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2021

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Full-Text Articles in Clinical Psychology

Religious Coping After Natural Disaster: Predicting Long-Term Mental And Physical Health In Survivors Of Hurricane Katrina, Monica Arkin Dec 2021

Religious Coping After Natural Disaster: Predicting Long-Term Mental And Physical Health In Survivors Of Hurricane Katrina, Monica Arkin

Graduate Masters Theses

Natural disasters are increasing with regards to both frequency and severity (CRED & UNDRR, 2015; NOAA National Centers for Environmental Information (NCEI), 2020). Exposure to natural disasters, in turn, increases the likelihood for the development of adverse mental and physical health outcomes (Augustinavicius et al., 2021). Religion and spirituality is an accessible form of coping that many people turn to during and after natural disasters, and may be especially valuable to those who face barriers to accessing mental health treatment or may not feel served by formal mental health institutions (Abu-Raiya & Pargament, 2015; Bryant-Davis & Wong, 2013). However, there …


Cyberbullying Victimization As A Predictor Of Depressive Symptoms Among Selected Adolescents Amidst The Covid-19 Pandemic, Jeyaseelan Maria Michael, Marc Eric Reyes Dec 2021

Cyberbullying Victimization As A Predictor Of Depressive Symptoms Among Selected Adolescents Amidst The Covid-19 Pandemic, Jeyaseelan Maria Michael, Marc Eric Reyes

Makara Human Behavior Studies in Asia

Cyberbullying victimization has become a significant mental health concern, particularly among adolescents at risk of experiencing negative consequences like depression. As the outbreak of the Covid-19 pandemic forced everyone to stay at home and participate in all their educational, recreational, and entertainment activities online, this study investigated the relationship between cyberbullying victimization (CV) and depressive symptoms among 612 college students in Tamilnadu, India. We hypothesized that experiences of cyberbullying victimization would predict depressive symptoms among the participants. Adolescent participants aged 18 to 19 years old from colleges in Tamilnadu completed an online survey composed of the Cybervictimization questionnaire for adolescents …


Benzodiazepine Use And Dependence In Relation To Chronic Pain Intensity And Pain Catastrophizing, Emma Carnes Lape Dec 2021

Benzodiazepine Use And Dependence In Relation To Chronic Pain Intensity And Pain Catastrophizing, Emma Carnes Lape

Theses - ALL

Benzodiazepines (BZDs), a class of sedative-hypnotic drugs, are at the center of an emerging prescription drug crisis. From approximately 1995-2015, overdose deaths involving BZDs quadrupled and average dose equivalents more than tripled. Specific concern has centered on elevated rates of BZD use among individuals with chronic pain, given that BZDs are generally not indicated for pain management. Consistent with negative reinforcement and motivational models of substance use, desire for pain alleviation may be a salient motivator of BZD use, particularly as individuals commonly report using BZDs for negative affect alleviation. The present study tested cross-sectional associations between pain intensity and …


The Effects Of Cannabidiol And Analgesic Expectancies On Experimental Pain Reactivity In Healthy Adults: A Balanced Placebo Design Trial, Martin De Vita Dec 2021

The Effects Of Cannabidiol And Analgesic Expectancies On Experimental Pain Reactivity In Healthy Adults: A Balanced Placebo Design Trial, Martin De Vita

Dissertations - ALL

Experimental pain trials have been unable to determine whether cannabinoid analgesia is attributable to intoxication, analgesic expectancies, and/or pharmacological action. One approach to resolving this issue involves testing the effects of analgesic expectancies and cannabidiol (CBD), a non-psychoactive cannabinoid, on human pain reactivity using a balanced placebo design. Despite its frequent use for pain relief, no experimental research has tested the analgesic effects of CBD in humans. Using a within-subjects 2 x 2 balanced placebo factorial design, we experimentally tested the effects of CBD and expectancies for receiving CBD on pain reactivity (i.e., pain threshold, tolerance, intensity, unpleasantness, conditioned pain …


Recognizing The Unique Needs Of Women With Varied Pregnancy Loss Histories, Shalini Venkat Dec 2021

Recognizing The Unique Needs Of Women With Varied Pregnancy Loss Histories, Shalini Venkat

Honors Program Theses and Research Projects

Infertility is associated with psychological distress; women who experience miscarriage and recurrent miscarriage experience additional grief and trauma. Unfortunately, available psychological interventions for infertility are of limited efficacy; a new intervention is therefore needed. However, little is known about the psychotherapy preferences of women with infertility, and particularly whether miscarriage history is associated with treatment preferences. Thus, the current study evaluated the psychotherapy preferences of women with infertility as a function of miscarriage history. 410 North American women were recruited to complete an online survey assessing their quality of life, depressive symptoms, anxiety, and preferences of 14 psychotherapy techniques endorsed …


Sexism And Severity: An Examination Of Teacher's Attitudes About Autism Symptomology In The Classroom, Kaitlyn Niederstadt Dec 2021

Sexism And Severity: An Examination Of Teacher's Attitudes About Autism Symptomology In The Classroom, Kaitlyn Niederstadt

Psychology and Counseling Theses

Girls continue to be underdiagnosed and under-researched in the study of autism spectrum disorder (ASD). This is the result of a systemized preference towards masculine symptomology of ASD examined and created to diagnose ASD. The ideas produced by the research trickle down to teachers who then are in charge of flagging students for signs of ASD, however this step is not only limited by understanding, but their own inherent gender biases on behaviors. Our sample consisted of 139 current or former teachers. Each participant received one of three, (varying from severity levels and gender), rating scale of behavior association, rating …


What Does Masculinity Have To Do With It? The Roles Of Fathers In The Socialization Of Children’S Emotions And Emotion Regulation, Kathryn Cherry Dec 2021

What Does Masculinity Have To Do With It? The Roles Of Fathers In The Socialization Of Children’S Emotions And Emotion Regulation, Kathryn Cherry

Dissertations

Emotion regulation skills are important in a variety of domains throughout the lifespan, including psychological, social, academic, and occupational functioning. Research on children’s emotion regulation skill development often examines the family, exploring caregiver approaches to emotion socialization. However, this research has predominantly been conducted with mothers. Fathering is of particular interest to children’s emotional development for a variety of reasons, including the role of traditional Western masculine norms in gendered differences in emotion expression and regulation techniques. Fathers’ conformity with masculine norms and difficulty with emotion regulation have potential to impact their emotion socialization practices, and therefore relate to their …


From Burnout To Occupational Depression: Recent Developments In Research On Job-Related Distress And Occupational Health, Irvin Sam Schonfeld, Renzo Bianchi Dec 2021

From Burnout To Occupational Depression: Recent Developments In Research On Job-Related Distress And Occupational Health, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Job-related distress has been a focal concern in occupational health science. Job-related distress has a well-documented health-damaging and life-threatening character, not to mention its economic cost. In this article, we review recent developments in research on job-related distress and examine ongoing changes in how job-related distress is conceptualized and assessed. By adopting an approach that is theoretically, empirically, and clinically informed, we demonstrate how the construct of burnout and its measures, long favored in research on job-related distress, have proved to be problematic. We underline a new recommendation for addressing job-related distress within the long-established framework of depression research. In …


Changes In Body Image, Eating Behaviors, And Exercise During The Covid-19 Pandemic, Megan Gressley Dec 2021

Changes In Body Image, Eating Behaviors, And Exercise During The Covid-19 Pandemic, Megan Gressley

Honors Projects

The Covid-19 pandemic transformed many different aspects of life as many individuals were sent home from school or work and were confined within their homes. Within restricted life, individuals experienced changes in their social lives, eating habits, and day-to-day routine. Within this research study I chose to examine how individuals' lives changed directly from the year before the Covid-19 pandemic to the first year of domestic shutdown. A sample of BGSU undergraduate students responded to a survey questioning them on their behaviors, feelings, and attitudes among these time periods. Results showed that individuals experienced significantly more disordered eating within the …


Examining Negative Thinking Styles And Thought Control Strategies Within Borderline Personality Disorder, Courtney K. Mason Dec 2021

Examining Negative Thinking Styles And Thought Control Strategies Within Borderline Personality Disorder, Courtney K. Mason

Theses and Dissertations

Components of Borderline Personality Disorder (BPD) include emotion and cognitive dysregulation. The Emotional Cascade Model (Selby & Joiner, 2009; Selby et al., 2009) suggests negative affect and the cognitive process of rumination could be interchangeably increasing over time, leading to maladaptive behaviors. The current study evaluated negative thinking styles (i.e., anger rumination, sadness rumination, worry, catastrophizing) and thought control strategies (i.e., brooding, reflection, thought suppression) in relation to BPD traits using path analyses in a college student sample (N = 204). Results indicated anger rumination, sadness rumination, and worry indirectly predicted BPD traits through thought suppression, brooding, and reflection. However, …


Full Issue Salubritas 1 (2021), Editors Salubritas Dec 2021

Full Issue Salubritas 1 (2021), Editors Salubritas

Salubritas: International Journal of Spirit-Empowered Counseling

Inaugural issue of Salubritas: International Journal of Spirit-empowered Counseling


A Practical Application Of Self Psychology In Counseling, A. Jordan Wright Dec 2021

A Practical Application Of Self Psychology In Counseling, A. Jordan Wright

Journal of Counselor Preparation and Supervision

Self psychology has undergone a significant evolution since it was initially developed and proposed by Heinz Kohut, including broadening conceptions of what purposes selfobjects can serve for individuals. Its application to counseling has been as an organizing framework and overarching theory of human development and psychopathology. The concept of selfobjects, however, has the potential to provide specific guidance and technique in micro-interactions within counseling. Individual moments within counseling present opportunities for a counselor to intervene, and self psychology can provide a deliberate decision-making tool for how to respond. Being deliberate in interventions throughout counseling has the potential to improve outcomes. …


Relation Of Emotion Regulation Difficulties, Self-Compassion, And Posttraumatic Stress Symptoms, Emily Anne Kalantar Dec 2021

Relation Of Emotion Regulation Difficulties, Self-Compassion, And Posttraumatic Stress Symptoms, Emily Anne Kalantar

Dissertations and Theses

Exposure to potentially traumatic events is associated with high emotion regulation difficulties, development of posttraumatic stress disorder, and elevated healthcare expenditures. Emotion regulation difficulties are related to worse clinical and sub-clinical posttraumatic stress symptomology relative to use of effective emotion regulation strategies. Yet, significant variance in posttraumatic stress symptom severity remains unexplained after accounting for emotion regulation difficulties, suggesting identification of additional explanatory variables is warranted. Considerable research suggests high (vs. low) self-compassion, which entails extending kindness to oneself, is related to more effective emotion regulation and low posttraumatic stress symptom severity. As such, self-compassion may be one variable that …


The Impact Of Moral Injury And Moral Distress On Spirituality From A Military Perspective, Emily Sproule Dec 2021

The Impact Of Moral Injury And Moral Distress On Spirituality From A Military Perspective, Emily Sproule

Dissertations

The purpose of this study was to gain greater insight and understanding of how moral injury, moral distress, and shame can influence spirituality and to determine ways to effectively improve treatment to support and serve those carrying these unspeakable wounds. The experience of loss, betrayal, uncertainty, and fractured spirits can affect an individual’s beliefs about the self. The primary aim of this study was to explore how veterans now view themselves in the eyes of God or their Higher Power or why they so choose not to partake in their spirituality. Results were based on aggregate analyses and summations of …


The Relationship Between Cognitive Functioning And Internalizing/Externalizing Behaviors In Children And Adolescents With Down Syndrome, Jessalin R. Good Dec 2021

The Relationship Between Cognitive Functioning And Internalizing/Externalizing Behaviors In Children And Adolescents With Down Syndrome, Jessalin R. Good

USC Aiken Psychology Theses

Introduction: Down syndrome (DS) is a developmental disorder caused by a complete extra copy of chromosome 21. This genetic error results in a variety of other symptoms related to a range of medical and cognitive challenges. Although it has been reported that a significant relationship exists between cognitive functioning and both internalizing and externalizing behaviors in typically developing (TD) individuals, the literature is severely limited in investigating this relationship in those with DS.

Rationale: Internalizing and externalizing behaviors have been shown to have a negative relationship with cognitive functioning in TD children and adolescents (Shankman et al., 2010; Wood et …


Childhood Sexual Abuse Disclosure And Mental Health Outcomes: The Relationship Between Gender, Parental Style, And Masculinity Norms, Kayla E. Hall Dec 2021

Childhood Sexual Abuse Disclosure And Mental Health Outcomes: The Relationship Between Gender, Parental Style, And Masculinity Norms, Kayla E. Hall

USC Aiken Psychology Theses

Objective: The current study aims to investigate social reactions to childhood sexual abuse disclosure (CSA) in adult men and women. Additionally, the study explores the relationship between conformity to masculinity norms and perception of parental style on timing of disclosure and resulting internalizing and externalizing symptoms and substance abuse.

Method: Using Amazon’s Mechanical Turk, 299 adult men and women residing in the U.S. (Mage = 35.9, SDage= 10.5; 53% female; 78% European American) completed an anonymous online series of survey items pertaining to childhood sexual abuse, internalizing and externalizing mental health symptoms, substance abuse, social reactions …


Intention-Behavior Discrepancies For Alcohol Consumption Among College Students, Emily Kaye Junkin Dec 2021

Intention-Behavior Discrepancies For Alcohol Consumption Among College Students, Emily Kaye Junkin

Psychology Theses & Dissertations

Unplanned drinkers may experience elevated risk for drinking-related harm. Research examining unplanned drinking focuses on the unplanned nature of a drinking episode (i.e., did the student drink when no drinking was planned), yet this does not capture the importance of the unintended quantity consumed. For instance, a discrepancy between drinking intentions and actual consumption has the potential to differentially impact alcohol-related outcomes beyond what is accounted for by unplanned drinking episodes. Further, research has not investigated how college students’ unintended drinking is associated with alcohol-related consequences. Moreover, utilization of protective behavioral strategies (PBS) has been shown to decrease negative outcomes …


The Role Of Embodied Metaphor In The Relationship Between Vestibular Dysfunction, Anxiety And The Self, Kaitlyn Abrams Dec 2021

The Role Of Embodied Metaphor In The Relationship Between Vestibular Dysfunction, Anxiety And The Self, Kaitlyn Abrams

Electronic Theses and Dissertations

There is considerable evidence that vestibular dysfunction and anxiety are correlated. Clinical and philosophical arguments suggest that a loss of sense of self, experienced through symptoms like derealization and depersonalization, might contribute to this relationship. The present study used a mixed methods approach, including Systematic Metaphor Analysis, to analyze written short answer and quantitative survey data from one hundred and thirteen participants with vestibular disorders. The Systematic Metaphor Analysis revealed several primary metaphor concepts which elucidated the connections between concrete experience and abstract concepts in vestibular dysfunction. These included metaphors of Agency, Stability, Orientation, Self-Object, and Figure-Ground. Primary metaphors for …


Big Five Aspect Personalty Scales And Social Anxiety Severity In A Nonpsychiatric Sample, Samantha Simpson Dec 2021

Big Five Aspect Personalty Scales And Social Anxiety Severity In A Nonpsychiatric Sample, Samantha Simpson

Electronic Theses and Dissertations, 2020-2023

Personality can be explored hierarchically with higher- and lower-order factors. Recent research suggests the personality hierarchy is comprised of higher-order Big Five traits with two lower-order factors per Big Five trait, termed aspects. There is a lack of research examining the relationship between these lower-order aspects and social anxiety (SA) severity. To better understand these relationships, 443 university undergraduate students (72.2% female; mean age = 20.48, SD = 4.64) completed the Big Five Aspects Scale (BFAS) and the Social Phobia and Anxiety Inventory- 23 (SPAI-23), and were retained following exclusionary criteria. Path analysis, covarying for sex, age, and general anxiety …


Perceptions Of Naloxone Training And Administration Among Law Enforcement Officers, Katelyn Rae Goodall Dec 2021

Perceptions Of Naloxone Training And Administration Among Law Enforcement Officers, Katelyn Rae Goodall

Theses and Dissertations

The opioid epidemic was officially declared a public health emergency in 2017 when the rate of deaths per day from opioid overdoses was steadily increasing (CMS, n.d.). As of 2019 – 2020, 61,297 of the 83,544 reported drug overdose deaths were attributed to opioids in general, with 48,729 accounted for by synthetic opioids (CDC, 2021). Due to the significant impact on public health and safety, law enforcement departments have been tasked with developing and implementing naloxone policies and trainings. Law enforcement officers are often the first on the scene of an overdose outnumber fire rescue and emergency medical responders across …


Reported Motivations For Non-Medical Use Of Prescription Stimulants In A Sample Of Community College Students, Taylor Wexler Dec 2021

Reported Motivations For Non-Medical Use Of Prescription Stimulants In A Sample Of Community College Students, Taylor Wexler

Undergraduate Honors Theses

Introduction. Prior research has found high rates of behavioral health concerns, including several forms of substance use, among community college students. However, the prevalence of non-medical use of prescription stimulants (NMUS) as well as the motivations driving NMUS among community college students is unknown. Methods. Survey results from 13 community colleges within the Tennessee Board of Regents school system were evaluated to explore 1) rates of NMUS, 2) reported motivations for NMUS, and 3) how demographic characteristics including race, age, and income differ based on self-reported reasons for NMUS. Results. NMUS was reported by approximately 9% of the overall sample. …


The Effectiveness Of An Act App In Promoting Wellbeing And Psychological Flexibility, Brooke Short Dec 2021

The Effectiveness Of An Act App In Promoting Wellbeing And Psychological Flexibility, Brooke Short

Honors College Theses

While mental health apps could potentially increase access to mental health resources, only 3.05% of depression and anxiety apps on the Apple App store had published research support as of 2018 (Marshall et al., 2019). The present study aims to evaluate an Acceptance and Commitment Therapy (ACT) mental health app. ACT aims to cultivate psychological flexibility, the ability to fully experience and accept one’s present context while engaging in behavior that aligns with one’s values (Hayes et al., 2006). Gloster et al. (2020) reviewed ACT metanalyses and found it to be efficacious for a range of conditions. Past research has …


Body Image Among High School And College Female Athletes, Mercedes A. Robinson Dec 2021

Body Image Among High School And College Female Athletes, Mercedes A. Robinson

Graduate Theses/Dissertations

This study examined body image among female high school athletes and college athletes across different sports. Athletes participating in track and field, tennis, cross country, dance, cheer, softball, golf, basketball, soccer, and volleyball completed self-report questionnaires assessing various components of body image including the Body Shape Questionnaire (BSQ), Sociocultural Attitudes Towards Appearances Questionnaire (SATAQ-4), and an edited version of the CHEER Survey. Responses on the questionnaires were analyzed to evaluate differences between high school and college athletes. No differences were found between high school and college athletes on measures of shape/weight concerns, sociocultural pressures for thinness, or internalization of the …


Provider Attributions, Emotions, & Responses To Patients With Poor Diabetes Management, Kelly Marie Mackenzie Dec 2021

Provider Attributions, Emotions, & Responses To Patients With Poor Diabetes Management, Kelly Marie Mackenzie

Loma Linda University Electronic Theses, Dissertations & Projects

Type 2 diabetes mellitus (T2DM) presents challenges to both patients and healthcare providers. While researchers have begun to understand the patient-specific difficulties associated with diabetes management, less is known about how providers perceive and experience patients who are struggling to manage their T2DM, particularly in the context of training environments. The aim of the present study was to better understand the cognitions, emotions, and behavioral responses of medical trainees when presented with a clinical vignette of a patient with poor diabetes self-care. To this end, the research was guided by attribution-emotion models of helping and avoidance. It was hypothesized that …


Social Cognition, Impulsivity, And Emotion Regulation Factors In Aggressive Behavior Among Children With Attention-Deficit/Hyperactivity Disorder., Kelly E. Slaughter Dec 2021

Social Cognition, Impulsivity, And Emotion Regulation Factors In Aggressive Behavior Among Children With Attention-Deficit/Hyperactivity Disorder., Kelly E. Slaughter

Electronic Theses and Dissertations

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) exhibit greater levels of aggressive behavior than their typically developing peers, often resulting in impairment in social and family functioning. Aggressive behavior is often differentiated into two functions: reactive, or “hot-blooded” and proactive, or “cold-blooded” aggression. Prior research has identified several factors contributing to aggressive behavior within a general population, including emotion dysregulation, negative urgency, social information processing (SIP), and parenting behaviors. A paucity of research has examined these factors within an ADHD population. Thus, the present study aimed to examine social, emotional, behavioral, and cognitive factors associated with aggression among children with ADHD. Specifically, …


The Role Of Emotional Attention Regulation In High Psychopathy Incarcerated Males, Michael K. Webb Dec 2021

The Role Of Emotional Attention Regulation In High Psychopathy Incarcerated Males, Michael K. Webb

Dissertations and Theses

This study examined the role of emotional attention regulation in men (N = 60) currently incarcerated in a Midwestern prison. Modern conceptualizations define psychopathy as a multifaceted and dimensional construct that includes atypical experience of affect, interpersonal problems, and remarkable social deviance. Attentional differences and deficient emotional experience have been shown to predict psychopathy and other outcomes related to the construct. However, attentional and emotional functioning in individuals high in psychopathy is complex and results have been shown to vary across discrete emotion states and experimental paradigms. The negative preception hypothesis (Kosson et al. 2018) suggests that these differences may …


Practitioner Use Of And Attitudes Towards Videoconferencing For The Delivery Of Evidence-Based Telemental Health Interventions: A Mixed Methods Study, Kathryn E. Parisi, Alex R. Dopp, Lauren B. Quetsch Dec 2021

Practitioner Use Of And Attitudes Towards Videoconferencing For The Delivery Of Evidence-Based Telemental Health Interventions: A Mixed Methods Study, Kathryn E. Parisi, Alex R. Dopp, Lauren B. Quetsch

Psychological Science Faculty Publications and Presentations

The implementation of evidence-based psychosocial interventions using video-conference delivery (VCD) has the potential to increase accessibility to effective treatments, although its use remains limited and understudied. This study employed a mixed methods approach in surveying mental health practitioners about their attitudes regarding VCD of interventions that are considered evidence-based (i.e., have been shown to improve targeted outcomes in rigorous research). One hundred and eleven practitioners were sampled from several national and regional U.S. practice organizations and were administered quantitative surveys about their use of and attitudes towards VCD of evidence-based interventions (EBI). We examined the relationship between practitioner-level technology access, …


The Influence Of Emotion Regulation And Neural Cognitive Control On Distress Tolerance, Alicia L. Milam Dec 2021

The Influence Of Emotion Regulation And Neural Cognitive Control On Distress Tolerance, Alicia L. Milam

Psychology Theses & Dissertations

Tolerance of negative emotions has been associated with transdiagnostic negative mental health outcomes. Theory and research implicate emotion regulation and cognitive control as factors in tolerance of negative emotions. But their unique contributions to tolerance of negative emotions and interdependency have been unclear due to methodological limitations. This study aimed to explicate cognitive and emotional factors affecting distress tolerance in a non-clinical sample of emerging adults. Undergraduate psychology students completed self-report measures of emotion regulation ability and tolerance of negative emotions. The N2 ERP component elicited by a Go-NoGo task was also used as a neurophysiological marker of cognitive control …


Identifying Risk Factors For Ptsd Symptom Clusters In Maltreated, Multiracial Youth Using Nonparametric Modeling, Mallory Constantine Dec 2021

Identifying Risk Factors For Ptsd Symptom Clusters In Maltreated, Multiracial Youth Using Nonparametric Modeling, Mallory Constantine

UNLV Theses, Dissertations, Professional Papers, and Capstones

Multiracial youth are one of the most at-risk racial groups for child maltreatment. Multiracial individuals are also more likely to report mental health concerns than other racial or ethnic groups. This study aimed to identify demographic and psychological risk factors that are unique to multiracial, maltreated youth with respect to PTSD symptoms (i.e., re-experiencing, hyperarousal, avoidance) through classification and regression tree (CART) analyses. Participants included 99 multiracial, maltreated youth directly following their placement in an emergency group shelter due to substantiated maltreatment. The first hypothesis was that female gender, English first language, questions related to guilt and self-blame, and depressive …


The Optimum Performance Program In Sports - Youth: A Case Study, Karolyne Bastos Stucki Dec 2021

The Optimum Performance Program In Sports - Youth: A Case Study, Karolyne Bastos Stucki

UNLV Theses, Dissertations, Professional Papers, and Capstones

Ethnically and racially diverse youth athletes underutilize mental health services, resulting in social and economic costs to society (Gudiño et al., 2008; Snowden & Yamada, 2005). Almost half of all children and adolescents participate in sport, and sport participation is especially common in youth from ethnically and racially diverse neighborhoods (Holt, 2008; NSCH, 2017). Therefore, sport may be an effective strategy to permit diverse youth to receive mental health services. The current case study examines The Optimum Performance Program in Sports (TOPPS; a sport-specific family behavior therapy) in an Asian American youth athlete evidencing Social Anxiety Disorder (DSM-5). A within …