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Full-Text Articles in Psychology

Postpartum Depression In Women Of Color, Barbara Sanchez Sep 2022

Postpartum Depression In Women Of Color, Barbara Sanchez

McNair Research Journal SJSU

Postpartum Depression (PPD) is a mental health complication experienced during pregnancy and/or in the months following childbirth. Women may struggle to seek treatment due to lack of education, unstable relationships, lack of support, and being low-income. Some of these factors may be particularly salient for women of color. Cultural nuances may also deter these women from seeking treatment and finding support to help manage their PPD symptoms. Treatment options and therapy have demonstrated a reduction in symptoms for women experiencing PPD. Future directions are also discussed.


Full Issue Sep 2022

Full Issue

McNair Research Journal SJSU

No abstract provided.


Post Covid-19 Cognitive Impairment In A Patient With Bipolar Disorder, Nilanjana Dutta, Raghav Gupta, Dr. M Kishor Mbbs, Md Sep 2022

Post Covid-19 Cognitive Impairment In A Patient With Bipolar Disorder, Nilanjana Dutta, Raghav Gupta, Dr. M Kishor Mbbs, Md

Digital Journal of Clinical Medicine

COVID-19 has caused widespread health conditions, psychological and social distress among people and there is evidence that shows profound neuropsychiatric complications during acute and post-recovery phases of the infection. Cognitive impairment occurring after COVID-19 infection can be explained by various mechanisms, including persistent systemic inflammation, direct viral invasion, alteration in the blood-brain barrier, and cerebrovascular endothelial injury.There are few studies that have explored the impact of COVID-19 on pre-existing psychiatric conditions. This case report highlights the temporal association of cognitive impairment with COVID-19 and the need for cognitive assessment and management in post-COVID-19 patients with pre-existing psychiatric conditions.


Burned-Out With Burnout? Insights From Historical Analysis, Renzo Bianchi, Katarzyna Wac, James Francis Sowden, Irvin Sam Schonfeld Sep 2022

Burned-Out With Burnout? Insights From Historical Analysis, Renzo Bianchi, Katarzyna Wac, James Francis Sowden, Irvin Sam Schonfeld

Publications and Research

Fierce debates surround the conceptualization and measurement of job-related distress in occupational health science. The use of burnout as an index of job-related distress, though commonplace, has increasingly been called into question. In this paper, we first highlight foundational problems that undermine the burnout construct and its legacy measure, the Maslach Burnout Inventory (MBI). Next, we report on advances in research on job-related distress that depart from the use of the burnout construct. Tracing the genesis of the burnout construct, we observe that (a) burnout’s definition was preestablished rather than derived from a rigorous research process and (b) the MBI …


Associations Between Cumulative Risk, Childhood Sleep Duration, And Body Mass Index Across Childhood, Tiffany Phu, Jenalee R. Doom Sep 2022

Associations Between Cumulative Risk, Childhood Sleep Duration, And Body Mass Index Across Childhood, Tiffany Phu, Jenalee R. Doom

Psychology: Faculty Scholarship

Background: Although associations between cumulative risk, sleep, and overweight/obesity have been demonstrated, few studies have examined relationships between these constructs longitudinally across childhood. This study investigated how cumulative risk and sleep duration are related to current and later child overweight/obesity in families across the United States sampled for high sociodemographic risk.

Methods: We conducted secondary analyses on 3690 families with recorded child height and weight within the Fragile Families and Child Well-Being Study. A cumulative risk composite (using nine variables indicating household/ environmental, family, and sociodemographic risk) was calculated for each participant from ages 3-9 years. Path analyses …


Dietary Approaches To The Treatment Of Autism Spectrum Disorders, Dhira Patel Sep 2022

Dietary Approaches To The Treatment Of Autism Spectrum Disorders, Dhira Patel

Loma Linda University Electronic Theses, Dissertations & Projects

This chapter reviews the literature surrounding autism spectrum disorders (ASD) and their relation to gastrointestinal (GI), behavioral, neurological, and immunological functioning. Individuals with ASDs often have poor GI health, including bowel motility issues, autoimmune and/or other adverse responses to certain foods, and lack of necessary nutrient absorption. These issues may be caused or exacerbated by restrictive behavioral patterns (e.g., preference for sweet and salty foods and/or refusal of healthy foods). Those individuals with GI issues tend to demonstrate more behavioral deficits (e.g., irritability, agitation, hyperactivity) and also tend to have an imbalance in overall gut microbiome composition, thus corroborating several …


Crm As A Psychosocial Intervention For Cancer Patients, Lauren Wakabayashi Sep 2022

Crm As A Psychosocial Intervention For Cancer Patients, Lauren Wakabayashi

Loma Linda University Electronic Theses, Dissertations & Projects

The present treatment manual is intended to outline the implementation of an intervention to manage psychological distress in cancer patients. Cancer patients suffer from psychological distress, in part due to physical symptoms that impact well-being. This can create a cycle of poor mental and physical health that is bidirectionally affected by poor responses to physical treatments. Thus, it is necessary to implement interventions for cancer patients that can combat these and other psychological symptoms. The Community Resiliency Model (CRM) has recently emerged as a set of wellness skills that can promote physiological and psychological well-being, as well as minimize negative …


The Community Resiliency Model In Health Decision-Making, Michelle Ngo Sep 2022

The Community Resiliency Model In Health Decision-Making, Michelle Ngo

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project reviews the literature to support the utilization of the Community Resilience Model (CRM) for health-related decision making, such as health behavior change and medication adherence. Research has shown that decision-making under significant stress can lead to making less advantageous choices, as the nervous system becomes dysregulated. The evidence in this literature review suggests that self-regulation using skills in the CRM Model can increase one’s ability to effectively making decisions.


Investigating Young Adult Cancer Survivors' Perspectives On Their Future And Interpersonal Relationships, Zeba N. Ahmad Sep 2022

Investigating Young Adult Cancer Survivors' Perspectives On Their Future And Interpersonal Relationships, Zeba N. Ahmad

Dissertations, Theses, and Capstone Projects

For many young adults (YA, aged 18-39) who have recently survived cancer, planning and working towards goals for the future is a fraught process. Prior research consistently identifies the challenges of survivorship, including: rebuilding personal identity, accepting the impact of cancer-related interruptions on personal goals, navigating new roles in significant close relationships, and initiating new relationships as a survivor. However, there is limited research describing the mechanisms underlying these persistent challenges, which poses difficulties when tailoring evidence-based psychological intervention. The present study consolidates both established and newly hypothesized survivorship challenges into a novel conceptual model, hypothesizing that they are interrelated, …


In Covid-19 Health Messaging, Loss Framing Increases Anxiety With Little-To-No Concomitant Benefits: Experimental Evidence From 84 Countries, Charles A. Dorison, Et. Al., Andree Hartanto Sep 2022

In Covid-19 Health Messaging, Loss Framing Increases Anxiety With Little-To-No Concomitant Benefits: Experimental Evidence From 84 Countries, Charles A. Dorison, Et. Al., Andree Hartanto

Research Collection School of Social Sciences

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., “If you do not practice these steps, you can endanger yourself and others”) or potential gains (e.g., “If you practice these steps, you can protect yourself and others”)? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message …


Potential And Pitfalls Of Mobile Mental Health Apps In Traditional Treatment: An Umbrella Review, Jerica Koh, Germaine Y. Q. Tng, Andree Hartanto Sep 2022

Potential And Pitfalls Of Mobile Mental Health Apps In Traditional Treatment: An Umbrella Review, Jerica Koh, Germaine Y. Q. Tng, Andree Hartanto

Research Collection School of Social Sciences

While the rapid growth of mobile mental health applications has offered an avenue of support unbridled by physical distance, time, and cost, the digitalization of traditional interventions has also triggered doubts surrounding their effectiveness and safety. Given the need for a more comprehensive and up-to-date understanding of mobile mental health apps in traditional treatment, this umbrella review provides a holistic summary of their key potential and pitfalls. A total of 36 reviews published between 2014 and 2022—including systematic reviews, meta-analyses, scoping reviews, and literature reviews—were identified from the Cochrane library, Medline (via PubMed Central), and Scopus databases. The majority of …


Transformation Based Digital Technology: The Effectivity Of Psychosocial Intervention Method, I Kadek Agus Hendriawan Putra, Pande Putu Narisya Ardhaneswari, Ni Wayan Devi Ariasih, I Komang Krisnata Kanaya Aug 2022

Transformation Based Digital Technology: The Effectivity Of Psychosocial Intervention Method, I Kadek Agus Hendriawan Putra, Pande Putu Narisya Ardhaneswari, Ni Wayan Devi Ariasih, I Komang Krisnata Kanaya

Smart City

A multitude of patterns resulting from technological change have an influence on people's mental health. People in the digital era need strong mental health in order to prevent mental disease. Coupled with the pandemic condition that happened around two years ago, it also took a part of the economic chain stability in the public, which is really important for everyday daily life. From the literature studies that have been read, showed that approximately 20% of the Indonesian population has the potential to have a mental disorder. Based on the various mental health problems that occur, the approach using the psychosocial …


Do Educators Value The Promotion Of Students’ Wellbeing? Quantifying Educators’ Attitudes Toward Wellbeing Promotion, David Byrne, Colm Mcguinness Phd, Aiden Carthy Phd Aug 2022

Do Educators Value The Promotion Of Students’ Wellbeing? Quantifying Educators’ Attitudes Toward Wellbeing Promotion, David Byrne, Colm Mcguinness Phd, Aiden Carthy Phd

Articles

Educators’ attitudes toward Social and Emotional Learning (SEL) and health and wellbeing promotion can significantly influence the success (or otherwise) of such policies and practices. While numerous studies exist, from which a broad understanding of such attitudes can be garnered, there is currently no attendant measurement which quantifies educators attitudes regarding the promotion of student wellbeing. The aim of this study was to address this gap in knowledge by quantifying the degree to which educators are positively or negatively disposed to the promotion of student wellbeing. The Attitudes Toward Wellbeing Promotion (ATWP) scale was administered …


Exploring Experiences Withcontraceptive Discontinuation, Julia Giurleo Aug 2022

Exploring Experiences Withcontraceptive Discontinuation, Julia Giurleo

Honors Program Theses and Projects

The purpose of this study was to explore women’s experiences with contraceptive discontinuation and to analyze the importance of various factors that influenced the decision to switch or discontinue contraceptives. Qualitative interviews asking participants about their experiences with contraceptive discontinuation and decision making were conducted with 15 participants between the ages of 18 and 45 (M = 27.6, SD = 7.9). Thematic analysis was applied to these interviews, and we identified four themes in the data. The first theme, Early Experiences with Contraceptives, explored the similar perceptions that women had towards the beginning of their contraceptive journeys that led to …


Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz Aug 2022

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …


Longitudinal Associations Between Housing Instability, Primary Caregiver's Mental Health, Parenting Skills, And Child Behavior Problems: A Latent Growth Modeling Approach, Xi Du Aug 2022

Longitudinal Associations Between Housing Instability, Primary Caregiver's Mental Health, Parenting Skills, And Child Behavior Problems: A Latent Growth Modeling Approach, Xi Du

LSU Doctoral Dissertations

Children who grow up in disruptive environments have heightened vulnerability to psychological and behavioral difficulties, which may influence overall well-being through the course of their lives. This study combined a life course perspective with Conger’s family stress model to investigate the longitudinal associations between housing instability, primary caregiver’s mental health, parenting skills, and child internalizing/externalizing behavior problems by unpacking dynamic change from a focal child’s early childhood to adolescence in each factor.

Data came from the Panel Study of Income Dynamics and its Child Development Supplement survey. The analytic sample comprises 783 children who aged 3-7 at enrollment with consistent …


Examining The Impact Of Financial Stress On Affect And Eating Behaviors, Ellen Hunt Steele Aug 2022

Examining The Impact Of Financial Stress On Affect And Eating Behaviors, Ellen Hunt Steele

Theses and Dissertations

Economic pressure and concomitant financial stress have been associated with mental and physical health problems, conflict, and poorer education and employment outcomes. Moreover, financial stress can be seen in specific hardships (e.g., food insecurity) and lead to maladaptive attempts to regulate emotions stemming from financial stressors. Women may be more vulnerable to consequences of food insecurity and attempts to regulate emotions with eating than men. Thus, the current study examined the impact of a randomized financial stress induction on affect and snack food choice while accounting for the influence of food insecurity and gender. Participants included 269 validly responding individuals. …


Factors Associated With Eating Disorders In Men: A Systematic Review, Zoe Alsup Aug 2022

Factors Associated With Eating Disorders In Men: A Systematic Review, Zoe Alsup

Psychology Capstone Projects

This systematic review sought to identify factors that are associated with men who experience anorexia or bulimia nervosa or symptoms of these disorders. Articles were included in this review if they were peer reviewed, published in or translated to English, published from 2010 to 2021, had full text accessible, included male participants, and included male participants diagnosed with anorexia and/or bulimia nervosa or who displayed symptoms of anorexia and/or bulimia nervosa. Articles were excluded if they did not meet the inclusion criteria, were a case study, interview, or literature review, or focused on a topic outside of the outcomes of …


Cyberchondria And Covid-19 Health Threats Related To Attentional Bias And Safety Behaviors, Jacqueline J. Charles Aug 2022

Cyberchondria And Covid-19 Health Threats Related To Attentional Bias And Safety Behaviors, Jacqueline J. Charles

Electronic Theses and Dissertations

Cyberchondria is described as excessively searching online for health information that ultimately increases worry and anxiety about one’s health (Starcevic et al., 2019). Research has demonstrated an increased attentional bias in anxious individuals for threat-related stimuli. Attentional bias for health information exacerbated by the frequent exposure to health threats during the COVID-19 pandemic may contribute to additional health-seeking behavior. The current study aimed to explore the potential relationship between COVID-19 health threats and cyberchondria level on attentional bias toward illness-related stimuli (symptom words) and the intent to perform safety behaviors while controlling for Trait Anxiety and Health Anxiety. Participants ( …


Investigating Fruit And Vegetable Variety In A National Food Co-Op: A Brighter Bites Evaluation, Katherine G. Hearne Aug 2022

Investigating Fruit And Vegetable Variety In A National Food Co-Op: A Brighter Bites Evaluation, Katherine G. Hearne

Dissertations and Theses (Open Access)

American children eat fewer fruits and vegetables (F&V) and less variety of F&V than recommended for health. Food cooperatives and other programs have become a popular way to increase F&V intake, but little is known about the variety of F&V distributed by these programs or its relationship with program attendance or child F&V intake. Brighter Bites is a national, school-based food co-op distributing rescued, donated, fresh F&V to families in low-income schools. We evaluated, for the first time, the variety of F&V Brighter Bites distributed to families in the 2018-2019 school year and the relationships between that variety and both …


Racial Differences In Tobacco Use And Risk Factors Among Young Adults: Roles Of Expectancies And Emotion Regulation, Laurel Brockenberry Aug 2022

Racial Differences In Tobacco Use And Risk Factors Among Young Adults: Roles Of Expectancies And Emotion Regulation, Laurel Brockenberry

Psychology Theses & Dissertations

African Americans experience higher mortality from lung cancer and other smoking-related diseases than Caucasian Americans (Kochanek et al., 2016) despite engaging in cigarette and e-cigarette use significantly less or at comparable rates to other racial groups (CDC, 2015; Schoeborn, 2013). During adolescence, smoking prevalence is lower among African Americans than Caucasian Americans, but there is a “cross-over effect” whereby smoking rates become similar later in adulthood (Belgrave et al, 2010). The mechanisms driving this effect are poorly understood. Thus, examining motivating factors for tobacco use, such as outcome expectancies and emotion regulation, may be especially illuminating for young adult African …


Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove Aug 2022

Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove

Electronic Theses and Dissertations

Admission of an infant into the neonatal intensive care unit (NICU) is an experience that has been associated with a variety of both positive and negative health outcomes for parent and child. While both the setting name and the admitted population alludes to a sole focus on the affected infant, what often remains underrecognized is the impact on the ones who care for the newborn long before and longer after their NICU stay. Given the recency and unprecedented impact of the COVID-19 pandemic, very little research has examined the impact of COVID-19-specific stress on the experience of parents of infants …


Adverse Childhood Experiences And Quality Of Life: A Mediating Role Of Physical Activity And Executive Function, Loni Parrish Aug 2022

Adverse Childhood Experiences And Quality Of Life: A Mediating Role Of Physical Activity And Executive Function, Loni Parrish

Electronic Theses and Dissertations

ACEs have been associated with heightened risk for a range of chronic health problems, substance use, and cognition in adulthood (Center for Disease Control (CDC), 2019; Hinojosa et al., 2017). One potential protective factor is physical activity (McEwen, 2016; Wu et al., 2013). Physical activity is associated with sustaining overall health, improving mental health by reducing symptoms of depression and anxiety (Murri et al., 2019; Sharma et al., 2006; Tasci et al., 2019), and maintaining a healthy body weight and BMI (WHO, 2021). Therefore, this study examined whether barriers to physical activity, physical activity levels, and executive outcomes serve as …


Let's Get Physical: Exploring The Socioemotional Motivators Of Group Exercise For Older Adults, Tessneem S. Hasan, Alyssa R. Minton, Jason Snyder, Joseph A. Mikels Jul 2022

Let's Get Physical: Exploring The Socioemotional Motivators Of Group Exercise For Older Adults, Tessneem S. Hasan, Alyssa R. Minton, Jason Snyder, Joseph A. Mikels

DePaul Discoveries

Approximately 75% of active adults in the U.S. do not meet the recommended levels of overall physical activity (CDC, 2021a). Given the beneficial impact of physical activity on health, an 8-week long, evidence-based group exercise program—Fit & Strong! (F&S!)—was created to improve the health of older adults (Hughes et al., 2004, 2006, 2010). Despite the clear physical benefits of F&S!, it remains unknown what motivates F&S! participants to initially participate in the program and also throughout the program. Drawing from core notions of socioemotional selectivity theory (SST; Carstensen, 2006), research has found that older adults are highly motivated to exercise …


Perceived Stress And Salivary Biomarkers In Educators: Comparison Among Three Stress Reduction Activities, Doreen Wagner, Sharon M. Pearcey Jul 2022

Perceived Stress And Salivary Biomarkers In Educators: Comparison Among Three Stress Reduction Activities, Doreen Wagner, Sharon M. Pearcey

Faculty Articles

Background: The teaching profession is a potentially stressful occupation with up to 30% of all novice teachers leaving the profession and annual teacher turnover is higher when compared with turnover of all other occupations. This study investigated the effects of a one-time stress reduction activity (meditation, yoga, or aerobic exercise) in university and K-12 educators who were part of one-day seminar on Stress Reduction.

Methods: Participants (N = 26) self-selected their stress reduction activity, completed a demographic questionnaire, educator stress self-assessment tool, and visual analogue scales indicating current stress levels. Salivary cortisol and amylase levels were measured before, immediately after, …


Exploring Components For A Family-Focused Intervention For Families With A Child Diagnosed With Cancer And Other Chronic Illnesses, Nicole Kubinec Jul 2022

Exploring Components For A Family-Focused Intervention For Families With A Child Diagnosed With Cancer And Other Chronic Illnesses, Nicole Kubinec

Psychology ETDs

Chronic illnesses are often life-long and affect academic performance, social development, psychological well-being, and family functioning. The broad effects of childhood chronic illnesses are often assessed using measures of child health-related quality of life (HRQL). Parent factors (parental distress, perceptions of child vulnerability, overprotection) and family factors (maintaining rituals, open communication, positive coping) have been associated with changes in child HRQL. This study sought to discover how parent and family factors were associated with child HRQL, and how such factors were perceived by families for inclusion in future interventions. Results demonstrated that parental perceptions of child vulnerability were associated with …


College Athletes’ Views On Academics: A Qualitative Assessment Of Perceptions Of Academic Success, Amanda M. Brouwer, John Johanson, Thomas Carlson Jul 2022

College Athletes’ Views On Academics: A Qualitative Assessment Of Perceptions Of Academic Success, Amanda M. Brouwer, John Johanson, Thomas Carlson

Journal of Athlete Development and Experience

The primary purpose of the current study was to give “voice” to college athletes regarding their views on academics. Given their perspectives, means of promoting their academic achievement were suggested. Research describing athletes’ experiences and the impact of socio-emotional stressors on academic success, especially for those not at a Division I school, is needed. Therefore, a qualitative study exploring the academic experiences of college athletes was conducted. Twelve focus groups of college athletes (N = 62) from six teams were held. Results revealed that college athletes are motivated to achieve by external factors and see grades as an external …


Perceived Social Support And Risk Of Cyberbullying In Adolescents: A Systematic Review, Sergio A. Castaño-Pulgarín, Katy Millán, Álvaro A. Acosta Echavarría, Ciro E. Redondo Mendoza, Milton C. Cardona Parra, Jose F. Castilla Tang Jul 2022

Perceived Social Support And Risk Of Cyberbullying In Adolescents: A Systematic Review, Sergio A. Castaño-Pulgarín, Katy Millán, Álvaro A. Acosta Echavarría, Ciro E. Redondo Mendoza, Milton C. Cardona Parra, Jose F. Castilla Tang

The Qualitative Report

This article analyzes the main findings of studies investigating the relationship between perceived social support and cyberbullying in adolescents. We reviewed research papers published between January 2015 and January 2020, included in the Web of Science, Scopus, PUBMED, and Science Direct databases. The protocol was previously registered on the PROSPERO International Systematic Reviews database (CRD42020176938). The article follows the PRISMA guidelines for systematic reviews (Moher et al., 2015). Out of 1929 surveyed articles, 23 met the inclusion criteria and quality standards of scientific evidence set by Downs and Black (1998). Results reveal the types and characteristics of studies and instruments …


“Finding The Positive” In Recovery: Psychometric Properties Of A Measure Of Human Flourishing In An Alcohol Use Disorder Recovery Sample, Hannah A. Carlon Jul 2022

“Finding The Positive” In Recovery: Psychometric Properties Of A Measure Of Human Flourishing In An Alcohol Use Disorder Recovery Sample, Hannah A. Carlon

Psychology ETDs

The fields of alcohol use disorder (AUD) recovery and positive psychology have both rapidly grown in recent years, are paralleled in their philosophy and goals, but have scarcely overlapped. An important first step to applying positive psychology to addiction treatment and recovery is quantifying the extent that treatment-as-usual encourages human flourishing (i.e., holistic well-being and adequate functioning). The PERMA Profiler is a measure based on the PERMA model of flourishing, captured across five positive psychology domains (i.e., Positive Emotions, Engagement, Relationships, Meaning, and Accomplishments), and has been validated in a wide variety of samples. The …


Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos Jul 2022

Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos

Theses and Graduate Projects

Epilepsy is the leading neurological disorder among children, and requires specialized health care (Zack & Kobau, 2015). However, many patients with seizures do not receive appropriate specialized care (Begley et al., 2009; Burneo et al., 2009). This study examined the impact of health insurance type on access to and use of specialty care and mental health care among pediatric patients, ages 3-17, whose parents reported that they had experienced at least one seizure in the last year. This study was a secondary analysis of data collected in the 2011 (n = 77) and 2016 (n = 87) National Health Survey …