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Article ; Online: Clients' perceptions of marriage and family therapists' way-of-being: a phenomenological analysis.

Holyoak, Derek L / Fife, Stephen T / Hertlein, Katherine M

2020 Volume 47, Issue 1, Page(s) 85–103

Abstract: Previous research highlights the influence of therapist factors on treatment outcomes. One therapist factor proposed as fundamental to the process of therapy is the therapist's way-of-being, a relational concept that refers to how the therapist regards a ...

Abstract	Previous research highlights the influence of therapist factors on treatment outcomes. One therapist factor proposed as fundamental to the process of therapy is the therapist's way-of-being, a relational concept that refers to how the therapist regards a client-either as a person or object (Fife et al., [2014] Journal of Marital and Family Therapy, 40, 20-33). Although this case has been made conceptually, there is little empirical research on therapists' way-of-being with clients. The primary purpose of this research is to investigate clients' perceptions of their therapists' way-of-being. Utilizing a common factors perspective, the study seeks to explore: (a) how clients experience their therapists' way-of-being and (b) the influence therapists' way-of-being has on clients' engagement. Phenomenological methods were used to gain a nuanced understanding of the phenomenon. Qualitative data were collected through semi-structured face-to-face interviews with clients (N = 10) who received individual therapy from a marriage and family therapist. Results were organized into two main themes: core tenets (attunement, congruency, and aligning with clients) and operational tenets (providing affirmation and validation, balancing flexibility and structure, and accomplishing goals). Findings are used to make a case for adding the concept of way-of-being as an overarching construct for several well-established therapist factors. Clinical and training implications are discussed.
MeSH term(s)	Adult ; Family Therapy ; Female ; Humans ; Interviews as Topic ; Male ; Marriage/psychology ; Middle Aged ; Perception ; Professional-Patient Relations ; Psychotherapy/methods ; Qualitative Research
Language	English
Publishing date	2020-12-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	224679-x
ISSN	1752-0606 ; 0194-472X
ISSN (online)	1752-0606
ISSN	0194-472X
DOI	10.1111/jmft.12469
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Zs.A 6389: Show issues

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Article ; Online: Ceramic Wear Particles: Can They Be Retrieved In Vivo and Duplicated In Vitro?

Kurtz, Steven M / Holyoak, Derek T / Trebše, Rihard / Randau, Thomas M / Porporati, Alessandro Alan / Siskey, Ryan L

The Journal of arthroplasty

2023 Volume 38, Issue 9, Page(s) 1869–1876

Abstract: Background: Little is known about retrieved zirconia platelet toughened alumina (ZPTA) wear particles from ceramic-on-ceramic (COC) total hip arthroplasty. Our objectives were to evaluate clinically retrieved wear particles from explanted periprosthetic ...

Abstract	Background: Little is known about retrieved zirconia platelet toughened alumina (ZPTA) wear particles from ceramic-on-ceramic (COC) total hip arthroplasty. Our objectives were to evaluate clinically retrieved wear particles from explanted periprosthetic hip tissues and to analyze the characteristics of in vitro-generated ZPTA wear particles. Methods: Periprosthetic tissue and explants were received for 3 patients who underwent a total hip replacement of ZPTA COC head and liner. Wear particles were isolated and characterized via scanning electron microscopy and energy dispersive spectroscopy. The ZPTA and control (highly cross-linked polyethylene and cobalt chromium alloy) were then generated in vitro using a hip simulator and pin-on-disc testing, respectively. Particles were assessed in accordance with American Society for Testing and Materials F1877. Results: Minimal ceramic particles were identified in the retrieved tissue, consistent with the retrieved components demonstrating minimal abrasive wear with material transfer. Average particle diameter from in vitro studies was 292 nm for ZPTA, 190 nm for highly cross-linked polyethylene, and 201 nm for cobalt chromium alloy. Conclusion: The minimal number of in vivo ZPTA wear particles observed is consistent with the successful tribological history of COC total hip arthroplasties. Due to the relatively few ceramic particles located in the retrieved tissue, in part due to implantation times of 3 to 6 years, a statistical comparison was unable to be made between the in vivo particles and the in vitro-generated ZPTA particles. However, the study provided further insight into the size and morphological characteristics of ZPTA particles generated from clinically relevant in vitro test setups.
MeSH term(s)	Humans ; Hip Prosthesis ; Arthroplasty, Replacement, Hip ; Polyethylene ; Aluminum Oxide ; Chromium Alloys ; Ceramics ; Prosthesis Failure
Chemical Substances	Polyethylene (9002-88-4) ; Aluminum Oxide (LMI26O6933) ; Chromium Alloys ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2023-03-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2023.03.057
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Zs.A 2134: Show issues

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Article ; Online: Height restoration and sustainability using bilateral vertebral augmentation systems for vertebral compression fractures: a cadaveric study.

Holyoak, Derek T / Andreshak, Thomas G / Hopkins, Thomas J / Brook, Allan L / Frohbergh, Michael E / Ong, Kevin L

The spine journal : official journal of the North American Spine Society

2022 Volume 22, Issue 12, Page(s) 2072–2081

Abstract: ... years, T-score: -2.5 to -3.5, levels: T7-S1) were scanned using computed tomography and dissected ...

Abstract	Background context: The treatment of vertebral compression fractures using percutaneous augmentation is an effective method to reduce pain and decrease mortality rates. Surgical methods include vertebroplasty, kyphoplasty, and vertebral augmentation with implants. A previous study suggested that a titanium implantable vertebral augmentation device (TIVAD) produced superior height restoration compared to balloon kyphoplasty (BKP) but was based on a less clinically relevant biomechanical model. Moreover, the introduction of high pressure balloons and directional instruments may further aid in restoring height. Purpose: The objective was to evaluate three procedures (BKP, BKP w/ Kyphon Assist (KA; directional instruments), and TIVAD) used for percutaneous augmentation of vertebral fractures with respect to height restoration and sustainability post-operatively. Study design/setting: This is an in vitro cadaver study performed in a laboratory setting. Methods: Five osteoporotic female human cadaver thoracolumbar spines (age: 63-77 years, T-score: -2.5 to -3.5, levels: T7-S1) were scanned using computed tomography and dissected into 30 two-functional spine units (2FSUs). Vertebral wedge compression fractures were created by reducing the anterior height of the vertebrae by 25% and holding the maximum displacement for 15 minutes. Post-fracture, surgery was performed on each 2FSU with a constant 100 N load. Surgeries included BKP, BKP w/ KA, or TIVAD (n=10 per treatment group). Post-surgery, cyclic loading was performed on each 2FSU for 10,000 cycles at 600 N (walking), followed by 5,000 cycles at 850 N (standing up/sitting down), and 5,000 cycles at 1250 N (lifting a 5-10kg weight from the floor). Fluoroscopic images were taken and analyzed at the initial, post-fracture, post-surgery, and post-loading timepoints. Anterior, central, and posterior heights, Beck Index, and angle between endplates were assessed. Results: No difference in height restoration was observed among treatment groups (p=.72). Compared to the initial height, post-surgery anterior height was 96.3±8.7% for BKP, 94.0±10.0% for BKP w/ KA, and 95.3±5.8% for TIVAD. No difference in height sustainability in response to 600 N (p=.76) and 850 N (p=.20) load levels was observed among treatment groups. However, after 1250 N loading, anterior height decreased to 93.8±6.8% of the post-surgery height for BKP, 95.9±6.4% for BKP w/ KA, and 86.0±6.6% for TIVAD (p=.02). Specifically, the mean anterior height reduction between post-surgery and post-1250 N loading timepoints was lower for BKP w/ KA compared to TIVAD (p=.02), but not when comparing BKP to TIVAD (p=.07). No difference in Beck Index or angle between endplates was observed at any timepoint among the treatment groups. Conclusions: The present study, utilizing a clinically relevant biomechanical model, demonstrated equivalent height restoration post-surgery and at relatively lower-level cyclic loading using BKP, BKP w/ KA, and TIVAD, contrary to results from a previous study. Less anterior height reduction in response to high-level cyclic loading was observed in the BKP w/ KA group compared to TIVAD. Clinical significance: All three treatments can restore height similarly after a vertebral compression fracture, which may lead to pain reduction and decreased mortality. BKP w/ KA may exhibit less height loss in higher-demand patients who engage in physical activities that involve increased weight resistance.
MeSH term(s)	Humans ; Female ; Middle Aged ; Aged ; Fractures, Compression/surgery ; Spinal Fractures/surgery ; Osteoporotic Fractures/surgery ; Bone Cements/therapeutic use ; Kyphoplasty/methods ; Spine ; Pain/surgery ; Cadaver ; Treatment Outcome
Chemical Substances	Bone Cements
Language	English
Publishing date	2022-06-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2037072-6
ISSN	1878-1632 ; 1529-9430
ISSN (online)	1878-1632
ISSN	1529-9430
DOI	10.1016/j.spinee.2022.06.011
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Zs.A 5898: Show issues

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Article ; Online: Mechanobiological Mechanisms of Load-Induced Osteoarthritis in the Mouse Knee.

Adebayo, Olufunmilayo O / Holyoak, Derek T / van der Meulen, Marjolein C H

Journal of biomechanical engineering

2019 Volume 141, Issue 7

Abstract: Osteoarthritis (OA) is a degenerative joint disease that affects millions of people worldwide, yet its disease mechanism is not clearly understood. Animal models have been established to study disease progression by initiating OA through modified joint ... ...

Abstract	Osteoarthritis (OA) is a degenerative joint disease that affects millions of people worldwide, yet its disease mechanism is not clearly understood. Animal models have been established to study disease progression by initiating OA through modified joint mechanics or altered biological activity within the joint. However, animal models often do not have the capability to directly relate the mechanical environment to joint damage. This review focuses on a novel in vivo approach based on controlled, cyclic tibial compression to induce OA in the mouse knee. First, we discuss the development of the load-induced OA model, its different loading configurations, and other techniques used by research laboratories around the world. Next, we review the lessons learned regarding the mechanobiological mechanisms of load-induced OA and relate these findings to the current understanding of the disease. Then, we discuss the role of specific genetic and cellular pathways involved in load-induced OA progression and the contribution of altered tissue properties to the joint response to mechanical loading. Finally, we propose using this approach to test the therapeutic efficacy of novel treatment strategies for OA. Ultimately, elucidating the mechanobiological mechanisms of load-induced OA will aid in developing targeted treatments for this disabling disease.
MeSH term(s)	Animals ; Biomechanical Phenomena ; Disease Models, Animal ; Mechanical Phenomena ; Mice ; Osteoarthritis/physiopathology ; Rhombencephalon/physiopathology ; Weight-Bearing
Language	English
Publishing date	2019-06-18
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	243094-0
ISSN	1528-8951 ; 0148-0731
ISSN (online)	1528-8951
ISSN	0148-0731
DOI	10.1115/1.4043970
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Zs.B 2672: Show issues

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Article ; Online: Trunk and Shank Position Influences Patellofemoral Joint Stress in the Lead and Trail Limbs During the Forward Lunge Exercise.

Hofmann, Cory L / Holyoak, Derek T / Juris, Paul M

The Journal of orthopaedic and sports physical therapy

2017 Volume 47, Issue 1, Page(s) 31–40

Abstract: ... measures analysis of variance was performed, using paired t tests for post hoc comparisons. Results ...

Abstract	Study Design Controlled laboratory study, repeated-measures design. Background The effects of trunk and shank position on patellofemoral joint stress of the lead limb have been well studied; however, the effects on the trail limb are not well understood. Objectives To test the hypothesis that trunk and shank position may influence patellofemoral joint stress in both limbs during the forward lunge exercise. Methods Patellofemoral kinetics were quantified from 18 healthy participants performing the lunge exercise with different combinations of trunk and shank positions (vertical or forward). A 2-by-3 (limb-by-lunge variation) repeated-measures analysis of variance was performed, using paired t tests for post hoc comparisons. Results The trail limb experienced greater total patellofemoral joint stress relative to the lead limb, regardless of trunk and shank position (P<.0001). The lunge variation with a vertical shank position resulted in significantly greater peak patellofemoral joint stress in the trail limb relative to the lead limb (P<.0001). A forward trunk and shank position resulted in the highest patellofemoral stress in the lead limb (P<.0001). Conclusion Trunk and shank positions have a significant influence on patellofemoral joint loading of both limbs during the forward lunge, with the trail limb generally experiencing greater total joint stress. Restricting forward translation of the lead-limb shank may reduce patellofemoral joint stress at the expense of increased stress in the trail limb. Technique recommendations should consider the demands imposed on both knees during this exercise. J Orthop Sports Phys Ther 2017;47(1):31-40. Epub 4 Nov 2016. doi:10.2519/jospt.2017.6336.
MeSH term(s)	Adolescent ; Adult ; Analysis of Variance ; Exercise/physiology ; Female ; Humans ; Kinetics ; Leg/physiology ; Male ; Middle Aged ; Patellofemoral Joint/physiology ; Posture/physiology ; Torso/physiopathology ; Young Adult
Language	English
Publishing date	2017-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	604640-x
ISSN	1938-1344 ; 0190-6011
ISSN (online)	1938-1344
ISSN	0190-6011
DOI	10.2519/jospt.2017.6336
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Zs.B 2447: Show issues

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Article ; Online: Low bone mass resulting from impaired estrogen signaling in bone increases severity of load-induced osteoarthritis in female mice.

Ziemian, Sophia N / Ayobami, Olufunmilayo O / Rooney, Amanda M / Kelly, Natalie H / Holyoak, Derek T / Ross, F Patrick / van der Meulen, Marjolein C H

Bone

2021 Volume 152, Page(s) 116071

Abstract: Objective: Reduced subchondral bone mass and increased remodeling are associated with early stage OA. However, the direct effect of low subchondral bone mass on the risk and severity of OA development is unclear. We sought to determine the role of low ... ...

Abstract	Objective: Reduced subchondral bone mass and increased remodeling are associated with early stage OA. However, the direct effect of low subchondral bone mass on the risk and severity of OA development is unclear. We sought to determine the role of low bone mass resulting from a bone-specific loss of estrogen signaling in load-induced OA development using female osteoblast-specific estrogen receptor-alpha knockout (pOC-ERαKO) mice. Methods: Osteoarthritis was induced by cyclic mechanical loading applied to the left tibia of 26-week-old female pOC-ERαKO and littermate control mice at peak loads of 6.5N, 7N, or 9N for 2 weeks. Cartilage damage and thickness, osteophyte development, and joint capsule fibrosis were assessed from histological sections. Subchondral bone morphology was analyzed by microCT. The correlation between OA severity and intrinsic bone parameters was determined. Results: The loss of ERα in bone resulted in an osteopenic subchondral bone phenotype, but did not directly affect cartilage health. Following two weeks of cyclic tibial loading to induce OA pathology, pOC-ERαKO mice developed more severe cartilage damage, larger osteophytes, and greater joint capsule fibrosis compared to littermate controls. Intrinsic bone parameters negatively correlated with measures of OA severity in loaded limbs. Conclusions: Subchondral bone osteopenia resulting from bone-specific loss of estrogen signaling was associated with increased severity of load-induced OA pathology, suggesting that reduced subchondral bone mass directly exacerbates load-induced OA development. Bone-specific changes associated with estrogen loss may contribute to the increased incidence of OA in post-menopausal women.
MeSH term(s)	Animals ; Bone Density ; Bone and Bones ; Cartilage, Articular ; Disease Models, Animal ; Estrogens ; Female ; Mice ; Osteoarthritis ; Tibia/diagnostic imaging
Chemical Substances	Estrogens
Language	English
Publishing date	2021-06-24
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	632515-4
ISSN	1873-2763 ; 8756-3282
ISSN (online)	1873-2763
ISSN	8756-3282
DOI	10.1016/j.bone.2021.116071
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Zs.A 1571: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 332: Show issues

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Article: Injectable mechanical pillows for attenuation of load-induced post-traumatic osteoarthritis.

Holyoak, Derek T / Wheeler, Tibra A / van der Meulen, Marjolein C H / Singh, Ankur

Regenerative biomaterials

2019 Volume 6, Issue 4, Page(s) 211–219

Abstract: Osteoarthritis (OA) of the knee joint is a degenerative disease initiated by mechanical stress that affects millions of individuals. The disease manifests as joint damage and synovial inflammation. Post-traumatic osteoarthritis (PTOA) is a specific form ... ...

Abstract	Osteoarthritis (OA) of the knee joint is a degenerative disease initiated by mechanical stress that affects millions of individuals. The disease manifests as joint damage and synovial inflammation. Post-traumatic osteoarthritis (PTOA) is a specific form of OA caused by mechanical trauma to the joint. The progression of PTOA is prevented by immediate post-injury therapeutic intervention. Intra-articular injection of anti-inflammatory therapeutics (e.g. corticosteroids) is a common treatment option for OA before end-stage surgical intervention. However, the efficacy of intra-articular injection is limited due to poor drug retention time in the joint space and the variable efficacy of corticosteroids. Here, we endeavored to characterize a four-arm maleimide-functionalized polyethylene glycol (PEG-4MAL) hydrogel system as a 'mechanical pillow' to cushion the load-bearing joint, withstand repetitive loading and improve the efficacy of intra-articular injections of nanoparticles containing dexamethasone, an anti-inflammatory agent. PEG-4MAL hydrogels maintained their mechanical properties after physiologically relevant cyclic compression and released therapeutic payload in an on-demand manner under
Language	English
Publishing date	2019-04-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2799042-4
ISSN	2056-3426 ; 2056-3418
ISSN (online)	2056-3426
ISSN	2056-3418
DOI	10.1093/rb/rbz013
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Article ; Online: Osteoarthritis: Pathology, Mouse Models, and Nanoparticle Injectable Systems for Targeted Treatment.

Holyoak, Derek T / Tian, Ye F / van der Meulen, Marjolein C H / Singh, Ankur

Annals of biomedical engineering

2016 Volume 44, Issue 6, Page(s) 2062–2075

Abstract: Osteoarthritis (OA) is a progressive, degenerative disease of articulating joints that not only affects the elderly, but also involves younger, more active individuals with prolonged participation in high physical-demand activities. Thus, effective ... ...

Abstract	Osteoarthritis (OA) is a progressive, degenerative disease of articulating joints that not only affects the elderly, but also involves younger, more active individuals with prolonged participation in high physical-demand activities. Thus, effective therapies that are easy to adopt clinically are critical in limiting the societal burden associated with OA. This review is focused on intra-articular injectable regimens and provides a comprehensive look at existing in vivo models of OA that might be suitable for developing, testing, and finding a cure for OA by intra-articular injections. We first discuss the pathology, molecular mechanisms responsible for the initiation and progression of OA, and challenges associated with disease-specific targeting of OA. We proceed to discuss available animal models of OA and provide a detailed perspective on the use of mouse models in studies of experimental OA. We finally provide a closer look at intra-articular injectable treatments for OA, focusing on biomaterials-based nanoparticles, and provide a comprehensive overview of the various nanometer-size ranges studied.
MeSH term(s)	Animals ; Disease Models, Animal ; Humans ; Injections, Intra-Articular ; Mice ; Nanoparticles/toxicity ; Osteoarthritis, Knee/chemically induced ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/metabolism
Language	English
Publishing date	2016-06
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	185984-5
ISSN	1573-9686 ; 0191-5649 ; 0090-6964
ISSN (online)	1573-9686
ISSN	0191-5649 ; 0090-6964
DOI	10.1007/s10439-016-1600-z
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Zs.A 1018: Show issues

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Article ; Online: Examining the role of a brief online alcohol use risk feedback on accessing information about available treatment resources for alcohol issues.

Tuliao, Antover P / Mullet, Natira D / Hawkins, Lindsey G / Holyoak, Derek / Weerts, Marisa / Gudenrath, Travis

Addictive behaviors

2019 Volume 96, Page(s) 164–170

Abstract: Research suggests college-aged young adults are hesitant to seek treatment for alcohol use disorder and highlights barriers contributing to a gap in treatment utilization. One barrier to treatment utilization is the lack of information about available ... ...

Abstract	Research suggests college-aged young adults are hesitant to seek treatment for alcohol use disorder and highlights barriers contributing to a gap in treatment utilization. One barrier to treatment utilization is the lack of information about available treatment resources. Motivated by the literature on web-based screening and brief interventions (eSBIs), the current study examined whether providing a brief online feedback of one's alcohol use risk severity will make college students more likely to access information about available treatment options for alcohol-related issues. College students (N = 724) who responded to the Alcohol Use Disorder Identification Test (Babor, Higgins-Biddle, Saunders, & Monteiro, 2001) were randomly assigned to receive a brief online feedback on their alcohol use risk or to a no-feedback condition. Overall, only 20% of all participants opted to view available treatment services for alcohol issues. Participants in the feedback group (15%) were significantly less likely to view information for available services compared to the no-feedback group (24%). A significant feedback condition x stigma interaction effect was found, such that those with average and high stigma towards substance use scores were less likely to view treatment information when provided feedback. Without a thorough discussion of individual risks and without the safeguards against psychological reactance present in eSBIs, providing college students with brief online feedback about their alcohol use risk severity made them less likely to access information concerning available on-campus mental health resources for alcohol issues. On the other hand, improving help-seeking attitudes could help increase treatment utilization.
MeSH term(s)	Adolescent ; Alcohol Drinking ; Alcohol Drinking in College ; Alcoholism/diagnosis ; Feedback ; Female ; Help-Seeking Behavior ; Humans ; Internet-Based Intervention ; Male ; Risk Assessment ; Social Stigma ; Students ; Young Adult
Language	English
Publishing date	2019-05-07
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	197618-7
ISSN	1873-6327 ; 0306-4603
ISSN (online)	1873-6327
ISSN	0306-4603
DOI	10.1016/j.addbeh.2019.05.004
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Article ; Online: Alexithymia, Prior Trauma, Alcohol Use, and Sexual Aggression Perpetration: A Cross-Cultural Comparison of a Moderated Mediation Model.

Hawkins, Lindsey G / Mullet, Natira / Tuliao, Antover P / Gudenrath, Travis / Holyoak, Derek / Landoy, Bernice Vania N / Klanecky, Alicia K / McChargue, Dennis E

Sexual abuse : a journal of research and treatment

2020 Volume 33, Issue 4, Page(s) 455–474

Abstract: In this study, we examined the relationships between prior trauma, alexithymia, and sexual aggression perpetration among 610 U.S. college students and 107 college students from the Philippines utilizing a cross-sectional retrospective design. We tested a ...

Abstract	In this study, we examined the relationships between prior trauma, alexithymia, and sexual aggression perpetration among 610 U.S. college students and 107 college students from the Philippines utilizing a cross-sectional retrospective design. We tested a moderated mediation model with alexithymia as the mediator between prior trauma and sexual aggression perpetration, and alcohol use as a moderator of the alexithymia-sexual aggression link. Moreover, given that cultural norms may influence these relationships, we also examined the structural invariance of the proposed moderated mediation model. Path analyses and multiple group analysis were used to examine the moderated mediation model, and examine model differences between samples. We did not find evidence for alexithymia as a mediator, but there was a significant interaction between alcohol use severity and alexithymia on sexual aggression perpetration across both samples. Alexithymia is a key variable in understanding the alcohol use-sexual aggression perpetration relationship. Clinical implications and recommendations for future research are also discussed.
MeSH term(s)	Adolescent ; Adverse Childhood Experiences/psychology ; Affective Symptoms/epidemiology ; Alcohol Drinking/epidemiology ; Cross-Cultural Comparison ; Cross-Sectional Studies ; Humans ; Male ; Mediation Analysis ; Philippines/epidemiology ; Retrospective Studies ; Sex Offenses/psychology ; Students ; United States/epidemiology ; Universities ; Young Adult
Language	English
Publishing date	2020-04-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	1283507-9
ISSN	1573-286X ; 1079-0632
ISSN (online)	1573-286X
ISSN	1079-0632
DOI	10.1177/1079063220912451
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