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Articles 2311 - 2340 of 3223
Full-Text Articles in Entire DC Network
Synchrony And Concordance: A Multilevel Analysis Of The Effects Of Individual Differences During A Co2 Challenge, Rachel E. Wallace
Synchrony And Concordance: A Multilevel Analysis Of The Effects Of Individual Differences During A Co2 Challenge, Rachel E. Wallace
Theses and Dissertations
Emotion theories posit that emotion systems (e.g., behavior, self-report, physiology) should be related when an emotion is being elicited because this serves an adaptive purpose and allows the individual to respond appropriately to the present situation. Oftentimes, this coherent relationship is not found, and research has hypothesized that the type of analyses used and lack of examination of individual differences could be affecting this relationship. Most studies examine the relationship between emotion systems between-subjects when within-subjects analyses may be more appropriate. The present study examined the relationship between self-reported distress (SUDS) and heart rate, and whether trait differences of anxiety …
Relative Importance Of Anxiety And Motivational Variables In Predicting Language Achievement For College Learners Of Chinese, Qi Wang
Doctoral Dissertations
The growing worldwide enthusiasm in learning Chinese calls for more research on learner characteristics in Chinese classrooms to better inform teaching practice. Language anxiety, which falls under the umbrella of learner’s affect, is considered an important affective aspect that negatively influences language learning and acquisition. As research on language anxiety mainly focused on the learning of Western languages, this study constitutes an initial attempt to investigate anxiety in the learning of Chinese through the testing of a structural model. The purpose of the study was to examine the relative importance of language anxiety in predicting Chinese achievement when motivation, integrativeness, …
A Retrospective Chart Review On The Effects Of Cam On Pain And/Or Anxiety In The Oncology And Bone Marrow Transplant Population, Cherry Nelson
A Retrospective Chart Review On The Effects Of Cam On Pain And/Or Anxiety In The Oncology And Bone Marrow Transplant Population, Cherry Nelson
DNP Projects
PURPOSE: The purpose of this study was to promote integrative medicine by evaluating the efficacy of Complementary Alternative Medicines (CAM) on pain and/or anxiety reduction in the oncology and bone marrow transplant population. The four modalities of CAM were massage, Jin Shin Jyutsu (JSJ), aromatherapy and narrative medicine.
METHODS: The design was a single center retrospective chart review, focusing on medications for pain and anxiety, self-reported pain levels, self-reported anxiety levels, chronicity of pain and acuity of pain prior to and after the CAM modality/s implementation.
RESULTS: Due to the lack of electronic documentation of massage, aromatherapy and narrative medicine, …
Longitudinal Bidirectional Relations Between Subtypes Of Anxiety And Callous-Unemotional Traits In Early- To Mid-Adolescence, Stephanie A. Hitti
Longitudinal Bidirectional Relations Between Subtypes Of Anxiety And Callous-Unemotional Traits In Early- To Mid-Adolescence, Stephanie A. Hitti
Theses and Dissertations
Callous-Unemotional (CU) traits are characterized by limited empathy, lack of guilt or remorse, and callous use of others. They are a risk factor for adult psychopathy, especially when comorbid with conduct problems. Thus, efforts to identify risk factors and consequences of CU traits have been prominent. One construct that may act as both a risk factor for and consequence of CU traits among youth is anxiety. While the most consistent finding is in this literature is a negative relation between CU traits and anxiety, findings have been mixed. The present study examined bidirectional relations between three subtypes of anxiety (i.e. …
Impact Of Chemotherapy On Nicotine Dependence, Yasmin Alkhlaif
Impact Of Chemotherapy On Nicotine Dependence, Yasmin Alkhlaif
Theses and Dissertations
Although cigarette smoke has been implicated in a causal relationship with various types of cancers, around 62% of all cancer patients are current smokers, recent quitters, or former smokers. While most patients who are smokers are motivated to quit after cancer diagnosis, 25 -30% of these patients continue to smoke. Furthermore, most quitters relapse after 2-3 years of post-chemotherapy. This represents a major health concern since several clinical studies revealed that perpetuation of smoking in cancer populations attenuates patient's well-being and quality of life. Smoking may impair healing, attenuate the efficacy of chemotherapy, increase the disease complications and diminish survival …
Sticking To The Recipe: How Do Adherence And Differentiation To A Cbt Protocol Affect Client Outcomes In Youths With Anxiety?, Ruben G. Martinez
Sticking To The Recipe: How Do Adherence And Differentiation To A Cbt Protocol Affect Client Outcomes In Youths With Anxiety?, Ruben G. Martinez
Theses and Dissertations
Objective: Understanding the pathways through which treatments work to change symptom and diagnostic outcomes is important to the development and delivery of evidence-based treatments. This study assessed the extent to which adherence (therapist’s delivery of prescribed therapeutic interventions) and differentiation (therapist’s delivery of non-prescribed therapeutic interventions) to Coping Cat, a CBT program, affected client symptom and diagnostic outcomes. Method: The Therapy Process Observational Coding System for Child Psychotherapy – Revised Strategies Scale (McLeod et al., 2015) was used to characterize therapeutic interventions delivered within and outside of the Coping Cat program with youths aged 7-15 receiving treatment in one efficacy …
A Comparison Of Novice And Experienced Drivers With Autism Spectrum Disorder, Haley Johnson Bishop
A Comparison Of Novice And Experienced Drivers With Autism Spectrum Disorder, Haley Johnson Bishop
All ETDs from UAB
According to recent estimates, only 33% of individuals with Autism Spectrum Disorder (ASD) successfully achieve licensure compared to nearly 84% of the general population. Despite this decreased number of individuals driving in the ASD population and the importance of driving in increasing independence and quality of life, research in transportation safety among drivers with ASD is limited. Many of the impairments associated with ASD such as anxiety, processing speed and executive function may negatively impact driving performance. This study is among the first to objectively assess possible demographic, cognitive and simulated driving performance differences in individuals with ASD who are …
Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway
Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway
Antioch University Dissertations & Theses
Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …
Hysterectomy, Metaphor, And Voice: An Exploratory Study Of Surgery Experiences, Katherine M. Russell
Hysterectomy, Metaphor, And Voice: An Exploratory Study Of Surgery Experiences, Katherine M. Russell
Antioch University Dissertations & Theses
The experience of surgery may lead patients to form narratives that are dominated by medical terminology (Lapum, Angus, Peter, & Watt-Watson, 2010) rather than their own voice, or “capacity to speak on one’s own behalf, in terms that are not given by others” (Monk, Winslade, Crocket, & Epston, 1997, p. 306). In turn, patients may struggle to feel personally in control of their healing process. The subjective quality of metaphors can allow patients to articulate their surgery experience in a voice unique to them; facilitating patients’ sense of agency in the process of healing. In particular, women who have undergone …
Acceptance And Commitment Therapy As A Treatment For Anxiety And Depression: A Review, Michael P. Twohig, Michael E. Levin
Acceptance And Commitment Therapy As A Treatment For Anxiety And Depression: A Review, Michael P. Twohig, Michael E. Levin
Psychology Faculty Publications
Acceptance and commitment therapy (ACT) is a modern form of cognitive behavioral therapy based on a distinct philosophy (functional contextualism) and basic science of cognition (relational frame theory). This article reviews the core features of ACT’s theoretical model of psychopathology and treatment as well as its therapeutic approach. It then provides a systematic review of randomized controlled trials (RCTs) evaluating ACT for depression and anxiety disorders. Summarizing across a total of 36 RCTs, ACT appears to be more efficacious than waitlist conditions and treatment-as-usual, with largely equivalent effects relative to traditional cognitive behavioral therapy. Evidence from several trials also indicate …
Examining The Role Of Different Types Of Pressure In Math Anxiety And Math Performance, Kenneth C.E. Hammett
Examining The Role Of Different Types Of Pressure In Math Anxiety And Math Performance, Kenneth C.E. Hammett
Theses
Math anxiety can negatively impact individuals’ performance on math tasks, especially those tasks with high working memory demands. Individuals who are highly math anxious often avoid situations that involve performing math tasks. The level of anxiety experienced by individuals may be affected by different pressure situations. The present study examined the role of different types of pressure (speed, accuracy, or combination [speed + accuracy]) in math anxiety and math performance. Results indicated that experiencing anxiety during a math task has a negative impact on math performance. Results also indicated that speed pressure might be more detrimental to math performance than …
Examining Anxiety Schemas Through The Context Of A Stress-Intrapersonal Model, Kayla M. Leleux-Labarge
Examining Anxiety Schemas Through The Context Of A Stress-Intrapersonal Model, Kayla M. Leleux-Labarge
College of Graduate Studies: Theses & Dissertations
Explicating vulnerability factors to anxiety difficulties is important as the National Comorbidity Study (NCS) lists anxiety as the most common and costly class of mental health disorders in the United States. Maladaptive schemas, as theorized by Young (1990), perpetuate anxiety pathology by hindering the individual’s ability to alter behaviors, thoughts, emotions, and overall approach to adverse events. Previous research indicates that intrapersonal resources can stymie the development of psychopathological features, even in the context of adverse life events (Floyd, Seltzer, Greenberg, & Song, 2013). The main purpose of the current study was to explore the relationship among adverse life events …
Student-Athlete Perception Of Coaching Leadership Behaviors’ Influence On Mental Health Symptoms Associated With Anxiety, Depression, Suicidality, And Substance Abuse, Joan E. Thurston
UNF Graduate Theses and Dissertations
Abstract
Student-athletes are viewed as the epitome of health due to their physical appearance and talent set; however, it is their psychological health that needs significant attention (Etzel, 2006). Psychosocial stressors such as the pressures and demands of being a student and athlete as well as the demands and expectations of the coach have significant impact on the student-athlete’s mental health and well-being (Beauchemin, 2014; Cleary et al., 2011; Lafrenière et al., 2011; Mageau & Vallerand, 2003; Watson, 2005). The purpose of this research is to investigate any correlation between student-athletes’ perceptions of coaching leadership behaviors and the symptoms associated …
Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere
Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere
UNF Graduate Theses and Dissertations
This study explores whether the observed effects of coloring on anxiety and stress apply to the elderly. Two coloring activities were administered to elderly participants to evaluate the effects on stress, anxiety, and working memory. The Mini Mental State Examination was used to establish cognitive level. The Perceived Stress Scale and Brief State Trait Anxiety Inventory were administered to obtain pretest and posttest scores on stress and anxiety levels. Working memory was measured using the Backward Digit Recall to test if the potential calming effects improve working memory. A near significant increase in stress scores was demonstrated in the mandala …
Loneliness And Student Health: Replication And Exploratory Analysis, John Copeland
Loneliness And Student Health: Replication And Exploratory Analysis, John Copeland
UNF Graduate Theses and Dissertations
Loneliness occurs in the absence of belonging or social connectedness and has been linked to many physical and mental health problems. Among these conditions are depression, anxiety, sleep disturbance, and stress. College students report these four conditions as the largest barriers to good academic performance. For as much is known about loneliness, much less is known about belonging and health or the role loneliness plays in these relationships prompting a need for investigation. Using a sample of 301 university students, we replicated previous findings that loneliness predicts depression, anxiety, sleep disturbance, and stress. Next we replicated and contributed new findings …
Using Music Intervention To Reduce Anxiety And Agitation For Dementia Residents In Long Term Setting, Sonia Brown
Using Music Intervention To Reduce Anxiety And Agitation For Dementia Residents In Long Term Setting, Sonia Brown
Walden Dissertations and Doctoral Studies
Abstract
Dementia is one of the degenerative conditions that present in old age with a decline in cognitive function resulting in changes in personality and the ability to carry out activities of daily living and social functions. Dementia is usually associated with behavioral disturbances that include anxiety and agitation that pose a challenge for family members or caregivers in an alternate home or care-related facility. The purpose of this project was to design and implement a quality improvement program to evaluate music therapy intervention for residents in a long-term care who have dementia. The aim was to evaluate if music …
Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis
Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis
Walden Dissertations and Doctoral Studies
Mixed findings in the research on mental health issues in the lesbian community have resulted in conflicting conclusions as to whether the prevalence rate of generalized anxiety disorders and depression in the lesbian population differs from that of non-lesbians. The variability of findings may be due to factors such as discrimination, coming-out, and self-esteem. Using the minority stress model a framework, the purpose of this quantitative survey study was to examine whether perceptions of discrimination, coming-out, and self-esteem levels predict lesbians' anxiety and depression. Participants anonymously completed online measures of the Outness Inventory, the Schedule of Sexually Discriminatory Events, the …
The Mobius Strip Of Total Health: Manipulation Of Thinking Prior To Exercise Activity, Joseph A. Schenk
The Mobius Strip Of Total Health: Manipulation Of Thinking Prior To Exercise Activity, Joseph A. Schenk
Honors College Theses
Research shows mental and physical health are interdependent. We sought to test various methods of external motivation to effect change in the physical performance and mental health of students enrolled in walking classes. We hypothesized that if there was a correlation between physical exercise and mental health and we could motivate individuals to exercise, then that motivation would in turn result in better mental health. Participants, 19 in the pilot and 320 in the main study, were randomly assigned into three groups to receive messages prior to conducting physical activity: those who received neutral messages about exercise, those who received …
The Effect Of Cbt National Examination Policy In Terms Of Senior High School Students' Cognitive Readiness And Anxiety Facing Mathematics Tests In Diy Province, Eny Sulistyaningsih, Sugiman Sugiman
The Effect Of Cbt National Examination Policy In Terms Of Senior High School Students' Cognitive Readiness And Anxiety Facing Mathematics Tests In Diy Province, Eny Sulistyaningsih, Sugiman Sugiman
Jurnal Riset Pendidikan Matematika
The purpose of this study was to determine the influence of CBT and PBT national examination in terms of students' cognitive readiness and anxiety facing mathematics national examination in DIY province, the influence of major in terms of students' cognitive readiness and anxiety facing mathematics national examination in DIY Province, and the interaction between national examination and major. This research was descriptive explorative and the method was ex-post facto. The population was all of natural and social science high school students in grade XII in DIY province. The number of sample used was 654 students The results showed that there …
Anxiety And Differences In Physiological Responding To Ambiguous Situational Vignettes In Adolescents, Donice M. Banks
Anxiety And Differences In Physiological Responding To Ambiguous Situational Vignettes In Adolescents, Donice M. Banks
LSU New Orleans Theses and Dissertations
Research has documented a tendency among youth to have biased interpretations of ambiguous information. For example, anxious youth are more likely to interpret ambiguous situations as negative or threatening (e.g., Cannon & Weems, 2010). Similarly, when interpreting social cues, aggressive youth exhibit hostile attribution biases more often than non-aggressive youth in response to ambiguous situations (e.g., Crick & Dodge, 1996). Research suggests that youth with anxiety and aggression exhibit differential physiological reactivity in response to threat. However, research has yet to examine the linkages amongst physiological reactivity to ambiguous situations, anxiety, and aggression in adolescents. The current study had several …
Self Hypnosis For School Success: Empowering Adolescents With Anxiety And Stress, Nilani Shankar
Self Hypnosis For School Success: Empowering Adolescents With Anxiety And Stress, Nilani Shankar
Doctoral Dissertations
Self-hypnosis is a treatment that has been utilized to address the social-emotional concerns of adolescents with high levels of anxiety and stress. In this study, a multiple baseline design across three high school-aged participants was implemented to examine whether self-hypnosis could decrease symptoms of anxiety and stress and help to improve health-related quality of life (HRQoL). The results of the study indicated that the treatment resulted in decreases in trait and state anxiety for two out of three participants, improvements in stress levels for two out of three participants, and improvements in HRQoL for all three participants. Participants reported that …
Mindfulness In Education: A Literary Analysis And Program Proposal, Halle Graham
Mindfulness In Education: A Literary Analysis And Program Proposal, Halle Graham
Honors Theses
The purpose of this work is to understand the potential impact of introducing mindfulness meditation and other contemplative practices to the United States Public Education System. Broken into two main components, the first section of this work is a literary analysis. Relevant studies on mental health in children and adolescents are analyzed in order to understand the state of mental wellbeing among the sample group. Research studies on integrating mindfulness into institutions (public and private schools, children’s summer camps) are also evaluated in order to understand the applications of mindfulness practices in terms of children and adolescents. Overall, the research …
The Effect Of Film Score On Emotion And Self-Talk, Angela Nanette Davis
The Effect Of Film Score On Emotion And Self-Talk, Angela Nanette Davis
Open Access Theses
The purpose of this study was to first assess the effect of film score on affect in healthy young adults. Second, the study examined the subsequent effect of mood change on self-talk in relation to a stressor. Participants were 131 University of Miami undergraduate students between the ages of 18 and 24 who were not musicians, recruited from all departments of study, excluding the Frost School of Music. Each participant completed a mood assessment, resulting in both a PASS (positive) and Dysphoria (negative) score, prior to one of three mood induction conditions: negative film score, positive film score, and control. …
A Qualitative Examination Of Women's Self-Presentation And Social Physique Anxiety During Injury Rehabilitation, Molly V. Driediger, Carly D. Mckay, Craig R. Hall, Paul S. Echlin
A Qualitative Examination Of Women's Self-Presentation And Social Physique Anxiety During Injury Rehabilitation, Molly V. Driediger, Carly D. Mckay, Craig R. Hall, Paul S. Echlin
Paediatrics Publications
Objective To understand women's self-presentation experiences in the rehabilitation setting, and their attitudes and preferences toward the social and physical features of the rehabilitation environment. Design Qualitative study. Setting Outpatient physiotherapy clinic. Participants Ten women (age 18 to 64) with high social physique anxiety (Social Physique Anxiety Scale score ≥25) referred for physiotherapy following acute injury. Main outcome measures Semi-structured interviews were conducted prior to commencement of treatment, and again after a third treatment session. Results Participants experienced extensive self-presentational concerns that were intensified due to the nature of the physiotherapy environment. The women reported that their self-presentational anxiety did …
An Online Mental Health And Wellness Intervention Supplementing Standard Care Of Depression And Anxiety, Brian Ahmedani, Terri Belville-Robertson, Abigail Hirsch, Anthony Jurayj
An Online Mental Health And Wellness Intervention Supplementing Standard Care Of Depression And Anxiety, Brian Ahmedani, Terri Belville-Robertson, Abigail Hirsch, Anthony Jurayj
Center for Health Policy and Health Services Research Articles
Online interventions offer benefits, but often have not been tested in studies. The aim was to study feasibility, acceptability, and preliminary effectiveness of an online intervention supplementing standard care of depression and anxiety. The study was conducted within a large healthcare system. Three primary care and four behavioral health providers recruited 96 participants. Overall, 91% (n=87) agreed to participate, while 43% (n=41) completed registration and 27% (n=26) logged into the intervention multiple times. Participants referred by behavioral health demonstrated greater involvement. Reductions in depression and anxiety were observed. Most providers were satisfied with the intervention. This study supports future research.
The Effect Of Melatonin Upon Post-Acute Withdrawal Among Males In A Residential Treatment Program (M-Paws): A Randomized, Double-Blind, Placebo Controlled Trial, Corry D. Bondi
Electronic Theses and Dissertations
The study goal was to assess melatonin as an adjuvant treatment along with current pharmaco- and behavioral therapy for 28 days on weekly self-reported severity of anxiety, depression, stress, and sleep complaints as well as how sleep is affecting daily life in a sample of males in recovery from chemical dependency at a single, residential treatment site, Salvation Army Harbor Light Center in Pittsburgh, PA. This study was a single-center, randomized, double-blind, placebo-controlled, parallel group trial of 28 days. Participants were randomized to melatonin (5 mg) or placebo and instructed to administer the intervention nightly at bedtime. Primary self-reported outcome …
Attachment Styles And Trust Propensity In Females With Borderline Personality Disorder, Jacob Matthew White
Attachment Styles And Trust Propensity In Females With Borderline Personality Disorder, Jacob Matthew White
Graduate Theses and Dissertations
Borderline Personality Disorder (BPD) is one of the most frequently encountered and complex disorders in mental health care. Interpersonal impairment is a central issue for individuals with BPD. This complex disorder has received negative stigma along with historically more females than males receiving this diagnosis (Linehan, 1993). Therefore, this study examined a clinical sample of 30 females diagnosed with BPD. Through the collection of data this study used the following measures: a basic demographic questionnaire gathering specific age, ethnicity, current relationship status, parental relationship status, the Experiences in Close Relationships Scale (ECR; Brennan, Clark & Shaver, 1998), and the Propensity …
Mind And Body Training To Improve Functioning And Coping With Chronic Pain: A Pilot Study, Olga Valieva, Leah M. Welsh, Betty Amuzu, Niraj Nijhawan, Jessica J.F. Kram
Mind And Body Training To Improve Functioning And Coping With Chronic Pain: A Pilot Study, Olga Valieva, Leah M. Welsh, Betty Amuzu, Niraj Nijhawan, Jessica J.F. Kram
Journal of Patient-Centered Research and Reviews
Background: Patients with chronic pain are often crippled by psychological distress, depression and fear. These patients also can develop altered pain perception, with enhanced brain activity in pain-responsive regions and those associated with anxiety/depression. Exercise and meditation can impact pain-reducing brain areas and positively influence pain characteristics.
Purpose: To alter pain center activity by reducing the activation of the higher brain and deactivation of the lower brain with somatocognitive and meditative practices, with secondary aim of reducing anxiety/depression and improve overall quality of life.
Methods: We conducted a pilot study on mentally competent adult women with stable chronic pain who …
Caloric Restriction Preserves Memory And Reduces Anxiety Of Aging Mice With Early Enhancement Of Neurovascular Functions, Ishita Parikh, Janet Guo, Kai-Hsiang Chuang, Yu Zhong, Ralf G. Rempe, Jared D. Hoffman, Rachel Armstrong, Björn Bauer, Anika M. S. Hartz, Ai-Ling Lin
Caloric Restriction Preserves Memory And Reduces Anxiety Of Aging Mice With Early Enhancement Of Neurovascular Functions, Ishita Parikh, Janet Guo, Kai-Hsiang Chuang, Yu Zhong, Ralf G. Rempe, Jared D. Hoffman, Rachel Armstrong, Björn Bauer, Anika M. S. Hartz, Ai-Ling Lin
Sanders-Brown Center on Aging Faculty Publications
Neurovascular integrity plays an important role in protecting cognitive and mental health in aging. Lifestyle interventions that sustain neurovascular integrity may thus be critical on preserving brain functions in aging and reducing the risk for age-related neurodegenerative disorders. Here we show that caloric restriction (CR) had an early effect on neurovascular enhancements, and played a critical role in preserving vascular, cognitive and mental health in aging. In particular, we found that CR significantly enhanced cerebral blood flow (CBF) and blood-brain barrier function in young mice at 5-6 months of age. The neurovascular enhancements were associated with reduced mammalian target of …
The Serotonin Transporter Promoter Polymorphism Moderates The Continuity Of Behavioral Inhibition In Early Childhood., Victoria C Johnson, Katie R Kryski, Haroon I Sheikh, Heather J Smith, Shiva M Singh, Elizabeth P Hayden
The Serotonin Transporter Promoter Polymorphism Moderates The Continuity Of Behavioral Inhibition In Early Childhood., Victoria C Johnson, Katie R Kryski, Haroon I Sheikh, Heather J Smith, Shiva M Singh, Elizabeth P Hayden
Brain and Mind Institute Researchers' Publications
Persistently elevated behavioral inhibition (BI) in children is a marker of vulnerability to psychopathology. However, little research has considered the joint influences of caregiver and child factors that may moderate the continuity of BI in early childhood, particularly genetic variants that may serve as markers of biological plasticity, such as the serotonin transporter linked polymorphic region (5-HTTLPR). We explored this issue in 371 preschoolers and their caregivers, examining whether parent characteristics (i.e., overinvolvement or anxiety disorder) and child 5-HTTLPR influenced the continuity of BI between ages 3 and 5. Measures were observational ratings of child BI, observational and questionnaire measures …