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Full-Text Articles in Health Psychology

Exploring The Occupation Of Education Of Children With Undocumented Immigrant Parents, Denise Perez, Susan Macdermott, Jazminne Orozco Arteaga Apr 2024

Exploring The Occupation Of Education Of Children With Undocumented Immigrant Parents, Denise Perez, Susan Macdermott, Jazminne Orozco Arteaga

Spring 2024 Virtual OTD Capstone Symposium

This research study highlights the detrimental effects of family separations on children's well-being, academic performance, and long-term outcomes. It emphasizes the urgent need for research on the mental health effects of immigration policies on children at risk of parental deportation. A qualitative research study was used to understand the experiences and challenges of adults with undocumented immigrant parents during various stages of schooling. The research utilizes the Kawa model to explore emotional factors and barriers affecting students' occupational engagement in an educational setting. The study aims to identify supports and barriers to school engagement for students with undocumented immigrant parents, …


Recentering Psych Stats, Lynette Bikos Aug 2023

Recentering Psych Stats, Lynette Bikos

Faculty Open Access Books

To center a variable in regression means to set its value at zero and interpret all other values in relation to this reference point. Regarding race and gender, researchers often center male and White at zero. Further, it is typical that research vignettes in statistics textbooks are similarly seated in a White, Western (frequently U.S.), heteronormative, framework. ReCentering Psych Stats seeks provide statistics training for psychology students (undergraduate, graduate, and post-doctoral) in a socially and culturally responsive way. All lessons use the open-source statistics program, R (and its associated packages). Each lesson includes a chapter and screencasted lesson, features a …


Life Satisfaction And Psychological And Physical Well-Being, V. Krishna Kumar, Jasmin Tahmaseb-Mcconatha Mar 2023

Life Satisfaction And Psychological And Physical Well-Being, V. Krishna Kumar, Jasmin Tahmaseb-Mcconatha

College of the Sciences & Mathematics Faculty Books

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health-Related Quality of Life and Well-Being". It showcases a review and empirical studies on life satisfaction and its related aspects. The studies are from several countries on a wide range of samples including university students, faculty, nurses, entrepreneurs, adolescents, national databases, refugees, and community samples

Prof. Dr. V. K. Kumar
Prof. Dr. Jasmin Tahmaseb-McConatha
Guest Editors


Measurement And Scale Development Skills For Public Health Doctoral Scholars, Manoj Sharma Feb 2023

Measurement And Scale Development Skills For Public Health Doctoral Scholars, Manoj Sharma

UNLV Best Teaching Practices Expo

Web-based synchronous teaching is gaining popularity all over the world. In web-based synchronous teaching, both pedagogical robustness and the building of content expertise are mandatory. I taught a new doctoral course, HED 763 Measurement and Scale Development in Social and Behavioral Health in the Spring of 2022. The specific teaching techniques that I used were (a) enhanced pedagogical features that included delivery as web-based synchronous, organizing the course in Canvas and making it available from day 1, recording all lectures beforehand in Panopto, utilizing case studies, employing WebEx and its breakout sessions feature, guest lectures, and having weekly skill-building activities …


Community Healthcare Providers’ Perspectives On Hiv Pre-Exposure Prophylaxis (Prep) Use Among Black Women, Kayla Pitchford, Sylvia Shangani, Charlotte Dawson, Kristin Heron Jan 2023

Community Healthcare Providers’ Perspectives On Hiv Pre-Exposure Prophylaxis (Prep) Use Among Black Women, Kayla Pitchford, Sylvia Shangani, Charlotte Dawson, Kristin Heron

College of Sciences Posters

The most at-risk population among women for HIV diagnosis in the U.S. are Black women, who account for 61% of all new HIV cases. Pre-exposure prophylaxis (PrEP) is a safe and effective HIV prevention method for people at risk of HIV acquisition. Despite being disproportionately affected by HIV, Black women’s knowledge, perceived benefits, and uptake of PrEP remain low. The socio-ecological model may be useful for understanding why there is a low uptake of PrEP among Black women by examining the complex interplay between individual, relationship, community, and societal factors. The current study used the socio-ecological framework to explore provider …


The Scientific Study Of Positive Psychology, Religion/Spirituality, And Physical Health, Kevin S. Masters, Julia K. Boehm, Jennifer M. Boylan, Kaitlyn M. Vagnini, Christina L. Rush Jan 2023

The Scientific Study Of Positive Psychology, Religion/Spirituality, And Physical Health, Kevin S. Masters, Julia K. Boehm, Jennifer M. Boylan, Kaitlyn M. Vagnini, Christina L. Rush

Psychology Faculty Books and Book Chapters

Humans have long been interested in relations among religion/spirituality (R/S), positive psychological constructs, and physical health. Furthermore, many religions attempt to influence behavior through health-related prescriptions about food choices, sexual activity, substance use, and resting. Similarly, positive psychological constructs have been discussed in light of their presumed benefits on both mental and physical health (Ryff & Singer, 1998). However, R/S and positive psychological constructs have only recently become objects of scientific investigation of their associations with physical health.


Can We Predict Who Tries E-Cigarettes?, Samantha A. Fitzer, Joe Flores, James M. Henson Jan 2023

Can We Predict Who Tries E-Cigarettes?, Samantha A. Fitzer, Joe Flores, James M. Henson

College of Health Sciences Posters

Background: Since the emergence of e-cigarettes in the United States in 2007, the aerosol-delivery devices have become the most commonly used tobacco product among U.S. youth. This trend puts decades of work deterring young people from cigarettes in jeopardy and increases the risk of exposing a new generation of young people to nicotine. Researchers need to know what behaviors to target and who is at greatest risk in order to act upon the U.S. surgeon general’s 2018 call to action.

Method: This study examined a variety of factors that have the potential to differentiate college students on their e-cigarette use. …


The Role Of Child Life Specialists In Community Settings: Chapter 6: Prison, Genevieve Lowry Jan 2022

The Role Of Child Life Specialists In Community Settings: Chapter 6: Prison, Genevieve Lowry

Graduate School of Education

This chapter focuses on the role of the child life specialist working with families affected by incarceration. Children and families are at increased risk due to trauma exacerbated by arrests, incarceration, and re-entry. This chapter will focus on the ways a child life specialist working in jails, prisons, detention centers, and in communities with schools, non-profits, and faith-based organizations can provide developmentally appropriate explanations, preparation, play, expressive arts, and coping, facilitating opportunities that foster relationships and understanding while promoting resilience.


Addressing Post –Covid-19 Pandemic Depression, Aria Elahi Jan 2022

Addressing Post –Covid-19 Pandemic Depression, Aria Elahi

Family Medicine Clerkship Student Projects

This community project explores the impact of the COVID-19 pandemic on mental health, particularly focusing on depression, and introduces an intervention in the form of a pamphlet distributed at Newtown Primary Care. The pamphlet addresses individuals experiencing worsened depression due to the pandemic, regardless of COVID-19 infection status, and includes the PHQ-2 and PHQ-9 screening questionnaires for self-assessment. Insights from interviews with Newtown Primary Care were instrumental in designing the pamphlet.

Results reveal that the pandemic has substantially affected patients' mental health, increasing the need for resources. Patients diagnosed with pre-existing depression experienced worsening symptoms due increased stressors due to …


Distracted Pedestrians: Looking Left?, Emma Hood, Bryan E. Porter Jan 2021

Distracted Pedestrians: Looking Left?, Emma Hood, Bryan E. Porter

Psychology: Interdisciplinary Research in Behavioral Sciences of Transportation Issues

Distracted pedestrians, those talking or texting on phones as examples, are potentially at risk when crossing urban intersections. They may lack traffic awareness of risk as distracted drivers often do. The transportation field has limited data on distracted pedestrians. This study aimed to contribute to the literature by observing pedestrian behaviors at four urban-area, downtown crosswalks over five weeks in June-July 2021. Overall, 2,055 pedestrians were observed, with 25.4% being distracted. Common distractions were texting, talking on a cell phone, and using headphones. Chi-square analyses found that while distraction did not predict looking left, one behavior that keeps them out …


The Effects Of Covid-19-Related Stressors On Bruxism And Temporomandibular Disorders, Hagir A. Saleh, Samantha Smith Jan 2021

The Effects Of Covid-19-Related Stressors On Bruxism And Temporomandibular Disorders, Hagir A. Saleh, Samantha Smith

Dental Hygiene Student Scholarship

Problem: COVID-19 has proven to be a major public health emergency, with an array of physical and emotional complications. While COVID-19 has its own effects on the human body, anxiety induced by the pandemic has shown to take a toll on the human oral cavity by means of causing individuals to grind and clench their teeth due to anxiety/stress, potentially leading to temporomandibular disorders and orofacial pain.

Methods: A thorough review of literature was conducted by consulting credible studies published on online databases such as PubMed, Dentistry & Oral Sciences Source, Google Scholar, and Academic Search Complete. The studies examined …


The Effect Of Self-Rated Health And Race/Ethnicity On The Relationship Between Feelings Of Content And Frequency Of Seeing Their Primary Care Provider, Alexandra Wynn, Kristina Beatrice Hood Jan 2021

The Effect Of Self-Rated Health And Race/Ethnicity On The Relationship Between Feelings Of Content And Frequency Of Seeing Their Primary Care Provider, Alexandra Wynn, Kristina Beatrice Hood

Graduate Research Posters

Racial and ethnic minorities face significant health disparities as they are less likely to receive preventive health services, receive lower-quality care and have worse health outcomes for many chronic conditions than White people (Hostetter, Klein, 2018). Thus, it is important to analyze what psychological and social factors affect these populations and how they contribute to healthcare engagement. One psychological correlate that has not been focused on is self-rated health. Self-rated health has mainly been analyzed for its relationship with personality and physiological factors but little research has focused on how it influences seeking medical care. Fair/poor self-rated health was found …


Evaluation Of Unm's Parental Leave Policy, Julia Fulghum, Karlyn A. Edwards, Charlie Christian, Steven Verney, Lisa A. Marchiondo, Teagan Mullins Feb 2020

Evaluation Of Unm's Parental Leave Policy, Julia Fulghum, Karlyn A. Edwards, Charlie Christian, Steven Verney, Lisa A. Marchiondo, Teagan Mullins

ADVANCE Reports

Experiences with UNM’s parental leave policy C215 have been evaluated using the ADVANCE 2018 Main Campus Faculty Climate Survey, a series of junior faculty interviews, and concerns brought to the ADVANCE leadership. Key findings are:

  • Women and STEM faculty are more hesitant to use family-leave policies, and perceive greater disadvantage in using them than men and non-STEM faculty
  • Sharing of information about, and implementation of, parental leave varies significantly between units
  • The attitude of the department chair and senior faculty strongly influence the experience of faculty who use parental leave
  • Appropriately implemented, the parental leave policy contributes to faculty recruitment …


Peer Perceptions And Social Support For Young Adults On The Cancer Continuum, Emily Lehman Jan 2020

Peer Perceptions And Social Support For Young Adults On The Cancer Continuum, Emily Lehman

Student Research Posters

While on the cancer continuum, individuals report a sense of social isolation due to a lack of understanding among peers about their experiences and diagnoses (Iannarino et al., 2017). Increasingly, social support is given online rather than in person due to the positive language and communication that relies on the written word more than social cues (Warner et al., 2018). Participants in this study were 152 young adults recruited from a private university and via social media platforms. Participants were asked to complete a survey including The Measure of Interpersonal Attraction Social Attraction sub-scale (McCroskey & McCain, 1974) and a …


Shedding Psychological Light On The Racial Disparities In School Disciplinary Measures: The Role Of Dehumanization As A Potential Mechanism, Ebony Lambert, Nao Hagiwara Jan 2020

Shedding Psychological Light On The Racial Disparities In School Disciplinary Measures: The Role Of Dehumanization As A Potential Mechanism, Ebony Lambert, Nao Hagiwara

Graduate Research Posters

Schools should be safe and supportive spaces for all students, yet Black students tend to face biased treatment in the education system, which often results in harsh disciplinary measures. This research examined the role of animalistic dehumanization (i.e., perceiving others as animal- like and uncultured and denying uniquely human characteristics), in predicting choice of harsher disciplinary measures for Black students as opposed to White students. It was hypothesized that individuals who dehumanize Black students to a greater degree would be more likely to believe that Black students need to be disciplined through harsher measures. Both Study 1 (in which dehumanization …


Food Choice As A Signal Of Racial Identity, Danyel Smith, Shawn C.T. Jones, Phd, Nao Hagiwara,Phd Jan 2020

Food Choice As A Signal Of Racial Identity, Danyel Smith, Shawn C.T. Jones, Phd, Nao Hagiwara,Phd

Graduate Research Posters

Objectives: This study experimentally assessed food preference as one potentially important racial identity cue particularly for Black Americans, which in turn impacts interpersonal relations both between ethnicities/races (i.e., inter-group) and within ethnicity/race (i.e., intra-group). We hypothesized that preference for “Soul Food,” which is historically significant to Black Americans, as opposed to “Fresh Salad,” would be associated with stronger racial identity and induce more positive reactions among Black participants but more negative reactions among White participants.

Methods: Undergraduate students (N = 365) viewed one of four online profiles that were ostensibly completed by a Black Student. Student gender (i.e., DeShawn vs. …


Examining Gender Differences In Young Men And Women’S Goals For A Technology-Driven Weight Loss Intervention, Jean M. Reading, Melissa M. Crane, Jessica G. Larose Jan 2020

Examining Gender Differences In Young Men And Women’S Goals For A Technology-Driven Weight Loss Intervention, Jean M. Reading, Melissa M. Crane, Jessica G. Larose

Graduate Research Posters

Background

Emerging adults (EA) are at high risk for weight gain and obesity yet are underrepresented in behavioral weight loss (BWL) programs and fare worse than their older counterparts when they join these programs. Further, even within BWL programs adapted specifically for this population, young men are particularly challenging to recruit, representing less than 20% of samples in recent trials. One hypothesis for the poor recruitment of men is that men’s goals for a weight loss program are not described in recruitment messages for these studies. Understanding whether men and women’s personal goals for participating in a weight loss program …


Challenge, Hindrance, And Threat Stressors: A Within- And Between-Persons Examination Of General And Specific Stressor Appraisal Tendencies And A Priori Categorizations, Lisa Brady, Christopher J. L. Cunningham Nov 2019

Challenge, Hindrance, And Threat Stressors: A Within- And Between-Persons Examination Of General And Specific Stressor Appraisal Tendencies And A Priori Categorizations, Lisa Brady, Christopher J. L. Cunningham

Industrial and Organizational Psychology Translational Research and Working Papers

Within the occupational stress literature, researchers have often identified stressors as being inherently challenging or hindering, based on previous classifications or on the outcomes usually associated with each. Although the challenge-hindrance model is based on the transactional theory of stress (Lazarus & Folkman, 1984), which emphasizes the importance of an individual’s cognitive appraisal of stimuli, much of the research on this framework has failed to measure an individual’s direct appraisal of stimuli in the environment as challenging, hindering, and threatening, which can be problematic when attempting to understand and predict occupational stress. In the present study we identify and share …


Transforming Trauma: Resilience And Healing Through Our Connections With Animals, Philip Tedeschi, Molly Anne Jenkins Jul 2019

Transforming Trauma: Resilience And Healing Through Our Connections With Animals, Philip Tedeschi, Molly Anne Jenkins

Purdue University Press Books

Have you ever looked deep into the eyes of an animal and felt entirely known? Often, the connections we share with non-human animals represent our safest and most reliable relationships, offering unique and profound opportunities for healing in periods of hardship. This book focuses on research developments, models, and practical applications of human-animal connection and animal-assisted intervention for diverse populations who have experienced trauma. Physiological and psychological trauma are explored across three broad and interconnected domains: 1) child maltreatment and family violence; 2) acute and post-traumatic stress, including military service, war, and developmental trauma; and 3) times of crisis, such …


An Indentured Servant: The Impact Of Green Card Waiting Time On The Life Of Highly Skilled Indian Immigrants In The United States Of America, Pooja B. Vijayakumar, Christopher J. L. Cunningham Jan 2019

An Indentured Servant: The Impact Of Green Card Waiting Time On The Life Of Highly Skilled Indian Immigrants In The United States Of America, Pooja B. Vijayakumar, Christopher J. L. Cunningham

Industrial and Organizational Psychology Translational Research and Working Papers

Highlighting the archaic immigration system in the United States of America (US), the present study demonstrates for the first time the impact of green card waiting time on the work and family life of Indian immigrants living in the US. Our present findings show that 93.4% of our participants are very concerned about the estimated green card waiting time in the US. We find 70% of the total participants are seriously thinking at the present time about emigrating to a more visa-friendly country. Also, 30% of the participants have already applied for permanent residency in a visa friendly country and …


Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda Jan 2019

Supporting Marin County Youth Suffering From Anxiety And Depression, Victoria L. Grajeda

Student Research Posters

This toolkit was created to help shed light on the impact a stressful high school environment can have on today’s youth, and provide teachers and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et. al found that absences …


Impact Of Socialization In Elderly Public-Housing Residents, Taylor M. Wilkerson, Schanea Ward, Amy Popovich, Pamela Parsons, Faika Zanjani Jan 2019

Impact Of Socialization In Elderly Public-Housing Residents, Taylor M. Wilkerson, Schanea Ward, Amy Popovich, Pamela Parsons, Faika Zanjani

Graduate Research Posters

Older adults who experience social isolation have higher rates of mortality relative to their counterparts. Social interactions are an important way to combat this isolation. This research aims to better understand how social isolation in older adults living in low-income households in Richmond, Virginia (RVA) is related to their economic, physical, and psychological health status. As part of the iCubed Health and Wellness Aging Core and in collaboration with the Richmond Memorial: East End Housing Coalition for Older Adults, older adults from a selected public housing unit (n=28) self-reported their financial status, experiences with physical and psycho-social health, and feelings …


The Association Between Discrimination And Sleep Is Exacerbated In Individuals With Comorbid Chronic Health Conditions, Sarah M. Ghose, Natalie D. Dautovich, Joseph M. Dzierzewski, Sahar M. Sabet, Janna L. Imel, Dana R. Schreiber, Ashley R. Macpherson, Morgan P. Reid Jan 2019

The Association Between Discrimination And Sleep Is Exacerbated In Individuals With Comorbid Chronic Health Conditions, Sarah M. Ghose, Natalie D. Dautovich, Joseph M. Dzierzewski, Sahar M. Sabet, Janna L. Imel, Dana R. Schreiber, Ashley R. Macpherson, Morgan P. Reid

Graduate Research Posters

Introduction: The consequences of recurrent, stressful daily experiences for sleep health appear intensified in individuals with pre-existing health conditions. Although discrimination has been associated with sleep outcomes, the role of comorbid chronic health conditions (CCHCs), and impact of perceived discrimination, remains unclear. The present study investigated (1) the associations between daily discrimination and sleep and (2) moderating roles of CCHCs and daily life interference and hardship.

Methods: The current study utilized archival data from the Midlife in the United States (MIDUS) Study II. Participants, 174 adults (51% female, Mage=57 yrs., SD=11.5 yrs.), completed 7 days of actigraphy, …


Weight Loss And Self-Monitoring Among Young Men In A Technology-Driven Weight Loss Intervention, Jean M. Reading, Jessica G. Larose Jan 2019

Weight Loss And Self-Monitoring Among Young Men In A Technology-Driven Weight Loss Intervention, Jean M. Reading, Jessica G. Larose

Graduate Research Posters

Background

Young men with obesity have double the mortality risk compared to young men with a healthy weight, but are notoriously challenging to recruit for behavioral weight loss (BWL) programs. Emerging evidence suggests that young men might prefer self-guided or low touch interventions, but limited data are available as to their effectiveness. To inform future efforts, we conducted a secondary analysis of young men’s performance in a technology-driven BWL trial developed specifically for young adults. Objectives were to: 1) examine young men’s enrollment rates; and 2) compare young men and women’s weight loss outcomes and self-regulation behaviors.

Methods

Data were …


Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell Jan 2019

Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell

Posters

Nurses continually give of themselves at work, as well as outside of work. This results in extensive stress, physiological distress, and ultimately burnout for individuals in the nursing profession. Nurses that work in high-stress environments, such as critical care, pediatrics, and oncology, are at a significantly increased risk of manifesting physical and psychological symptoms of burnout syndrome, compassion fatigue, and post-traumatic stress disorder (PTSD). Many of these factors are leading to nurses leaving the profession prematurely, resulting in significantly high turnover rates. High burnout and turnover rates of nurses result in the lack of adequate nursing staff in hospitals, which …


Impact Of Spousal Work Restrictions And Number Of Dependents On Expatriates’ Work Life And Overall Life Satisfaction, Pooja B. Vijayakumar, Christopher J. L. Cunningham Jul 2018

Impact Of Spousal Work Restrictions And Number Of Dependents On Expatriates’ Work Life And Overall Life Satisfaction, Pooja B. Vijayakumar, Christopher J. L. Cunningham

Industrial and Organizational Psychology Translational Research and Working Papers

Purpose Our understanding of the challenges and the broader role of spouses of expatriates is extremely limited. The purpose of the study was to examine the impact of spousal work restrictions and number of dependents on expatriates’ work life and overall life satisfaction using qualitative and quantitative analyses Design Data were collected from 416 Indian informational technology professionals working in USA. Hypothesized conditional process models were analyzed using the PROCESS tools. Findings Spousal work restrictions and number of dependents created complications in personal life of expatriates, which interfered with their work life resulting in lower overall life satisfaction. We identified …


The Relation Of Seasonal Patterns To Mood Changes And Gender Differences In College-Aged Students, Mariah Meza Apr 2018

The Relation Of Seasonal Patterns To Mood Changes And Gender Differences In College-Aged Students, Mariah Meza

Student Research Posters

This study examined college students’ moods during different seasons patterns throughout the year. Previous research has indicated that many individuals feel more lethargic, lonely and moody during the winter months (Rohan & Sigmon, 2000). These mood and behavior patterns clearly depend on specific seasons of the year. However, many studies have produced inconsistent findings and current data on how weather impacts college aged students moods in California (Lucht & Kasper, 1999). There are many inconsistent studies in the United States that indicate whether there is a higher fluctuation in women’s moods during seasonal change than there is with men(Chotai, Smedh, …


Attributions About Resilience In Cancer Survivor Outcomes From Scripted Emotional Tone, Lindsey Jones, Samuel C. Witt, Justin M. Hughes Apr 2018

Attributions About Resilience In Cancer Survivor Outcomes From Scripted Emotional Tone, Lindsey Jones, Samuel C. Witt, Justin M. Hughes

Research Horizons Day Posters

No abstract provided.


A Systematic Review Of Weight-Related Communication Trainings For Physicians: What Do We Know And How Can We Inform Future Development Of Training Programs?, Jean M. Reading, Morgan Snell, Jessica G. Larose Jan 2017

A Systematic Review Of Weight-Related Communication Trainings For Physicians: What Do We Know And How Can We Inform Future Development Of Training Programs?, Jean M. Reading, Morgan Snell, Jessica G. Larose

Graduate Research Posters

It is reported that physicians lack training to address weight-related concerns with patients. To overcome this, training programs have been implemented in medical settings to prepare physicians to have conversations with patients. However, it is unclear the degree of consistency among existing training programs and factors associated with better outcomes. The objective of this study was to systematically review the existing literature in this area to determine differences in content, outcomes, and implementation of existing studies that test weight-related communication training programs for physicians.

A systematic literature review of online databases including PubMed, PsycINFO, and Proquest was conducted with the …


Gender Differences In Drinking Habits Among College Students, Margaret Anne Demayo Jan 2017

Gender Differences In Drinking Habits Among College Students, Margaret Anne Demayo

Student Research Posters

Binge drinking is a common problem found among college students. According to the Centers for Disease Control and Prevention (CDC), one in six U.S. adults binge drink about four times a month, consuming about eight drinks per binge." Over time, binge drinking in college can cause negative factors for students such as, poor academics and health problems.

The purpose of my study is to evaluate how stress factors such as environment and peer relationships affect drinking habits in male and female college students. Students experience stress factors such as environment (e.g. housing), peer relationships (e.g. peer pressure, relationships), school (e.g. …