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Full-Text Articles in Psychology

Investigating The Consequences Of Workplace Violence Among Certified Nurse Assistants, Daniela Florez Jan 2025

Investigating The Consequences Of Workplace Violence Among Certified Nurse Assistants, Daniela Florez

Honors Undergraduate Theses

Workplace violence is one of the most prevalent issues in healthcare, negatively affecting the physical and emotional well-being of nursing professionals. The present study investigated the role of workplace violence in adverse outcomes for Certified Nursing Assistants. Specifically, the research aimed to examine its association with six key outcomes: (1) turnover intention, (2) burnout, (3) compassion fatigue, (4) secondary traumatic stress, (5) job satisfaction, and (6) work engagement. A cross-sectional approach was used. Data were collected using a demographic questionnaire, the Professional Quality of Life Scale 5, the Compassion Fatigue-Short Scale, the Work Well-being Inventory, the Workplace Violence Scale, the …


Finding Love On The Spectrum: An Analysis Of Social And Romantic Relationships Of Autistic College Students, Kaylee Spinner Jan 2025

Finding Love On The Spectrum: An Analysis Of Social And Romantic Relationships Of Autistic College Students, Kaylee Spinner

Masters Theses

Autism Spectrum Disorder (ASD) is characterized by difficulties in socialization, communication, and developing relationships with others. While many autistic individuals desire to start relationships with others, many do not have a very strong understanding of the use of nonverbal communication or how to develop these connections organically. As autistic individuals have become more open about wanting these resources to form social and romantic relationships, there has been more of a push in the literature to include social skills training for forming social relationships. However, the research on the desire for or development of romantic relationships for autistic individuals is still …


Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood Jan 2025

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …


The Relationships Of Anxiety Sensitivity, Intolerance Of Uncertainty, And Alexithymia On University Students’ Experiences Of Depression, Anxiety, And Stress, Vanessa Watterson Jan 2025

The Relationships Of Anxiety Sensitivity, Intolerance Of Uncertainty, And Alexithymia On University Students’ Experiences Of Depression, Anxiety, And Stress, Vanessa Watterson

Masters Theses

Undergraduates’ mental health has seen a significant decline over the past several decades. Past research has identified significant correlations between specific cognitive vulnerabilities and experiences of psychological distress. The current study reviewed the literature on relationships between three cognitive vulnerabilities (anxiety sensitivity, intolerance of uncertainty, and alexithymia) and individuals’ experiences of depression, anxiety, and stress. Further, this study utilized a hierarchical regression model to examine the predictive abilities of anxiety sensitivity, intolerance of uncertainty, and alexithymia on depression, anxiety, and stress, respectively. The findings indicated that all three cognitive vulnerabilities had significant and unique contributions to depression, anxiety, and stress …


Childhood Maltreatment And Social Anxiety In College Students: Examining The Role Of Distress Tolerance, Alexa N. Matthies Jan 2025

Childhood Maltreatment And Social Anxiety In College Students: Examining The Role Of Distress Tolerance, Alexa N. Matthies

Masters Theses

This study examines the relationship between childhood emotional maltreatment and social anxiety, with a focus on the mediating role of distress tolerance. Emotional maltreatment has been linked to numerous adverse psychological outcomes, yet its specific contribution to social anxiety symptoms requires further exploration. Using a sample of 94 participants aged 18 to 24, this research employs validated instruments, including the Childhood Trauma Questionnaire and Liebowitz Social Anxiety Scale, to assess the prevalence and impacts of emotional abuse and neglect. Findings reveal significant correlations between emotional abuse, neglect, and elevated social anxiety symptoms. Distress tolerance emerged as a key mediator, partially …


Psychometric Evaluation: Extending The Reliability And Validity Of The Teacher Attribution Measure For Early Elementary (Tam-Ee), Kerensa R. Nagle Jan 2025

Psychometric Evaluation: Extending The Reliability And Validity Of The Teacher Attribution Measure For Early Elementary (Tam-Ee), Kerensa R. Nagle

Theses and Dissertations

Teacher attributions of student challenging behavior have the potential to influence teacher-student relationships. However, the literature on teachers’ attributions of challenging behavior is sparse and lacks measurement standardization. This limits the replicability and generalizability of research findings. To determine if teacher attributions of student challenging behaviors influence teacher-student relationships, a measure demonstrating a specific score reliability and validity profile is needed. The present study evaluated the item- and scale-level score reliability and validity of a measure of teacher attribution of student challenging behavior, the Teacher Attribution Measure for Early Elementary (TAM-EE; Nemer, 2019), within a sample of teachers (N …


Too Much Information: The Role Everyday Information Plays In The Understanding Of Mental Health, Jeremy M. Morgan Jan 2025

Too Much Information: The Role Everyday Information Plays In The Understanding Of Mental Health, Jeremy M. Morgan

Murray State Theses and Dissertations

Information overload has become increasingly problematic within the world of mental health, as people are able to go online and access overwhelming amounts of mental health-related information within seconds. The aim of the current study was to examine the interaction between excess mental health information and individuals’ understanding of mental health, specifically Autism Spectrum Disorder (ASD), as well as self-diagnosis. Data from 128 participants was examined. The data collected related to participants’ online search and use patterns of ASD information, their understanding of ASD symptoms, as well as their experiences with those symptoms. Results indicated a significant positive correlation between …


The Pathways Of Father-Child Attachment: Examining Conflict Communication, Emotion Regulation, And Psychopathology In Emerging Adults, Kanica Bhutoria Jan 2025

The Pathways Of Father-Child Attachment: Examining Conflict Communication, Emotion Regulation, And Psychopathology In Emerging Adults, Kanica Bhutoria

Master's Theses and Doctoral Dissertations

Emerging adulthood is marked by instability, identity exploration, and heightened vulnerability to mental health difficulties. Parental attachment relationships shape emotion regulation and conflict communication during this transition, with implications for psychopathology. Using a cross-sectional survey design, this study examined associations among attachment-related anxiety and avoidance toward mothers and fathers, conflict communication, emotion regulation strategies, and psychopathology in 334 emerging adults. Participants completed measures of parental attachment; conflict communication; behavioral and cognitive emotion regulation strategies; and internalizing, externalizing, substance use, and crime-related symptoms. Attachment-related anxiety toward both parents was associated with elevated internalizing symptoms. Greater conflict communication with fathers was uniquely …


Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs Jan 2025

Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs

Master's Theses and Doctoral Dissertations

Background. The developmental cascade framework suggests early delays in one system can impact others. Infants born preterm or with autism spectrum disorder (ASD) often show such delays. Methods. The study included 498 infants enrolled in PediaTracTM a novel caregiver-report measure. The convergent validity of PediaTrac with the Ages and Stages Questionnaire (ASQ-3) was examined, along with its ability to predict ASD risk at 18 months using cross-sectional (9- and 12-month) and longitudinal (0–12-month) latent traits of motor (MOT) and social/communication/cognitive (SCG) abilities. Results. Strong convergent validity was found between PediaTrac and ASQ-3 domains at both time points. MOT at 9-months …


Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña Jan 2025

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …


A Preliminary Program Evaluation: Rates Of Intimate Partner Violence In An Urban Child Welfare Prevention Program, Athena Roca Jan 2025

A Preliminary Program Evaluation: Rates Of Intimate Partner Violence In An Urban Child Welfare Prevention Program, Athena Roca

PCOM Psychology Dissertations

Intimate partner violence (IPV) remains a pervasive public health concern with significant consequences for families. Traditional batterer intervention programs (BIPs), which often focus solely on the person causing harm (PCH), have demonstrated limited success in reducing recidivism, particularly when grounded in punitive or authoritarian models. This study evaluated the Child-Welfare IPV Prevention Program (CWIPVPP), a family-centered, trauma-informed intervention that engages the PCH, co-parents, and children to reduce IPV-related behaviors and promote healthier family functioning.

Recidivism indicators, including domestic violence incident reports (DIRs) and arrests, were analyzed for 57 fathers referred to the program, with 53 retained for final analyses. A …


A Systematic Review Of The Role Of Emotion Regulation In Predicting Behavioral Inhibition Symptoms Among School-Aged Youth, Anne C. Nields Jan 2025

A Systematic Review Of The Role Of Emotion Regulation In Predicting Behavioral Inhibition Symptoms Among School-Aged Youth, Anne C. Nields

Open Access Master's Theses

Mental health challenges represent a key construct to focus on in support of childhood and adolescent well-being. Mental health challenges represent the leading cause of disability among children and adolescents. Recent research on critical periods in brain development shows that early childhood and adolescence mark times in which behavioral, neurodevelopmental, and mental health features arise. Anxiety disorders, which involve the excessive presence of fear and anxiety, are among the most common psychiatric disorders affecting youth and adults today. Emotion regulation (ER) and behavioral inhibition are important constructs correlated to anxiety which may be leveraged to predict and intervene on the …


The Intersection Between Adverse Childhood Experiences And Alcohol Use In Rhode Island High Schoolers From Marginalized Backgrounds, Sydney Iacoi Jan 2025

The Intersection Between Adverse Childhood Experiences And Alcohol Use In Rhode Island High Schoolers From Marginalized Backgrounds, Sydney Iacoi

Open Access Master's Theses

Objective: Adverse childhood events (ACEs) are pervasive, affecting more than half the United States’ population. A large body of research has described an association between an increased number of ACEs and negative outcomes, including the development of a substance use disorder later in life. Further, ACEs are disproportionately experienced by individuals from historically marginalized groups. Thus, the interaction between ACEs and substance use may disproportionately impact individuals from historically marginalized groups (i.e., based on ethnicity and sex). The present study’s main aim was to examine the interaction of group differences, specifically based on sex and ethnicity, on the associations …


The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler Jan 2025

The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler

Antioch University Dissertations & Theses

Graduate students in clinical and counseling psychology programs face an inordinate amount of stress: coursework, learning a new job, emotional challenges inherent to providing therapeutic services, and general life stressors. Some trainees seek personal therapy and usually describe their experience as positive for both personal and professional reasons. Psychologists working as researchers and clinicians generally advocate for therapists to engage in personal therapy. However, research into the impact of personal therapy on professional functioning remains scarce. The extant literature includes numerous critiques of the methodologies used to investigate the impact of personal therapy, such as small sample sizes, unclear methods, …


Examining The Addictive Qualities Of Smartphone Usage, Daniel J. Pasquini Jan 2025

Examining The Addictive Qualities Of Smartphone Usage, Daniel J. Pasquini

Antioch University Dissertations & Theses

Individuals in today’s society, both nationally and globally, have become exceedingly reliant on their smartphones, i.e., cellular devices with the ability to perform many tasks similar to a traditional computer, for both recreational and productivity purposes. As smartphones become increasingly accessible and affordable for the general population, smartphone usage will continue to grow exponentially. As a result, a comprehensive investigation into the possible addictive properties of smartphone usage is warranted. The purpose of this study is to examine and highlight any possible addictive qualities of excessive smartphone usage. The research methodology that will be implemented within the study will be …


Sex Life Post Childbirth And The Role Of The Partner Relationship: A Qualitative Study, Agata Kopacz Jan 2025

Sex Life Post Childbirth And The Role Of The Partner Relationship: A Qualitative Study, Agata Kopacz

PCOM Psychology Dissertations

Sexual problems are common among postpartum women, and sexual functioning during the postpartum period is affected by biological, psychological, and social factors. There is limited research exploring women’s experiences within their romantic relationships and sex lives during the postpartum period. This qualitative study utilized the phenomenological approach to gain a better understanding of the experiences of postpartum women in their romantic relationships and their sexual functioning after childbirth. A total of eight eligible postpartum women were interviewed individually. Data from the interviews were analyzed utilizing the phenomenological data analysis approach and grouped into emerging themes. Four themes were extracted for …


Sport-Related Concussions In Division Iii Athletes: A 10-Year Prospective Analysis Of Trends And Incidence, Shaylyn R. Thorne Jan 2025

Sport-Related Concussions In Division Iii Athletes: A 10-Year Prospective Analysis Of Trends And Incidence, Shaylyn R. Thorne

Doctor of Psychology (PsyD)

Sports-related concussions (SRCs) among college athletes remain a growing area of concern due to a myriad of potential short and long-term implications. Understanding concussion trends and incidence in collegiate sports is critical for guiding prevention and management strategies. This study examined concussion injuries among NCAA Division III collegiate athletes at a single institution over a 10-year period. Analyses focused on trends in concussion incidence across sports, genders, and changes associated with institutional and NCAA policy updates. Results indicated that concussion incidence varied across sports and time, with higher rates in contact sports such as football and soccer. Significant differences occurred …


The Influence Of The Greatest 8tm Text Message Service On Parental Involvement In Children’S Mental Health, Rebecca Michel Jan 2025

The Influence Of The Greatest 8tm Text Message Service On Parental Involvement In Children’S Mental Health, Rebecca Michel

Open Access Dissertations

The present study examined the impact of The Greatest 8Ô text messaging service on parental involvement in promoting children’s mental health and wellness. A quasi-experimental design compared 63 subscribers and 115 non-subscribers of the service. Parents completed an online survey assessing confidence, engagement, beliefs about eight core mental health skills, and perceived child improvement, along with exploratory measures regarding information sources, preferred communication methods, and barriers to accessing resources. It was hypothesized that subscribers would report higher confidence, engagement, and beliefs than non-subscribers, that duration in the program would predict these outcomes, and that engagement would moderate the relationship between …


Adhd As A Lived Experience Amongst Bipoc College Students, Nikash Kale Jan 2025

Adhd As A Lived Experience Amongst Bipoc College Students, Nikash Kale

Honors Theses

This thesis focuses on the perspectives of Black Indigenous and Persons of Color (BIPOC) college students on Attention-deficit/hyperactivity Disorder (ADHD). The study analyzes scoping strategies, perceived symptomatological differences, and the effects of racial, ethnic, and cultural backgrounds among BIPOC college students. Drawing on semi-structured interviews with 14 participants, I examine the full permeation of ADHD among BIPOC college students, its evolution from pre-diagnosis to the present, and how they navigate the disorder and its treatment. A qualitative analysis of ADHD among minorities in college will not only allow clinicians to understand the distinct struggles of BIPOC with ADHD, but it …


An Examination Of Psycho-Behavioral Risk And Resilence Profiles In People With Chronically Painful Knee Osteoarthritis, Daniel Kusko Jan 2025

An Examination Of Psycho-Behavioral Risk And Resilence Profiles In People With Chronically Painful Knee Osteoarthritis, Daniel Kusko

All ETDs from UAB

The prevalence and impact of chronic pain are far-reaching and costly to our society. Chronic pain conditions are affecting many people in the US and abroad. Osteoarthritis (OA) is commonly referred to as a slow progressing degenerative disease that tends to develop over 10 to 15 years and can result in functional limitations and pain. Chronic knee OA is a common form of OA pain that affects many adults across the globe. Biopsychosocial factors are theorized to play an important role in how people with chronic pain may develop, exacerbate, or cope with pain. The goal of this project was …


Perceived Credibility Of Allegations Of Sexual Assault Across Victim Race And Mental Health History, Liyah C. Morgan Jan 2025

Perceived Credibility Of Allegations Of Sexual Assault Across Victim Race And Mental Health History, Liyah C. Morgan

College of Graduate Studies: Theses & Dissertations

Previous research examined the effect of victim gender and rape myth acceptance (RMA) on perceptions of victim credibility; however, little attention has been given to the impact of victim race and mental health history, and even fewer studies have explored the intersection of these two identities. The primary purpose of the current study was to identify factors affecting understanding of perceived credibility of victims of sexual assault, specifically in terms of victim race and mental health history. The study also examined the role of RMA on perceptions of credibility and explored participant attitudes related to color-blind racial attitudes and mental …


At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll Jan 2025

At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll

Antioch University Dissertations & Theses

This study explored the phenomenon of a growing queer subculture within the tabletop role-playing game community. Eight participants, all self-identified members of the LGBTQIA+ community with significant experience playing tabletop role-playing games, were interviewed to better understand their lived experience within this subculture, what draws them to playing tabletop role-playing games, and the personal impacts and meaning they draw from engaging in them. Participants identified as White, between the ages of 23 and 30, and represented a variety of queer identities in both sexuality and gender. Data was analyzed using Interpretative Phenomenological Analysis (IPA) in order to derive six group …


Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar Jan 2025

Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar

Antioch University Dissertations & Theses

Incels have gained mainstream attention in recent years because of increasing sexism and hatred that have manifested as violent acts committed towards women in the real world. This has led to growing research and discussion on social and political culture. The goal of this study is to understand why men join the incel community, to find ways to mitigate the need for men to join such communities. A theoretical thematic analysis was conducted using a survey to gain a deeper understanding of why men choose to join the incel community. A decolonial feminist interpretive framework was used to analyze the …


Pay Attention! A Comparative Analysis Of Psychological Assessments And Neurological Mechanisms For Adhd Within A Pediatric Population, Kristen E. Newberry Jan 2025

Pay Attention! A Comparative Analysis Of Psychological Assessments And Neurological Mechanisms For Adhd Within A Pediatric Population, Kristen E. Newberry

Antioch University Dissertations & Theses

This study evaluated the predictiveness of the WISC-V, NEPSY-II, CPT-3, and CATA when compared to each other in a sample of 272 children aged 8–16. Archival data was analyzed using binary and multinomial logistic regression models to assess concurrent validity of specific subtests and indexes. Participants were grouped by ADHD subtype (inattentive, combined/hyperactive, or no diagnosis), with gender and executive functioning measures included in the models. Findings indicated that lower Cognitive Proficiency Index (CPI) and executive functioning scores (e.g., Animal Sorting, Response Set) predicted any ADHD diagnosis compared to the no diagnosis group, whereas higher CATA scores predicted lower Inattentive …


Facing The Tension: A Grounded Theory Of Perceptions Of Bias, Cultural Responsiveness, And Social Justice Advocacy Among Forensic Evaluators, Magen M. Hauser Jan 2025

Facing The Tension: A Grounded Theory Of Perceptions Of Bias, Cultural Responsiveness, And Social Justice Advocacy Among Forensic Evaluators, Magen M. Hauser

Antioch University Dissertations & Theses

Forensic psychologists are held to culturally responsive standards by the American Psychological Association, which reflect the latest research calling for professionals to acknowledge and reflect on power, privilege, and biases within themselves, their practice, and other elements of their work. However, forensic psychology has not kept pace with this movement. Additionally, the credibility and livelihood of forensic evaluators and their professional judgments rely on their ability to be as objective and unbiased as possible. Often, the idea of focusing on one’s own identities and biases as the evaluator is conflated with a lack of objectivity. This perceived conflict of expectations …


Sensory Processing And Anxiety In Bipolar Disorder, Lyric Arvizu Jan 2025

Sensory Processing And Anxiety In Bipolar Disorder, Lyric Arvizu

Graduate Theses/Dissertations

Past research suggests that individuals with bipolar disorder often experience differences in sensory gating and sensory processing, and similar patterns have been observed in anxiety disorders. Given that anxiety is highly comorbid with bipolar disorder, the present study examined how these conditions relate to self-reported sensory processing differences. A total of 132 participants (88 female), including 43 with bipolar disorder, were included in the final sample. Anxiety symptomatology was measured via the State-Trait Anxiety Inventory (STAI) Form Y. Sensory processing questionnaires included the Sensory Gating Inventory (SGI) and the Adult Sensory Processing Scale (ASPS). Correlations, t-tests, a multivariate analysis of …


The Effects Of Corporal Punishment In Childhood On Early Adulthood Cortisol And Aggression, Tyler Priest Jan 2025

The Effects Of Corporal Punishment In Childhood On Early Adulthood Cortisol And Aggression, Tyler Priest

Graduate Theses/Dissertations

The current study aimed to see if experiencing corporal punishment led to more aggressive behaviors as well as higher cortisol levels than in those who did not experience corporal punishment. The study also examined whether self-regulation moderated the relationship between corporal punishment and levels of aggression. Morning cortisol levels were collected from participants, and they completed a demographics survey, an aggression index, a corporal punishment index, and a self-regulatory inventory index. A T-test found that there was not a significant difference in morning cortisol levels between those that experienced corporal punishment and those that had not experienced corporal punishment. A …


Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams Jan 2025

Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams

Antioch University Dissertations & Theses

Musculoskeletal injuries and recovery from them play a vital role in both the physical and psychological wellbeing of the public. Existing research has been conducted primarily within the athlete population with rehabilitation from these injuries having a profound impact on the physical and mental health. One of the most frequent psychological responses related to sports injuries is a trauma response, which has been shown to hinder the rehabilitation process and to increase the likelihood for reinjury upon return to play. Embedded within the many inputs to trauma responses to these injuries are psychological distress reactions, in particular fear connected to …


Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar Jan 2025

Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar

Antioch University Dissertations & Theses

Female veterans are currently the fastest growing population of veterans in the United States (U.S. Department of Veterans Affairs, 2022) and have a higher prevalence of posttraumatic stress disorder (PTSD) than male veterans (Na et al., 2021), yet there has been limited research done on this population. Females have also been found to experience more posttraumatic growth (PTG) than males (Kalaitzaki, 2021; Prieto-Ursa & Jordar, 2020; Yildiz, 2021). Furthermore, women’s use of emotion-focused coping strategies has been shown to play a role in increasing experiences of PTG during the COVID-19 pandemic (Chu-Si & Yunhwan, 2022). Yet, while research has examined …


Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young Jan 2025

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young

Antioch University Dissertations & Theses

While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …