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PCOM Psychology Dissertations

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Full-Text Articles in Psychology

Burnout In Board-Certified Behavior Analysts, Casey J. Kane Jan 2025

Burnout In Board-Certified Behavior Analysts, Casey J. Kane

PCOM Psychology Dissertations

Burnout is a pervasive challenge among board-certified behavior analysts (BCBAs) due to the high performance demands and extensive workload associated with their roles. This study investigated the effectiveness of a self-advocacy intervention in mitigating burnout among BCBAs. Using a waitlist control design with repeated measures, nine BCBAs participated in an asynchronous intervention focused on communication, organization, and self-care strategies. Burnout levels were measured at baseline, post-waitlist, and post-intervention using the Oldenburg Burnout Inventory. Results showed a reduction in burnout levels, with improvements in disengagement and exhaustion scores across participants. Additionally, the intervention increased the frequency of behaviors associated with burnout …


Parasocial Relationships And Women’S Friendship Expectations, Perceptions, And Satisfaction, Renee N. Plaza Jan 2025

Parasocial Relationships And Women’S Friendship Expectations, Perceptions, And Satisfaction, Renee N. Plaza

PCOM Psychology Dissertations

Television (TV) and film have increasingly become meaningful ways for people to connect, whether through discussing content, engaging with celebrities online, or forming imagined relationships with fictional characters. These one-sided connections are known as parasocial relationships (PSR). While prior research has mainly focused on how PSR influence romantic relationships—affecting ideals, expectations, perceptions, and satisfaction—the current study expands this examination to non-romantic relationships, specifically friendships.

The aim of this research is to explore how stronger non-romantic PSR might influence an individual's expectations, beliefs, perceptions, and overall satisfaction with their real-life friendships. Participants completed several assessments, including the Parasocial Relationship Measure, Relationship …


Predictors Of Mental Health Services Use In Integrated Primary Care During Covid-19, Joseph D. Harrison Jan 2025

Predictors Of Mental Health Services Use In Integrated Primary Care During Covid-19, Joseph D. Harrison

PCOM Psychology Dissertations

The purpose of this study was to identify the predisposing, need, and enabling factors that predict mental health services use before and during COVID-19 in an integrated primary care network in the Philadelphia metropolitan area. This retrospective observational study examined a sample of primary care patients from January 2018 to February 2020 (i.e., pre-COVID-19) and March 2020 to December 2022 (i.e., peri- COVID-19) using electronic health record data. Mental health services use was defined as the number of appointments attended by patients. A hierarchical regression was conducted to identify predictors of mental health services use by sequentially adding sociodemographic predisposing …


Evaluating Online Resources: Providing Parents With Reliable Emotional Intelligence Training Tools, Melissa Van Embden Jan 2025

Evaluating Online Resources: Providing Parents With Reliable Emotional Intelligence Training Tools, Melissa Van Embden

PCOM Psychology Dissertations

The rise of online resources has produced a shift in how parents seek guidance in fostering their child’s emotional intelligence (EI). Yet, the quality and accessibility of these resources remain largely unexamined. This study evaluates the top Google search results generated from six prompts designed to reflect the information-seeking behavior of parents looking to develop their child’s EI. Using an incognito browser, the first 20 links for each prompt were recorded, with Google Gemini AI-generated responses specifically marked. The researcher vetted the recorded links by utilizing a comprehensive checklist assessing professional credibility, communication and engagement features, and pricing. The Findings …


Exploring Screen Time Trends Among Children With Autism Spectrum Disorder: A Quantitative Survey Analysis, Jessica Rachel Ponzo Jan 2025

Exploring Screen Time Trends Among Children With Autism Spectrum Disorder: A Quantitative Survey Analysis, Jessica Rachel Ponzo

PCOM Psychology Dissertations

Research exploring the trends, motivations, and parental influences of screen use among children with autism spectrum disorder (ASD) is limited. The purpose of this study was to address these gaps by examining screen time habits among children with ASD. Specifically, it explored the duration of screen time, screen-based activities, device ownership, parental mediation strategies, functional uses of screens, and caregiver perceptions of children’s screen time. Besides entertainment, children with ASD also use screens for emotional regulation, sensory seeking, accessing restricted interests, and communication, including Augmentative and Alternative Communication (AAC) devices. The data for this study were collected using a quantitative …


Anxiety And Self-Esteem In Adolescents And Young Adults Undergoing Bariatric Surgery, Julia Nikolajuk Jan 2025

Anxiety And Self-Esteem In Adolescents And Young Adults Undergoing Bariatric Surgery, Julia Nikolajuk

PCOM Psychology Dissertations

Bariatric surgery, a medical procedure that alters an individual’s digestive system, has gained popularity in the last several years as a weight loss method. After this surgery, many individuals report improvements with their quality of life as they lose weight, change unhealthy eating patterns, experience a decrease in symptoms of depression, and gain a strong sense of self-esteem. However, research has found increased rates of depressive symptoms and patterns of disordered eating associated with obesity and bariatric surgery, but little research exists regarding anxiety and bariatric surgery with adolescents and young adults. The purpose of this study was to clarify …


Acculturation, Self-Esteem, Family Norms, And Disordered Eating Behaviors In South Asian Women, Angela Abraham Jan 2025

Acculturation, Self-Esteem, Family Norms, And Disordered Eating Behaviors In South Asian Women, Angela Abraham

PCOM Psychology Dissertations

This study investigated the relationships among acculturation, self-esteem, family norms, and disordered eating behaviors among South Asian women living in the United States. Although research suggests culture plays a role in the etiology of eating disorders, little information on the experiences of South Asian women exists. This study sought to fill this gap in the literature. Using a cross-sectional, quantitative survey-based design, 151 South Asian women provided insight into their experiences with family norms, acculturation, self-esteem, and eating behaviors. Results indicated that acculturation was not significantly associated with disordered eating. However, self-esteem was found to be negatively associated with disordered …


Identifying Needs Of School-Age Children With Cardiospondylocarpofacial Syndrome, Erin Henning Jan 2025

Identifying Needs Of School-Age Children With Cardiospondylocarpofacial Syndrome, Erin Henning

PCOM Psychology Dissertations

Advancements in genetic testing have led to the identification of many rare genetic conditions, yet comprehensive knowledge of their broader impacts remains limited. Most existing research focuses narrowly on medical outcomes. Cardiospondylocarpofacial Syndrome (CSCF) is an ultra-rare genetic condition for which little is known beyond its physical manifestations. This descriptive case series study examined the behavioral, social, emotional, and academic functioning of eight school-aged children diagnosed with CSCF, as well as the experiences of their families. Participants were recruited from North America, Europe, and Australia via a private Facebook group. Data were collected through an open-ended, written questionnaire completed by …


The Role Of Teacher Engagement In Enhancing Children’S Organizational Skills: A School-Based Intervention Study, Brooke Goldsmith Jan 2025

The Role Of Teacher Engagement In Enhancing Children’S Organizational Skills: A School-Based Intervention Study, Brooke Goldsmith

PCOM Psychology Dissertations

Executive functioning skills, including organization, time management, and planning (OTMP), are critical for an individual across the lifespan. Deficits in these skills can negatively impact academic achievement, social-emotional functioning, and future occupational opportunities and satisfaction. Organizational Skills Training (OST) interventions have been shown to improve OTMP skills in children, however, less is known about the role of teacher engagement in supporting these interventions. The current study examined the relationship between teacher engagement in a school-based Organizational Skills Training-Tier 2 program (OST-T2), and improvements in student organizational skills outcome. Secondary data were analyzed from 96 students in grades 3-6 and their …


Predictors Of Psychologists’ Self-Reported Knowledge And Self-Perceived Competence In Treating Transgender Clients, Tara N. Bennett Jan 2025

Predictors Of Psychologists’ Self-Reported Knowledge And Self-Perceived Competence In Treating Transgender Clients, Tara N. Bennett

PCOM Psychology Dissertations

It has been widely recognized that transgender (trans) and gender nonconforming (TGNC) populations face significantly greater rates of depression, anxiety, substance use, and suicidality than the general population. Despite these risks, little research has analyzed how psychologists are prepared to provide culturally competent therapy to trans clients or what predicts competence in treating this population. This study aimed to identify what factors predict psychologists’ selfperceived knowledge and self-perceived competence in working with trans clients. The study’s secondary aim was to collect information about how psychologists receive education related to trans clients. This study employed a correlational research design to examine …


Promoting Perinatal Mental Well-Being: Empowering Healthcare Professionals, Deborah Flam Jan 2025

Promoting Perinatal Mental Well-Being: Empowering Healthcare Professionals, Deborah Flam

PCOM Psychology Dissertations

This pilot study aimed to address the critical need to enhance healthcare providers’ knowledge and shift their beliefs regarding perinatal mental health disorders through the development and implementation of a targeted educational workshop, “Promoting Perinatal Mental Health Well-Being”, designed to improve their understanding and attitudes toward identifying, treating, and supporting affected individuals. Using a qualitative approach, pre- and post-tests were administered to assess changes in knowledge and beliefs. While statistical significance was not achieved, likely due to a small sample size, prior training among participants, and other limitations, the findings revealed a meaningful shift in provider beliefs. Participants reported increased …


(In)Animate: Exploring The Relationship Between Obsessivecompulsive Disorder, Perceived Thought Control, And Anthropomorphism, Kaitlyn O’Neill Jan 2025

(In)Animate: Exploring The Relationship Between Obsessivecompulsive Disorder, Perceived Thought Control, And Anthropomorphism, Kaitlyn O’Neill

PCOM Psychology Dissertations

Introduction: Ritual behaviors help manage uncertainty and anxiety by providing a sense of control, but rigid engagement in such behaviors can indicate obsessivecompulsive disorder (OCD). Most OCD research has focused on harm-avoidance versus "not-just-right-experiences" (NJREs), with exposure and ritual prevention (ERP) being less effective for those without clear feared outcomes. Anthropomorphizing, or assigning human traits to objects, complicates OCD treatment, particularly for those with hoarding behaviors.

Objectives: This study aimed to examine the relationship between OCD with and without hoarding behaviors ("saving" behavior) and anthropomorphism. Given ERP’s role in OCD treatment, understanding how anthropomorphism affects OCD is crucial. It was …


Impact Of Pcos Knowledge And Treatment Recommendations On Women’S Quality Of Life, Sydni Yadin Jan 2025

Impact Of Pcos Knowledge And Treatment Recommendations On Women’S Quality Of Life, Sydni Yadin

PCOM Psychology Dissertations

Polycystic ovary syndrome (PCOS) is a chronic endocrine disorder affecting 15–20% of women of reproductive age (Krug et al., 2019). Characterized by hyperandrogenism, irregular menstrual cycles, and ovarian cysts, PCOS is associated with obesity, insulin resistance, and infertility (Correa et al., 2015). These complications can significantly diminish women’s quality of life. This study investigated the relationship between women’s knowledge of PCOS health outcomes, providers’ use of lifestyle management interventions, and quality of life. A cross-sectional survey design was used, and participants completed the PCOS Quality of Life Scale (Williams et al., 2018). It was hypothesized that greater knowledge of PCOS …


A Qualitative Study Of Euphemistic Language And Identity Development Involving Sexual Assault, Keena Stewart Jan 2025

A Qualitative Study Of Euphemistic Language And Identity Development Involving Sexual Assault, Keena Stewart

PCOM Psychology Dissertations

According to the Centers for Disease Control and Prevention, sexual violence refers to a situation in which sexual activity occurs and consent is not obtained or freely given. Sexual violence is a worldwide epidemic that impacts individuals of all communities, genders, ages, and sexual orientations. When considering the impact of sexual violence, the use or misuse of language is fundamental. Furthermore, the recovery process following a sexual assault is directly related to the presence or absence of resiliency factors. The purpose of this study was to explore and understand the effects of euphemized language on the identity development of individuals …


Predictors Of Anxiety And Depression In Dental Students - A Nationwide Study, Margaret Xiaojiao Yang Jan 2025

Predictors Of Anxiety And Depression In Dental Students - A Nationwide Study, Margaret Xiaojiao Yang

PCOM Psychology Dissertations

Student mental health is a growing concern in higher education, particularly within rigorous clinical training programs. This study estimated the prevalence of anxiety and depression among U.S. dental students and examined associations with resilience and perceived institutional and faculty support. A cross-sectional survey was administered to more than 1,100 full-time students at over 30 accredited dental schools. The instrument collected demographics, the Brief Resilience Scale (BRS), the Generalized Anxiety Disorder–7 (GAD-7), the Patient Health Questionnaire–9 (PHQ-9), and four items assessing perceived support. Among respondents who completed the GAD-7 (n = 965), 43% scored ≥ 8, indicating probable generalized anxiety disorder. …


Pediatric Anxiety Disorders: Therapy Process Predictors Of Response To Cbt, Samantha Baker Jan 2025

Pediatric Anxiety Disorders: Therapy Process Predictors Of Response To Cbt, Samantha Baker

PCOM Psychology Dissertations

CBT is moderately effective in the treatment of youth anxiety, yet there remains a sizeable number of youth who remain nonresponsive at posttreatment, and less than half achieve remission. Various patient-level variables have been examined concerning differential treatment outcomes for anxious youth, but fewer studies have examined therapy process variables. Using archival data, this study aimed to identify predictors of treatment response in youth with primary anxiety disorders who completed 16-weeks of CBT at a university-based clinic. Four samples of anxious youth, aged 7-17 were included in the analysis. Regression analyses revealed that increased skill acquisition and greater change in …


Elementary School Teachers' Perceptions Of The Common Core State Standards For Mathematics, Rebecca Potts Jan 2025

Elementary School Teachers' Perceptions Of The Common Core State Standards For Mathematics, Rebecca Potts

PCOM Psychology Dissertations

This dissertation examines elementary school teachers' perceptions of the Common Core State Standards for Mathematics (CCSS-M), focusing on evaluating their views on developmental appropriateness and identifying challenges encountered during implementation. Rooted in the broader historical context of educational reforms in the U.S., the study investigates whether the adoption of CCSS-M adequately integrates research on child development, learning trajectories, and cognitive neuroscience. Using a mixed-methods design incorporating surveys and semi-structured interviews, this study gathered insights from kindergarten through fifth-grade teachers and mathematics interventionists. Findings reveal mixed perceptions among educators regarding the developmental appropriateness of the CCSS-M, highlighting concerns that some standards …


The Effects Of A Seizure Safety Program Implemented In Non-Public Schools On Teacher Knowledge And Confidence In Managing Seizures, Laura Brockman Jan 2025

The Effects Of A Seizure Safety Program Implemented In Non-Public Schools On Teacher Knowledge And Confidence In Managing Seizures, Laura Brockman

PCOM Psychology Dissertations

This study investigated the impact of a seizure safety training program implemented in non-public schools on teachers’ knowledge and confidence in managing seizures. Utilizing a pre-course, post-course, and three-week follow-up design, the research assessed educators' seizure-related knowledge, first-aid preparedness, and shifts in perception through quantitative questionnaires and self-reported confidence measures. Results demonstrated increased knowledge and confidence immediately following the intervention, with retention sustained at follow-up. Both live and virtual formats were effective, though virtual participants showed slightly higher immediate post-training scores. Participants reported reduced misconceptions and increased preparedness, emphasizing the value of structured and recurring professional development. These findings support …


An Exploratory Approach To Understanding Assessment Errors On Measures Of Executive Functioning, Gurjot Mondair Jan 2025

An Exploratory Approach To Understanding Assessment Errors On Measures Of Executive Functioning, Gurjot Mondair

PCOM Psychology Dissertations

The global risk of dementia due to longer lifespans and increased medical interventions necessitates accurate diagnosis of cognitive decline. Thus, the utilization of neuropsychological testing to diagnose disorders of cognitive decline should seek to ascertain multiple data, including success/failure of cognitive tasks and evaluation of error patterns. The purpose of this study was to examine the frequency of executive function (EF) errors across diagnoses of cognitive decline (age-related cognitive decline [ARCD], mild cognitive impairment [MCI], vascular dementia [VaD], frontotemporal dementia [FTD], Lewy body dementia [LBD], and Alzheimer’s disease [AD]) and to examine whether the specific types of EF errors (intrusion, …


Perspectives Of Black Men On Their Representation In School Psychology, Erika Nicole Debra Thornton Jan 2025

Perspectives Of Black Men On Their Representation In School Psychology, Erika Nicole Debra Thornton

PCOM Psychology Dissertations

This study examined Black male school psychologists' experiences, challenges, and contributions, focusing on the systemic barriers that limited their full participation in the field. A phenomenological approach was employed, with data collected through semi-structured interviews and analyzed using thematic analysis. Four key themes emerged: lack of early exposure to the profession, challenges during graduate training, the need for advocacy and representation, and the complexity of their individual identities. The findings highlighted the importance of proactive strategies to recruit and retain Black male school psychologists, stressing the need for diversity, cultural competence, and inclusivity in both professional and educational settings. Increased …


Experiences Of Latina Single Mothers Raising Children With Autism Spectrum Disorder: A Qualitative Study, Shaila Alvarez Jan 2025

Experiences Of Latina Single Mothers Raising Children With Autism Spectrum Disorder: A Qualitative Study, Shaila Alvarez

PCOM Psychology Dissertations

Autism spectrum disorder (ASD) is a prevalent neurodevelopmental disorder in children. Although the prevalence of ASD among Latino children and single mother households has increased in recent years, there is limited research that explores the experiences of Latina single mothers raising children with ASD. This qualitative study utilized a phenomenological approach to gain a better understanding of the experiences of Latina single mothers raising children with ASD, using the ecological framework to conceptualize their experiences within their cultural and environmental contexts. Semistructured interviews were conducted individually with nine single Latina mothers. The data collected during these semi-structured interviews were analyzed …


The Blank Paper Method: An Independent Retrieval Protocol, Kevin Gregorio Jan 2025

The Blank Paper Method: An Independent Retrieval Protocol, Kevin Gregorio

PCOM Psychology Dissertations

Most students struggle with effective self-study, often relying on passive strategies like rereading instead of active techniques such as retrieval practice, which research shows enhances learning and long-term retention. To address this issue, this study introduced and evaluated the Blank Paper Method—a structured free recall protocol designed to encourage self-regulated retrieval practice. The study explored two key questions: (1) Does the Blank Paper Method improve test performance compared to students’ default study habits? (2) Will students voluntarily adopt this method over time, demonstrating self-regulated learning? The study involved 56 incoming high school freshmen at a private college-preparatory school in Philadelphia. …


Examining Factors Considered In Autism Specialization Among Early Career Psychologists, Tarie Taylor Jan 2025

Examining Factors Considered In Autism Specialization Among Early Career Psychologists, Tarie Taylor

PCOM Psychology Dissertations

Families in the United States often face significant delays in accessing autism-related healthcare services. Despite routine autism-specific screenings at 18- and 24-month pediatric visits, there is still, on average, a gap of over two years before families receive an autism diagnosis (Chen et al., 2023). Although the literature cites factors like limited access to specialized providers and a lack of autism-specific services contributing to this delay (Cantor et al., 2020), further research is needed to explore the underlying factors influencing providers' decisions to specialize in an autism-related healthcare service. Thus, the current study used a mixed-methods, internet-based survey to examine …


Fluency-Based Staff Training On Restraints To Improve Safe And Accurate Implementation In The School Setting, Jaclyn Leotta Jan 2025

Fluency-Based Staff Training On Restraints To Improve Safe And Accurate Implementation In The School Setting, Jaclyn Leotta

PCOM Psychology Dissertations

This study examined the effects of fluency-based training on staff implementation of crisis management procedures in a center-based public school serving students with exceptionalities. Using a single-case multiple baseline design across three targeted skills—1-Person Stability Hold, 2-Person Stability Hold, and Forward Transport—the study measured changes in staff accuracy, confidence, and injury frequency. Six staff members participated, all of whom were Registered Behavior Technicians or Personal Care Assistants certified in Safety-Care® procedures. The intervention incorporated Behavior Skills Training (BST), enhanced with repeated trials and immediate feedback until participants achieved fluency, which was defined as five consecutive error-free trials. Results demonstrated immediate …


Examining Executive Functions And Semantic Organization Across Occupation Types, Emily Murtha Jan 2025

Examining Executive Functions And Semantic Organization Across Occupation Types, Emily Murtha

PCOM Psychology Dissertations

This study examined the relationship between executive functioning, semantic organization, and occupational classification, focusing on whether individuals in professional roles (as defined by the Career Occupational Preference System; COPS) demonstrated stronger executive functioning and semantic organization during memory recall than those in non-professional roles. Participants completed the Booklet Category Test (BCT) to assess executive functioning, the California Verbal Learning Test–Second Edition (CVLT-II) to evaluate semantic organization using short-delay free recall (SDFR), and the Wechsler Adult Intelligence Scale–Fourth Edition (WAIS-IV) to measure IQ. Results showed no significant associations among the main variables. While higher BCT performance was linked to greater use …


Exploring Psychological Impacts, Coping, And Conflict Resolution Of Transnationalism On Parent-Child Relationships, Sally Sanchez Jan 2025

Exploring Psychological Impacts, Coping, And Conflict Resolution Of Transnationalism On Parent-Child Relationships, Sally Sanchez

PCOM Psychology Dissertations

The number of immigrants migrating to the United States has increased over the past 30 years. Many of these immigrants leave behind their spouses and children, creating transnational families. Researchers have focused on the experiences of transnational families, but there is a need for continued research to further explore the psychological impact of separation and reunification. The purpose of this study was to identify the possible psychological impact of the separation and reunification process experienced by transnational families, and the coping strategies used during the process. This study used a qualitative design to explore the experiences of transnational families who …


Evaluating The Predictive Values Of Attachment Security And Perfectionism On Psychological Well-Being, Lindsay Cleary Jan 2025

Evaluating The Predictive Values Of Attachment Security And Perfectionism On Psychological Well-Being, Lindsay Cleary

PCOM Psychology Dissertations

Attachment security impacts social competence and the development of one’s sense of self. It has also been implicated in the development of psychological conditions, including depression, personality disorders, and post-traumatic stress disorder (PTSD). Perfectionism has distinct characteristics that also influence how people relate to others and understand themselves. Research suggests that perfectionism negatively affects a person’s psychological well-being, often leading to mental health concerns such as anxiety and obsessive-compulsive disorder (OCD). Despite the introduction of the perfectionism social disconnection model (PSDM), few studies have attempted to understand the direct relationship between attachment security, perfectionism, and psychological well-being. It was hypothesized …


Collaboration In Practice: Perspectives On Interprofessional Care Teams For Treating Children With Intellectual And Developmental Disabilities, Morgan E. Heiser Jan 2025

Collaboration In Practice: Perspectives On Interprofessional Care Teams For Treating Children With Intellectual And Developmental Disabilities, Morgan E. Heiser

PCOM Psychology Dissertations

With increased focus on interprofessional collaboration in healthcare and education, best practices for patient and student care are often top priority. However, little is known about the effectiveness of using team-based approaches when working with children with intellectual and developmental disabilities. This study examined professionals' perspectives on their team practices, burnout, and attitudes towards collaboration. Additionally, the research looked at practitioners’ ability to identify their team. A survey was conducted using input from various healthcare and education professionals across multiple settings and education backgrounds who work with children with intellectual and developmental disabilities. The survey found considerable differences in team …


Romantic Beliefs And Their Effect On Relationship Satisfaction, Psychological Well-Being, And Psychological Distress, John D. Pinsky Jan 2025

Romantic Beliefs And Their Effect On Relationship Satisfaction, Psychological Well-Being, And Psychological Distress, John D. Pinsky

PCOM Psychology Dissertations

Relationship satisfaction has been shown to have a powerful effect on both individual psychological well-being and psychological distress. One factor that influences an individual’s relationship satisfaction is their endorsement of romantic beliefs. This finding has not been replicated in the U.S. in the past 20 years and the influence of romantic beliefs on relationship satisfaction, psychological well-being, and psychological distress has not been studied in depth. This study implemented a quasi-experimental design using online self-report measures to test whether level of endorsement of romantic beliefs can predict relationship satisfaction, psychological well-being, or psychological distress. It was hypothesized that romantic beliefs …


Examining The Relationships Among Childbirth Satisfaction, Maternal Functioning, And Psychological Flexibility In Postpartum Mothers, Ryanne N. Schaad Jan 2025

Examining The Relationships Among Childbirth Satisfaction, Maternal Functioning, And Psychological Flexibility In Postpartum Mothers, Ryanne N. Schaad

PCOM Psychology Dissertations

Childbirth dissatisfaction, defined as a woman’s negative evaluation of the labor and delivery experience, is common and can have significant consequences for women and their infants, particularly in terms of maternal functioning. Given that childbirth satisfaction is related to maternal functioning in the postpartum period, a better understanding of modifiable factors that could be targeted to bolster maternal functioning is warranted. Psychological flexibility, a construct from Acceptance and Commitment Therapy, has gained increasing empirical support as a modifiable factor for psychological distress and could serve as a potential construct to further examine the relationship between childbirth satisfaction and maternal functioning. …