pression and anxiety. In fact, the authors found avoidant styles of coping to be a strong indicator of posttraumatic stress symptoms. Despite participant use of harmful styles of coping, appropriate use of family/social support buffered the symptoms of depression and anxiety (Romero et al., 2015). The article included confusing and unnecessary hypothesized path models and was difficult to read. The authors discovered family and social support to be an effective bulwark at preventing psychological distress in student veterans. Avoidant coping strategies were discovered to be a hindrance to maintaining mental health. The importance of appropriate and effective coping strategies was highlighted to promote mental health and prevent psychological distress; however, the importance of familial/social support should not be discounted.

Schwarzer, Bowler & Cone (2014) examined New York police officers after the September 11th terrorist attack on the World Trade Center. The Level IV longitudinal review analyzed the mental health of police officers who responded to the 9/11 attack and destruction repairs. The sample included 2943 police officers who participated in a minimum of one shift from the day of the terrorist attack to the last day of repairs, on June 30th, 2002. The officers completed two questionnaires to assess stress response symptoms to determine possible posttraumatic stress disorders [PTSD]. The PTSD specific stressor questionnaire combined with exposure level assessments and social integration measurements determined the mental health outcomes. The articles discussed the two-step process interchangeably, however, the rest of the study was concise and logically organized. The authors discovered an association between high levels of exposure with an increase in stress levels however social integration diminished the effect (Schwarzer et al., 2014). Human beings are social creatures who thrive on social interactions; the study performed by Schwarzer et al. (2014) accentuated the positive effects social interaction has on diminishing the negative psychological impact caused by traumatic events.

Zawadzki (2015) reviewed the association between rumination and poor psychological health. The meta-analysis was conducted to understand the connection between rumination, strategies used by individuals seeking help for psychological distress in the ER, and psychological health risk indicators. The relationship between the topics were reviewed to determine possible independent relationships with psychological health. The sample consis