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Articles 211 - 240 of 319
Full-Text Articles in Clinical Psychology
Relationships Between Executive Functions, Attention Deficit Hyperactivity Disorder (Adhd), Comorbid Disorders, And Familial History In A Nonclinical Population, Sara M. Sachjog Velez
Relationships Between Executive Functions, Attention Deficit Hyperactivity Disorder (Adhd), Comorbid Disorders, And Familial History In A Nonclinical Population, Sara M. Sachjog Velez
PCOM Psychology Dissertations
Attention-deficit/hyperactivity disorder (ADHD) is typically characterized by impulsivity, inattention, and hyperactivity and often lasts into adulthood. Depression, anxiety, and bipolar disorder are often diagnosed as comorbid disorders with ADHD. Adults with ADHD may also display executive functioning deficits. The current study sought to identify whether symptoms of executive functioning were related to symptoms of ADHD in adults. It also identified comorbid disorders in the participants. Questionnaires assessing executive functioning, ADHD, depression, anxiety, and bipolar spectrum disorders were given to participants. Demographics were obtained regarding their own background and comorbid disorders in their first-degree relatives. Results indicated that symptoms of executive …
Examining Cultural Competence Among Osteopathic Medical Students , Sooni Lee
Examining Cultural Competence Among Osteopathic Medical Students , Sooni Lee
PCOM Psychology Dissertations
With the growing number of racial and ethnic minorities in the United States, there also has been a rise in health disparities. Ethnic minorities have been experiencing an overabundance of medical issues, particularly chronic diseases like cardiovascular disease, diabetes, and cancer. Although these chronic diseases are preventable, ethnic minorities are at greater risk for death from them. Possible contributing factors to the increase in health disparities include limited medical attention and follow-up appointments with physicians and the physician-patient relationship. The purpose of this study was twofold: to examine cultural competence among osteopathic medical students and to examine their attitudes toward …
A Feasibility Study Of An Intervention Designed To Create Cooperative Communication For Couples: A Sociolinguistic Approach To Cognitive Behavioral Couple Therapy , Lee Wood Morand
A Feasibility Study Of An Intervention Designed To Create Cooperative Communication For Couples: A Sociolinguistic Approach To Cognitive Behavioral Couple Therapy , Lee Wood Morand
PCOM Psychology Dissertations
Researchers and clinicians recognize relationship distress as one of the most frequently presented problems in psychotherapy. Relationships themselves depend on language and sociolinguistic skills. However, despite the passionate interest and relevance imparted to success in relationships, little attention is paid to sociolinguistic skills. This study is an evaluation of a feasibility study designed as a couple’s communication program. Overcoming communication problems and improving marital satisfaction is the intent of this program. The design of this program is to overcome communication problems and improve marital satisfaction. Cooperative communication is the framework for the communication skills training. One voluntary couple participated in …
Perception Of Control And Awareness Of Deficit In Individuals With Neurological Impairment In A Clinical Sample , Donna Marie Struck
Perception Of Control And Awareness Of Deficit In Individuals With Neurological Impairment In A Clinical Sample , Donna Marie Struck
PCOM Psychology Dissertations
Acquired brain injury is considered to be one of the most important public health concerns in the United States, with approximately 1.2 million adults that meet the criteria for chronic brain disease, brain disorder, or injury each year. Medical costs directly related to injury, in addition to the indirect costs related to job loss, totaled an estimated 60 billion dollars in the year 2000. Subsequent impairment following brain injury yields a complicated neurobehavioral sequelae of deficits. Anosognosia, specifically, the deficit of the patient's inability to acknowledge, or even recognize impairments, is common following brain injury. In a review of the …
Exploratory Factor Analysis Of A Relational Aggression Self-Report, Kimberly S. Carlson
Exploratory Factor Analysis Of A Relational Aggression Self-Report, Kimberly S. Carlson
PCOM Psychology Dissertations
Relational aggression (RA) represents a distinct form of bullying and refers to behaviors that harm others through damaging their friendships, their inclusion in social groups, and their feelings of acceptance. RA has been recognized as a significant problem, which has psychosocial and academic consequences for perpetrators, victims and bystanders. This study evaluated a self-report inventory that examined RA in 219 females ages 10 through 18 from Central Pennsylvania. Inter-item correlations revealed that none of the scale’s items were highly correlated and therefore repetitive. An Exploratory Factor Analysis (EFA) with an oblique rotation was used to identify the factors within the …
Program Evaluation : The Clinical Programming Of An Adolescent Psychiatric Residential Program And Adherence To Clinical Best Practice Guidelines, Michael K. Colbert
Program Evaluation : The Clinical Programming Of An Adolescent Psychiatric Residential Program And Adherence To Clinical Best Practice Guidelines, Michael K. Colbert
PCOM Psychology Dissertations
The structure and delivery of clinical services at an adolescent psychiatric community residential program (PCR), located in New Jersey, was evaluated and compared to national clinical guidelines in order to determine the effectiveness of the services being delivered. A multitude of demographic and clinical variables were examined through the review of 70 closed medical records over a 5-year period. An exploration of the history, rationale, and effectiveness of residential treatment services for adolescents is also presented, along with recommendations for the delivery of more effective clinical services.
Everyday Magic : A Depressed Mother's Guide, Diana Coulson-Brown
Everyday Magic : A Depressed Mother's Guide, Diana Coulson-Brown
PCOM Psychology Dissertations
The purpose of this dissertation project was threefold: to develop a cognitive-behavioral manual for therapists, a self-help manual for depressed mothers, and a guide to assist children, aged 6 to 11, through the risks of depression was paramount in the design of this project. Given a paradigm shift in the field of psychotherapy towards resilience, this manual is timely in that it is a valuable resource for promoting resilience outcomes in both mothers and their children. This manual includes a variety of social, emotional, and behavioral activities for mothers and children, allowing mothers to be at the forefront of establishing …
Relationship Between Social Problem-Solving Skills, Quality Of Life, And Family Adjustment In Caregivers Of Children With Developmental Disability, Bonita Ellen Fisher
Relationship Between Social Problem-Solving Skills, Quality Of Life, And Family Adjustment In Caregivers Of Children With Developmental Disability, Bonita Ellen Fisher
PCOM Psychology Dissertations
This study focused on the relationship between a caregiver's problem solving skills, their perceived quality of life, their family's adjustment to their child's disability, and the potential for mediation of those relationships by the child's behavior. A total of 111 parents completed the Social Problem Solving Skills Inventory-Revised, short form (SPSI-R:S), the World Health Organization Quality of Life Assessment, brief version (WHOQOL-BREF), the Family Impact of Childhood Disability Scale (FlCD), the Nisonger Child Behavior rating Form (NCBRF) and a demographics questionnaire. Analyses of the data by Pearson product-moment correlation coefficient identified significant correlations between scores on the problem orientation components …
The Power Of The Mind : The Relationship Between Mindfulness, Quality Of Life And Anxiety For Older Adults With Chronic Illness , Tracy Elizabeth Ransom
The Power Of The Mind : The Relationship Between Mindfulness, Quality Of Life And Anxiety For Older Adults With Chronic Illness , Tracy Elizabeth Ransom
PCOM Psychology Dissertations
This dissertation examines the relationship between mindfulness training and older adults with chronic illness and a documented clinical anxiety diagnosis. Six subjects (mean age = 69 years) who met criteria for a DSM-IV-TR anxiety condition and who endorsed one or more chronic illnesses participated in an 8-week customized mindfulness training program. The research evaluated the impact of mindfulness training and practice on depression, quality of life, health satisfaction and anxiety. This dissertation's findings suggest that of these variables, state and trait anxiety were significantly reduced at the conclusion of the program. Given these findings, this research proposes that anxiety in …
Caregiver Religiosity, Spirituality, And Positive Emotion As Predictors Of Psychological Well-Being In Amyotrophic Lateral Sclerosis Patients, Andrea Beth Weller
Caregiver Religiosity, Spirituality, And Positive Emotion As Predictors Of Psychological Well-Being In Amyotrophic Lateral Sclerosis Patients, Andrea Beth Weller
PCOM Psychology Dissertations
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder that results in degeneration of motor neurons of the cerebral cortex, the brainstem, and the spinal cord. Also known as Lou Gehrig’s disease, ALS has no conclusive etiology and no known cure. The disease is ultimately fatal within approximately 3 to 5 years and robs individuals of all physical functions while leaving their intellectual capacity and personalities intact. Therefore, patients’ quality of life (QOL) becomes increasingly important in their lives and in the lives of their caregivers. Patients with ALS and their caregivers face a number of psychological, psychosocial, and existential …
Does Alcoholics Anonymous Participation Decrease Learned Helplessness And Increase Self-Efficacy? , Philip John Pellegrino
Does Alcoholics Anonymous Participation Decrease Learned Helplessness And Increase Self-Efficacy? , Philip John Pellegrino
PCOM Psychology Dissertations
Alcoholics Anonymous (AA) has long been the major treatment of choice in the United States for individuals with alcohol related problems. Research on AA has had methodological problems and there is no clear evidence that AA in and of itself is effective in treating alcohol problems. Treatment studies on alcohol and substance users have found that abstinence self-efficacy and approach coping skills have been related to improved drinking outcomes. Also, depression and alcohol problems have been shown to be highly correlated with each other. Therefore, this study examined the relationship between participation in AA and improvements in abstinence self-efficacy, learned …
The Psychometric Properties Of The Mahan And Ditomasso Anger Scale (Mad-As) And Its Relationship To Cognitive Distortions And Attitudes Among Adults Who Experience Symptoms Of Anger, Dorothy Latella-Zakhireh
The Psychometric Properties Of The Mahan And Ditomasso Anger Scale (Mad-As) And Its Relationship To Cognitive Distortions And Attitudes Among Adults Who Experience Symptoms Of Anger, Dorothy Latella-Zakhireh
PCOM Psychology Dissertations
The influence of cognitive schema on negative emotions such as depression and anger has been investigated in a number of prior studies. This study sought to assess the relationship between anger and various components of anger with cognitive distortions, and dysfunctional attitudes in a nonclinical sample. Subjects were 128 adult males and females who completed several measures related to anger and cognitive distortions. The measures were the Mahan and DiTomasso Anger Scale (MAD-AS), the Inventory of Cognitive Distortions (ICD), and the Dysfunctional Attitudes Scale (DAS). It was hypothesized that cognitive distortions including depressogenic cognitions, as reflected in various subscales of …
Social Support As A Moderator Between Health Status And Self-Esteem, Psychosocial Stress, And Mood In Old Order Amish Women, Christina L. Abbott
Social Support As A Moderator Between Health Status And Self-Esteem, Psychosocial Stress, And Mood In Old Order Amish Women, Christina L. Abbott
PCOM Psychology Dissertations
The Amish population is growing in Lancaster County, Pennsylvania (Kraybill, 2008) and Amish use of medical and psychological services provided by the outside world is increasingly common (Cates & Graham, 2002; Weyer et al., 2003). Yet, little is known about how Amish women perceive their health status or how these variables interact in this population. This study revealed an identifiable relationship between health status and psychological functioning in 288 Amish women, ages 18 to 45. As health improves, self-esteem and mood also improve. Of greater importance is the fact that when good social support is available, even Amish women in …
Sex Differences In Symptom Presentation Of Schizotypal Personality Disorder In First-Degree Family Members Of Individuals With Schizophrenia, Alexandra Duncan-Ramos
Sex Differences In Symptom Presentation Of Schizotypal Personality Disorder In First-Degree Family Members Of Individuals With Schizophrenia, Alexandra Duncan-Ramos
PCOM Psychology Dissertations
Schizophrenia (SCZ) is a devastating illness, with clinical symptoms generally characterized as positive or negative. The reach of SCZ is broad, significantly impacting economic, social and familial facets of life. Current literature suggested optimal treatment for individuals with SCZ must include medication management and family psychological interventions to achieve patient stabilization. Literature has identified a likely familial and genetic link between individuals with SCZ and schizotypal personality disorder (STPD) in first-degree family members (FDFM), and has proposed a similar sex distinction with regard to symptomatology in STPD often noted in SCZ. The results of this investigation yielded clinically significant information; …
The Social Problem-Solving Approach Of Adolescent Females Diagnosed With An Eating Disorder :Toward A Greater Understanding Of Control, Roger K. Mcfillin
The Social Problem-Solving Approach Of Adolescent Females Diagnosed With An Eating Disorder :Toward A Greater Understanding Of Control, Roger K. Mcfillin
PCOM Psychology Dissertations
The current study examined social information processing variables, social problem solving skills, and interpersonal assertiveness in adolescent females diagnosed with an eating disorder. A total of 114 adolescent females between the ages of 14-17 participated in the study. Fifty girls currently in treatment for a diagnosed eating disorder were compared to 64 healthy nonclinical controls. When presented with vignettes depicting ambiguous social dilemmas, the eating disorder group demonstrated a more hostile attributional bias, experienced a significantly greater intensity of negative emotions, and relied upon more avoidant coping strategies when compared to the nonclinical control group. Specifically, the eating disorder group …
An Exploratory Study Of The Perceptions And Associated Coping Skills Of Children With Attention-Deficit/Hyperactivity Disorder, Rayna Ruth Mckinnon
An Exploratory Study Of The Perceptions And Associated Coping Skills Of Children With Attention-Deficit/Hyperactivity Disorder, Rayna Ruth Mckinnon
PCOM Psychology Dissertations
Attention-deficit/hyperactivity disorder (ADHD) affects between 3% and 5% of school-age children. In addition to hyperactivity, difficulty paying attention, and impulsivity, children with ADHD have been found to have lower self-perceptions than their peers who do not have ADHD. Researchers have attempted to explain why children with ADHD have lower self-perceptions. Despite these studies, little research has explored how these children perceive themselves, others, and their world from their perspective. In addition, even fewer researchers have studied how these children cope. The purpose of this study was to delve into the lives of six children with ADHD as a means of …
Investigation Of The Attitudes Of Doctor Of Psychology Students In An American Psychological Association Accredited Doctoral Program, Mckenzie L. Walker
Investigation Of The Attitudes Of Doctor Of Psychology Students In An American Psychological Association Accredited Doctoral Program, Mckenzie L. Walker
PCOM Psychology Dissertations
Student and faculty/administration perceptions of a quality doctoral psychology program may vary. There is minimal research on the perceived quality of doctoral programs and how this is measured, based on student perceptions. Doctoral programs require great investments of time and money. This study focuses specifically on a program self assessment for the 2008-2009 academic year of the Philadelphia College of Osteopathic Medicine Doctor of Psychology program, self-study survey with the doctoral students. The study was conducted using archival data from 108 Doctor of Psychology students identified as being currently enrolled in the Philadelphia College of Osteopathic Medicine, Doctor of Psychology …
Difference Between Parents Modeling During Children's Social Problem Solving, Sheryl Markulin
Difference Between Parents Modeling During Children's Social Problem Solving, Sheryl Markulin
PCOM Psychology Dissertations
Social problem solving is a vital aspect in children's social development. Parents play a role in influencing their children's social problem solving styles through modeling. Mothers and fathers model different social problem solving styles; this may be explained by the "maternal gatekeeping theory." This is a situation in which the mother's beliefs about the father inhibit his involvement. If there are differences in the ways in which mothers and fathers model social problem solving skills, these may influence their children's social development in a negative or positive manner. This study investigated how mothers impact the fathers in joint problem solving …
Pragmatic Language And Social Skills Functioning In Children Diagnosed With Asperger's Disorder, Donna Lee Toro
Pragmatic Language And Social Skills Functioning In Children Diagnosed With Asperger's Disorder, Donna Lee Toro
PCOM Psychology Dissertations
Sixteen children with a diagnosis of Asperger's Disorder, as defined by the DSM-IV-TR (2000), were assessed using the following standardized measures: KBIT-2 (Kaufman & Kaufman, 2003), CASL (Carrow-Woolfolk, 1999), and SSRS (Gresham & Elliot, 1990). The purpose of the study was to determine whether the measurement of pragmatic language functioning is reliably associated with social skill performance in children with Asperger's disorder. Results indicated that the group mean composite index score of the CASL was in the average range for children with a standard score of 85 or higher on the KBIT -2. Group average scores for formal language functioning …
Does Social Problem-Solving Moderate The Relationship Between Physical Functioning And Depression In Als Patients?, Melissa Dillon Horowitz
Does Social Problem-Solving Moderate The Relationship Between Physical Functioning And Depression In Als Patients?, Melissa Dillon Horowitz
PCOM Psychology Dissertations
Amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig's disease, is a progressive and ultimately fatal neurological disease that interferes with the normative functions of the upper and lower motor neurons in the brain and spinal cord. Depression has been found across disease stages in some ALS patients, but not all. Investigations that examined the association between physical functioning and depression in ALS patients produced mixed findings. To date, the role of social problem solving has not yet been explored in the ALS population. Thus, the current study examined the relationship between social problem solving, physical functioning, and depression in …
Teacher Self-Efficacy, Collective Teacher Efficacy, Automatic Thoughts, States Of Mind, And Stress In Elementary School Teachers, Robert W. Shambaugh
Teacher Self-Efficacy, Collective Teacher Efficacy, Automatic Thoughts, States Of Mind, And Stress In Elementary School Teachers, Robert W. Shambaugh
PCOM Psychology Dissertations
This study examined the relationships between teacher self-efficacy, collective teacher efficacy, automatic thoughts, Balanced States of Mind (BSOM) model, and levels of stress in regular education elementary school teachers. A sample of 66 teachers from rural and urban south central Pennsylvania school districts completed the following questionnaires: Teacher Beliefs Scale (TBS), Collective Teacher Beliefs Scale (CTBS), Automatic Thoughts Questionnaire - Revised (ATQR), Teacher Stress Inventory (TSI), and a demographic survey. A ratio of positive to positive-plus-negative automatic thoughts from the Balanced States of Mind model (BSOM) became the fifth variable. This study presumes that teachers have more stress today following …
Relationship Between Self-Reported Lifestyle Habits, Social Support, And Physiological Factors Associated With Hypertension : A Biopsychosocial Investigation, Deborah A. Chiumento
Relationship Between Self-Reported Lifestyle Habits, Social Support, And Physiological Factors Associated With Hypertension : A Biopsychosocial Investigation, Deborah A. Chiumento
PCOM Psychology Dissertations
The relationship between hypertension and related biological, psychological, and social variables among patients diagnosed with hypertension was investigated utilizing the biopsychosocial model. Fifty-four participants from one outpatient private medical office were administered a demographic form, the Beck Anxiety Inventory (BAI), the Health Adherence Behavior Inventory (HABIT), the Inventory for Cognitive Distortions (ICD), and the Multidimensional Scale of Perceived Social Support (MSPSS). Results indicated that the participants' use of caffeine positively correlated with their high blood pressure readings. In addition, participants who reported having significant social support engaged in more health promoting behaviors. These findings were consistent with the hypotheses. Limitations …
Construction Of The Structured Assessment Of Functioning And Effectiveness-Revised (Safe-R) : Validation Against The Million Adolescent Clinical Inventory (Maci) And Against Other Clinical Measures In An Adolescent Residential Setting, John Girard Kuna
PCOM Psychology Dissertations
Adolescents present with various emotional and mental health problems when admitted to residential settings. Such problems increase the probability that these clients represent a safety risk to themselves, to peers and to treatment staff. Psychometric devices can best meet the complex needs for assessment when such instruments are easily administered, well constructed, and diagnostically accurate. However, the usage of psychological assessment instruments labors under growing restrictions by time limited health care delivery systems. With a concerted effort, the field of psychology must respond with a sense of advocacy and a realistic explanation for the value and utility of assessments devices. …
Examination Of Health Adherence Behaviors And Cognitive Distortions In Patients With Chronic Illness , Clint C. Stankiewicz
Examination Of Health Adherence Behaviors And Cognitive Distortions In Patients With Chronic Illness , Clint C. Stankiewicz
PCOM Psychology Dissertations
The relationship between health adherence behaviors and cognitive distortions among patients with chronic illness were investigated. One-hundred eleven participants from two outpatient medical clinics were administered the Health Adherence Behavior Inventory (HABIT) and the Inventory for Cognitive Distortions (lCD), and the Health Adherence Behavior Survey was utilized to obtain demographic information. Results indicated participants who had a thinking style characterized by the use of cognitive distortions tended to engage in fewer health promoting behaviors. This finding was consistent with the predicted hypothesis. In fact, a significant correlation at the .05 level of -.173 was found between the ICD and the …
Effects Of Statin Medications On Health Related Behaviors, Stephen M. Timchack
Effects Of Statin Medications On Health Related Behaviors, Stephen M. Timchack
PCOM Psychology Dissertations
The current study focuses on the psychological effects of statin medications. Specifically, this study examines the health related beliefs and behaviors that may be altered by the consumption of this fast acting class of life saving drugs. Although the statin class of medication generally produces favorable physiological results, as evidenced by reduced levels of serum cholesterol, and in some case increases in high density lipoproteins, the health related belief system and heath related behaviors may actually be altered in a negative fashion by engendering a sense of overconfidence; this in turn may alter beliefs and diminish the importance of adhering …
Effect Of Statute Changes On Admission Trends At A New Jersey State Psychiatric Hospital , Monica Malone
Effect Of Statute Changes On Admission Trends At A New Jersey State Psychiatric Hospital , Monica Malone
PCOM Psychology Dissertations
The impact of changes in New Jersey civil commitment laws on admission patterns at a New Jersey state psychiatric hospital was studied using an interrupted time series design. The target years were 1965, 1988, 1994, and 1998, years when significant changes in the commitment law took effect. The data studied were the total number of admissions per month. There were no significant changes in admission trends at any of the target dates. Possible reasons for these findings are discussed.
Development And Validation Of A Scale Of Subjective Well-Being For Cambodian Refugees , Gertha Anne Sicobo
Development And Validation Of A Scale Of Subjective Well-Being For Cambodian Refugees , Gertha Anne Sicobo
PCOM Psychology Dissertations
This is a study of the Subjective Well-Being (SWB) of refugees from Cambodia. A correlational study design composed of questionnaires was used to assess subjective well-being in a Cambodian population in the USA. The purpose of this study was to develop and validate a newly constructed Scale of Subjective Well-Being for Khmer Refugees (SSWB-KR), to be used with Cambodian refugees living in the US. The scale is a 49-item, 4-pt. Likert -Type scale that was administered to a sample of 20 Cambodian refugees in Philadelphia, PA. It was administered along with three other measures, the Satisfaction With Life Scale (SWLS), …
Relationship Of Coping And Social Support To Depression, Perceived Pain, And Health-Related Outcomes In Post-Surgical Coronary Bypass Grafting Patients , Theresa A. Kovacs
Relationship Of Coping And Social Support To Depression, Perceived Pain, And Health-Related Outcomes In Post-Surgical Coronary Bypass Grafting Patients , Theresa A. Kovacs
PCOM Psychology Dissertations
This research proposal highlights the potential outcomes: post-surgical CABG patients with little or no positive coping methods will reflect signiflcant levels of depression, pain and lower HRQL scores and that post-surgical CABG with low levels of social support will show significant levels of depression, pain and lower HRQL scores. This research will also define and clarify the interrelationships between these mechanisms that affect the recovery process in CABG patients. Furthermore this research wiIl help to identify a clinical need for treatment in CABG patients that would reduce further cardiac complications and ultimately reduce overall health related costs. This proposal will …
Resiliency Factors: Predictors Of Quality Of Life In Family Caregivers Of Patients With Amyotrophic Lateral Sclerosis, Beatrice Hamblin Chakraborty
Resiliency Factors: Predictors Of Quality Of Life In Family Caregivers Of Patients With Amyotrophic Lateral Sclerosis, Beatrice Hamblin Chakraborty
PCOM Psychology Dissertations
Amyotrophic lateral sclerosis (ALS) is a progressive, neurodegenerative disease resulting from generalized degeneration of motor cells in the brain and spinal cord (The Amyotrophic Lateral Sclerosis Association [ALSA], 2004). Also known as Lou Gehrig’s disease, ALS has no conclusive etiology, no known cure, and death generally occurs within three to five years following the diagnosis (Rabkin, Wagner, & Del Bene, 2000). Given the devastating and predictable course of ALS, it is understandable that this disease can have a profound, adverse impact on the quality of life (QOL) of the patient and the caregiver. However, not all caregivers, particularly spouses who …
Psychological Effects Of Not Having Equal Rights And Privileges In The Lesbian, Gay, Bisexual, Transgender Community: Activism As An Antidote?, David E. Baker
Psychological Effects Of Not Having Equal Rights And Privileges In The Lesbian, Gay, Bisexual, Transgender Community: Activism As An Antidote?, David E. Baker
PCOM Psychology Dissertations
Despite the prevalence of discrimination in American society, little is known about the effects of equal rights activism on mental health. Within the lesbian, gay, bisexual, transgender community, discrimination against marriage, adoption, employment, and other rights and privileges given to heterosexual individuals is still legal and socially accepted in most American communities. Previous research has suggested that these individuals have higher incidences of depression, anxiety, and substance use than the general population. The experience of discrimination and punishment responses learned from societal messages is believed to contribute to these clinical issues within this community. This qualitative study found that equal …