Kristi A. Mannon, M. S. , Rawya M. Al-Jabari, M. S. , Amy R

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An Exploration of Parenting Styles’ Impact on the Development of Values Kristi A. Mannon, M.S., Rawya M. Al-Jabari, M.S., Amy R. Murrell, Ph.D., Erin K.M. Hogan,  B.S., & Teresa C. Hulsey, B.A.

Emerging Adulthood Emerging adulthood is a unique developmental stage Emerging adults have a unique opportunity to form their identity and develop a value system (Hauser & Greene, 1991) the stage in between adolescence and adulthood in which individuals can openly explore different areas of life such as love, work, and world views.

Acceptance and Commitment Therapy & Values Acceptance and commitment therapy (ACT) is a treatment model that specifically addresses values ACT differentiates between values and goals Values are choices that are to be made freely Individuals not likely to live consistently with extrinsic values

Family Value Transmission Model Relatedness/closeness is key to the internalizing values from one’s environment (Niemiec et al., 2006; Ryan & Deci, 2000)  Parenting style is thought to impact value transmission (Grusec, Goodnow, and Kuczynski, 2000)   If a parent is more responsive to their child’s needs, the child tends to become more willing to comply with the parent’s demands and rules.  Furthermore, if parents are more responsive, their adolescents may become more likely to view them as relevant role models; thus, these adolescents may choose to act in a similar way to their parents.   Value transmission is the method by which parents’ communicate their values to their children, and in turn the child adopts these values in some form (Grusec and Goodnow, 1994) Parents’ understanding of their child, the parent-child relationship, and parent’s socialization goals are important in the transmission of values (Grusec and Goodnow, 1994) After point: Value transmission is believed to neither be completely present nor absent in a family, rather value transmission is partial. Some values are transmitted and accepted while others are not transmitted and are rejected

Parenting Styles Various theories exist in regards to the best parenting styles and the way those styles are defined Before 1st point: A parenting style is defined as a psychological construct characterized by standard strategies that parents use as they raise their children. The most well-known model, and the only one with a measure to assess parenting style from the child’s perspective, is Baumrind’s (1971) model Authoritarian parents are highly demanding, directive, and not responsive (Baumrind’s, 1971). This style also has negative developmental outcomes. This rigid, authoritarian parenting style is more likely to decrease the likelihood for value transmission because it often creates distance between parent and child. High levels of obedience, Low levels of self-concept (Lamborn, et al., 1991) Poor adjustment at school (Shumow et al., 1998). Negatively associated with academic achievement, expressiveness, and independence in children (Hill, 1995; Shumow et al., 1998). Poorer social skills, lower self-esteem, and higher levels of depression (Miller, Cowan, Cowan, Hetherington, & Clingempeel, 1993). Since relatedness or closeness plays such an important role in the process of internalizing values, adolescents of authoritarian parents often do not internalize the values of the parents due to a lack of relatedness caused by this parenting style (Schonpflug, 2001). Better self-regulation, high social competence, positive social adjustment, and low psychological and behavioral dysfunction (Grolnick & Ryan, 1989; Lamborn, et al., 1991). Hill (1995) positively correlated with organization, achievement, and intellectual orientation in children. Possess higher levels of autonomy than children of authoritarian and permissive parents (Deslandes, 2000).

Purpose of Current Study Is parenting style related to the degree to which values are freely chosen (i.e., intrinsic) versus based on external circumstances (i.e., extrinsic)? Examine: relationships between parenting styles, parent-child relationship, and values transmission Before 1st point: The aim of the present study was twofold

Hypothesis 1 1. Parenting styles and quality of parent-child relationship would be correlated 1a: Authoritative parenting style would be positively correlated with quality of parent-child relationship 1b: Authoritarian parenting style would be negatively correlated with quality of parent-child relationship

Hypothesis 2 2. Parenting style would be correlated with the degree to which values are freely chosen 2a: Authoritative parenting style would be positively correlated with the degree to which values are freely chosen 2b: Authoritarian parenting style would be negatively correlated with the degree to which values are freely chosen 2. Parenting style would be correlated with degree of intrinsic and extrinsic values, or the degree to which values are freely chosen

Hypothesis 3 3. Quality of parent-child relationship would be positively correlated with degree to which values are freely chosen

Hypothesis 4 4. Parenting style would impact the relationship between quality of parent-child relationship and the degree to which values are freely chosen

Hypothesized Path Model In order to test the hypotheses, first a correlation matrix was performed to examine the correlation between the variables parenting style (PAQ), quality of parent-child relationships (QRI), and values purity (PVQ). The multiple regression equations for the path analysis are listed below. Regression 1: Dependent variable: Emotional Support Score on the Quality of Relationships Inventory Predictors (Block 1): Parental Authority Questionnaire Subscales (Authoritative, Authoritarian, and Permissive) Regression 2: Dependent variable: Value Purity Score on the Personal Values Questionnaire Predictors (Block 1): Parental Authority Questionnaire Subscales (Authoritative, Authoritarian, and Permissive) and Emotional Support Score on the Quality of Relationships Inventory Even though mediations were not hypothesized, it was possible that statistical analyses would reveal that they most efficiently explain the data. Path coefficients were decomposed into direct, indirect, and unanalyzed effects. Unanalyzed effects include paths that do not specify a direction of causation (i.e., PAQ subscales Authoritative, Authoritarian, and Permissive). The products of the decomposed effects were then compared to the zero-order correlations of the variables included in the path analysis to evaluate the ability of the model to recreate the observed associations between constructs. Areduced model analysis was performed between the contributing variables and theory trimming occurred. A suggested by Kenny (2011) a Chi-square goodness of fit was performed to examine the overall fit of the model. Finally, if necessary, the fit between the full model and reduced model was examined using the formula Q= (1−𝜋(𝑒^2 )[𝐹𝑖𝑡 𝑜𝑓 𝑓𝑢𝑙𝑙 𝑚𝑜𝑑𝑒𝑙] )/(1−𝜋(𝑒^2 )[𝐹𝑖𝑡 𝑜𝑓 𝑟𝑒𝑑𝑢𝑐𝑒𝑑 𝑚𝑜𝑑𝑒𝑙]) . A significance test between the two models was performed using the formula W= −(𝑁−𝑑)∗log_𝑒⁡𝑄 where N equals sample size and d equals the number of dropped paths. There were 13 free parameters: five path coefficients, two for the equations’ (from IV’s to relationship and from IV’s and quality measure to values) error variances, three to account for correlations between individual variables, and three for the variances associated with individual variables. Two potential direct pathways from permissive parenting were not drawn due to insufficient data and previous research to support a theory

Participants 454 undergraduate from UNT volunteered for Sona Inclusion into the study included: (a) English-speaking (b) between the ages of 18 and 25 years old Mean age of 19.86 (SD = 1.7) Selection criteria limited participants to ages 18 to 25 in an effort to be consistent with the age ranges for emerging adulthood suggested in the literature.

Participants Prior to completing the Parental Authority Questionnaire and Quality of Relationship Inventory 83.5% reported having a primary female caregiver 68.3% reported having a male caregiver. For the analyses we examined the female caregiver and male caregivers separately ( this was done to examine possible differences in caregiver structure and value transmission as part of a larger study. It was meant to be done in exploratory but did not have the power to do so. I also wanted to know . I also wanted to know if mothers or fathers played more of a role or if parenting styles differed what the outcome was for exploratory analyses….I had to first establish this relationship existed though because it had never been looked at with this population and from an ACT perspective)

Measures Demographics Questionnaire Personal Values Questionnaire (PVQ) Parental Authority Questionnaire (PAQ) Quality of Relationships Inventory (QRI) The PVQ is a self-report measure with a 5-point Likert-type scale designed to assess valued actions and the rule-governed behavior reflected by those actions (Blackledge & Ciarrochi, 2006). For the current study, the Purity Value Scale had good internal consistency with an alpha of .91. The PAQ is a 30-item questionnaire with a 5-point Likert-type scale used to measure Baumrind's three prototypes of parental authority: permissiveness, authoritarianism, and authoritativeness (Buri, J., 1989) Authoritarian, Authoritative, and Permissive subscales had good internal consistency for both the female and male caregivers. In regards to the female caregivers, the alpha for was .82 -.89 In regards to the male caregivers, the alpha for the subscale was .85-.92. The QRI is a 25 item questionnaire with a 4-point Likert-type scale which measures the quality and supportive nature of the relationship between parent and child (Pierce, Sarason, & Sarason, 1991). The Support, Conflict, Depth, and Emotional Support subscales had good internal consistency for both the female and male caregivers. For responses about female caregivers, the alpha .87 -.90 In regards to the male caregivers, the alpha .86- .93

Primary Analysis Correlation matrix Regression models Analysis of path models and fit There are 13 free parameters: five path coefficients, two for the equations’ (from IV’s to relationship and from IV’s and quality measure to values) error variances, three to account for correlations between individual variables, and three for the variances associated with individual variables. Two potential direct pathways from permissive parenting are not drawn due to insufficient data and previous research to support a theory

Hypothesis 1: Supported Female Caregivers Parenting styles and quality of parent-child relationship were correlated Hypothesis Scale r Significance 1a Authoritarian - QRI -.38 p < .01 1b Authoritative -QRI .64 1a: Authoritarian parenting style was negatively correlated with quality of parent-child relationship (r = -.38, p < .01) 1b: Authoritative parenting style was positively correlated with quality of parent-child relationship (r = .64, p < .01)

Hypothesis 2: Supported Female Caregivers Parenting styles were correlated with degree of intrinsic and extrinsic values, or the degree to which values are freely chosen Hypothesis Scales r Significance 2a Authoritarian- PVQ -.59 p < .01 2b Authoritative -PVQ .47 2a: Authoritarian parenting style was negatively correlated with degree of intrinsic and extrinsic values, or the degree values are freely chosen (r = -.59, p < .01) 2b: Authoritative parenting style was positively correlated with degree of intrinsic and extrinsic values, or the degree values are freely chosen(r = .47 p < .01)

Hypothesis 3: Supported Female Caregivers The quality of parent-child relationship was positively correlated with degree the degree to which values are freely chosen Hypothesis Scale r Significance 3 QRI -PVQ .54 p < .01

Hypothesis 4: Supported Female Caregivers Parenting styles impacted the relationship between quality of parent-child relationship and the degree to which values are freely chosen First Regression Model β B p Authoritarian -.17 -.03 p < .001 Authoritative .57 .11 The first regression analysis for this model used the Emotional Support Score on the Quality of Relationships Inventory as the outcome and the Parental Authority Questionnaire Subscales (Authoritarian and Authoritative) as the predictors. Results of this regression were significant (R2 =.66, F (2, 377) = 161.62, p <.001). Specifically, Authoritarian parenting style significantly predicted (β = -.17 B = -.03, p < .001) and Authoritative parenting style significantly predicted (β = .57, B = .11, p < .001) closeness of the parent-child relationship. The second regression analysis for this model used the Purity Value Score on the Personal Values Questionnaire as the outcome and the Parental Authority Questionnaire Subscales (Authoritarian and Authoritative) and the Emotional Support Score on the Quality of Relationships Inventory as the predictors. Results of this regression were significant (R2 =.69, F (3, 376) = 111.13, p <.001). Specifically, Authoritarian parenting style (β = -.43 B = -1.70, p < .001), Authoritative parenting style (β = .12, B = .53, p < .001), and the Emotional Support Score (β = .30, B = 6.80, p < .001) significantly predicted the degree to which values are intrinsically chosen. Thus, parenting styles and closeness of the parent-child relationship have direct effects on the degree to which values are intrinsically or extrinsically chosen. Approximately 69% of the variance in the degree to which values are intrinsically or extrinsically chosen was accounted for by the model. Second Regression Model β B p Authoritarian -.43 -1.70 p < .001 Authoritative .12 .53 Emotional Support .30 6.80

Hypothesis 4: Supported Female Caregivers Path coefficients may be used to decompose correlations in the model into direct and indirect effects, corresponding to direct and indirect paths reflected in the arrows in the model. Furthermore, results show the direct effect of Authoritarian parenting style on value purity is -.43 and the indirect effect of Authoritarian parenting through the quality of the parent-child relationship is -.0.05. The total causal effect is computed by summing the direct effect and the indirect effect. Thus, the total causal effect is .48. Results show the direct effect of Authoritative parenting style on value purity is .12 and the indirect effect of Authoritative parenting through the quality of the parent-child relationship is .17. The total causal effect is computed by summing the direct effect and the indirect effect. Thus, the total causal effect is .29.

Female Caregivers Model Fit Statistic Result RMSEA = .03 Between an excellent and good fit NFI = . 996 Good fit χ2 = (2) = 2.58, p > .05 Finally the fit of the model was analyzed utilizing AMOS 22. Several indices of model fit were calculated to assess the model’s ability to reproduce the observed correlations in the sample in accordance with the recommendations of Kline (2011). Results indicated that the proposed path model was indeed a good fit as indicated by several indices of model fit. The RMSEA measure of fit is currently the most popular measure of model fit. MacCallum, Browne and Sugawara (1996) have used 0.01, 0.05, and 0.08 to indicate excellent, good, and mediocre fit respectively. The NFI was also used. This index was the first measure of fit proposed in the literature (Bentler & Bonett, 1980) and it is an incremental measure of fit. For the NFI, a value between .90 and .95 is considered marginal, above .95 is good, and below .90 is considered to be a poor fitting model.

Hypothesis 1: Supported Male Caregivers Parenting styles and quality of parent-child relationship were correlated Hypothesis Scale r Significance 1a Authoritarian - QRI -.24 p < .01 1b Authoritative -QRI .65 1a: Authoritarian parenting style was negatively correlated with quality of parent-child relationship (r = -.24, p < .01). 1b: Authoritative parenting style was positively correlated with quality of parent-child relationship (r = .65, p < .01).

Hypothesis 2: Not Supported Male Caregivers Parenting styles were not significantly correlated with degree of intrinsic and extrinsic values, or the degree to which values are freely chosen Hypothesis Scales r Significance 2a Authoritarian- PVQ -.07 Not Significant 2b Authoritative -PVQ .07 2a: Authoritarian parenting style was not significantly negatively correlated with degree of intrinsic and extrinsic values, or the degree values are freely chosen (r = -.07). 2b: Authoritative parenting style was not significantly positively correlated with quality of parent-child relationship (r = .07).

Hypothesis 3: Not Supported Male Caregivers The quality of parent-child relationship was not significantly positively correlated with degree to which values are freely chosen Hypothesis Scale r Significance 3 QRI -PVQ .09 Not Significant

Hypothesis 4: Not Supported Male Caregivers Parenting style did not significantly impact the relationship between quality of parent-child relationship and the degree to which values are freely chosen First Regression Model β B p Authoritarian -.04 -.01 p = .42 Authoritative .64 .10 p < .001 The first regression analysis for this model used the Emotional Support Score on the Quality of Relationships Inventory as the outcome and the Parental Authority Questionnaire Subscales (Authoritarian and Authoritative) as the predictors. Results of this regression were significant (R2 =.42, F (2, 307) = 129.05, p <.001). Specifically, Authoritarian parenting style did not significantly predict (β = -.04 B = -.01, p = .42) and Authoritative parenting style significantly predicted (β = .64, B = .10, p < .001) closeness of the parent-child relationship. The second regression analysis for this model used the Purity Value Score on the Personal Values Questionnaire as the outcome and the Parental Authority Questionnaire Subscales (Authoritarian and Authoritative) and the Emotional Support Score on the Quality of Relationships Inventory as the predictors. Results of this regression were not significant (R2 =.01, F (3, 306) = 1.06, p = .37). Specifically, Authoritarian parenting style (β = -.05 B = -.21, p = .40), Authoritative parenting style (β = .004, B = .01, p = .96), and the Emotional Support Score (β = .07, B = .01, p = .32) did not significantly predict the degree to which values are intrinsically chosen. Thus, Authoritarian parenting style does not have a direct effect on the closeness of the parent-child relationship and it does not have a direct or indirect effect on the degree to which values are intrinsically or extrinsically chosen. The Authoritative parenting style had a direct effect on the closeness of the parent-child relationship, but it did not have a direct or indirect effect on the degree to which values are intrinsically or extrinsically chosen. Finally, the closeness of the parent-child relationship did not have a direct effect on the degree to which values are intrinsically or extrinsically chosen. Second Regression Model β B p Authoritarian -.05 -.21 p = .40 Authoritative .004 .01 p = .96 Emotional Support .07 p = .32

Hypothesis 4: Not Supported Male Caregivers Path coefficients may be used to decompose correlations in the model into direct and indirect effects, corresponding to direct and indirect paths reflected in the arrows in the model. Furthermore, results show the direct effect of Authoritarian parenting style on value purity is -.05 and the indirect effect of Authoritarian parenting through the quality of the parent-child relationship is -.0.002. The total causal effect is computed by summing the direct effect and the indirect effect. Thus, the total causal effect is .05. Results show the direct effect of Authoritative parenting style on value purity is .004 and the indirect effect of Authoritative parenting through the quality of the parent-child relationship is .04. Thus, the total causal effect is .04.

Male Caregivers Model Fit Statistic Result NFI = .94 Not a good fit χ2 = (2) = 19.704, p < .001 Finally the fit of the model was analyzed utilizing AMOS 22. Several indices of model fit were calculated to assess the model’s ability to reproduce the observed correlations in the sample in accordance with the recommendations of Kline (2011). Results indicated that the proposed path model was indeed a good fit as indicated by several indices of model fit. The NFI was also used. This index was the first measure of fit proposed in the literature (Bentler & Bonett, 1980) and it is an incremental measure of fit. For the NFI, a value between .90 and .95 is considered marginal, above .95 is good, and below .90 is considered to be a poor fitting model.

Discussion Female Caregivers Parents impact value transmission through parenting style Authoritative parents => children who have more freely chosen or intrinsic values Perhaps the parent-child relationship is important in the degree to which values are freely chosen In the path analysis model, parenting style (Authoritarian and Authoritative) were the exogenous variables and the quality of the parent-child relationship and value purity were the endogenous variables. It was hypothesized that all of the exogenous variables would be correlated with each other. This is in line with previous research findings and is not surprising since parenting styles carry some similar features, yet remain distinct parenting styles (i.e. Authoritarian and Authoritative parents are both high on demands, but differ in regards to responsiveness and warmth) (Weiss & Schwarz, 1996). The results indicate authoritative parents tend to have children who have more freely chosen or intrinsic values. This is likely because these children tend to possess higher levels of autonomy than children of authoritarian and permissive parents (Deslandes, 2000). Furthermore, authoritative parents appear to be able to balance their conformity demands with their respect for their children’s individuality (Baumrind, 1973). Authoritative parents tend to focus less on having their children strictly adhere to the parents’ rules or ideas and are treat their children with more respect and openness than Authoritarian parents do (Baumrind, 1973). As a result, children from authoritative homes appear to be able to better balance the claims of external conformity and achievement demands with their need for individuation and autonomy (Baumrind, 1973). Because children’s individuality and autonomy are respected and fostered in authoritative homes, these children are likely more comfortable and able to evaluate values for themselves. Thus, these children are more likely to intrinsically choose values that are important to them and not out of adherence to their parents’ or societies ideas or pressures.

Discussion Male Caregivers Parenting styles impacts quality of parent-child relationship Authoritarian nor Authoritative parenting styles were significantly correlated with the degree to which values are freely chosen Trending… Parent-child relationship not correlated with degree values are freely chosen In the right direction… In the path analysis model, parenting style (Authoritarian and Authoritative) were the exogenous variables and the quality of the parent-child relationship and value purity were the endogenous variables. It was hypothesized that all of the exogenous variables would be correlated with each other. This is in line with previous research findings and is not surprising since parenting styles carry some similar features, yet remain distinct parenting styles (i.e. Authoritarian and Authoritative parents are both high on demands, but differ in regards to responsiveness and warmth) (Weiss & Schwarz, 1996). The first hypothesis that parenting styles and quality of parent-child relationship would be correlated was supported. Authoritarian parenting style was negatively correlated with quality of parent-child relationship. Authoritative parenting style was positively correlated with quality of parent-child relationship. The second hypothesis was not supported. Neither the Authoritarian nor Authoritative parenting styles were significantly correlated with the degree to which values are freely chosen (i.e., intrinsic vs. extrinsic). However, while these correlations were not significant the relationships were in the hypothesized directions. The third hypothesis that the quality of parent-child relationship would be positively correlated with degree the degree values are freely chosen was also not supported. However, there was a positive relationship trend between the quality of parent-child relationship and the degree values are freely chosen, despite non-significance of this relationship. Again, sample size may have interfered with finding an effect. As discussed below, this hypothesis was also partially supported. Parenting style would impact the relationship between quality of parent-child relationship and the degree to which values are freely chosen The first regression analysis for this model showed parenting styles (i.e., Authoritarian and Authoritative) did not significantly predict the closeness of the parent-child relationship (as measured by the Emotional Support Score on the Quality of Relationships Inventory). The Authoritarian did not significantly predict the relationship with the closeness of the parent-child relationship. On the other hand, the Authoritative parenting style did significantly predict a positive relationship with the closeness of the parent-child relationship. The non-significant finding between the Authoritarian parenting style and the relationship with the closeness of the parent-child relationship is inconsistent with previous research (Niemiec et al., 2006; Ryan & Deci, 200l; Schonpflug, 2001; Nelson, Padilla-Walker, Christensen, et al., (2011). In the current study, more male caregivers were ranked higher in the Authoritative parenting style than the Authoritarian parenting style. Therefore, it is possible more Authoritarian male caregivers were needed to predict the relationship between this parenting style and the closeness of the parent-child relationship. The results of the second regression analysis for this model indicated that parenting styles (i.e., Authoritarian and Authoritative) and the closeness of the parent-child relationship (as measured by the Emotional Support Score on the Quality of Relationships Inventory) do not significantly predict the degree to which values are intrinsically chosen.

Limitations Research design Measurement Generalizability Method of data collection Path analysis is a more specific form of regression analysis and is intended to examine causal processes underlying the observed relationship and to estimate the relative importance of alternative paths of influence. However since path analysis is regression based, the confirmation of a causal model does not prove that a model is in fact valid. While choosing an undergraduate sample who was in the emerging adulthood period was theoretically important to this study, some limitations come with the research design. Research design Path analysis cannot establish the direction of causality Cross sectional nature of this study Retrospective nature of the self-report of childhood during emerging adulthood Measurement Lack of valid measure to assess 4 parenting styles Generalizability Predominantly females Predominantly European American Undergraduates attending a university in the south-central region of the United States Possible difference in volunteers vs. non-volunteers Possible difference in psychology vs. non-psychology students Method of data collection Online data survey Truthfulness of responding Lack of control in environment Sample

Clinical Implications Importance of values: High valuing is negatively correlated with various symptoms of psychopathology (Adcock, Murrell, & Woods, 2007; Plumb et al. 2007; VanDyke, Rogers, & Wilson, 2006; Taravella, 2010; McCracken & Yang, 2006) Levels of distress: Inverse relationship between acceptance and valuing behavior and psychological distress College student mental health issues have been on the rise (Hunt & Eisenberg, 2010) Examining values better understanding and aid in treatment and intervention Previous research suggests emerging adulthood is an important period for value development, and the findings of this study indicate that parenting style and closeness of the parent-child relationship play an important role in value development throughout this life transition. Van Dyke and Rogers (2006) found individuals who reported low valuing also reported greater distress and individuals who indicated low and moderate valuing reported greater experiential avoidance. In a study of valuing and psychological distress, Adcock, Murrell, and Woods (2007) indicated that valuing many things was highly predictive of psychological well-being. Similarly, individuals diagnosed with depression were also found to report greater inconsistency within different goals and value domains (Stanger, Ukrow, Schermelleh-Engel, Grabe, Lauterbach, 2007). Taken together, these studies suggest an inverse relationship between acceptance and valuing behavior and psychological distress. Additionally, college student mental health issues have been on the rise, especially in recent decades (Hunt & Eisenberg, 2010). Some reports indicate that the rate of depression has been steadily rising in the last few years among undergraduates, a particular concern given the high rates of suicide attempts in college-age individuals (Kisch, Leino, & Silverman, 2005). These findings indicate it is imperative for research to be conducted examining values in an emerging adulthood sample, to gain better understanding and aid in treatment and intervention. Approaches to therapy that explicitly address values may be beneficial to emerging adults. In the ACT model, values are choices that are to be made freely, and are not chosen based on the influence of others, or in the avoidance of some negative experience. Thus, individuals are urged to choose what they want their lives to be about (Wilson & Murrell, 2004). If individuals are receiving interventions which focus on exploring and freely choosing one’s values they are likely to have less psychological distress. An important piece of facilitating value clarification is understanding how values are developed. Hence, understanding how values develop and conceptualizing the roles that parenting styles and the parent-child relationship play in value development can prove beneficial to treatment outcomes. Research examining values in an emerging adulthood sample can lead to a better understanding and aid in treatment and intervention

University of North Texas University of North Texas Thank you! Rawya Al-Jabari, MS University of North Texas RawyaAl-Jabari@my.unt.edu Kristi Mannon, MS University of North Texas KristiMannon@my.unt.edu