Previous literature has identified links between psychopathic trait severity and disturbed styles of attachment on sexual outcomes in adulthood. However, few studies have investigated these domains within one design. Therefore, it is unclear how they may influence each other, given that an association between attachment styles and psychopathic traits has also been previously documented. This study sought to explore the possible role of psychopathic traits upon the association between attachment and sexual outcomes. Participants were sampled from an undergraduate student population at a large university. Data were analyzed using correlational and hierarchical regression analyses, as well as two exploratory path models. Analyses suggested that aspects of attachment and psychopathic trait severity were significantly associated with each other and differentially predicted certain sexual outcomes. Furthermore, results indicated that the effects of attachment avoidance on sexual outcomes were mediated by Factor 1 traits of psychopathy, while the effects of attachment anxiety were mediated by Factor 2 traits. Additionally, it was found that attachment style was linked with contempt, and this was further linked to disturbances in sexual outcomes, which is a novel finding. Implications of the findings, limitations, and future directions are discussed.

Family functioning has long been a focus of research in psychopathology. Decades of research has shown that family factors are associated with symptom severity, relapse, functional outcomes, and conversion to psychosis among at-risk individuals. Previous studies suggest family functioning varies across cultures, which raises the possibility that associations between family factors and psychopathology may also differ by culture. Furthermore, family functioning assessment generally involves instruments that have not been systematically validated for use with individuals from diverse cultural backgrounds. The current study used data from the Adolescent Brain Cognitive Development study (N = 11,138) to: (1) evaluate three family functioning scales (i.e., Family Environment Scale, Child's Report of Parental Behavior Inventory, Parental Monitoring Survey) and the Prodromal Questionnaire – Brief Child version for measurement invariance across racial/ethnic groups; (2) investigate the relations between family factors and psychosis; and (3) compare relations derived from Step 2 between racial/ethnic groups. Full scalar invariance was tenable for the CRPBI and the PQ-BC, providing statistical support for mean comparisons across groups. The FES and the PMQ lacked scalar invariance, which suggests mean comparisons across groups may not be appropriate. The CRPBI and the PMQ are significantly associated with the PQ-BC, and all three family …

Elevated social anxiety is a well-documented risk factor for developing problematic alcohol use behaviors. Adolescents with high social anxiety often report drinking for coping-related reasons, and drinking to cope has been linked to both acute and chronic alcohol use problems. Research further suggests that parenting is a primary socialization domain in terms of adolescent alcohol use onset and trajectory; however, no work has yet examined the role of parenting factors in the relation between social anxiety and coping motives for drinking. The current study investigated the role of two parenting dimensions, rejection/warmth and psychological control, on the link between social anxiety and problematic drinking motives. Drawing from an ongoing assessment of an inpatient program, the sample consisted of 94 girls and boys (ages 11-17 years). Regression analyses evaluated main effects of social anxiety, rejection, psychological control, the interactive effects of the parenting dimensions, and the three-way interaction of both parenting dimensions with social anxiety on coping motives for alcohol use. As expected, social anxiety was positively and statistically significantly related to coping motives when examined via raw scores, proportional values, and in the final model. Further, zero-order correlations indicated a positive, statistically significant relation between proportional coping motives and both …

The onset of COVID-19 and cancellation of collegiate sports may have exacerbated student-athletes' psychological distress. Within a national sample of collegiate student-athletes (N = 5755; 66.7% women; 72.3% White), I determined how gender, race, and sport season related to rates of depression, stress, and counseling use. I used a cross-sectional methodology and collected data in April/May 2020. Overall, 26.5% (n = 1526) and 10.6% (n = 612) of the collegiate student-athletes endorsed clinical and high levels for depression and stress, respectively; 25.1% (n = 1443) and 69.7% (n = 4014) reported subclinical and moderate levels of depression and stress, respectively. Few student-athletes reported counseling use before (17.1%) or after (2.3%) the onset of COVID-19; those who reportedly used services endorsed higher levels of depression and stress than those who did not. Female student-athletes reported higher rates of depression, stress, and counseling use than male student-athletes. There were no race or sport season effects. Student-athletes who competed in spring sports endorsed higher levels of counseling use than student-athletes who participated in a fall season sport. Athletic departments must address their student-athletes' psychological distress by facilitating a higher use of mental health services.

Research suggests that non-medical prescription drug (NMPD) use is becoming increasingly prevalent, particularly among adolescents. A critical step towards developing effective intervention efforts requires identifying adolescents who are at risk for NMPD use. An extensive literature suggests that both adolescents and adults with elevated anxiety sensitivity (AS) are at greater risk for problematic substance use, and a small body of work has identified similar links with NMPD use specifically among adults. However, most of this literature combines all prescription drugs into a single category, and no work has evaluated the relation between AS and NMPD use among adolescents. The current study endeavors to further this area of research by examining the relation between AS (overall and subscales) and NMPD use among adolescents. The project evaluated 276 adolescents (age 9-19 years) enrolled in a residential treatment program on level of AS, including sub-dimensions (i.e., cognitive, physical, and social), and NMPD use across three categories of drugs: analgesic (e.g., Vicodin®), anxiolytic (e.g., Xanax®), and stimulant (e.g., Adderall®). A series of logistic regression models indicated that overall AS predicted nonmedical analgesic use, but not anxiolytic/sedative or stimulant use. A closer investigation of the AS subscales demonstrated that only the AS social subscale significantly …

South Asians are the third fastest growing racial/ethnic minority group in the United States with distinct cultural characteristics. The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted racial and ethnic minorities in the U.S, including South Asians, across several life domains: work, home life/education, social activities, economic, emotional and physical health, infection, quarantine, and positive changes. The COVID-19 pandemic may have critically impacted South Asians with traumatic event experiences and posttraumatic stress disorder (PTSD) symptom severity across several life domains. Limited work suggests high rates of interpersonal traumas and substantial PTSD symptom severity in the South Asian community. Uniquely, the current study examined which life domains impacted by the COVID-19 pandemic associated with a greater count of traumatic event types, interpersonal vs. non-interpersonal traumas, and PTSD symptom severity. Results revealed that negative experiences in social activities, as well as distress in economic, emotional, and physical health domains, were significantly associated with the count of traumatic event types. Negative social activity experiences, and distress in the economic and emotional health domains, were also significantly associated with PTSD symptom severity. Quarantine and physical health domains significantly associated with the count of interpersonal traumas, while COVID-19-related experiences (in social, quarantine, and infection domains) …

Client pre-treatment expectations have a significant impact on psychotherapy outcome, therapeutic alliance, and attendance. Client expectations are thought to account for approximately 11-14% of variance in premature termination from psychotherapy. However, measures that conflate treatment beliefs and distinct measurement techniques for the same outcome construct obscure the relationship between expectations and psychotherapy outcomes. Clarifying these associations is necessary to support development of useful methods and processes that support client retention in evidence-based treatments. With drop-out rates of approximately 20% across treatment settings, and as high as 69.4% in psychology training clinics, risk of attrition is a significant liability to effective treatment. The meta-analytic findings presented herein clarify the association of pre-treatment expectations with psychotherapy outcome, considering competing definitions for client expectations and discrepant psychotherapy outcome measurement. Implications for attrition, treatment outcomes, and therapeutic alliance are discussed.

Developmental psychology aims to elucidate how children's early relationships influence their interactions with the world. Piaget's cognitive development theory is often noted when discussing development, and although his cognitive descriptions of decentering (i.e., perspective taking) were compelling, they neglected interpersonal contexts. Accordingly, Feffer conceptualized decentering within a social context. To expand on Feffer's consideration of the social context, the current study explored early parent-child bonds and their impact on child development, specifically interpersonal decentering, in adolescence. In the present secondary analysis of data from the Institute of Human Development longitudinal Guidance Study at the University of California, Berkeley, I hypothesized that, for both boys and girls, conflict with relatives and a parent's nervous instability would moderate the association between early strong parental bonds and more mature decentering at ages 12.5 and 18 years, and that more imaginative play, introspection, and better physical health would moderate the relationship between strong father-son bonds at age 21 months and the son's more mature decentering at age 12.5 and 18 years. The findings revealed that the association between strong father-son bonds at 21 months and the son's more mature decentering at age 12.5 was strongest when the son was less introspective compared to when …

The current study explored the effects of simulated adjustment domains (i.e., partial denial and social desirability) on specialized substance abuse measures in a sample of 104 inpatient offenders with substance use disorders. Results indicated nearly two thirds (57.9%) of offenders successfully escaped detection on the SASSI-4 and InDUC-2R. Further, subtle approaches employed by the SASSI-4 failed to detect unacknowledged substance use by simulators, and the remaining decision rules were redundant and most likely contributed to the false positive rates for non SU offenders. More promisingly, the current study developed an empirically based validity scale to bolster the SASSI-4's effectiveness in detecting response styles that showed initial promise. Results, a review of detection strategies for SU validity scales, and implications for assessment are further explored.

Unipolar depression is a leading cause of disability and overall burden of disease for millions of individuals across the world. Depressive symptoms (e.g., depressed mood, anhedonia, fatigue, feelings of worthlessness, difficulties concentrating, etc.) can drastically affect an individual's life leading to occupational, social, and personal impairment. Past research shows significant ethnic and racial differences in depression rates and treatment. Moreover, previous literature has also begun to explore the multidimensional nature of depression, investigating its occasion-like (or episodic) and trait-like (or stable) factors. However, prior studies have not explored differences in occasion and trait depression by race or ethnicity, nor have they explored these questions in nurses, a group that faces substantial workplace stressors. To redress these gaps, the current study investigated trait and occasion depression in a large sample of nurses (N = 390) tracked across 12 months and aimed to understand whether trait versus occasion rates of depression differed by racial and ethnic minority status. Findings indicated substantially more trait depression (65.93%) than occasion depression (34.11%) across the year in nurses. However, there were no significant differences based on racial and ethnic minority status. Results highlight the importance of understanding depression as a much more stable aspect of an …

The purpose of the study was to examine whether athletic participation as a child and/or adolescent acts as a protective factor for youth who endure childhood maltreatment. After screening for childhood maltreatment, our 269 participants were separated into either an athlete group or a non-athlete group and compared using two one-way multivariate analyses of covariance (MANCOVA). Emotional neglect served as the covariate due to non-athletes' significantly higher emotional neglect scores than athletes. The first MANCOVA compared athletes and non-athletes on positive outcomes, which included measures of post-traumatic growth, three adaptive coping strategies, and self-compassion. In the second MANCOVA, we assessed for differences between athletes and non-athletes on negative outcomes, which included measures of traumatic, depressive, and anxious symptomology and a maladaptive coping strategy. Neither MANCOVA reached significance, rejecting our hypothesis that athletes would be more resilient than non-athletes to the negative impact of childhood maltreatment. Discussion considers possible reasons for the lack of significance, such as the recency of athletic participation or the specific type of maltreatment experienced, as well as limitations and directions for future research.

Relatively few studies have explored the relationship between gender role conflict (GRC) and an individual's religious/spiritual identities. This study sought to add to the research on GRC by exploring the experiences of female and male GRC, and expand the understanding of the influence of religion/spirituality (R/S) variables on GRC. Participants (N = 359) were recruited from social media and undergraduate courses and completed an online survey that assessed GRC, a variety of R/S variables, and life satisfaction. Overall, there were some significant differences found between male and female experiences of GRC. In general, the R/S variables did not have a large impact on GRC. However, religious fundamentalism and extrinsic and quest religious orientations were related to specific subscales of GRC. Maintaining congruency between one's personal values and one's religious institution was related to lower levels of specific subscales of GRC. Additionally, GRC was related to lower levels of life satisfaction. Regarding the subscales of GRC, restrictive emotionality was the strongest predictor of lower life satisfaction. By furthering research on the interplay between GRC and R/S, clinicians will be more equipped to handle the repercussions of stereotypical roles within gender and religion, address negative attitudes and behaviors, and lead discussions about …

To assess a wide range of stressors and traumas, we developed a trauma and stressors exposure checklist for adults to capture a wide variety of potential trauma exposure. This study details the extensive development and validation process of the Comprehensive Trauma and Stressors Checklist (CTSC). Study 1 consisted of item pool generation, review of existing trauma measures, content analysis, and expert review and input. Study 2 analyzed reliability and validity of the updated checklist. Participants were recruited from college and community samples (N = 200) and completed the CTSC along with five additional measures. The CTSC demonstrated high internal consistency (α =.96). Good temporal stability was established with a subset of participants (n = 28) who completed the survey twice for test-retest reliability (r = 0.86, p < .001). Significant correlations between scores on the CTSC and the Stressful Life Events Screening Questionnaire, Life Events Checklist for the DSM-5, Intersectional Discrimination Index, and Spiritual Abuse Questionnaire are evidence of strong convergent validity. Finally, the lack of significant correlations between CTSC scores and theoretically unrelated constructs supported the discriminant validity of the CTSC. This study provides preliminary evidence that the CTSC is a reliable and valid measure of exposure to traumas …

This study was conducted as part of a parent grantwhich examined the relationship between components of sleep and antibody responses to the flu vaccine in a population of 392 nurses working at two large hospitals. During/after sleep data was collected, nurses had blood drawn at four time points: immediately pre-vaccination, 1-, 6-, and 11-months post vaccine to obtain serum for detection of anti-influenza antibodies measured with an HI (hemagglutination inhibition) assay. Additionally, the inflammatory biomarkers IL6, IL1-β, TNF-α and CRP were measured at the pre-vaccine time point only to determine any correlation between the markers and antibody response. Data was analyzed using a hierarchical regression. In the first step, analyses assessed whether each change/average in cytokines over the one-month period had an impact on vaccine response for each of the four viral strains in the flu vaccine. In a second step, analyses assessed whether variables such as insomnia, stress, age, smoking, BMI, and race had any impact on vaccine response beyond the effects exerted through inflammation. The change in association (β) between the primary independent variable and primary dependent variable were examined in order to determine whether there are any suppression effects caused by baseline covariates on the relationship between …

This study explored NCAA athletic departments' mental health screening practices, including the mental health concerns assessed for by the mental health screening, personnel responsible for administering and reviewing screeners, and resources available for athletes identified as "at risk." Participants were athletic department staff who had knowledge of their school's mental health screening processes. Frequencies and chi-square analyses were used to assess trends across divisional levels (DI vs. DII/DIII). Analyses show that significantly more DI than DII/DDIII institutions have a formal mental health screening program. Institutions' coverage of mental health topics in their screening did not vary significantly by Divisional level, with one exception: a larger percentage of DI institutions assessed whether student athletes had worked with a mental health practitioner than DII/DIII schools. DII/III were significantly more likely to have athletic trainers both administer and review mental health screeners and DI institutions were significantly more likely to have a sport psychologist employed within their athletic department than. DI schools were significantly more likely to have had a student athlete attempt suicide and participate in inpatient treatment than DII/III schools. Implications of the findings, limitations, and future directions are discussed.

Autism spectrum disorder (ASD) presents with difficulties in social communication, repetitive and/or restricted behaviors, as well as variable language development. Individuals with suspected ASD ideally participate in assessments which include measures of cognitive abilities, adaptive functioning, language functioning, and ASD specific measures (i.e., ADOS, ADI-R). Diagnosis of ASD can occur confidently at 2 years of age, however, the mean age at diagnosis is 4-5 years old. Delays in diagnosis are accounted for by lacking professionals and centers with the capabilities to assess ASD, as well as long waitlists for assessments. Early identification and intervention have been shown to provide the best improvements in ASD symptomology. The aim of the current study was to conduct a program evaluation of an autism treatment center that was designed to provide high quality evidence-based interventions. The study determined if treatment-as-usual in that center yields the expected gains in adaptive functioning and corresponding decreases in barriers to learning. Results indicated improvement in scores on standardized direct assessment of milestone achievement and barriers to learning, but no significant improvement in adaptive skills via secondary informant questionnaire measures following 6 months of treatment. The overall sample size was small due to COVID-19 complications, lack of institutional procedures, …

Prevalence of mental health concerns among young adults is high and continues to increase. As a specific subset of young adults, NCAA student-athletes seem to experience these concerns at a similar or greater prevalence than their non-athlete, age-matched peers. Despite the number of college student-athletes who are experiencing mental health concerns, understanding how mental health impacts sport performance has not been robustly studied and has not included the diversity of identities present in the athlete population. Thus, I explored the beliefs of 266 college student-athletes who represented diverse identities and sports regarding how mental health impacts sport performance. Responses were collected using an on-line survey and analyzed using both quantitative and qualitative methods. Overall, as well as by gender, race/ethnicity, and sport type, 96.4% to 100.0% of participants believed that mental health impacts sport performance. From thematic analysis emerged three themes and various subthemes: (a) cognitive disruptions (concentration, confidence, self-talk, motivation, mindset, and decision-making), (b) the stress of being a student-athlete (life impact sport, team factors, sport impacts mental health), and (c) a mind-body connection (mind correlates with body, and mental health symptoms impact sport performance). Post-hoc cluster analysis by demographic and sport-type variables did not reveal clustering; these variables …

Multiple contributors to neurocognitive impairment in individuals with sickle cell disease have been identified. Research indicates that a history of cerebrovascular accidents, such as silent infarcts and strokes are associated with greater cognitive decline among children with sickle cell disease. Additionally, disease effects such as hemoglobin and hematocrit levels significantly effect cognitive performance among this population and should be taken into consideration when examining neurocognitive impairment. Further, previous studies show a significant relationship between child behavior problems, family functioning, and cognitive performance in children with sickle cell, marking those as important targets for intervention among this population. While cognitive decline with increased age is not typically examined in healthy child populations, some research indicates the presence of age effects in those with SCD. A majority of the literature addresses cognitive impairment from a broad perspective, while a limited number of studies have begun to address effects among specific cognitive domains. Using archival data from the National Institutes of Health's Cooperative Study of Sickle Cell Disease, results revealed that disease severity was negatively correlated with some aspects of cognitive functioning, including visual-spatial domains. Additionally, some measures of cognitive performance were inversely correlated with age. Consistent with hypothesized outcomes, family functioning was …

Bipolar disorder (BD) is a serious mental illness characterized by dramatically differing mood states and marked costs for the individual and society, making it important to find factors associated with the condition. Deficits in emotion regulation have been found across a wide range of mental health disorders and may represent an important risk factor for BD. Literature in this area has large methodological inconsistencies and many conclusions are mixed. Therefore, the current study sought to conduct a meta-analytic review of literature related to emotion regulation in BD. Results suggest that people with BD broadly report more frequent use of maladaptive emotion regulation strategies and less frequent use of adaptive emotion regulation strategies than healthy controls. Of these strategies, the largest effect sizes were found for risk-taking, rumination, impulsivity, catastrophizing, and self-blame. Comparisons to other clinical groups suggest that emotion regulation in BD is largely similar to major depressive disorder and less severely impaired than borderline personality disorder. Moderator analyses of BD samples in different mood states suggest mood state plays a limited role in emotion regulation strategy usage, although some maladaptive strategies may be more common in samples with depressive symptoms. Among emotion regulation strategies, increased positive rumination and suppression …

Past research demonstrates that participants who label themselves as ‘victims' experience worse trauma-related outcomes than those who label themselves as ‘survivors.' Self-labeling in trauma research is typically measured using a dichotomous measure where participants choose either victim or survivor, but this construct may be better conceived as more continuous. The current study assessed self-labeling as a possible continuous construct and explored its predictive validity. To capture self-labeling as a continuous construct, we created and utilized a new scale, the Trauma Self-Labeling Measure. Two hundred eleven participants completed a battery of questionnaires to measure self-labeling and four trauma-related outcomes: posttraumatic stress symptoms (PTSS), depression, anxiety, and resilience. When tested on the continuous trauma self-labeling measure, an overwhelming number of participants chose in-between victim and survivor (78.9%) which suggests self-labeling is better assessed using a continuous measure than dichotomous. However, correlation analyses revealed that the continuous self-labeling measure was not significantly correlated to the four trauma-related outcomes, whereas the dichotomous self-labeling, continuous victim, and continuous survivor measures were. When conducting post-hoc analyses, we found an unexpected positive correlation between the continuous victim and survivor self-labeling measures. This unexpected positive correlation suggests that self-labeling is not a singular construct, as previously assumed, but …

Betrayal trauma theory (BTT) explains the relationship between a victim and perpetrator to be an especially critical factor for predicting adverse trauma outcomes; however, to date, there is no adequate measure to assess this relationship. We aimed to create a measure of reliance, here defined as dependence on another for food, clothing, finances, emotional support, and more. We utilized a new scale, the Reliance on Perpetrator Scale, to measure this construct. 397 participants completed a battery of questionnaires to measure reliance and 4 primary outcomes of interpersonal trauma exposure: PTSD symptoms, depression, event centrality, and dissociation. A series of exploratory principal components factor analyses provided evidence for a 3 factor solution for this scale, though visual examinations of scree plots and a parallel analysis indicated 2 factors. We ultimately chose to retain 2 factors: practical reliance and emotional dependence. We expected and achieved predictive validity such that practical reliance and emotional dependence were both highly positively correlated with all outcomes. We expected and achieved convergent validity such that positive affect and secure attachment were highly positively correlated with emotional dependence as measured by an existing scale. The current study replicated previous findings that high betrayal events—as opposed to low betrayal …

The current study examined the nature and extent of endorsement of PMIEs, the nature and severity of MI symptoms related to endorsement of a PMIE, and the relations between extent of endorsement of PMIEs and MI symptoms. We hypothesized that (1) PMIEs perpetrated by others would be endorsed to a greater extent than PMIEs perpetrated by oneself; (2) medical professionals who endorsed a PMIE would report significantly greater severity on all MI symptoms compared to medical professionals who did not endorse a PMIE; (3) experiencing PMIEs (perpetrated by oneself and/or others) to a greater extent would predict higher levels of MI symptom severity, and MI symptom severity would specifically be most strongly predicted by PMIEs perpetrated by oneself. Hypotheses were examined using t-tests, Pearson's r correlations, and multiple multivariate regression analyses. First, the current study found that PMIEs perpetrated by others were endorsed to a greater extent than those perpetrated by themselves; second, greater exposure to PMIEs was associated with significantly greater severity of 10 of the 14 outcomes. Third, PMIEs perpetrated by oneself predicted more MI symptomatology than PMIEs perpetrated by others, indicating that while PMIEs perpetrated by others are more common, PMIEs perpetrated by oneself are more strongly …

The minority stress model provides context to understand the mechanisms by which prejudicial experiences contribute to the disproportionate prevalence of adverse physical and mental health outcomes among LGBT people. The transactional model of stress and coping explains the appraisal processes through which people identify stigma-related stimuli as threatening and how they assess available coping resources to counteract these threats. The Connor-Davidson Resilience Scale (CD-RISC) and the Perceived Stress Scale (PSS) were used in this study to measure resilience and stress in a sample of 99 lesbian and gay older adults. Women reported statistically significantly higher levels of resilience and lower levels of perceived stress compared to older gay men. An analysis of covariance (ANCOVA) revealed statistically significant main effects for gender (Cohen's d = .51; ηp2 = .056; F(1,98) = 5.488, p = .021) while controlling for perceived stress (Cohen's d = 1.62; ηp2 = .375; F(1,98) = 55.840, p < .001). An interaction effect between gender and perceived stress was also statistically significant (Cohen's d = .72; ηp2 = .115; F(1,98) = 12.40, p < .001) indicating that the negative relationship between stress and resilience is stronger for older gay men. Clinical implications and relevance to future research are …

Little is known about the current state of multicultural training within sport psychology master's programs. The study explored students' perceptions of their multicultural training and program climate. Importantly, differences in perceptions were investigated based on students' demographic factors, given that students with marginalized identities tend to report less favorable perceptions of and experiences in graduate training. Participants (N = 107) consisted of students and recent graduates of master's level sport psychology programs. Participants reported moderate levels of feeling safe, valued, and comfortable within their master's program, low to moderate levels of multicultural training integration within their curriculum and supervision, and low to moderate satisfaction with their multicultural training. Asian, Asian American, bi/multiracial, Black, African American, Hispanic, and Latino/a/e students, compared to their White peers, reported less satisfaction with their multicultural training, felt less safe, comfortable, and valued within their programs, and perceived less integration of multiculturalism into curriculum and supervision. A multiple regression analysis revealed that, for all students, perceptions of multicultural training integration and reports of feeling safe, comfortable, and valued was significantly related to students' satisfaction with their multicultural training. Discussion focuses on possible explanations for these findings, training implications, and future research directions.