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Full-Text Articles in Psychology

The Psychometric Evaluation Of An Instructional Student Survey: A Measure Of Social Cognitive Learning In Educational Classrooms, Brielle A. Baker Jan 2026

The Psychometric Evaluation Of An Instructional Student Survey: A Measure Of Social Cognitive Learning In Educational Classrooms, Brielle A. Baker

Industrial-Organizational Psychology Dissertations

This study examined the psychometric evaluation of the 4 Habits Student Survey (4HSS), a student-perception instrument designed to measure four constructs central to The BERC Group’s Four Habits of Powerful Teaching and Learning framework: emotional regulation, selective attention, elaborative rehearsal, and symbolic reasoning. Grounded in social cognitive theory and supported by constructivist learning theory, the study set out to evaluate the internal structure, reliability, and validity of the 4HSS using archival data from Grades 6–8 students in Hawai‘i public schools. Confirmatory factor analysis (CFA) was conducted to test the hypothesized four-factor model. None of the tested CFA models met the …


Examining Challenges For Sociology Master’S Degree Students At California State University, David Ortuno Jan 2026

Examining Challenges For Sociology Master’S Degree Students At California State University, David Ortuno

University of the Pacific Theses and Dissertations

The purpose of this study is to identify the lived experiences of CSU sociology graduate students pursuing a master’s degree. Seven sociology graduate students from six of the eight (75%) total sociology MA programs throughout the entire CSU system were interviewed. Their responses were designed to analyze the support systems and challenges they face while pursuing a master's degree, as well as to investigate whether their experiences correlate with or fail to correlate with the promises in the CSU mission statement, and to answer the study’s research questions and achieve the purpose of this qualitative study.

Four themes emerged from …


Regional Pain Is Associated With Functional Performance In People With Parkinson's Disease, Ryan P. Duncan, Monica R. Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R. Rafferty Jan 2026

Regional Pain Is Associated With Functional Performance In People With Parkinson's Disease, Ryan P. Duncan, Monica R. Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R. Rafferty

Department of Medicine Faculty Publications

Background and Purpose:

Little is known about how pain influences physical function in people with mild Parkinson disease (PwPD). The purpose of this study was to investigate the association between physical function and pain presence, location, and intensity in PwPD who were evaluated in an early physical therapy program.

Methods:

Retrospective cross-sectional analysis of electronic medical records from patients with PD evaluated at a single center (2016-2023). Pain presence, location, and intensity (0-10 scale) were recorded at the initial physical therapy evaluation. Functional outcomes included 5-time sit-to-stand, 10-meter walk test, 6-minute walk test, timed up and go, mini-BESTest, and Functional …


Implementing Gestures Into Vocabulary Instruction To Aid Recall And Retention, Emma Dilley Jan 2026

Implementing Gestures Into Vocabulary Instruction To Aid Recall And Retention, Emma Dilley

Masters Theses

This study highlighted the idea of incorporating gestures into vocabulary instruction to help the students recall and retain the new vocabulary words. The researcher predicted that with the incorporation of the strategy of gestures into instruction, kindergarten students will be able to retain more vocabulary words compared to vocabulary instruction that does not include gestures. A total of 22 students and one teacher from a rural town in central Illinois participated in the study. This study was a mixed methods study, which included quantitative data in the form of pretest and posttest and qualitative data in the form of a …


Teachers' Perceptions Of Proactive And Reactive Behavior Management Strategies, Anna Wilzbach Jan 2026

Teachers' Perceptions Of Proactive And Reactive Behavior Management Strategies, Anna Wilzbach

Masters Theses

The purpose of this study was to expand the praise literature by examining K-12 teachers’ preferences for proactive behavior management strategies (e.g., praise, acknowledgement, rewards). In addition, teachers’ opinions on the efficacy of proactive strategies were assessed to see if efficacy of strategies decreased as grade level increased. Teacher opinions of efficacy and preferences for proactive strategies and reprimand were collected through the Teacher Praise and Reprimand Preference Survey (TPRPS). A total of 93 teachers from rural and suburban school districts completed the TPRPS survey. Results indicated as grade level increased, teachers found praise less effective for managing student appropriate …


Replication Of The Construct Validity Of The Cas2: Rating Scale, Isabelle Joann Kurowski Jan 2026

Replication Of The Construct Validity Of The Cas2: Rating Scale, Isabelle Joann Kurowski

Masters Theses

Naglieri et al. (2014) created the Cognitive Assessment System Second Edition: Rating Scale (CAS2: Rating Scale) to assess cognitive functioning of children based on teacher observations for use in Tier I screening purposes. The current study is a replication of Graham (2025) study that assessed the construct validity of the CAS2: Rating Scale by comparing it to the Learning Behaviors Scale (LBS). Based on prior findings from Canivez and Gaboury (2016), this study hypothesized that the Attention and Planning subscales of the CAS2: Rating Scale would be most closely related to the Attention/Persistence and Strategy/Flexibility subscales of the LBS, respectively. …


Hierarchical Analysis Of Predictors Of Public Speaking Anxiety, Ruimin Peng Jan 2026

Hierarchical Analysis Of Predictors Of Public Speaking Anxiety, Ruimin Peng

Masters Theses

Public speaking anxiety (PSA) is a prevalent type of phobia that shares many similarities with social anxiety. This paper examines factors related to social anxiety and PSA. Previous literature has identified self-efficacy, perfectionism, and fear of negative evaluation (FNE) as factors related to both social anxiety and PSA. However, less attention has been given to fear of positive evaluation (FPE) and international status, although these two factors are likely related to PSA. This study employed hierarchical regression analysis to investigate the predictive power of FPE and international status on PSA, while controlling for self-efficacy, perfectionism, and FNE. FPE, academic status, …


Personality-Based Clinical Predictors Of Transdiagnostic Suicidality In Emotional Disorders, Harshini Arun Jan 2026

Personality-Based Clinical Predictors Of Transdiagnostic Suicidality In Emotional Disorders, Harshini Arun

Masters Theses

No abstract provided.


Religiosity And Spirituality: The Mental Costs And Benefits Of Belief In A College Setting, Tyler Geis Jan 2026

Religiosity And Spirituality: The Mental Costs And Benefits Of Belief In A College Setting, Tyler Geis

Masters Theses

The relationship between religiosity and spirituality (R/S) with mental health has been widely discussed in more recent years. This thesis examines factors related to religiosity, spirituality, depression, anxiety, and stress, as well as how various stigmas toward mental health, mental health treatment, and mental health treatment seeking may relate to R/S and mental health. Previous literature has identified religious coping with hardship, positive and negative dimensions of sin and behavior, the structure of different religious groups, and overall spiritual wellbeing as factors related to R/S, mental health, and beliefs about mental health . However, most previous literature come to differing …


Counselors' Lived Experiences Of Moral Injury: A Social Ecological Perspective, Lisa M. Belknap Jan 2026

Counselors' Lived Experiences Of Moral Injury: A Social Ecological Perspective, Lisa M. Belknap

Antioch University Dissertations & Theses

This study explores the lived experiences of counselors who encountered moral injury when sociopolitical, institutional, and organizational conditions constrained their ability to practice in alignment with their personal morals, professional values, and the counseling profession’s code of ethics. Participants (N = 15) included licensed counselors who self-identified as having experienced moral injury in response to directives from legitimate authorities that conflicted with professional ethics, social justice commitments, or client welfare. Grounded in social ecological systems theory, this phenomenological study employed a confidential, cross-sectional online survey. Reflexive thematic analysis identified seven themes: (a) Profit Over People, (b) Structural Forces Contributing to …


Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez Jan 2026

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …


The Lived Experience Of Tenders Of Community Grief Rituals, Margaret Y. Wilson Jan 2026

The Lived Experience Of Tenders Of Community Grief Rituals, Margaret Y. Wilson

Antioch University Dissertations & Theses

The purpose of this research study is to gain an understanding of the lived experience of tenders of community grief rituals, and how tenders make meaning of their experiences. This study utilized photo elicitation and a reflexive thematic analysis. Participants (N = 11) provided one to three photographs that captured their experience of grief and/or tending grief rituals. The results identified 10 themes supported by subthemes: (a) Grief Tender Wisdom About the Nature of Grief, (b) Life’s Many Experiences are Sources of Grief, (c) The Multifaceted Impacts of Grief-Body, Anger, Compassion, Empathy, Resilience, Gratitude, Joy, and Love, (d) The Nuances …


The Lived Experience Of Survivors Of Narcissistic Abuse, Jessica Williams Jan 2026

The Lived Experience Of Survivors Of Narcissistic Abuse, Jessica Williams

Antioch University Dissertations & Theses

The purpose of this study is to explore the lived experiences of narcissistic abuse survivors through a grounded theory approach to generate a model that can assist people in recognizing patterns and traits of narcissistically abusive relationships. Guided by relational-cultural theory, this study further seeks to examine the ways narcissistic abuse damages relational connections and to highlight elements of healthy, growth-fostering relationships. The population of focus included self-selected narcissistic abuse survivors who are adults over the age of 18 (N = 8). The results indicated three themes, each with additional subthemes, which include: (a) early behavior – performative displays and …


Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli Jan 2026

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …


The Impact Of The Covid-19 School Shutdown On Standardized Test Scores In Rural And Nonrural Areas, Cory Laflamme Jan 2026

The Impact Of The Covid-19 School Shutdown On Standardized Test Scores In Rural And Nonrural Areas, Cory Laflamme

Antioch University Dissertations & Theses

The novel Coronavirus of 2019 (COVID-19; Gillings School of Global Public Health, n.d.) caused an extensive disruption of education systems worldwide. Elementary and secondary schools began to close to students and staff to protect them from potential exposure to the virus (Masonbrink & Hurley, 2020). Nearly 1.6 billion students in over 200 countries had their learning impacted on some level, causing changes in traditional educational practices (Pokhrel & Chhetri, 2021). One profound change in educational practice was the shift from face-to-face learning to online learning alternatives. Using the State of New Hampshire data allowed for a unique analysis of how …


More Than Surviving: Brazilian Immigrants' Stories Of Growth And Wellbeing In The United States, Virginia Veronica Lemos Jan 2026

More Than Surviving: Brazilian Immigrants' Stories Of Growth And Wellbeing In The United States, Virginia Veronica Lemos

Antioch University Dissertations & Theses

Immigration in the United States is often conceptualized within clinical psychology through deficit-oriented frameworks that emphasize risk, trauma, and psychological distress. While this work is essential for documenting vulnerability and inequity, it offers limited guidance for understanding how immigrants sustain wellbeing and meaning amid ongoing sociopolitical and institutional constraints. Brazilian immigrants represent a large and growing population in the US whose experiences remain comparatively understudied, particularly from strengths-based and interpretive perspectives. To address this gap, this qualitative study explores how Brazilian immigrants make sense of immigration and wellbeing through the narratives they construct about their lives in the US. Grounded …


A Delphi Study Of Ethical Best Practices For Psychedelic Assisted Therapy, Alyssa K. Griskiewicz Jan 2026

A Delphi Study Of Ethical Best Practices For Psychedelic Assisted Therapy, Alyssa K. Griskiewicz

Antioch University Dissertations & Theses

The purpose of this Delphi study was to establish areas of ethical consensus regarding psychedelic-assisted therapy (PAT) from the perspectives of an expert panel of practitioners, with attention to issues of equity and access. Participants (N = 29) include individuals with two or more years of experience in one or more of the following domains of psychedelic expertise: clinical/professional practice, scholarly/research contributions, or guided community/ceremonial facilitation. In Round 1, qualitative data were collected through open-ended questions and analyzed using thematic analysis to generate Delphi statements. In Round 2, panelists (N = 24) rated these statements using a Likert-type scale to …


Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo Jan 2026

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …


How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker Jan 2026

How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker

Antioch University Dissertations & Theses

Working in an inpatient setting inherently involves an increased risk of violence. This violence can affect both staff and patients alike and can lead to psychological trauma, serious bodily injury, and even death. To mitigate this risk, many models for preventing inpatient violence have been proposed for hospitals to implement. However, the evidence for the efficacy of these methods is inconsistent, and the theoretical underpinnings are varied and slim. This dissertation seeks to improve these models by re-examining the theoretical structures for common themes of four models for inpatient violence reduction and proposing additional recommendations informed by this synthesis. First, …


Illuminating Secrets Of Harmful Supervision: A Narrative Inquiry Into The Lived Experiences Of Marriage And Family Therapy Supervisees Of Color During Clinical Supervision And The Effects On Their Personal And Professional Identity, Danielle Garcia Gomez Jan 2026

Illuminating Secrets Of Harmful Supervision: A Narrative Inquiry Into The Lived Experiences Of Marriage And Family Therapy Supervisees Of Color During Clinical Supervision And The Effects On Their Personal And Professional Identity, Danielle Garcia Gomez

Antioch University Dissertations & Theses

Harmful supervision is a critical yet often underexamined issue for supervisees of color (SOC), whose lived experiences are underrepresented in clinical supervision literature. Given the hierarchical and evaluative nature of clinical supervision, power dynamics are placed at the center of professional training, thereby creating conditions where unchecked supervisory power can lead to harm. Within Marriage and Family Therapy (MFT), research on harmful supervision is limited, despite the profession’s emphasis on relational dynamics. This qualitative study aimed to amplify the voices of SOC victim-survivors of harmful supervision and to answer the research question: How have harmful supervision experiences affected the personal …


Bipoc Supervisors And Their Cross-Ethnoracial Supervisees: An Exploratory Dyadic Interdependence Study On Cultural Humility, Ethnocultural Empathy, Supervisory Alliance And Ethnoracial Identity Development, Karen Andal Neri Jan 2026

Bipoc Supervisors And Their Cross-Ethnoracial Supervisees: An Exploratory Dyadic Interdependence Study On Cultural Humility, Ethnocultural Empathy, Supervisory Alliance And Ethnoracial Identity Development, Karen Andal Neri

Antioch University Dissertations & Theses

There is an ongoing need for more relational, process-oriented multicultural supervision training models and research to address multicultural issues through a sociocultural perspective in cross-ethnoracial supervision. BIPOC therapists have often reported inadequate multicultural education and training as well as responsiveness from their White supervisors. As supervisors themselves, BIPOC therapists are often overlooked and understudied in the couple/marriage, family therapy (C/MFT) field, which remains predominantly Eurocentric. As a process-oriented model, multicultural orientation (MCO), especially its primary organizing pillar, cultural humility, appears highly relevant to BIPOC supervisors working across ethnoracial and cultural lines with their supervisees. However, neither the MCO nor broader …


Mind The Gap: Comparing Asian American And White American Experiences In Integrated Primary Care, Tenzin Miller-Dorjee Jan 2026

Mind The Gap: Comparing Asian American And White American Experiences In Integrated Primary Care, Tenzin Miller-Dorjee

Antioch University Dissertations & Theses

This study explores Asian American and White American adults’ experiences of integrated primary care (IPC), focusing on patient satisfaction and perceived provider cultural competence. Although IPC models are intended to improve access to behavioral health services, it remains important to examine whether these models are experienced as culturally responsive and equitable across racial groups. This study used a quantitative, cross-sectional survey design with 550 adults in the United States who reported experience with IPC. Patient satisfaction was assessed using the Patient Experience of Integrated Care Scale (PEICS), and perceived provider cultural competence was assessed using the Iowa Cultural Understanding Assessment–Client …


Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly Jan 2026

Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly

Antioch University Dissertations & Theses

Concussions present complex diagnostic and treatment challenges, particularly for pediatric patients who may experience persisting symptoms. Psychological mechanisms, including patient expectations and beliefs about recovery and symptoms, play a critical role in shaping outcomes. However, there is limited research exploring these factors in pediatric populations, particularly using qualitative approaches. This study sought to address this gap by employing a qualitative phenomenological design with interpretive phenomenological analysis to examine the recovery expectations of pediatric patients with persisting symptoms following concussion, as well as caregivers’ perspectives. Using the nocebo effect as a conceptual framework, eight pediatric patients and their caregivers participated in …


Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger Jan 2026

Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger

Antioch University Dissertations & Theses

Substance use disorders remain a prevalent and costly public health concern. Despite this, efforts to disseminate evidence-based practices frequently encounter both practical and philosophical barriers. Language and practices from the Twelve Steps of Alcoholics Anonymous have permeated addiction treatment settings and have become the “common tongue” for addiction recovery discourse. Consequently, most substance use treatment programs feature tenets of the Twelve Steps of Alcoholics Anonymous in their clinical programming, even though the framework was designed for peer support settings. Twelve Step fellowships have made important contributions to the substance use treatment field and have guided individuals through personal recovery through …


A Qualitative Analysis Of Fitness Wearable Use And Embodiment, Lucas Brandt Jan 2026

A Qualitative Analysis Of Fitness Wearable Use And Embodiment, Lucas Brandt

Antioch University Dissertations & Theses

Wearable fitness technologies have become increasingly integrated into contemporary health and wellness culture, providing users with continuous access to physiological and behavioral data related to movement, sleep, stress, recovery, and overall health. Research has demonstrated that wearable devices can increase physical activity and support health behavior change (Ferguson et al., 2022; Koivisto & Hamari, 2019). Although less is known about how these technologies influence individuals’ lived experiences of their bodies. Understanding this relationship is particularly important given growing concerns regarding embodiment, self-surveillance, and the psychological effects of health-tracking technologies (Bergsland, 2017; Rapp, 2021). Drawing on theories of mind-body connection and …


Healing Attachment Wounds Through Romantic Love: Exploring Narratives Of Earned Security, Ashlyn Griffith Jan 2026

Healing Attachment Wounds Through Romantic Love: Exploring Narratives Of Earned Security, Ashlyn Griffith

Antioch University Dissertations & Theses

This dissertation explored how earned attachment security is experienced and developed within long-term romantic relationships through couples’ shared narratives. Using dyadic interviews, the study focused on romantic partners in which one individual demonstrated continuous attachment security while the other described a shift toward earned security over time. Although existing attachment research has examined the traits that encourage security in other relational contexts, limited research has explored the lived attachment experiences of couples or their shared understanding of how security develops within romantic love. Five long-term romantic couples participated in semi-structured dyadic interviews designed to elicit shared narratives of relationship development, …


Impact Of Therapeutically Applied Role-Playing Games (Ta-Rpg) For Individuals At The Intersection Of Sexual And Gender Minorities (Sgm) And Autism Spectrum Disorder (Asd), Alexander S. Gelernter Jan 2026

Impact Of Therapeutically Applied Role-Playing Games (Ta-Rpg) For Individuals At The Intersection Of Sexual And Gender Minorities (Sgm) And Autism Spectrum Disorder (Asd), Alexander S. Gelernter

Antioch University Dissertations & Theses

Individuals with Autism Spectrum Disorder (ASD) who also identify as sexual and gender minorities (SGM) may experience intersecting challenges related to communication, social belonging, masking, identity development, and access to affirming clinical spaces. Although role-play and therapeutically applied role-playing games (TA-RPGs) have been described as promising experiential approaches, limited research has examined how ASD/SGM individuals themselves understand role-playing games (RPGs) or evaluate their possible therapeutic use. This qualitative study explored how young adults with ASD level 1 who identify as SGM describe their experiences with RPGs and how they appraise the potential usefulness, risks, and conditions of TA-RPG. Five participants …


Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano Jan 2026

Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano

Antioch University Dissertations & Theses

This dissertation examines the profound existential paradox faced by individuals who have identified with nihilistic beliefs and ideas while attempting to seek meaning through therapy. Nihilism, characterized by the belief in the inherent meaninglessness of existence, poses a significant challenge to the traditional therapeutic framework, which often centers on the pursuit of meaning and purpose. This dichotomy poses a unique conundrum for individuals who embrace nihilistic perspectives shaped by identification with nihilistic lyrics and themes in alternative music genres such as metal, goth, grunge, and punk. Alternative music culture often serves as a vehicle for expressing and internalizing nihilistic beliefs, …


I’M A Sucker For You: The Role Of Parasocial Relationships And Celebrity Worship In Predicting Loneliness Among Fans Of The Jonas Brothers, Samantha Lynn D'Anna Jan 2026

I’M A Sucker For You: The Role Of Parasocial Relationships And Celebrity Worship In Predicting Loneliness Among Fans Of The Jonas Brothers, Samantha Lynn D'Anna

Antioch University Dissertations & Theses

The current study sought to better understand the dynamics between parasocial relationships and celebrity worship in predicting loneliness among the Jonas Brothers fan community. A comprehensive review of existing literature positioned this dissertation within the context of current research. A quantitative, survey-based methodology was used to examine associations between variables through correlational analyses, and a qualitative component invited participants to share written narratives about the impact the Jonas Brothers have had on their lives. Quantitative findings showed that although parasocial relationships did not directly relate to loneliness, they were strongly linked to celebrity worship, which then mediated the connection between …


Improving Parental Self-Efficacy In An Integrated Primary Care Setting, Leo Parini Jan 2026

Improving Parental Self-Efficacy In An Integrated Primary Care Setting, Leo Parini

Antioch University Dissertations & Theses

A pediatric mental health crisis in the United States has strained integrated primary care, leaving providers with high volumes of requests for psychotherapy. Low parental self-efficacy (PSE)—reduced caregiver confidence in supporting children's emotional and behavioral needs—may contribute to this demand. This study examined whether a brief, 4-week parent training curriculum informed by Supportive Parenting for Anxious Childhood Emotions (SPACE), targeting child anxiety and obsessive-compulsive disorder (OCD) and delivered by a clinical psychologist within an integrated primary care setting, would increase PSE. Using secondary, de-identified data, PSE was measured before and after the course with the Brief Parental Self-Efficacy Scale; 19 …