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2022

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Articles 991 - 1020 of 1218

Full-Text Articles in Mental and Social Health

Internal State Language And Coping In Narratives Of Covid-19: Relation To Psychological Well-Being, Divya Pradipkumar Patel Jan 2022

Internal State Language And Coping In Narratives Of Covid-19: Relation To Psychological Well-Being, Divya Pradipkumar Patel

Honors Undergraduate Theses

The Covid-19 pandemic had global consequences for billions of individuals, including high rates of mortality and morbidity, lost income, and prolonged social isolation. In the short and long term, this crisis will have an impact on people's lives and mental health. The current correlational study looks at how internal state language, stress, and coping are used in college students' narratives concerning the COVID-19 pandemic and lockdown experiences in relation to psychological well-being. A sample of 216 undergraduate students completed surveys that recorded their narrative experiences of COVID-19, psychological well-being, depression severity, and measure of how stressful occurrences in one’s life …


Evaluating Fatal Overdose Deaths In Orange County Florida From 2019-2021, Brian Hall Jan 2022

Evaluating Fatal Overdose Deaths In Orange County Florida From 2019-2021, Brian Hall

Electronic Theses and Dissertations, 2020-2023

This study sought to investigate fatal overdoses in Orange County, Florida during the years of 2019, 2020, and 2021. Data for this project was provided by the Orange County Medical Examiner's office. Each overdose death was coded for age, sex, race, and cause of death. The purpose of the study is to identify trends to inform policy reform. The results reveal that fentanyl overdose deaths are continuing to rise as heroin overdose deaths decrease. Additionally, there is greater upward trends in polysubstance opioid overdose deaths as compared to non-opioid polysubstance overdose deaths. Ultimately, a specific type of overdose death cannot …


A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett Jan 2022

A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett

DSW Capstone Projects

It is no secret that access to quality healthcare is difficult for citizens to achieve in the United States. Racism, discrimination, and oppression further exist at the root of compounding social problems, including limits in minority access to mental health services. The COVID-19 pandemic has also exacerbated mental health problems for young children, especially those who are already underserved and at risk. For these reasons, it is imperative that the social work profession emphasizes innovative approaches to equitable treatment access, including a focus on early intervention and the use of technology. Product one of this capstone engages a systematic review …


Self-Care And Cultural Humility: Expanding The Practice Of Social Work Leaders, Donia Addison Jan 2022

Self-Care And Cultural Humility: Expanding The Practice Of Social Work Leaders, Donia Addison

DSW Capstone Projects

Social workers experience vicarious trauma, secondary traumatic stress, and compassion fatigue regularly. Well documented in the literature, self-care has the ability to assuage these negative consequences, as well as, positively impact retention rates, decrease burnout and increase the quality of services provided to clients. Despite a burgeoning of research on self-care and burnout over the last few decades, continued empirical research is necessary. This capstone project sought to add to the knowledge base on self-care and provide pragmatic recommendations for future research and social work practice.

This capstone project was comprised of three scholarly products and focused on fostering cultural …


The Underlying Issue: Acknowledging The Impact The Race-Based Bias Of Some White Teachers Poses For Black Adolescents, Cerenity Leavell-Barker Jan 2022

The Underlying Issue: Acknowledging The Impact The Race-Based Bias Of Some White Teachers Poses For Black Adolescents, Cerenity Leavell-Barker

DSW Capstone Projects

Current literature fails to assess the race-based bias of some white teachers and its impact on the school-to-prison pipeline. The actions of some white teachers due to unconscious or conscious race-based bias can increase race-based stress experienced by Blacks students and lead to racial trauma. Racial trauma is a traumatic experience that can alter this stage of development and have significant impact on the academic achievement of Black adolescents and influence behaviors perceived as negative. The purpose of this capstone is to enhance awareness and knowledge on the traumatic impact the race-based bias of some white teachers poses for Black …


Boarding Mental Health Patients In Minnesota Emergency Departments--The Unintended Consequence Of An Inadequate Mental Health System, Jordan Engler Jan 2022

Boarding Mental Health Patients In Minnesota Emergency Departments--The Unintended Consequence Of An Inadequate Mental Health System, Jordan Engler

Mitchell Hamline Law Review

No abstract provided.


Parental Barriers Toward Seeking Mental Healthcare For Saudi Children At Risk Of Adhd, Amani Kappi Jan 2022

Parental Barriers Toward Seeking Mental Healthcare For Saudi Children At Risk Of Adhd, Amani Kappi

Theses and Dissertations--Nursing

Attention deficit hyperactivity disorder (ADHD) is a mental health disorder commonly diagnosed in childhood. Underdiagnosis and undertreatment of ADHD can lead to the development of other mental illnesses and disruptions in social functioning in adulthood. Therefore, parents can play a crucial role in proactively seeking mental healthcare for children who are at risk for or who have a clear diagnosis of ADHD. Studies in the United Kingdom and the United States highlight many barriers that prevent parents from seeking mental healthcare for their children, such as negative attitudes towards the mental healthcare system and stigma towards mental illnesses.

Cultural differences …


Building Tools For Improved Modulation Of The Human Gabaa Receptor, A Central Nervous System Target For The Treatment Of Anxiety, Garrett Edward Zinck Jan 2022

Building Tools For Improved Modulation Of The Human Gabaa Receptor, A Central Nervous System Target For The Treatment Of Anxiety, Garrett Edward Zinck

Theses and Dissertations--Pharmacy

In the U.S., anxiety is recognized as an increasing range of mentally and physically debilitating psychiatric health disorders with significant economic repercussions. Over the last 20 years, several novel anti-anxiety therapies have entered the drug development pipeline, but none have made it to market.

The work in this dissertation focused on structurally modifying valerenic acid (VA), a structurally unique carboxylated sesquiterpene acid found in Valeriana officinalis. VA is putatively reported to have allosteric modulatory activity of the human GABAA receptor, a ligand-gated ion channel responsible for attenuating neurotransmissions. Structural modeling of VA’s GABAA receptor interaction suggests that …


Associations Of Sexual Satisfaction, Relationship Quality, And Cognitive Functioning Within Intimate Relationships In Older Adulthood, Allison G. Smith Jan 2022

Associations Of Sexual Satisfaction, Relationship Quality, And Cognitive Functioning Within Intimate Relationships In Older Adulthood, Allison G. Smith

Theses and Dissertations--Family Sciences

The roles of sexual satisfaction, relationship quality, and cognitive functioning within older adults (N = 538) intimate relationships are assessed at two timepoints over an 11-year timeframe. Longitudinal data from 63 older adults are assessed through a path modeling approach to examine how sexual satisfaction and relationship quality change throughout older adulthood. Cross-sectional data for 538 older adults are utilized to examine the association between cognitive health and sexual satisfaction/relationship quality. Qualitative data from 125 older adults are utilized to understand how older adults describe their intimate relationships. Results from path models demonstrate that one’s degree of sexual satisfaction …


Help-Seeking And Services Utilization Among African American Emerging Adults: A Qualitative Study, Brittany G. Suggs, Lauren B. Robins, Rachel Kerrigan, Megan Cannedy, Melissa S. Buquo, David M. Savinsky Jan 2022

Help-Seeking And Services Utilization Among African American Emerging Adults: A Qualitative Study, Brittany G. Suggs, Lauren B. Robins, Rachel Kerrigan, Megan Cannedy, Melissa S. Buquo, David M. Savinsky

Counseling & Human Services Faculty Publications

This qualitative phenomenological study explored the mental health services utilization experiences of African American emerging adults and investigated the barriers and encumbrances interviewees experienced while seeking mental health support. An inductive thematic analysis revealed six themes: (a) hesitancy-acceptance conflict, (b) positive encounters with mental health services utilization, (c) intersectional barriers to seeking mental health services, (d) resource awareness and navigation, (e) help-seeking motivators, and (f) pastoral guidance and counseling. Interviewees emphasized financial factors, services affordability, and resource knowledgeability as prominent barriers to mental health services utilization, denoting familial, peer, and culturally driven faith influences as double-edged motivators and hindrances to …


The Impacts Of Adolescents' Leisure Activity Types On Psychological Well-Being, Academic Self-Efficacy, Self Esteem, And Stress, Dongyub Back Jan 2022

The Impacts Of Adolescents' Leisure Activity Types On Psychological Well-Being, Academic Self-Efficacy, Self Esteem, And Stress, Dongyub Back

Dissertations and Theses @ UNI

Korean teenager deviance, school violence, and school dropout caused by academic stress are serious social issues within the country. High levels of student stress are likely to bring about depression and suicide resulting in a significant effect on their psychological well-being and life satisfaction. It is of particular concern for middle school students experiencing rapid physical and psychological developmental changes without proper support. Forty-five percent of Korean students’ indicated stress in their life and 27% experienced depression (Statistics Korea, 2019). Also, Korean middle school students (27.3%) have suicide impulse (Youm & Kim, 2019). These youth development issues are considered social …


Evolution Of Genetic Networks For Human Creativity, I Zwir, C Del-Val, M Hintsanen, K M Cloninger, R Romero-Zaliz, A Mesa, J Arnedo, R Salas, G F Poblete, E Raitoharju, O Raitakari, L Keltikangas-Järvinen, G A De Erausquin, I Tattersall, T Lehtimäki, C R Cloninger Jan 2022

Evolution Of Genetic Networks For Human Creativity, I Zwir, C Del-Val, M Hintsanen, K M Cloninger, R Romero-Zaliz, A Mesa, J Arnedo, R Salas, G F Poblete, E Raitoharju, O Raitakari, L Keltikangas-Järvinen, G A De Erausquin, I Tattersall, T Lehtimäki, C R Cloninger

Staff and Researcher Publications

The genetic basis for the emergence of creativity in modern humans remains a mystery despite sequencing the genomes of chimpanzees and Neanderthals, our closest hominid relatives. Data-driven methods allowed us to uncover networks of genes distinguishing the three major systems of modern human personality and adaptability: emotional reactivity, self-control, and self-awareness. Now we have identified which of these genes are present in chimpanzees and Neanderthals. We replicated our findings in separate analyses of three high-coverage genomes of Neanderthals. We found that Neanderthals had nearly the same genes for emotional reactivity as chimpanzees, and they were intermediate between modern humans and …


Perceptions Of Well-Being Among College Majors, Baylee Jahraus Jan 2022

Perceptions Of Well-Being Among College Majors, Baylee Jahraus

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research was to assess the well-being perceptions of selected college students at a midsize midwestern university. To collect data, an adaptation of the Open Science Framework’s (n.d) College Student Subjective Wellbeing Questionnaire and the CDC’s (2018b) Health-related Quality of Life scale was used. The 26-item survey was distributed to junior and senior students enrolled in 300-400 level courses in a variety of majors. The findings for each research question are presented in the cross-sectional study. The results of the study indicate there are differences in perceptions of physical and mental health between males and females and …


Quality Of Life Before And After Cosmetic Surgery: Should Body Dysmorphic Disorder Be Considered An Absolute Or Relative Contraindication For Cosmetic Surgery?, Lindsay Conlisk Jan 2022

Quality Of Life Before And After Cosmetic Surgery: Should Body Dysmorphic Disorder Be Considered An Absolute Or Relative Contraindication For Cosmetic Surgery?, Lindsay Conlisk

Capstone Showcase

Body Dysmorphic Disorder (BDD) has historically been regarded as a strong contraindication for cosmetic plastic surgery. New research now suggests that the contraindications to cosmetic surgery in patients with BDD may not be so absolute. This paper reviews diagnostic criteria, diagnostic challenges, and current standard of treatment of BDD. It then presents the idea of insight analysis in the BDD patient as a significant factor in determining if patients with BDD may or may not benefit from cosmetic surgery or procedures.


Implementation Of Mental And Substance Misuse Screenings Into Routine Prep Therapy Encounters, Kieran Talkiewicz Jan 2022

Implementation Of Mental And Substance Misuse Screenings Into Routine Prep Therapy Encounters, Kieran Talkiewicz

Capstone Showcase

It has been well documented over the years that lesbian, gay, bisexual, transgender, queer/ questioning (LGBTQ+) populations are disproportionately affected by a higher burden of mental health illnesses, alcohol abuse, and illicit substance abuse when compared to heterosexual populations. This article will recommend utilizing routine Pre-Exposure Prophylaxis (PrEP) therapy encounters, a common point of contact for primary care for sexual minority populations, to perform screening for mental health and substance use. Due to men who have sex with men (MSM) being the highest utilizing population of this therapy, and disproportionately burdened by psychiatric and substance use disorders, this article will …


The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor Jan 2022

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …


The Use Of Buprenorphine In The Treatment Of Opioid Use Disorder (Oud), Kevin Dise Jan 2022

The Use Of Buprenorphine In The Treatment Of Opioid Use Disorder (Oud), Kevin Dise

Capstone Showcase

Per the CDC, there were 91,799 drug overdose deaths, of which 75% of these deaths involved an opioid in 2020. Furthermore, the rate of overdose deaths involving synthetic opioids (excluding methadone) increased 56% from 2019 to 2020. Synthetic opioids like fentanyl and its derivatives are easily producible, very inexpensive, and have extremely high potency. To effectively reduce use of illicit opioids, the underlying addiction disorder must be recognized first to adequately treat the disease. Treatment for opioid addiction is critical due to the high risk of mortality and significant disruption to daily functioning. Medication-assisted treatment couples medication use with counseling/therapy, …


Quality Of Life Before And After Cosmetic Surgery: Should Body Dysmorphic Disorder Be Considered An Absolute Or Relative Contraindication For Cosmetic Surgery?, Lindsay Conlisk Jan 2022

Quality Of Life Before And After Cosmetic Surgery: Should Body Dysmorphic Disorder Be Considered An Absolute Or Relative Contraindication For Cosmetic Surgery?, Lindsay Conlisk

Capstone Showcase

Body Dysmorphic Disorder (BDD) has historically been regarded as a strong contraindication for cosmetic plastic surgery. New research now suggests that the contraindications to cosmetic surgery in patients with BDD may not be so absolute. This paper reviews diagnostic criteria, diagnostic challenges, and current standard of treatment of BDD. It then presents the idea of insight analysis in the BDD patient as a significant factor in determining if patients with BDD may or may not benefit from cosmetic surgery or procedures.


Weathering The Storm: Is California’S Anti-Harassment Education Training The Life Preserver Lgbtq Youth Have Been Hoping For?, Natalie Purcell O'Dwyer Jan 2022

Weathering The Storm: Is California’S Anti-Harassment Education Training The Life Preserver Lgbtq Youth Have Been Hoping For?, Natalie Purcell O'Dwyer

University of San Francisco Law Review

No abstract provided.


Bits & Pieces: Project Review, Erin Partridge, Sadie Harmon, Katie Wade, Casey O'Neill Jan 2022

Bits & Pieces: Project Review, Erin Partridge, Sadie Harmon, Katie Wade, Casey O'Neill

Art Therapy | Project Reports

This project explores the impact of creative collaboration on social connections between participants and volunteers in a friendly visiting program to answer the following questions:

  1. What is the significance of a participatory based research process where older adults, staff, and volunteers are all primary contributors?

  2. How can we co-design programming to elevate a sense of meaning and connection for staff, participants, and volunteers?


Illuminating The Increase Of Intentional Dating In The Covid-19 Pandemic And Its Connection To Relationship Satisfaction Through The Lens Of Photography., Caitlin Carnegie Jan 2022

Illuminating The Increase Of Intentional Dating In The Covid-19 Pandemic And Its Connection To Relationship Satisfaction Through The Lens Of Photography., Caitlin Carnegie

Art Therapy | Master's Theses

In this study, the researcher examined if the reality of the COVID-19 pandemic prompted individuals to reprioritize their emotional needs in intimate relationships. As a result of reprioritizing intimate relationship needs, the researcher also examined whether intentional dating increased within an individual. Furthermore, the researcher explored the use of photography to illuminate an individual's relationship satisfaction and motivation for dating. Asking these questions can help to better understand how the COVID-19 pandemic impacted intimate dating relationships and how dating trends may have shifted. It further explores how photography can also be used as a research tool as well as a …


Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth Jan 2022

Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This study Investigates more dimensions than previous studies simultaneously: pilots’ duty rosters, stress, sleep difficulties, fatigue levels, wellbeing, symptoms of depression, anxiety, and common mental disorders (CMD), and how they are interrelated.

Background

Several scientific studies have confirmed that fatigue can pose a significant risk to flight safety. Other studies reported positive depression screening results for more pilots, compared with the general population.

Method

A cross-sectional online survey was completed by 406 international pilots, who reported their duty rosters of the last two months. Pilots also self-assessed their stress-levels, sleep problems, fatigue, wellbeing, and mental health.

Results

Although pilots …


Staff Stress And Interpersonal Conflict In Secondary Schools—Implications For School Leadership, Patrick Bruce, Carol Bruch, Victor Hrymak, Niamh Hickey, Patricia Mannix Mcnamara Jan 2022

Staff Stress And Interpersonal Conflict In Secondary Schools—Implications For School Leadership, Patrick Bruce, Carol Bruch, Victor Hrymak, Niamh Hickey, Patricia Mannix Mcnamara

Articles

The importance of school leadership and workplace stress is a recurring theme in educationbased research. The literature reports that workplace stress in teaching is a difficult matter to resolve, with mixed outcomes from interventions. The aim of this initial scoping study was to report on the experiences of school leaders with interpersonal conflict (IPC), a known cause of this workplace stress. Accordingly, a sample of twelve school leaders working in Irish post primary schools were recruited to participate in this study using semi-structured interviews. All twelve participants reported experiencing workplace stress and linked other people as a source of this …


A Marginal Identity Model For Those In The "In-Between", Francine S. Singson, Sonia Meyer, Christine A. Reid Jan 2022

A Marginal Identity Model For Those In The "In-Between", Francine S. Singson, Sonia Meyer, Christine A. Reid

Graduate Research Posters

Background: In existing models exploring the formation cultural identity, there is emphasis on development from the perspective of race or country of origin. While these models have made significant contributions to the study of identity development in the fields of counseling and psychology, research on the identity development of people who exist within the spectrum between traditionally acknowledged identities (Deaf/Hearing, LGBTQIA+, first/second generation) is lacking.

Methods: To explore the merit of establishing a distinct theory exploring development of individuals whose identities exist between the existing binaries of identity, a systematic review and analysis of current literature was performed. …


Healing Racial Trauma And Reframing The Miseducation Of U.S. America: Altering Exclusionary Textbooks As A Therapeutic Experiential, Kamaria Erin Wells Jan 2022

Healing Racial Trauma And Reframing The Miseducation Of U.S. America: Altering Exclusionary Textbooks As A Therapeutic Experiential, Kamaria Erin Wells

Art Therapy | Master's Theses

This exploratory mixed-methods, arts-based research investigated the therapeutic impact of fusing art therapy, group therapy, altered book making and alternative therapeutic modalities on self-efficacy, self- awareness, community efficacy and awareness, and reduction of racial trauma symptomology. The intention of the study was to understand the experiences of mental health professional participants (n =5), consequent to four therapeutic group sessions. Participants disclosed experienced symptoms of race-based PTSD pre and post sessions via the University of Connecticut Racial/Ethnic Trauma Survey, in addition to qualitative data. Qualitative data consisted of artwork, written responses, and exit interviews confirming the hypothesis that this radical healing …


A Survey Measuring The Impact Of A Silk-Screen Printing Art Therapy Session On Psychological Aspects In Mothers Of Children With Cancer: A Pilot Study In Riyadh, Saudi Arabia, Maha Rashed Jan 2022

A Survey Measuring The Impact Of A Silk-Screen Printing Art Therapy Session On Psychological Aspects In Mothers Of Children With Cancer: A Pilot Study In Riyadh, Saudi Arabia, Maha Rashed

Art Therapy | Master's Theses

The purpose of this pilot study was to explore the impact of silk-screen printing as an art therapy intervention on psychological aspects in Saudi family caregivers of children with cancer. The sample population was mothers (n = 30) from different regions of Saudi Arabia. This quasi-experimental study was conducted in Riyadh, Saudi Arabia, during a single art therapy session and was assessed by a self-reported survey. The art therapy provided significant improvements pre and post-treatment in terms of mood, coping skills, improved energy, raised self-esteem, diverting attention from current problems, and feeling hopeful. Cultural issues related to art therapy …


Zap: Zoom Art Program With Adults Living With Acquired Brain Injury The Effect Of Using Videoconferencing To Deliver Act Art Therapy Intervention, Shari Weiser Jan 2022

Zap: Zoom Art Program With Adults Living With Acquired Brain Injury The Effect Of Using Videoconferencing To Deliver Act Art Therapy Intervention, Shari Weiser

Art Therapy | Master's Theses

The present study investigated if experienced co-presence, psychological involvement, and behavioral engagement impact the effectiveness of art therapy sessions to individuals who have experienced an ABI with persistent impairments due to an acquired brain injury. The participants include seven adult women, aged between 41 and 77, with mild to medium chronic stage ABI. Previous research has asserted that there are few options to meet psychosocial and mental health needs for individuals with an ABI in the chronic stages. Telemental health, specifically Acceptance and Commitment Art Therapy, is one way to meet the needs of this underserved population. The researcher used …


Does Attachment Predict Coping Strategies? An In-Depth Look At Millennials During Covid-19, Clinton Johnson Jan 2022

Does Attachment Predict Coping Strategies? An In-Depth Look At Millennials During Covid-19, Clinton Johnson

Art Therapy | Master's Theses

Individuals form attachments during the early stages of their lives, with the caregiver serving as their first attachment figure. An individual's attachment style may predict how an individual will react to challenges in life. Responses to challenges may be either adaptive (solution-focused) or maladaptive (solution-avoidant). The objective of this study was to examine how millennial adults demonstrate adaptive coping skills across attachment styles. This unique study explored the relationship between attachment style and coping strategies among five millennial adults. Participants were recruited through convenience sampling via social media and were included if they met the criteria of being a millennial …


Education And Awareness Of Workplace Hazards: An Educational Intervention For First Responder Trainees, Emily Portune Jan 2022

Education And Awareness Of Workplace Hazards: An Educational Intervention For First Responder Trainees, Emily Portune

All Master's Theses

First responder paramedics, emergency medical technicians (EMTs), and firefighters provide emergency services to communities everywhere, often in life-threatening circumstances. At the same time, these first responders face high-stress life and death situations and may also endure unique workplace hazards like racism, sexual harassment and discrimination, verbal and physical patient assault, and extreme sleep deprivation. These hazards make prehospital providers vulnerable to mental illness, a fact proven by preexisting research that found more than 85% of first responders reported negative mental health symptoms and outcomes directly related to their career. Not only are prehospital providers at high risk of mental illness; …


Mental Health, Bullying, And Victimization Among Chinese Adolescents, Yang Wen, Xihe Zhu, Justin A. Haegele, Fangliang Yu Jan 2022

Mental Health, Bullying, And Victimization Among Chinese Adolescents, Yang Wen, Xihe Zhu, Justin A. Haegele, Fangliang Yu

Human Movement Studies & Special Education Faculty Publications

The purpose of this study was to examine if adolescents who experience anxiety or depression have higher levels of reported bullying victimization or perpetration than those who do not. Based on the existing research, we hypothesized that those who experienced moderate or severe depression and anxiety would have higher rates of bullying victimization and perpetration when compared to those who experienced mild or no depression. This study used an observational design, and data were collected from a convenience sample of adolescents in a large regional high school in an Eastern province of China. The final sample included 1481 adolescents aged …