

Electronic Theses and Dissertations

Background: Rising societal pressures, body image concerns, and the increasing accessibility of commercial weight loss products (WLPs) have led to heightened use among young women, particularly college students. Female undergraduates are especially vulnerable due to social media influence, peer comparison, and transitioning lifestyles. Despite the popularity of WLPs, concerns persist regarding their safety, efficacy, and the psychosocial beliefs driving their use. This study seeks to understand the beliefs and factors influencing WLP consumption among female college students using Social Cognitive Theory (SCT) and the Health Belief Model (HBM).

Methods: A cross-sectional, exploratory survey was conducted among female undergraduate students aged …


Public Attitudes Toward The Nigerian Police: An Examination Of Trust Indicators At Micro Levels, Bassey Kooffreh Jan 2025

Public Attitudes Toward The Nigerian Police: An Examination Of Trust Indicators At Micro Levels, Bassey Kooffreh

Electronic Theses and Dissertations

This dissertation comprises three studies that collectively contribute to understanding public trust in the Nigerian police. The first study applies three major policing theories namely performance theory, procedural justice theory, and social capital theory to explain the factors that influence trust in the police. The second study offers a comparative analysis of the predictors of public trust in both the police and the courts. The third study examines how individual quality of life, neighborhood structural characteristics, and civic engagement affect public trust in the police. Using nationally representative data from Afrobarometer Round 9, the first study reveals that citizens who …


The Prison Life-Course And Correctional Misconduct, Zachary Nathanial Buckner Jan 2025

The Prison Life-Course And Correctional Misconduct, Zachary Nathanial Buckner

Electronic Theses and Dissertations

The purpose of this dissertation is to apply a developmental and life-course perspective to the understanding of correctional misconduct for those serving long-term sentences by conducting three separate analyses that examine the development of misconduct over time, and the influence of personal and prison characteristics on misconduct. Data were provided by the Department of Corrections in a Northwestern state in the United States and included all adults in custody who were currently incarcerated and had been incarcerated for a minimum of 15 years consecutively at the point of data collection in March 2023. The first analysis used group-based trajectory modeling …


Distress Tolerance And Links With 24-Hour Ambulatory Blood Pressure, Colter K. Clayton Jan 2025

Distress Tolerance And Links With 24-Hour Ambulatory Blood Pressure, Colter K. Clayton

Electronic Theses and Dissertations

Cardiovascular disease is a leading cause of death in the United States. Hypertension is a major modifiable risk factor for cardiovascular related morbidity and mortality. Psychosocial factors are associated with blood pressure control and preliminary evidence has linked greater distress tolerance to lower blood pressure. The present study examined associations between distress tolerance and key blood pressure markers (24-hour mean blood pressure, nocturnal dipping) among community-dwelling adults (N = 60) using the noninvasive gold standard of blood pressure measurement—ambulatory blood pressure monitoring. Separate hierarchal linear regression analyses did not reveal any significant relationships between distress tolerance and 24-hour mean systolic, …