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Full-Text Articles in Clinical Psychology

Childhood Adversity's Impact On Criminal Behavior, Isobel Marie Avento Oct 2024

Childhood Adversity's Impact On Criminal Behavior, Isobel Marie Avento

Theses and Dissertations

Adverse childhood experiences (ACEs), such as abuse, neglect, and family criminal history, have been identified as potential risk factors for negative physical, psychological, and behavioral health outcomes. Emerging literature suggests that ACEs are also among the primary factors leading to delinquency and adult criminal behavior. However, there is limited applied research that provides practitioners with appropriate insight to intervene when ACEs are identified among juvenile delinquents to reduce recidivism risk. This study adds to the existing literature by examining how cumulative ACEs shape criminal behavior of individuals from the onset until its desistance over the span of twenty years. Using …


Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick Sep 2024

Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick

JADARA

Emotional display rules refer to the expression of culturally prescribed and socially acceptable emotions across different people and situations (Wu & Schulz, 2020). The display rules among hearing adults across several cultures are well defined and depend on the type of emotion, the individuals involved in the exchange, and the situation. Regarding Deaf culture in the United States, this minoritized group may follow unique display rules (Hosie et al., 2000), but there has been almost no research conducted with this population and the existing studies have focused on youth. The present study explores perceived emotional expressions among a sample of …


Gsep Research Symposium Proceedings - 2024 Sep 2024

Gsep Research Symposium Proceedings - 2024

GSEP Research Symposium

The 8th Annual GSEP Research Symposium, was themed "Dismantling Barriers between Research and Practice: Shining a Light on Global Interdisciplinary Solutions," took place on July 18-19, 2024, at the picturesque Château d'Hauteville in Saint-Légier-La Chiésaz, Switzerland.

The annual symposium is hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP). The symposium served as a dynamic platform for students, faculty, alums, and staff to come together and explore innovative ideas across multiple disciplines. Featuring 69 selected presentations under five distinct tracks, the proceedings showcase groundbreaking research, foster meaningful discussions, and promote professional development.

The symposium aimed to bridge …


Brain Injury And Psychosocial Trauma: Outcomes Among Justice-Involved Individuals, Mahathi D. Kosuri Sep 2024

Brain Injury And Psychosocial Trauma: Outcomes Among Justice-Involved Individuals, Mahathi D. Kosuri

Dissertations, Theses, and Capstone Projects

Justice-involved individuals experience disproportionately high rates of both traumatic brain injuries (TBI) and psychosocial traumas. However, these traumas have yet to be conceptualized together, leaving a chasm of research on how they interact and influence this population. The current study was the first to measure the effects of TBIs as well as psychosocial trauma among justice-involved men, within the context of executive functioning, history of justice involvement, and recidivism. A sample of men (N=95) from a private correctional facility were given the Ohio State University Traumatic Brain Injury Questionnaire (OSU-TBI-ID), the Lifetime Stressor Checklist- Revised (LSC-R), along with …


Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy Sep 2024

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …


Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders Sep 2024

Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders

Dissertations

Historically, infertility has been a taboo topic of discussion and is often avoided in conversation because of the stigmatization of the diagnosis. According to the World Health Organization (2022), infertility affects 186 million individuals globally. However, there seems to be a gap in the research as it pertains to the psychological well-being and treatment of men and women diagnosed with this condition. While it has become less of a feared topic, it still is not discussed or researched enough, thus further exacerbating the gap in research on mental health and treatment options. The following dissertation completed a critical review of …


Reproductive Coercion And Intergenerational Trauma: The Role Of Reproductive, Sex, And Relationship Education And Family Messaging, Maria-Ernestina Christl Aug 2024

Reproductive Coercion And Intergenerational Trauma: The Role Of Reproductive, Sex, And Relationship Education And Family Messaging, Maria-Ernestina Christl

Electronic Theses and Dissertations

Women’s knowledge of reproductive choices as well as ability to decide and implement those choices are critical to promoting healthy parent-child relationships and avoiding potentially harmful family dynamics. Reproductive coercion (RC) is a form of intimate partner violence in which abusive partners control reproductive outcomes of their partners. The field of RC is a relatively new field of study compared to the literature on IPV, and this study is one of the first to examine the role of formal and informal messaging women received in childhood related to sex, dating, and relationships in relation to RC. Furthermore, parenting attitudes were …


Antiracism In Higher Education: An Integrated Psychological Perspective, Rhea E. Nesbitt Aug 2024

Antiracism In Higher Education: An Integrated Psychological Perspective, Rhea E. Nesbitt

Dissertations, 2020-current

Antiracism is a complicated and important term with prominent, influential voices claiming that systemic equity and the reconfiguration of white identity are the central solutions to eradicating American racism. Within the profound sociocultural effects of the existing antiracist rhetoric, there is vagueness, conflict, and incoherence. Language serves as a fundamental aspect of human experience, facilitating individual meaning-making and comprehension. Effective communication hinges on the ability to articulate subjective experiences and justifications clearly, a challenge evident in discussions surrounding antiracism. Despite advocating for antiracism as crucial and unending work, scholars recognize significant hurdles, including unclear responsibilities for implementation and entrenched structures …


Gender As A Predictor Of Parent-Teacher Discrepancies In Child Adhd Evaluations: Consideration Of Gender Bias, Kaitlyn M. Saunders Aug 2024

Gender As A Predictor Of Parent-Teacher Discrepancies In Child Adhd Evaluations: Consideration Of Gender Bias, Kaitlyn M. Saunders

All-Inclusive List of Electronic Theses and Dissertations

This study aimed to advance the current literature on the relationship between informant (parent and teacher) perceptions of ADHD symptoms (hyperactivity, inattention) and gender, considering possible gender bias. Previous research demonstrates that there are consistent differences in the prevalence of ADHD between boys and girls in childhood, between girls in childhood versus adult women, and in the sex-ratio between community versus clinical samples. The current literature is mixed regarding what is causing these discrepancies in prevalence of ADHD, particularly about whether gender bias is a contributing factor. Data was collected from parents and teachers of 116 children (50% male; 50% …


The Mental Health Experience Of Transgender And Gender Diverse Colombians: Que La Diversidad No Cueste La Vida, María Natalia Acosta Canchila Jun 2024

The Mental Health Experience Of Transgender And Gender Diverse Colombians: Que La Diversidad No Cueste La Vida, María Natalia Acosta Canchila

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Experiences of TGD people in various countries reflect difficulties accessing mental health services and significant mental health needs. In Colombia, experiences in broader healthcare systems suggest various barriers to care that include experiences of discrimination. However, specific experiences in mental health services have not been thoroughly examined. The current study aimed to understand the experiences, perceptions, and needs of TGD people in Colombia in mental health systems. Qualitative data was collected via 40 semi-structured interviews with TGD people in Colombia, data was analyzed via reflexive thematic analysis. Findings suggests great mental health needs related to needing support in the process …


Sexual Abuse: A Multi-Faceted Problem, Marcus Venable May 2024

Sexual Abuse: A Multi-Faceted Problem, Marcus Venable

LSU Doctoral Dissertations

On average, US citizens have experienced approximately 400,000 sexual assaults per year, which results in enormous immediate and long-term consequences for individuals, as well as society in general.

In the U.S., the principal method of combatting this crime has been the creation of Sex Offender Registries used to notify the public of the identity and location of convicted sex offenders who may be living in proximity to their residence. In addition to the Registry, laws have been passed forbidding convicted sex offenders from residing within buffer zones around areas of high child concentration [schools/parks/etc.].

The efficacy and consequences of these …


Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon May 2024

Cultural And Structural Barriers Of Utilizing Mental Health Services In A School-Based Setting For Latinx Populations, Silvia Lozano, Bridgette Guadalupe Calderon

Electronic Theses, Projects, and Dissertations

This qualitative research study aimed to reduce mental health service disparities in Latinx communities and helps fill in the gap by addressing cultural and structural barriers to utilizing MHS in a school-based setting for Latinx youth. There is limited research regarding Latinx parents’ perspectives and the reservations they have on utilizing school-based mental health services (MHS) for their children. This study identified six important themes: cultural factors, trust and rapport, reservations, access and awareness, parental involvement and challenges, and school-based resources. Implications for school districts are that they can use these findings to increase early intervention mental behavioral health programs …


Cold Medicine Abuse And Increased Odds Of Recreational Drug Use, Luis Barco Apr 2024

Cold Medicine Abuse And Increased Odds Of Recreational Drug Use, Luis Barco

Posters - 2024

Over the counter (OTC) medications are frequently used to address the symptoms associated with common illnesses that affect the public. (SOURCE) Of these OTC medications, cold and cough medications are some of the most widely used. However, cold medications pose a risk in exhibiting different effects depending on which active ingredient is the most prevalent. Dextromethorphan (DXM), one of the most common ingredients in cough medicine, can lead to the development of symptoms that mirror psychosis associated with phencyclidine abuse (1). Though less common, abuse of codeine can also result in the formation of gastric ulcers, internal bleeding, and inflammation …


U.S. Military Veteran Identity And Civilian Adjustment, Darren A. Sosa Mar 2024

U.S. Military Veteran Identity And Civilian Adjustment, Darren A. Sosa

Pacific Journal of Health

U.S. military veterans transitioning back into the civilian sector often experience a variety of challenges and need to readjust into non-military environments. In order to examine the psychological challenges involved in the transition and readjustment processes among U. S. active military veterans, a qualitative study was conducted. For 6 months, data was collected from veterans in California, Nevada, Texas, Florida, and New York. Following an IRB approval, semi-structured open-ended self-developed interviews were developed and conducted with sixteen military veterans who have served in 4 branches of the U.S. Armed Forces: Army, Navy, Air Force, and Marine Corps. Data and information …


An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero Jan 2024

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …


The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf Jan 2024

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …


The Influence Of Highly Visual Social Media Engagement On The Body Image Of Cisgender Heterosexual Emerging Adult Men. A Grounded Theory Approach, Isaac Cheng Jan 2024

The Influence Of Highly Visual Social Media Engagement On The Body Image Of Cisgender Heterosexual Emerging Adult Men. A Grounded Theory Approach, Isaac Cheng

Antioch University Dissertations & Theses

The effects of highly visual social media (HVSM) on the body image of users is a widespread concern amongst consumers and popular topic of research. While numerous studies have explored the effects of HVSM on women's body image, the literature on men's body image, particularly among cisgender heterosexual men, is comparatively sparse. The present study utilized constructivist grounded theory methodology to develop an explanatory model illustrating how HVSM engagement by cisgender heterosexual emerging adult men influences their body image. Data analysis revealed how specific HVSM platform attributes, a user’s behavior on an HVSM platform, a user’s perception of an ideal …


Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer Jan 2024

Ideals Of Benevolence, Acts Of Dysconsciousness: White Women's Pursuit Of Diversity In Nonprofits, Tessa A. Fulmer

Antioch University Dissertations & Theses

Recent political movements such as the Black Lives Matter and #MeToo movements have brought renewed attention to the social roles of White women and their unique position of intersectional privilege and oppression. White women experience the benefits of whiteness while simultaneously experiencing the gendered oppression of womanhood. However, there is a lack of research exploring how White women conceptualize and respond to their own positionality as both White individuals and as women. This study utilizes constructivist grounded theory to examine how White women navigate their social location within the context of working in the nonprofit sector, a space wherein White …


A Policy Evaluation For California’S Care Act And The Application Of The Social Determinants Of Health, Adelina Mercedes Lang Dec 2023

A Policy Evaluation For California’S Care Act And The Application Of The Social Determinants Of Health, Adelina Mercedes Lang

Capstone Experience: Master of Public Health

In 2022, California passed a legislative bill, SB 1338: the Community Assistance, Recovery, and Empowerment (CARE) Act, which created a new statewide procedure for treating mentally ill homeless adults diagnosed with psychotic disorders through a court-ordered CARE plan. SB 1338 intends to alleviate the mental health and homeless crisis. This capstone project provides an early assessment of SB 1338 using a modified formative policy evaluation methodology, including a scoping literature review and applying a policy assessment using the CDC's Policy Evaluation Framework. A stakeholder survey was also applied to gather stakeholders' perspectives on SB 1338. The literature review supported the …


Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed Oct 2023

Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed

Journal of Mind and Medical Sciences

This study explored the relationship between Perceived Stress and Religious Coping levels among Muslim emerging adults of Pakistani origin living in Pakistan and Muslim emerging adults of Pakistani origin living in the United States (US). Participants (Pakistani Origin Muslims Living in Pakistan, n= 103; and Pakistani Origin Muslims Living in the US, n=50) were between 18-25 years old. The Perceived Stress Scale (PSS-10) and Brief R-Cope scale were administered using an online format. Results indicated that negative religious coping strategies were associated with higher perceived stress in both groups while positive religious coping strategies showed a weaker association with lower …


Factors Moderating The Association Between Social Network “Drinking Buddies” And Personal Drinking, Karolina Kazlauskaite Oct 2023

Factors Moderating The Association Between Social Network “Drinking Buddies” And Personal Drinking, Karolina Kazlauskaite

Psychology Theses & Dissertations

Peer relationships have been implicated as a salient factor on individual drinking outcomes. One specific subset of peers in one’s social network, identified as drinking buddies, have been associated with an elevated risk for harmful drinking in college students—beyond drinking peers in one’s network alone. Despite their salience on individual alcohol outcomes, little is known regarding what makes drinking buddies more or less influential. While moderators of peer influence have been examined, prior research on peer influence predominantly focuses on adolescent populations, presenting gaps in the literature regarding moderators of college student drinking buddies specifically. As such, the current study …


Investigating The Link Between Iadl And Depressive Symptoms In Older Adults: A Cross-Sectional Serial Mediation Model, Wee Qin Ng, Hwajin Yang Sep 2023

Investigating The Link Between Iadl And Depressive Symptoms In Older Adults: A Cross-Sectional Serial Mediation Model, Wee Qin Ng, Hwajin Yang

Research Collection School of Social Sciences

Objectives: There is a dearth of research on the psychological processes that underlie the negative relation between impaired instrumental activities of daily living (IADL) and depressive symptoms in older adults. Drawing on the stress process model and the resilience framework, we investigated whether purpose in life and resilience serially mediate the relationship between impaired IADL and depressive symptoms.Methods: We recruited 111 cognitively healthy community-dwelling older adults (ages 54-85; M = 66.5) who scored a minimum of 25 points on the Mini-Mental State Examination.Results: We found that purpose in life and resilience serially mediated the relationship between IADL and depressive symptomatology …


Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko Aug 2023

Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko

The Qualitative Report

Sudden historical events, such as the COVID-19 pandemic, may critically change the circumstances in which psychotherapy is conducted. The objective of this study was to analyze Polish psychodynamic psychotherapists’ experiences of working with patients at the onset of the pandemic and hence to understand the process of their coping with the external reality challenges. 183 Polish psychotherapists (160 women and 23 men) aged 26-66 years (average 38) completed a survey about their therapeutic work during the COVID-19 pandemic. Data were analyzed in accordance with Braun and Clarke’s thematic analysis framework. Five general themes were identified: (1) Facing a taboo; (2) …


Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández Aug 2023

Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández

Electronic Theses and Dissertations

As the United States continues to restrict Puerto Rico’s self-determination and imposes oppressive institutions such as the Oversight Board, the people of the archipelago live in precarity and hopelessness. Limited psychological research on colonialism has focused on the detrimental impact of oppression and its influence on the development of fatalism and the inferiority complex. On the other hand, existing psychological theories of hope fail to describe how it is lived within the post-colonial context and to explain the ways in which this psychological phenomenon arises even in the face of systematic dehumanization. As Puerto Ricans show evident signs of hope …


The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller Aug 2023

The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative study is to highlight and bring understanding to the lived experiences of Black American millennials. This study was conducted from the constructivist and critical research paradigms and utilized Reflexive Thematic Analysis methods to analyze qualitative data. The study places specific focus on Black or African American millennials’ associated thoughts and feelings regarding their current reality and positionality within the American context, and its relation to the idealized reality of the American Dream. The influence of the American Dream on the African American millennial reality was explored to gain a better understanding of how, or if …


The Impact Of Covid-19 Stressors, Racial Discrimination, And Racial Socialization On Family Functioning In Black Families, Regina L. Alexander Aug 2023

The Impact Of Covid-19 Stressors, Racial Discrimination, And Racial Socialization On Family Functioning In Black Families, Regina L. Alexander

Psychology Theses & Dissertations

Marginalized communities, specifically Black Americans, have been disproportionately impacted by the COVID-19 pandemic which has resulted in more hospitalizations and deaths within this particular community. However, this disproportionate impact of COVID-19 is likely the result of ongoing health disparities related to a lack of access to adequate healthcare. In addition to health disparities specifically related to COVID-19, Black Americans have also experienced public displays of racial discrimination resulting from the systemic racism that has occurred for many years. It has been determined that stress spillover can impact relationship factors and this same spillover may be an important factor by which …


Assessing Sexual Minority Women’S Barriers And Facilitators To Seeking And Accessing Mental And Physical Healthcare: A Mixed Methods Study, Charlotte A. Dawson Aug 2023

Assessing Sexual Minority Women’S Barriers And Facilitators To Seeking And Accessing Mental And Physical Healthcare: A Mixed Methods Study, Charlotte A. Dawson

Psychology Theses & Dissertations

Sexual minority women (SMW) experience greater mental and physical health concerns when compared to heterosexual women. Three key areas of health SMW report these disparities are: mental health, binge eating/body size, and sexual and reproductive health. SMW also report difficulties accessing healthcare in these three areas. An exploratory sequential mixed methods design was utilized to assess barriers and facilitators to healthcare access for young SMW. Study 1 included 20 semi-structured interviews with SMW, resulting in themes of barriers and facilitators identified by participants. These themes were converted into scale items. In Study 2, an expert panel of mental and physical …


Gender Roles, Sexual Cognitions, And History Of Victimization: A Preliminary Model Of Reporting Behavior Among College Students, Randi Spiker, Eu Gene Chin Jun 2023

Gender Roles, Sexual Cognitions, And History Of Victimization: A Preliminary Model Of Reporting Behavior Among College Students, Randi Spiker, Eu Gene Chin

Journal of Social, Behavioral, and Health Sciences

Sexual cognitions that flow from gender roles and previous history of victimization are strong predictors of sexual assault victimization. Because these cognitions reside within the individual themselves, we hypothesized that these same cognitions will also be predictors of subsequent reporting behavior to formal campus supports. An online self-report survey for assessing student awareness and perception of sexual safety was administered in a random stratified sample of college students (N = 98; 78% female). Participants were shown a hypothetical vignette involving a quid pro quo sexual harassment incident involving a student and were asked to rate their likelihood of making …


Cognitive Behavioral Therapy (Cbt): A Queer Analysis, Elizabeth M. Munk Jun 2023

Cognitive Behavioral Therapy (Cbt): A Queer Analysis, Elizabeth M. Munk

University Honors Theses

This literature review seeks to understand the history and development of Cognitive Behavioral Therapy (CBT) within a clinical setting in the United States and other Western institutions. Furthermore, employing a critical eye to CBT will highlight areas of future intervention. This will be done by emphasizing the importance of a queer lens and starting to integrate theory and analytics to address potential gaps and lacks within the therapy process of CBT. Theories like Donna Haraway's situated knowledges, Jasbir Puar's assemblage theory, and Sara Ahmed’s affect theory will then be discussed in the context of MAST, a variation of CBT. I'm …


The Co-Occurrence Of Adverse Childhood Experiences And Mental Health Among Latina/O Adults: A Latent Class Analysis Approach, Michael Niño, Kazumi Tsuchiya, Shaun Thomas, Christian Vazquez Jun 2023

The Co-Occurrence Of Adverse Childhood Experiences And Mental Health Among Latina/O Adults: A Latent Class Analysis Approach, Michael Niño, Kazumi Tsuchiya, Shaun Thomas, Christian Vazquez

Sociology and Criminology Faculty Publications and Presentations

Adverse childhood experiences (ACEs) have been linked to poor mental health among Latina/os. Few studies, however, have attempted to understand the extent to which ACEs co-occur and whether different forms of ACE co-occurrence differentially shape poor mental health patterns among Latina/os. The present study begins to address this gap by (1) identifying latent classes of ACEs and (2) determining whether and how different ACE classes shape high depressive symptoms among Latina/o adults. Data were drawn from two waves of the Hispanic Community Health Study/Study of Latinos, a longitudinal, community-based sample of Latina/os living in four urban communities. Latent Class Analysis …