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Articles 2431 - 2460 of 3184

Full-Text Articles in Psychology

The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba Jan 2015

The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba

PCOM Psychology Dissertations

Traumatic spinal cord injury (SCI) is a sudden, dramatic insult to the central nervous system that results in instant loss of sensory and/or motor function. In addition to physiological changes, survivors also endure both cognitive and emotional changes that increase susceptibility to depression, anxiety, and suicidality, all of which have been associated with cognitive distortions. This study sought to investigate the influence of cognitive distortions in relation to the ability to adapt to disability and establish a high quality of life among spinal cord injury survivors. Participants were 116 men and women living with spinal cord injury recruited via the …


Do Depressive Symptoms Predict The Incidence Of Myocardial Infarction Independent Of Hopelessness?, Patrick Pössel, Amanda M. Mitchell, Kimmo Ronkainen, George A. Kaplan, Jussi Kauhanen, Maarit Valtonen Jan 2015

Do Depressive Symptoms Predict The Incidence Of Myocardial Infarction Independent Of Hopelessness?, Patrick Pössel, Amanda M. Mitchell, Kimmo Ronkainen, George A. Kaplan, Jussi Kauhanen, Maarit Valtonen

Faculty and Staff Scholarship

Depression and hopelessness predict myocardial infarction (MI), but it is unclear whether depression and hopelessness are independent predictors of MI incidents. Hopelessness, depression, and MI incidence rate 18 years later were measured in 2005 men. Cox regressions were conducted with hopelessness and depression serving as individual predictors of MI. Another Cox model examined whether the two predictors predict MI when adjusting for each other. Depression and hopelessness predicted MI in independent regressions but when adjusting for each other, hopelessness, but not depression, predicted MI incidents. Thus, these results suggest that depression and hopelessness are not independent predictors of MI.


The Relationship Between Illness Representations, Avoidant Coping, And Health Outcomes In People With Ongoing Symptoms Of Chronic Illness, Emily A. Bell Jan 2015

The Relationship Between Illness Representations, Avoidant Coping, And Health Outcomes In People With Ongoing Symptoms Of Chronic Illness, Emily A. Bell

UNF Graduate Theses and Dissertations

Illness representations play an important role in the way people with chronic illness manage symptoms and view their overall health. Those suffering from functional somatic syndromes as well as conventional diagnoses seek information and meaning about their health threats in order to make appraisals concerning health outcomes. The primary interest of this study was to determine whether illness representations predict coping strategies which in turn influence general health outcomes. Data was collected from a series of four online surveys that measured an individual’s illness representations (IPQ-R), coping responses (Brief COPE), and health outcomes (RAND-36). The sample included 204 participants (169 …


Reproductive (In)Justice: Exploring Young Women’S Experiences Of Reproductive Saliency In An Oppressive Environment, Angele D. Desroches Jan 2015

Reproductive (In)Justice: Exploring Young Women’S Experiences Of Reproductive Saliency In An Oppressive Environment, Angele D. Desroches

Theses and Dissertations (Comprehensive)

Young North American women are currently coming of age in a sociopolitical context governed by neoliberal ideology, post-feminist assumptions, agentic femininities, and demographic trends that have lengthened pathways to adulthood. Consequently, the avoidance of early reproductive experiences has become a key requisite governing the success of the young female subject. This project explores the diverse reproductive experiences of eleven young (≤ 24 years of age) women residing in Prince Edward Island, Canada. Prince Edward Island’s conservative community culture, anti-choice policies, and limited youth focused sexual-reproductive health services produces a unique experiential setting for young women who encounter reproductive events. Through …


Compliance To Exercise-Oncology Guidelines In Prostate Cancer Survivors And Associations With Psychological Distress, Unmet Supportive Care Needs, And Quality Of Life, Daniel A. Galvao, Robert U. Newton, Robert A. Gardiner, Afaf Grigis, Steven J. Lepore, Anna Stiller, Cathrine Mihalopolous, Steven Occhipinti, Suzanne K. Chambers Jan 2015

Compliance To Exercise-Oncology Guidelines In Prostate Cancer Survivors And Associations With Psychological Distress, Unmet Supportive Care Needs, And Quality Of Life, Daniel A. Galvao, Robert U. Newton, Robert A. Gardiner, Afaf Grigis, Steven J. Lepore, Anna Stiller, Cathrine Mihalopolous, Steven Occhipinti, Suzanne K. Chambers

Research outputs 2014 to 2021

Objective The purpose of this study was to determine prevalence of Australian prostate cancer survivors meeting contemporary exercise-oncology guidelines and identify associations with distress, unmet supportive care needs, and quality of life. Methods A population-based cohort of 463 prostate cancer survivors who were on 10.8 months post-curative therapy was assessed for compliance with current exercise guidelines for cancer survivors, motivational readiness for physical activity, psychological distress, unmet supportive care needs, and quality of life. Results Only 57 men (12.3%) reported sufficient exercise levels (150 min of moderate intensity or 75 min of strenuous exercise per week and twice weekly resistance …


Physician Role In Enhancing Patient Communication, Tamanna Sahni Jan 2015

Physician Role In Enhancing Patient Communication, Tamanna Sahni

Undergraduate Research Posters

Communication in the in-patient environment is crucial, and the relationship between a patient and physician enhances patient health and wellness. Patients should feel confident with their abilities to feel comfortable conversing with physicians, which would thus treat symptoms more effectively. This communication has decreased over time, hence patients are often are unable to obtain medical information from their healthcare providers. What is the relationship between psychological factors, such as self-esteem, and quality of patient-physician communication? And can physicians ensure increased patient comfort in the medical environment?

Various factors can affect the patients’ comfort with their physicians, and when addressed, these …


Asthma-Related Anxiety And Quick-Relief Medication Use In Urban Children With Asthma, Sarah E. Astrab, Robin Everhart Jan 2015

Asthma-Related Anxiety And Quick-Relief Medication Use In Urban Children With Asthma, Sarah E. Astrab, Robin Everhart

Undergraduate Research Posters

Among children, asthma is the most common chronic illness. Although not curable, asthma is manageable with the use of both daily controller medication and quick relief or rescue medication. Anxiety has been found to increase asthma symptoms in children. Caregivers who are anxious about their child’s asthma symptoms may perceive their child’s asthma as more severe or doubt their ability to manage their child’s asthma, which can result in the misuse of asthma medication. This study focused on the association between asthma-related anxiety and the use of quick-relief asthma medications in a low-income, urban sample in Richmond, Virginia. Child participants …


Heterosexism Faced By Adolescents In The Rural United States: A Case For Implementing Student-Made Lgbt Programs, Beau W. Coggsdale Jan 2015

Heterosexism Faced By Adolescents In The Rural United States: A Case For Implementing Student-Made Lgbt Programs, Beau W. Coggsdale

Undergraduate Research Posters

GSAs, Gay-Straight Alliances, influence the heterosexist environment within a school system, especially rural schools. The data was collected from various journals documenting suicide rates and levels of self-esteem in rural environments. A lot of the data was collected was cross-referenced because of the lack of research into LGBT youth in rural environments. Much of the research that was conducted was focused on ameliorating internalized homophobia of urban LGBT youth instead of rural LGBT youth, so research into LGBT urban youth was applied to those in a rural environment. Heterosexism exists in school systems because of the lack of support for …


Repositioning Art Work From Patients Suffering From Anorexia Nervosa In A Gendered, Socio-Cultural Context: A Self-Reflective Study, Dafna Rehavia-Hanauer Dec 2014

Repositioning Art Work From Patients Suffering From Anorexia Nervosa In A Gendered, Socio-Cultural Context: A Self-Reflective Study, Dafna Rehavia-Hanauer

Journal of Clinical Art Therapy

This article, conceptualized within a post-structuralist, feminist approach to art therapy, addresses the role of visual images as a controlling constituting discourse significant to the formation of the eating disorder anorexia nervosa. As a core position this article argues for a change in the way art work created within the art therapy process by women who suffer from anorexia nervosa is interpreted and analyzed by art therapists. The article argues for an enhanced appreciation and critical analysis of gendered, social-cultural contextualization of visual images and recognition of how these forces have a role in directing women to enact behaviors of …


The Use Of Creative Art As A Strategy For Case Formulation In Psychotherapy: A Case Study, Semra Karaca Phd, Nurhan Eren Dec 2014

The Use Of Creative Art As A Strategy For Case Formulation In Psychotherapy: A Case Study, Semra Karaca Phd, Nurhan Eren

Journal of Clinical Art Therapy

Case formulation refers to the appraisal of the individual data and the treatment plan in terms of certain principles. In psychotherapy, case formulation is relevant for the recognition of conceptual and clinical tools, as well as for the evaluation of the therapeutic endeavor. Art work (painting) provides an effective tool for case formulation because it allows the individual to express his/her thoughts and emotions, which are prone to the influences of subconscious drives, conflicts, fears, and desires in a symbolic fashion. In this study, case formulation of a 31-year-old woman, who could not overcome her verbal and physical aggressive behaviors, …


Editorial Poem, Einat Metzl Dec 2014

Editorial Poem, Einat Metzl

Journal of Clinical Art Therapy

No abstract provided.


Journal Cover And Front Matter Dec 2014

Journal Cover And Front Matter

Journal of Clinical Art Therapy

No abstract provided.


Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield Dec 2014

Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield

Educational Specialist, 2009-2019

The treatment of eating disorders involves a complex approach. In recent years, a number of websites have developed in an attempt to meet the needs of individuals struggling with this set of disorders. Some of these websites are nationally recognized organizations dedicated to improve treatment and provide educational resources, while other websites have been authored by individuals with eating disorders in an attempt to create a safe community of support. This project explores various components found in online communities, examines characteristics of eating disorders, and evaluates the worth of such resources, even when in perceived contrast with traditional treatment. Rather …


Developmental And Cultural Perspectives On Children’S Postoperative Pain Management At Home, Brooke N. Jenkins, Michelle A. Fortier Dec 2014

Developmental And Cultural Perspectives On Children’S Postoperative Pain Management At Home, Brooke N. Jenkins, Michelle A. Fortier

Psychology Faculty Articles and Research

Outpatient surgery is extremely common in children, and approximately 4 million children experience significant pain after surgery in the USA each year. Management of children's postoperative pain in the home setting is suboptimal and is impacted by characteristics of children and parents, as well as the larger family and cultural context. In particular, developmental status of the child, parental beliefs regarding pain expression and analgesic use in children, cultural values and language barriers can affect management of children's postoperative pain. Targeting the myriad barriers to children's pain management by capitalizing upon the use of tailored interventions may help bridge the …


Hemispheric Bases For Emotion And Memory, Tad T. Brunyé, Sarah R. Cavanagh, Ruth E. Propper Dec 2014

Hemispheric Bases For Emotion And Memory, Tad T. Brunyé, Sarah R. Cavanagh, Ruth E. Propper

Department of Psychology Faculty Scholarship and Creative Works

The goal of this Research Topic was to bring together diverse scientific perspectives on lateralized brain mechanisms underlying emotion, motivation, and memory. The Topic resulted in eight articles, three of which report original research and five of which review and synthesize past research with the aim of developing new hypotheses and theory. A range of international experts with diverse backgrounds, theoretical perspectives, and experimental methods contributed to the Topic. Contributions strongly reflect this diversity, ranging from examining pupil dilation in response to viewing Rembrandt portraits to understanding how caffeine supplementation influences levels of spatial processing. In all cases, the authors …


Los Efectos De La Violencia Familiar Y Las Percepciones De Las Mujeres Afectadas: Un Estudio De Las Mujeres Victimas De La Violencia Familiar A Ahmauta / The Effects Of Family Violence And Perceptions Of Women Affected :A Study Of Women Victims Of Domestic Violence To Ahmauta, Catherine Oidtman Dec 2014

Los Efectos De La Violencia Familiar Y Las Percepciones De Las Mujeres Afectadas: Un Estudio De Las Mujeres Victimas De La Violencia Familiar A Ahmauta / The Effects Of Family Violence And Perceptions Of Women Affected :A Study Of Women Victims Of Domestic Violence To Ahmauta, Catherine Oidtman

Independent Study Project (ISP) Collection

Violence against women is a social problem that demands much attention from society because it is a human rights issue and is damaging to the mental health status of women. The purpose of this investigation is to use an ethnographic approach to analyze the perceptions of women who have suffered from domestic violence to determine how perceptions of domestic violence impact subsequent mental health outcomes. Women (n=6) were recruited from the NGO Amhauta, an educational program that advocates for the rights of women and children in San Jerónimo, a district of Cusco, Peru. This analysis uses an ethnographic approach to …


Shock Incarceration Programs Creative Problem Solving, Djuana L. Munn Dec 2014

Shock Incarceration Programs Creative Problem Solving, Djuana L. Munn

Creativity and Change Leadership Graduate Student Master's Projects

Abstract of Project

Shock Incarceration Programs Creative Problem Solving

Many women who are incarcerated inside correctional boot camp prisons might have substantial low self-esteem that could worsen due to the stress of the prison environment, confinement, and being far away from their children and family members. Shock Incarceration or “boot camp” male correctional programs are degrading for female inmates: They do not meet the special needs and problems of women. Programs are based on control theory, which implies that an individual’s behavior assimilates to that which is expected by society. Female inmates are taught discipline and responsibility by “breaking down …


Collaborative Models Of Care In The Appalachian Region Of Tennessee: Examining Relationships Between Level Of Collaboration, Clinic Characteristics, And Barriers To Collaboration, Jeffrey Ellison Dec 2014

Collaborative Models Of Care In The Appalachian Region Of Tennessee: Examining Relationships Between Level Of Collaboration, Clinic Characteristics, And Barriers To Collaboration, Jeffrey Ellison

Electronic Theses and Dissertations

Decades of research have shown that there are significant advantages to maintaining close communicative and collaborative relationships between primary care and behavioral health providers. Fiscal, structural, and systemic barriers, however, often restrict the degree to which such interprofessional collaboration can occur. In the present study the authors examined relationships between primary care clinics in the Appalachian region’s characteristics (i.e., clinic type, rurality, and clinic size), barriers (i.e., fiscal, structural, and systemic) reported to using increased collaboration, and the level of collaboration used at a particular clinic.

For the present study 136 surveys were completed by providers working in primary care …


Gender Differences In Exercise Dependence And Eating Disorders In Young Adults: A Path Analysis Of A Conceptual Model, Tevni Grajales, Shelli Meulemans, Peter Pribis, Gretchen Krivak Nov 2014

Gender Differences In Exercise Dependence And Eating Disorders In Young Adults: A Path Analysis Of A Conceptual Model, Tevni Grajales, Shelli Meulemans, Peter Pribis, Gretchen Krivak

Faculty Publications

Abstract: The purpose of our study was to study the prevalence of exercise dependence (EXD) among college students and to investigate the role of EXD and gender on exercise behavior and eating disorders. Excessive exercise can become an addiction known as exercise dependence. In our population of 517 college students, 3.3% were at risk for EXD and 8% were at risk for an eating disorder. We used Path analysis the simplest case of Structural Equation Modeling (SEM) to investigate the role of EXD and exercise behavior on eating disorders. We observed a small direct effect from gender to eating disorders. …


“Putting The Occupation Back In Occupational Therapy:” A Survey Of Occupational Therapy Practitioners’ Use Of Gardening As An Intervention, Amy Wagenfeld, Ben Atchison Oct 2014

“Putting The Occupation Back In Occupational Therapy:” A Survey Of Occupational Therapy Practitioners’ Use Of Gardening As An Intervention, Amy Wagenfeld, Ben Atchison

The Open Journal of Occupational Therapy

Background. This study examines how and why occupational therapy practitioners across practice areas use gardening as an intervention. Respondents’ interpretation of the best and least desirable aspects of their facility’s garden and whether they contributed to its design was also examined.

Method. A description and link to a 15-question online survey about gardening as an occupational therapy intervention was emailed to Western Michigan University Occupational Therapy alumni and posted on four OT Connections groups and the AOTA LinkedIn site.

Results. Gardening as an occupational therapy intervention is meaningful and purposeful (93.66%, n = 56), motivating (80%, n = 48), fun …


Parent-Adolescent Communication About Health Risk Behaviors Among Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss Oct 2014

Parent-Adolescent Communication About Health Risk Behaviors Among Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss

Master's Theses (2009 -)

Health risk behaviors, like drinking alcohol or using tobacco, are a common problem among adolescents in the United States. For healthy adolescents, health risk behaviors may be hazardous to their health; for adolescents with chronic illnesses, the risks associated with these types of behavior are compounded and may further impact their health status. This is particularly true for adolescents with type 1 diabetes mellitus (T1DM), whose blood sugar may be directly impacted by consumption of alcohol or use of tobacco. Parent-child communication has been found to act as a protective factor against adolescent engagement in health risk behaviors; however, this …


The Effects Of Primary And Secondary Assortative Mating For Alcohol Misuse On Relationship Satisfaction Alcohol Use And Alcohol Consequences, Michelle Katherine Holt Crewe Oct 2014

The Effects Of Primary And Secondary Assortative Mating For Alcohol Misuse On Relationship Satisfaction Alcohol Use And Alcohol Consequences, Michelle Katherine Holt Crewe

Psychology Theses & Dissertations

This study examined undergraduate, emerging-adult men and women between the ages of 18 and 30 and their dating partners. The AUDIT (Babor, Higgens-Biddle, Saunders, & Monteiro, 2001) was used to assess their own and their partners' reports of hazardous alcohol misuse. Four types of couples were identified: alcohol misusing participants with alcohol misusing partners (i.e., alcohol concordant couples), alcohol misusing female participants with a non-alcohol misusing partner, alcohol misusing male participants with an non-alcohol misusing partner and non-alcohol misusing women and men (i.e., non misuse concordant couples). Participants and their relationship partners were also assessed for their status as an …


The Paradox Of Commercial Photography: Power And Sexuality In Models, Christina Bell Sep 2014

The Paradox Of Commercial Photography: Power And Sexuality In Models, Christina Bell

e-Research: A Journal of Undergraduate Work

Commercial photography has a tendency to force upon us a standard template of what the ideal person is or looks like. Unfortunately, the artificial standard is horribly unachievable and detrimental to physical and mental health, which produces sentiments of insufficiency and abjection with the self, especially among young impressionable girls. In a sick - and very modern - twist of evolutionary progress we find ourselves idealizing the depictions of models appearing to be on the verge of starvation. This article examines the power and sexuality in models produced through commercial photography and its effects on society at-large.


The Relationship Between Mindfulness And Burnout Among Master Of Social Work Students, Jolanta Maria Piatkowska Sep 2014

The Relationship Between Mindfulness And Burnout Among Master Of Social Work Students, Jolanta Maria Piatkowska

Dissertations and Theses

Social work students frequently endure elevated levels of prolonged stress and psychological affliction that might result in serious consequences, such as development of burnout. Some experts suggest that burnout originates in the exposure to chronic interpersonal stressors in the work environment. Yet, there is emerging evidence suggesting that mindfulness practice might be beneficial in alleviating stress. Thus, the purpose of this exploratory study was to examine the relationship between mindfulness and burnout among Master of Social Work students. Burnout, mindfulness, religiosity, spirituality and their potential relationship were discussed and related to previous scholarly literature. Specifically, this study focused on testing …


Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll Sep 2014

Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll

Institute on Aging Publications

Background: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model’s applicability to the German primary care setting and its cost-effectiveness.

Methods/Design: The study will be conducted …


Concussion Guidelines Step 1: Systematic Review Of Prevalent Indicators, Nancy Carney, Jamshid Ghajar, Andy Jagoda, Steven Bedrick, Cynthia Davis-O'Reilly, Hugo Du Coudray, Dallas Hack, Nora Helfand, Amy Huddleston, Tracie Nettleton, Riggio Silvana Sep 2014

Concussion Guidelines Step 1: Systematic Review Of Prevalent Indicators, Nancy Carney, Jamshid Ghajar, Andy Jagoda, Steven Bedrick, Cynthia Davis-O'Reilly, Hugo Du Coudray, Dallas Hack, Nora Helfand, Amy Huddleston, Tracie Nettleton, Riggio Silvana

Psychology Faculty Publications and Presentations

BACKGROUND: Currently, there is no evidence-based definition for concussion that is being uniformly applied in clinical and research settings.

OBJECTIVE: To conduct a systematic review of the highest-quality literature about concussion and to assemble evidence about the prevalence and associations of key indicators of concussion. The goal was to establish an evidence-based foundation from which to derive, in future work, a definition, diagnostic criteria, and prognostic indicators for concussion.

METHODS: Key questions were developed, and an electronic literature search from 1980 to 2012 was conducted to acquire evidence about the prevalence of and associations among signs, symptoms, and neurologic and …


Possible Psychological Effects Of Ultrasound Scanning On Women, Hang Wu Aug 2014

Possible Psychological Effects Of Ultrasound Scanning On Women, Hang Wu

Journal of Undergraduate Research at Minnesota State University, Mankato

Questionnaires were designed and given to 30 female subjects to investigate the possible psychological effects caused by the use of ultrasound scanning. The answers were analyzed in a numerical way and correlation tests were run to explore the relations among various factors. No significant correlation was found between any pair of the four selected factors. Further interviews with the subjects and detailed qualitative study of the answers provided answers for the results, and suggested that the possible psychological effects introduced by the ultrasound scanning, if any, were very limited.


Using Social Cognitive Theory To Predict Behavior, Gretchen Walker, Amy Posner Aug 2014

Using Social Cognitive Theory To Predict Behavior, Gretchen Walker, Amy Posner

Journal of Undergraduate Research at Minnesota State University, Mankato

The purpose of this study was to test a theoretical model where self-efficacy is hypothesized to influence people’s behavioral intentions directly and indirectly through effects on outcome expectancy. Data on self-efficacy, outcome expectancy, and intention to jog two consecutive miles were collected from 115 college students enrolled in general education classes. As anticipated, path analyses indicated that efficacy had both a direct impact on intention and an indirect impact through its effects on outcome expectancy. The more efficacious people were, the more positive the outcomes they associated with jogging and the surer they were they would jog. The model tested …


Correlation Between Health And Stress, Hang Wu Aug 2014

Correlation Between Health And Stress, Hang Wu

Journal of Undergraduate Research at Minnesota State University, Mankato

This study examined participants’ level of stress and their perceived level of stress and success in school. The subjects were given the stress questionnaire in order to determine the level of stress they were experiencing and the frequency of health issues experienced during the previous year. The results of the study suggest that although level of stress may be similar between individuals, how they perceived the stress impacted their health level. Students who perceived the stress in a negative fashion were more likely to be sick than individuals who were less impacted by the stress. By identifying the correlation between …


At Risk For Ptsd: The Public Health Implications Of Trauma, Madeline Peyton Aug 2014

At Risk For Ptsd: The Public Health Implications Of Trauma, Madeline Peyton

Master's Projects and Capstones

The fieldwork experience is the summation of six semesters of graduate level public health training. At commencement, students are to be proficient in basic data analysis and epidemiological principles, in how environmental risks impact health, and demonstrate strong program planning, evaluation and leadership skills. Throughout, students are encouraged to focus their academic work on an area of public health that interest them and on a problem that they hope to impact in their professional work. I continued in an area I began as an undergraduate student of medical anthropology and explored the systems that interact to influence mental health of …