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Full-Text Articles in Clinical Psychology

Impact Of Interparental Conflict And Maternal Attachment On College Students’ Social Anxiety And Emotional Regulation, Kendra Ostermeier Jan 2024

Impact Of Interparental Conflict And Maternal Attachment On College Students’ Social Anxiety And Emotional Regulation, Kendra Ostermeier

Masters Theses

The potential impact that interparental conflict experienced during adolescence can have subsequently on college students was examined. The literature has demonstrated a positive relationship between interparental conflict and emotional dysregulation (Schwarz et al., 2012) and social anxiety (Adare et al., 2021). Maternal attachment was examined as a mediator of this relationship, as El-Sherkiah and Elmore-Staton (2004) identified it as a mediator between martial conflict and negative child outcomes. Specifically, this study examined the relationship between interparental conflict with social anxiety and emotional dysregulation. Additionally, this study examined maternal attachment as a mediator of those relationships. Interparental conflict was correlated positively …


Transitions In Patterns Of Substance Use During Early Adolescence: Bidirectional Associations With Externalizing Behaviors, Courtney B. Dunn Jan 2024

Transitions In Patterns Of Substance Use During Early Adolescence: Bidirectional Associations With Externalizing Behaviors, Courtney B. Dunn

Theses and Dissertations

Early adolescents who engage in polysubstance use, defined as the use of three or more different substances, are at particularly high risk of future substance use disorders and adverse psychosocial outcomes. However, little is known about the development of substance use patterns during early adolescence, particularly among youth living in urban settings. Although theory and research suggest that youth with greater externalizing behaviors (e.g., aggression, delinquent behavior) may be more likely to escalate to polysubstance use at an early age, few studies have examined bidirectional relations between externalizing symptoms and polysubstance use. The goal of this study was to (a) …


Adhd Symptoms As A Moderator For The Relationship Between Childhood Maltreatment And Adolescent Delinquency, Demy Alfonso Jan 2024

Adhd Symptoms As A Moderator For The Relationship Between Childhood Maltreatment And Adolescent Delinquency, Demy Alfonso

Graduate Research Theses & Dissertations

Childhood maltreatment (i.e., physical abuse, emotional abuse, and neglect) has consistently been shown to be a significant predictor of engagement in subsequent delinquent behaviors during adolescence. ADHD symptoms have also been shown to be both a risk factor for experiencing childhood maltreatment, as well as a potential consequence of having been exposed to maltreatment. Additionally, concurrent symptoms of ADHD and experiences of maltreatment are significantly associated. ADHD symptoms have also been shown to be related to delinquency. Further, research has found that the prevalence of these difficulties (e.g., ADHD symptoms, delinquent behaviors) may differ according to an individual’s gender. The …


Legal Pressure To Attend Substance Abuse Treatment, Angelicia Courteau Jan 2024

Legal Pressure To Attend Substance Abuse Treatment, Angelicia Courteau

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

This paper was written to bring awareness of how the legal system does not take into consideration those who suffer from substance use disorder, as well as ACEs. Brian Luke Burijon’s battle with addiction while incarcerated was used as an example of how the legal system’s one-size-fits-all approach is flawed. Mr. Burijon opted for a treatment he did not feel was ideal for him because the alternative was to remain incarcerated for a long period. Mr. Burijon was unable to tolerate the treatment at the facility and left early, which resulted in his overdose death.


Autism Clinicians' Bias In Detecting Female-Typical Rrbi In Young Children, Megan Young Jan 2024

Autism Clinicians' Bias In Detecting Female-Typical Rrbi In Young Children, Megan Young

Scripps Senior Theses

With four times as many boys than girls diagnosed with autism, psychologists must investigate whether this is due to an intrinsic difference or gender bias. This proposed study aims to evaluate autism clinicians’ bias in detecting restrictive and repetitive behaviors and interests (RRBI) in young children by presenting autism specialists with a vignette depicting one of four children, depicting either the male or female autism phenotype, and a masculine or feminine name. Gender of child and phenotypic presentation is expected to have a significant effect on detection and identification such that feminine names presenting with the Female Autism Phenotype (FAP) …


Autism-Related Support Services On Mental Health And University Connectedness, Adeline E. P. Rogers Jan 2024

Autism-Related Support Services On Mental Health And University Connectedness, Adeline E. P. Rogers

Scripps Senior Theses

College is notoriously challenging, with many student concerns associated with adapting to the new expectations for lifestyle, workload, and socializing that come with transitioning to college and/or university (Gelbar et al., 2015). For college students with autism spectrum disorder (ASD), the impact of these changes can be far more challenging, as their needs can be different from their neurotypical peers. This study implemented an online survey to gather data on autistic students’ feelings of depression, anxiety, stress, university connectedness, experiences with university autism support programs, and basic demographics. Unfortunately, the results found from this study were contaminated by a large …


Exploring The Therapeutic Relationship In Mental Health Therapy With Queer And Disabled Adults, Rachel Womack Jan 2024

Exploring The Therapeutic Relationship In Mental Health Therapy With Queer And Disabled Adults, Rachel Womack

Theses and Dissertations--Social Work

Queerness and disability have been shown to be intimately connected, with members of the LGBTQIA+ community significantly more likely to identify as disabled compared to the general population. Though there are roughly 3-5 million queer and disabled individuals living in the United States, this remains a multiply marginalized and understudied population. Owing partially to stigma, minority stress, and discrimination, these individuals face an increased risk of a variety of mental health problems including depression, anxiety, self-harm, PTSD, and suicidality. Additionally, several barriers to mental health treatment exist, including inaccessible services, lack of provider knowledge, and outright discrimination from providers. Though …


A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi Jan 2024

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …


Investigating The Novel Effects Of First-Time Wim Hof Breathing: An Experimental Study, Yuhan Kong Jan 2024

Investigating The Novel Effects Of First-Time Wim Hof Breathing: An Experimental Study, Yuhan Kong

CMC Senior Theses

Breathwork, or voluntary controlled breathing exercise, is central around the world for spiritual and well-being purposes. Most extant research has focused on slow breathing techniques and has found a range of benefitsin physiological (e.g., increase in parasympathetic tone) and psychological (e.g., reduction in depression, anxiety, stress) outcomes. Less explored is fast-paced breathwork, which may also be beneficial for mental and physical health. Wim Hof Breathing (WHB), a novel breathing technique that gained popularity in recent years, has been claimed to have a range of health benefits, including improving mental health, autonomic regulation and cardiovascular functioning. However, very limited scientific studies …


Adolescent Bereavement And Resilient Outcomes: A Comprehensive Analysis, Jenna Holmes Jan 2024

Adolescent Bereavement And Resilient Outcomes: A Comprehensive Analysis, Jenna Holmes

CMC Senior Theses

This thesis explores the complexities of adolescent bereavement and factors that improve resilience. Bereavement in adolescence is particularly difficult and complicated because it occurs during a crucial developmental period, and maladaptive coping during this time has been linked to many negative outcomes. This review covers three different theoretical models (i.e., Model of Adolescent Grieving, Multidimensional Grief Theory, and the Contextual Resilience Model for Bereaved Adolescents) of adolescent bereavement and compares their strengths and weaknesses. The importance of promoting resilience and healthy bereavement is underscored, followed by a discussion of how the type of loss (e.g., parent, sibling, and friend), different …


Psychological Effects Of Solitary Confinement, Asia Mclemore Jan 2024

Psychological Effects Of Solitary Confinement, Asia Mclemore

CMC Senior Theses

This thesis critically examines the controversial practice of solitary confinement (SC) in correctional facilities, aiming to elucidate its profound impact on the mental well-being of incarcerated individuals. Through a comprehensive review of empirical studies, theoretical frameworks, and case analyses, it explores the psychological, cognitive, emotional, behavioral, and physical responses of inmates subjected to prolonged isolation, revealing the intricate interaction between environmental deprivation and psychological distress. Key themes investigated include the induction and exacerbation of mental health conditions, including symptoms akin to post-traumatic stress disorder (PTSD), and the conflicting effects of SC on institutional order. Furthermore, the study evaluates the ethical …


Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz Jan 2024

Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz

Theses and Dissertations

Cognitive and behavioral rigidity is observed across several mental disorders and is a defining characteristic of Obsessive-Compulsive Personality Disorder (OCPD), a highly prevalent and debilitating, yet understudied, disorder. In particular, treatments for OCPD are underdeveloped due to our poor understanding of the mechanisms leading to the disorder’s key feature of rigidity. Two related disorders, anorexia nervosa (AN) and obsessive-compulsive disorder (OCD), have shown distinct mechanistic pathways leading to symptoms of rigidity, indicating that this trait can arise as a result of a number of differentially impaired cognitive processes, each requiring unique interventions. To examine the relationship between symptoms of OCPD …


Religious And Spiritual Struggles Among Satanists, Trevor Flick Jan 2024

Religious And Spiritual Struggles Among Satanists, Trevor Flick

All Graduate Theses, Dissertations, and Other Capstone Projects

As Satanism represents a unique religious demographic, the present study sought to determine the prevalence of religious and spiritual struggles among modern Satanists and resulting anxiety or depressive symptoms. A sample of 693 self-identified Satanists were surveyed about their experiences of religious and spiritual struggles, perceptions of their Satanist identity, and anxiety and depressive symptoms. Results indicated that Satanists predominantly struggle with interpersonal and ultimate meaning struggles. Ultimate meaning and moral struggles were predictive of both anxiety and depressive symptoms. Interpersonal struggles also predicted anxiety symptoms. Individual perceptions of Satanist identity did not have a significant influence on the relationship …


The Effects Of Physical And Emotional Child Abuse On Social Functioning, And Help Seeking Behaviors In Adulthood, Beatrice Chambers Jan 2024

The Effects Of Physical And Emotional Child Abuse On Social Functioning, And Help Seeking Behaviors In Adulthood, Beatrice Chambers

Master's Theses or Doctor of Nursing Practice

Child abuse is very common in today’s society, and of great social concern. Reports indicate at least one in seven children have experienced child abuse or neglect in the past year in the United States. Further, in 2020, 1,750 children died of abuse and neglect in the United States alone. The number may be even higher since not every victim who died from abuse would have that indicated as the cause of death (Center for Disease Control and Prevention, 2022a). The purpose of the current study was to investigate the effects of physical and emotional child abuse on social functioning …


Cognitive Fusion, Self And Other-Blame, And College Adjustment Outcomes, Olivia B. Tipton Jan 2024

Cognitive Fusion, Self And Other-Blame, And College Adjustment Outcomes, Olivia B. Tipton

Master's Theses or Doctor of Nursing Practice

College students from socioeconomically challenging backgrounds are more likely to drop out of college before being awarded a bachelor’s degree. A challenging background predicts difficulties in emotion regulation, which may affect adjustment to college and, subsequently, persistence in college until a bachelor’s degree is awarded. Previous research has identified cognitive fusion, a state in which one unquestioningly believes the literal content of their thoughts, and inflexible usage of self and other-blame as predictors of negative social, psychological, and academic outcomes. The present study used self-report data collected from emerging adult college students at a small midwestern university to assess whether …


The Effects Of Affiliation, Proximity To Suicide, And Religiosity On Suicide Acceptance, Lindsey M. Gack Jan 2024

The Effects Of Affiliation, Proximity To Suicide, And Religiosity On Suicide Acceptance, Lindsey M. Gack

Master's Theses or Doctor of Nursing Practice

As suicide becomes increasingly more prominent in the lives of people, research is being conducted to investigate causes, prevention, and even opinions on the topic. The impact of religious affiliation and religiosity on people’s acceptance of suicide was investigated in the current study. This was examined by using The Religious Commitment Inventory-10 (RCI-10; Worthington et al., 2003), the Semantic Differential Scale Attitudes Towards Suicidal Behavior (SEDAS; Jenner & Niesing, 2000), and the Proximity to Suicide Scale (PSS; self-constructed). Results indicated that a higher religiosity score was correlated with a more understanding viewpoint of an attempted/committed suicide. Results also showed that …


Life Satisfaction In Motherhood: The Influence Of Mindfulness On Life Stressors, Shyann Schumacher, Shyann M. Schumacher Jan 2024

Life Satisfaction In Motherhood: The Influence Of Mindfulness On Life Stressors, Shyann Schumacher, Shyann M. Schumacher

Master's Theses or Doctor of Nursing Practice

Motherhood can be a stressful and highly demanding role. With the challenges a mother faces, many factors can influence satisfaction a mother experiences in their life. Within the many roles mothers play throughout their lives, mindfulness is found to benefit both women and their children and positively influence mothers’ relationships with their children or partner. This study investigated the role of mindfulness within life satisfaction among mothers’ experiences by examining levels of social support, mother’s age, work-life balance, and socioeconomic status as predictors of life satisfaction when moderated by mindfulness. Participants were sampled through social media including Facebook and Instagram. …


Exploring Psychological Factors Behind Consideration Of Cosmetic Surgery Through The Lens Of Social Comparison Theory, Noriene Verma Jan 2024

Exploring Psychological Factors Behind Consideration Of Cosmetic Surgery Through The Lens Of Social Comparison Theory, Noriene Verma

Master's Theses or Doctor of Nursing Practice

Cosmetic surgery refers to an extreme form of appearance modification whose sole purpose is to improve the appearance of the chosen area. Despite psychological concerns associated with repeated perform of cosmetic surgery, rates of cosmetic procedures are likely to increase in the coming years (American Society of Plastic Surgeons, 2020) and it warrants the need to study the potential motivators that encourage someone to opt for such procedures. Motivators of cosmetic surgery explored in this study are social media usage and self-esteem through the lens of Social Comparison Theory. Social comparison theory can explain the mechanisms behind one’s desire to …


Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago Jan 2024

Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago

PCOM Psychology Dissertations

Research with veterans suggests executive dysfunction associated with PTSD often results in problems with quality of life. Objective impairments in executive functions do not significantly correlate with subjective reports; despite this discrepancy, the perception of dysfunction impacts quality of life. Research indicates that perception of chaos/unpredictability can undermine the ability to perform executive functions. This study explored how the perception of chaos impacts the relationship between PTSD and subjective executive dysfunction and quality of life among veterans. A Pearson product-moment correlation was used to determine whether a relationship exists between PTSD symptomatology and subjective executive dysfunction and between subjective executive …


Loss Of Mooring And Acculturational Resilience: Understanding Resilience, Adversity, And Trauma Among Female Muslim Arab Refugees In The United States: A Qualitative Study, Norah Fahad Aldawsari Jan 2024

Loss Of Mooring And Acculturational Resilience: Understanding Resilience, Adversity, And Trauma Among Female Muslim Arab Refugees In The United States: A Qualitative Study, Norah Fahad Aldawsari

PCOM Psychology Dissertations

The phenomenon of resilience is found in the literature reviews of trauma and is considered an important element in overcoming adversity and traumas (Brown, 2015; Civan Kahve et al., 2021; Saul, 2022). Resilience is considered to be a cultural, contextual, and historical concept, and its conceptualization, illumination of influential factors, and identification of coping strategies can be considered unique from one culture to another (Saul, 2022). Many research studies highlight the importance of resilience when coping with adversity and trauma, as well as incorporating a strength-based therapeutic approach. This approach incorporates one’s social and communal interventions and elements and cultural …


The Non-Standardization Of Attention Deficit Hyperactive Disorder: A Call To Action, Gabriel L.S Gomez Jan 2024

The Non-Standardization Of Attention Deficit Hyperactive Disorder: A Call To Action, Gabriel L.S Gomez

Psychology Doctoral Specialization Projects

Attention Deficit Hyperactive Disorder (ADHD) is one of the most diagnosed disorders in adults and children, yet there is no standardized method to assess for ADHD. The similarity of symptoms shared across other disorders (comorbidity) makes the assessment of ADHD a very delicate process. This is not aided by the fact that the assessment of ADHD is not standardized. This allows individuals able to assess for ADHD to give a test or a combination of tests that they find fitting. This in turn brings into question the quality of testing and disagreement in diagnosing across fields. Lastly, ADHD-focused measures typically …


The Suicide Gene: Examining The Environmental And Genetic Impact Of Someone Who Is Suicidal, Casey Allen Jan 2024

The Suicide Gene: Examining The Environmental And Genetic Impact Of Someone Who Is Suicidal, Casey Allen

Psychology Doctoral Specialization Projects

Abstract

The progress of suicide focused research has been tremendous in recent years. There have been many theories posed that are foundational in understanding suicide. This project will examine the genetic and environmental impact of suicide. Serotonin, family heritability, twin studies, adoption studies, candidate genes, and genetic transmission of psychiatric disorders are key topics in the role genetics plays in suicide. Suicide has impacted many lives across the world. Survivors of suicide face stigma, trauma related symptoms, grief, and a whole host of other experiences. Suicide also poses a threat to the social, physical, spiritual, emotional, and psychological well-being on …


Loneliness Is The Nucleus For Psychopathology: Relationships With Cognitive, Social, And Personality Disorders, Natalie S. Byrd Jan 2024

Loneliness Is The Nucleus For Psychopathology: Relationships With Cognitive, Social, And Personality Disorders, Natalie S. Byrd

Soaring: A Journal of Undergraduate Research

Loneliness is not just a phenomenon observed in clinical practice but is a core issue in the study of mental disorders more broadly – psychopathology. Loneliness is the key to the study of all mental disorders as many have shown significant relation to loneliness either as a risk factor for developing or maintaining the disorder, or as a co-occurring condition of the disorder. In other words, loneliness is both a cause and a consequence of mental illness. Specifically, this review explores the relationships of loneliness in cognitive disorders (Alzheimer’s disease, schizophrenia, and major depressive disorder), social disorders (social anxiety disorder, …


Antisocial Personality Disorder And Trauma In Females, Marissa Lange Jan 2024

Antisocial Personality Disorder And Trauma In Females, Marissa Lange

Doctor of Psychology (PsyD)

Antisocial personality disorder (ASPD) is a diagnosis reserved for individuals who feature deceitfulness, impulsivity, aggressiveness, recklessness, and irresponsibility. Evidence suggests that experiencing trauma is an etiological factor in developing antisocial traits in males. The prevalence of ASPD in the U.S. is three to one, male to female. However, research indicates females are substantially underdiagnosed due to exclusionary diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.-Text Revised; DSM-5-TR; American Psychiatric Association, 2013). The Personality Assessment Inventory (PAI) is a personality measure that features a conceptualization of ASPD that differs from the DSM-5-TR and includes more personality-specific …


The Effect Of Completing The Ace Questionnaire On Electrodermal Activity, Nicholas P. Cherry Jan 2024

The Effect Of Completing The Ace Questionnaire On Electrodermal Activity, Nicholas P. Cherry

Doctor of Psychology (PsyD)

The adverse childhood experience (ACE) questionnaire assesses the number of traumatic experiences during childhood and has been shown to predict negative health outcomes associated with more adverse events during childhood (Felitti et al., 1998; Mersky et al., 2013). While studies have examined the immediate impact of recent traumas on the individual’s physiology, few have examined the effect of administering questionnaires about past adverse events. This study utilized electrodermal activity to measure sympathetic nervous system activity while participants completed the ACE questionnaire compared to participants who completed a benign survey. Half of the ACE questionnaire participants were given a verbal prompt …


Waking The Nightmare: Understanding The Relationship Between Trauma And Sleep In Children, Jacklyn Ewald Jan 2024

Waking The Nightmare: Understanding The Relationship Between Trauma And Sleep In Children, Jacklyn Ewald

Doctor of Psychology (PsyD)

This clinical dissertation expands upon previous research investigating the impact of trauma on children’s sleep quality. Prior research utilized subjective reports of trauma’s impact on sleep in children or objective measures which studied a specific traumatic event. This study used objective measures through cardiopulmonary coupling to study sleep in children with trauma exposure. Participants completed a questionnaire which included the Pediatric Adverse Childhood Experiences (ACEs) and Related Life Events Screener (PEARLS) or Adverse Childhood Experience (ACE) questionnaire, Pediatric quality of life scale, the Children’s Sleep Habits Questionnaire, and demographic information. Trauma was defined by endorsement of any items on the …


Impact Of Atheist Identity Disclosure On Experience Of Microaggressions In Therapy, Kimaya Khanolkar Jan 2024

Impact Of Atheist Identity Disclosure On Experience Of Microaggressions In Therapy, Kimaya Khanolkar

All Graduate Theses, Dissertations, and Other Capstone Projects

Khanolkar, Kimaya. (2024). Impact of Atheist Identity Disclosure on Experience of Microaggressions in Therapy [Master’s thesis, Minnesota State University, Mankato]. Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. https://cornerstone.lib.mnsu.edu/etds/1453/


Family Context And Executive Functioning In Preschool-Age Children, Kristin Aho Jan 2024

Family Context And Executive Functioning In Preschool-Age Children, Kristin Aho

Master's Theses and Doctoral Dissertations

Executive functioning is predictive of school readiness, successful life endeavors, and other positive outcomes. The literature frequently explores how child executive functions are associated with characteristics of mother-child interactions as well as adverse environmental conditions such as poverty and chronic stress. Fewer studies, however, have taken a more nuanced approach to understanding how features of the immediate environment, such as family context, help or hinder the development of executive functions in young children. To address this gap, the current study explored how aspects of family context are associated with executive performance in a sample of preschool-age children. Specifically, the study …


The Role Of Bicultural Identity Integration In The Relationship Between Discrimination And Well-Being, Jasmine Chananna Jan 2024

The Role Of Bicultural Identity Integration In The Relationship Between Discrimination And Well-Being, Jasmine Chananna

Master's Theses and Doctoral Dissertations

Previous research indicates that experiencing discrimination from dominant group members and having a less integrated bicultural identity are associated with negative psychological outcomes for bicultural individuals. Further, bicultural identity integration (BII) has also been found to mediate the relationship between discrimination from dominant group members and well-being. However, there is insufficient research exploring the impact of discrimination from one’s heritage group members. Thus, this study aimed to explore the impact of in-group discrimination on psychological adjustment and self-concept clarity. This study also aimed to explore BII as a mediator between in-group or out-group discrimination and psychological outcomes. Correlational analyses supported …


“We Gon’ Be Alright”: How Resiliency & Africultural Coping Behaviors Factor Into African American College Students’ Intentions To Seek Mental Health Services, Taylor Garland Jan 2024

“We Gon’ Be Alright”: How Resiliency & Africultural Coping Behaviors Factor Into African American College Students’ Intentions To Seek Mental Health Services, Taylor Garland

Master's Theses and Doctoral Dissertations

Background: African Americans, apprehension toward utilizing mental health services (MHS) has a long history in the United States. The low rates of utilizing MHS can result in detrimental health consequences, both mental and physical, despite there being a developing literature base on how evidence-based treatments are effective in therapy with African Americans.

Objective: There is expansive literature on several factors (e.g., stigma, cultural mistrust) that contribute to African Americans’ hesitancy concerning seeking MHS. The current study aimed to add to this literature base. Specifically, this study sought to acknowledge both African American college students’ choices to use alternative coping strategies …