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Articles 1621 - 1650 of 16380
Full-Text Articles in Social Work
Addressing Weight In Primary Care: Perspectives Of African American Young Adults With Serious Mental Illness, Sang Qin, Lindsay Sheehan, Janis Sayer, Kristin S. Williams, Julius Mercer, Ashley Scott, Tevin Anderson
Addressing Weight In Primary Care: Perspectives Of African American Young Adults With Serious Mental Illness, Sang Qin, Lindsay Sheehan, Janis Sayer, Kristin S. Williams, Julius Mercer, Ashley Scott, Tevin Anderson
Journal of Human Services Scholarship and Interprofessional Collaboration
Young adults with serious mental illness (SMI) experience disproportionate rates of physical illness. Morbidity and mortality are even worse for young African Americans with SMI, especially those who are overweight. Primary care physicians (PCPs) have an important role in addressing weight management. Current research explored these young patient’s perceptions of weight management and how PCPs can best address their weight concerns. Using community-based participatory research, we interviewed 25 African American aged 18-30 who were overweight and had a SMI. Results revealed 1) patient perceptions around weight and 2) patient preferences. Participants identified both positive and negative aspects of being overweight, …
Development And Preliminary Validation Of The Sexual Minority Identity Emotion Scale, Jacob Goffnet, Samantha Robinson, Anna Hamaker, Mohammod Mahmudar Rahman, Sheree M. Schrager, Jeremy T. Goldbach
Development And Preliminary Validation Of The Sexual Minority Identity Emotion Scale, Jacob Goffnet, Samantha Robinson, Anna Hamaker, Mohammod Mahmudar Rahman, Sheree M. Schrager, Jeremy T. Goldbach
Biological Sciences Faculty Publications and Presentations
Emotions influence health behaviors and outcomes, yet little research has examined the emotion–health relationship among sexual minorities. The few studies in this area have used general measures of feelings without regard for identity, despite the literature positing emotions as culturally and contextually specific. This critical limitation obscures inferences made in studies that have found emotions to predict mental health outcomes for sexual minorities. This study begins to address this gap by developing and examining the preliminary validation of the Sexual Minority Identity Emotion Scale, a measure of shame and pride specific to the identity experiences of sexual minority adolescents. The …
Barriers To The Use Of Injectable Naltrexone In An Outpatient Setting, Heather Schultz
Barriers To The Use Of Injectable Naltrexone In An Outpatient Setting, Heather Schultz
Walden Dissertations and Doctoral Studies
The opioid epidemic is a public health concern that impacts thousands of individuals across the United States. There was a lack of clear understanding of what leads opioid addicts to decline use of medication-assisted treatment (MAT) with injectable extended release naltrexone (XR-NTX). The purpose of this quantitative cross-sectional correlational study was to examine the relationships between past XR-NTX status and demographic factors (gender, age, race, education level, time sober in days, and employment status) and the attitudes about encouragement from providers about engaging in MAT, as well as perceptions about MAT in individuals currently in a MAT who chose not …
Report On A Seminar On Financial Capability And Asset Building Organised For Social Work Practitioners, Augustina Naami, Mavis Dako-Gyeke, Abigail A. Mills, Abena Ampomah
Report On A Seminar On Financial Capability And Asset Building Organised For Social Work Practitioners, Augustina Naami, Mavis Dako-Gyeke, Abigail A. Mills, Abena Ampomah
Center for Social Development Research
A key step in the work to improve the financial stability and security of marginalized populations begins with training social work practitioners and other human service professionals for competencies in supporting families to build financial security and freedom. In September 2023, the Department of Social Work at the University of Ghana collaborated with the School of Social Work at the University of North Carolina at Chapel Hill to organize a seminar on financial capability and asset building (FCAB) for practitioners in Accra, Ghana. As part of the seminar, Faculty Director David Ansong discussed CSD’s FCAB Africa initiative. This report provides …
Navigating Multiracial Identity Development In The Digital Ages: An Intersectional Exploration, Diana Mccullough
Navigating Multiracial Identity Development In The Digital Ages: An Intersectional Exploration, Diana Mccullough
National Cross-Cultural Counseling & Education Conference for Research, Action & Change (2016-2024)
In the 2020 U.S. Census, 33.8 million individuals reported multiracial identities, which increased since 2010 from nine million (US Census, 2020). Despite the substantial growth in multiracial individuals, there remains a dearth of understanding regarding the unique challenges and determining factors shaping their identity. This session aims to equip counselors and counselor educators with evidence-based strategies to navigate and support the intricate identity development of multiracial clients and students.
Using Online Support Group To Cope During The Covid-19 Pandemic: A Systematic Review, Naishuo Sun, Xinle Jia
Using Online Support Group To Cope During The Covid-19 Pandemic: A Systematic Review, Naishuo Sun, Xinle Jia
SACAD: Scholarly Activities
The COVID-19 pandemic profoundly affects mental health due to prolonged quarantine. Online support groups offer vital social and informational support during crises. This study aims to conduct a systematic literature review of current literature about online support group during pandemic, and to examine the research gap, promote engagement with (in)accurate health information, and to explore additional benefits of the online support group. We searched with the keyword in three databases from 2020 to 2023, resulting in 15 number of articles. The information extracted from the 15 studies includes county, target group, platform, purpose of the group, study design, measure, and …
Nonprofit Leader Experiences In Sector-Bending After Lean Six Sigma Training: Tension, Concepts, And Changed Behaviors, Beverly Codallos
Nonprofit Leader Experiences In Sector-Bending After Lean Six Sigma Training: Tension, Concepts, And Changed Behaviors, Beverly Codallos
Dissertations
Government, business, and nonprofit represent three distinct types of organizations governed by different legal frameworks designed to facilitate collective action (DiMaggio & Anheier, 1990). The emergence of hybrid forms and increasing isomorphic pressures in the nonprofit sector (Bromley & Meyer, 2017; McCambridge, 2014) have challenged the traditional separation of organizational forms. This study explored the phenomenon popularized as sector-bending, “a wide variety of approaches, activities, and relationships that are blurring the distinctions between nonprofit and for-profit organizations, either because they are behaving more similarly, operating in the same realms, or both” (Dees & Anderson, 2003, pg. 16). This qualitative study …
The Relationship Between Social Stigma And Career Decisions Of Individualized And Freelance Male Sex Workers, Luis Miguel Dos Santos, Ho Fai Lo
The Relationship Between Social Stigma And Career Decisions Of Individualized And Freelance Male Sex Workers, Luis Miguel Dos Santos, Ho Fai Lo
The Qualitative Report
Switching from a white-collar professional to a sex worker is not an easy step, particularly for individuals with a postgraduate degree in South Korea who may have significant expectations from their parents, peers, and communities. Based on the social stigma theory and social cognitive career and motivation theory, this study aims to understand how stress and pressure impact the motivations, career decisions, and decision-making processes of individualized and freelance male sex workers and their career transition experiences in South Korea. Based on the thematic analysis, ten highly educated male sex workers joined and shared their experiences. The researchers categorized three …
U.S. Military Veteran Identity And Civilian Adjustment, Darren A. Sosa
U.S. Military Veteran Identity And Civilian Adjustment, Darren A. Sosa
Pacific Journal of Health
U.S. military veterans transitioning back into the civilian sector often experience a variety of challenges and need to readjust into non-military environments. In order to examine the psychological challenges involved in the transition and readjustment processes among U. S. active military veterans, a qualitative study was conducted. For 6 months, data was collected from veterans in California, Nevada, Texas, Florida, and New York. Following an IRB approval, semi-structured open-ended self-developed interviews were developed and conducted with sixteen military veterans who have served in 4 branches of the U.S. Armed Forces: Army, Navy, Air Force, and Marine Corps. Data and information …
Understanding The Other: Mentor Ethnocultural Empathy And Relationship Quality And Duration In Youth Mentoring, Miriam Miranda-Diaz
Understanding The Other: Mentor Ethnocultural Empathy And Relationship Quality And Duration In Youth Mentoring, Miriam Miranda-Diaz
Dissertations and Theses
Given the positive youth outcomes associated with participation in mentoring programs, there is growing interest to explore factors associated with mentoring relationship quality and duration in formal youth mentoring programs. In comparison to the majority of volunteer mentors, many young people participating in formal mentoring programs are of a racial-ethnic minority group and tend to be economically disadvantaged. This study investigates factors associated with these socio-cultural background differences between mentors and mentees. More specifically, this study investigates the association between a mentor's level of ethnocultural empathy, as reflected in empathic perspective-taking and acceptance of cultural differences, and the quality and …
Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady
Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady
National Youth Advocacy & Resilience Conference
This presentation will explain the historical development of pornography. It will highlight three segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention.
Fostering Cultural Humility In Addressing Sexual Violence And Sex Trafficking Among Youth, Stephanie Olson
Fostering Cultural Humility In Addressing Sexual Violence And Sex Trafficking Among Youth, Stephanie Olson
National Youth Advocacy & Resilience Conference
Discover the power of cultural humility in promoting safe spaces for youth to disclose experiences of sexual violence and sex trafficking. Explore the impact of educators' perspectives on disclosure rates and understand how diverse cultural backgrounds influence coping mechanisms. Gain practical insights and strategies to foster cultural humility, create a supportive environment, and enhance safety measures, thus ensuring the well-being of at-risk youth.
The Real Experts: Understanding Autism And Adhd Through The Lens Of The Individual, Mary Little
The Real Experts: Understanding Autism And Adhd Through The Lens Of The Individual, Mary Little
National Youth Advocacy & Resilience Conference
This presentation aims to spark intentional conversation and change geared towards shattering stigmas around the autistic and ADHD experience. Attendees will enhance their understanding of neuro-divergent populations in order to modify environments and provide interventions aligning with trauma informed care and inclusion. Attendees will also be given the opportunity to embrace the power of self disclosure and mentorship.
Helping All Herons - A School Based Mental Health Team Initiative, Kiersten H. Morgan, Erin Thrift, Teri Hendrix, Shannon Murray
Helping All Herons - A School Based Mental Health Team Initiative, Kiersten H. Morgan, Erin Thrift, Teri Hendrix, Shannon Murray
National Youth Advocacy & Resilience Conference
Our school system has experienced an increase in the number of students with significant mental health related issues. Interactions with these students were occuring on a crisis by crisis basis. Through a series of trial and error we developed Helping All Herons - A School Based Mental Health Team initiative. The team has regular contact with students, parents, outside counseling agencies and staffings to ensure that the needs of the students are being met. This team encourages a more proactive approach to student mental health compared to a reactive one.
Rethinking The Mentor/Mentee Relationship: The Critical Mentoring Approach In A North Carolina Middle School, Kendra P. Alexander, Brianna Mccullough, Nikaizha Davis, Patrick Clifford
Rethinking The Mentor/Mentee Relationship: The Critical Mentoring Approach In A North Carolina Middle School, Kendra P. Alexander, Brianna Mccullough, Nikaizha Davis, Patrick Clifford
National Youth Advocacy & Resilience Conference
In this session, undergraduate and graduate students from North Carolina A&T State University describe the genesis and evolution of an internship-based, community-academic partnership grounded in the concept of critical mentoring. As mentors with the Nia Project, interns support middle school students in critical exploration of post-high school pathways. Along with the supervising instructor, students identify key concepts and prerequisites for successful implementation.
Social Workers, Positive Behavior Interventions Supports, And Exclusionary Discipline Of Black Males, Jacqueline Binion
Social Workers, Positive Behavior Interventions Supports, And Exclusionary Discipline Of Black Males, Jacqueline Binion
Walden Dissertations and Doctoral Studies
School social workers play an instrumental role in providing school faculty members with skills and interventions to facilitate positive outcomes in both schools and the community at large. It is not known what role social workers play in the suspension and exclusion of Black male high school students. The research questions for this generic qualitative study explored the perspective of high school teachers and social workers from various South Mississippi counties perceptions of the roles social workers play in the implementation of positive behavior interventions and supports (PBIS) and social workers’ impact on the exclusion of Black male students from …
A Socio-Ecological Approach To A Community-Based Health Promotion Intervention On The U.S.-Mexico Border: Insights And Lessons Learned During The Covid-19 Pandemic, Yok-Fong Paat, Elizabeth Camacho, Sarah L. Ruiz, Diego Garcia Tovar, Guillermina Gina Núñez-Mchiri, Maria O. Duarte-Gardea, Guadalupe Corral, Sandra Oviedo Ramirez, Christine Markham, Luis R. Torres-Hostos
A Socio-Ecological Approach To A Community-Based Health Promotion Intervention On The U.S.-Mexico Border: Insights And Lessons Learned During The Covid-19 Pandemic, Yok-Fong Paat, Elizabeth Camacho, Sarah L. Ruiz, Diego Garcia Tovar, Guillermina Gina Núñez-Mchiri, Maria O. Duarte-Gardea, Guadalupe Corral, Sandra Oviedo Ramirez, Christine Markham, Luis R. Torres-Hostos
School of Social Work Faculty Publications
The Healthy Families Healthy Kids Initiative (HFHKI) is a community-based initiative developed based on the socio-ecological model to address preventive health care needs in El Paso County, Texas, one of the most economically and health-challenged border communities in the United States. HFHKI’s three main goals are to increase access to experiential learning and health education, service delivery, and sustainable systems/linkages of care. These were accomplished through seven critical activities. We present the rationale, background, setting, and conceptual framework for the initiative, followed by the methods used to develop and assess the success of the activities and results of our project …
2024-02: Transforming Educational Neglect: Advocating For A Family Centered Approach Through Community-Based Response, Sydney Barrett, Ash-Lee Conley, Cindi Lindstrom, Madison Roth
2024-02: Transforming Educational Neglect: Advocating For A Family Centered Approach Through Community-Based Response, Sydney Barrett, Ash-Lee Conley, Cindi Lindstrom, Madison Roth
Master of Social Work Student Policy Advocacy Briefs
Addressing educational neglect cases through the child welfare system does more harm than good. SF 4747 proposes to amend the state statute, allowing for an alternative response to reports of educational neglect. This change will help address the needs of children and families that face systemic challenges that lead to educational neglect. Currently, counties are required to open a child protection case for all educational neglect reports. Amending the statute will allow counties to develop their own response to educational neglect. This more collaborative approach will help reduce the negative effects a one-size-fits-all solution can have on students and their …
2024-03: Addressing Mental Health Needs Of Mothers In Minnesota, Liz Fritz, Leah Nachreiner, Jaelynn Pinske, Mary Speer
2024-03: Addressing Mental Health Needs Of Mothers In Minnesota, Liz Fritz, Leah Nachreiner, Jaelynn Pinske, Mary Speer
Master of Social Work Student Policy Advocacy Briefs
Maternal mental health refers to a range of conditions or illnesses that can occur anytime during pregnancy or the first year following pregnancy. When left untreated, maternal mental health conditions can have long-term negative impacts on the mother, baby, and family. Proper screenings for maternal mental health conditions are critical to ensuring that mental health concerns are detected and that new and expecting mothers receive the care they need. Requiring screening for maternal mental health conditions as part of prenatal and postpartum visits will lead to the care that new mothers deserve.
2024-04: Pathways To Stability And Hope: A Holistic Approach To Permanent Supportive Housing For Individuals With Serious Mental Illness (Smi), Dayna Gums, Ericka Wood, Haddy Jagne, Haley Pollard
2024-04: Pathways To Stability And Hope: A Holistic Approach To Permanent Supportive Housing For Individuals With Serious Mental Illness (Smi), Dayna Gums, Ericka Wood, Haddy Jagne, Haley Pollard
Master of Social Work Student Policy Advocacy Briefs
The absence of accessible permanent supported housing options for individuals with serious mental illness (SMI) poses a critical challenge, contributing to heightened vulnerability, increased homelessness rates, and inadequate support systems. Addressing this disparity demands a comprehensive and nuanced response that prioritizes the development and implementation of sustainable housing solutions tailored to the unique needs and experiences of individuals living with SMI. Effective interventions must embrace a holistic approach that integrates housing stability with wraparound support services, including mental health treatment, vocational training, and social inclusion initiatives.
The Need To Prioritize People With Disabilities In Nutrition Education, Kelseanna Hollis-Hansen, Jody Vogelzang, Bree Bode, Nazanin M. Heydarian, Rebecca Russell, Emily Watt Clarke
The Need To Prioritize People With Disabilities In Nutrition Education, Kelseanna Hollis-Hansen, Jody Vogelzang, Bree Bode, Nazanin M. Heydarian, Rebecca Russell, Emily Watt Clarke
School of Social Work Faculty Publications
Defining disabilities and tying them to chronic nutrition-related diseases can be difficult given the breadth and variability among definitions and the often-fluid nature of disability. Broadly defined disability categories include intellectual, physical, sensory, and individual disease states. People with intellectual disabilities, people with impairments to physical mobility, and blind and low vision people have all been found to be at higher risk for cardiovascular disease (CVD) and Type 2 diabetes (T2D) than persons without disabilities.
Voices From Grenada: An Impact Evaluation Of A Community-Academic Partnership., Sade Richardson
Voices From Grenada: An Impact Evaluation Of A Community-Academic Partnership., Sade Richardson
Doctor of Social Work Capstone Projects
The purpose of this study was to evaluate the impact of the community-academic partnership between the University of Michigan School of Public Health Office of Public Health Practice and the Grenadian community. Five key informant interviews were conducted to analyze the partnership from the perspectives of the community partners in Grenada to understand the strengths, challenges, and existing opportunities, specifically within the context of a global collaboration.
The findings highlighted the benefits of community-based collaboration, considerations for partnership design, and opportunities for education, practice, policy, research, and leadership. The organizations spoke highly of the partnership, underscoring their desire for expanded …
Providing Incarcerated Youth With A Community Of Their Peers, Providing Resources, And Modeling Healthy Attachment May Lead To Prosocial Behaviors, Emilee Brnusak
University Honors Theses
This thesis examines the connection between gang activity and attachment style. A summary of literature suggests that childhood attachment injuries lead to antisocial, maladaptive relationships and neurological changes that impact executive functioning and emotional regulation. These factors leave youth at higher risk of gang membership. This thesis then explores how an outreach experience at the MacLaren Youth Correctional Facility inspired a large-scale intervention called Resources for Attachment-injured Youth (RAY) that could be implemented in youth prisons across the country.
Against The Mainstreaming Of The Term Sex Work: Advocacy With India's Supreme Court, Pravin Patkar
Against The Mainstreaming Of The Term Sex Work: Advocacy With India's Supreme Court, Pravin Patkar
Dignity: A Journal of Analysis of Exploitation and Violence
No abstract provided.
Male Motivation To Pursue Social Work: A Causal-Comparative Study Investigating The Differences In Male Students’ Motivational Orientation And Field Of Study, Laura A. Dimarcantonio
Male Motivation To Pursue Social Work: A Causal-Comparative Study Investigating The Differences In Male Students’ Motivational Orientation And Field Of Study, Laura A. Dimarcantonio
Doctoral Dissertations and Projects
The purpose of this quantitative, non-experimental, causal-comparative study was to investigate if there is a difference in the motivational orientation of male social work students and men in traditional fields of study. Men are underrepresented in social work degree programs in the United States, yet their unique voice and experience are needed to meet the diverse workforce goals of the profession and provide equitable services to all individuals. Participants for the study were drawn from a convenience sample that included 252 students enrolled in baccalaureate, master’s, and doctoral-level social work, computer science, engineering, and math programs at four universities in …
Exploring Purpose, Practices, And Impacts Of Non-Formal Education In Egypt, Mariam Hussien Sayed Abdelhamid
Exploring Purpose, Practices, And Impacts Of Non-Formal Education In Egypt, Mariam Hussien Sayed Abdelhamid
Theses and Dissertations
This research explores non-formal education in Egypt, analyzing its alignment or divergence with prevalent human capital and modernization discourses. Using a narrative approach, the study explores the practices of four organizations that offer non-formal education opportunities in greater Cairo: San3a Tech, Wataneya Society, Alwan wa Awtar, and AlAthar Lina. The study explores the narration of 9 educators and 10 learners from these organizations to understand from educators’ perspectives how they design their experiences and its relation to the culture and needs of the targeted audience. It also looks at what kind of impact do these experiences have on the learners. …
Adjustments To Social Work Practice During The Covid-19 Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates
Adjustments To Social Work Practice During The Covid-19 Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates
Social Work Faculty Publications
Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …
Returning To School After A Pandemic: K-12 School Mental Health Practitioners’ Perspectives Returning To School In Regard To Mindset, Behavior, Performance, And Social Connections, Viridiana Benitez Esparza
Returning To School After A Pandemic: K-12 School Mental Health Practitioners’ Perspectives Returning To School In Regard To Mindset, Behavior, Performance, And Social Connections, Viridiana Benitez Esparza
Dissertations
Purpose: The purpose of this phenomenological study was to determine K-12 school mental health practitioners’ perceptions of their experiences working with students following the 2-year educational/social/emotional trauma of the COVID-19 pandemic with regard to the mental health practitioners’ mindset, behavior, performance, and social connections. Methodology: The researcher conducted a phenomenological study examining particular experiences of participants to understand their perspective during a phenomenon (McMillan & Schumacher, 2006). This qualitative study interviewed 12 school mental health practitioners who served in K-12 public schools after the pandemic in Los Angeles County, California. Semi-structured interview questions were used for data collection and aligned …
The Mirror Project: Reflections On The Experiences Of African-American Female Adolescents Experiencing Foster Care, Bahia Anise-Cross Degruy Overton
The Mirror Project: Reflections On The Experiences Of African-American Female Adolescents Experiencing Foster Care, Bahia Anise-Cross Degruy Overton
Dissertations and Theses
As the author Zora Neale Hurston says, "If you're silent about your pain, they'll kill you and say you enjoyed it." The Mirror Project (MP) aims to break this silence by giving voice to Black women who have experienced foster care in Portland, Oregon during their adolescence. In focus groups and interviews, participants shared their stories. Racial identity development theory, phenomenology and Afrocentric feminist epistemology provided lenses for gaining insight into their experiences in a predominantly white city. The MP revealed six themes: lack of youth engagement in foster care decisions, the need for a cultural lens in social work, …
Invarianza De La Escala De Evaluación De Las Relaciones Intrafamiliares En Padres Con Y Sin Migración De Retorno Y Salud Mental [Invariance Of The Intrafamily Relations Evaluation Scale In Parents With And Without Return Migration And Mental Health], María Elena Rivera Heredia, Patricia Andrade Palos, Jaime Fuentes Balderrama, Luis H. Zayas
Invarianza De La Escala De Evaluación De Las Relaciones Intrafamiliares En Padres Con Y Sin Migración De Retorno Y Salud Mental [Invariance Of The Intrafamily Relations Evaluation Scale In Parents With And Without Return Migration And Mental Health], María Elena Rivera Heredia, Patricia Andrade Palos, Jaime Fuentes Balderrama, Luis H. Zayas
School of Social Work Faculty Publications
Se analizaron las propiedades psicométricas de la Escala de Evaluación de las Relaciones Intrafamiliares (ERI) en padres de familia que retornaron a México y que tienen hijos e hijas menores de edad nacidos en E.E.U.U., así como en padres mexicanos sin experiencia migratoria. Participaron189 padres (92 retornados y 97 sin migración). Se llevaron a cabo Análisis Factoriales Exploratorios y Confirmatorios para derivar una versión culturalmente invariante. Una vez obtenidas las evidencias de invarianza configural, métrica, escalar, estricta y estructural, se encontró mediante un modelo de ecuaciones estructurales que la unión y apoyo familiar se asocian con la sintomatología depresiva y …