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Articles 1 - 30 of 137
Full-Text Articles in Clinical Psychology
Investigating The Moderating Roles Of Adolescent Peer Relationship Difficulties And Prosocial Behavior On The Relationship Between Triangulation And Adolescent Emotional Symptoms During Parental Divorce, Taylor Kalei Demotta
Clinical Psychology Dissertations
The divorce process is a stressful, transitional period that is widely experienced by families in the United States. This process incites a variety of stressors and deleterious family dynamics that impact children and adolescents. The divorce literature has identified parental conflict as a significant contributor to youth outcomes following divorce. Therefore, researchers have aimed to investigate the specific dynamics occurring during interparental discord that may influence youth. Triangulation, or the involvement of children in parental disagreements, has been found to mediate the relationship between parental conflict and adolescents’ internalizing symptoms. Adolescents may be particularly vulnerable to triangulation due to increases …
Resting-State Eeg Spectral Activity In Children And Adolescents With Asd: Potential Correlations With Interoceptive Neocortical Areas, Stephanie J. Morris
Resting-State Eeg Spectral Activity In Children And Adolescents With Asd: Potential Correlations With Interoceptive Neocortical Areas, Stephanie J. Morris
Dissertations
Autism spectrum disorder (ASD) is a developmental condition marked by impairments in social interaction, communication, repetitive behaviors, and differences in cognitive and emotional functioning. These challenges can significantly affect daily living, relationships, and long-term independence, often requiring lifelong support. Emerging research suggests that deficits in interoceptive processing—the ability to perceive internal bodily states—may contribute to ASD symptoms and represent a potential target for intervention.
This study aims to compare resting-state EEG (QEEG) activity between children and adolescents with ASD and neurotypical (TD) peers, and to explore the relationship between interoceptive processing and ASD diagnosis. Archival QEEG data from individuals aged …
The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood
The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood
Theses and Dissertations
Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …
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 …
Measuring The Effects Of Adverse Childhood Experiences (Aces) On Adolescents’ Self-Esteem And Self-Appraisal: How Can School-Based Interventions Help?, Kayla M. Moses
Undergraduate Theses and Capstone Projects
This paper explores the lasting impact of Adverse Childhood Experiences (ACEs) on adolescents’ self-esteem and self-appraisal, with a focus on the role of school-based interventions in mitigating these effects. Adverse Childhood Experiences (ACEs) encompass various forms of trauma such as physical, emotional, or sexual abuse, neglect, and familial dysfunction during childhood. Due to adolescence being a critical period of identity formation and emotional development, Adverse Childhood Experiences (ACEs) can significantly undermine adolescents' self-esteem, leading to lasting negative effects. These effects include various emotional, social, and psychological challenges, ultimately changing one’s life trajectory. Based on numerous theoretical foundations, it is supported …
Post-Traumatic Stress Disorder Mitigation Through Education: A Brain-Based Learning Approach, Marisa S. Paglino
Post-Traumatic Stress Disorder Mitigation Through Education: A Brain-Based Learning Approach, Marisa S. Paglino
PhD in Education
Prior research has indicated a noteworthy relationship between post-traumatic stress disorder (PTSD), working memory (WM) function, and quality of life (QOL) among individuals who have experienced traumatic events within their lifetime. Despite much prior research focusing primarily on adult combat veterans of war, minimal data exists evaluating the effects of traumatic events in civilians who have yet to pass the age of complete neurological development (25 years or age). The present study aimed to evaluate the differences in trauma perception, perception of WM function, and perception of QOL among college students in Florida. Using descriptive statistics, based on the type …
The Role Of Ethnic-Racial Centrality On Exposure To Microaggressions And The Mental Health And Academic Success Of Second-Generation Latiné Adolescents, Lisette Munoz
Theses and Dissertations
People holding racially minoritized identities are frequently subjected to racial-ethnic microaggressions, a form of everyday racism and discrimination. Acculturative stress and microaggressions have a direct impact on immigrants' mental health (Gee et al., 2007; Finch & Vega, 2003; Hovey, 2000). The increase in conservative immigration policies has led to increased anti-immigrant sentiments and microaggressions (Sissoko & Nadal, 2021). The impact of microaggressions can detrimentally affect psychological and physiological wellbeing, as well as academic performance and cognitive function (Solórzano & Pérez Huber, 2020). Because of their experiences with discrimination, Latino children may become more aware of biases in their social interactions …
Unraveling The Impact Of Cognitive Test Anxiety On Academic Performance Among Adolescents: The Case Of Minority And Majority Communities, Zulfiqar Ullah Siddiqui, Wael M. F. Abuhassan
Unraveling The Impact Of Cognitive Test Anxiety On Academic Performance Among Adolescents: The Case Of Minority And Majority Communities, Zulfiqar Ullah Siddiqui, Wael M. F. Abuhassan
An-Najah University Journal for Research - B (Humanities)
Background: Within the Indian society and its many communities, adolescents exhibit a wide range of individual differences, including cognitive abilities, learning styles, and personality traits. These differences can influence how students perceive and cope with test anxiety and related stress. Objective: The primary goal of this research study was to investigate the influence of cognitive test anxiety on academic performance in adolescents from both minority (Muslims) and majority (Hindus) communities in India. Method: Based on descriptive-inferential research design, a sample of 450 students was selected, with 223 students representing the majority community and the remaining 227 students representing the minority …
Aligning With Adolescents: A Literature Review Of Art Therapy In Residential Treatment Programs, Olivia Moore
Aligning With Adolescents: A Literature Review Of Art Therapy In Residential Treatment Programs, Olivia Moore
Expressive Therapies Capstone Theses
Adolescents in residential treatment programs throughout the United States are a specialized population that demonstrate resiliency and hope every day. Many adolescents in these programs have experienced prominent levels of trauma that impact their ability to function in lower-level programs, foster homes, and in their communities. Residential treatment approaches may look like locked facilities with trauma-informed staff who provide programming options, mental health care, and safe living conditions for adolescents. Without strength-based approaches to treatment, this population may struggle to overcome their trauma, mental health challenges, and developmental needs. In this literature review, art therapy was offered to provide developmentally …
Exploring Parent/Caregiver Perspectives Of Self-Determination And Its Impact On Mental Health In Adolescents With And Without Disabilities, Jessica Schuttler, Sydney Walls, Tyler Hicks, Karrie Shogren, Hannah Adams, Richard A Chapman
Exploring Parent/Caregiver Perspectives Of Self-Determination And Its Impact On Mental Health In Adolescents With And Without Disabilities, Jessica Schuttler, Sydney Walls, Tyler Hicks, Karrie Shogren, Hannah Adams, Richard A Chapman
Developmental Disabilities Network Journal
Introduction. Parents and caregivers play key roles in supporting the development of self-determination and mental health needs in adolescents with and without disabilities. This study explored parent/caregiver perceptions of the relationships among mental health and self-determination constructs for youth with disabilities, across gender and disability status. Method. Parents/caregivers of adolescents with and without disabilities completed rating scales regarding adolescents’ self-determination status (Self Determination Inventory) and mental health symptoms (Behavior Assessment System for Children, 3rd Edition). Bayesian analyses examined the relationships among self-determination and mental health status. Results. Results are mixed, indicating moderate to robust relationships for self-determination as a …
Family Obligation, School Climate, And The Academic Achievement Of Latinx Youth Living In One- And Two-Parent Households, Elizabeth Martinez Charleston
Family Obligation, School Climate, And The Academic Achievement Of Latinx Youth Living In One- And Two-Parent Households, Elizabeth Martinez Charleston
College of Science and Health Theses and Dissertations
Latinx youth are achieving lower levels of educational attainment when compared to their ethnic or racial peers from other backgrounds. Addressing these academic disparities is imperative, with the Latinx population in the U.S. experiencing substantial growth. Guided by the Positive Youth Development Model and the Integrative Model of Child Development, this study explored family obligation and school climate as factors associated with academic achievement. Participants included 268 Latinx youth, including 101 (37.7%) in one-parent households. Participants were 5th through 7th-grade students (56.7% female; Mage = 11.4), mainly 2nd generation (US-born with foreign-born parents; 77.2%), and primarily identified as Mexican …
The Impact Of Body Image On Self-Confidence In Elite Dancers, Carissa Bethel
The Impact Of Body Image On Self-Confidence In Elite Dancers, Carissa Bethel
Applied Sport & Performance Psychology | Literature Reviews
In athletics and the performing arts, athletes and performers are expected to maintain a healthy, strong, and athletic physique. Specific professions foster a thin body image amongst athletes, which are expected to be maintained. Pressure to maintain low weight or an athletic body has been considered a risk factor for developing body image dissatisfaction (Nascimento, Luna, Fontenelle, 2012). Previous research has shown that from a health perspective body satisfaction is one of the crucial factors in the prevention of unhealthy, weight related behaviors, especially in female athletes (Kantanista et al., 2018). The research addresses body image concerns in elite performance …
Examining Emotion Regulation Strategies As Predictors Of Posttraumatic And Depressive Symptomatology In Maltreated Youth, Kinsey Ellis
Examining Emotion Regulation Strategies As Predictors Of Posttraumatic And Depressive Symptomatology In Maltreated Youth, Kinsey Ellis
UNLV Theses, Dissertations, Professional Papers, and Capstones
Youth with a history of maltreatment victimization are at heightened risk for developing symptoms of posttraumatic stress and depression. Recent work has identified emotion dysregulation as a potential transdiagnostic mechanism linking maltreatment victimization to youth psychopathology, but few studies have examined the influence of specific emotion regulation strategies. Habitual utilization of expressive suppression and cognitive reappraisal have each demonstrated associations with trauma-related psychopathology in adults. The present study examined both strategies as predictors of posttraumatic and depressive symptomatology in youth with a history of maltreatment, as well as mediators in the relationship between the two conditions.
The sample included 133 …
Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp
Theses and Dissertations
African American adolescents in the United States experience a higher prevalence of obesity as compared to their White counterparts. This health inequity presents a public health concern as consequences of weight-related chronic diseases often persist into adulthood and are increasingly problematic. As chronic stress has been found to be higher among African American youth compared to White adolescents, it presents as a potential barrier to participation for African American families in health promotion interventions. Additionally, it may be beneficial to target stress in health promotion programs as a modifiable factor in conjunction with health behaviors that may improve outcomes related …
Parenting And Students' Gpa In The Latino Population: An Exploratory Study, Carolina Arboleda
Parenting And Students' Gpa In The Latino Population: An Exploratory Study, Carolina Arboleda
Dissertations
The present study experimentally investigated Latino high school students’ grade point averages (GPA) and the parenting styles used by their parents based on Baumrind’s (1968, 1971, 1989, 1991) theory of parenting behaviors. Participants (N=52) were asked to take a survey of 62 questions total addressing three parenting dimensions as measured by the Escala Parental Breve to categorize their parents’ behaviors into parenting styles. Participants also responded to demographic questions such as English proficiency, household income, parents’ education level, and other relevant factors impacting parenting and GPA. Results from the study were limited as there was a limited number of participants; …
The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson
The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson
Theses and Dissertations--Psychology
Negative urgency (NU; the tendency to act rashly when experiencing negative emotions) is a robust risk factor for a number of problem behaviors, including early adolescent drinking. Little is known about the factors that precede the development of NU, and hence the full etiology of this component of risk. The current study aimed to investigate the possibility that childhood maladaptive emotion socialization (MES; the tendency for children’s expressions of emotions to be met with punishment, minimized, or invoke a reaction of distress from their parents/caretakers) increases risk for the development of NU. Secondarily, the study tested whether MES predicts increased …
The Relationship Between Adolescent Exposure To Community Violence, Depression, And Resilience, Nieves A. Esquivel
The Relationship Between Adolescent Exposure To Community Violence, Depression, And Resilience, Nieves A. Esquivel
Dissertations
The present study experimentally investigated the development of depressive symptoms in adolescents who have been exposed to community violence. Participants (N=334) were asked to take a survey of 81 questions addressing one’s exposure to neighborhood violence, resilience, and depressive symptoms. Participants exposed to community violence reported more depressive symptoms in every category except Ineffectiveness. Participants who were exposed to community violence also reported higher resilience levels. Given the results, more research is needed to understand the specific factors of resilience that may prevent adolescents exposed to community violence from developing depressive symptoms.
The Interaction Between Anxiety Sensitivity And Sleep Disturbance In Relation To Alcohol Use Among Adolescents, Gabrielle Meshell Armstrong
The Interaction Between Anxiety Sensitivity And Sleep Disturbance In Relation To Alcohol Use Among Adolescents, Gabrielle Meshell Armstrong
Honors Theses
Both substance use and sleep disturbance are common in adolescence. Additionally, alcohol use specifically is positively associated with a number of sleep disturbances. However, little to no research has examined factors that may influence the relation between problematic alcohol use and sleep disturbances among adolescents or adults. One factor that may be particularly important to consider in this regard is anxiety sensitivity (AS; i.e., the tendency to interpret unpleasant physiological sensations as dangerous). Among previous studies, anxiety sensitivity has been found associated with both increased alcohol consumption and sleep disturbances. The current study evaluated the main and interactive effects of …
The Association Between Adolescent Dating Violence And Internalizing Symptoms: Insecure Attachment As A Moderator, Jasmine Blake
The Association Between Adolescent Dating Violence And Internalizing Symptoms: Insecure Attachment As A Moderator, Jasmine Blake
Psychological Science Undergraduate Honors Theses
This study examines whether insecure attachment styles moderate the relationship between adolescent dating violence (ADV) victimization and internalizing symptoms. It was hypothesized that an insecure attachment style would strengthen the existing relation between ADV victimization and internalizing symptoms. It was also hypothesized that this association would be stronger for girls than boys. One hundred and fifty-two adolescents participated in this study (M age = 15.61 years, SD = 1.086, 74.3% girls) and were asked to complete a survey that assessed ADV victimization, internalizing symptoms, and attachment style. Bivariate correlations did not reveal a significant associations between ADV victimization and …
Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass
Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass
Walden Dissertations and Doctoral Studies
Depression and anxiety disorders are two of the most frequently reported mental healthproblems for adolescents entering Residential Treatment Centers (RTCs). Many adolescents in RTCs also have a higher rate of traumatic experiences than their peers. Traumatized children frequently develop mental illness disorders of depression and anxiety. Based on the theoretical foundations provided by attachment theory and social cognitive theory, this pilot study, using secondary data, observed the relationship between exercise participation, depression, trauma, and anxiety for 11 youth in an upper Midwest RTC. Adolescents with higher initial depression and anxiety scores tended to exercise less during RTC than those with …
Association Of Early Life Stressors With Deficits In Child And Adolescent Cognitive Functioning, Emily M. Deming
Association Of Early Life Stressors With Deficits In Child And Adolescent Cognitive Functioning, Emily M. Deming
Graduate Theses, Dissertations, and Problem Reports (ETD)
The purpose of this study was to determine whether the ACEs questionnaire could be a viable screener tool for identifying children in need of neuropsychological testing. This study consisted of a sample of child participants aged 8-17 years (N=53) who were divided into a no ACEs group or the ACEs group (1 or more ACEs) depending on parental responses to the ACEs questionnaire. Participants completed a series of virtual neuropsychological tests that assessed overall neurocognitive functioning, memory, and attention. No significant differences between the no ACEs group and the ACEs group in performance of the overall Neurocognitive Index, …
Latent Variables Predicting Drug Use In Adolescents With High Versus Low Protective Factors, Jessica Jorgenson
Latent Variables Predicting Drug Use In Adolescents With High Versus Low Protective Factors, Jessica Jorgenson
Dissertations
The present study utilized archival data provided from the Minnesota Student Survey (2013). The study consisted of two levels of analysis. The first level involved the development of measurement models for various latent constructs (i.e., disaffiliation, normalized use, internalizing behaviors, and externalizing behaviors). Utilizing Structural Equation Modeling (SEM), the second level applied the observed (i.e., abuse) and measured latent variables to the prediction of the outcomes of interest (i.e., a latent variable estimate of substance use) for middle- and high school-aged youth. Models for adolescent girls and boys were examined separately based on sex and high vs low protective factors. …
Psychometrics Of A Measure Of Sexual Assault Coping Self-Efficacy: A Comparison Of Across Age Groups, Thomas Pankau
Psychometrics Of A Measure Of Sexual Assault Coping Self-Efficacy: A Comparison Of Across Age Groups, Thomas Pankau
Clinical Psychology Dissertations
Sexual assault affects people of all ages and is associated with poorer psychosocial outcomes including depression, anxiety, and PTSD. Coping self-efficacy (CSE) refers to how capable an individual feels they are able to handle stressors, including sexual assault, and it is a strong predictor of psychosocial outcomes. This dissertation assessed the psychometrics of the Sexual Assault Coping Self-Efficacy Measure (SACSEM), an instrument developed to measure sexual assault CSE across different age groups. Since the majority of research has focused on CSE following sexual assault in adults, I examined CSE across groups of adolescents, emerging adults, and adults (N = …
School Violence And Suicidal Ideation: The Mediating Roles Of Perceived School Safety And Substance Use Among Adolescents, Jordan Skalisky
School Violence And Suicidal Ideation: The Mediating Roles Of Perceived School Safety And Substance Use Among Adolescents, Jordan Skalisky
Clinical Psychology Dissertations
Substance use and suicidal ideation are prevalent among adolescents. An adolescent’s school environment, such as threatening or violence-related experiences at school, may influence their perceived sense of safety, thus influencing their substance use and potentially increasing suicidal ideation. The current study examined the mediating roles of perceived school safety and substance use (alcohol use, binge alcohol use, cannabis use, and vaping) on the relationship between experienced weapon threat/violence at school and suicidal ideation. Data was used from the 2019 Youth Risk Behavior Surveillance Survey and participants were 13206 adolescents attending high school in the United States. Preliminary analyses indicated significant …
A Network Investigation Of Eating Disorder Symptoms And Risk Factors Before And After A Prevention Program In Adolescent Girls., Jordan E. Drake
A Network Investigation Of Eating Disorder Symptoms And Risk Factors Before And After A Prevention Program In Adolescent Girls., Jordan E. Drake
College of Arts & Sciences Senior Theses
Eating disorders (EDs) are psychological disorders characterized by disturbances in eating that commonly develop during adolescence and may be influenced by risk factors, both ED-specific (i.e., factors linked to future ED symptoms) and transdiagnostic (i.e., factors underlying multiple psychological disorders). Network analysis allows for the study of the connections between ED symptoms and risk factors by identifying central symptoms (i.e., the most interconnected symptoms) and bridge symptoms (i.e., symptoms which strongly connect across the symptom and risk factor clusters). Examining networks of ED symptoms and risk factors in adolescence can inform how risk factors influence ED development, as well as …
The Association Between Appearance Related Safety Behaviors And Anxiety Symptoms In Adolescents, Emily Olson
The Association Between Appearance Related Safety Behaviors And Anxiety Symptoms In Adolescents, Emily Olson
Honors Theses
The goal of the current study is to examine the associations between appearance related safety behaviors (i.e., behaviors aimed at preventing humiliation or embarrassment associated with appearance, such as mirror checking or skin picking) and anxiety symptoms during adolescence. Adolescence is considered a core risk period for the onset of many psychological disorders (e.g., social anxiety disorder). Critically, adults with these psychological conditions report engaging in higher levels of appearance related safety behaviors than adults without these disorders. Further, initial, promising evidence, suggests that reducing engagement in appearance related safety behaviors is associated with reduced symptoms of anxiety. To date, …
Borderline Personality Disorder: Interventions For Adolescents And Caregivers, Addison Odum
Borderline Personality Disorder: Interventions For Adolescents And Caregivers, Addison Odum
Evidence-Based Social Work Practice Guide Series
Borderline personality disorder (BPD) encompasses a wide range of symptoms characterized by emotional dysregulation, including challenging interpersonal relationships, impulsivity, disturbances in cognition and identity, and is often accompanied by intentional self-injury and suicidal behaviors. In this guide, emphasis is placed on three aspects of intervention: (1) clinical interventions for adolescents who meet the criteria for BPD; (2) interventions clinicians can teach to parents/caretakers so they can better work with their child’s diagnosis; and (3) due to the negative impact this can have on adolescents, clinical interventions for parents/caregivers diagnosed with or exhibiting common symptoms of BPD is also provided.
Gender Differences In The Association Between Emotion Dysregulation And Suicidal Behavior, Eliza Hope Laves
Gender Differences In The Association Between Emotion Dysregulation And Suicidal Behavior, Eliza Hope Laves
Masters Theses & Specialist Projects
Suicide is the second leading cause of death for individuals between the ages of 15 and 24 years old (Drapeau & McIntosh, 2020). Being younger and female is significantly associated with suicidal behaviors (e.g., suicidal ideation, plan, and attempts), and girls report higher scores on suicidal ideation, plan, and attempts that result in a hospital visit compared to boys (Kann et al., 2018; Nook et al., 2008). Additionally, adolescents (e.g., 17.2%) reported the highest levels of nonsuicidal self-injury (NSSI) engagement compared to young adults (e.g., 13.4%) and adults (e.g., 5.5%), and girls reported more NSSI engagement than boys among adolescents …
The Influence Of Parent-Child Relationships On Female Sexual Functioning: A Review Of The Literature, Laura Tillman
The Influence Of Parent-Child Relationships On Female Sexual Functioning: A Review Of The Literature, Laura Tillman
Dissertations
This literature review is an examination of the impact of parental communication of sexual functioning in women. Women have many commonalities of sexual experiences and receive similar messages as children and adolescents in regards to their sexual behavior. Current attitudes towards women’s sexuality and sexual functioning and the outcomes that a lack of communication can warrant are areas of importance for this literature review. This Clinical Research Project (CRP) examines how frequently parents communicate about sexual topics with their child, how parents communicate, and parental feelings surrounding discussions. Parenting models and attachment styles are reviewed and how childhood experiences shape …
The Impact Of Exercise On Adolescents With Depression: A Systematic Review Of The Literature, Matthew P. Kloeris
The Impact Of Exercise On Adolescents With Depression: A Systematic Review Of The Literature, Matthew P. Kloeris
Theses and Dissertations
The purpose of the present study was to summarize and synthesize the research that pertains to the impact of aerobic exercise on adolescents with depression. This review addressed aerobic exercise as a mental health treatment, such as differences between (a) post-intervention and follow-up response and remission rates; (b) exercise in lieu of psychotherapy or exercise as an adjunct to psychotherapy; and (c) response and remission rates amongst minority gender and racial and ethnic groups. The search results produced a total of 2,122 articles. Of which, eight articles were eligible for the present systematic review. Based on the results, it appears …