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Articles 1 - 30 of 440
Full-Text Articles in Clinical Psychology
Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas
Electronic Theses and Dissertations
Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …
Perceptions, Attitudes, And Experiences Of Persons Who Work In Forensic Mental Health Systems, Abigail Wiser
Perceptions, Attitudes, And Experiences Of Persons Who Work In Forensic Mental Health Systems, Abigail Wiser
Electronic Theses and Dissertations
The forensic mental health system serves clients with dual needs —serious mental health concerns like psychosis and suicidality, and management of risk. Experiences and perceptions of professional and direct care staff may impact daily and therapeutic interactions and client success. These experiences may be marked by stigma, such as beliefs about what led to hospitalization, treatability of mental health concerns, and intentionality of behavior. Understanding this stigma, as well as the role of vicarious trauma, workplace burnout, and other relevant individual factors, may help us understand staff experiences and guide training, thus improving client care. 146 staff members across three …
Initial Pilot Test Of A Single-Session Social Support Program For Increasing Social Approach Behavior And Social Support In Emerging Adults, Emily L. Jones
Initial Pilot Test Of A Single-Session Social Support Program For Increasing Social Approach Behavior And Social Support In Emerging Adults, Emily L. Jones
Electronic Theses and Dissertations
Emerging adulthood, the developmental stage between adolescence and young adulthood (Arnett, 2000), is marked by increases in autonomy, changes in social dynamics, and identity exploration (Arnett, 2015). During this stage, social stressors may trigger or exacerbate preexisting mental health problems (Slavich & Auerbach, 2018), though few emerging adults seek or receive mental health support (Zhao et al., 2025). Single-session interventions, or “specific, structured programs that intentionally involve just one visit or encounter” (Schleider et al., 2019), may present an opportunity to provide some support to those who face barriers to participation in traditional forms of treatment (Janota et al., 2022). …
Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood
Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood
Electronic Theses and Dissertations
Depression is the leading cause of disability among adults in the U.S and is associated with negative short- and long-term social, emotional, economic, and physical health outcomes. Notably, rates of depression among children and adolescents are rapidly increasing across the globe. Depression in youth disrupts crucial developmental processes that can adversely affect concurrent and longitudinal socioeconomic and health outcomes. Although extant research delineates the consequences of adolescent depression for adult functioning (e.g., lower educational attainment, fewer economic resources, worse physical health), studies that examine these associations within racially minoritized populations are scarce. This gap in the literature is especially striking …
Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki
Examining Intimate Partner Violence After Pediatric Traumatic Brain Injury, Rebecca R. Suzuki
Electronic Theses and Dissertations
Pediatric traumatic brain injury (TBI) is linked with social problems in peer relationships that can last into adulthood. Little is known about how social problems impact the development of intimate relationships as pediatric TBI survivors grow up. This study addressed this gap by examining risk of intimate partner violence (IPV) in a sample of 50 young adult survivors of pediatric TBI prior to age 13 (M age = 22.96, SD = 1.70, 60% women) and tested social information processing (SIP) as a potential process through which TBI influences risk for IPV. Participants were recruited via Prolific and social media …
Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma
Becoming A Therapist In A Foreign Land: Narratives Of International Trainee Clinicians Of Color In The U.S., Prathma Sharma
Electronic Theses and Dissertations
The focus of this dissertation project is on the community of trainee clinicians of color, who have been consistently overlooked in the literature on mental health. This dissertation employed narrative analysis as a methodological framework to explore the experiences of international trainee clinicians of color as they navigated the complex landscape of mental health training in the United States. In an increasingly globalized world, the voices and perspectives of these individuals offered critical insights into the challenges, triumphs, and unique pathways that shaped their professional development. Much of the literature on diversity and inclusion tends to individualize the challenging experiences, …
"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee
"Help Me Live It The Way You Do": Grounding Singaporean Responses To The Rorschach Situation, Casey Y. Lee
Electronic Theses and Dissertations
Contemporary research on the Rorschach and culture is striking for the latter’s disappearance as a variable of significance (Meyer et al., 2015; Meyer et al., 2007; Mihura et al., 2013; Viglione & Hilsenroth, 2001). This erasure is chronicled and reproduced in the narratives of universal objectivity, of extensive international meta-analyses, of replications, of standardized norms (Ritzler, 2004; Smith et al., 2018; Smith et al., 2020; Weiner, 2004). A different story emerges, however, when we ask, how has culture disappeared? The proposed study is a multimethod qualitative analysis of Singaporean responses to the Rorschach, aimed at generating sensitive yet critical discourses …
Understanding College Student Expectancies Of Simultaneous Engagement In Multiple Risk Behaviors: A Measurement Development And Model Testing Study, Shelby Whalen
Electronic Theses and Dissertations
Risky behaviors, actions that may cause physical, psychological, social, or economic harm to oneself or others, are prevalent among college students. While significant research has focused on single high-risk behaviors of alcohol use, drug use, gambling, and gaming separately, students frequently engage in multiple high-risk behaviors simultaneously, such as drinking alcohol while gambling. Research shows that students have distinct and specific expectancies about what happens when they engage in a risk behavior, however, minimal research has examined students’ perceptions or reasons for simultaneous poly-risk behavior engagement. This multi-phase project characterized students’ outcome expectancies for simultaneous poly-risk behavior combinations, developed and …
The Memphis Gambling Screen: A Clinical Validation Study Of An Enhanced-Readability Self-Report Measure For Gambling Disorder, Natasha Bourgoin
The Memphis Gambling Screen: A Clinical Validation Study Of An Enhanced-Readability Self-Report Measure For Gambling Disorder, Natasha Bourgoin
Electronic Theses and Dissertations
Precise identification of gambling disorder can be difficult when commonly used screeners vary in clarity and diagnostic accuracy. The Memphis Gambling Screen (MGS) was developed as an enhanced-readability self-report measure to improve item comprehension and strengthen the diagnostic accuracy of DSM-5 gambling disorder. This study evaluates the psychometric properties and diagnostic accuracy of the MGS with a combined sample of individuals seeking treatment for problem gambling or substance use disorder and college students with a recent history of gambling (N = 232). Participants completed a demographic questionnaire, the MGS, and another commonly used measure, the Problem Gambling Severity Index …
Examining Pain Catastrophizing, Mental Toughness, Self-Efficacy, And Perceived Pain In The Performance Of Female Athletes During Their Menstrual Cycle, Carissa R. Martinez
Examining Pain Catastrophizing, Mental Toughness, Self-Efficacy, And Perceived Pain In The Performance Of Female Athletes During Their Menstrual Cycle, Carissa R. Martinez
Electronic Theses and Dissertations
Pain is a universal unpleasant or negative experience influenced by physiological, psychological, and environmental factors. Disruption in the neural pathways of pain can affect athletic performance and lead to injury risks. Both negative attributes, such as stress, anxiety, and depression, and positive attributes, such as mental toughness and self-efficacy, contribute to pain perception and catastrophic thinking. The menstrual cycle also plays a critical role in pain catastrophizing, as hormonal fluctuations across different phases may hinder pain perception and performance in female athletes. However, research lacks the inclusion of how these factors impact female athletes. Using a non-experimental quantitative analysis, this …
The Development And Evaluation Of A Group Therapy Program For Perinatal Loss In Rural Appalachia, Hope O'Neill
The Development And Evaluation Of A Group Therapy Program For Perinatal Loss In Rural Appalachia, Hope O'Neill
Electronic Theses and Dissertations
Perinatal loss can have vast adverse psychological consequences and has limited psychotherapeutic options to assist with those outcomes. Currently, there is no gold standard psychotherapy for the treatment of perinatal grief. Group therapy has proven to be an effective modality for various populations and has been shown to be beneficial for perinatal loss and the subsequent psychological outcomes. This study utilized a previously conducted systematic review to develop and evaluate a group psychotherapy for perinatal loss. The ten sessions of the group were completed by two participants and several constructs were explored pre- and post-intervention: grief, depression, anxiety, post-traumatic stress, …
Psychometric Properties Of The Interpersonal Style Questionnaire (Isq) And The Patterns Of Thinking Survey (Pots), Genevieve Allison
Psychometric Properties Of The Interpersonal Style Questionnaire (Isq) And The Patterns Of Thinking Survey (Pots), Genevieve Allison
Electronic Theses and Dissertations
Self-regulation is a complex concept that includes multiple interacting factors, and it is studied across multiple fields of psychological research. Various theoretical models have been offered to explain this concept. Although models differ in their definitions of self-regulation, all consistently posit that it consists of emotional, behavioral, interpersonal, and cognitive domains. The current study examined the psychometric properties of two novel measures – 1) McVay and Stinson Interpersonal Style Questionnaire (ISQ) and 2) Stinson and McVay Patterns of Thinking Survey (POTS) – utilizing both a clinical and nonclinical sample. Results indicate that these measures are comprised of three factors across …
Does Self-Compassion Buffer Against The Potential Effects Of Perfectionism And Psychopathology On Non-Suicidal Self-Injury?, Natasha Bourgoin
Does Self-Compassion Buffer Against The Potential Effects Of Perfectionism And Psychopathology On Non-Suicidal Self-Injury?, Natasha Bourgoin
Electronic Theses and Dissertations
University students with increased rates of reported perfectionism, anxiety, and depression, are vulnerable to non-suicidal self-injury (NSSI). However, not all students with psychological distress engage in NSSI, suggesting protective factors may help to mitigate this risk. The present study examined the relation between perfectionism and NSSI, via the mediating effects of anxiety and depression, and the moderating role of self-compassion. Participants were 338 university students (67% female; 87% White) who completed several self-report measures. Students with greater perfectionism reported higher levels of anxiety and depressive symptoms and, in turn, more NSSI engagement. Self-compassion and several self-compassionate domains attenuated connections between …
Attitudes Toward Harm Reduction Among Criminal Legal Staff, Diamond Meadows
Attitudes Toward Harm Reduction Among Criminal Legal Staff, Diamond Meadows
Electronic Theses and Dissertations
Substance use disorders (SUDs) are prevalent among individuals interacting with the criminal legal system (Moore et al., 2019). Despite the high rates of individuals with SUDs interacting with the criminal legal system, there continue to be barriers to integrating harm reduction approaches within the system. Harm reduction approaches (i.e., medication assisted treatment) are effective in reducing the negative consequences associated with substance use and the pathway to recovery for many. The purposes of this study are to: 1. examine the psychometric properties of the Harm Reduction Acceptability Scale (HRAS) among criminal legal staff, 2. explore individual differences in staff attitudes …
The Impact Of Traditional Machismo On Mental Health Outcomes: Depression And Suicide Risk Among Latino Immigrant And Non-Immigrant Men, Yesenia A, Romero
The Impact Of Traditional Machismo On Mental Health Outcomes: Depression And Suicide Risk Among Latino Immigrant And Non-Immigrant Men, Yesenia A, Romero
Electronic Theses and Dissertations
Traditional masculine norms have long been recognized as influential factors in men’s psychological well-being. Within Latino cultures, the construct of machismo represents a culturally specific form of masculinity characterized by ideals of masculinity and characterized by ideals of strength, dominance, and emotional restraint. While these norms may promote resilience and family responsibilities, rigid adherence to traditional machismo has also been associated with emotional suppression, reduced help-seeking behaviors, and increased psychological distress. The present study conducted a meta-analysis to examine the relationship between traditional machismo and mental health outcomes among Latino men, with particular attention to depressive symptoms as well as …
The Relationship Between Sports Related Head Injuries, Mental Health And Academic Performance In University Student-Athletes, Odyssey Keller
The Relationship Between Sports Related Head Injuries, Mental Health And Academic Performance In University Student-Athletes, Odyssey Keller
Electronic Theses and Dissertations
Student athletes face many challenges when it comes to participating in team sports, one of the most notable being sport-related head injuries. Concussions are a growing concern since they have the potential to impact mental health and academic performance long-term. While many athletes report recovery within weeks, some continue to struggle with impairments in their psychological functioning and overall mental well-being that interferes with academic performance over time. Many of the standardized protocols in place for concussion management vary across institutions. This study aimed to address gaps in the existing literature by assessing concussion history, mental health and academic challenges …
Hoarding And The Hoarded Home: A Phenomenological And Psychoanalytic Study, Brianna Stich
Hoarding And The Hoarded Home: A Phenomenological And Psychoanalytic Study, Brianna Stich
Electronic Theses and Dissertations
While research on hoarding tends to isolate hoarders from the homes they hoard and in which they live, the hoard and the hoarder share a life in the home. This study explores how hoarders live with and live through their hoard at home. It combines psychoanalysis and phenomenology within a unique methodological framework to provide a hermeneutic reading of the psychological significances of the hoarded home. In this study, the contemporary conceptualization of hoarding is historically situated and critiqued from a phenomenological perspective, and the view that hoarding is a single, behaviorally-defined syndrome that is explainable by a cognitive-behavioral model …
Profiles Of Adults With Attention-Deficit/Hyperactivity Disorder (Adhd) Using The Personality Assessment Inventory (Pai), Tailyn L. Gillette
Profiles Of Adults With Attention-Deficit/Hyperactivity Disorder (Adhd) Using The Personality Assessment Inventory (Pai), Tailyn L. Gillette
Electronic Theses and Dissertations
Attention-Deficit/Hyperactivity Disorder (ADHD) is often diagnosed in childhood. However, the disorder can be more complex to diagnose in adulthood as several comorbid disorders may also impact attention. Many symptoms, often prevalent in childhood, taper off in adulthood, adding to the difficulty of differential diagnosis. Clinicians must decipher symptoms of ADHD from comorbid disorders during diagnostic procedures, which can be tedious. As the requests for adult ADHD diagnoses grow, the need for more efficient diagnostic procedures seems to be ever-present. The current research utilized an exploratory two-step cluster analysis to explore subgroups that resulted from archival data of adults with ADHD. …
Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel
Electronic Theses and Dissertations
Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …
Exploring The Impacts Of Medical Invalidation On Postpartum Parents With Pcos, Shalini Venkat
Exploring The Impacts Of Medical Invalidation On Postpartum Parents With Pcos, Shalini Venkat
Electronic Theses and Dissertations
Individuals with polycystic ovary syndrome (PCOS) face an increased risk of poor perinatal health, yet little is known about whether negative healthcare experiences contribute toward these outcomes. Patients with PCOS have reported experiencing invalidation by healthcare providers; however, the effects of these encounters in postpartum populations remain unclear. Using data from an online survey, the current study investigated whether PCOS status moderated the relationships between invalidating communication by healthcare providers, pregnancy and birth complications, postpartum depression, and postpartum anxiety. While experiences of invalidating communication by healthcare providers predicted worse perinatal health, those with PCOS solely experienced an increased risk of …
Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter
Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter
Electronic Theses and Dissertations
Countertransference is a common experience in therapy, happening among clinicians of all stages of their career and the outcomes of this experience hinge largely on how countertransference is managed. Challenging topics, such as grief, only make countertransference harder to manage effectively and the management of this experience improves with practice and time—something trainees have not yet ascertained. Given the pervasiveness of grief as a human experience, also indiscriminate in nature, the experiences of trainees experiencing countertransference are important to understand, including what is experienced, how they experience it, and how it impacts their process and self-perception of confidence and competence …
Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler
Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler
Electronic Theses and Dissertations
Few studies have been able to explore lesbian, gay, and bisexual military personnel’s experiences in military mental healthcare settings. This study examined the experience of LGB servicemembers in military counseling environments, as well as how to support these servicemembers in military mental health and military communities. Six participants volunteered for the study and six semi-structured interviews were completed with LGB servicemembers who had contact with mental health. Three research questions guided the present study and a transcendental phenomenological frame was used to analyze the data and themes emerged. Research question one yielded three themes: 1) “I'm Definitely not Gay”: The …
The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis
The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis
Electronic Theses and Dissertations
Couples’ cultural values and beliefs are important to their relational connection. Cultural values and beliefs can be sources of strength in relationships, but they can also lead to impasses. As such, clinicians and researchers could benefit from a cultural framework to inform conceptualization and treatment when working with couples. The Multicultural Orientation (MCO) framework has three pillars: cultural humility, cultural comfort, and cultural opportunities. The MCO framework is empirically supported for use in individual and group psychotherapy but has not been applied to couple therapy. This dissertation includes two parts. First, we outline a conceptual framework for the application of …
Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt
Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt
Electronic Theses and Dissertations
This study investigated barriers influencing supervisees’ willingness to disclose clinical errors in mental health training contexts, with a focus on the supervisory working alliance (SWA) as a potential moderating factor. Participants read two vignettes – one describing a clinical error and the other a client concern – and were asked to indicate which case they would discuss with their supervisor. They also completed the Brief Supervisory Working Alliance Inventory–Trainee Form (BSWAI-T) and the Supervisee Disclosure in Supervision Scale (SDSS), which assessed the quality of the supervisory alliance and perceived barriers to disclosure, including fear of negative evaluation, lack of confidence, …
Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine
Illness Terminable And Interminable: A Lacanian Exploration Of Medical Assistance In Dying, Matthew Devine
Electronic Theses and Dissertations
More and more people worldwide are requesting euthanasia, physician-assisted suicide (PAS), or medical assistance in dying (MAiD). Arguments in favor of expanding access to MAiD tend to prioritize the rational, competent, autonomous subject who has the right to make decisions about their body, including their death. Some have argued that this perspective – common in biomedical and bioethical literature – tends to neglect the fact that requests for assisted dying involve a relational structure: a relationship between the subject who requests an assisted death and the Other to whom this request is addressed. After reviewing relevant psychoanalytic approaches to suicide …
Examining Parent Accommodation Of Anxiety And Irritability In Preschool-Aged Children., Anna Olczyk
Examining Parent Accommodation Of Anxiety And Irritability In Preschool-Aged Children., Anna Olczyk
Electronic Theses and Dissertations
Anxiety and irritability are common developmentally normative emotions in early childhood, yet are also related to risk for psychopathology in childhood, adolescence, and adulthood. Parenting behaviors, including parent accommodation, may influence this risk. Parent accommodation is the parent modification of child/family routines and/or avoidance of activities to reduce child distress and has been documented widely in the anxiety literature. Although some research has examined parent accommodation of anxiety in preschool-aged children, most research has investigated accommodation of anxiety in clinical samples of school-aged children. Further, despite high rates of co-occurrence between child anxiety and irritability, research on parent accommodation of …
Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha
Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha
Electronic Theses and Dissertations
Background. Youth with Attention-deficit/hyperactivity disorder (ADHD) often have higher rates of anxiety in comparison to their peers without ADHD. Children with co-occurring ADHD and anxiety exhibit a unique clinical presentation that poses challenges to both assessment and treatment. Consequently, children with comorbid ADHD and anxiety experience increased impairment, and often have poorer long-term outcomes than children with either ADHD or anxiety alone. Preliminary evidence suggests that different psychosocial phenomena commonly experienced by children with ADHD—such as peer functioning—may increase susceptibility to anxiety. Considering that children with ADHD encounter a range of peer difficulties, the present study proposed and evaluated different …
Mindfulness As A Protective Factor In Women’S Sexual Health, Shana Byerley
Mindfulness As A Protective Factor In Women’S Sexual Health, Shana Byerley
Electronic Theses and Dissertations
Many women who experience physical health complaints also report sexual dysfunction across a variety of domains including decreased arousal, desire and satisfaction. Although there are well-established connections between disease-specific populations and sexual dysfunction, less research has focused on women who experience somatic symptoms more broadly. Similarly, mindfulness as a treatment intervention has been applied across many facets of sexual functioning, but mindfulness as a trait characteristic has been less explored in its connections with generalized somatic complaints. Further, the within-domain interactions between facets of mindfulness and domains of sexual dysfunction have not been previously explored. Using data from an online …
The Intersection Of Appalachian Identity And Gambling Behavior, Noah S. Anderson
The Intersection Of Appalachian Identity And Gambling Behavior, Noah S. Anderson
Electronic Theses and Dissertations
This study examined the relation between Appalachian identity and gambling behavior among students in central Appalachia (n = 395). One-way ANOVAs revealed no significant differences in engagement, F(2, 392) = 0.65, p = .523, or severity, F(2, 392) = 0.33, p = .718, across identification groups. Moderated regression showed that identity did not significantly moderate the engagement–severity relation (B = 0.073, p = .099), though engagement itself was a strong predictor of harm (B = 0.696, p < .001, R² = .521). Negative affect predicted both engagement (B = 0.074, p = .001) and severity (B = 0.069, p = .001), while identity remained non-significant. Logistic regression found that identity predicted gambling engagement (Exp(B) = 1.18, p = .034) only when controlling for severity. These findings relay the importance of empirical efforts in Appalachia and suggest that Appalachian identity may not be an independent risk factor in gambling behavior.
Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar
Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar
Electronic Theses and Dissertations
Sexual and gender minority (SGM) adolescents are at elevated risk for internalizing symptoms, such as anxiety and depression, due in part to chronic exposure to minority stress. To provide a comprehensive synthesis of this literature, we conducted a meta-analysis of 32 studies, yielding 162 effect sizes from 41,360 participants aged 8– 22. All included studies examined the association between minority stress, defined as stigma-related stressors such as discrimination, victimization, and internalized stigma, and internalizing outcomes in SGM youth. The random-effects meta-analysis revealed a small but significant association (r = .25) between minority stress and internalizing symptoms, consistent across stressor …