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Full-Text Articles in Social and Behavioral Sciences

Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo Jan 2024

Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo

Electronic Thesis and Dissertation Repository

Numerous self-report questionnaires have been used in pain research to explore patients' experiences. However, these questionnaires often employ negatively worded items that can potentially worsen patients' distress. In response to the emergence of positive psychology, this thesis aimed to develop a new questionnaire that adopts a positive and strengths-focused approach, incorporating resilience, to replace the negative items found in existing tools such as the Pain Catastrophizing Scale (PCS). First, the effectiveness of the Connor-Davidson Resilience Scale (CD-RISC) in measuring resilience following trauma was assessed through a systematic review using the COnsensus-based Standards for the selection of health status Measurement INstruments …


Disordered Eating Behaviours In Adolescents With And Without A Formal Ed Diagnosis: Comparing Individual And Contextual Factors, Eve G. Chapnik Aug 2023

Disordered Eating Behaviours In Adolescents With And Without A Formal Ed Diagnosis: Comparing Individual And Contextual Factors, Eve G. Chapnik

Electronic Thesis and Dissertation Repository

This study explored various psychosocial factors associated with disordered eating in adolescents accessing mental health services across Ontario, Canada. Data were collected using the interRAI Child and Youth Mental Health (ChYMH) assessment tool and participants were categorized into three groups: individuals with diagnosed eating disorders (ED, n=207), disordered eating without a formal ED diagnosis (sub-ED, n=888), and other treatment-seeking youth (non-ED, n=3285). The ED and sub-ED groups did not differ in many ways, presenting with a similarly greater prevalence of mental health issues, and dysfunctional family and peer relationships, in comparison to non-ED youth. However, the ED …


An Empirical Examination Of The Dyadic Partner-Schema Model Of Relationship Distress And Depression, Jesse Lee Wilde Ms. Jul 2023

An Empirical Examination Of The Dyadic Partner-Schema Model Of Relationship Distress And Depression, Jesse Lee Wilde Ms.

Electronic Thesis and Dissertation Repository

Romantic relationship discord is prevalent in depression and has been repeatedly associated with poor prognosis for the disorder. Although a significant body of literature has examined the ways in which depressive self-schema structures (SSS) are implicated in depression, a paucity of research has investigated the role of partner-schema structures (PSS) in the disorder. The Dyadic Partner Schema Model (DPSM; Wilde & Dozois, 2019) was recently developed as a novel theoretical model of the mechanisms that maintain relationship distress in depression. This dissertation provided the first direct empirical examination of the DPSM by examining four main research questions: (1) how are …


Exploring The Impact Of Mood States On Motivation To Consume Food And Non-Food Rewards In Individuals With Loss Of Control Eating, Kendall M. Schmidt Jul 2023

Exploring The Impact Of Mood States On Motivation To Consume Food And Non-Food Rewards In Individuals With Loss Of Control Eating, Kendall M. Schmidt

Electronic Thesis and Dissertation Repository

Introduction. Loss of control (LOC) eating episodes are eating episodes in which an individual feels they cannot control what or how much they are eating, regardless of the amount of food consumed. These episodes are associated with significant psychological distress, psychiatric comorbidity, and reduced quality of living. Both negative affect and heightened reward processing of food have been posited as mechanisms that contribute to LOC eating. However, few studies have investigated whether negative affect influences reward processing of food and/or non-food rewards in individuals with LOC eating. Understanding how purported mechanisms of LOC work in conjunction may help to …


Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley E. Green, Andrew R. Daoust, Matthew R. J. Vandermeer, Pan Liu, Kasey Stanton, Kate L. Harkness, Elizabeth P. Hayden Jan 2023

Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley E. Green, Andrew R. Daoust, Matthew R. J. Vandermeer, Pan Liu, Kasey Stanton, Kate L. Harkness, Elizabeth P. Hayden

Psychology Publications

To date, most longitudinal studies of adolescents’ internalizing symptoms during the COVID-19 pandemic include few time points, limiting knowledge about the long-term course of adolescents’ mental health during the pandemic. Moreover, examining intraindividual variability in symptoms, which may have important implications for adolescents’ adjustment beyond mean or “typical” symptoms, requires multiple time points. We examined the course of internalizing symptoms in 271 Ontario adolescents (mean n = 193 across time points) during the first year of the pandemic (March 2020–April 2021) via mixed-effect location scale models, drawing upon established internalizing symptom risk factors as predictors of mean trends and intraindividual …


The Initial Development, Factor Structure, And Psychometric Validation Of The Impostor Phenomenon Assessment (Ipa): A Novel Assessment Of Impostor Phenomenon, Deanna L. Walker Aug 2022

The Initial Development, Factor Structure, And Psychometric Validation Of The Impostor Phenomenon Assessment (Ipa): A Novel Assessment Of Impostor Phenomenon, Deanna L. Walker

Electronic Thesis and Dissertation Repository

Despite growing attention surrounding impostor phenomenon (also known as “imposter syndrome”), recent reviews have suggested that current measures may be inadequate in capturing the complex and multifaceted nature of this construct (i.e., thoughts, feelings, and behaviours). The objective of my dissertation research program was to clarify the theoretical conceptualization of impostor phenomenon based on experiences in an achievement-oriented setting, and to develop a novel and psychometrically valid method of measuring this construct. I began by conducting an extensive review of the literature and developing an item pool for a novel impostor phenomenon assessment. I then conducted exploratory factor …


Finding Meaning In Life, Pedro Baeta Aug 2022

Finding Meaning In Life, Pedro Baeta

Undergraduate Student Research Internships Conference

This poster describes a review of the Meaning in Life psychological research. The project aimed to find current issues with the field and to provide new directions for it, along with a research proposal to be done in the fall.


Motor Learning By Observing The Movements Of A Computer-Animated, Human-Like Actor And A Non-Limb Observational Video, Mudia Iyayi Aug 2022

Motor Learning By Observing The Movements Of A Computer-Animated, Human-Like Actor And A Non-Limb Observational Video, Mudia Iyayi

Undergraduate Student Research Internships Conference

Our project is looking at the phenomenon of observational motor learning using a two-joint robotic manipulandum (robotic arm). When someone learns a new motor skill (i.e. throwing a football to a wide receiver) the brain must make and map an internal model of the forces required for that movement. The plasticity of the brain in constructing these representations is termed “motor learning” and can occur through physical practice or—for the purposes of our investigation—observation. Previous studies have used videos of human actors learning new skills to drive motor learning in the observer, however, it is not known what components of …


Early Childhood Impulsivity And Parenting Predict Trajectories Of Externalizing Psychopathology, Emma Stewart Jul 2022

Early Childhood Impulsivity And Parenting Predict Trajectories Of Externalizing Psychopathology, Emma Stewart

Electronic Thesis and Dissertation Repository

Parenting is a consistent predictor of child externalizing symptoms; however, the role of caregiving variability (i.e., variation in a caregiver’s parenting behaviour) is poorly understood. We examined whether characteristic parenting style and parenting variability predicted externalizing symptoms in 409 children (Mage = 3.43 at baseline, 208 girls). We assessed parent positive affectivity (PPA), hostility, and parenting structure at child age three using three behavioural tasks designed to vary in context, examining variability by modeling a latent difference score reflecting the range for each dimension. We assessed children’s symptoms at ages three, five, eight, and 11. Lower hostility predicted fewer …


The Impact Of An Online Self-Compassion Intervention On Thwarted Belongingness And Perceived Burdensomeness, Genevieve M. Bianchini Jul 2022

The Impact Of An Online Self-Compassion Intervention On Thwarted Belongingness And Perceived Burdensomeness, Genevieve M. Bianchini

Electronic Thesis and Dissertation Repository

Interventions that target thwarted belongingness (TB) and perceived burdensomeness (PB) may reduce suicidal thoughts and behaviours (Joiner, 2005). Self-compassion describes being open and kind towards oneself (Neff, 2003a) and is negatively associated with TB, PB, and suicidality. The current research examined the impact of a brief, virtual, self-compassion intervention on TB and PB in a young adult sample. Study 1 included an open trial to examine initial effectiveness and acceptability of the intervention. Self-compassion significantly increased over time; however, there were no changes in TB or PB. Study 2 included a randomized controlled trial comparing two control conditions to the …


Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley Elizabeth Green Jun 2022

Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley Elizabeth Green

Electronic Thesis and Dissertation Repository

Most studies of adolescents’ internalizing symptoms during the COVID-19 pandemic have included few data waves, limiting long-term conclusions about adolescents’ mental health during the pandemic. Collecting only a few waves of data precludes examination of intraindividual symptom variability, which may have implications for adjustment beyond mean symptoms. We characterized mean n = 192 adolescents’ internalizing symptoms from March 2020-April 2021 and used mixed effect location scale models to examine established risk factors as predictors of mean trends and intraindividual variability in adolescents’ internalizing symptoms. Adolescents’ symptoms were relatively stable and low over the first year of the pandemic; severity peaked …


Interpersonal Problems And Suicidal Ideation In Daily Life: Examining The Moderating Role Of Social Problem-Solving, Brianna M. Meddaoui Jun 2022

Interpersonal Problems And Suicidal Ideation In Daily Life: Examining The Moderating Role Of Social Problem-Solving, Brianna M. Meddaoui

Electronic Thesis and Dissertation Repository

Borderline personality disorder (BPD) is associated with significant impairment in interpersonal functioning and risk of suicidal ideation (SI). One mechanism underlying interpersonal problems in BPD is deficits in social problem-solving. Using ecological momentary assessment, this study investigated how acute interpersonal problems (conflict, social isolation, lack of support, and rejection) were associated with daily SI in adolescents presenting with BPD features. Perceived rejection (β = 0.05, SE = 0.02, p = .03), support (β = 0.09, SE = 0.02, p < .001), and conflict (β = 6.07, SE = 1.30, p < .001) were associated with SI concurrently. Those with weaker social problem-solving abilities were more likely to experience SI in response to perceived rejection (β = -0.3, SE = 0.01, p = .04). This study contributes …


Opening A Crack To Let The Light In: An Exploration Of An Online Group Adolescent Compassion Focussed Therapy Intervention, Euan Pb Fraser Tait Jun 2022

Opening A Crack To Let The Light In: An Exploration Of An Online Group Adolescent Compassion Focussed Therapy Intervention, Euan Pb Fraser Tait

Electronic Thesis and Dissertation Repository

The current study’s goal is to expand the adolescent compassion focused therapy (CFT) literature by exploring participant experiences of a novel CFT protocol which was delivered in an online group therapy format. This study is a mixed methods approach using surveys, open-ended questionnaires, and interviews to explore participants’ experience and expression of feelings of inadequacy (FOI) and self-compassion. Thematic analysis findings revealed that participants struggled primarily with FOI relating to evaluative contexts such as school and sports and that these FOI also carried with them implications of self-worth and perfectionism. Through participating in the program, participants were able to de-shame …


Evaluating The Impact Of A Safe Exercise Training Workshop On Knowledge And Self-Efficacy To Manage Dysfunctional Exercise Among Eating Disorders Clinicians At Alsana Eating Disorders Center, Danika A. Quesnel Jun 2022

Evaluating The Impact Of A Safe Exercise Training Workshop On Knowledge And Self-Efficacy To Manage Dysfunctional Exercise Among Eating Disorders Clinicians At Alsana Eating Disorders Center, Danika A. Quesnel

Electronic Thesis and Dissertation Repository

Engaging in dysfunctional exercise (DEX) is detrimental to eating disorders (EDs) prognosis, although common amongst clients. Though nutritionally supported exercise can improve ED treatment outcomes, without negatively impacting weight restoration, clinicians remain hesitant to address DEX, perhaps due to a lack of information and training. The current study examined the effects of a Safe Exercise at Every Stage (SEES) training on clinician knowledge and self-efficacy in managing DEX in ED treatment. Eating disorders clinicians completed measures before (n = 96) and after (n = 44) SEES training to assess their knowledge and self-efficacy around treating DEX, with a …


Neuroimaging Depression Risk In A Sample Of Never-Depressed Children, Matthew R. J. Vandermeer Nov 2021

Neuroimaging Depression Risk In A Sample Of Never-Depressed Children, Matthew R. J. Vandermeer

Electronic Thesis and Dissertation Repository

Children of mothers with a history of depression are at significantly higher risk for developing depression themselves. Although numerous mechanisms explaining this relationship have been proposed (Goodman & Gotlib, 1999), relatively little is known about the neural substrates of never-depressed children’s depression risk. Of the few studies that have used neuroimaging techniques to characterize risk-based differences in children’s neural structure, function, and functional connectivity, most have used samples that include participants with a personal history of depression or older samples (i.e., past the typical age of onset for depressive disorders). These approaches limit what can be determined regarding whether findings …


Optimal Denoising For Naturalistic Fmri Data, Brandon J. Yip Aug 2021

Optimal Denoising For Naturalistic Fmri Data, Brandon J. Yip

Undergraduate Student Research Internships Conference

In order to surgically treat epilepsy, it is necessary to localize the epileptic lesion. Naturalistic functional magnetic resonance imaging (fMRI) can potentially be an accurate, non-invasive, and efficient tool for identifying diseased neural networks that cause epilepsy. We investigated inter-subject correlation (ISC) as a measure of neural synchronization between healthy controls (n = 24) and patients with epilepsy (n = 18) while subjects watched a stimulating movie clip. To investigate optimal denoising strategies, we analyzed ISC values with five sets of motion regressors, functions that remove unwanted motion-induced interference in fMRI signal. All ISC values were denoised using ICA-AROMA, an …


Gender-Based Violence Survey, Alyssa J. Madhani Aug 2021

Gender-Based Violence Survey, Alyssa J. Madhani

Undergraduate Student Research Internships Conference

My research output shows the theoretical and practical skills gained from this internship. It also showcases some of the key learning from the survey- recognizing critical expertise in gender-based violence work.


Social Cognition Across Eating Disorders: A Systematic Review, Jina C. Kim Aug 2021

Social Cognition Across Eating Disorders: A Systematic Review, Jina C. Kim

Undergraduate Student Research Internships Conference

Social cognition refers to the cognitive processes involved in social interactions. Deficits in social cognition may play a role in the onset and maintenance of eating disorders (ED). The goal of this review was to examine the current literature on social cognition across EDs, specifically, anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).

The search revealed 79 studies which were organized according to six domains of social cognition: alexithymia, theory of mind, empathy, social processing, emotion recognition, and emotion processing. Most studies examined AN, finding evidence for deficits in some domains of social cognition. Literature on BN …


Does Aberrant Connectivity Underlie The Experience Of Misophonia?, Kate Raymond Aug 2021

Does Aberrant Connectivity Underlie The Experience Of Misophonia?, Kate Raymond

Electronic Thesis and Dissertation Repository

Misophonia is a condition characterized by an extreme aversion to certain ordinary sounds, such as chewing or breathing. These sounds are typically innocuous but elicit strong feelings of anger, anxiety, and disgust as well as physiological stress in people with misophonia. This misophonic reaction to “trigger” sounds is also marked by increased activity in regions of the brain that process sound, ascribe salience, and regulate emotion (Kumar et al., 2017; Schroder et al., 2019). It has therefore been theorized that aberrant connectivity between these brain regions (particularly the anterior insula, auditory cortex, amygdala, and hippocampus) may underlie the experience of …


Trends In Mental Health Service Use Among Youth And Emerging Adults In Canada, Thipiga Sivayoganathan Jul 2021

Trends In Mental Health Service Use Among Youth And Emerging Adults In Canada, Thipiga Sivayoganathan

Electronic Thesis and Dissertation Repository

Mental disorders among youth (age 12 to 17) and emerging adults (18 to 24) in Canada are common, but few receive mental health (MH) services. We examined trends in patterns and predictors of MH service use in this population. Secondary data analyses were conducted on six cycles of the Canadian Community Health Survey (2011 to 2016). From 2011 to 2016, the prevalence of MH service use increased by 4.3%. In 2016, 85.1% of those with poor self-rated MH accessed services, greater than in previous years; however, this subgroup represents only 1% of the total population. Psychiatrists had the largest provider …


The Relationship Between Neighbourhood-Level And Family-Level Factors And Sleep Problems Among Children And Youth, Katarina Mckenzie Jul 2021

The Relationship Between Neighbourhood-Level And Family-Level Factors And Sleep Problems Among Children And Youth, Katarina Mckenzie

Electronic Thesis and Dissertation Repository

There is little research on the effects of neighbourhood factors on child sleep outcomes. No study to date has investigated the interactive effects of neighbourhood and family socio-economic characteristics (SECs) on child sleep outcomes. This study aimed to fill this gap. Secondary data analyses were completed on two samples (children and youth) from the 2014 Ontario Child Health Study, a cross-sectional, province-wide sample of 10,802 children aged 4 to 17. Multi-level modeling was used to assess the relationship between child- (e.g., age), family- (e.g., negative parenting) and neighbourhood-level factors and their relationship to sleep outcome variables: problems falling asleep, problems …


Testing Competing Mediation Models Of The Effects Of Weight Bias Internalization And Weight Suppression On Disordered Eating In Young Adults, Samantha J. Withnell Jul 2021

Testing Competing Mediation Models Of The Effects Of Weight Bias Internalization And Weight Suppression On Disordered Eating In Young Adults, Samantha J. Withnell

Electronic Thesis and Dissertation Repository

The current study investigated a novel theoretical model of longitudinal relations between weight bias internalization (WBI), weight suppression, and disordered eating. Undergraduate students (N = 787) completed surveys at three time points. Path analysis was used to test competing models representing the temporal order of effects between WBI and weight suppression on disordered eating symptoms. Neither pathway was supported by the data, indicating that WBI and weight suppression were not related over time. However, results supported distinct effects of WBI versus weight suppression on the prediction of overall disordered eating, binge eating, and body dissatisfaction over six-month follow up. …


Why Do People Engage In Eating Disorder Behaviours?, Abbigail Kinnear Jul 2021

Why Do People Engage In Eating Disorder Behaviours?, Abbigail Kinnear

Electronic Thesis and Dissertation Repository

Eating disorders (EDs) are serious mental illnesses often with poor prognosis. Personalizing evidence-based treatments based on an individual’s reasons for engaging in ED behaviours – or the functions of EDs – may improve treatment outcomes; however, no validated measures assessing these functions exist. The goal of this study was to complete the initial steps in developing a measure of ED functions. Individuals who engage in ED behaviours (n = 16) and clinicians who treat EDs (n = 14) were interviewed, and a thematic analysis was conducted to determine key functions of EDs. Four main functions of EDs were …


Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson May 2021

Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson

Electronic Thesis and Dissertation Repository

Globally, anxiety disorders represent the most prevalent mental health disorders in children and youth (Polanczyk et al., 2015), with an increasing number of individuals perceiving the need for professional help (Georgiades et al., 2019). It is unclear, however, where families are seeking help from, what barriers families are facing, and what services are being provided for effective management of symptoms. Two methods were used to investigate possible treatment support models; a questionnaire identified patterns in parental help-seeking behaviours and outlined perceived barriers to professional help, while a scoping review examined key components of parent/caregiver treatment models. Findings showed that parents …


Types Of Social Relationships And Their Effects On Psychological Well-Being, Alana A. Graham Apr 2021

Types Of Social Relationships And Their Effects On Psychological Well-Being, Alana A. Graham

Brescia Psychology Undergraduate Honours Theses

Research has already established the importance of social networks in developing and maintaining well-being. Furthermore, different types of social relationships have been found to influence individuals’ lives in unique ways. There is little understanding, however, of the manner in which relationship types compare in their effects on individuals’ psychological well-being. Using a correlational design, this study investigated the associations between relationship intimacy and psychological well-being. Relationship intimacy was measured for respondents’ parents, significant others, close friends, and pets. The surveys were distributed to 91 undergraduate students and combined the Miller Social Intimacy Scale (MSIS) and Ryff’s Scales of Psychological Well-being …


The Experiences Of Iraqi Refugees In Canada: A Life History Study Of War And Resilience In The Aftermath Of Migration, Nada Nessan Feb 2021

The Experiences Of Iraqi Refugees In Canada: A Life History Study Of War And Resilience In The Aftermath Of Migration, Nada Nessan

Electronic Thesis and Dissertation Repository

This thesis reports on a life history narrative on the experiences of Iraqi refugees who resettled in Canada after living through war. The aim of this study is to help change the narrow perspectives on the mental health of war affected populations to a broader perception shaped by cultural and social aspects and to inform the development of meaningful and cultural relevant programs and policies with a particular attention to the concept of resilience.

The first part of the study presents the chronological narratives, or profiles. of eight participants. The second part of the study is a thematic discussion of …


Down Syndrome Caregivers’ Support Needs: A Mixed-Method Participatory Approach, Katie M. Hart, Nicole Neil Jan 2021

Down Syndrome Caregivers’ Support Needs: A Mixed-Method Participatory Approach, Katie M. Hart, Nicole Neil

Education Publications

Background

The purpose of the study was to explore the support needs of caregivers of children with Down syndrome from their perspective using a mixed‐method participatory research approach.

Methods

Concept mapping methodology was used to obtain caregiver perspectives. Twenty‐one caregivers answered the question ‘Are parents of individuals with Down syndrome supported, why or why not?’ Caregivers were involved in the analysis of the data through concept mapping procedures.

Results

Sorted data were analysed with multidimensional scaling and cluster analysis. Participants generated eight thematic clusters representing the support needs of caregivers of children with Down syndrome. The themes included online and …


Homotopic Coupling In Persons With Epilepsy Using Movie-Driven And Resting-State Fmri, Caroline M. Chadwick Aug 2020

Homotopic Coupling In Persons With Epilepsy Using Movie-Driven And Resting-State Fmri, Caroline M. Chadwick

Electronic Thesis and Dissertation Repository

For the 30-40% of persons with epilepsy (PWE) with refractory epilepsy, seizure freedom following surgery is affected by the localization of the epileptogenic zone (EZ). However, functional abnormalities can exist at a distance from the EZ, which may contribute to variable outcomes after surgery. Considering epilepsy as a network disorder (Pittau & Vulliemoz, 2015), and evaluating functional coupling among homotopic brain areas, may help predict cognitive outcomes. Homotopic areas are well connected anatomically and undoubtedly work synchronously to generate cognition. We evaluated 22 persons with focal epilepsy and 24 neurologically healthy controls using fMRI at rest and while watching a …


The Relationship Between Perfectionism And Procrastination: Examining Trait And Cognitive Conceptualizations, And The Mediating Roles Of Fear Of Failure And Overgeneralization Of Failure, Lital Yosopov Aug 2020

The Relationship Between Perfectionism And Procrastination: Examining Trait And Cognitive Conceptualizations, And The Mediating Roles Of Fear Of Failure And Overgeneralization Of Failure, Lital Yosopov

Electronic Thesis and Dissertation Repository

The relationship between perfectionism and procrastination has been established in the literature; however, findings regarding the magnitude of this correlation are inconsistent. Some studies found small-to-medium effects between trait-perfectionism and trait-procrastination, while others found large effects between perfectionistic cognitions and procrastinatory cognitions, suggesting that the association may be stronger when assessed from a cognitive perspective. The present study addressed this inconsistency, by exploring this association using both trait and cognitive measures. There was a significant and positive correlation between perfectionism and procrastination, and the largest effect size was observed between perfectionism (trait and cognitive measures) and procrastinatory cognitions, suggesting that …


Assessment Instruments And Basic Personality Underpinnings Of Hypersexuality, Stephanie L. Montgomery-Graham Aug 2020

Assessment Instruments And Basic Personality Underpinnings Of Hypersexuality, Stephanie L. Montgomery-Graham

Electronic Thesis and Dissertation Repository

Despite rejection of the Hypersexual Disorder (HD) diagnosis from DSM-5, individuals continue to present clinically with feelings of out-of-control sexual behaviour, clinicians continue to treat “sexual addiction,” and researchers continue to study HD-type symptomology. To further investigation of the HD construct, Levaque and colleagues (2016) used common HD assessment measures and found that between 16.7% and 37.8% of young adult males met clinically significant scores for HD. Phase one of this dissertation replicated the surprising finding in a North American community sample and furthered the research by testing the assessment tool used in DSM-5 HD field trials, and the first …