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The Effect Of A Substance Use Intervention On Co-Occurring Adolescent Depression Symptoms, Elizabeth Ann Lehinger Phd May 2019

The Effect Of A Substance Use Intervention On Co-Occurring Adolescent Depression Symptoms, Elizabeth Ann Lehinger Phd

Clinical Psychology Dissertations

The comorbidity of substance use and depression among adolescents has been strongly established but less is known about their reciprocal impact over time. Examining these variables in the context of an intervention provides information about how changes in one effect the other. The current study examines the effect of a school-based Motivational Interviewing (MI) intervention, Project READY, on co-occurring substance use and depressive symptoms in adolescents (N = 103; ages 13-18, mean = 16) from the greater Seattle area. We hypothesized: (a) the quantity and frequency of substance use will decrease from pre-treatment to post-treatment follow up; (b) the …


Use Of Transcranial Magnetic Stimulation For Depression, Sukaina Rizvi, Ali M. Khan May 2019

Use Of Transcranial Magnetic Stimulation For Depression, Sukaina Rizvi, Ali M. Khan

School of Medicine Publications

Transcranial magnetic stimulation (TMS), a research tool with various effects on brain cells, can depolarize cerebral neurons noninvasively. This method offers temporal and spatial resolution and can be combined with other neurocognitive and neuro-experimental techniques. Prefrontal TMS therapy repeated daily for four to six weeks is a neuromodulation technique approved by the US Food and Drug Administration for the treatment of major depressive disorder (MDD) in patients resistant to medications. This technique utilizes electromagnetic induction to excite neuronal cells. Several recent studies have enhanced our understanding of this novel treatment intervention. This report reviews recent studies on the mechanism of …


Risk Factors Associated With Depressive Symptoms Among Women Experiencing Intimate Partner Violence, Lacy Ellen Jamison May 2019

Risk Factors Associated With Depressive Symptoms Among Women Experiencing Intimate Partner Violence, Lacy Ellen Jamison

Electronic Theses and Dissertations Archive

One in three women endure intimate partner violence (IPV), with common consequences relating to depression and substance use. The co-occurring relationships of these factors have received limited empirical attention. This study examined how risk factors of IPV, stressful life events, and problematic substance use were related to depressive symptoms among women who have experienced IPV in the past 6 months. Participants included 112 women (Mage=32.26; 67% Black) recruited from community organizations in the U.S. Midsouth. Results from a hierarchical multiple regression analysis indicated that after accounting for age, income, racial minority status, physical health, and violence- and stress-related factors, more …


Examining The Coping Resources Of Polyvictimized Youth And Young Adults, Zachary Robert Myers May 2019

Examining The Coping Resources Of Polyvictimized Youth And Young Adults, Zachary Robert Myers

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Bullying represents a significant concern for many youth and young adults in the United States and abroad. However, the growth of technology has allowed for new platforms in which perpetrators can engage in bullying behaviors, such as text and video messaging, social media applications, and online gaming. In addition, research has suggested that the majority of cyberbullied individuals experience co-occurring in-person victimization as well. These trends are concerning, given that findings within both the traditional and cyberbullying literatures place victimized youth at-risk for a host of social and emotional concerns. However, research has yet to fully explore the unique experiences …


Weight Status, Bullying Involvement, And Internalizing Symptomology In Adolescents: Examining A Diathesis-Stress Model, Ana Damme May 2019

Weight Status, Bullying Involvement, And Internalizing Symptomology In Adolescents: Examining A Diathesis-Stress Model, Ana Damme

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Bullying is a pervasive societal issue that is consistently linked to negative outcomes that are emotionally, socially, behaviorally, and medically related. Most youth will encounter this negative life event in their childhood. The purpose of this dissertation was to use a diathesis-stress model perspective to assess the relations between the negative life event of bullying involvement, youths’ mental health, and youth weight status. Youth who have an unhealthy weight status are more likely to be involved in bullying than those with a healthy weight status (Browne, 2012; Puhl). Additionally, bullying and having an unhealthy weight status are related internalizing symptomology …


From Training To Rehabilitation: Animal-Assisted Intervention For Inmates, Alan Kunz Lomelin May 2019

From Training To Rehabilitation: Animal-Assisted Intervention For Inmates, Alan Kunz Lomelin

Social Work Theses - Archive

The Bureau of Justice Statistics reports that 14.5% of federal prisoners and 26.4% of jail inmates report serious psychological distress (SPD), which are rates that are significantly higher than the 5% rate found in the general adult population. The high prevalence of mental illness demonstrates the need to develop interventions that can help address an inmate’s mental health needs. The current study reports on an evaluation of the psychosocial impact of a dog training program for men incarcerated at the Dallas County Jail. Participants (N=17) completed surveys monitoring their symptoms of depression, anxiety, PTSD, self-esteem, loneliness, and resilience at Time …


The Relationship Between Aggression And Depression: Testing The Moderating Effects Of Age And Gender, Benjamin P. Comer May 2019

The Relationship Between Aggression And Depression: Testing The Moderating Effects Of Age And Gender, Benjamin P. Comer

Boise State University Theses and Dissertations

The purpose of this thesis is to a) explore the research related to aggression and depression and b) test hypotheses that focus on the relationship between aggression and depression in relation to age and gender over time. Aggression and depression are discussed extensively by examining a broad range of literature that points to environmental, social, individual, psychological, and biophysiological influences. First, aggression and depression are discussed separately in terms of their underlying theory, biosocial perspectives, typologies, behavioral and personality abnormalities, brain structures related to each, and neurochemical/neurological influences. The final sections of the literature review discuss how aggression and depression …


Rumination And Worry: Exploring The Specificity Of Depressed And Anxious Negative Thoughts, Yi-Hsuan Lin May 2019

Rumination And Worry: Exploring The Specificity Of Depressed And Anxious Negative Thoughts, Yi-Hsuan Lin

Electronic Theses and Dissertations

Depression is the most common mental disorder in the United States and is a leading cause of disability worldwide, contributing to the substantial global economic burden. Research identifying effective and cost-efficient intervention programs has been generally successful, yet the heterogeneity of depressive symptoms and their co-occurrence with other conditions complicate these efforts. This, “specificity” question, here understood as the ongoing search for distinct clinical symptoms associated primarily with depression rather than anxiety and other disorders has remained a more elusive challenge. Depression and anxiety frequently co-occur, and research has been designed to identify symptoms and syndromes specific to each condition. …


Knowledge-Aware Assessment Of Severity Of Suicide Risk For Early Intervention, Manas Gaur, Amanuel Alambo, Joy Prakash Sain, Ugur Kursuncu, Krishnaprasad Thirunarayan, Ramakanth Kavuluru, Amit Sheth, Randon S. Welton, Jyotishman Pathak May 2019

Knowledge-Aware Assessment Of Severity Of Suicide Risk For Early Intervention, Manas Gaur, Amanuel Alambo, Joy Prakash Sain, Ugur Kursuncu, Krishnaprasad Thirunarayan, Ramakanth Kavuluru, Amit Sheth, Randon S. Welton, Jyotishman Pathak

Publications

Mental health illness such as depression is a significant risk factor for suicide ideation, behaviors, and attempts. A report by Substance Abuse and Mental Health Services Administration (SAMHSA) shows that 80% of the patients suffering from Borderline Personality Disorder (BPD) have suicidal behavior, 5-10% of whom commit suicide. While multiple initiatives have been developed and implemented for suicide prevention, a key challenge has been the social stigma associated with mental disorders, which deters patients from seeking help or sharing their experiences directly with others including clinicians. This is particularly true for teenagers and younger adults where suicide is the second …


The 5-Ht1a-R Knockout Mouse As A Model Of Later Life Anxiety Disorders: Implications For Sex Differences, Tatyana Budylin May 2019

The 5-Ht1a-R Knockout Mouse As A Model Of Later Life Anxiety Disorders: Implications For Sex Differences, Tatyana Budylin

Dissertations, Theses, and Capstone Projects

Anxiety affects nearly twice as many women as it affects men across all cultures and economic groups. Importantly, girls have a higher chance of inheriting anxiety disorders than boys, and many anxiety disorders appear at a very young age. However, little is known about sex differences in brain and behavioral development and how they relate to anxiety in adulthood. Serotonin 1A receptor (5-HT1A-R) mediated signaling has been implicated in depression and anxiety, however most studies that focus on the involvement of the 5-HT1A-R have been conducted in adults. Little is known about how the 5-HT1A …


Religious Attendance, Surrender To God, And Suicide Risk: Mediating Pathways Of Feeling Forgiven By God And Psychopathology, Kelley Pugh May 2019

Religious Attendance, Surrender To God, And Suicide Risk: Mediating Pathways Of Feeling Forgiven By God And Psychopathology, Kelley Pugh

Electronic Theses and Dissertations

Suicide is a national public health concern, and college students may be at increased risk. Symptoms of psychopathology (i.e., stress, anxiety, and depression) may contribute to risk, whereas religiosity (i.e., religious attendance, surrendering to God, and feeling forgiven by God) may reduce risk. Students from a rural southeastern university (N=249) completed self-report measures. Serial mediation analyses indicate that attendance and surrender to God are inversely- predictive of suicide risk, both directly and through the indirect pathways of feeling forgiven by God (1st order mediator) and psychopathology (2nd order mediators). In all models, specific indirect effects occurred through feeling forgiven by …


The Effects Of Being Labeled Smart By Friends: Burden Or Benefit?, Lauren Feldman, Isaac Abrams, Charlotte Bernot, Alexa Delmonte, Deegan Miller Apr 2019

The Effects Of Being Labeled Smart By Friends: Burden Or Benefit?, Lauren Feldman, Isaac Abrams, Charlotte Bernot, Alexa Delmonte, Deegan Miller

Psychology Presentations

No abstract provided.


Effects Of Therapeutic Music On Improving Depressive Symptoms Among Long-Term Care Facility Residents, Yi Jin Apr 2019

Effects Of Therapeutic Music On Improving Depressive Symptoms Among Long-Term Care Facility Residents, Yi Jin

Evidence-Based Practice Project Reports

Depression is a common mental disorder that can contribute to both physical and psychological suffering (Skinner, 2014). The prevalence rate of depression is especially high among long-term care facility residents (CounsultGeri, 2018; Lolk & Andersen, 2015). The purpose of this EBP project was to establish a protocol incorporating therapeutic music as an adjunct therapy for managing depressive symptoms among residents of a long-term care facility in the Midwest. Roy adaptation model (Roy, 2009) was utilized as the theoretical framework, and the model for evidence-based practice change (Rosswurm & Larrabee, 2009) guided the project implementation. A total of 13 subjects were …


Anxiety Is Something To Worry About: The Effects Of A Cognitive Behavioral Therapy And Selective Serotonin Reuptake Inhibitor Intervention Protocol On Generalized Anxiety Disorder, Alesha E. Mcclanahan Apr 2019

Anxiety Is Something To Worry About: The Effects Of A Cognitive Behavioral Therapy And Selective Serotonin Reuptake Inhibitor Intervention Protocol On Generalized Anxiety Disorder, Alesha E. Mcclanahan

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is highly prevalent in the United States with at least 12% of the population affected (Edmund & Sheppard, 2018). GAD can pose significant distress and debilitation throughout the lifespan (Bystritsky, Khalsa, Cameron, & Schiffman, 2013; Edmund & Sheppard, 2018). Barriers to treatment include adverse effects, inaccessibility, and expense. The purpose of this project was to implement an evidence-based protocol involving combination therapy with self-administered cognitive behavioral therapy (CBT) and selective serotonin reuptake inhibitor (SSRI) medication in order to improve patient outcomes through more accessible, affordable, and standardized treatment of GAD. The Neuman Systems Model and Stetler …


Rsa In Young Adults: Identifying Naturally-Occurring Response Patterns And Correlates, Brittany K. Willey Apr 2019

Rsa In Young Adults: Identifying Naturally-Occurring Response Patterns And Correlates, Brittany K. Willey

Clinical Psychology Dissertations

Few studies have focused on the joint contributions of baseline and stress-responsive RSA on mental health outcomes, and no research to date has examined naturally-occurring profiles of RSA, which may be more predictive of emotion regulation ability and mental health outcomes than looking at either component of RSA alone. Participants were 235 (87.1% female, 73.6% Caucasian) undergraduates ages 18-39 (M = 19.62, SD = 2.12). In Part 1, latent growth mixture modeling (LGMM) was used to identify naturally-occurring physiological profiles accounting for both resting and stress-reactive RSA among young adults. In Part 2, multivariate ANCOVAs were used to predict …


Understanding Comorbid Depression In The Context Of Ptsd Through Underlying Dimensions, Melissa Turkel Apr 2019

Understanding Comorbid Depression In The Context Of Ptsd Through Underlying Dimensions, Melissa Turkel

Dissertations

Depression co-occurs with Posttraumatic Stress Disorder at a high rate, resulting in numerous complications for pathology and treatment. More research is needed regarding variables that may explain this common comorbidity. One possible variable is that of underlying dimensions, latent factors that give rise to these manifestations of psychopathology. This study explored potential underlying mechanisms of comorbid PTSD and depression, including negative affect, rumination, emotion dysregulation, neuroticism, and behavioral inhibition. While previous studies have investigated these dimensions individually, there is a dearth of research that simultaneously investigates multiple dimensions or determines the relative contributions of underlying dimensions to psychopathology. Thus, the …


Potential Triggers Of Mental Distress In Cardiovascular Disease Patients, Saba Ahmed, Lina Begdache Apr 2019

Potential Triggers Of Mental Distress In Cardiovascular Disease Patients, Saba Ahmed, Lina Begdache

Binghamton University Undergraduate Journal

Cardiovascular disease (CVD) is a major cause of death among Americans. There are many comorbidities that exist with CVD, such as insulin-dependent diabetes, hypertension, obesity, and others. Mental distress such as anxiety and depression are comorbidities associated with CVD as well. The purpose of this study is to investigate the potential factors that could possibly affect mental health in CVD patients. A de-identified database obtained from United Health Services - Cardiology Department in Binghamton, New York included medical records of 68,647 patients. Using Chi-Square statistical analysis, many variables were associated with anxiety and depression in CVD patients. These variables included …


Mental Health Stigma In College Students By Academic Major, Kristen Miller Apr 2019

Mental Health Stigma In College Students By Academic Major, Kristen Miller

Mahurin Honors College Capstone Experience/Thesis Projects

Stigma is best defined as the disapproval and shame felt by people who display characteristics not widely accepted in society. Although mental illness has become more prevalent in society through advocacy and awareness campaigns, it fails to be accepted and often individuals may feel shame that prevents them from seeking help (Dyrbye, Eacker, Durning, Brazeau, Moutier, Massie, S., et al, 2015; Givens & Tjia, 2002). Physicians in particular have been shown to have decreased help-seeking behaviors for psychological issues due to fear of professional repercussions (Dyrbye et al., 2015). Physicians also show increased levels of stress, anxiety, depression, and elevated …


Humor Therapy To Alleviate Depression, Joanna Dafin, Claire Venn Apr 2019

Humor Therapy To Alleviate Depression, Joanna Dafin, Claire Venn

Spring Showcase for Research and Creative Inquiry

The researchers have studied the topic of Humor Therapy. According to the literature, there is no agreement on how humor therapy should be defined. In general, it is the facilitation of activities that trigger laughter ranging from funny videos to laughter yoga. At the very beginning, the researchers both found literature that was relevant to our research topic. After reviewing the literature, we contacted an expert and interviewed the CTRS regarding previous experiences with Humor Therapy. With the information from all these resources, we developed a knowledge translation plan to guide CTRS through the use of Humor Therapy. One of …


Absolutist Thinking And Depression, Katherine Cohen Apr 2019

Absolutist Thinking And Depression, Katherine Cohen

Senior Theses

A key characteristic of depression is the presence of cognitive biases (American Psychiatric Association, 2013). This study added to the growing literature examining absolutist thinking as a potential cognitive bias associated with depression. We used data from a survey conducted at the University of South Carolina Columbia campus which included 116 students to compare the use of absolutist words in participants’ writing with their depressive symptomatology. We further compared the difference in the use of absolutist words in participants’ responses about success versus their responses about failure. Results revealed that there was not a significant relationship between BDI scores ( …


Assessment Of Peripartum Psychological Disturbances In Relation To Modes Of Delivery, Ali S. Radeef, Muna Kh Al-Kubaisi, Akbar B. John, Nur Khairulnisa Ai Apr 2019

Assessment Of Peripartum Psychological Disturbances In Relation To Modes Of Delivery, Ali S. Radeef, Muna Kh Al-Kubaisi, Akbar B. John, Nur Khairulnisa Ai

Makara Journal of Health Research

Background: Anxiety disorders are common during peripartum period. This study aimed to identify which mode of delivery was more prone to develop psychological disturbances. Methods: This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks, and at 6 weeks. Results: In the prenatal period, there was no statistically significant difference in the mean score of depression between …


Development Of A Depression Screening Protocol For At Risk Patients Based On The Adverse Childhood Experience Questionnaire, Brittany J. Taylor Apr 2019

Development Of A Depression Screening Protocol For At Risk Patients Based On The Adverse Childhood Experience Questionnaire, Brittany J. Taylor

Doctoral Projects

Background: Adverse childhood experiences (ACEs) are associated with increased risk for adult depression. Utilization of the Patient Health Questionnaire Nine (PHQ-9), in combination with Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSMV) criteria, aids in the diagnosis of comorbid depression and assessment of severity.

Objectives: To standardize the process of screening new adult patients at a specialty care clinic for ACEs. Then, implement a depression screening protocol based on ACE criteria to identify adult patients with comorbid depression.

Methods: Demographic, ACE score, PHQ-9 score, and protocol implementation data collected and analyzed by the Doctor of Nursing Practice (DNP) …


Improving Depression Screening And Follow-Up In Primary Care Through Implementation Of An Evidence-Based Protocol, Cheryl Fowler Apr 2019

Improving Depression Screening And Follow-Up In Primary Care Through Implementation Of An Evidence-Based Protocol, Cheryl Fowler

Doctoral Projects

Depression is a leading cause of disability in adults and is a major contributor to burden of disease (World Health Organization [WHO], 2018). The United States Preventative Services Task Force (USPSTF) provides evidence-based recommendations to promote disease prevention. Among these, is the recommendation that all adults, regardless of risk factors, should be screened for depression in the primary care setting with adequate systems in place to allow for appropriate diagnosis and management (USPSTF, 2016). The purpose of this Doctor of Nursing Practice (DNP) student project was to develop and implement an evidence-based protocol in the primary care setting with aims …


Increasing Utilization Of Cognitive Behavioral Therapy To Reduce Morbid Obesity In A Primary Care Setting, Erin J. Mccue Apr 2019

Increasing Utilization Of Cognitive Behavioral Therapy To Reduce Morbid Obesity In A Primary Care Setting, Erin J. Mccue

Doctoral Projects

Background: Obesity among adults is characterized by a body mass index (BMI) of 30 or higher. The impairment and disability resulting from obesity indicates a significant health problem that is often seen in primary care settings. Research indicates that cognitive behavioral therapy (CBT) is an underutilized, but extremely beneficial intervention that may support individuals in achieving weight loss. Adults suffering from obesity with or without comorbid conditions such as psychiatric disorders (e.g. anxiety and depression) have benefitted from CBT.

Purpose: To implement the increased utilization of CBT in the adult population with obesity and depression or anxiety in a primary …


A Traditional Medicine’S Deep Time History And Rethinking Depression, Nathan Jones Apr 2019

A Traditional Medicine’S Deep Time History And Rethinking Depression, Nathan Jones

Honors Thesis

Psychiatric illness’s continue to plague innumerable minds around the world, with depression at the forefront as the leading cause for disability worldwide. Within the United States, more than 32,000,000 Americans 12 and older take antidepressants daily. Although, 30% of patients do not receive any benefit from taking their prescribed medications. Therapeutic options for depression have remained focused on neurochemical imbalances and biological underpinnings, while ignoring essential cognitive factors. These cognitive factors throughout traditional medicine have been the focal point for effectively treating depression. Overtime individuals fall into negative thought patterns that embed themselves within the mind and cause neuroplastic changes …


Behavioral And Voltammetric Analysis Of Chronic Escitalopram Treatment To The Hiv-1 Transgenic Rat: Implications For Comorbid Hiv-1 And Clinical Depression, Adam R. Denton Apr 2019

Behavioral And Voltammetric Analysis Of Chronic Escitalopram Treatment To The Hiv-1 Transgenic Rat: Implications For Comorbid Hiv-1 And Clinical Depression, Adam R. Denton

Theses and Dissertations

HIV-1 infection is a serious condition affecting approximately 37 million individuals. Between 30% and 60% of seropositive individuals will develop symptoms of clinical depression. These individuals are five times more likely to commit suicide than non-seropositive clinically depressed patients. Dysfunction in serotonergic and dopaminergic transmission has consistently been implicated in the pathogenesis of depression. Specifically, dysfunction in the prefrontal cortex and in the nucleus accumbens core region have been shown to be underlying factors in the trajectory of depression. Given these underlying neurological features, the present research employed behavioral testing and electrochemical recording in an attempt to elucidate the therapeutic …


Probiotic Administration As An Adjuvant Therapeutic Treatment For Anxiety, Depression, And Cognitive Impairment Among Hypothyroid Patients, Erin R. Gorman Apr 2019

Probiotic Administration As An Adjuvant Therapeutic Treatment For Anxiety, Depression, And Cognitive Impairment Among Hypothyroid Patients, Erin R. Gorman

Selected Honors Theses

Hypothyroidism is a form of thyroid dysfunction that occurs when the thyroid gland does not make and secrete enough thyroid hormones to regulate certain processes in the body. Because thyroid hormones take part in many bodily functions, hypothyroidism can cause a large range of symptoms. Current research indicates that some strains of probiotics have beneficial effects on certain neurological and inflammatory diseases, leading to the impression that they can be used therapeutically for effective treatment of different mental health issues such as anxiety, stress, depression, and impaired memory. Because hypothyroidism often leads to such mental symptoms, it may be possible …


Anxiety And Depression: Can Diet Help?, Megan Jensen, Mateja R. Savoie-Roskos, Ashley Yaugher, Sandy Sulzer Apr 2019

Anxiety And Depression: Can Diet Help?, Megan Jensen, Mateja R. Savoie-Roskos, Ashley Yaugher, Sandy Sulzer

All Current Publications

This fact sheet explains the role of diet with anxiety and depression.


Age, Period, And Cohort Trends In Mood Disorder And Suicide-Related Outcomes In A Nationally Representative Dataset, 2005-2017, Jean M. Twenge, A Bell Cooper, Thomas E. Joiner, Mary E. Duffy, Sarah G. Binau Apr 2019

Age, Period, And Cohort Trends In Mood Disorder And Suicide-Related Outcomes In A Nationally Representative Dataset, 2005-2017, Jean M. Twenge, A Bell Cooper, Thomas E. Joiner, Mary E. Duffy, Sarah G. Binau

Faculty and Staff Publications & Presentations

Drawing from the National Survey on Drug Use and Health (NSDUH; N = 611,880), a nationally representative survey of U.S. adolescents and adults, we assess age, period, and cohort trends in mood disorder and suicide-related outcomes since the mid-2000s. Rates of major depressive episode in the last year among adolescents aged 12 to 17 increased by 52% 2005-2017; major depressive episode in the last year increased 63% between 2009 and 2017 among young adults 18-25. Serious psychological distress in the last month and suicide-related outcomes (suicidal ideation, plans, attempts, and deaths by suicide) in the last year also increased among …


Paternal Self-Efficacy: A Parenting Resilience Factor For Fathers With Depression, Mark Herrick Trahan, Kevin Shafer Mar 2019

Paternal Self-Efficacy: A Parenting Resilience Factor For Fathers With Depression, Mark Herrick Trahan, Kevin Shafer

Faculty Publications

Parental depression has a negative effect on child development including mental and physical health, language and development, and externalizing and internalizing behavior. This quantitative research study examined the relationship between paternal self-efficacy (PSE) and parenting behaviors often associated with paternal depression. Data from the Survey of Contemporary Fathers were used and responses from self-identified fathers (n = 1,156) on paternal involvement, warmth, harsh parenting practices, and parenting self-efficacy were analyzed to assess the association between depression and PSE on fathering behavior. Ordinary least squares regression analysis indicated that depression was associated with harsh parenting and parenting warmth, while parenting self-efficacy …