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Articles 1 - 30 of 54
Full-Text Articles in Counseling Psychology
Building Resilience: Empowering Baccalaureate Nursing Students For Enhanced Well-Being And Success, Jessica Imrie Dnp, Emily Nowak Phd, Roxanne Wilson Phd
Building Resilience: Empowering Baccalaureate Nursing Students For Enhanced Well-Being And Success, Jessica Imrie Dnp, Emily Nowak Phd, Roxanne Wilson Phd
InnovateHER Meeting 2026
Providing baccalaureate students with resilience-building modules such as stress management, mindfulness, optimism, socialization, and reflection can increase psychological well-being and success through a nursing program. It can also decrease the number of meetings faculty have with students regarding psychological concerns
Examining The Relationship Between Executive Functions And Resilience, Joseph W. Toland
Examining The Relationship Between Executive Functions And Resilience, Joseph W. Toland
Electronic Theses, Projects, and Dissertations
The direct and indirect associations of executive functions (EF) and resilience hint towards a strong association between these variables, however there are still gaps in the literature. The current study aims to explore the relationship between EF's (inhibition, shifting, and updating) and resilience. We hypothesize that EF's scores will generally correlate with resilience. Specifically, we hypothesize that inhibition scores will positively correlate to resilience scores. That shifting scores will positively correlate to resilience scores. That updating scores will correlate positively with resilience scores. Finally, the strength of the association between EF's and resilience will change depending on which EF's is …
Living Through Adversity: Understanding Discrimination, Resilience, And Psychological Well-Being Among Filipino Transgender Youth, Allaiza Liz M. Sarino, Athena Christine P. Garcia, Kirsten Jada P. Hinto, Stella P. Go
Living Through Adversity: Understanding Discrimination, Resilience, And Psychological Well-Being Among Filipino Transgender Youth, Allaiza Liz M. Sarino, Athena Christine P. Garcia, Kirsten Jada P. Hinto, Stella P. Go
Sinaya: A Philippine Journal for Senior High School Teachers and Students
Transgender youth continue to face systemic discrimination and social marginalization. These barriers can hinder their development and negatively affect their psychological well-being. However, little is known about the specific ways Filipino transgender youth experience discrimination and develop resilience. To address this gap, this study sought to understand the lived experiences of Filipino transgender youth, focusing on the discrimination they face and the resilience factors that contribute to their psychological well-being. This study employed a descriptive phenomenological approach, utilizing online in-depth interviews with nine transgender youth aged 17 to 23 from Metro Manila, comprising five female-to-male and four male-to-female individuals, who …
Will Anyone Play With Me? Building Resilience Through Community Play With Transgender And Gender Diverse Young Adults, Lee Lebeda
Expressive Therapies Theses
The recent increase in anti-trans legislature in the United States has negatively impacted the mental health of transgender young adults nationwide. Current research suggests that creative expression in a group setting may be uniquely suited to help transgender people combat the negative mental health effects of internalized anti-trans messaging. Based on this research, a community engagement project was designed for transgender young adult participants to explore resilience building through drama therapy-informed community play. Three play-based support groups, facilitated by a drama therapy graduate student who identified as a peer to the participants, were offered to transgender young adults in their …
Resilience Redefined: Exploring The Impact Of Childhood Trauma On The Value Systems Of High-Achieving Corporate Men, Lana B. Henry
Resilience Redefined: Exploring The Impact Of Childhood Trauma On The Value Systems Of High-Achieving Corporate Men, Lana B. Henry
Graduate Theses and Dissertations
This qualitative study employed Interpretive Phenomenological Analysis (IPA) to explore how childhood trauma influences the value systems of high-achieving corporate men. In contemporary corporate culture, where stoicism, performance, and independence are often rewarded, little attention is paid to how early adversity informs internal frameworks of meaning, leadership, and success. Semi-structured interviews were conducted with six high-achieving men, all executives and leaders in high-performing industries, who self-identified as having experienced childhood trauma. Data were analyzed using a six-step IPA process and interpreted through the lens of Schwartz’s Theory of Basic Human Values and social constructivism. Findings revealed that childhood trauma deeply …
Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam
Finding Meaning In Loss: The Role Of Attachment Styles, Coping Strategies, And Resilience, Salma Seyam
Theses and Dissertations
Grief is a deeply personal yet universal experience impacted by personal, social, and cultural factors. The present study examines how attachment styles, coping mechanisms, and resilience impact both grief intensity and the ability to find meaning after a loss, within an Egyptian sample. While previous studies have explored the experience of grief, few have looked at these factors within a Middle Eastern cultural context. A total of 140 bereaved Egyptians who experienced the loss of a loved one within the past three years completed standardized measures assessing grief intensity (Prolonged Grief Disorder-Revised; PG-13-R), coping strategies (Brief COPE), meaning-making (Grief and …
Do Resiliency And Coping Skills Moderate The Relationship Between Mood Disorders And Parenting Styles Due To Parental Relationship Distress?, Tiffany Burks
Electronic Theses and Dissertations
Parental relationship dynamics such as intimate partner violence (IPV), interpersonal distress (IPD), and parental alienation (PA) can significantly affect both mental health and parenting practices. This study examined whether personal strengths, specifically resilience and problem-focused coping, could help buffer these negative outcomes. Correlational analyses showed that IPV, IPD, and PA were positively associated with symptoms of depression and anxiety. IPV and PA were also negatively associated with the use of an authoritative parenting style. In contrast, resilience and problem-focused coping were linked to fewer mood-related symptoms and greater use of authoritative parenting. Multiple regression analyses revealed that IPV significantly predicted …
Hope-Centered Art Therapy Exploring The Emergence Of Relational Narratives In Nurturing Resilience In Children, Niloofar Ojani
Hope-Centered Art Therapy Exploring The Emergence Of Relational Narratives In Nurturing Resilience In Children, Niloofar Ojani
Expressive Therapies Theses
This review examines the importance of hope and resilience in art therapy interventions for children by synthesizing current research on how art therapy can foster hope. The data were collected by reviewing published peer-reviewed journals, book chapters, reflective writing, and artmaking—arts-based research methods. The beginning sections delve deeply into the definition of hope and resilience in the context of adverse childhood experiences, or ACEs. Art therapy acts as a creative medium for fostering these qualities. It is discussed that creative expression contributes to emotional regulation, utilizes therapeutic intra- and inter-relationships as a source of hope, and connects the child with …
"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza
"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza
Expressive Therapies Theses
“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …
Mirrors For Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy, Isabel Medina Hull, Elizabeth Cutrer, Paul H. Ricks, G. E. Kawika Allen, Kendra M. Hall-Kenyon, Lorena Seu, Kristopher J. Urbina, Melia Fonoimoana Garrett
Mirrors For Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy, Isabel Medina Hull, Elizabeth Cutrer, Paul H. Ricks, G. E. Kawika Allen, Kendra M. Hall-Kenyon, Lorena Seu, Kristopher J. Urbina, Melia Fonoimoana Garrett
Faculty Publications
Pacific Islander youth face disproportionately high rates of suicide and mental health challenges, yet culturally appropriate interventions remain scarce. This study investigated whether culturally adapted bibliotherapy could effectively promote resilience in American Samoan children by incorporating culturally relevant stories and coping strategies. Through collaboration with on-island Samoan cultural brokers, we developed and implemented culturally adapted stories and lessons designed to resonate with the experiences of children in American Samoa. The study employed a mixed-methods approach with 34 American Samoan children aged 5–13 years, using observations, adapted card sorts, and forced-choice procedures to measure responses to the intervention. The results demonstrated …
The Effects Of Parenting Styles On Childhood Memories And Resilience Building, Nathaniel Paredes
The Effects Of Parenting Styles On Childhood Memories And Resilience Building, Nathaniel Paredes
Murray State Theses and Dissertations
One of the most significant agents of shaping children early in life is their parental figures. There has been extant research into parenting styles and outcomes later in life. The current study sought to understand how parenting styles can influence the formation of positive and adverse childhood experiences (PCEs and ACEs), which in turn lead to the development of resilience later in life. It was expected that participants who reported higher levels of authoritative parenting would be significantly correlated with higher levels of positive childhood experiences, and lower levels of adverse childhood experiences. Secondly, authoritarian and permissive parenting would be …
Coming Out, Letting Go, Getting Naked: A Community Engagement Arts Based Project, Tim Aumiller
Coming Out, Letting Go, Getting Naked: A Community Engagement Arts Based Project, Tim Aumiller
Expressive Therapies Capstone Theses
Creating a healthy sexual minority identity remains a challenge in the 21st century, despite significant advances in social acceptance and civil rights. Sexual minorities are more likely than cis gender heterosexuals to be exposed to traumatic events, and experience shame and mental and physical health symptoms as a result. Despite this, sexual minorities do overcome obstacles to develop resilience. While the coming out process looks different depending on the background of the individual, many gay men find connection and build community through this often difficult process where even rejection may play a part. The author found connection and community …
Posttraumatic Growth Following Pregnancy Loss, Megan Pinette
Posttraumatic Growth Following Pregnancy Loss, Megan Pinette
Antioch University Dissertations & Theses
Posttraumatic growth (PTG) is positive psychological change that can result from the struggle with trauma or other highly stressful events (Calhoun & Tedeschi, 1999; Calhoun et al., 2010). The aim of this study was to capture the rich narratives of individuals who have experienced pregnancy loss and reported PTG. The narratives of ten participants were investigated to better understand what areas of posttraumatic growth they experienced following this often-devastating loss, as well as the processes that led to this growth. Participants of this study reported experiencing growth in the domains of (a) Relating to Others, (b) Personal Strength, (c) New …
Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd
Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd
Psychology from the Margins
The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …
Sports, Family, And Leadership In Youth: Impacts Of Family Environments And Sport Participation On Youth Leadership Development, Michael Stout
Sports, Family, And Leadership In Youth: Impacts Of Family Environments And Sport Participation On Youth Leadership Development, Michael Stout
Theses and Graduate Projects
This study investigated the effects of family relationships/environment and sport participation on youth leadership development using the 2016 Minnesota Student Survey (MSS) questionnaire. Responses from 9th and 11th graders were used, resulting in 81,885 total participants between the ages of 13 and 19 for this archival, cross-sectional study. This study had two aims: One, to investigate the relationship between family relationships/environment and sport participation, and their impact on youth leadership skills and development; and two, to investigate whether participation in youth sports provides enough scaffolding to foster the development of youth leadership skills despite poor family relationships/environments. Scales …
Developing Resilience Online: Evaluation Of Synchronous And Asynchronous Resilience Interventions For Filipino College Students, Ma. Regina Hechanova, Rosanne M. Jocson, Arsenio S. Alianan, Junix Jerald I. Delos Santos, Jason O. Manaois, Gilda Gomez, Gina R. Lamzon
Developing Resilience Online: Evaluation Of Synchronous And Asynchronous Resilience Interventions For Filipino College Students, Ma. Regina Hechanova, Rosanne M. Jocson, Arsenio S. Alianan, Junix Jerald I. Delos Santos, Jason O. Manaois, Gilda Gomez, Gina R. Lamzon
Psychology Department Faculty Publications
This study evaluated two forms of a resilience intervention amongst college students during the COVID-19 pandemic. Utilising a randomised controlled trial design; it examined the impact of a synchronous and asynchronous resilience interventions versus a control group that did a journaling intervention. Outcomes measured included coping behaviour; non-reactivity; wellbeing; stress; depression and anxiety. Participants consisted of Filipino college students randomly assigned to three groups: synchronous online resilience group (n = 135); asynchronous resilience group (n = 121) and control group (n = 127). Results revealed that students who went through the online synchronous resilience reported a significant reduction in depression …
Differences In Attachment, Resilience, And Negative Affect In Non-Treatment-Seeking And Treatment-Seeking Ems Professionals, Jose Carbajal, Warren Ponder, Lauren Malthaner, Kathryn Shahan, Katelyn Jetelina, Jeanine Galusha, Donna Schuman
Differences In Attachment, Resilience, And Negative Affect In Non-Treatment-Seeking And Treatment-Seeking Ems Professionals, Jose Carbajal, Warren Ponder, Lauren Malthaner, Kathryn Shahan, Katelyn Jetelina, Jeanine Galusha, Donna Schuman
Journal of Social, Behavioral, and Health Sciences
Emergency medical service (EMS) professionals have a stressful vocation, inarguably worsened by the COVID-19 pandemic, which affects their mental health and makes them a vulnerable population warranting further study. However, to date, no published research has compared non-treatment and treatment-seeking EMS professionals in the same greater metropolitan area. In this study, we examined differences and similarities among the non-treatment-seeking EMS professionals (n = 57) from a local EMS agency and treatment-seeking EMS personnel (n = 53) from a non-profit community treatment center on six assessment instruments that measure attachment avoidance, attachment anxiety, resilience, depression, generalized anxiety, posttraumatic stress …
Sexual Minority Thriving: Bouncing Beyond Adversity, Debra Crawford
Sexual Minority Thriving: Bouncing Beyond Adversity, Debra Crawford
Dissertations
Sexual minority individuals continue to face prejudice and discrimination due to their sexual minority identity. However, despite these negative experiences, many sexual minority individuals display resilience and thrive. Most of the literature on sexual minorities focuses on negative aspects of identifying as a sexual minority, rather than the positive qualities that these individuals possess that allow them to persevere. In a sample of 303 sexual minorities, this dissertation contained two studies. Study one investigated if posttraumatic growth mediated the relationship between resilience and thriving and if identity pride and existential anxiety moderated the relationship between resilience and thriving in a …
Humanitarian Workers' Perspectives On Mental Health And Resilience Of Refugee Youth: Implications For School Psychology, Diana Maria Diaków
Humanitarian Workers' Perspectives On Mental Health And Resilience Of Refugee Youth: Implications For School Psychology, Diana Maria Diaków
Graduate Student Theses, Dissertations, & Professional Papers
Almost half of the 79.5 million forcibly displaced persons worldwide are youth under the age of 18, including refugees. Refugee youth face deliberate threats across all migration stages including violence, abuse, exploitation, poor living conditions, limited or no access to healthcare and education, interrupted family structure, and discrimination. Noteworthy, school psychologists who practice in host countries face new challenges as these diverse youth enroll in public schools. During the migration stage, humanitarian workers are a primary source of psychosocial and educational support for refugee youth and their families. Therefore, the aim of this research study was to inform school psychology …
Exploring The Impact Of The Achievement Gap On Shame And Resilience In African American College Students, Brittany R. Thomas
Exploring The Impact Of The Achievement Gap On Shame And Resilience In African American College Students, Brittany R. Thomas
Electronic Theses and Dissertations
The achievement gap refers to the stark difference that occurs between racial or gender groups, as one group performs significantly higher than the other. An achievement gap has the propensity to produce psychological distress, as well as buffering techniques that are necessary for survival and success. Growing research shows that African American college students experience unique levels of trauma, shame, hardship, macro, and micro-aggressions, suggesting that these students learn to self-preserve as early as 10 years old. This study used a Pearson correlation, Independent T-Test, and a Moderated Multiple Regression to explore the impact of the achievement gap on shame …
Spiritual Well-Being - A Proactive Resilience Component: Exploring Its Relationship With Practices, Themes, And Other Psychological Well-Being Factors During The Covid-19 Pandemic In Cism-Trained First Responders, Justine Jaeger, Harvey J. Burnett Jr., Kristen R. Witzel
Spiritual Well-Being - A Proactive Resilience Component: Exploring Its Relationship With Practices, Themes, And Other Psychological Well-Being Factors During The Covid-19 Pandemic In Cism-Trained First Responders, Justine Jaeger, Harvey J. Burnett Jr., Kristen R. Witzel
Faculty Publications
Research suggests spiritual resilience may ameliorate the negative effects of exposure to traumatic events among disaster mental health first responders. Our study examined the relationship between spiritual wellness and associated resilience factors among four groups of first responders (law enforcement, fire services, emergency medical services and 911 dispatchers) trained in Critical Incident Stress Management (CISM) during a global pandemic. Utilizing a mixed methods-survey with transcendental phenomenological design, data was collected from 107 participants with membership in the International Critical Incident Stress Foundation (ICISF) or the Michigan Crisis Response Association (MCRA). Participants completed the Connor-Davidson Resilience Scale, Spiritual Well-Being Scale-Shortened Version, …
Emotional Intelligence, Resilience, And Stress Among Women In Treatment For Substance Disorders, Zummuna Zonzanna Davis
Emotional Intelligence, Resilience, And Stress Among Women In Treatment For Substance Disorders, Zummuna Zonzanna Davis
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) is the ability of an individual to perceive, use, comprehend, and regulate emotions. While relationships between EI and risk of drug abuse have been explored, possible mechanisms through which higher EI may serve as a protective factor remain undefined; there was a need to understand how EI was related to stress among women with substance use disorders. The purpose of this study was to examine resilience as a mediator between EI and stress, a risk factor, among women in treatment for chemical dependency. The theoretical framework for this study was based on Salovey and Mayer’s EI model. …
Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk
Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk
Walden Dissertations and Doctoral Studies
Women living in public housing projects experience adverse outcomes because they do not seek treatment for mental illness. It is unclear whether such women have attitudes toward voluntarily accessing mental healthcare services affected by their optimism, experienced stigma, self-efficacy, and resilience. The purpose of this quantitative study was to determine whether the individual determinants of resilience, self-efficacy, experienced stigma, and optimism predicted attitudes toward seeking professional mental health services of women living in public housing based on the self-efficacy, resilience, stigma, optimism, and help-seeking behavior theories. The first research question focused on bivariate correlations among resilience, self-efficacy, experienced stigma, and …
An Association Between Perceived Social Support And Posttraumatic Stress Symptom Severity Among Women With Lifetime Sexual Victimization: The Serial Mediating Role Of Resilience And Coping, Michiyo Hirai, Ruby Charak, Laura D. Seligman, Joseph D. Hovey, John M. Ruiz, Timothy W. Smith
An Association Between Perceived Social Support And Posttraumatic Stress Symptom Severity Among Women With Lifetime Sexual Victimization: The Serial Mediating Role Of Resilience And Coping, Michiyo Hirai, Ruby Charak, Laura D. Seligman, Joseph D. Hovey, John M. Ruiz, Timothy W. Smith
Psychological Science Faculty Publications
This study examined the association between perceived social support and severity of posttraumatic stress symptoms, serially mediated by resilience and coping among women exposed to different patterns of sexual victimization experiences: childhood sexual abuse (CSA) only, adult sexual assault (ASA) only, and sexual revictimization (SR). A total of 255 sexually victimized women recruited from four U.S. universities completed self-report measures online; 112 participants reported provisionally diagnosable levels of symptoms of posttraumatic stress disorder (PTSD). The proposed model was largely supported in the CSA only group and the SR group. Different patterns of mediational effects were found across the three groups. …
The Nigerian-American Immigration Experience: Overcoming Adversity Through Resilence., K. Chinwe Idigo
The Nigerian-American Immigration Experience: Overcoming Adversity Through Resilence., K. Chinwe Idigo
Electronic Theses and Dissertations
Nigerian-Americans are a fast-growing population in the United States, when compared to other immigrant groups. Despite growing numbers there is limited empirical research examining pathways that facilitate success among this immigrant population. This study addresses the dearth in literature by proposing and testing a modified ABCX model of family resilience among Nigerian-Americans. It is hypothesized that similar to other immigrant, and racial/ethnic minority groups in the United States, NigerianAmericans employ protective factors such as ethnic identity and resilience to buffer the effects of acculturative stress and perceived discrimination on well-being and psychological distress. Regression analyses suggest some consistency with the …
Cultural Wealth Of First-Generation College Students And Its Effects On Well-Being, Persistence, And Major Satisfaction, Eve M. F. Sussman
Cultural Wealth Of First-Generation College Students And Its Effects On Well-Being, Persistence, And Major Satisfaction, Eve M. F. Sussman
Electronic Theses and Dissertations
Although understanding of FGCS’s success in higher education has been enhanced over the last decade, less is known about their career and educational development, and how their strengths and assets promote college success. The purpose of this study was to explore the relations between first-generation college student (FGCS, [N= 130]) cultural wealth variables, work volition, and outcomes (i.e., academic major satisfaction, persistence, and well-being) using the Critical Cultural Wealth Model (CCWM; Garriott, 2020). Results of regression analyses partially supported CCWM propositions. Significant, positive correlations were observed between resilience and work volition, academic major satisfaction, and well-being. Significant, positive …
An Integrated Exploration Of The Contextual, Relational, And Individual Factors That Impact High School Completion Among African Americans, Lesley B. Winchester
An Integrated Exploration Of The Contextual, Relational, And Individual Factors That Impact High School Completion Among African Americans, Lesley B. Winchester
Theses and Dissertations
African American students are consistently reported as having among the lowest high school graduation rates when compared to other races (U.S. Department of Education, 2018). While many studies have sought to explore the potential risks of high school dropout, the intention of this study is to examine the factors that support the exemplary resilience of those students who do complete high school. The present study adopts the framework of García Coll et al.’s, (1996) integrative model of developmental competencies in minority children, as it seeks to identity whether and how contextual (spiritual, educational, cultural); relational (caregiver psychological and physical …
Examining Protective Factors That Promote Resilience Among Children With An Incarcerated Parent, Celeste A. Jackson
Examining Protective Factors That Promote Resilience Among Children With An Incarcerated Parent, Celeste A. Jackson
Dissertations
Children of incarcerated parents (CIP) represent one of the most vulnerable, at-risk populations in the United States (Johnston, 1995). Best estimates suggests there are 2.7 million children with an incarcerated parents and African-American children are disproportionately represented at a figure of 1 in 9 children (Glaze & Maruschak, 2008). Much of the research attempting to understand this population and guide intervention efforts has employed a deficit-based approach, highlighting the plethora of adverse risk factors and negative outcomes associated with being the child of an incarcerated parent. This approach fails to acknowledge the presence of resilience inherent in these youth. The …
Book Review: Option B: Facing Adversity, Building Resilience, And Finding Joy, Ammon Kou
Book Review: Option B: Facing Adversity, Building Resilience, And Finding Joy, Ammon Kou
Marriott Student Review
No abstract provided.
Student Wellbeing Matters! Use Positive Psychology Interventions To Help Your Students Achieve And Succeed., Andrea A. Francis
Student Wellbeing Matters! Use Positive Psychology Interventions To Help Your Students Achieve And Succeed., Andrea A. Francis
National Youth Advocacy & Resilience Conference
Positive Psychology Interventions (PPI), grounded in the psychological theory of Wellbeing (Seligman, 2002) are pathways to a life of purpose and meaning. Each intervention is proved to not only reduce anxiety and increase optimism, but to create protective factors needed to cope with stress, anxiety and trauma.