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Mental Health Of Medical Students Regarding The Covid-19 Pandemic, Parth Patel, Richard Jermyn, Arvind Venkataraman May 2023

Mental Health Of Medical Students Regarding The Covid-19 Pandemic, Parth Patel, Richard Jermyn, Arvind Venkataraman

Rowan-Virtua Research Day

Mental health has taken a global priority as more realize that it is just as important as physical health in the overall health of a person. Medical students have faced mental health issues for decades and have been shown to suffer more than the general population. The recent COVID-19 pandemic has only deteriorated this issue. Many primary databases such as PubMed were used. The results indicate that medical students have extremely high rates of depression, burnout, anxiety, and stress that can affect their education but also carry over into their professions. Although many interventions increase mental wellness in medical school, …


The Potential Of Using Dance/Movement Therapy In Treating Depression In The Adult Population In Thailand: A Literature Review, Vararom Tavivoradilok May 2023

The Potential Of Using Dance/Movement Therapy In Treating Depression In The Adult Population In Thailand: A Literature Review, Vararom Tavivoradilok

Expressive Therapies Capstone Theses

Depression is becoming increasingly prevalent in Thailand, and while many depressive symptoms manifest through the physical body, there are few treatments for depression in Thailand that involve the physical body. Previous research suggests that Dance Movement Therapy (DMT) can effectively treat depression by incorporating the physical body and individuals’ embodied feelings into the treatment process. This literature review aims to explore the potential of incorporating DMT into the treatment for depression in the adult population in Thailand, by reviewing literature about DMT practice for depression and existing treatments for depression in Thailand. The findings suggest that while physical body incorporation …


Self‑Objectification During The Perinatal Period: The Role Of Body Surveillance In Maternal And Infant Wellbeing, Lauren M. Laifer, Olivia R. Maras, Gemma Sáez, Sarah Gervais, Rebecca L. Brock May 2023

Self‑Objectification During The Perinatal Period: The Role Of Body Surveillance In Maternal And Infant Wellbeing, Lauren M. Laifer, Olivia R. Maras, Gemma Sáez, Sarah Gervais, Rebecca L. Brock

Department of Psychology: Faculty Publications

Pregnancy represents a unique time during which women’s bodies undergo significant physical changes (e.g., expanding belly, larger breasts, weight gain) that can elicit increased objectification. Experiences of objectification set the stage for women to view themselves as sexual objects (i.e., self-objectification) and are associated with adverse mental health outcomes. Although women may experience heightened self-objectification and behavioral consequences (such as body surveillance) due to the objectification of pregnant bodies in Western cultures, there are remarkably few studies examining objectification theory among women during the perinatal period. The present study investigated the impact of body surveillance, a consequence of self-objectification, on …


Improving Depression Screening Completion Rates For Medicare Patients In A Primary Care Setting, Kenneth J. Haluska May 2023

Improving Depression Screening Completion Rates For Medicare Patients In A Primary Care Setting, Kenneth J. Haluska

Evidence-Based Practice Project Reports

The United States Preventative Services Task Force recommends screening the general adult population for depression (Siu et al., 2016). Despite increasing clinical practice guidelines recommending depression screening, only 40-50% of depressed older adults are recognized and treated (Phoh et al., 2017). The purpose of this evidence-based practice (EBP) project was to implement a medical assistant (MA) depression screening protocol, using the PHQ-9 and staff education, to improve depression screening completion rates in Medicare patients in a primary care setting. An exhaustive literature search of eight databases yielded 14 pieces of evidence that made recommendations for best practice. The evidence was …


Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton May 2023

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …


Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton May 2023

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …


Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina May 2023

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …


Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton May 2023

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Undergraduate Theses and Capstone Projects

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …


Exploring The Connections Between Craving, Depression, Sleep & Alcohol Use In Emerging Adults, Katie Moskal May 2023

Exploring The Connections Between Craving, Depression, Sleep & Alcohol Use In Emerging Adults, Katie Moskal

Masters Theses & Specialist Projects

Alcohol use among emerging adults is a public health concern as it has been associated with negative consequences, such as accidental injury (Hingson et al., 2009). Given the negative consequences experienced for emerging adults, there is a need to identify factors contributing to alcohol use to determine ways to reduce these consequences. Poor sleep has been associated with higher alcohol-related consequences (Miller et al., 2016), and alcohol use has been associated with poor sleep (Goodhines, Gellis, Kim, et al., 2019), however there may be other factors contributing to this relationship, such as alcohol craving and depression. Higher alcohol craving has …


The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams May 2023

The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams

Undergraduate Honors Theses

Risky sexual behaviors (RSB) have the potential to negatively impact individuals by increasing the risk of mental health issues, sexually transmitted infections (STIs), and unwanted pregnancies. Adverse childhood experiences (ACEs) and mental health disorders, such as anxiety, PTSD, and depression, have been known to increase RSB. The purpose of this study was to see if these mental health disorders mediate the relationship between ACEs and RSB. Participants (n = 342, mean age = 32) were recruited through social media to complete an online questionnaire. While history of ACEs significantly predicted engagement in RSB as well as all three of the …


Psychometric Evaluation Of Phq–9 And Gad–7 Among Community Health Volunteers And Nurses/Midwives In Kenya Following A Nation-Wide Telephonic Survey, Sabina Odero, Paul Mwangi, Rachel Odhiambo, Brenda Nzioka, Constance Shumba, Eunice Ndirangu, Amina Abubakar May 2023

Psychometric Evaluation Of Phq–9 And Gad–7 Among Community Health Volunteers And Nurses/Midwives In Kenya Following A Nation-Wide Telephonic Survey, Sabina Odero, Paul Mwangi, Rachel Odhiambo, Brenda Nzioka, Constance Shumba, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Nurses/midwives and Community Health Volunteers (CHVs) are exposed to chronic stressors putting them at risk of developing mental health problems. This has been exacerbated by the COVID-19 pandemic. There is limited empirical evidence of the burden of mental health problems among health care workers partly due to the lack of adequately standardized and validated measures for use among health care workers in Sub-Saharan Africa. This study aimed to perform the psychometric evaluation of the PHQ-9 and GAD-7 administered to nurses/midwives and CHVs across 47 counties in Kenya.

Methods: Between June and November 2021, a national survey on mental well-being …


Prenatal Depression And Birth Complications: Comparisons By Race And Age Group, Kehari M. Guice May 2023

Prenatal Depression And Birth Complications: Comparisons By Race And Age Group, Kehari M. Guice

2023 Spring Honors Capstone Projects - Archive

Health disparities among Black childbearing women illustrate physical and mental health concerns. The current study compared prenatal depression (PND) rates and birth complications between Black adult and adolescent women and all age Black and White women. This was a comparative study using a secondary analysis of data previously collected from two separate Institutional Review Board (IRB) approved primary studies assessing the mental health of a diverse group of childbearing women. Findings indicated that among Black women, there was no significant difference by age for PND, t=.530 (84), p=.59. Significant findings, however, revealed a difference in reported PND between Black and …


The Contribution Of Self-Compassion To Anxiety And Mood In Daily Life, Yamini Pant May 2023

The Contribution Of Self-Compassion To Anxiety And Mood In Daily Life, Yamini Pant

Honors Scholar Theses

Self-compassion, the act of being kind and understanding towards oneself, has been shown to have positive impacts on mental health. Depression and anxiety are both common mental health disorders that can interfere with an individual’s ability to function in daily life. Several studies have shown that self-compassion correlates with depression and anxiety at a cross-sectional level and across longer periods of time (e.g., several months). In the present study, we examined the fluctuations and the directionality of self-compassion, depression, and anxiety on a day-to-day basis over the span of a week. We also examined the ways that worry and rumination …


The Influence Of Specific Diagnosis And Trait Self-Relevance On Positive And Negative Perceptions Of Individuals With A Mental Illness, Sabrina Lauren Stock May 2023

The Influence Of Specific Diagnosis And Trait Self-Relevance On Positive And Negative Perceptions Of Individuals With A Mental Illness, Sabrina Lauren Stock

Undergraduate Honors Thesis Collection

I investigated how participants perceived an individual with either depression, schizophrenia, or no disorder on negative and positive traits and then examined how these perceptions linked to desire for social distance (DSD), trait self-relevance, positive former contact with a person with mental health problems, and continuum beliefs. One-hundred-and-fifty undergraduates completed an online survey that described a vignette character with depression (VCWD), vignette character with schizophrenia (VCWS), or control character with no mental disorder (CC) and assessed participants’ perceptions of the character’s traits, DSD from the vignette character, perceptions of one’s own traits, and demographic characteristics. In general, the VCWD was …


Problematic Phone Use As An Emerging Risk To The Comorbidity Of Social Anxiety And Depression, Haley O'Dwyer May 2023

Problematic Phone Use As An Emerging Risk To The Comorbidity Of Social Anxiety And Depression, Haley O'Dwyer

Psychological Science Undergraduate Honors Theses

The co-occurrence of social anxiety disorder and major depressive disorder is among the most
prevalent of all mental health comorbidities. Social Anxiety has many negative effects on a
person’s life, including impaired functioning in a relationship or occupation. Depression greatly
affects individuals, making people feel low self-esteem among peers and feelings of isolation.
Developmental theories have begun to recognize that disengagement from social interaction is a
common feature of SAD and MDD and may play an important role in SAD/MDD comorbidity.
Problematic phone use is an emerging risk factor for the comorbidity of social anxiety and
depression. High social media …


Understanding The Role Of Emotion Regulation Tendencies In The Momentary Associations Between Negative Affect And Eating Disorder Behaviors., Coby D. Banet May 2023

Understanding The Role Of Emotion Regulation Tendencies In The Momentary Associations Between Negative Affect And Eating Disorder Behaviors., Coby D. Banet

College of Arts & Sciences Senior Theses

Background: Eating disorders (EDs) are becoming increasingly commonplace and are associated with a broad array of dangerous medical complications. Further, EDs frequently present alongside comorbid psychiatric disorders (e.g., depressive and anxiety-related disorders), which are known to both predict ED severity and reduce treatment efficacy. While diagnostic categorization persists, Fairburn et al.’s (1993) transdiagnostic model suggests EDs may be more closely related and maintained through core, shared symptoms. To assess ED maintenance, momentary triggers such as negative affect (NA) are becoming increasingly centralized. The present study examines the roles of depressive symptoms and worry in predicting and moderating the relationships among …


Personal Health Questionnaire-9 And Interventions In Adults, Grace Alford May 2023

Personal Health Questionnaire-9 And Interventions In Adults, Grace Alford

Masters Theses/Capstone Projects

This is an evaluation of the PHQ-9 depression screening and interventions in adults within an urban setting.


How Does Having A Pet During The Coronavirus-19 Pandemic Among University Students Affect Anxiety And Depression, Sugey Gonzalez-Escobedo, Jessica Morales Sanchez May 2023

How Does Having A Pet During The Coronavirus-19 Pandemic Among University Students Affect Anxiety And Depression, Sugey Gonzalez-Escobedo, Jessica Morales Sanchez

Electronic Theses, Projects, and Dissertations

This study examined whether having a pet among university and college students is associated with anxiety and depression during the Coronavirus-19 pandemic. A modified survey of a non-probability sample was conducted during a 5-month period during the Coronavirus-19 pandemic. A total of 115 students voluntarily participated and completed the survey. In the midst of the pandemic, students were forced to isolate themselves in their homes. This isolation may have caused anxiety and depression in students. However, a furry companion could have alleviated any anxiety/depression symptoms they may have endured during this time. This research contributes to the literature in regard …


The Impact Of Social Media Use On Social Isolation And Mental Health Among Young Adults, Mariana Romo May 2023

The Impact Of Social Media Use On Social Isolation And Mental Health Among Young Adults, Mariana Romo

Electronic Theses, Projects, and Dissertations

Social media use has become part of the everyday routines of society. It is very common to see people, especially young adults, be involved in more than one social media platform. It is also known that because of the features of social media less in-person interactions are required, which brings up the question of whether people feel more lonely or socially isolated with the increased use of social media platforms. Due to this increasing attachment to the use of social media and its possible relationship with social isolation and loneliness it is important to understand if there are any implications …


Covid-Induced Stress And Symptoms Of Anxiety And Depression In Undergraduate Students, Quenea Popoca, Christina Ngo May 2023

Covid-Induced Stress And Symptoms Of Anxiety And Depression In Undergraduate Students, Quenea Popoca, Christina Ngo

Electronic Theses, Projects, and Dissertations

The COVID-19 pandemic has had ramifications on the mental health of numerous vulnerable individuals. The aim of this study was to determine whether there is a relationship between COVID-19 induced stress and symptoms of anxiety and depression among undergraduate students. Embracing a quantitative design, this study surveyed 93 undergraduate students in major public universities in the western part of the United States (N = 93). Results from the nonparametric Mann-Whitney U Test revealed that there is no statistically significant relationship between COVID-19 induced stress and symptoms of anxiety and depression in undergraduate students (U = 734.500, p = .066 for …


Demographic And Clinical Variables Associated With Transcranial Magnetic Stimulation Response In Depression: A Growth Mixture Modeling Study, John William Capps May 2023

Demographic And Clinical Variables Associated With Transcranial Magnetic Stimulation Response In Depression: A Growth Mixture Modeling Study, John William Capps

Open Access Theses & Dissertations

Depression is a growing public health crisis impacting millions around the world. Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment for depression which has been FDA approved but the factors related to how well patients respond are still under investigation. The current study aimed to identify different treatment response patterns based on Patient Health Questionnaire (PHQ-9) scores over the course of transcranial magnetic stimulation (TMS) treatment for depression and to identify the differences between these response classes on demographic and clinical variables. A total of 285 patients from a psychiatric clinic were included with a sizable number of Hispanics and …


Finding Their "Why": Examining The Development Of Sense Of Purpose During The University Years And Its Role In Student Well-Being, Michael Q. King May 2023

Finding Their "Why": Examining The Development Of Sense Of Purpose During The University Years And Its Role In Student Well-Being, Michael Q. King

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Nearly 20 million students were expected to be enrolled for college or university studies during the 2020-2021 academic year. These institutions often advertise to prospective students that, in addition to advancing their education, they will discover their purpose. Given previous work and current interest in sense of purpose, additional attention on sense of purpose in the university setting is worthwhile. In addition, as many university stakeholders are concerned about an ongoing mental health crisis, a further examination into a developmental construct (i.e. sense of purpose) thought to provide a “sheltering fortress in a world of constant threat” seems …


American Women’S Experiences With Intimate Partner Violence During The Start Of The Covid-19 Pandemic: Risk Factors And Mental Health Implications, Debra L. Oswald, Astrida S. Kaugars, Mary Tait May 2023

American Women’S Experiences With Intimate Partner Violence During The Start Of The Covid-19 Pandemic: Risk Factors And Mental Health Implications, Debra L. Oswald, Astrida S. Kaugars, Mary Tait

Psychology Faculty Research and Publications

In an online survey, women self-reported high prevalence of intimate partner violence during the early days of the pandemic. Risk factors for experiencing intimate partner violence (IPV) included having a child under the age of 18, being a sexual minority, living in a rural community, and stressors related to healthcare access, income/employment stress, and COVID-19 exposure or illness. Women who worked during the pandemic and were older were less likely to experience IPV. Women who reported IPV also reported increased anxiety and depression. The results are discussed in terms of clinical and policy implications for supporting women who are victims …


Prevention Of Mental Health Problems In K-8 Students, Kaylee Bays May 2023

Prevention Of Mental Health Problems In K-8 Students, Kaylee Bays

Capstone Projects and Master's Theses

This senior capstone research examines the methods being used to prevent mental health problems in K-8 students. Research from Chandra and Minkovitz (2007) shows that due to the lack of knowledge, confidence, and resources, teachers and on-site staff are not able to provide the necessary help to students who need mental health services. Through the use of literature review, interviews with three elementary teachers and three administrative staff, and 30 anonymous student surveys, the result findings indicate that the K-8 school in the Manteca Unified School District (MUSD) currently tackles student mental health issues primarily by onsite counselors and Social-Emotional …


Influences Of Chronic Stress On Irritable Bowel Syndrome, Anxiety, Depression, And The Microbiome, Julia A. Semaan May 2023

Influences Of Chronic Stress On Irritable Bowel Syndrome, Anxiety, Depression, And The Microbiome, Julia A. Semaan

Masters Theses

IBS effects approximately 5% of the world’s population with symptoms ranging from unexplainable constipation to daily abdominal pain. Though treatment options are available and have been proven beneficial for certain individuals, discovering the root cause of IBS has been difficult to accomplish due to the variety of symptoms that differ from case to case. This study aims to increase understanding of the influence that chronic stress has on irritable bowel syndrome, anxiety, depression, and the microbiome in the college-age population since this group is likely to experience daily stressors, anxiety- and depressive-like thoughts, as well as IBS symptoms. Current research …


One-Year Outcomes Following Intravenous Ketamine Plus Digital Training Among Patients With Treatment-Resistant Depression: A Secondary Analysis Of A Randomized Clinical Trial, Rebecca B Price, Meredith L Wallace, Sanjay J Mathew, Robert H Howland May 2023

One-Year Outcomes Following Intravenous Ketamine Plus Digital Training Among Patients With Treatment-Resistant Depression: A Secondary Analysis Of A Randomized Clinical Trial, Rebecca B Price, Meredith L Wallace, Sanjay J Mathew, Robert H Howland

Staff and Researcher Publications

This secondary analysis of a randomized clinical trial examines whether automated self-association training can prolong the antidepressant effect of a single infusion of ketamine beyond 1 month in patients with treatment-resistant depression.


Negative Emotions In Adults With Congenital Heart Disease, Haley Alberson, Kamila White, Philip Ludbrook, Ari Cedars Apr 2023

Negative Emotions In Adults With Congenital Heart Disease, Haley Alberson, Kamila White, Philip Ludbrook, Ari Cedars

Undergraduate Research Symposium

Pain may signal a life-threatening heart problem, particularly for a person with living with congenital heart disease (CHD). Aims of the current study were to describe pain and its distribution, and to test a theoretical framework for poor outcomes including the independent and combined impact of medical and psychological risk among 106 outpatients (46% female) with CHD. Our sample represented a wide-range of pain experiences, and included both tails of the distribution (i.e., quartiles), SF-36 Pain Scale IQR = 32.5, R 22.5–100. About one-third reported persistent, at least moderately intense pain interfering with daily life. Univariate tests showed poorer pain …


Analysis Of Psychological Symptoms Resulting From The Covid-19 Pandemic, R. M. Abdelrahman, A. F. Alsharif, N. R. Alsalhi Apr 2023

Analysis Of Psychological Symptoms Resulting From The Covid-19 Pandemic, R. M. Abdelrahman, A. F. Alsharif, N. R. Alsalhi

Information Sciences Letters

The present study aimed to investigate the level of severity of some psychological symptoms resulting from the Coronavirus pandemic, among a sample of Ajman University students in the United Arab Emirates, and to verify the differences between students’ demographic variables. The study used the descriptive-analytical approach and a modified DASS-21 scale, by adding the two scales of phobia and mental distraction to the tool. The reliability of the tool was verified for use on the sample in the current study. The most prominent results indicated that the highest psychological symptoms resulting from the Coronavirus pandemic were phobia (1.53 ± 0.98) …


Phq -9 Utilization In The Primary Care Setting, Michael Armstrong, Ramisa Rahman, Ceferino Cruz Iv, Afsha Rais Kaisani Apr 2023

Phq -9 Utilization In The Primary Care Setting, Michael Armstrong, Ramisa Rahman, Ceferino Cruz Iv, Afsha Rais Kaisani

North Texas GME Research Forum 2023

INTRODUCTION: The Patient Health Questionnaire-9 (PHQ-9) is a tool used to help diagnose depression and assess a patient’s response to treatment. Quality metric (QM) 371 is a measure of PHQ-9 utilization in patients with depression, and Medical City Family Medicine tracks QM 371 in order to improve the quality of care provided to our patients. This project sought to assess utilization of the PHQ-9 in our clinical practice. At the time of this QI project’s inception, QM 371 was reporting at 0%.

METHODS: Our intervention was to give an educational presentation regarding depression, the PHQ-9, as well as how to …


Taking The Social Out Of Social Media: Social Media Induced Loneliness As A Mechanism For Elevated Depression During The Pandemic, Samara Rosen Apr 2023

Taking The Social Out Of Social Media: Social Media Induced Loneliness As A Mechanism For Elevated Depression During The Pandemic, Samara Rosen

Honors Theses

During the COVID-19 pandemic health protocols limited in-person interactions, interrupting the undergraduate experience and prompting students to find virtual ways to connect with their peers. A key goal of this study was to assess whether college students’ social media use was a viable replacement for in-person interactions during the pandemic, reducing risk for psychological difficulties that ordinarily accompany social isolation. The purpose of the present study was to evaluate loneliness as a potential mediator underlying the longitudinal relationship between social media use and depression. Self-report data were collected in November 2020 (T1), February 2021 (T2), and May 2021 (T3). The …