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Full-Text Articles in Psychology

Motivational Interviewing For Problem And Pathological Gambling: A Systematic Review And Meta-Analysis, David Forman May 2024

Motivational Interviewing For Problem And Pathological Gambling: A Systematic Review And Meta-Analysis, David Forman

Psychology ETDs

As legalized gambling becomes more accessible and the prevalence of gambling problems are expected to rise, there is growing interest in effective psychological interventions that reduce gambling problems. A previous meta-analysis (Yakovenko, 2015) concluded that Motivational Interviewing (MI) was associated with significant reductions in gambling frequency and intensity. Yet, that analysis only included five studies and had methodological limitations. Notably, the majority of studies included in the meta-analysis combined MI with another intervention, blurring the effect of MI’s specific contributions on outcomes. To improve upon this work, the current study performed an updated systematic review and random-effects meta-analysis that 1) …


Trajectories Of Depression Severity In The First Semester Of College, Nicole A. Kelso May 2024

Trajectories Of Depression Severity In The First Semester Of College, Nicole A. Kelso

Theses and Dissertations

Depression is a major public health concern among students in higher education. Prior work suggests that depressive symptoms increase during the transition to college. Transfer students face unique challenges during the transition to a new academic institution that may make them particularly vulnerable. There is a critical need to expand prevention efforts. Research that improves identification of students at greatest risk for developing impairing depressive symptoms, and etiological processes contributing to depressive symptoms could aid in the provision of limited prevention resources. Furthermore, longitudinal research tracking symptom trajectories during the transition to college could help inform the timing of preventive …


The Effect Of Animal-Assisted Therapy On Prosocial Behaviors In Children With Autism Spectrum Disorders And Developmental Delay: A Pilot Study, Emma Mitchell May 2024

The Effect Of Animal-Assisted Therapy On Prosocial Behaviors In Children With Autism Spectrum Disorders And Developmental Delay: A Pilot Study, Emma Mitchell

Psychological Science Undergraduate Honors Theses

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social interaction, nonverbal communication, and repetitive patterns (American Psychiatric Association [APA], 2013). Indeed, autistic individuals have been shown to have greater challenges with developing, maintaining, and understanding social relationships which can persist over their lifetime. Early intervention services are recommended for autistic children when they are young to help promote positive skills to enhance their functioning within society and increase their wellbeing over time. This is an especially pressing issue as ASD rates are rising – with the latest data now suggesting 1 in 36 children have the …


Examining The Relationships Between Social Media Use Constructs And Mental And Sleep Health In Hispanic University Emerging Adults, Miguel Andres Garcia May 2024

Examining The Relationships Between Social Media Use Constructs And Mental And Sleep Health In Hispanic University Emerging Adults, Miguel Andres Garcia

Open Access Theses & Dissertations

The number of social media users and platforms have increased dramatically in recent years. Several different social media use constructs have developed from past research to assess social media engagement, including overall social media use, nighttime in-bed social media use, social media addiction, social media self-control failure, and emotional investment in social media. Such constructs are distinct from each other and may adversely impact mental and sleep health, especially during emerging adulthood. This study investigated the relationships between such social media use constructs and mental and sleep health in Hispanic university emerging adults through a framework of Uses and Gratifications …


Evaluating The Association Between Daily Fluctuations In Sleep And Blood Pressure, Mara Egeler May 2024

Evaluating The Association Between Daily Fluctuations In Sleep And Blood Pressure, Mara Egeler

Graduate Theses and Dissertations

Hypertension is a major contributing factor for heart disease, with nearly half of US adults meeting criteria. While studies have begun to examine the relationship between insomnia and blood pressure (BP), little is still known regarding the relationship between daily fluctuations in sleep and BP. This study aimed to provide further clarification on the role insomnia plays in the development of hypertension, including the impact that daily fluctuations in sleep have on fluctuations in BP. Participants included 61 adults from the greater Northwest Arkansas area (63.9% White, 67.2% Female, 30-79 y) who completed 10 consecutive days of sleep and blood …


Clarifying The Relationship Between Weight Suppression And Eating Psychopathology: The Role Of Fear Of Weight Gain And Intolerance Of Uncertainty, Danielle Elizabeth Peters May 2024

Clarifying The Relationship Between Weight Suppression And Eating Psychopathology: The Role Of Fear Of Weight Gain And Intolerance Of Uncertainty, Danielle Elizabeth Peters

Legacy Theses & Dissertations (2009 - 2024)

Objective: Weight suppression (WS), the discrepancy between a person’s highest and current body weight, is largely associated with eating pathology in clinical and non-clinical samples. WS may put individuals in a biobehavioral bind: biological factors may drive the body toward weight regain, which in turn drives eating disorder (ED) behaviors in an attempt to prevent weight regain. However, few studies have examined psychological factors that may play a role in the biobehavioral bind of WS. As such, the present study aimed to (1) whether WS was associated with fear of weight gain (FOWG) and intolerance of uncertainty (IU) and (2) …


Feasibility And Acceptability Of A Self-Paced, Online Workshop Targeting Self-Compassion Skills For Emerging Adults With Disordered Eating, Arielle Wolinsky May 2024

Feasibility And Acceptability Of A Self-Paced, Online Workshop Targeting Self-Compassion Skills For Emerging Adults With Disordered Eating, Arielle Wolinsky

Legacy Theses & Dissertations (2009 - 2024)

The present paper includes two studies that explored the relevancy of self-compassion to emerging adults, expectancies of having a self-compassion mindset on disordered eating, and the prospective and concurrent acceptability and feasibility of a self-paced, online workshop targeting self-compassion skills for emerging adults with disordered eating. Study 1 was a cross- sectional study examining emerging adults’ understanding of self-compassion, expectancies of having a self-compassion mindset on disordered eating, and the feasibility and prospective acceptability of a proposed self-paced, online workshop targeting self-compassion skills for emerging adults with disordered eating. Study 1’s findings were incorporated into the design and implementation of …


Social Determinants Of Health As A Correlate Of Patient And Clinical Characteristics In Community Mental Health Care, Syed Aajmain May 2024

Social Determinants Of Health As A Correlate Of Patient And Clinical Characteristics In Community Mental Health Care, Syed Aajmain

Legacy Theses & Dissertations (2009 - 2024)

Background: Social determinants of health (SDOH) are conditions in the environment in which people live and work that influence health risks and outcomes. These include a range of social, economic, psychosocial, and behavioral factors such as food insecurity, hazardous housing, and financial resource strain. Such factors account for variance in numerous health outcomes, including life expectancy and quality of life. Studies on university student populations also demonstrate that unmet SDOH needs are associated with poorer self-assessed general health as well as higher anxiety and depression symptom severity. However, little is known about SDOH in the context of routine outpatient psychotherapy …


Examining The Effects Of Menstrual Cycle Phase And Hormonal Contraceptive Use On Women's Sleep, Charles Ethan Coombs May 2024

Examining The Effects Of Menstrual Cycle Phase And Hormonal Contraceptive Use On Women's Sleep, Charles Ethan Coombs

Psychological Science Undergraduate Honors Theses

Women overrepresent men for sub-optimal sleep, a consequence of hormone fluctuation in the menstrual cycle affecting sleep regulatory pathways. While research has examined the prevalence of sub-optimal sleep through cycle phases, little research has examined how hormonal contraceptives (HC’s) could similarly affect women’s sleep, while also neglecting to utilize subjective sleep measures. In this study, we examine subjective sleep quality among naturally cycling (NC) women, women using different HC types, and between active and inactive phase pill users by subjecting 463 women to a subjective sleep battery. We hypothesized that HC users would report more sub-optimal sleep than NC women. …


Stuck In My Head: Maladaptive Daydreaming And Memory, Tamryn Woolfork May 2024

Stuck In My Head: Maladaptive Daydreaming And Memory, Tamryn Woolfork

Honors College Theses

Previous research has indicated that maladaptive daydreaming (MD), a proposed psychological disorder in which people are compulsively immersed in complex daydreamed plots accompanied by intense emotional involvement and stereotypical movements (Soffer-Dudek & Theodor-Katz, 2022), may be comorbid with many disorders such as ADHD (Somer, Soffer-Dudek, & Ross, 2017). Research has also shown that MD is related to the concept of absorption in which a person’s attention is fully engaged in an outside object (Abu-Rayya, Somer, & Meari-Amir, 2019; Tellegen & Atkinson, 1974). This study examined whether MD was correlated with story world absorption, working memory span, and memory for a …


A Mobile Application Intervention For Insomnia Among College Students, Veronica Floyd May 2024

A Mobile Application Intervention For Insomnia Among College Students, Veronica Floyd

Graduate Theses and Dissertations

Previous studies have found that the prevalence of insomnia among college students is high. This has implications for students mental and physical well-being, academic performance, and the onset of more chronic insomnia symptomology. Cognitive Behavioral Therapy for Insomnia (CBT-I) is the front-line treatment for insomnia, but cost and time are often barriers to treatment access. The goal of this study was to test the feasibility, acceptability, and efficacy of a more cost-effective self-guided version of CBT-I (via mobile application). Fifty-five college students, who were mostly women (82%) and mean age 19.3 (SD = 2.3) years with moderate insomnia symptoms were …


A Study Of The Relationship Between Interoceptive Sensibility And Distress Tolerance In Community And College Samples, William Moore May 2024

A Study Of The Relationship Between Interoceptive Sensibility And Distress Tolerance In Community And College Samples, William Moore

Honors Theses

Interoceptive sensibility (IS) involves the detection, integration, and interpretation of internal bodily signals, primarily from cardiovascular, pulmonary, or gastrointestinal systems. Dysfunction in interoceptive processing has been increasingly recognized as a clinically relevant factor in numerous neurological, psychiatric, and behavioral disorders. This thesis aimed to elucidate the relationship between interoceptive sensibility and distress tolerance, hypothesizing that individuals with heightened interoceptive sensibility may exhibit poorer distress tolerance, potentially influencing emotional regulation and maladaptive coping mechanisms. To explore these relationships, two studies have been conducted utilizing self-report measures of interoceptive sensibility and distress tolerance in community and college samples. In a study of …


An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley May 2024

An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley

Psychological Science Undergraduate Honors Theses

The current study sought to understand help-seeking behaviors for diverse psychological disorders across different demographic groups. Previous literature finds that help-seeking behaviors are greater in non-minority women in higher socioeconomic statuses, and greater for neurocognitive disorders. This study focuses specifically on university students (N= 276). Participants took diagnostic measures and then were told their scores were clinically elevated for either anxiety or ADHD. Participants were then asked qualitative questions regarding their help-seeking intentions. Findings that were consistent with previous literature are that women were more likely to help-seek than men, and participants in the ADHD condition were more likely to …


The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst May 2024

The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst

Electronic Theses and Dissertations

Binge eating and binge drinking often co-occur, but the role of impulsivity in accounting for this relationship is under-investigated. Existing research acknowledges shared risk factors, yet the specific impact of impulsivity is a critical gap. Impulsivity, characterized by impulsive decision-making, is known in addictive behaviors. This research with a sample of college and community participants assessed binge eating, binge drinking, and impulsivity. Overall, binge eating and binge drinking were uncorrelated, contrary to previous research. However, impulsivity was associated with both binge eating and binge drinking. Gender differences were also noted, along with differences between the community and college samples. The …


The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell May 2024

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …


The Role Of Social Support And Emotional Regulation In Relationship With Adverse Childhood Experiences And Food Addiction, Negin Ghaffari May 2024

The Role Of Social Support And Emotional Regulation In Relationship With Adverse Childhood Experiences And Food Addiction, Negin Ghaffari

Electronic Theses, Projects, and Dissertations

Adverse childhood experiences (ACEs) are potentially traumatic experiences that occur before the age of 18 and can have long-standing impacts on mental and physical health. Individuals with high exposure to ACEs may be at increased risk for depression, substance use disorders, and cardiovascular disease (Hughes et al., 2017). Social support has been shown to play an essential role in reducing the likelihood of adverse outcomes, such as substance dependence following exposure to adverse experiences. Furthermore, emotional regulation difficulties have been shown to mediate the relationship between childhood trauma and food addiction. There has been little research on adverse events in …


Symptom Clusters In Individuals Seeking Treatment For Gambling Disorder, Blaine Stiglets May 2024

Symptom Clusters In Individuals Seeking Treatment For Gambling Disorder, Blaine Stiglets

Electronic Theses and Dissertations

The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) presents the criteria for Gambling Disorder (GD) as a unidimensional construct where each additional symptom corresponds to increased severity. Many individuals experience addiction symptoms in specific symptom clusters, with membership to one profile of symptoms or other better-representing disorder severity than raw symptom counts. This study explored whether similarly informative symptom clusters exist among adults seeking treatment for gambling harms. The sample included 444 adults (Mage= 44.95) who completed an assessment of DSM criteria for GD at intake. Through a latent class analysis of GD criteria, three …


Do Emotion Dysregulation And Internalized Shame Mediate The Relationship Between Borderline Personality Disorder Symptomology And Criminal Involvement?, Madison Smith May 2024

Do Emotion Dysregulation And Internalized Shame Mediate The Relationship Between Borderline Personality Disorder Symptomology And Criminal Involvement?, Madison Smith

Electronic Theses and Dissertations

Borderline personality disorder (BPD) is a severe and debilitating mental disorder that is over-represented within the criminal legal system (CLS), with 15-29.5% of individuals in the CLS meeting criteria. However, little research has examined mechanisms leading to criminal involvement within this population. Potential mechanisms include positive/negative emotion dysregulation and internalized shame, which (aside from positive emotion dysregulation) have been linked to criminal involvement in other populations. Research has yet to examine these constructs as mechanisms explaining criminal involvement among individuals with BPD. This study examined positive/negative emotion dysregulation and internalized shame as mechanisms of the relationship between BPD and criminal …


The Long-Term Effects Of Family Instability During Childhood, Emily Guillen May 2024

The Long-Term Effects Of Family Instability During Childhood, Emily Guillen

Student Scholar Symposium Abstracts and Posters

The environment in which children are raised greatly influences the person they will grow up to be. Children who experience dysfunctional family relationships, such as constant changes and disruptions to the family structure, are likely to experience long term effects. The purpose of this study is to understand the link between family instability within relationships and the long-term psychological effects in early adulthood. Through the use of family systems theory, the research examines the family as a whole in which interactions within the family affect each member. This study investigated childhood experiences of unstable family relationships, and their likelihood to …


Suicidal Ideation Among Survivors Of Childhood Sexual Abuse: The Role Of Shame And Sexual Grooming, Aysegul Yucel May 2024

Suicidal Ideation Among Survivors Of Childhood Sexual Abuse: The Role Of Shame And Sexual Grooming, Aysegul Yucel

Student Theses

Childhood Sexual Abuse (CSA) is a global public health issue, with 25% of girls and 5% of boys in the U.S. reporting abuse before the age of 18. While CSA is known to increase the risk of suicidal ideation in later life, the additional psychosocial factors involved are understudied. This study investigates the impact of abuse-related shame and sexual grooming on suicidal ideation in adults with CSA histories. Data from 118 undergraduate students were analyzed using binomial logistic regression and the PROCESS macro to explore direct and indirect effects. Results show that abuse-related shame significantly predicts suicidal ideation and mediates …


Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon May 2024

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …


Predictors Of Success In Controlled Drinking Outcomes, Felicia Rose Tuchman Apr 2024

Predictors Of Success In Controlled Drinking Outcomes, Felicia Rose Tuchman

Psychology ETDs

In order for clients to make informed decisions about what treatment goal is best for them and for clinicians to help clients bolster their chances of recovery, it is critical that we know for whom non-abstinence-based treatment goals are most effective. We collected data from 143 treatment-seeking adults with AUD. The final sample consisted of participants with baseline goals of controlled drinking and follow-up data (N = 25). Success for individuals with controlled drinking goals was not predicted by any of the variables studied in multiple regression analysis. Results of latent change score analyses indicate that participants of lower …


The Effectiveness Of Weighted Blankets As A Sleep Promoting Behavior: A Quasi -Experimental Study, Irish Amalia, Sali R. Asih, Inge U. Wiswanti, Ina Saraswati Apr 2024

The Effectiveness Of Weighted Blankets As A Sleep Promoting Behavior: A Quasi -Experimental Study, Irish Amalia, Sali R. Asih, Inge U. Wiswanti, Ina Saraswati

Psychological Research on Urban Society

Sleep is crucial to the overall well-being of individuals. Sleep deficiency can lead to various physical and mental health issues, including more severe insomnia, anxiety, and depressive symptoms. Improving sleep quality is often emphasized through sleep hygiene. An emerging nonpharmacological intervention is the use of weighted blankets, which apply deep-pressure stimulation to promote feelings of relaxation, comfort, and security similar to a gentle hug. This study explored the effects of weighted blankets on sleep quality and symptoms of insomnia, anxiety, and depression. Thirty participants (M = 33 years, SD = 9.13) used weighted blankets for 14 nights. They completed the …


Moderating Effect Of Secondary Victimization On The Relationship Between Resilience And Sexual Assault Coping Self-Efficacy, Jamie Layton Apr 2024

Moderating Effect Of Secondary Victimization On The Relationship Between Resilience And Sexual Assault Coping Self-Efficacy, Jamie Layton

Clinical Psychology Dissertations

Sexual assault is a prevalent public health concern that effects thousands of people every year. How each of these individuals responds is different. There are multiple factors that can impact someone’s response to sexual assault, one of which is resilience, and another is secondary victimization. Legal advocacy programs can be used to help reduce secondary victimization and increase sexual assault coping self-efficacy, while controlling for age and race. This dissertation examines the way that secondary victimization moderates the relationship between resilience and sexual assault coping self-efficacy. Participants were at least 18 years old, a cisgender woman, English speaking, and a …


Communication Of Mental Health Diversity To The Early Childhood Age Group: “The Adventures Of Anxious Anderson, Distracted Daniel, And Organized Olive”, Jessica Gower Apr 2024

Communication Of Mental Health Diversity To The Early Childhood Age Group: “The Adventures Of Anxious Anderson, Distracted Daniel, And Organized Olive”, Jessica Gower

Honors Projects

In this project, I aim to explore various aspects of communication, cognitive ability, and mental health diversity in early child development. The three research questions guiding this project are: What cognitive and language abilities do children in the early childhood stage of development have? What are the most effective strategies for communicating information about mental health disorders to children ages 4 to 7 through storytelling? And lastly, how do anxiety, attention-deficit/ hyperactivity disorder (ADHD), and obsessive-compulsive disorder (OCD) manifest, particularly in children? The storybook's purpose is to create a sense of empathy and understanding of mental health diversity in children …


The Impact Of Experiential Avoidance On Vulnerable Disclosure, Perceived Responsiveness, And Social Connection, Kaylee Church Apr 2024

The Impact Of Experiential Avoidance On Vulnerable Disclosure, Perceived Responsiveness, And Social Connection, Kaylee Church

Honors Projects

Loneliness, comprised of perceived social connection and social isolation, can have a severe negative impact on one’s physical and mental health. Understanding its complexities can assist in addressing these harmful consequences. In particular, the aspect of social connection can be understood through the interpersonal model of intimacy which posits that connection forms as a function of reciprocal vulnerable disclosure and perceived responsiveness. Experiential avoidance may complicate the process of the vulnerable disclosure required to develop social connection as sharing emotional information about oneself can result in discomfort that individuals avoid. Despite this theoretical connection, the relationship between experiential avoidance and …


Perseverative Thinking And Thought Suppression: Links To Medication Non-Adherence Among Adults With Type 2 Diabetes, Aswin Arunachalam, Aaron Lee Apr 2024

Perseverative Thinking And Thought Suppression: Links To Medication Non-Adherence Among Adults With Type 2 Diabetes, Aswin Arunachalam, Aaron Lee

Honors Theses

Medication nonadherence in patients with type 2 diabetes contributes to poor glycemic control which often results in the development of serious and irreversible diabetes-related complications. This study examines the role of the maladaptive cognitive processes of rumination and thought suppression on medication nonadherence in patients with type 2 diabetes. The sample for this study (N = 343) consisted of adults (mean: 55, range: 19 – 85) with type 2 diabetes enlisted through a web-based platform. Participants completed a series of validated questionnaires including the Perseverative Thinking Questionnaire, White Bear Suppression Inventory, and Difficulties in Emotion Regulation Scale. Binary logistic regression …


Lived Experiences Of Young Adults Exposed To Negligent And Permissive Parenting Styles, Jessica Hernandez Sanchez Apr 2024

Lived Experiences Of Young Adults Exposed To Negligent And Permissive Parenting Styles, Jessica Hernandez Sanchez

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological qualitative study was to explore the lived experiences of young adults of permissive and negligent parenting styles and their experiences of resilience and self-sufficiency. The theoretical frameworks were Lazarus and Folkman’s diathesis stress model and Baumrind’s theory of parenting styles. Data were collected from semi-structured interviews with 20 individuals ages 18–25 who met the inclusion criteria and parenting style experiences for this study. Data were transcribed, coded, and analyzed and three themes and seven subthemes emerged. The interpretation of the findings led to five themes: (a) the impact of attachment and parenting styles on the …


Assessing Social Engagement Differences Across The Continuum Of Sexuality, Ariana Cunningham Apr 2024

Assessing Social Engagement Differences Across The Continuum Of Sexuality, Ariana Cunningham

Honors Projects

Individuals attracted to more than one gender identity, also known as non-monosexuals, exist in a unique place in the sexuality dichotomy. Often experiencing prejudice from both their heterosexual and homosexual peers, they are prone to increased rates of loneliness. Loneliness has been shown to increase both mental and physical health risks. Due to the dangers of loneliness, the current study set out to examine this relationship between non-monosexuals and loneliness. A two-phase study was created containing an online survey portion and an in-person interview procedure. Due to small sample sizes, no statistical significance was found but data has been trending …


The Examination Of The Relationship Social Media Usage And Self-Diagnosis Of Mental Disorders, Felicity West Apr 2024

The Examination Of The Relationship Social Media Usage And Self-Diagnosis Of Mental Disorders, Felicity West

ATU Scholars Symposium

Abstract

This research examines the relationship between algorithmic social media platforms and self-diagnosis of mental disorders. Looking specifically at psychopathology, the enhancements and pioneering of new algorithmic social media platforms have made the facilitation of forged disorders and exaggerated symptoms quickly widespread. The most notable example, Dissociative Identity Disorder (DID), has led a plethora of youth to self-diagnose and romanticize one of the most serious and rare mental health disorders recognized by the APA (Hatigan et al., 2023). This becomes increasingly problematic because it diminishes the severity and urgency for those who are clinically diagnosed with DID. To investigate the …