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Articles 2431 - 2460 of 3205
Full-Text Articles in Entire DC Network
The Neuroscience Of Fear And Anxiety: A Primer For Clinicians, Lionel Lee
The Neuroscience Of Fear And Anxiety: A Primer For Clinicians, Lionel Lee
Theses and Dissertations
Over the last few decades, research in affective neuroscience has led to considerable insights into the biology of fear and anxiety. For those in the practice of psychotherapy, these advances hold the potential for explaining the evolutionary utility of these emotions and targeting psychotherapeutic interventions to neurobiological correlates when these emotions go awry. The conversation of neuroscience, however, has yet to find a comfortable place in the therapy room. Translational and conceptual disparities owing to the historical split between psychology and neuroscience, continue to present challenges to their integration. The present study seeks to reframe clinicians’ understanding of the biological …
Oh, What A Tangled Web We Weave: Cyberbullying, Anxiety, Depression, And Loneliness, Kristen Laprade Johnson
Oh, What A Tangled Web We Weave: Cyberbullying, Anxiety, Depression, And Loneliness, Kristen Laprade Johnson
Electronic Theses and Dissertations
Cyberbullying can be defined as any intentionally aggressive act occurring through electronic forms of communication. Drawing on literature examining traditional, face-to-face bullying, it is likely that this relatively contemporary form of victimization is associated with emotional distress. This has yet to be examined with any empirical rigor, however, as there are few studies of the construct. The present research assessed prevalence rates of cyberbullying in youth in North Mississippi using a psychometrically sound measure. These rates were found to be towards the higher end of previous studies (67.6% with exposure to cyberbullying and 6.3% with clinically elevated levels of cyberbullying). …
Cognitive Bias Modification-Attention: Training At Home With Multiple Sessions, Priscilla Fauth
Cognitive Bias Modification-Attention: Training At Home With Multiple Sessions, Priscilla Fauth
EWU Masters Thesis Collection
"Anxiety disorders are the most frequently occurring psychiatric disorder in the United States (Beard, 2011). One type of treatment, Cognitive Bias Modification for Attention (CBM-A), has been shown to be an effective alternative for those who do not benifit other popular treatments (Ballinger, 2004). People with high levels of anxiety have a higher attention bias towards threatening information in the environment and CBM-A training works to reduce that attention bias towards threat, and in turn, reduce anxiety (Bar-Haim, 2010; Browning, Holmes, & Harmer, 2010; Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E., & ... …
The Association Of Smoking With Low Back Pain In Adult Americans: Analysis Of The 2012 National Health Interview Survey, Bart Green
Walden Dissertations and Doctoral Studies
Back pain is a chronic disease epidemic and the most common chronic painful condition in Americans. It is associated with human suffering and enormous financial and social burdens. Smoking is a prevalent and harmful health behavior and is the greatest modifiable risk factor for many chronic diseases. Cigarette smoking is associated with back pain, but there is little research on this relationship among adults in the United States. Using biopsychosocial theory, this study examined (a) the prevalence of back pain (dependent variable) among smokers, former smokers, and never smokers (independent variable), and (b) the influence of age, sex, race, body …
Fluctuations Of State Anxiety, Spinal Structure, And Postural Stabilityacross The Menstrual Cycle In Active Women, Derya Özer Kaya, Şeyda Toprak Çelenay
Fluctuations Of State Anxiety, Spinal Structure, And Postural Stabilityacross The Menstrual Cycle In Active Women, Derya Özer Kaya, Şeyda Toprak Çelenay
Turkish Journal of Medical Sciences
Background/aim: To investigate differences in state anxiety, spinal posture and mobility, postural competency, and stability across the menstrual cycle in active women. Materials and methods: Thirteen physically active women (18?25 years) with a regular menstrual cycle were recruited. Anxiety with the Spielberger State Trait Anxiety Inventory; spinal posture, mobility, and competency with a Spinal Mouse device (Idiag, Fehraltorf, Switzerland); and postural stability with a Biodex Balance System SD (Biodex Medical Systems, Inc., Shirley, NY, USA) were evaluated across phases of the menstrual cycle. Results: No significant differences were observed between phases of the menstrual cycle for state anxiety, spinal posture, …
You Need The Words?: Portrayals Of Romantic Anxiety In Film, Claudia Chiang-Lopez, Jennifer A. Guthrie
You Need The Words?: Portrayals Of Romantic Anxiety In Film, Claudia Chiang-Lopez, Jennifer A. Guthrie
McNair Poster Presentations
Viewers’ interpretations of characters with anxious attitudes in romantic relationships can affect their opinions on what constitutes appropriate relationship behavior. This paper analyzes the impact of media on people through a literature review and offers an explanation of different portrayals of romantic anxiety in film: the language used to describe characters and characters’ ends. The films studied - Sunset Boulevard, Sid and Nancy, Hard Core Logo, Burnt Money, and The Hustler - all showed a pattern where a character with romantic anxiety was mistreated by the storyline or other characters, and most of these characters meet their end through suicide …
Neural Network Associated With The Psychobiological Response To Stress, Muriah Wheelock
Neural Network Associated With The Psychobiological Response To Stress, Muriah Wheelock
All ETDs from UAB
The biobehavioral response to acute stress is an allostatic process. Dysregulation of the stress response has been implicated in allostatic load and the pathophysiology of a wide range of physical and psychological disorders. There have been considerable advances within the last two decades in the field’s understanding of allostatic load and a consistent finding across studies has been that individual differences are the norm rather than the exception. That is, exposure to stress seems to have minimal negative consequences for some, but substantial negative consequences for others. Determining the neural processes associated with individual differences in stress reactivity may advance …
Effect Of Helfer Rhythmic Skin Tap Technique On Procedural Pain Among Patients Receiving Intramuscular Injection, Saleena Shah Dr, Asha Narayanan Ms
Effect Of Helfer Rhythmic Skin Tap Technique On Procedural Pain Among Patients Receiving Intramuscular Injection, Saleena Shah Dr, Asha Narayanan Ms
Manipal Journal of Nursing and Health Sciences
Objective: The present study aims at comparing the effect of Helfer Rhythmic Skin Tapping Technique (HST) and Conventional Technique (CT) on pain perception of patients receiving IM injection. Methods: Quasiexperimental two groups, interventional study using cross over design was conducted at orthopaedic wards of Govt. Medical College Kozhikode, Kerala from May 2 – 21, 2011. A total of 82 patients admitted in orthopaedic wards, in the first post-operative day after orthopaedic surgery, who were receiving Inj. Voveran were included. After informed consent, subjects were purposively selected to Group I and II. The tools used were, (a) Interview schedule to assess …
Subjective Measures Of Mz And Dz Twins During Anxiety-Provoking Tasks, Sravya Uppalapati
Subjective Measures Of Mz And Dz Twins During Anxiety-Provoking Tasks, Sravya Uppalapati
UROP Posters
Temporary anxiety is a healthy response to stress; however, continuous anxiety can threaten an individual’s day-to-day living by eliciting negative responses. In the study, monozygotic 84 (MZ) and 153 dizygotic (DZ) adolescent twins pairs, ages 15 to 20 years, participated in anxiety-provoking tasks and subjective experiences of anxiety were measured using subjective units of distress (SUDS). The twin participants were recruited through the Mid-Atlantic Twin Registry (MATR) at Virginia Commonwealth University. The twins participated in a carbon dioxide (CO2) breathing task and a trier social stress task (TSST). The study aims were to evaluate the relationship between anxiety-provoking …
The Relationship Between Exercise And Depression And Anxiety In College Students, Joshua Frank, Dr. Amy Adkins, Nathan Thomas, Dr. Danielle Dick
The Relationship Between Exercise And Depression And Anxiety In College Students, Joshua Frank, Dr. Amy Adkins, Nathan Thomas, Dr. Danielle Dick
UROP Posters
The literature shows an inverse association between exercise and mental disorders. The aim of this study is to further elaborate on this association with regards to exercise and its relationship with anxiety and depression in a college sample. The subject group focused on seniors in the Spit for Science data set which incorporated a total of 821 students. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) to estimate the overall metabolic equivalents (MET’s) each student spent in walking, moderate, or vigorous activity levels in the previous week. Sum scores were used to measure depression and anxiety. Overall,the …
The Effects Of Pet Ownership On Anxiety And Depression Among Trauma-Exposed College Students, Dung N. Nguyentran, Marlene A. Michniak, James J. Jung, Christine Q. Do
The Effects Of Pet Ownership On Anxiety And Depression Among Trauma-Exposed College Students, Dung N. Nguyentran, Marlene A. Michniak, James J. Jung, Christine Q. Do
UROP Posters
Rates of anxiety and depression are prevalent in college students and can be attributed in part to stress and trauma-related events. However, studies suggest that pet ownership has the possibility of alleviating symptoms of anxiety, depression, negative emotions, and suicide. The purpose of this study was to determine the relationship between pet ownership and levels of anxiety and depression among those who have experienced a traumatic event. The sample was comprised of five hundred and forty-seven VCU students who completed an online survey from Spit for Science during their junior year. Linear regressions were performed to determine the nature and …
Expectations And Quality Of Life During The Antepartum And Postpartum Period, Mary Kathryn Adams
Expectations And Quality Of Life During The Antepartum And Postpartum Period, Mary Kathryn Adams
Dissertations
During pregnancy, women frequently anticipate birth and motherhood with unrealistic images and expectations which are formed by personal experience and society’s portrayal of motherhood (e.g., books and movies). How these expectations impact the postpartum period for women has not been well studied. However, research has identified a link between maternal expectations, reality, and negative emotional responses. When expectations are met, the experience of motherhood may be a positive one. However, when these expectations are not met, the potential for negative emotional responses may be greater. The postpartum period is a significant period of adjustment, and depression occurs in about 13%–19% …
The Use Of Cognitive Behavior Group Therapy To Reduce Maladaptive Perfectionism And Improve Cognitive Flexibility In Anxious Latino Youth, Jeremy Tyler Ms
The Use Of Cognitive Behavior Group Therapy To Reduce Maladaptive Perfectionism And Improve Cognitive Flexibility In Anxious Latino Youth, Jeremy Tyler Ms
PCOM Psychology Dissertations
Cognitive behavior group therapy (CBGT) is an empirically supported treatment for anxiety disorders in adolescents. However, research on anxiety and related constructs is lacking within a Latino population of adolescents. Not all adolescents receiving CBGT for anxiety show clinically significant improvements, thus research is needed to identify treatment outcome predictors. Maladaptive perfectionism, including those that are selforiented and socially prescribed, and cognitive flexibility are two constructs that may be related to anxiety from a cognitive perspective. Maladaptive perfectionism and cognitive flexibility deficits have been consistently linked to a host of psychiatric problems in adults and adolescents. The purpose of this …
Understanding The Relationships Among Students' Goal Orientations, Self-Efficacy, Anxiety, And Accelerated Academic Success In The Redesign Of Developmental Mathematics, Kelly Ann Hogan
Walden Dissertations and Doctoral Studies
The low success rates of increasing numbers of underprepared students taking developmental mathematics classes 'often minority and economically disadvantaged' are challenging community colleges across the United States. These students, who must start in the lowest levels of precollege mathematics courses, are unlikely to pass the first course and earn a credential. Using a mastery goal orientation theoretical framework, a quantitative, survey research design was used to ascertain any correlations between students' goal orientations, self-efficacy, test anxiety, and success in a new model of learning. Survey data were used to answer 3 research questions: (a) the relationship between success and students' …
Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega
Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega
Walden Dissertations and Doctoral Studies
Evidence-Based Alternative Therapy to Reduce Anxiety in Ambulatory Mental Health Patients
by
Renee Denobrega
MS, Widener University, 2013
BS, Alvernia University, 2007
Project Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University
January 2016
Daily Hassles Among College Students: The Role Of Spirituality On Risky Behaviors And Emotional Distress Indices, Kristen N. Campbell
Daily Hassles Among College Students: The Role Of Spirituality On Risky Behaviors And Emotional Distress Indices, Kristen N. Campbell
College of Graduate Studies: Theses & Dissertations
Stressful life events are correlated with a higher likelihood of engaging in maladaptive coping techniques (Boden et al., 2014; Kohn, Lafreniere, & Gurevich, 1990; Park, Armell, & Tennen, 2004). One type of maladaptive coping technique is engagement in risky behaviors (e.g., high-risk sports, risky sexual behaviors, illicit drug use; Fromme, Katz, & Rivet, 1997). College students are at an increased risk of engaging in these behaviors. Research demonstrates that stressful life events are also correlated with higher levels of depression and anxiety (Kohn, Lafreniere, & Gurevich, 1990). As college students are exposed to a more stressful environment, they are at …
Mindfulness Behavior And Its Effects On Anxiety, Mary Mayorga, Sabina De Vries, Elizabeth Ann Wardle
Mindfulness Behavior And Its Effects On Anxiety, Mary Mayorga, Sabina De Vries, Elizabeth Ann Wardle
Counseling and Guidance Faculty Publications (Archived)
A quasi experimental study was conducted at a South West State University counseling program to investigate if using meditation techniques would lower levels of anxiety and create mindfulness attention awareness among counseling students enrolled in a counseling skills course, taught in a masters-level counseling program. A total of 29 students were recruited from three counseling skills courses, two of which were included in the treatment condition and one was designated as the control condition. Students in the treatment condition were instructed in one pointed breathing meditation and it was practiced for five minutes at the beginning of each class. The …
You've Got A Friend In Me: The Effects Of Peer Mentoring On The First Year Experience For Undergraduate Students, Naoise Webb, Damian Cox, Aiden Carthy
You've Got A Friend In Me: The Effects Of Peer Mentoring On The First Year Experience For Undergraduate Students, Naoise Webb, Damian Cox, Aiden Carthy
Student Success
The current study aimed to explore the effects of peer mentoring on perceived levels of academic anxiety for a sample of first year Irish undergraduate students. This study employed a structured self-report questionnaire to collect data from participants (n=156) from four subject backgrounds; horticulture, business, engineering and computing. Participants were assigned to student mentors from senior cycles in the college in a peer mentoring programme. Participants completed a questionnaire at the culmination of the programme which was designed to investigate students’ reported levels of anxiety, difficulty settling in and their appreciation of the mentoring programme. Results indicated that difficulty in …
Depression And Anxiety: A Snapshot Of The Situation In Pakistan, Bilaal Ahmed, Syed Faaiz Enam, Zafar Iqbal, Ghulam Murtaza, Shahid Bashir
Depression And Anxiety: A Snapshot Of The Situation In Pakistan, Bilaal Ahmed, Syed Faaiz Enam, Zafar Iqbal, Ghulam Murtaza, Shahid Bashir
Medical College Documents
Background: Depression is a great cause of morbidity around the world. Not one person seems to escape the hollow dread that the disease can bring forth.
Aims: Although living in a large extended family which serves as a social support is common in Pakistan, why we still suffer from anxiety and depression just as often if not more than those in other countries?
Method: We checked studies conducted in different localities of Pakistan over the past 10 years to find prevalence values of anxiety and depression. Results: The values of anxiety and depression ranging from 22% to as high as …
Factors Influencing Resilience Among Haematological Cancer Survivors, Katherine S. Gallager
Factors Influencing Resilience Among Haematological Cancer Survivors, Katherine S. Gallager
Theses: Doctorates and Masters
Haematological cancers in bone marrow (leukaemia) and the immune system (lymphomas or myeloma) represent the sixth most common adult tumour group in Australia. These cancers often develop without warning and require intensive treatment regimes that last on average eight months, but may continue for a lifetime depending on the diagnosis. Encouragingly, advancing cancer treatments, a key accomplishment of cancer research over the past 40 years, have resulted in a growing community of cancer survivors. Approximately two in three adults diagnosed with haematological cancer (HC) can now expect to survive more than five years. However, they must attempt to navigate the …
Exercise Improves Physical Function And Mental Health Of Brain Cancer Survivors: Two Exploratory Case Studies, Gregory T. Levin, Kenneth M. Greenwood, Favil Singh, Daphne Tsoi, Robert U. Newton
Exercise Improves Physical Function And Mental Health Of Brain Cancer Survivors: Two Exploratory Case Studies, Gregory T. Levin, Kenneth M. Greenwood, Favil Singh, Daphne Tsoi, Robert U. Newton
Research outputs 2014 to 2021
Background
Malignant brain tumors are unpredictable and incurable, with 5-year survival rates less than 30%. The poor prognosis combined with intensive treatment necessitates the inclusion of complementary and supportive therapies that optimize quality of life and reduce treatment-related declines in health. Exercise therapy has been shown to be beneficial in other cancer populations, but no evidence is available for brain cancer survivors. Therefore, we report results from 2 preliminary cases.
Methods
Two female patients diagnosed with glioblastoma multiforme and oligodendroglioma participated in a structured and supervised 12-week exercise program. The program consisted of two 1-hour resistance and aerobic exercise sessions …
A Resiliency Perspective Of The Lived Experience Of Parenting Infants And Young Children With Cystic Fibrosis In The Context Of Early Lung Disease Surveillance, Cindy Branch-Smith
A Resiliency Perspective Of The Lived Experience Of Parenting Infants And Young Children With Cystic Fibrosis In The Context Of Early Lung Disease Surveillance, Cindy Branch-Smith
Theses: Doctorates and Masters
Scientific and technological advances over the past few decades have contributed to an exponential increase in life expectancy for infants born with cystic fibrosis (CF), which can cause fatal lung disease. There has been a paradigmatic shift from reactive treatment towards early disease detection and aggressive intervention of paediatric CF. Previous research has investigated parents’ experiences of the diagnosis phase and later life stages such as adolescence and transition to adulthood. Less is understood about the experience of parenting infants and young children with CF, and no research addresses this during early surveillance for CF lung disease. Early surveillance is …
An Investigation Of The Generalizability Of Buoyancy From Academics To Athletics, Jackie Rae Victoriano
An Investigation Of The Generalizability Of Buoyancy From Academics To Athletics, Jackie Rae Victoriano
LSU Master's Theses
Buoyancy, the ability of an individual to handle everyday setbacks, has been applied successfully to academics, and has implications for performance and well-being. The purpose of this investigation was to determine if the concept of buoyancy can be successfully applied to the domain of sports (i.e., athletic buoyancy). This study sought to examine the relationship between academic and athletic buoyancy, as well as the efficacy of five sport-oriented predictors (5Cs), confidence, coordination (planning), commitment, composure (anxiety), and control, on both athletic and academic buoyancy. Sport club athletes (N = 285) aged 18 to 31 years completed a one-time survey assessing …
Individuals With Dementia In Respite Care: Longitudinal Changes In Anxiety, Social Engagement, And Problem Behaviors, Rachael Elizabeth Mills
Individuals With Dementia In Respite Care: Longitudinal Changes In Anxiety, Social Engagement, And Problem Behaviors, Rachael Elizabeth Mills
LSU Master's Theses
Individuals with Alzheimer’s disease (AD) and dementia commonly referred to as persons with dementia (PWD), often experience behavioral and psychological symptoms as a result of the disease process. With no cure for AD and no way to prevent the onset of this disease, studies are analyzing methods to manage the symptoms of this disease. Previous literature on the effect of social adult day models is limited, especially pertaining to particular symptoms linked to this disease. This study explored three presenting symptoms associated with AD: anxiety, problem behaviors, and social engagement. Using a secondary data analysis, a sample of 30 participants …
Control, Care, And Stress: Parenting's Effect On Child Internalizing Symptoms, Maysa Kaskas
Control, Care, And Stress: Parenting's Effect On Child Internalizing Symptoms, Maysa Kaskas
LSU Master's Theses
Theoretical models of childhood psychopathology suggest that the parent-child relationship serves an influential role in the development and maintenance of internalizing disorders such as anxiety and depression. However, there is a great deal of inconsistency in the research literature on the predictive power of parenting variables such as parental control and parental care. Furthermore, these parenting variables are often poorly defined and inconsistently operationalized across studies, hampering interpretation of results and limiting conclusions on the strength of the effect. Additionally, few studies have examined the role of parenting with careful attention to moderators. In order to investigate these problems, 189 …
The Happy Older Latinos Are Active (Hola) Health Promotion And Prevention Study: Study Protocol For A Pilot Randomized Controlled Trial, Daniel E. Jimenez, Charles F. Reynolds, Margarita Alegría, Philip Harvey, Stephen Bartels
The Happy Older Latinos Are Active (Hola) Health Promotion And Prevention Study: Study Protocol For A Pilot Randomized Controlled Trial, Daniel E. Jimenez, Charles F. Reynolds, Margarita Alegría, Philip Harvey, Stephen Bartels
Dartmouth Scholarship
Results of previous studies attest to the greater illness burden of common mental disorders (anxiety and depression) in older Latinos and the need for developing preventive interventions that are effective, acceptable, and scalable. Happy Older Latinos are Active (HOLA) is a newly developed intervention that uses a community health worker (CHW) to lead a health promotion program in order to prevent common mental disorders among at-risk older Latinos. This pilot study tests the feasibility and acceptability of delivering HOLA to older, at-risk Latinos.
Methods/Design: HOLA is a multi-component, health promotion intervention funded by the National Institute of Mental Health (NIMH). …
Anxiety, Uncertainty, Distress Tolerance, And Eating Disorder Symptoms As Related To Non-Suicidal Self-Injury In Young Adults, Mandi L. Martin
Anxiety, Uncertainty, Distress Tolerance, And Eating Disorder Symptoms As Related To Non-Suicidal Self-Injury In Young Adults, Mandi L. Martin
Mahurin Honors College Capstone Experience/Thesis Projects
Adolescents and college-aged individuals are particularly at risk for non-suicidal self-injury (NSSI) and eating disorders. Research is lacking regarding the cognitive and emotional factors behind the formation and maintenance of both types of pathology. This study examines anxiety, intolerance to uncertainty (IU), and distress tolerance in relation to both constructs in two separate samples (Sample 1: n=364, 58.5% freshmen, 75.8% female; Sample 2: n=156, 52.6% freshman, 66.0% female) with 32.4% and 40% reporting any history of NSSI, respectively. Participants completed a packet of questionnaires regarding the variables of interest and were debriefed and referred as necessary. In the first sample, …
The Effects Of Mindfulness On Affect And Substance Use, Alicia D. Carter
The Effects Of Mindfulness On Affect And Substance Use, Alicia D. Carter
Honors College Theses
Previous studies have explored the impact of mindfulness on Big 5 personality traits, personality disorders, suicidal ideation, and alcohol use; additionally, mindfulness-based interventions (MBIs) have been used to treat individuals suffering from depression and anxiety. However, the practical application of mindfulness has been complicated by contradictory findings in the literature and inconsistent conceptualizations of the construct. The current study sought to investigate potential relationships between types of mindfulness, facets of mindfulness, substance use, and affect. Participants completed a battery of questionnaires related to mindfulness, correlates of neuroticism (i.e., depression, anxiety, and subjective happiness), and drinking-related consequences. Correlational analyses revealed significant …
The Effect Of Bereavement Counseling On Women With Psychological Problems Associated With Late Pregnancy Loss, Christy Simpson, Pramila Lee, Jessie Lionel
The Effect Of Bereavement Counseling On Women With Psychological Problems Associated With Late Pregnancy Loss, Christy Simpson, Pramila Lee, Jessie Lionel
Journal of Asian Midwives (JAM)
Pregnancy is most often a joyful experience and a woman’s plans and dreams are shattered when the death of an unborn or newborn infant occurs. Studies have reported that these women experience psychological problems such as grief, depression, and anxiety which can be minimized by counselling. Hence, this study was undertaken to assess the effect of bereavement counseling on women with psychological problems associated with pregnancy, focusing on Roy’s adaptation theory. An experimental design, with pre-test and post-test, was used with randomly allocated experimental and control groups. Women were randomly allocated to the experimental and control groups with 45 women …
An Examination Of The Relationship Between Psychological Distress And Risky Sexual Behaviors Among A Treatment-Seeking Opioid-Dependent Population, Hayley M. Smith
An Examination Of The Relationship Between Psychological Distress And Risky Sexual Behaviors Among A Treatment-Seeking Opioid-Dependent Population, Hayley M. Smith
USC Aiken Psychology Theses
Substance abusing populations are at an increased risk for disease transmission and have higher rates of psychological comorbidity compared to the general population (e.g., Centers for Disease Control and Prevention [CDC], 2012a; Chaudhury & Singh, 2009; Des Jarlais, Semaan, & Arasteh, 2011; Goodwin & Stein, 2013). Numerous studies have implicated the interaction of psychological distress and risky sexual behaviors in the increased risk of disease transmission, however, several studies have not found this association. It has been suggested that there may be curvilinear relationship between psychological distress and risky sexual behaviors but this theory has yet to be tested. The …