Adult attachment has been found to play an important role for romantic relationship satisfaction. Specifically, the existent literature generally suggests that attachment anxiety is negatively related to relationship satisfaction. However, the underlying mechanism for this link still needs further exploration. The present study examined the direct and indirect effect of attachment anxiety on relationship satisfaction via two distinct relationship commitment variables: constraint commitment and dedication commitment. The final sample included 146 unmarried participants who were in a romantic relationship for at least three months. Results of multiple regression analyses on the indirect effect model indicated that attachment anxiety had a significant direct effect on relationship satisfaction as well as a significant indirect effect on relationship satisfaction via constraint commitment. However, the hypothesized indirect effect through dedication commitment was not supported. Findings are discussed from the adult attachment perspective. Counseling implications, limitations, and future research directions are outlined.

With the growing popularity in video games, there has been increased concerns over the prolonged exposure to the entertainment medium. Problematic gaming is defined as a pattern of gaming behavior that causes significant impairment in personal, social, other important areas of functioning, often characterized by preoccupation and loss of interest in other areas. This study examined how problematic gaming behaviors may be influenced by insecure adult attachment and perceived social support from differing sources. It was hypothesized that avoidant attachment would have a significant direct and indirect effect (via perceived social support) on problematic gaming. In addition, perceived social support from online friends and from offline friends were hypothesized to moderate the relationship between attachment and problematic gaming, Participants were recruited from both SONA (n = 151) and Amazon's Mturk (n = 264) to complete an online research questionnaire that measured variables of interest. Results indicated that the direct and indirect effects of attachment avoidance on problematic gaming were supported in both subsamples but the moderator effects were not. Further exploratory analysis found that anxious attachment demonstrated a similar pattern as avoidant attachment, but with a significant moderator effect of perceived social support from online friends (enhance) on the attachment …

The current study aimed to explore the direct effect of insecure adult attachment on subjective wellbeing and its indirect effect via racial-ethnic identity. Additionally, the present study examined the extent to which racial-ethnic socialization practices may moderate adult attachment and racial-ethnic identity link. The final sample included 213 emerging adults (M = 20.94; SD = 2.96) with diverse racial-ethnic backgrounds. PROCESS Model 4 and 1 were used to examine the direct and indirect effect of insecure attachment on subjective wellbeing via racial-ethnic identity variables and the interaction effect between insecure attachment and racial-ethnic socialization on racial-ethnic identity variables. Results indicated the direct effect of insecure attachment on subjective wellbeing but did not support hypotheses for the indirect effect of insecure attachment on subjective wellbeing via the racial-ethnic identity variables. Additionally, results indicated that overt socialization buffered the negative impact of attachment avoidance on racial-ethnic identity exploration. Furthermore, racial-ethnic identity variables and subjective wellbeing significantly differed across racial-ethnic groups and socioeconomic statuses. Findings provide insight on the distinct concepts of attachment and racial-ethnic identity as they highlight inter- and intra-personal components, respectively. Mental health professionals may utilize overt socialization to help clients develop a sense of purpose and meaning related to …

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 …

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.

Having a secure attachment to God may act as a buffer against stress. Secure attachment to God has been positively associated with adaptive outcomes following stress, such as higher levels of stress-related growth and fewer maladaptive symptoms including depression, prolonged grief, and traumatic distress. However, relatively few studies have empirically tested the relationship between attachment to God and resilience and posttraumatic growth. Thus, the current study explored the potential associations and pathways through which attachment to God is associated with resilience and posttraumatic growth in a sample of 303 suddenly and/or traumatically bereaved individuals. The current study found that (a) God attachment avoidance is a unique negative predictor of resilience and posttraumatic growth even when controlling for adult attachment, (b) self-compassion and meaning-making mediate the association between God attachment anxiety and resilience/posttraumatic growth, (c) secure attachment to God is associated with higher levels of resilience than insecure attachment styles, but not with posttraumatic growth, and (d) an increased number of secondary losses is associated with lower levels of resilience. I conclude by discussing my findings in light of the extant literature on attachment to God, resilience, and posttraumatic growth. By better understanding attachment to God and how it may relate …

The data surrounding barriers to student-athletes seeking mental health care are limited, but show that stigma is one of the most frequently reported barriers. Further, the effect of sharing demographic identities (i.e., race, gender) between a student-athlete and their mental health treatment provider has not been fully explored. The purpose of this study was to determine the frequency of reported barriers and facilitators to mental health as well as the importance of sport psychologist characteristics as a facilitator of mental health treatment. Participants consisted of student athletes from an NCAA Division I university, representing 11 sports. A series of two-way, repeated measures ANOVA analyses were conducted to determine within-subjects differences in overall reporting of barriers and facilitators, as well as between groups differences in race and gender. Significant differences were found in the rating of barriers and facilitators. Female student-athletes rated sharing a gender identity with their mental health treatment provider as more important than did male student-athletes. The findings of the study may aid athletic departments in developing targeted interventions to lower barriers and increase use of mental health resources to promote psychological well-being among student-athletes.

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.

Associations between greater perceived racial discrimination and both higher levels of depressive symptomology and higher blood pressure have been established in the literature. Research has found that depression is often comorbid with diabetes and individuals with type 2 diabetes are at an increased risk for depression as the prevalence of depression is 2 to 3 times higher in people with diabetes when compared to the general population. Additionally, individuals with type 2 diabetes are also at an increased risk for high blood pressure. Although these associations are present in the literature, no studies have been found that examine all of these variables in conjunction. The current study used data from the 2014 Health and Retirement Study to examine the associations among perceived racial/ethnic discrimination, depression symptoms, and blood pressure for older Latinx adults (ages 50+) with type 2 diabetes (n = 303) and without type 2 diabetes (n = 521), while controlling for sex, age, partner status, and education. Findings indicated diabetes status was positively associated with both depression symptoms (t(790) = 5.32, p < .001) and systolic blood pressure (t(703) = 2.74, p = .006). Racial/ethnic discrimination was positively associated with depression (r(206) = .14, p = .045); however, …

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 …

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 …

Therapeutic alliance has been consistently demonstrated as a robust predictor of treatment outcomes, though the time in psychotherapy at which therapeutic alliance best predicts outcomes is unclear. Unfortunately, evidence suggests that racial and ethnic minority clients typically form weaker therapeutic alliances in treatment. The weaker development in therapeutic alliance among racial and ethnic minority clients may mediate discrepancies in treatment outcomes, including higher dropout rates. The purpose of this study was to explore this possibility by (1) investigating the temporal relationship between therapeutic alliance and treatment outcomes and (2) examining differences in therapeutic alliance ratings and treatment outcome, including unilateral termination, among racial and ethnic minority clients. The findings of this study may be integral to identifying and addressing psychotherapy treatment disparities that are tied to racial or ethnic minority status.

Stereotypical beliefs about emotion have been shown to influence perceptions of competence. While emotional White women are often presumed to be generally less competent, emotional Black women receive variable competence ratings due to the intersecting stereotypes concerning both their race and gender. However, it is unclear how perceptions of competence fluctuate in response to anger, a stereotypically male emotion, in comparison to sadness, a stereotypically female emotion. The project at hand utilized participants' responses to a scenario of White and Black leaders engaging with subordinates in their workplace expressing either neutral, angry, or sad responses to an interaction. We aimed to identify if a Black woman leader's expression of anger garnered a more favorable response than a White woman leader's expression of anger in addition to whether both leader's expression of sadness would garner similarly low ratings of competence. Results reveal that perceptions of a woman leader's competence can be influenced by race alone with no significant influence from emotional expression. Specifically, a Black woman leader's competence can on average be rated lower than a White woman's competence regardless of emotional expression. This study provides further evidence that group stereotypes manifest differentially based on context.

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 …

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.

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, …

This study aims to examine how individual athlete perceptions of motivational climate act as an antecedent and influence beliefs about teamwork behaviors. Specifically, how the positive and negative aspects of coach-created motivational climate are associated with: (a) understanding the team's purpose and the ability to plan to achieve the team's mission, (b) implementing designed plans for team success, (c) assessing team performances and environment, (d) creating alterations focused on increasing the probability for team success, and (e) preserving interpersonal relationships by resolving conflicts effectively. Participants consisted of female NCAA Division I collegiate athletes (N = 536; Mage = 20.13 years, SD = 1.36) from colleges/universities located in 22 of the 50 states. Hierarchical cluster analysis revealed three motivational climate clusters; low task/high ego, moderate task/moderate ego, and high task/low ego. The main effect for motivational climate and the overall model of teamwork and the individual component of their behavioral dimensions was significant. The DDA revealed a single significant function for each of the six (i.e., the overall model and individual overarching components of teamwork) MANOVAs conducted, which indicated the composite measures of teamwork behaviors discriminated between the different motivational climate clusters.

In Miranda v. Arizona (1966), the Supreme Court of the United States required that custodial arrestees be informed of their constitutional and continuous rights to silence and to legal counsel. Moreover, the ruling mandated that waivers be considered valid only if they were made knowingly, intelligently, and voluntarily. However, in the decades that followed, evidence from both caselaw and empirical scholarship clarified that, for many vulnerable populations, these rights are in jeopardy. Among these vulnerable populations, those with limited cognitive capacities (LCCs) have been functionally excluded from research which primarily focused on persons with intellectual disabilities. This thesis offers a novel exploration of the role of specific cognitive impairments on Miranda comprehension and reasoning, with a focus on verbal intelligence (VIQ). Using a large archival sample of pretrial defendants (N = 820), current results suggest that defendants struggled with Miranda abilities regardless of other, individual characteristics. However, verbal intelligence emerged as a very strong predictor of Miranda comprehension such that those with lower VIQ were considerably more vulnerable to impaired comprehension. More so, data suggest that several compounded vulnerabilities (i.e., minoritized racial/ethnic identity status, limited academic achievement, illiteracy) are essential to understanding the extent of vulnerability in the criminal legal …

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.

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 …

The Personality Assessment Inventory (PAI) has gained widespread favor since its publication. However, validation studies of its interpretive descriptors remained limited to date. As such, the primary goal of the current study aimed at validating the interpretive descriptors through the lens of empirical correlates using the PDSQ as the external criterion. It also served as a replication and extension to the 2018 study conducted by Rogers and colleagues. The final archival sample included 204 clients from the UNT Psychology Clinic who were administered PAI between May 2016 and December 2020. Overall, reliability and construct validity were strongly supported for PAI clinical scales. Further, the current study replicated large majority of the correlates identified by Rogers and colleagues, which boosted the confidence in reproducible interpretations based on empirical correlates. Importantly, investigation of item-level and gendered correlates provided crucial interpretive implications that were otherwise obscured. For example, item-level correlates refined interpretation by clarifying the nature of scale-level correlates, particularly those of moderate strength. On the other hand, notable gender differences were identified for certain scales, which led to drastic differences in patterns of gendered vs. non-gendered correlates. Finally, several important methodological considerations are proposed in hope to facilitate the empirical research concerning …

The current research recruited 200 college students from the University of North Texas to explore the direct and indirect effects of familial ethnic-racial socialization on selected psychosocial variables (i.e., general self-efficacy, life satisfaction, and psychological distress) via ethnic-racial identity variables: exploration, affirmation, and resolution. The results indicated that cultural socialization from family predicted life satisfaction via exploration and resolution, predicted general self-efficacy via affirmation and resolution, and predicted psychological distress via affirmation. Additionally, patterns between exploration, affirmation, and resolution were explored through cluster analyses, and six ethnic-racial identity clusters were identified. The amount of familial ethnic-socialization and general self-efficacy reported by participants varied significantly among the identified ethnic-racial identity clusters. Implications of the findings for therapeutic interventions, university programs, and ethnic-racial identity measurement as well as limitations and future research directions are discussed.

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 …

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.