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Articles 1531 - 1560 of 4342
Full-Text Articles in Psychology
Examining Associations Between Sleep Variability And Treatment Outcomes In A Clinical Sample Receiving Psychotherapy Treatment For Alcohol Use Disorder, Charles A. Manzler
Examining Associations Between Sleep Variability And Treatment Outcomes In A Clinical Sample Receiving Psychotherapy Treatment For Alcohol Use Disorder, Charles A. Manzler
USF Tampa Graduate Theses and Dissertations
Sleep disturbances are highly prevalent among individuals with AUD. Sleep and alcohol have a bidirectional relationship such that alcohol damages sleep-promoting brain regions, and impaired sleep exacerbates cognitive and emotional deficits that can promote alcohol use. Despite the evidence that sleep improves across treatment for AUD, these improvements have had inconsistent associations with treatment outcomes. This may result from previous research focusing solely on mean values of sleep parameters rather than daily within-person variability. Sleep variability is emerging as an important correlate of physiological dysregulation and is connected to a range of negative symptoms that may promote alcohol use. The …
Examining The Impact Of Single-Case Design Graph Characteristics On Decision-Making For School-Based Professionals Within An Mtss Context, Jessica L. Andrews
Examining The Impact Of Single-Case Design Graph Characteristics On Decision-Making For School-Based Professionals Within An Mtss Context, Jessica L. Andrews
USF Tampa Graduate Theses and Dissertations
Research investigating the display of single-case design (SCD) data has demonstrated that graphing characteristics can influence visual analysis and rater interpretations regarding the effect of an intervention. Data-based decision making within school settings, particularly within the framework of Multi-Tiered Systems of Support (MTSS), commonly includes the use of SCD’s to support this process. Despite the push for adherence to a standard assembly for linear graphs, there is no requirement as to how these graphs should be constructed. MTSS team members are often required to make decisions about whether an intervention should be continued (or not), and thus it is important …
Nepaliness As Assemblage: Diasporic Belonging, Colorism, And Caste In The Associational Life Of Nepali Migrants In Florida, Shuvechha Ghimire Sharma
Nepaliness As Assemblage: Diasporic Belonging, Colorism, And Caste In The Associational Life Of Nepali Migrants In Florida, Shuvechha Ghimire Sharma
USF Tampa Graduate Theses and Dissertations
The research fundamentally challenges romanticized ideas of migration—shedding older inequalities, idealizing “leveling up,” and being a part of “unified diasporic communities”—and unmasks a rather uneasy, far more intricate reality: the preexisting sociocultural and political structures and identities are not shed, rather actively reproduced and rigorously, often consciously, reconfigured within the transnational diasporic spaces. As such, the research reveals that Nepali diasporic associations in Florida play a vital role in perpetuating and reshaping social inequalities and contested national identities, significantly impacting transnational dynamics. The work contends that caste hierarchies persist in structuring associational life, influencing participation and resource distribution. Concurrently, colorism …
Do Emotion Malleability Beliefs Buffer Social Ostracism? An Experimental Investigation, Bingjie Tong
Do Emotion Malleability Beliefs Buffer Social Ostracism? An Experimental Investigation, Bingjie Tong
USF Tampa Graduate Theses and Dissertations
Social ostracism is linked to adverse psychological outcomes, including increased suicide risk among college students. This study examined a manipulation targeting emotion malleability beliefs and its effect on psychological outcomes after a lab-induced social ostracism task (Cyberball). Psychache, a well-established predictor for suicide risk, was examined as a potential moderator variable. College students (N = 243) were randomly assigned to either an experimental condition, which presented information stating that emotions are malleable, or a neutral control condition. Participants in the experimental condition reported a greater increase in beliefs about emotional malleability, greater use of cognitive reappraisal, and less perceived burdensomeness …
Examining Family Accommodation In Early Childhood, Allison Smith Dupre
Examining Family Accommodation In Early Childhood, Allison Smith Dupre
LSU Doctoral Dissertations
The relationship between parent and child anxiety is well established. One factor that may account for this relationship is family accommodation (how family members alter their behavior to alleviate child distress). Family accommodation has been studied in child anxiety for the past decade and has been linked to increased parent and child anxiety. However, little research has focused on a young sample without clinical elevations of anxiety. Acknowledging the impact of family accommodation on child anxiety, the strong link between parent anxiety and accommodation, and the importance of early intervention, this study aimed to expand the literature of family accommodation …
Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam
Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam
Theses and Dissertations
Grief is a deeply personal yet universal experience impacted by personal, social, and cultural factors. The present study examines how attachment styles, coping mechanisms, and resilience impact both grief intensity and the ability to find meaning after a loss, within an Egyptian sample. While previous studies have explored the experience of grief, few have looked at these factors within a Middle Eastern cultural context. A total of 140 bereaved Egyptians who experienced the loss of a loved one within the past three years completed standardized measures assessing grief intensity (Prolonged Grief Disorder-Revised; PG-13-R), coping strategies (Brief COPE), meaning-making (Grief and …
“There Is Nothing”—Exploring Diagnostic And Service Access For Autistic Individuals In Uruguay: A Qualitative Study, Maria Montenegro, Gabriela Garrido, Leyla Feize, Liza Talavera-Garza, Bianca T. Villalobos, Cecilia Montiel-Nava
“There Is Nothing”—Exploring Diagnostic And Service Access For Autistic Individuals In Uruguay: A Qualitative Study, Maria Montenegro, Gabriela Garrido, Leyla Feize, Liza Talavera-Garza, Bianca T. Villalobos, Cecilia Montiel-Nava
Psychological Science Faculty Publications
Due to the higher autism research presence of higher-income countries, the known social and cultural experiences of families raising a child with autism are centered on their realities. This narrative overlooks the experiences of many families who do not fit this archetype, such as those residing in low- and middle-income countries, who are particularly challenged by the limited availability of trained professionals and barriers to accessing diagnosis and evidence-based treatments. That is the case in Latin American countries, such as Uruguay, where the present project transpires. By utilizing a Theory of Change framework, specifically developed to be used in low- …
The Clinical Characteristics, Correlation With Other Disorders, And Treatment Methods For Children And Adolescents With Body-Focused Repetitive Behaviors, Paige Gunther
Student Works
Body-focused repetitive behaviors (BFRBs) are repeated actions performed on oneself as acts of self-grooming that may result in self-harm. The most common BFRBs are nail biting, excoriation (skin picking disorder), and trichotillomania (hair pulling disorder). This literature review examines the clinical characteristics, correlation with other psychological and neurological disorders, and treatment options for various BFRBs. A search of APA PsycInfo and PubMed databases yielded 74 sources, 13 of which have been used in this review. Clinical characteristics of BFRBs include emergence during childhood and adolescence, influence of other psychological disorders, self-awareness, biological sex, internalizing and externalizing behaviors, high levels of …
African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris
African American Women Veterans’ Lived Experience Of Barriers To Seeking Access To Mental Health Treatment, Aaliyah Shakirah Harris
Walden Dissertations and Doctoral Studies
African American women veterans' race and gender present challenges as the compounded nature of the racism and sexism they experience creates specific barriers to seeking access to mental health treatment. Much of the research to date has focused on the interconnections between African American women veterans' state of mental health and their experiences in the military; however, their lived experience of encountering barriers to seeking access to mental health treatment has remained unexplored. The purpose of this phenomenological study was to explore African American women veterans' lived experience of encountering barriers to seeking access to mental health treatment to better …
The Potential Mediating Role Of Perfectionistic Self-Presentation In The Relationship Between Other Stigma, Self-Stigma, And Attitudes Towards Mental Health Help-Seeking In Asian Americans, Trevor E. Taone
Clinical Psychology Dissertations
The importance of understanding why individuals decided to engage in mental health care cannot be overstated. This importance is further highlighted in the need to examine the different factors that may help researchers and clinicians to obtain more insight into why populations with a higher demand for mental health services, such as Asian Americans, possess negative attitudes toward seeking mental health care. Stigma has been identified as a significant barrier that influences these attitudes towards help-seeking. Other stigma and self-stigma, in particular, play an important role in understanding why individuals may possess negative views about mental health care help-seeking. With …
Supporting Achievement Motivation In Black And Latine Middle School Students: Development And Evaluation Of The Feasibility And Acceptability Of A Motivational Interviewing Intervention, Austin Roy Cole
USF Tampa Graduate Theses and Dissertations
Participation in accelerated high school curricula can provide substantive post-secondary benefits for students. However, participation continues to reflect disparate enrollment for Black and Latine students. Though organizations and legislatures have sought to improve Black and Latine student enrollment, the enrollment gap has not closed and there is little evidence of improving academic achievement for Black and Latine students beyond increased enrollment. Research shows that when students have their psychological needs of autonomy, competence, and relatedness met, as described by Self-Determination Theory, they demonstrate better academic outcomes and social-emotional development. Barriers reported by students of color reflect these psychological needs. Thus, …
Psycho-Analysis Will Not Save Us: Reflections On The Gen Z Mental Health Crisis, Victor Dubitans
Psycho-Analysis Will Not Save Us: Reflections On The Gen Z Mental Health Crisis, Victor Dubitans
Middle Voices
Generation Z (born between 1997 – 2012) is characterized as having both unprecedented mental health awareness and unprecedented mental distress. An apparent contradiction with troubling implications for the mental health field: Either the response to the mounting crisis has been insufficient or the field forms part of the problem. Taking seriously Wilks’ (2023) criticism of “therapeutic overreach” of the contemporary mental health field in the lives and development of youth, this paper attempts a selfanalysis and moral inventory about the field’s potential complicity in the crisis and in the history of hysteria. Lacan’s writings on the “analyst’s discourse” are considered …
The Call (And Aftermath) Of The Void: Understanding Suicide Loss And Bereavement Processes Amongst Student Populaces, Saraha K. Brawner
The Call (And Aftermath) Of The Void: Understanding Suicide Loss And Bereavement Processes Amongst Student Populaces, Saraha K. Brawner
Doctoral Dissertations and Projects
Each year, over 800,000 people die via lethal self-harm, leaving behind millions of survivors to navigate qualitatively unique manifestations of grief. Despite the profound psychosocial and psychopathological effects associated with suicide loss, research addressing these experiences remains extremely limited. This quantitative survey study examined the relationship between suicide loss and grief-related distress among students, focusing on sociodemographic, psychosocial, and psychopathological factors influencing bereavement over time. It also explored how the individual learned about the suicide and expanded upon 1st, 2nd, and 3rd-degree relationships. Forty-one participants recruited from universities and mental health organizations across the United States completed a loss summary/death …
Burnout Among Adjunct Faculty: A Quantitative Study, Christopher D. Sclafani
Burnout Among Adjunct Faculty: A Quantitative Study, Christopher D. Sclafani
Doctoral Dissertations and Projects
Adjunct faculty, who are employed on a contractual, as-needed basis, comprise nearly 70% of the higher education workforce in the United States. Despite their essential role, they often face challenges that may impact their well-being and organizational commitment. This quantitative, non-experimental study examined the relationships between workload, course format, compensation, institutional support, and burnout among adjunct faculty. Data was collected from 85 adjunct faculty members across the United States using an online survey. Guided by the Job Demands-Resources (JD-R) Theory and Social Exchange Theory (SET), multiple regression analyses were conducted to explore the predictive effects of workload, compensation, and institutional …
Electro Transcranial Magnetic Stimulation (Etms) Effects On Pharmacoresistent Sleep Disorders Using A Quantitative Electroencephalogram (Qeeg), Sarah Diane Dean
Electro Transcranial Magnetic Stimulation (Etms) Effects On Pharmacoresistent Sleep Disorders Using A Quantitative Electroencephalogram (Qeeg), Sarah Diane Dean
Doctoral Dissertations and Projects
The following quantitative correlational study investigated the effects of eTMS on individuals with pharmacoresistant sleep disorders using a qEEG. This research measures the dimensions of anxiety, depression and quality of life (QoL) as it relates to untreated secondary diagnosis. Additionally, this research examines the activity level of the dorsolateral prefrontal cortex in relation to eTMS treatments. It was found that correlation with anxiety (rs = -.466, p < .001), depression (rs = -0.556, p < 0.001), quality of life (rs = -.436, p < .001), and sleep disturbances (rs = -0.452, p < 0.001), have a statistically significant negative correlation with dlPFC activity level. Finally, it was found that eTMS does have a statistically significant relationship with sleep disturbances as well as anxiety, depression and general quality of life (U (195) = 4647, p = .971). This is important to the field of neuroscience as it provided a more precise form of individualized neuromodulation through the use of a uncommon type of transcranial magnetic stimulation.
Developmental Consequences Of Benevolent Sexism: How Awareness Can Change Women’S Lives, Bianca F. Brenes Rojas
Developmental Consequences Of Benevolent Sexism: How Awareness Can Change Women’S Lives, Bianca F. Brenes Rojas
Student Works
Benevolent forms of sexism become increasingly evident as society evolves, making everyday sexism more challenging to recognize and confront (Feigt et al., 2022; Watson et al., 2018). When unaware, benevolent forms of sexism can adversely affect women’s self-esteem, create feelings of inferiority, and may potentially increase women’s psychological stressors (Becker & Swim, 2011; Becker & Wright, 2011; Moradi & Subich, 2004). According to the ambivalent sexism theory, benevolent forms of sexism, while expressed in a positive tone, can potentially affect women due to the underlying belief that women are inferior to men (Glick & Fiske, 1996). Some women perceive benevolent …
International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson
International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson
Walden Dissertations and Doctoral Studies
The decommissioning of the International Space Station (ISS) represents a significant organizational transition. Despite parallels with previous National Aeronautics and Space Administration program closures, research has not fully examined the human impact of such mission-driven disruptions. Employees face uncertainties regarding job roles, the relevance of specialized skills, and the future within a rapidly commercializing space sector. The purpose of this qualitative phenomenological study was to explore how aerospace employees perceive and navigate the psychological and professional challenges associated with the ISS decommissioning. Bridges’ transition model and affective events theory grounded this study. The participants were 12 current aerospace employees who …
Assessing The Relationship Of Cultural Values, And Neighborhood Factors In Prenatal Depression Amongst Mexican Women, Esmeralda Lezama Ruiz
Assessing The Relationship Of Cultural Values, And Neighborhood Factors In Prenatal Depression Amongst Mexican Women, Esmeralda Lezama Ruiz
Master's Theses (2009 -)
Maternal depression during the perinatal period is a debilitating illness which negatively influences maternal health, child development and family functioning. The rate of maternal depression in Mexican-American mothers is substantially higher than non-Hispanic white populations. Some work has linked maternal depression in the US Mexican population to cultural factors and neighborhood dynamics, but these factors are only beginning to be addressed in perinatal mental health. This study investigates the independent and interactive roles of cultural values and neighborhood factors in predicting perinatal maternal depressive symptoms in women of Mexican descent. The study recruited pregnant women (N= 261) of Mexican descent …
Strengthening Communication Between Staff And Health Providers In A Mental Health Setting, Michael Tricoli
Strengthening Communication Between Staff And Health Providers In A Mental Health Setting, Michael Tricoli
Doctoral Dissertations and Projects
Communication between nursing staff and providers is essential for supporting optimum patient outcomes. Each component of the communication process needs to be clearly defined to create an environment of safety for both patients and caregivers. The SBAR (situation, background, assessment, recommendation) is a nurse-driven protocol that is widely used as a communication and documentation template in health care organizations. This format is currently not being used effectively on the mental health units where the evidence-based project was implemented. Recognizing and reiterating the value of SBAR as a communication tool is necessary when communication deficits are noted. The purpose and scope …
Therapists’ Inclusion Of Forgiveness During Cognitive Processing Therapy For Post-Traumatic Stress Disorder, Marybeth Goodman
Therapists’ Inclusion Of Forgiveness During Cognitive Processing Therapy For Post-Traumatic Stress Disorder, Marybeth Goodman
Doctoral Dissertations and Projects
This study investigated whether the inclusion of an evidence-based forgiveness therapy during a course of Cognitive Processing Therapy (CPT) for Post-Traumatic Stress Disorder (PTSD) improved the efficacy of the treatment. This quasi-experimental, quantitative study examined 201 completed episodes of care from CPT-trained and rostered clinicians. Participants were divided into two groups. Group one contained clinicians who used no less than 46 minutes of an evidence-based forgiveness therapy intervention (n = 102), and group two (n = 99) contained clinicians who did not utilize an evidence-based forgiveness intervention. Pre- and post-treatment PTSD symptom severity was measured using the PTSD Checklist for …
Emdr Future Template Study, Helen Jimenez
Emdr Future Template Study, Helen Jimenez
Doctoral Dissertations and Projects
Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic modality designed to reduce the emotional impact of distressing experiences using bilateral stimulation (Shapiro, 1999). Social anxiety remains a widespread mental health concern with social and personal consequences (Asakura et al., 2023). This study examined whether three EMDR Future Template sessions could reduce mild to moderate social anxiety. Seventeen adults, ages 18 to 65, who either self-reported or were clinically diagnosed with social anxiety completed three weekly telehealth sessions lasting 20 to 30 minutes each. In each session, the seventeen participants focused on anticipated future social scenarios and visualized adaptive responses …
Family Poison: A Phenomenological Study Of The Role Of Toxic Parental Influence On Romantic Relationships, Kimberly Eichelberger-Searcy
Family Poison: A Phenomenological Study Of The Role Of Toxic Parental Influence On Romantic Relationships, Kimberly Eichelberger-Searcy
Doctoral Dissertations and Projects
This phenomenological study sought to describe the lived experiences of adult survivors of toxic parents across the United States. The assumption was that toxic parental influence impacts romantic relationships. The following research questions framed this study: “How do adult survivors of toxic parents describe their experiences growing up with a toxic parent in the United States? How do adult survivors describe the effects of growing up with a toxic parent?” and “How do adult survivors of toxic parents describe the impact of their childhood experiences on their intimate/romantic relationships?”. The two theoretical frameworks guiding this study were Bowlby’s attachment theory, …
The Procrastinating Perfectionist: Examining Task Self-Efficacy & Procrastination Types On Life Task Performance, Michelle Lynn Capozzi
The Procrastinating Perfectionist: Examining Task Self-Efficacy & Procrastination Types On Life Task Performance, Michelle Lynn Capozzi
Doctoral Dissertations and Projects
Perfectionism is a personality trait that can manifest either adaptively or maladaptively, typically developing during childhood and adolescence. Less research has examined perfectionistic adjustment issues in adulthood compared to childhood and adolescence. Research indicates that adult perfectionists tend to procrastinate on tasks related to academia and job settings. However, little is known about passive and active procrastination types among adult perfectionists when completing life tasks. Since self-efficacy can produce motivation, adult perfectionists may be more or less likely to procrastinate based on how they perceive their capabilities. This study examined how perfectionism types (maladaptive, adaptive, non-perfectionist) impacted life task performance …
The Role Of Divine Forgiveness On Depressive Experiences Through Self-Forgiveness And Self-Condemnation On Hispanic/Latino American Population: Serial Mediation Analyses, Betsaida Giotto
Doctoral Dissertations and Projects
This quantitative study examined the role of divine forgiveness on depressive experiences by self-forgiveness and self-condemnation in a sample of Hispanic/Latinos. Since research indicates a positive association between divine forgiveness, self-forgiveness, and well-being, this study’s importance includes gaining knowledge to increase well-being and exploring virtue ethics and theological perspectives. This research addressed a significant gap in the literature by interaction of divine forgiveness, self-forgiveness, self-condemnation, and depressive symptoms on the Hispanic/Latino population of believers. The research questions are whether the direct and indirect effects of divine forgiveness on depressive experiences will be serially mediated first by self-forgiveness and by self-condemnation. …
A Combined Cognitive Behavioral Therapy And Social Skill Intervention For Autistic Youth With Symptoms Of Anxiety, Ashley Dreiss
A Combined Cognitive Behavioral Therapy And Social Skill Intervention For Autistic Youth With Symptoms Of Anxiety, Ashley Dreiss
USF Tampa Graduate Theses and Dissertations
Anxiety is one of the most prevalent co-occurring diagnoses in autistic youth, often exacerbating challenges in social functioning and quality of friendships. While social skills interventions and Cognitive Behavioral Therapy (CBT) have demonstrated efficacy in addressing these difficulties separately, limited research has examined the integration of these approaches within an individualized format, while including measures of self-report and generalization of skills. This study investigates the development, implementation, and efficacy of a combined CBT/social skill intervention for autistic youth with symptoms of anxiety. Utilizing a single-case multiple baseline design, the study evaluates outcomes across levels of anxiety symptoms and social competence …
Creative Climates: The Impact Of Different Environmental Exposure On Group And Individual Creativity, Michael P. Hopkins
Creative Climates: The Impact Of Different Environmental Exposure On Group And Individual Creativity, Michael P. Hopkins
USF Tampa Graduate Theses and Dissertations
This thesis examined the influence of indoor versus outdoor environmental exposure and individual versus group participation on verbal creativity performance. Guided primarily by Attention Restoration Theory (ART; Kaplan & Kaplan, 1989), it was predicted that outdoor natural settings would enhance creativity through restorative cognitive processes. Additionally, it was hypothesized that groups would outperform individuals due to the cognitive advantages of collective induction and information pooling. Participants (N = 256) completed verbal creativity tasks—Remote Associates Task (RAT; convergent creativity) and Alternate Uses Task (AUT; divergent creativity)—following a 30-minute exposure period in either an indoor student center or outdoor botanical garden setting, …
Olfactory Training: Reclaiming Our Wellbeing, Nathan Smetzer
Olfactory Training: Reclaiming Our Wellbeing, Nathan Smetzer
Doctoral Dissertations and Projects
The connection between the sense of smell and memory offers a promising avenue for enhancing cognitive, emotional, and mental health, thereby contributing to overall wellbeing. This research explores how olfactory stimuli relate to memory and emotion, aiming to expand understanding of the effects of scent-based interventions on mental health. Utilizing a 12-week longitudinal phenomenological approach with experimental components, the study engaged seven participants in a regimen of olfactory training twice daily. Participants used essential oils—citrus, cloves, eucalyptus, and rose—applied to cotton and kept in sealed containers, along with a pen and daily planner. Data were gathered through recurring qualitative interviews …
Exploring Age And Employee Experience Among Healthcare Workers Post-Covid-19 Pandemic, Sheila-Celestine Bonner
Exploring Age And Employee Experience Among Healthcare Workers Post-Covid-19 Pandemic, Sheila-Celestine Bonner
Doctoral Dissertations and Projects
This study focused on the well-being of healthcare employees and their experience following COVID-19. The pandemic has negatively affected adults over the age of 50 in the United States and limited their ability to return to work. Older adults who have returned to work have faced challenges with discrimination, lack of work, stress, and other factors. A survey of 59 adult healthcare workers, 21 years and older, was conducted to determine whether there is a relation between age and perceptions of organizational support during the pandemic including work factors such as stress, job satisfaction, and age discrimination. A non-experimental research …
Exploring The Differences Of Gender On Physician Burnout And Perceptions Of Work Environment, Holly C. Adams
Exploring The Differences Of Gender On Physician Burnout And Perceptions Of Work Environment, Holly C. Adams
Doctoral Dissertations and Projects
Physician burnout is a growing public health crisis, threatening care quality, patient safety, and workforce sustainability. Research suggests gender may influence burnout levels and perceptions of the work environment. This quantitative, cross-sectional study examined gender differences in physician burnout and workplace perceptions among U.S. physicians that impact burnout. A total of 170 licensed physicians completed an online survey using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS (MP)) and the Areas of Worklife Survey (AWS). MANOVA results indicated a significant multivariate effect of gender on burnout. Follow-up ANOVA testing revealed that gender was significantly related to emotional exhaustion and personal accomplishment. …
Sense Of Belonging In The Workplace: Development And Validation Of A Scale, Campbell C. Dunson
Sense Of Belonging In The Workplace: Development And Validation Of A Scale, Campbell C. Dunson
Doctoral Dissertations and Projects
In this dissertation, I describe the development and validation of the Sense of Belonging in the Workplace Scale (SBWS). A comprehensive, multidisciplinary review of the belonging construct revealed five key components of a sense of belonging in the workplace: (1) accepted/liked, (2) known/understood, (3) purpose/status, (4) respected/voice, and (5) safety/trust. Scale validation began with a review of 40 initial items by a panel of 12 subject matter experts (SMEs). The items were then revised, and a pilot study involving 67 participants was conducted to test these 40 items through exploratory factor analysis and construct validation. The top-performing 25 items were …