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2023

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Articles 511 - 540 of 580

Full-Text Articles in Clinical Psychology

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante Jan 2023

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante

Theses and Dissertations

Family therapy is considered a well-established treatment approach for adolescent externalizing problems; however, research examining its effectiveness when delivered in routine practice settings has produced mixed results. The accurate interpretation of these inconsistent results requires an understanding of what therapeutic techniques were delivered, including those that were prescribed (i.e., adherence) and those that were non-prescribed (i.e., differentiation), suggesting the need for a measure that can concurrently assess treatment adherence and differentiation. The current study examined the extent to which an observational measure of an array of therapeutic techniques for youth emotional and behavioral problems (the Therapy Process Observational Coding System …


Addressing Death Distress In Caregivers Of Patients With Malignant Glioma, Kelcie D. Willis Jan 2023

Addressing Death Distress In Caregivers Of Patients With Malignant Glioma, Kelcie D. Willis

Theses and Dissertations

The field of psychosocial oncology seeks to improve the quality of life of patients and families affected by cancer. This task becomes increasingly important when there are limited, non-curative treatment options, a high probability of recurrence, and rapid functional decline, such as in the case of a malignant glioma (MG). Indeed, the diagnosis of a MG is associated with negative sequalae that often translates to higher caregiver burden. Caregivers—who must manage the functional decline of the patient, changes within the family, and a complicated medical system—often feel overwhelmed, isolated, and ill-equipped to handle these myriad responsibilities. While they also report …


Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall Jan 2023

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; Mage = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …


Physical Activity In Adolescents With And Without Adhd: Longitudinal Associations With Sleep, Adhd, And Internalizing Symptoms, Caroline N. Cusick Lowman Jan 2023

Physical Activity In Adolescents With And Without Adhd: Longitudinal Associations With Sleep, Adhd, And Internalizing Symptoms, Caroline N. Cusick Lowman

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) are at risk for developing clinically significant sleep problems and comorbid internalizing symptoms. Physical activity (PA) has significant positive associations with a variety of health outcomes, including sleep and aspects of mental health. As such, the US Department of Health and Human Services recommends adolescents receive at least 60 minutes of moderate-to-vigorous PA (MVPA) per day. However, it is unknown whether adolescents with ADHD have different patterns of physical activity compared to their peers. Importantly, it may be that PA can serve as a buffer between ADHD symptoms and development of comorbid difficulties with sleep …


Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman Jan 2023

Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman

Theses and Dissertations

Community violence exposure is prevalent among youth residing in economically marginalized communities that have high rates of violence. Witnessing community violence has been concurrently associated with persistent adverse consequences. However, few studies have applied a developmental psychopathology framework and examined dynamic developmental processes between witnessing community violence and outcomes over time. Moreover, most prior studies have used analyses that assume that associations between witnessing violence and outcomes are the same for all adolescents, which is inconsistent with both developmental theories and theories specific to community violence exposure. The goal of this study was to apply a developmental psychopathological framework to …


Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks Jan 2023

Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks

Theses and Dissertations

The college years encompass a period of increased risk recreational cannabis use (RCU), as well as a time of increased risk for trauma exposure and developing posttraumatic stress disorder (PTSD). Given the high co-occurrence between RCU and PTSD, and the potentially negative consequences of the two (e.g., worse academic outcomes), there is a need to understand the etiologic mechanisms of these commonly co-occurring conditions. Two primary phenotypic models exist: self-medication model (i.e., PTSD to RCU) and the high-risk model (i.e., RCU to PTSD). To date, there are two existing studies longitudinally examining the etiologic models proposed to explain co-occurring RCU …


Correlates Of Current Tobacco Use Among Cancer Survivors: Examining The Role Of Posttraumatic Growth And Family Conflict, Kendall Fugate-Laus Jan 2023

Correlates Of Current Tobacco Use Among Cancer Survivors: Examining The Role Of Posttraumatic Growth And Family Conflict, Kendall Fugate-Laus

Theses and Dissertations

Cancer survivors who use tobacco are at a greater risk of death and poor health outcomes. Although tobacco use during cancer survivorship is associated with poor psychosocial functioning, it is relatively unknown how tobacco use is associated with other variables important to cancer survivorship, such as family functioning and posttraumatic growth. Thus, the current study aims to contribute to this gap within the literature by investigating the association between family conflict, posttraumatic growth, and current tobacco use status among cancer survivors. Participants were recruited from Virginia Commonwealth University’s Massey Comprehensive Cancer Center and eligible to participate if they received any …


Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst Jan 2023

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …


Moderators Of Response To Intervention For College Students With Adhd: Integrating Personal And Contextual Factors, Cathrin D. Green Jan 2023

Moderators Of Response To Intervention For College Students With Adhd: Integrating Personal And Contextual Factors, Cathrin D. Green

Theses and Dissertations

College students with attention deficit/hyperactivity disorder (ADHD) are at increased risk for educational, interpersonal, and comorbid mental health difficulties. Although growing evidence suggests that psychosocial interventions can effectively improve ADHD symptoms and functioning in college students with ADHD, there is almost no research investigating individual differences in intervention response. Numerous factors ranging from participant characteristics, as well as social and contextual factors could lead some people to respond more positively than others. Understanding individual differences in intervention response may help to better target intervention efforts and to determine where intervention refinement is needed. This study evaluates whether personal and contextual …


Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan Jan 2023

Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan

Masters Theses

Students with Autism Spectrum Disorder (ASD) are far less likely to enroll in secondary education than neurotypical students and students with disabilities (White et al., 2016). There is little research on the factors contributing to the reluctance of young adults on the autism spectrum to seek higher education. This study aims to answer two research questions. The first research question aims to determine if there is a predominance of negative attitudes towards ASD amongst present undergraduate college students. The second research question explores whether this could be a determining factor in a college determination for students with ASD. This current …


Efficacy Of A Brief Mindfulness Intervention For Not-Just-Right Experiences, Samuel Richard Cares Jan 2023

Efficacy Of A Brief Mindfulness Intervention For Not-Just-Right Experiences, Samuel Richard Cares

Graduate Research Theses & Dissertations

The obsessions and compulsions that define the diagnosis of Obsessive-Compulsive Disorder (OCD) traditionally have been characterized by harm avoidance. However, harm avoidance is neither specific to OCD nor does it comprehensively explain all symptoms with which individuals with OCD present. Emerging research has focused on incompleteness—and its manifestation through the phenomenon of not just right experiences (NJREs)—as a potential motivating factor for OCD symptoms. Whereas Exposure and Response Prevention (ERP) is conceptually relevant to—and empirically supported for treating—symptoms characterized by harm avoidance, there is an unclear connection between ERP and symptoms characterized by incompleteness. Research has begun to explore ways …


Evaluating The Attention Training Technique As A Transdiagnostic Intervention For Fear-Based Psychopathological Symptoms: A Randomized Controlled Trial, Benjamin John Ellem Jan 2023

Evaluating The Attention Training Technique As A Transdiagnostic Intervention For Fear-Based Psychopathological Symptoms: A Randomized Controlled Trial, Benjamin John Ellem

Graduate Research Theses & Dissertations

Recent research indicates that fear-related psychological disorders are a distinguished class of psychopathology, all of which share the underlying endophenotype of maladaptive acute fear responding. The relationship between maladaptive fear responding and psychopathology has been found to be moderated by executive functioning capacity—most notably attentional control. However, the current psychopathological nosology does not link fear-based disorders together. As a result, many fear-based disorders are treated separately with different evidence-based psychotherapies. These psychotherapies tend to focus on reducing phenotypic behaviors or self-reported experience of symptoms. Individuals with fear-based disorders may be better served by treatments that focus on the aforementioned endophenotypes …


Ocd And Scrupulosity Symptoms In The Lgbtq+ Community, Katherine Hurley Mangen Jan 2023

Ocd And Scrupulosity Symptoms In The Lgbtq+ Community, Katherine Hurley Mangen

Graduate Research Theses & Dissertations

Research related to obsessive-compulsive disorder (OCD) in the LGBTQ+ community has been limited to date. However, at least one previous study has indicated that the "unacceptable thoughts" symptom dimension of OCD may be particularly relevant to this population. The current study sought to examine whether LGBTQ+ individuals report greater levels than non-LGBTQ+ individuals of scrupulosity symptoms, or religious- and/or moral-based OCD symptoms that often are grouped into the unacceptable thoughts dimension. Participants completed a battery of questionnaires measuring several constructs, which the author proposed may be particularly relevant to the development and maintenance of scrupulosity symptoms among members of the …


Intergenerational Transmission Of Parenting: Does Emotion Regulation Buffer The Effect Of Negative Early Care Experiences On The Cortisol Stress Response And Subsequent Caregiving?, Erin Rochelle Mckay Jan 2023

Intergenerational Transmission Of Parenting: Does Emotion Regulation Buffer The Effect Of Negative Early Care Experiences On The Cortisol Stress Response And Subsequent Caregiving?, Erin Rochelle Mckay

Graduate Research Theses & Dissertations

A phenomenon known as the intergenerational transmission of parenting, where children tend to parent their children in a manner similar to how their own parents provided care, has received notable attention within developmental research. While several mechanisms focusing on cognitive and psychological factors have been proposed, there is less research examining biological mechanisms within the intergenerational transmission of parenting framework, especially when considering caregiving behavior exhibited in the context of child distress. Further, few studies have examined parent attributes which may disrupt the intergenerational transmission of parenting. The current study seeks to examine the hypothalamic-pituitary-adrenal (HPA) axis stress response as …


Examining Measurement Invariance Of The Pios And Pios-R Across Christian, Jewish, And Muslim Groups, Johanna Anita Younce Jan 2023

Examining Measurement Invariance Of The Pios And Pios-R Across Christian, Jewish, And Muslim Groups, Johanna Anita Younce

Graduate Research Theses & Dissertations

The Penn Inventory of Scrupulosity (PIOS) was developed in a sample of primarily Christian participants. Since scrupulosity is intertwined with religion, it is important to establish that the PIOS and its revised version (PIOS-R) are invariant across the religions with which the measure is primarily utilized: Christianity, Islam, and Judaism. Additionally, there was inconsistency in the literature as to the factor structure of the PIOS/PIOS-R, so three of the models in the literature each were examined and compared for the PIOS and the PIOS-R. 718 participants were recruited through MTurk and reported affiliation with either Christianity (n = 274), Islam …


Covid-19 Stress And Parenting Practices: Maternal Stress And Emotion Regulation Strategies, Jordan R. Kaye Jan 2023

Covid-19 Stress And Parenting Practices: Maternal Stress And Emotion Regulation Strategies, Jordan R. Kaye

Graduate Research Theses & Dissertations

The outbreak of the novel (COVID-19) pandemic in March 2020 resulted in changes within society that had lasting repercussions. Specifically for families, the sudden changes were observed to be stressful in conjunction with the added stress of simultaneously caring for children. The current literature has demonstrated that stress related to COVID-19 (i.e., pandemic-related stress) has been associated with both elevated maternal parenting stress and unfavorable parenting behaviors. Given these findings, the current study examined the influence of pandemic-related stress on parenting stress and subsequent parenting behaviors. Further, the current study considered maternal emotion regulation attributes – specifically cognitive reappraisal and …


Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor Jan 2023

Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor

Graduate Thesis and Dissertation 2023-2024

A review of the literature reveals a high incidence of body-image distress among breast cancer survivors who have undergone surgery, which is a natural response to the significant changes in their appearance. Reconstructive surgery, utilizing implants or flaps, may be employed to restore breast size and shape. Medical tattooing can simulate the nipple-areola complex and decorative appliques can conceal scars and skin color variations. Both reconstructive surgery and medical tattoos are associated with patient-reported satisfaction, yet further research is necessary to understand their combined impact on body-image distress. To investigate this, a survey was distributed among national breast cancer support …


A Phenomenological Examination Of Single Mothers Rising Out Of Poverty, Shaunta Hemingway Jan 2023

A Phenomenological Examination Of Single Mothers Rising Out Of Poverty, Shaunta Hemingway

Walden Dissertations and Doctoral Studies

Transitional factors that help mothers to acquire higher education, community resources, and stable employment and the family dynamics that impact their success are often shadowed by domestic violence, chronic poverty, substance use, mental health, and public assistance. There are 12 million single-parent households in the United States, of which 80% represent single mothers as primary caregivers to children; the majority of which are living below the poverty level. Few extant studies have employed a strengths-based approach to investigate how single mothers rise out of poverty. The purpose of this qualitative phenomenological study was to gain an understanding of the lived …


An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich Jan 2023

An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich

Walden Dissertations and Doctoral Studies

Using general strain theory and social learning theory as the foundation, this generic qualitative study addressed whether interventions and prevention services for juvenile firesetters in the City of Charlotte–Mecklenberg County met needs from the perspectives of critical stakeholders. Data were collected through in-depth interviews with 12 parents/guardians of justice-involved adolescent fire offenders. Interviews were transcribed and analyzed using a six-step procedure for thematic analysis by Braun and Clarke. The study's results revealed that the current juvenile firesetters intervention and prevention program is perceived as inadequate when applied without input from the adolescent’s parent or guardian. The participants perceived the need …


Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer Jan 2023

Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer

Walden Dissertations and Doctoral Studies

The inability to display social reciprocity is a hallmark criterion of autism spectrum disorder (ASD). This lack of proper social skills (i.e., eye contact, cooperative play, and reciprocal interaction) indicates the importance of purposeful interaction, about which a research gap exists. The theoretical framework for this study was social learning theory, by which Bandura (1977) posited that learning occurs by observing the behavior of others. The current study involved examining the effectiveness of an intervention conducted with children who have ASD. The purpose of the intervention was to increase children’s playground social skills by having them watch themselves at play …


Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer Jan 2023

Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer

Walden Dissertations and Doctoral Studies

Recent research has shown that having an infant admitted to the neonatal intensive care unit (NICU) can be a traumatic experience for parents. However, less is known about whether this trauma is related to later parenting self-efficacy for childcare after NICU discharge and whether that relationship is affected by the length of NICU stay. This quantitative study, guided by Bandura’s self-efficacy theory and Ehlers and Clark’s cognitive model of post-traumatic stress disorder (PTSD), examined the relationship between mothers’ trauma of having had a child in the NICU and maternal parenting self-efficacy related to childcare post-NICU discharge, with length of NICU …


Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros Jan 2023

Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros

Walden Dissertations and Doctoral Studies

Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …


Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb Jan 2023

Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …


Current Practices For Forensic Assessments Of Offenders, Garet Bradford Jan 2023

Current Practices For Forensic Assessments Of Offenders, Garet Bradford

Walden Dissertations and Doctoral Studies

AbstractCurrent Practices for Forensic Assessments of Offenders by Garet Bradford MA, University of Cincinnati, 2017 BA, University of Nevada, 2014 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Forensic Psychology Walden University August 2023


Religiosity, Daily Rosary, And Well-Being Of Catholics In College During The Pandemic, Michael Raul Rios Jan 2023

Religiosity, Daily Rosary, And Well-Being Of Catholics In College During The Pandemic, Michael Raul Rios

Walden Dissertations and Doctoral Studies

Before and since the Coronavirus pandemic, college students suffered from increasing rates of mental health conditions affecting their well-being. Researchers have requested more studies on prayer as a strategy to address well-being issues. The purpose of this anonymous online survey study (N = 59) was to discover if there were any associations between religiosity and well-being, daily Rosary frequency and well-being, and if daily Rosary frequency mediated an association between religiosity and well-being of Catholic students in college in the United States during the pandemic in 2021. Participants were recruited via social media, listservs, email, one nationwide organization, the Walden …


Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White Jan 2023

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …


Effects Of Perpetrator And Victim Gender, Rape Myths, And Report Timing On Blame Attributions Following Sexual Assault, Katherine E. Kennon Jan 2023

Effects Of Perpetrator And Victim Gender, Rape Myths, And Report Timing On Blame Attributions Following Sexual Assault, Katherine E. Kennon

College of Graduate Studies: Theses & Dissertations

Previous research examined the effects of victim gender, perpetrator gender, and rape myth acceptance on victim blaming attribution; however, fewer studies explore victim and perpetrator gender at the same time, and even fewer studies examined the relevance of factors like timing of reporting (immediate or delayed) or rurality. The primary purpose of the study, therefore, was to explore the effect of victim gender, perpetrator gender, and report timing (same day vs. six months later) on victim blaming attributions. The study also examined the role of rape myth acceptance on victim blame and compared levels of rape myth acceptance across participant …


The Effect Of Face Interpretation Training On Social Anxiety Symptoms, Grace L. Wheeler Jan 2023

The Effect Of Face Interpretation Training On Social Anxiety Symptoms, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to cognitive models of social anxiety disorder (SAD), individuals place excessive importance on gauging others’ reactions (e.g., facial expressions) to their social performance. Facial interpretation bias modification (FIBM) was developed to shift interpretations of ambiguous faces. The current study uses FIBM to test whether face interpretation is causally related to SAD symptoms in an unselected adult sample. Participants (N=139) were randomized to 1 of 3 conditions (positive, negative, accurate) in a single-session, online study. Pre- and post- intervention measures of face interpretation and SAD were completed. In line with hypotheses, individuals in the positive condition interpreted faces more positively …


Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan Jan 2023

Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan

Antioch University Dissertations & Theses

The following dissertation explored the subjective experience of mental health clinicians regarding their perceptions of providing treatment and assessment to neurodivergent youth (ND) who exhibited problematic sexual behavior (PSB). Prior to this study, scant research has been conducted pertaining to the treatment and assessment of youth who exhibit PSB, and less still on those with comorbid neurodivergence (Jones & Chaplin, 2017; Malovic et al., 2016; Pratt, 2013). This study utilized Interpretative Phenomenological Analysis to inform interpretations of participant responses collected through semi-structured interviews. Participants consisted of five licensed psychologists with experience providing assessment and/or treatment to both neurotypical and ND …


A Study On Sexual Shame And Sexual Functioning In Adult Sexual Assault Survivors, Aili Jones Jan 2023

A Study On Sexual Shame And Sexual Functioning In Adult Sexual Assault Survivors, Aili Jones

Antioch University Dissertations & Theses

A large portion of women will experience sexual violence in their lives. As many as one in four women report having experienced sexual assault, and there are some who believe that the true number of sexual assault survivors is much higher. Women who are sexually assaulted experience a wide range of emotional, physical, and sexual symptoms related to the trauma. The psychological impacts of sexual violence, including post-traumatic stress disorder (PTSD), depression, and anxiety have been studied and treatments developed. The sexual functioning of sexual assault survivors, however, has not been as thoroughly studied. One relatively new area of study …