Certified athletic trainers (ATCs) play a unique role in sport environments as the primary medical staff available to athletes. Thus, ATCs are well positioned to oversee athletes’ physical and psychological well-being. Although sport psychologists (SPs) have been identified as a potential resource for ATCs, previous studies have reported a lack of collaboration between SPs and ATCs. This study aimed to (a) examine ATCs’ views regarding professional roles for both ATCs and SPs, (b) explore ATCs’ referral behaviors, (c) evaluate ATCs belief in the credibility of sport psychology across demographic (i.e., gender, age) and experiential variables (i.e., access to SPs), and (d) examine ATCs’ involvement in sport psychology. Four hundred ninety-six ATCs (265 men, 231 women) completed and returned the questionnaire. ATCs viewed assisting in the psychological recovery of athletes as the most acceptable professional role for fellow ATCs; aiding in the psychological recovery of injured athletes and teach mental skills were identified by ATCs as the most appropriate roles for SPs. In considering an athlete experiencing interpersonal difficulties (e.g., relationship problems), a mixed design ANOVA revealed a ATC sex by referral option interaction; female and male ATCs indicated they would likely refer the athlete to a counselor/therapist, followed by a …

Both sleep diaries and actigraphy have been recommended to assess sleep in research and clinical settings. Investigators have traditionally used sleep diaries that were completed daily by participants and collected weekly but have recently begun using sleep diaries that are both completed and collected daily. No research had previously assessed the agreement between daily-collected sleep diaries and actigraph data over one week. Undergraduate students were randomly assigned to use daily- or weekly-collected sleep diaries. Sleep parameters obtained from these measures were compared to each other via concordance with concurrent actigraph data. It was hypothesized that daily-collected sleep diaries would have greater concordance with actigraphy than weekly-collected sleep diaries. Results indicated that daily-collected sleep diaries provided more reliable data than weekly-collected sleep diaries, but the differences were not statistically significant. Additional aims examined self-reported sleep diary adherence, the participation day number, and day of the week. There were trends for the Daily group to have better adherence. Overall concordance did not change based on the day number or day of the week. Both sleep diaries yield comparable sleep parameter data, suggesting that clinicians and researchers can use either method to estimate sleep parameters.

Given increasing interest in the therapeutic benefits of mindfulness, limitations of its treatment utility are frequently questioned. As such, the purpose of the study was to examine the effects of mindfulness on a subsequent self-control task in a sample of college students. A total of 67 participants were randomly assigned to one of three conditions: a control condition, an experimental mindfulness-only condition or a comparison expectancy-plus-mindfulness condition to investigate the utility of mindfulness practice when motivated by an outcome of increased self-control. Results did not indicate a difference in persistence on a difficult task between conditions, regardless of the manipulation. Conceptual and experimental limitations of current study’s findings, as well as future directions, are discussed.

Human immunodeficiency virus (HIV) seropositive men on highly active antiretroviral therapy treatment (HAART) who experience lipodystrophy syndrome (LD), a side effect of HAART, rate themselves as more depressed than those who did not experience LD(Crane et al., 2008). Furthermore, men who rated their LD symptoms as more severe also scored higher on depression measures than men who experienced less severe symptoms. It is unknown these findings can be generalized to other groups of HIV positive individuals. The current study seeks to fill this gap in the literature by exploring the associations between LD, body image, and depressive symptoms in an archival sample of HIV positive Black women. This study aims to describe the body changes associated with HAART in a Black female sample and explore the relationships between LD, body image, depression, and quality of life. Findings supported past research indicating a correlation between depression and poor body image but did not indicate that body image quality of life moderated the relationship between perceived body changes and depression. Results expanded on the literature by indicating that perceived body changes may be more distressing to Black women with HIV than objective changes. Lastly, findings suggested that Black women may have inaccurate …

Evidence continues to demonstrate that racial/ethnic minority groups experience a disproportionate burden of disease and mortality in cardiovascular-related diseases (CVDs). However, emerging evidence suggests a health advantage for Latinos despite a high risk profile. The current study explored the hospital utilization trends of Latino and non-Latino patients and examined the possibility of an advantage for Latinos within the context of CVD-related events with retrospective data collected over a 12-month period from a local safety-net hospital. Contrary to my hypotheses, there was no advantage for in-hospital mortality, length of stay or re-admission in Latinos compared to non-Latinos; rather, Latinos hospitalized for a CVD-related event had a significantly longer length of stay and had greater odds for re-admission when compared to non-Latinos. Despite data suggesting a general health advantage, Latinos may experience a relative disparity within the context of hospital utilization for CVD-related events. Findings have implications for understanding the hospital utilization trends of Latinos following a CVD-related event and suggest a call for action to advance understanding of Latino cardiovascular health.

Sexual attraction (SA), as well as sexual (SBVs) and nonsexual boundary violations (NSBVs), have been identified as matters of ethical concern, being viewed as harmful within mental health or counseling relationships. Much of the literature in the area of SA and SBVs has focused on the counselor-client relationship, but it has been investigated only minimally in the field of sport psychology and specifically with regard to sport psychology professionals (SPPs). Because SA, SBVs, and NSBVs between SPPs and their client-athletes seem to be potentially problematic concerns in need of empirical investigation and practical scrutiny, the aim of this study was to examine: (a) the incidence of SBV and NSBV beliefs and behaviors among SPPs; (b) SPPs' feelings regarding SA for and from client-athletes; and (c) SPPs' willingness to seek supervision to manage their SA beliefs and behaviors towards client-athletes. SPPs (n = 365) completed the Survey of Applied Sport Psychologists (SASP) via e-mail or regular mail. As expected, SPPs experienced SA (40.6%) and generally did not experience strong feelings as a result of the SA. However, of the SPPs experiencing SA, 13.5% of males and 13.8% of females engaged in a SBV with a client-athlete. NSBV behaviors and beliefs are …

The current study examined the paternal influences on the career development of African American emerging adults. While statistics have shown that many African Americans remain in the lower socioeconomic status bracket and have worse academic and career outcomes, still many African Americans are successful. The literature seems to attribute lack of success to low socioeconomic status, but attributes success to close family relationships. However, most of these studies have focused on maternal relationships and have neglected to include the influence of paternal relationships. Studies that have examined African American fathers have emphasized their negative attributes. Previous studies have also failed to consider the influence of other factors on the career development process such as ethnic identity and psychological adjustment. This study explored the influence of contextual, family, and developmental factors on the career process of African American emerging adults. One hundred sixty-seven African American undergraduate students ages 18 to 25 were recruited for participation in this study. Regression analyses indicated that the quality of the father-child relationship influenced career development, though not in the manner expected. High levels of father support enhanced well-being for individuals with high ethnic identity, but did not produce the same results for individuals with low …

Following a transgression, interpersonal forgiveness is one strategy used to restore harmony between the victim and offender. Research also suggests that forgiveness can promote psychological and physical health. Research has shown that an apology from the offender may facilitate the forgiveness process. The majority of studies suggest that when a victim receives an apology, they experience higher levels of forgiveness toward their offender. The purpose of this thesis was to explore the association between apology and forgiveness in a sample of adults and undergraduate students (N = 803). The results are organized in three sections. First, I found a positive relationship between apology and forgiveness, replicating prior research. Second, I created a new measure of transgression severity, and provided evidence of internal consistency, construct validity, and criterion-related validity for this measure. Third, I tested two variables hypothesized to moderate the association between apology and forgiveness. First, there was some evidence that perceived offender humility moderated the association between simple apology and forgiveness. Offenders who were perceived as being more humble when providing a simple apology were granted more forgiveness than their less humble counterparts. Second, there was some evidence that transgression severity moderated the association between a complete apology and …

Incidents and awareness of sports-related concussion have grown in recent years, attracting attention in both the academic and popular press. These concussions can lead to the rapid onset of neurological dysfunctions, as well as a variety of subjective symptoms. Although concussive sequelae are typically considered transient, debate remains about the persistent effects of repeated traumatic contact during sport participation. Although research has examined the complications of head trauma found in traditionally popular sports (e.g., football, soccer, boxing), little research has focused on the growing sport of mixed-martial-arts (MMA). Research specifically pertaining to MMA is in nascent stages, but to-date studies suggest that concussive injuries for this sport are prevalent and the training regimens of these athletes may place them at a high risk for concussive or subconcussive head traumas—as well as the accompanying neurological difficulties. The current study is the first to assess cognitive profiles of MMA athletes using an objective neuropsychological assessment instrument. Among 56 athletes (28 MMA athletes and 28 athletes not exposed to head traumas), no neuropsychological differences were found between groups of athletes. Additionally, no aspects of MMA training regimen shared a reliable relationship with neuropsychological performance or subjective concussive symptoms. This suggests non-professional participation in …

The current study replicated and extended previous research by examining empirically the direct and indirect influence of social pressure (to lose weight and diet), social body comparisons, internalization of the thin ideal, body dissatisfaction, self-esteem, and cardiorespiratory fitness on self-reported dietary restraint in a diverse sample of middle school boys (n = 663); Mage was 12.49 years (SD = .99). With IRB approval, parental consent, and child assent, during annual FITNESSGRAM testing, participants completed questionnaires that measured the study’s constructs. Cardiorespiratory fitness (CRF) was determined by the boys’ performance on the PACER running test. The proposed model was examined using structural equation modeling (SEM). Because measures demonstrated univariate and multivariate normality, the maximum likelihood procedure within EQS to examine the measurement and structural models was used. Fit was determined using a two-index procedure. Participants were randomly split into exploratory (Sample A - 331) and confirmatory (Sample B - 332) samples. For Sample A, the measurement and structural models fit the data well. The structural model was confirmed in Sample B, with the same paths being significant and nonsignficant. For both Sample A and Sample B, 35% of the Dietary Restraint variance was explained. These findings support a multifactorial approach to …

Clinicians’ attitudes and behaviors toward patients with borderline personality disorder (BPD) are affected by the label’s stigma. Complex posttraumatic stress disorder (CPTSD) was proposed as a comprehensive and less stigmatizing diagnostic category for clients with BPD and a history of complex trauma. Given considerable similarities across both disorders’ diagnostic criteria, the CPTSD framework holds promise as a means to improve therapists’ attitudes towards clients with BPD and a history of complex trauma. However, this quality of CPTSD had not yet been examined empirically. Using vignettes in a between-subjects experimental design, this study investigated whether CPTSD is a less stigmatizing label than BPD for trauma survivors. Participants were 322 practicing psychotherapists. Evidence of BPD stigma was found, as was an affinity for CPTSD. Results generally supported CPTSD as a less stigmatizing label than BPD; therapists presented with a CPTSD-labeled vignette were somewhat less likely to blame the client for her symptomatic behavior and expected slightly stronger working alliance with the client than therapists presented with the BPD-labeled vignette. However, therapists’ agreement with the BPD diagnosis and theoretical orientation were found to be more salient than diagnostic label in affecting concepts related to the stigmatization of BPD clients. Additionally, familiarity with CPTSD …

The objectives of this study were to mathematically model the quality of college life (QCL) concept and to study the associations between attachment style, emotion regulation abilities, psychological needs fulfillment and QCL via structural equation modeling. Data was collected from 507 undergraduate students (men = 178, women = 329; age M = 21.78 years, SD = 4.37). This data was used to provide evidence for the validity of the College Adjustment Scales (CAS) as a measure of quality of college life. The CAS demonstrated good convergent validity with the World Health Organization Quality of Life measure (WHOQOL), Subjective Well-being and Psychological Well-being Scales. Results: Students who were insecurely attached were as likely to feel adequate in their academic and professional endeavors as securely attached students. However, insecurely attached students had lower QCL levels, lower fulfillment of psychological needs and more emotion regulation difficulties than securely attached students. The results also indicated that Anxious Attachment and Avoidant Attachment were positively and strongly associated. Nonetheless, Anxious Attachment and Avoidant Attachment affected QCL through different mechanism. Emotion regulation mediated the path between Anxious Attachment and QCL while the fulfillment of psychological needs mediated the path between Avoidant Attachment and QCL. The fulfillment of …

Religion and spirituality are vital aspects of many people’s lives both in the United States and across the globe. Although many constructs and measures exist to describe and assess the experience of pursuing the sacred, the complexity of religious and spiritual experience leads to mixed results in relation to well-being and psychopathological traits. However, in broad terms, the relationship appears positive. Over the past 30 years the need for more refined and useful approaches to the study of religious and spiritual behavior has been repeatedly acknowledged. Although authors wisely caution development of further measures without due cause, extant constructs and measures do not provide clear and consistent results for understanding the influence of one’s relationships to religion and spirituality upon behaviors of clinical interest. The present project drew from the functional contextual concept of psychological flexibility, which provides clarity to understanding the encouragement and maintenance of psychological well-being. A new construct of religious and psychological flexibility is explicated as a functional approach to understanding religious and spiritual behavior in a manner that is useful in research and clinical settings alike. The development and evaluation of the Measure of Religious and Spiritual Flexibility (MRSF) is described. The MRSF evidenced adequate internal …

Sexual and gender minorities are subjected to discrimination and stigmatization which increase vulnerability to psychological co-morbidities (Mays & Cochran, 2001). The mechanisms through which discrimination contributes to distress in lesbian, gay, bisexual and transgender (lgbt) communities can be partially elucidated through the minority stress model. The minority stress model argues that minorities are subjected to negative societal attitudes and discrimination that results in excessive psychosocial stress related to their minority position, which is distinct from daily stress. Meyer’s minority stress model is supported by social stress theoriesand data linking discrimination to stress in lgb samples. Researchers suggest that self-esteem buffers the negative effects of adverse experiences but tests of the moderating effect of self-esteem on the discrimination-distress relationship in ethnic and gender minorities yielded mixed results. Szymanski found that self-esteem moderates the relationship between discrimination and psychological distress in a male sexual minority sample, but this has never been tested in a gender-balanced sexual minority sample. We hypothesized that higher levels of self-esteem are associated with lower overall perceived stress in lgbt adults, and that self-esteem acts differentially in lgbt populations to moderate perceived discrimination. We found that discrimination, self-esteem and the interaction effect between discrimination and self-esteem accounted for …

Religion has a well-documented relationship with mental health benefits and has consistently demonstrated an impact on several specific mental health concerns, including suicide, generally finding various religious facets to be inversely associated with suicidal thoughts and behaviors. More specifically, religion has been found to be associated with suicide in a number of ways, including decreased acceptance of suicide, decreased likelihood of suicidal thoughts, decreased likelihood of suicidal attempts, fewer suicide attempts, lower relative risk of suicide, lower suicide rate, and increased reasons for living. Several studies have proposed potential mediators (e.g., social support, locus of control, and substance abuse) of the relationship between religion and mental health, usually in non-clinical samples. The current study sought to examine the association between religious attendance and suicidal ideation using archival data of a clinical sample collected from the University of North Texas Psychology Clinic. Results from this sample revealed no evidence of mediation, instead suggesting a direct effect of religious attendance on suicidal ideation. Two mediation models demonstrated the effects of external locus of control and social support on suicidal ideation. These models are discussed in terms of their directionality, considering the extant research on these associations. Findings of the current study have …

Data were collected by an external company for a healthcare service firm interested in learning the job-related attitudes of their employees. Thus, archival data from 1,287 employees were collected for a different purpose. The survey consisted of 117 questions covering a broad range of constructs. Consequently, the items were used to derive effective measures of employee engagement and behavioral outcomes, as well as the emotional, mental, spiritual and physical dimensions. Exploratory and confirmatory factor analysis procedures were used to create scales reflecting these four factors. Interestingly, six scales emerged, logically linking to and further specifying the initial dimensions. These were Organizational Linkage, Manager Relationship, Job Fit, Job Clarity, Work Pressure, and Meaningful Work. To test the hypotheses, six separate regression equations were calculated, which statistically supported modification by each of the dimensions. However, statistical significance of the interactions resulted from having a large sample, given the actual association was too small to be meaningful (e.g., a contribution of 0.6% of the variance). As each of the dimensions had a main effect on the behavioral measure during hypothesis testing, exploratory regression equations were calculated to further understand the interrelationships. Of most interest was finding that in the presence of Engagement, the …

The burden of depression requires modalities other than individual psychotherapy if we are to reduce it. Over the past two decades preventative programs for depression have been developed and refined for different populations. The six years since the last meta-analysis of preventative interventions—inclusive of all program types—have seen a number of new studies. The current study used the greater statistical power provided by these new studies to analyze moderators of, and sub-group differences in, the effect of these interventions on depression. Moreover, this meta-analysis synthesized effect sizes for outcomes other than, but often related to, depression (e.g., anxiety) and for within-group change scores with the goal of better informing program implementation and evaluation. Twenty-nine studies met inclusion criteria and indicated that small, robust effects exist for reductions in depression diagnoses and symptomatology. Significant effects were also observed for anxiety, general health, and social functioning.

C-reactive protein (CRP) is a protein found in the blood that is synthesized by the liver and has been extensively studied due to its role in inflammatory and atherosclerotic processes. The importance of this biomarker in its role in vascular risk factors is increased with several lines of evidence pointing to its association with cognitive decline. The association between CRP and depression has been increasingly analyzed by various cross-sectional studies. The research between CRP and depressive symptoms in older women has yet to generate consistent trends. In the present study, a series of regression analyses was used to explore the association between CRP and both cognitive function and depressive symptomatology among a group of rural-dwelling women. Associations were evaluated through the use of data from Project FRONTIER, a rural-based research looking at both physical and cognitive aspects of health in rural-dwelling adults and elders. Comparisons were made between Mexican American women and a group of non-Hispanic Caucasian women. CRP was a significant independent predictor of total depression (beta = -.11, t = -1.99, p =.048). CRP was also a significant independent predictor of symptoms associated with meaningless within depression (beta = -.16, t = -2.94, p =.004). Contrary to prediction, …

Researchers have previously identified substance use and borderline personality disorder as factors that increase risk for suicidal thoughts and behaviors. This study explored the relationship between these factors in samples of students and individuals seeking outpatient treatment. Supplemental data collected via the internet (MTurk) also looked at experiential avoidance (EA) with the Avoidance and Fusion Questionnaire for Youth. The Structured Clinical Interview for the DSM-IV, Alcohol Use Disorders Identification Test, Scale for Suicide Ideation, and Personality Assessment Inventory- Borderline Features Scale elicited information regarding severity and/or frequency of substance use, suicidal thoughts, and borderline features respectively. Additionally, the Psychiatric Diagnostic Screening Questionnaire was administered to the UNT sample. The UNT sample analyses indicate substance use moderates, strengthening, the relationship between borderline features and current suicidal thoughts. However, severity of suicidal thoughts was lower for individuals high in both borderline features and substance use disorder symptoms compared to those low in borderline features and high in substance use symptoms. The MTurk sample analyses suggest substance use functions as a mediator. A robust relationship existed between substance use severity and EA, showing substance use as a behavioral marker for EA. In conclusion, concurrent treatment of substance use and borderline personality features would …

Past research indicates that self-compassion has positive implications for psychological health and functioning. However, as a newly specified construct, the literature regarding self-compassion could benefit from a more thorough validation of the primary scale used in this area of research, the Self-Compassion Scale. In the present study, structural path analysis (using Amos) was used to explore the criterion validity of the SCS with four variables which have been theorized to be relevant to self-compassion (caregiver emotional responsiveness, fear of emotion, internalized spirituality, and achievement goal orientation). Initial hypothesis testing indicated support for the path model, with the exception of achievement goals which were not significantly associated with self-compassion. Trimming these paths in a subsequent analysis improved model fit. Interestingly, further analyses of the model indicated that the pairing of participant and parent gender produced substantial differences in path coefficients. Next, correlational and factor analytic methods were used to test the construct validity of the SCS. Correlational analyses found adequate convergent construct validity but some lack of divergent validity between SCS dimensions and conceptually similar constructs (i.e., fear of emotion, social connectedness and self-criticism). Confirmatory factor analysis indicated that a two-factor model fit the data better than the one-factor model proposed …

The purpose of this study was to examine the factorial validity and measurement equivalence of the Test of Performance Strategies (TOPS; Thomas, Murphy, & Hardy, 1999); the Sport Anxiety Scale (SAS; Smith, Smoll, & Schultz, 1990); and the Golf Performance Survey (GPS; Thomas & Over, 1994) across age groups in a representative sample of amateur golfers. Based on archival data, participants comprising this study were 649 younger adult (n = 237) and older adult (n = 412) amateur golfers who played in the Dupont World Amateur Golf Championship in Myrtle Beach, South Carolina. The participants completed a set of questionnaires including psychological skills and strategies (e.g., self-talk, goal setting, imagery, etc.) used during competition, sport-specific competitive trait anxiety, and psychomotor skills and involvement in golf. Results demonstrated that the original factor structure of the TOPS competition subscale, the SAS, and the GPS, did not adequately fit the data among this sample of younger and older adult amateur golfers. Further exploratory and confirmatory factor analyses established evidence of factorial validity with the TOPS competition subscale, SAS, and the GPS with both younger and older adult amateur golfers. Configural, metric, scalar, and strict measurement invariance were identified in relation to the TOPS …

Athletic trainers (ATs) are professionals who are most directly responsible for athletes’ health care in a sport environment. ATs work with athletes on prevention, diagnosis, and treatment of athletic injury; it is through these interactions that put ATs in an ideal position to recognize the psychological and emotional distress that athletes may suffer. Consequently, the National Athletic Trainer’s Association (NATA) has called for ATs to be competent in implementing psychosocial strategies and techniques (e.g., goal-setting, imagery, positive self-talk), recognizing basic symptoms of mental disorders, and identifying and referring athletes in need of psychological help. I explored ATs’ ability to recognize, diagnose, and provide a referral for collegiate athletes who were presenting with symptoms of depression across three different scenarios. The study examined factors that may impact ATs’ abilities in these areas, including AT gender, athlete gender, and type of presenting problem (e.g., athletic injury, romantic relationship, or sport performance issue). Overall, female ATs were better at recognizing depressive symptoms than male ATs, though both were equally proficient at diagnosing depression. Regardless of gender of the AT, gender of the athlete, and presenting problem, ATs were most likely to refer the athletes to a counselor/psychologist, and to a lesser extent sport …

The present study examined the links between whole family interaction patterns, parent-child attachment, and child emotional adjustment in a sample of 86 community families with children between the ages of 8 and 11. Family interactions were observed and coded with the System for Coding Interactions and Family Functioning (SCIFF; Lindahl, 2001). Target children completed the Children’s Coping Strategies Questionnaire (CCSQ; Yunger, Corby, & Perry, 2005), and the Behavior Assessment System for Children- 2nd Edition, Self Report of Personality (BASC-2 SRP; Reynolds &Kamphaus, 2004). Results of hierarchical regressions indicated that Secure and Avoidant attachment each independently predicted children’s emotional symptoms in some models. Family Cohesion and Positive Affect moderated the relationship between father-child attachment and children’s emotional symptoms. Results of the current study support the utility of considering dyadic attachment and family interaction patterns conjointly when conceptualizing and treating children’s emotional outcomes.

Suicide clusters have been identified in many populations; however, research exploring the role of online communication in the aftermath of a suicide cluster is extremely limited. This study used the Consensual Qualitative Research method to analyze interviews of ten high school students following a suicide cluster in a small suburban school district. Interviewee’s responses were organized into 4 domains: the suicide, impact, perceptions of school environment, and recovery. The role of social networking emerged as a common theme across domains, suggesting broad relevance to adolescents’ experience following the suicide of a peer. Implications for clinical intervention and research are discussed.