The Personality Assessment Inventory (PAI) is a widely used and available self-report measure designed to assess clinical syndromes and has the potential to assist in the process of ADHD assessment. Since the PAI's inception, several researchers have attempted to create other supplemental indicators, some so effective and useful that they were added to the second edition of the Personality Assessment Inventory Professional Manual. Previous researchers have offered important insights into the possibility of the creation of an ADHD item-level index for the PAI that would effectively decrease false positive rates and increase accurate detection of ADHD in the adult population. Previous researchers were not successful in creating an item-level subscale that reliably detected adult ADHD. Four experts in ADHD assessment rated PAI items that they believed could discriminate adults with ADHD from adults without ADHD. After performing a PCA on the top 16 items chosen by the experts, 12 items sufficiently loaded onto one factor that has clear face validity by conceptually matching the DSM-5 description of inattention and impulsivity commonly seen in adults with ADHD as well as the "internalized restlessness" Hallowell and Ratey describe for adult ADHD. The PAI-ADHD was found to have good internal consistency, a = …

Grandparent-Grandchild Attachment as a Predictor of Psychological Adjustment among Youth from Divorced Families

The current study of 151 college men explored weight-related factors that contribute to depressive symptoms among undergraduate men using structural equation modeling (SEM). Results of SEM supported the hypothesis that perceived negative messages about one's body and body dissatisfaction were significant mediators of the relationship between BMI and depressive symptoms. Moreover, social connectedness and academic self-concept were significant moderators of the relationship between body dissatisfaction and depressive symptoms. Although self-esteem was not a significant moderator, it was significantly related to body dissatisfaction, despite the men's magnitude of perceived body pressures. These findings inform therapeutic work with college men, signifying the importance of improving the quality of their relationships in family and social systems to reduce both depressive symptoms and body dissatisfaction. Furthermore, advocacy programming to counter body related pressure from media, societal systems, and other people would likely benefit college men struggling with body dissatisfaction and depressive symptoms.

The COVID-19 pandemic is a global traumatic stressor affecting millions of individuals worldwide. Traumatic events often cause significant resource loss and negatively affect mental health and emotional well-being. In the wake of trauma, many people draw on religious or spiritual faith to cope with adversity and suffering. One construct that has received increased attention within the field of religious/spiritual coping is spiritual fortitude (SF). SF refers to the one's ability to consistently draw on spiritual resources to transcend negative emotions in the face of stressors. In this study, I recruited 255 participants who had lived during the COVID-19 pandemic. Participants completed measures of resource loss, religious/spiritual struggles, SF, religious commitment, depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms. The overall results suggested participants utilized a wide range of coping strategies (e.g., religious/spiritual, social, health practice) during the COVID-19 pandemic. Both resource loss and religious/spiritual struggles were positively associated with mental distress. SF buffered the deleterious relationship between resource loss and mental distress. Specifically, for individuals high in SF, the relationship between resource loss and mental distress was weaker than for individuals low in SF.

The analogue study was designed to extend previous research on clinical sex-role stereotyping of individual clients into the realm of marital counseling. The effects of clinician and couple sex-role style and type of marital problem on clinical judgements of couples was examined through ratings of four audiotaped couples constructed from two scripts depicting either couple financial or sexual problems. Each script produced both a stereotypical and counterstereotypical sex-role styled couple through reversal of spouse verbalizations. A sample of 40 (32 male, 8 female) practicing doctorate-level psychologists rated either two stereotypical or two counterstereotypical couples for level of maladjustment, need for treatment, and prognosis. Individual spouse ratings were also obtained to examine client gender effects.

Research on associations between online dating and later relationship and sexual satisfaction is limited. The purpose of this study is to examine the association between meeting a romantic partner online or in person and later relationship and sexual satisfaction for heterosexual males and females. Main analysis results suggest that men report higher relationship satisfaction when they met their partner online and women with a preoccupied and dismissing attachment style reported higher sexual satisfaction when they met their partner online. Overall, there were few differences in relationship and sexual satisfaction for heterosexual men and women who met their partner online or in person.

Although the prevalence of disordered eating and exercise behaviors (DE/EBs) among queer men of color (Q-BIPOC) is higher than their heterosexual and white sexual minority peers, little is known about the mechanisms behind these differences. We evaluated a series of hypotheses to test DE/EB models on a sample of 78 Q-BIPOC men, who were recruited online during the COVID-19 pandemic and given a questionnaire measuring DE/EBs, body dissatisfaction, depression, mesomorphic ideal internalization, gender role conflict, and distress from intra-community racism and heterosexism. Results show that Q-BIPOC men reported high rates of emotional and binge eating, restrictive eating behaviors, supplement/diet pill use, and depression symptoms. Gender role conflict and intra-community racism/heterosexism are positively associated with emotional and binge eating, with gender role conflict holding unique predictive contribution as other variables of interest were held constant. Fat and muscle dissatisfaction were the strongest predictors of DE/EBs, mediating the effects of both mesomorphic ideal and depression. Results support the tripartite influence and dual pathway models for our sample, with mixed support for intersectional minority stress and affect regulation. Clinicians are cautioned to carefully assess Q-BIPOC men for eating disorders, given high rates of critical behaviors in the current sample. Researchers are also encouraged …

The purpose of this study was to determine whether or not children diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD) or Central Auditory Processing Disorder (CAPD) can be distinguished from one another on the basis of both objective and subjective assessment of attention and behavior. First, children and adolescents diagnosed with ADHD, CAPD, and concomitant ADHD/CAPD were compared to participants with emotional problems on measures of attention/concentration, depression, anxiety, and parental reports of internalzing and externalizing behaviors. Overall, statistical analyses did not reveal significant differences between performances of children diagnosed with ADHD and those diagnosed with CAPD. However, clinical comparisons across groups of children diagnosed with ADHD, CAPD, comorbid ADHD/CAPD and Affective Disorders revealed condition-specific clinical profiles, thus providing some support for CAPD as a distinct clinical entity. Second, exploratory cluster analysis was performed to further investigate the relationship between ADHD and CAPD. This procedure lead to the identification of four distinct clusters. However, analyses of these clusters revealed no distinct pattern of performance for children diagnosed with either ADHD or CAPD. Rather, participants with these diagnoses were evenly distributed throughout the clusters. Additionally, no cluster clearly represented the expected clinical profile for a diagnosis of CAPD- namely, significant auditory attentional/processing problems …

The present study investigated the criterion-based validity of the Mini-Mental State Examination (MMSE), the Cognitive Capacity Screening Examination (CCSE), and the Neurobehavioral Cognitive Status Examination (NCSE) in a sample of older adults with suspected cognitive impairment. As cognitive screening tests, the MMSE, CCSE, and NCSE should predict performance relative to a more thorough testing procedure. In the present study, performance on the Halstead-Reitan Neuropsychological Test Battery (HRNTB) was employed as the criterion measure. Scores on the General Neuropsychological Deficit Scale (G-NDS), a global performance measure computed from the HRNTB, served as the standard by which to judge the presence of cognitive impairment. The sensitivity, specificity, and predictive value of each screening test, as well as how well each screening test correlated with the G-NDS, were investigated. Results of this investigation found that, although the MMSE, CCSE, and NCSE were all significantly correlated with the G-NDS, only the NCSE demonstrated an appropriate balance between high sensitivity and specificity. When a rigorous neuropsychological evaluation was employed as the criterion standard, the NCSE accurately detected the presence of cognitive impairment: in 82% of the cases. The MMSE and CCSE, however, failed to detect cognitive deficits in approximately 80% of the cases. These findings …

This study examined the effects of volunteer counselor training (empathy training versus information only) and age of volunteer (senior citizens versus adolescents) upon depression level of nursing home residents. Results showed that residents who received a volunteer counselor significantly improved (p < .01) in level of depression compared to the no volunteer control group. The empathy trained counselors were not significantly more effective than the information only group. The age of the. volunteer counselor was found not to be a significant variable.

A review of the literature on homophobia indicates that negative attitudes toward homosexuals and homosexuality have been empirically related to numerous socio-demographic and attitudinal variables. Research to this date has focused on the relationship between individual variables and homophobia rather than examining multiple variables simultaneously. The purpose of the present investigation was to identify the factors which are predictive of homophobia. One hundred and ninety-four female and 115 male participants completed a biographical information questionnaire requesting socio-demographic information, self-proclaimed religiosity, frequency of church attendance, self-proclaimed political orientation, and political party identification. Participants also completed measures of attitudes toward male homosexuality, attitudes toward lesbianism, attitudes toward women, authoritarianism, sex anxiety, sexual attitudes, and socio-economic status. Statistical treatment of the data through principal components analysis indicated that homophobic attitudes are best predicted by a factor identified as "conservatism". Other factors were identified which predicted homophobia to a lesser extent. Male participant gender was determined to predict homophobia toward male homosexuals, but gender was not found to predict homophobic attitudes toward lesbians.

Previous research, as well as theory, has supported the existence of a relationship between death anxiety and loneliness in older adults but a causal examination has not been possible until now. A hypothesized model was developed which states that loneliness will lead to death anxiety mediated by cultural worldview. Longitudinal data was analyzed using Structural Equation Modeling in order to more fully explore this potentially causal relationship. The primary model was supported suggesting that loneliness can lead to death anxiety as mediated by cultural worldview. Implications and future directions are discussed.

On January 30, 2020, the World Health Organization (WHO) declared the outbreak of the novel coronavirus (COVID-19) a public health emergency of international concern. In March 2020, the United States government imposed impactful safety and confinement measures issued by the Centers for Disease Control and Prevention (CDC) all over the country to prevent community transmission of COVID-19. Institutions of higher education rapidly transitioned to online learning and eliminated in-person engagements in the spring of 2020 as a result of the COVID-19 outbreak. The National Collegiate Athletic Association (NCAA) followed a similar trajectory by shutting down all athletic activities due to the global pandemic. While college students in general notably experienced increased pandemic related distress and mental health concerns (e.g., depression, anxiety) during the early stages of the global pandemic, the disruption of collegiate sport competitions and seasons uniquely and significantly impacted collegiate student athletes and their overall well-being. In this qualitative study, I sought to document and understand the narrative of Black student athletes' experiences of stress and coping during the first two months of the COVID-19 global pandemic and cancellation of collegiate sports. Through reflexive thematic analysis, I found that psychosocial resources such as avoidance, acceptance, mindful self-compassion, health …

Third culture kids are children raised in globally mobile families who have left their culture of origin to reside in a host culture. As this relocation occurs during childhood, the child combines the values, traditions, and norms of both cultures thereby creating a third culture, a unique culture created by the parent’s integration of the home culture, the host culture, and the domains of the organizational culture. Emotional Stability was found to mediate the relationship between family of origin Expression and Composite distress. Though this was the only hypothesized model that was supported, other interesting findings include that when participants were categorized by industry, statistically significant differences were found between Military, Missions, and the Other group on all of the scales. These differences are likely due to a cohort effect, given that the military family mean age was as much as twenty years higher than the other groups.

When COVID-19 hit the United States in spring of 2020, collegiate student-athletes, who had sport seasons canceled and were forced to move off-campus, were uniquely and significantly impacted. Psychosocial resources, such as social support, self-compassion, and resilience, may have been used to help athletes cope with the stress of COVID-19. I used structural equation modeling to analyze the relationship of resilience, self-compassion, and social support to collegiate female athlete's (n = 3,924) psychological well-being at the beginning of the COVID-19 pandemic. Collectively, the more supported, self-compassionate, and resilient the athletes reported being, the less psychological distress they said they were experiencing (resilience to psychological distress (β = -.215, p < .001), self-compassion to psychological distress (β = -.533, p < .001), and social support to psychological distress (β = -.187, p < .001)). Further, self-compassion and social support were related indirectly (and inversely) to psychological distress, to the extent that they contributed to the athletes perceiving themselves as more resilient (Self Compassion X Resilience X Psychological Distress: β = -.106, 90% CI [-.148, -.069]; Social Support X Resilience Psychological Distress: β = -.065, 90% CI [-.099, -.041]). The total effect of social support, which included the direct and indirect effects, …

The experiment examined negative social reactions to bereaved parents from unrelated others. Both the behavior displayed by the parent and attachment style of the perceiver were expected to influence reactions to bereaved parents. Undergraduates at a southern university (N = 239) completed both attachment measures and measures of reactions to videotapes of bereaved parents. Results indicated that bereaved parents do indeed receive negative evaluations from unrelated others, in the form of decreased willingness to interact in various roles. However, a nonbereaved parent displaying depressive symptoms also received negative evaluations. Depressed targets in the present study did receive negative evaluations, supporting the predictions of Coyne's interpersonal-process theory of reactions to depressed individuals. Contrary to the predictions of interpersonal-process theory, a bereaved parent displaying loss content without depressive symptoms also elicited negative evaluations. Coyne's hypothesis that the amount of induced negative affect in the perceiver leads to negative evaluations was not supported by the data. Subjects appear to react to a complex set of factors when forming these evaluations, including both personal and situational information. Two factors may have undermined the present study s ability to adequately test this theory. Subjects may have perceived depressive symptoms in loss content in the present …

This study examined the neurocognitive skills, incidence of mild head injury, incidence of learning disabilities, and study habits among college students with grade point average of 2.00 or below (N = 25) as contrasted with college students with grade point average above 2.00 (N = 70). The intent of this research was to extend the work of Segalowitz and Brown (1991) and Segalowitz and Lawson (1993) who found significant associations between reported history of mild head injury and developmental disabilities among high school and college samples. MANOVAs conducted on measures of academic achievement, global cognitive skills, verbal and nonverbal memory, motor and tactile functioning, and study habits did not discriminate between probationary and non-probationary students. Probationary and non-probationary students also did not differ with regard to incidence of reported head injury, frequency of diagnosed learning disabilities, and study habits. Measures of neurocognitive functioning and study habits did not contribute to the prediction of grade point average over and above that predicted by Scholastic Aptitude Test composite score. Several exploratory analyses were performed examining the relationship between study habits and neurocognitive skills. Gender differences, implications for future research and development of study skills courses, and limitations of this study were discussed.

This study investigated the relationships among family environment, demographic measures, the decisions made by unintentionally pregnant adolescents regarding post-delivery plans (stay single, get married, adoption), and the certainty with which these decisions were made. The Information Sheet, Family Environment Scale (Moos & Moos, 1981), and Multiple Affect Adjective Check List (Zuckerman & Lubin, 1965a) were administered to 17 5 pregnant adolescents, ages 14 through 22, who intended to carry their pregnancies to term. Pearson product-moment correlations and multiple regression analyses were utilized to assess the relationships between family environment and certainty of decision and between family environment and negative affect. Greater uncertainty was associated with nonwhite racial status and living with both natural parents or mother only. Higher levels of negative affect were related to lower levels of perceived family cohesion, independence, expressiveness, and intellectualcultural orientation. The demographic variables of age, trimester of pregnancy, and family constellation were also found to be useful in predicting levels of negative affect. Subjects who were older, further along in their pregnancies, and living with both natural parents or mother only tended to report greater negative affect. Findings of greater uncertainty and negative affect associated with living with the natural mother are consistent with …

The hypothesis was tested that meditation using an audible word-sound would be superior to silent repetition of the same word in producing decrements in autonomic arousal and improvements in anxiety, mood, and the ability to cope with stress. The influence of hypnotic susceptibility upon improvement was also evaluated. Thirty subjects, assigned to one of three groups: audible meditation, silent meditation, and relaxation control, met one hour weekly for six weeks to practice their respective technique and discuss their progress. All subjects were evaluated using the Harvard Group Scale of Hypnotic Susceptibility, a medical symptom checklist, the Spielberger Trait Anxiety Scale, a self-rating of state anxiety, and factors C and Q4 of the 16PF. Finger temperature was taken as a measure of physiological arousal. Confidence ratings of the respective strategies were taken pre- and post-treatment.

Mental health stigma has been identified as a barrier to help-seeking in the United States. Research suggests that insecure attachment may contribute to higher mental health stigma and lower help-seeking behavior. This may be particularly salient in military personnel who tend to report higher mental health stigma than the general population. Evidence suggests that both supportive and destructive military leadership are related to service members' attitudes toward seeking help. In the current study, a sample of military service members and veterans (N = 232) completed an online survey regarding mental health stigma, military leadership experiences, attachment strategies, and mental health help-seeking behaviors. Findings indicated that destructive and supportive leadership experiences were significantly related to self and public stigma, and self-stigma mediated the relationship between destructive and supportive leadership experiences and likelihood to seek help. Attachment anxiety predicted higher self and public stigma, while attachment avoidance predicted high self-stigma but low public stigma, with high self-stigma partially mediating the relationship between attachment avoidance and help seeking.

Influences between quality of intimate heterosexual relationships, parenting style, and externalizing and internalizing behavior problems of children with Attention-deficit Hyperactivity Disorder (ADHD) were examined in a sample of intact and single parent families. The perspective on marital quality was expanded to include an examination of intimate adult relationships within single parent households. Associations between the quality of custodial parents' serious dating and/or cohabiting relationships, parenting style and the behavior problems of children with ADHD were studied. Results from this study found tentative support for previous findings that family functioning may mediate the development of conduct disorders among children with ADHD.

The purpose of this study was to examine the role of attachment processes and coping strategies in the development of psychiatric symptoms among military veterans and active duty personnel. Data were obtained from 268 male and female military veterans and active duty personnel. A path analysis was conducted to estimate the relationships between attachment processes, coping strategies, and psychiatric symptoms. Findings demonstrated that greater levels of attachment anxiety were related to increased levels of avoidant coping and psychiatric symptoms, while higher levels of attachment avoidance were related to avoidant coping and PTSD symptoms, as well as decreased levels of problem-focused coping. Alcohol use was associated with psychiatric symptoms. Avoidant coping, but not problem-focused coping, was associated with psychiatric symptoms and partially mediated the relationship between anxious attachment and psychiatric symptoms. Avoidant coping also fully or partially mediated the relationships of avoidant attachment to depression and PTSD symptoms. The findings of this study increase our knowledge of mechanisms that contribute to psychiatric symptoms among military populations, which in turn can guide treatment planning and interventions.

The premenstrual syndrome (PMS) continues to be an enigma for many: those women who report PMS, for professionals who attempt to treat premenstrual symptoms, and for researchers attempting to identify PMS and to compare treatments. The present study investigated the responses from 86 subjects between the ages 30-45 for their perceptions of daily stress and coping styles by PMS level. Three levels of PMS were formulated by subject responses to the questionnaire (a) PMS for scores within the criteria, (b) Non-PMS for scores lower than the criteria, and (c) Psy-Non-PMS for certain scores higher than the criteria with a psychological, or neurotic, profile. Hassle intensity (daily stress) and coping style, whether problem-focused (P) or emotion-focused (E), were assessed by questionnaire. In addition, help seeking behavior, i.e., whether a woman sought help from a doctor in the past twelve months, was examined but did not significantly relate to level of PMS, hassle intensity, or coping style. Psy-Non-PMS women reported perceiving significantly more hassles and significantly greater use of four of the E coping styles, Detachment, Focusing on the Positive, Self-blame, and Keep to Self, than the Non-PMS women. PMS women endorsed perception of significantly more hassles and significantly greater use of …

It has only been in recent years that eating disorder researchers have begun focusing on sexual orientation as a variable that may affect prevalence rates. Heeding the call for studies that extend beyond identification of fixed eating disorder risk factors (e.g., gender), this study was designed to explore factors that contribute to the development of disordered eating among lesbians. In this study, a hypothesized Lesbian Model of Disordered Eating was tested using structural equation modeling. Lesbian Sexual Identity and Social Supports were hypothesized to positively influence Psychological Health. In addition, Internalization of U.S. Societal Norms of beauty and attractiveness was hypothesized to negatively affect Psychological Health. Psychological Health, in turn, was hypothesized to negatively influence Body Image Concerns. Body Image Concerns was then hypothesized to positively affect Disordered Eating. The fit of the model was evaluated and one of the hypothesized pathways, Internalization of Norms was moved to directly predict Body Image Concerns. After adjusting the model, the model accounted for 54% of the variance in disordered eating. Most notably, the results highlight the potential affects of adopting a positive lesbian identity on disordered eating and underscore the importance of including sexual identity as a demographic variable in studies of …