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Full-Text Articles in Clinical Psychology

Psychometric Evaluation Of The Offender Coping Self-Efficacy Scale In The Context Of Incarceration And Upon Re-Entry, Minhdan Thuy Ta May 2016

Psychometric Evaluation Of The Offender Coping Self-Efficacy Scale In The Context Of Incarceration And Upon Re-Entry, Minhdan Thuy Ta

Clinical Psychology Dissertations

Incarceration presents unique stressors that affect psychological well-being. Identifying self-efficacy for different types of coping strategies to manage stressors may help treatment teams develop appropriate interventions aimed at reducing recidivism. Consequently, I developed and evaluated the preliminary psychometric properties of the Offender Coping Self-Efficacy Scale (OCSS). An initial pool of 47 items was used to assess inmates’ confidence in their ability to cope with stressors related to incarceration and re-entry. The scale was completed by a sample of inmates (N = 144) who were 18 years or older and serving time at one of two county jails. The majority …


Factors Influencing Resilience Among Haematological Cancer Survivors, Katherine S. Gallager Jan 2016

Factors Influencing Resilience Among Haematological Cancer Survivors, Katherine S. Gallager

Theses: Doctorates and Masters

Haematological cancers in bone marrow (leukaemia) and the immune system (lymphomas or myeloma) represent the sixth most common adult tumour group in Australia. These cancers often develop without warning and require intensive treatment regimes that last on average eight months, but may continue for a lifetime depending on the diagnosis. Encouragingly, advancing cancer treatments, a key accomplishment of cancer research over the past 40 years, have resulted in a growing community of cancer survivors. Approximately two in three adults diagnosed with haematological cancer (HC) can now expect to survive more than five years. However, they must attempt to navigate the …


Effects Of Acculturation Gap And Attachment Style On South Asian Adolescent Well-Being, Malliga Delaney Delaney Jan 2016

Effects Of Acculturation Gap And Attachment Style On South Asian Adolescent Well-Being, Malliga Delaney Delaney

Walden Dissertations and Doctoral Studies

South Asian (SA) adolescents experience the added challenges of identity development and coping as a minority population of color in a predominantly White host culture. Adolescent attachment style (AS) with their parents, along with an acculturation gap (AG) with their parents, can either add to or alleviate their struggles. A matched acculturation style and secure AS with their parents were hypothesized to result in higher ethnic identity and adaptive coping. The Brief COPE, Multiethnic Identity Measure, Inventory of Parent and Peer Attachment, and the Bicultural Inquiry Questionnaire were used to measure the independent (AG and AS) and dependent variables (identity …


Cognitive And Neural Correlates Of Coping And Resilience In Depression, Catherine Lee Jan 2016

Cognitive And Neural Correlates Of Coping And Resilience In Depression, Catherine Lee

Dissertations

Depression is one of the most prevalent and devastating psychological disorders, often with a chronic or remitting/reoccurring course. The inability to effectively cope with stress and negative life events has been strongly linked to the development and maintenance of depression symptoms; yet, the cognitive and biological processes underlying the complex and multidimensional behavioral construct of coping are not well understood. Using a combination of self-report measures, computerized cognitive tasks, and scalp electroencephalography (EEG) methodologies, the present study investigated associations between specific executive function abilities (i.e., inhibition and set-shifting), underlying neural activity, coping strategy and flexibility, and depression symptoms. Results did …


Pediatric Medical Traumatic Stress In Youth With Type 1 Diabetes And Their Caregivers: A Longitudinal Assessment Of Metabolic Control And Psychosocial Mediators, Sabrina Anne Karczewski Aug 2015

Pediatric Medical Traumatic Stress In Youth With Type 1 Diabetes And Their Caregivers: A Longitudinal Assessment Of Metabolic Control And Psychosocial Mediators, Sabrina Anne Karczewski

College of Science and Health Theses and Dissertations

This dissertation examines the role of pediatric medical traumatic stress (PMTS) in response to a type 1 diabetes (T1D) diagnosis for both parents and children and its influence on a child’s future metabolic control. PMTS is a term that represents a continuum of posttraumatic stress symptoms (i.e., intrusion, hyper-vigilance, and avoidance) that occur in response to a medical event that may or may not meet full clinical criteria for a Diagnostic Statistical Manual, Fifth Edition (DSM-5) diagnosis. This study examines a theoretical model (see Figure 1) and the interrelationships between a child and/or parent’s level of PMTS in response to …


The Effects Of Stress And Burden On Caregivers Of Individuals With A Chronic Illness, Betty Wilborn-Lee Jan 2015

The Effects Of Stress And Burden On Caregivers Of Individuals With A Chronic Illness, Betty Wilborn-Lee

Walden Dissertations and Doctoral Studies

Informal caregivers have played a significant social and economic role in the care and treatment of individuals diagnosed with chronic illness. However, caregiving can have harmful effects on a caregiver's physical, psychological, and emotional well-being. Using caregiver stress theory as the theoretical framework, the purpose of this archival research was to determine the predictive relationship of stress in relation to caregiver quality of life for 309 selected cases. Correlational and hierarchical multiple linear regression analyses were used to examine the relationship between the independent variables and the dependent variable. The independent variables examined were environment and context, stressors related to …


Temperament And Child Maltreatment: A Closer Look At The Interactions Among Mother And Child Temperament, Stress And Coping, Emotional And Behavioral Regulation, And Child Maltreatment Potential, Amanda Lowell Jan 2015

Temperament And Child Maltreatment: A Closer Look At The Interactions Among Mother And Child Temperament, Stress And Coping, Emotional And Behavioral Regulation, And Child Maltreatment Potential, Amanda Lowell

Electronic Theses and Dissertations

Several theoretical risk models were proposed previously regarding the prediction of child maltreatment. Although child maltreatment was predicted individually in these models by such variables as parent temperament, emotional and behavioral regulation, stress, coping, and child temperament, these variables were not yet examined collectively. As such, a new transactional theory was proposed for the current study. As part of this study, a national community sample of 158 culturally diverse mothers of young children who were between the ages of 1½- to 5-years rated their own temperament, emotional and behavioral regulation abilities, parenting stress, daily hassles, and coping behaviors as well …


Temperament, Emotion Regulation, And Distress Tolerance As Related Correlates Of Psychological Symptoms, Catherine Pearte Jan 2015

Temperament, Emotion Regulation, And Distress Tolerance As Related Correlates Of Psychological Symptoms, Catherine Pearte

Electronic Theses and Dissertations

Researchers have postulated that those with difficult temperament are at risk for difficulties with regulating emotions, are less tolerant of distressing stimuli, have characteristic difficulty coping with distress, and are (at some periods of development) more apt to experience clinically significant psychological symptoms. This study used exploratory factor analyses and structural equation modeling to compose and test a model that explained how emotion regulation, distress tolerance, and coping skills interact to explain how certain temperament features translate into psychological symptoms. Because those with difficult temperament were thought to be at a unique risk for psychological maladjustment, mean-based criterion were used …


The Association Of Gender, Age, And Coping With Internalizing Symptoms In Youth With Sickle Cell Disease, Laura Reinman Jan 2015

The Association Of Gender, Age, And Coping With Internalizing Symptoms In Youth With Sickle Cell Disease, Laura Reinman

Theses and Dissertations

Youth with sickle cell disease (SCD) are at an elevated risk for having internalizing symptoms. Prior studies have suggested unique age by gender patterns of internalizing symptoms may be present in this population, however this pattern has not been thoroughly examined and the mechanisms underlying this pattern are not known. We examined rates of depression and anxiety symptoms between males and females with SCD across childhood and into adolescence in a cross-sectional design. We also considered the potential role of coping styles and health related locus of control for SCD morbidity that could account for age or gender patterns for …


Measuring The Coping Efforts Of Grieving Undergraduate Students: Developing The Gcope Through A Mixed-Method Design, Benjamin Dyson Lord Jan 2015

Measuring The Coping Efforts Of Grieving Undergraduate Students: Developing The Gcope Through A Mixed-Method Design, Benjamin Dyson Lord

Theses and Dissertations

The current study used a three-phase mixed-methods design to produce a new self-report measure of the strategies that college students use to cope with the death of a loved-one. College students are commonly bereaved and may be in the process of undergoing important developmental tasks related to emerging adulthood. However, the application of grief-specific stress-and-coping theories (i.e., the Dual Process Model of Coping with Bereavement) to this population has been hampered by measurement issues.

The current study aimed to address the flaws asserted above through the use of a mixed-methods scale development design. To this end, the researcher made use …


A Parent At War And The "Invisible Wounds" They Carry Home: Ptsd In Military Veterans And A Review Of Psychosocial Family System Challenges, Melina Sofia Calle Jun 2014

A Parent At War And The "Invisible Wounds" They Carry Home: Ptsd In Military Veterans And A Review Of Psychosocial Family System Challenges, Melina Sofia Calle

Dissertations, Theses, and Capstone Projects

Operation Enduring Freedom and Operation Iraqi Freedom have created a new generation of military veterans and military families, many of which must manage and cope with psychosocial challenges such as posttraumatic stress, depression, anxiety, and alcohol abuse induced by the psychological trauma(s) faced during war. Risk factors, buffering factors, and war zone stressors influencing the development of PTSD following military-related trauma will be reviewed. As many of these affected veterans return to living with spouses and children, these psychosocial issues show to bring forth tension, stress, and friction to the family system. This thesis explores the literature of family system …


Intrusive And Deliberate Rumination Predict Posttraumatic Growth In Members Enrolled In A Cardiovascular Rehabilitation Program, Erika Jade Gerwe May 2014

Intrusive And Deliberate Rumination Predict Posttraumatic Growth In Members Enrolled In A Cardiovascular Rehabilitation Program, Erika Jade Gerwe

USC Aiken Psychology Theses

Posttraumatic growth (PTG) can be defined as the experience of positive change, or psychological growth, that occurs as a result of a highly challenging life event or crisis (Tedeschi & Calhoun, 2004). Given that over one-third of the American population lives with some form of cardiovascular disease (American Heart Association, 2011), promoting posttraumatic growth in this population may promote more successful adaptation and coping and may serve to reduce morbidity and mortality (Affleck, 1987). Thus, the present study investigated the predictors of posttraumatic growth in a cardiac rehabilitation setting at rehabilitation entrance (PTG1) and exit (PTG2) and examined change in …


A Cultural Examination Of Hardiness: Associations With Self-Esteem, Wisdom, Hope, And Coping-Efficacy, Asea L. Gilmore Apr 2014

A Cultural Examination Of Hardiness: Associations With Self-Esteem, Wisdom, Hope, And Coping-Efficacy, Asea L. Gilmore

Honors College Theses

It is imperative that college students cultivate and exhibit traits associated with resilience to successfully complete their course of study and to protect themselves against the onset of mental health issues. This study aimed to examine positive psychology variables in relation to resilience in order to find variables that promote resilience in college students. Wisdom, hope, and coping self-efficacy were examined amongst 436 undergraduate students. Ethnicity amongst the sample consisted with 136 self-reporting as African American (31.9%), 264 self-reporting as European American (60.6%), 3 self-reporting as Asian (0.7%), 2 self-reporting as Native American (0.5%), and 28 self-reporting as biracial (6.4%). …


Coping With Emotions During Reintegration: An Evaluation Of Service Members' Psychological Health, Christina Marie Marini Apr 2014

Coping With Emotions During Reintegration: An Evaluation Of Service Members' Psychological Health, Christina Marie Marini

Open Access Theses

Upon returning home from deployment, service members are likely coping with strong emotions related to deployment stressors. In addition, service members and their intimate partners may be tasked with emotionally reconnecting with one another after an extended period of separation. Reintegration is therefore a critical, transitory time to evaluate associations between emotional coping strategies utilized by service members and their partners as predictors of service members' well-being. Previous research has indicated that service members' expression of emotions is positively related to their well-being post-deployment, whereas their avoidance is negatively related. These relationships were reevaluated in the current study. The current …


The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara Mar 2014

The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara

Counseling, School Psychology & Sport Faculty Publication Series

Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …


Coping Similarity And Psychosocial Risk Factors In Couples With Chronic Pain, Amy M. Williams Jan 2014

Coping Similarity And Psychosocial Risk Factors In Couples With Chronic Pain, Amy M. Williams

Wayne State University Dissertations

Chronic pain is an important public health problem that is associated with a host of negative individual and relationship outcomes. Chronic pain is a chronic stressor that both the individual in pain and their spouse must cope with. The current study examined how pain coping similarity within the couple predicted not only patient adjustment, but also spouse adjustment in a longitudinal study. Participants were 108 heterosexual couples in which one partner had chronic pain. The participants completed measures at 3 time points at 6 month intervals. Both the patient and spouse individually completed questionnaires pertaining to their marriage, mood, pain …


Coping With Negative Emotion In Middle Childhood : Relationship To Temperament And Psychopathology, Kristen Uhl Jan 2014

Coping With Negative Emotion In Middle Childhood : Relationship To Temperament And Psychopathology, Kristen Uhl

Legacy Theses & Dissertations (2009 - 2024)

Children are exposed to various stressors throughout development. Research has demonstrated that childhood stressors can negatively affect adjustment, and that children's temperament and coping impact the effects of stress on adjustment. The current study examines children's coping responses to situations eliciting anger, sadness, fear, and worry in a sample of 191 children (102 boys, 89 girls; mean age = 9.57 years, SD=0.57) recruited from a suburban school district. Additionally, the predictive relationship of temperament variables on coping strategy use is explored. Finally, coping and temperament's effect on the development of psychopathology is investigated. Results show that children reported using more …


Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard Jan 2014

Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard

Antioch University Dissertations & Theses

Coping responses develop throughout the lifespan of an individual. Unfortunately for some, difficult life circumstances may lead to the use of maladaptive forms of coping. This study investigated coping responses amongst male incarcerated juvenile offenders and examined which specific mental health symptoms may occur with specific coping responses. The goal of this study was to determine whether male incarcerated juvenile offenders utilize avoidant coping responses over approach coping responses. Also, this study investigated whether specific mental health symptoms, such as depression, anxiety, anger, and disruptive behaviors, were more prevalent amongst those who utilize avoidant coping responses. De-identified, archival data for …


Examining The Moderating Role Of Specific Coping Strategies On The Relationship Between Body Image And Eating Disorders In College-Age Women, Alexandra Calvert Kirsch Jan 2014

Examining The Moderating Role Of Specific Coping Strategies On The Relationship Between Body Image And Eating Disorders In College-Age Women, Alexandra Calvert Kirsch

Master's Theses

A sample of college age women assessed at three time points (Time 1: Baseline, assessed before college, Time 2: End of first semester, Time 3: End of first year of college) completed measures of disordered eating, coping, and body image. Results indicated that neither adaptive (problem-focused coping or social support seeking) nor maladaptive coping styles (active emotional coping or avoidant coping) as measured at Time 1 or Time 2 moderated the significant predictive relationship between body dissatisfaction at Time 1 and disordered eating attitudes at Time 3, when adjusting for disordered eating attitudes and BMI at Time 1. However, significant …


In Their Own Words: Perceived Experiences And Family Functioning Of Suicide Survivors Before And After Suicide Loss, Wendy Shallcross Lam Jan 2014

In Their Own Words: Perceived Experiences And Family Functioning Of Suicide Survivors Before And After Suicide Loss, Wendy Shallcross Lam

PCOM Psychology Dissertations

This research explored the unique experiences of relatives of individuals who have died by suicide, termed suicide survivors, in an in-depth fashion using qualitative methods. Through a semi-structured interview, the present study explored how families dealt with general stress prior to the experience of suicide loss, how they handled the loss of a family member to suicide, and what has been used to cope in the aftermath. A major focus was to explore whether or not the event of suicide dramatically altered family dynamics or if families continued a pre-existing interaction pattern established prior to the loss. The results revealed …


Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost Jan 2013

Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost

PCOM Psychology Dissertations

Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …


The Relation Of Executive Functions To Active Coping Strategies And Internalizing Symptoms In A Community Sample Of African-American Youth, Arie Zakaryan Jan 2013

The Relation Of Executive Functions To Active Coping Strategies And Internalizing Symptoms In A Community Sample Of African-American Youth, Arie Zakaryan

Master's Theses

The purpose of this study is to examine the relations between stressor appraisals, active coping, executive functions, and internalizing symptoms in a community sample of low-income African-American youth. There is a dearth of studies assessing how executive functions influence the connection between coping and internalizing symptoms, notably in community and minority populations. When faced with distressing, uncontrollable settings straining the capacity to self-regulate, youth with executive functioning deficits may encounter greater challenges in coping with stressors. Yet, since typically adaptive active coping strategies do not benefit some youth and can result in negative outcomes, it is important to identify what …


Bereavement Among Urban University Students: The Role Of Meaning Making In Adjustment To Loss, Rebecca L. Norris-Bell Dec 2012

Bereavement Among Urban University Students: The Role Of Meaning Making In Adjustment To Loss, Rebecca L. Norris-Bell

Graduate Doctoral Dissertations

Employing Neimeyer's theory of meaning reconstruction as a guiding framework, this study examined meaning making in a diverse sample of bereaved university students. The aims of this study were to 1) identify types of meanings made about loss, 2) examine socio-demographic and bereavement-related characteristics that might influence meaning making, and 3) investigate associations between types of meanings and post-loss psychological adjustment. Participants were 229 students from an urban commuter university. This was a cross-sectional study, employing self-report data collected on a secure, Web-based system. Participants were 18 years or older and had experienced the loss of a friend or family …


Negative Event Appraisals, Cognitive Processing, And Adjustment, Kristen E. Riley Nov 2012

Negative Event Appraisals, Cognitive Processing, And Adjustment, Kristen E. Riley

Master's Theses

Appraisals of stressful events are linked to their adjustment to those stressful events. Appraisals can include perceptions of an event as threatening, uncontrollable, controllable, central, or challenging (Peacock & Wong, 1990). Many studies have examined effects of these appraisals on adjustment and cognitive processing (Aldwin, 2007; Lazarus, 1993; Tan, Jensen, Thornby, & Anderson, 2005), and a few have suggested that cognitive processing mediates relationships between appraisals and adjustment (Peacock & Wong, 1996). We tested cognitive processing in mediation models between appraisals and adjustment, and compared to active coping, in the context of ongoing stressors. Active coping appears to be particularly …


Coping With Economic Stressors: Religious And Non-Religious Strategies For Managing Psychological Distress, Jonathan Karl Feil Jan 2012

Coping With Economic Stressors: Religious And Non-Religious Strategies For Managing Psychological Distress, Jonathan Karl Feil

All Graduate Theses, Dissertations, and Other Capstone Projects

The current economic downturn has increased concerns over job insecurity and the potential negative effects of job insecurity and other economic stressors for individuals. While there is a great deal of research on traditional (non-religious) methods of coping with work stress (e.g., Latack, 1986), there has been little research concerning the impact of religious methods of coping on mitigating the effects of work-related stressors. This is true even though a significant amount of research has demonstrated that religious coping methods are effective at reducing negative effects of a wide variety of stressors. Specifically, the current study looked at the effectiveness …


Gender Differences In Depressive Symptoms: The Interaction Of Cognitive Avoidance Coping And Specific Stressor Domains During Freshmen Adaptation To College, Daniel Dickson Jan 2012

Gender Differences In Depressive Symptoms: The Interaction Of Cognitive Avoidance Coping And Specific Stressor Domains During Freshmen Adaptation To College, Daniel Dickson

Master's Theses

The first year of college can be a stressful experience that can lead to depressive symptoms in emerging adults. Due to the significant impairments that are associated with depressive symptoms across the lifespan, it is important to understand the elements of the first-year college experience that contribute to depressive affect. The goals of the current prospective study are to examine sex differences in the relationship between life stressors (i.e., social and achievement stressors) and cognitive avoidance coping in the development of depressive symptoms in first-year college students. The findings suggest that although cognitive avoidance is predictive of more depression, there …


Fatherhood And A Partner's Postpartum Depression: Coping, Relationship Satisfaction, Gender Roles, And Empathy, Martha G. Ruiz Jan 2012

Fatherhood And A Partner's Postpartum Depression: Coping, Relationship Satisfaction, Gender Roles, And Empathy, Martha G. Ruiz

Antioch University Dissertations & Theses

The present study focused on assessing differences in new father’s coping styles when living with a partner suffering from symptoms of postpartum depression. It further investigated whether a relationship existed between father’s coping style and their level of relationship satisfaction, empathy, and views on gender. Five fathers, between the ages of 27 and 46 volunteered their participation in this study. Fathers were recruited through their partners from medical and mental health clinics and agencies offering services to new mothers or mothers suffering from symptoms of postpartum depression. The Coping Responses Inventory (CRI) was utilized to determine if differences existed in …


Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato Jan 2011

Does The Quality Of The Patient-Physician Relationship Moderate Predictors Of Poor Adherence In Urban, Underserved And Vulnerable Patients With Chronic Illness?, Laura Russo-Innamorato

PCOM Psychology Dissertations

Escalating prevalence rates and rising economic costs of chronic illnesses necessitate a better understanding of factors affecting patient adherence in the primary care setting. Despite technological advances and evidenced-based treatments, clinical outcomes are often poor. Data drawn from archival data of the “A Healthier You” wellness program designed to serve a predominately underserved population were examined to assess whether or not positive predictors of adherence could moderate the impact of negative predictors such as depression. Limitations of the study methodology precluded significant interpretations but suggested significant discrepancies between patient and physician perceptions of trust in the relationship and the satisfaction …


Responding To Tobacco Craving: Acceptance Versus Suppression, Erika B. Litvin Jan 2011

Responding To Tobacco Craving: Acceptance Versus Suppression, Erika B. Litvin

USF Tampa Graduate Theses and Dissertations

Most treatments for substance use disorders (SUDs) are based on a model that craving is a primary cause of relapse, and therefore they emphasize skills for preventing and reducing craving. Acceptance and Commitment Therapy (ACT) provides a theoretical rationale for "acceptance" of drug-related thoughts and cravings, and proscribes suppression, a more intuitive and commonly used coping strategy. However, it remains largely unknown whether various coping strategies differentially affect craving intensity, drug use behavior, or other relevant outcomes during a craving episode. Using a randomized, between-subjects design (acceptance-based coping, suppression-based coping, or no coping instructions/control), the current study compared the effect …


Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago Jan 2010

Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago

Electronic Theses and Dissertations

This study examined family influences on coping and adjustment among 90 low-income Latino middle school children (46% Female; Average age = 11.38, SD = .66) and their primary caregivers (93% Female; Average age = 36.12, SD = 6.13). All participants identified as Hispanic/Latino, with 75% of families identifying as Mexican-origin Latino, 77% of parents identifying as immigrants, and 32% of children identifying immigrants. All children participating in the study were receiving free or reduced lunch, a poverty indicator. Hierarchical linear modeling analyses revealed that family reframing is related to fewer symptoms of psychopathology and that familism enhances the protective effect …