The work group in charge of editing the trauma disorders in the upcoming edition of the International Classification of Diseases (ICD-11) made several changes to the trauma criteria. Specifically, they simplified the criteria for posttraumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). To assess the new and newly defined trauma disorders, Litvin, Kaminski and Riggs developed a self-report trauma measure called the Complex Trauma Inventory (CTI). Although the reliability and validity of the CTI has been supported, no empirically-derived cutoff scores exist. We determined the optimal CTI cutoff scores using receiver operating characteristic (ROC) analyses in a diverse sample of 82 participants who experienced trauma and were recruited from an inpatient trauma unit, student veteran organizations, and university classrooms. We used the Clinician-Administered Interview for Trauma Disorders (CAIT) to diagnose the presence of an ICD-11 trauma disorder, and we correlated the results of the CAIT with the Clinician-Administered PTSD Scale for the DSM-5 to establish the convergent validity of the CAIT, r = .945, p < .001. For the ROC analyses, the CTI was used as the index test and the CAIT was used as the criterion test. The area under the curve (AUC) …

The present study examined the effects of adult attachment and cultural orientation on sacrifice behaviors and the corresponding emotional reactions, using a cross-cultural sample in the U.S. and China. Strain-tests protocol was utilized in this study, in which an individual (i.e., the asker) was asked to share with their romantic partner a personal goal that required a major sacrifice from their partner (i.e., the responder), and then entered a discussion to process their plan of carrying out this goal. The final sample included 115 couples from the U.S. and 99 couples from China. Results indicated that responder's attachment avoidance was negatively associated with sacrifice offered to their partners and they reported more positive emotions as a result. The interaction between attachment anxiety and nationality was significant. Specifically, in the U.S. sample, individuals with high attachment anxiety were more likely to offer sacrifice for their partners, but this effect was reversed in the Chinese sample. In addition, interdependent self-construal (ISC) was a significant moderator for the relation between attachment anxiety and sacrifice behavior. Individuals who endorsed higher ISC and higher anxious attachment were less likely to make sacrifice for their partner. Furthermore, when individual offered more sacrifice, they reported more positive …

Extant literature has provided evidence suggesting that ethnic minority individuals experiencing discrimination report poor mental health outcomes, including depression, anxiety, and an overall lower sense of belongingness with the majority culture, but empirical research examining how ethnic identity affects this relationship is extremely scarce. The first goal of the current study was to replicate the results of previous studies demonstrating a strong relationship between discrimination and selected wellbeing indicators: meaning in life, American affirmation, depression, and life satisfaction. The second goal of the study was to examine a moderation model and two moderated moderation models that depict the relationships among adult attachment, the affective component of ethnic identity, exploration and commitment to ethnic identity, and wellbeing indicators. Data was collected from 206 students who were recruited from undergraduate psychology courses. Findings provided partial support to the direct effects of discrimination on various wellbeing indicators but did not support the moderating effect of ethnic identity. Additionally, adult attachment, ethnic identity, and discrimination were not found to significantly interact, but the relationship between discrimination, ethnic identity, and American affirmation was found to be significantly moderated by the affective component of ethnic identity. Discussion on the findings, limitations of the study, future research …

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

Our sample consisted of 116 adults aged 18 and older, recruited from college and community settings. Participants were currently in a romantic relationship and endorsed the sudden and/or violent death of a family member, close friend, or romantic partner. We hypothesized that: 1) prolonged grief is associated with poor dyadic functioning; 2) social support moderates the relationship between prolonged grief and dyadic functioning; 3) religious coping moderates the association between prolonged grief and dyadic functioning. Results indicated that prolonged grief was not significantly related to dyadic functioning, and neither social support nor religious coping moderated this association.

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

Although Latinos are the largest minority group in the country, research examining how different psychological and cultural variables affect Latino individuals' wellbeing is disproportionately developed and cross-cultural comparison studies are particularly scarce. To address these issues, this dissertation research examined cross-cultural adult attachment-social self-efficacy-psychosocial wellbeing conceptual mediational model while investigating the moderator effects of country membership and familismo on the proposed mediational model using a cross-cultural sample of Mexican and Mexican-American university students. A total of 595 participants, including 360 Mexican students from Mexico and 235 Mexican-American students from the United States completed the research questionnaires. Results indicated that social self-efficacy was a significant mediator for the effects of insecure attachment on life satisfaction and conflict resolution in both cultural groups and for the links between attachment insecurity and depressive symptoms in the Mexican-American group. Additionally, moderated mediation analyses showed that country membership was a significant moderator for the links between attachment avoidance and social self-efficacy when life satisfaction, conflict resolution style, and depressive symptoms were the dependent variables, as well as for the direct link between attachment anxiety and physical health symptoms. Familismo was also found to be a significant moderator for the direct effects of attachment anxiety on …

Female athletes have been established as a high-risk group for disordered eating due to the high prevalence rates of clinical (i.e., 1.9% to 19.9%) and subclinical eating disorders (i.e., 7.1% to 49.2%). To date, only a few studies have examined the long-term stability of eating disorders in collegiate female athletes, a design that will allow examination of change in prevalence rates over time. Additionally, researchers have attempted to identify psychosocial risk factors in the development of disordered eating, but short time frames (e.g., competitive season, one year) during which data was collected have limited their findings. The current study investigated the progression in prevalence of eating disorder classification (i.e., eating disordered [ED], subclinical ED, asymptomatic), pathogenic weight control behaviors (e.g., laxative use, vomiting), and the predictive ability of psychosocial risk factors (e.g., body dissatisfaction, negative affect) from the time in which female athletes were active collegiate competitors (Time 1) to a time six years later, in which the women were retired (Time 2). By Time 2, the women were categorized as asymptomatic (69.9%), subclinical ED (26.9%), and clinical ED (3.1%). The prevalence of those who were disordered (i.e., either subclinical or clinical ED) increased from 22.8% (Time 1) to 30.1% …

Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.

There is an extensive amount of research on academic success and career development, but most of the literature has focused on the process of White participants. While some of the studies have examined samples from ethnic minority populations, the majority of studies use these populations as comparison groups, studying between-group differences as opposed to within-group differences. The literature is especially lacking in the area Latino academic success and career development. The current study examined how family and culture, specifically socioeconomic status, acculturation, and the quality of the parent-emerging adult relationship, influence the academic success and career development of Latino emerging adults. Eighty-three Latino undergraduate students ages 18 – 24 were recruited for participation in this study. Results indicated that valuing the role of work (career salience) significantly predicted the maturity and positivity of attitudes toward work (career maturity) in Latino emerging adults. Additionally, while family demographic and cultural variables did not seem to have a significant impact on academic success and career development, first-generation college student status, career salience, and conflict in the parent-emerging adult relationship lent some insight into the variation of levels of career maturity in a Latino sample. Furthermore, first-generation student status also impacted the relationship between …

The goal of this study was to investigate the relationship between adult attachment style, humility, and relationship satisfaction in college student couples. Attachment style--given its significant role in predicting how individuals feel, think, and behave in relationships--was expected to be an important predictor of humility, although this possibility has rarely been studied empirically. The current study found that: (a) attachment anxiety and attachment avoidance were significant, negative predictors of total humility, (b) attachment anxiety (but not attachment avoidance) was a significant, negative predictor of both intrapersonal and interpersonal humility, (c) a romantic partner's attachment avoidance (but not attachment anxiety) was a significant, negative predictor of a target person's relationship satisfaction, and (d) a romantic partner's perceived level of humility was a significant, positive predictor of a target person's relationship satisfaction.

Achievement motivation theory suggests there are two primary approaches to achievement tasks: to appear competent or to develop a skill. These two different approaches to performance yield different affective and behavioral responses. Athletes holding a performance goal orientation tend to respond to challenges with behaviors exemplifying learned helplessness and increased anxiety. Athletes holding a mastery goal orientation tend to respond to challenges with greater effort and experience less sport-related anxiety. Individual athlete factors, such as grit, mindfulness, and achievement orientation may influence how athletes experience their environment and their levels of sport anxiety, and may interact with athletes' achievement motives to influence performance. I used hierarchical multiple regressions to test the main effects of feedback and mindfulness, and feedback and goal orientation, to determine if either mindfulness or goal orientation moderated the effects of feedback on performance. I also used simple regression to determine the relative predictive strength of mindfulness, grit, and goal orientation on athletes' experience of sport anxiety. Mindfulness, but not goal orientation, was a significant moderator of the feedback-shooting performance relationship, but particularly for athletes low in mindfulness; mastery-goal orientation, independently of feedback, was also a significant predictor of task performance. Mindfulness also emerged as the strongest …

Guided by attachment theory and principles of positive psychology, a conceptual model was developed depicting the direct and indirect effects of attachment insecurity, state hope, belongingness, and meaning in life on wellness indicators (i.e., life satisfaction, physical health, and depression) of first generation Latino immigrants in the U.S. Specifically, the present study proposed that the effects of attachment insecurity on Latino immigrants' wellness would be mediated by two tiers of factors. The first tier consisted of state hope (i.e., general state hope, spiritual state hope, mastery state hope) and sense of belonging (i.e., general belongingness; connectedness with mainstream/ethnic community), which represented individual-level and relational factors, respectively, salient in Latino culture. Greater attachment insecurity was hypothesized to contribute to a compromised MIL and poorer wellness by decreasing state hope and sense of belongingness. A total of 352 first-generation Latino immigrants from Texas participated in this study. The exploratory factor analysis on the Experiences in Close Relationships Scale revealed a two-factor factor structure that is different from the two factors of adult attachment typically found with American samples (i.e., anxiety and avoidance). The emerged two factors represent anxious-distancing attachment and comfort-seeking attachment. Results from structural equation modeling analysis showed adequate model fit …

Little research has examined the role of physical activity in relationship functioning. Utilizing two heterosexual subsamples of 618 females and 155 males, results indicated that physical activity was positively correlated with sexual satisfaction and self-esteem for the female subsample, but was not significant for the male subsample. For both subsamples, although physical activity was not a significant unique predictor of relationship functioning in regression analyses, sexual satisfaction and self-esteem each significantly contributed the variance relationship functioning. The findings of this study increase our knowledge of mechanisms that impact sexual satisfaction, self-esteem, and physical activity among women, which in turn can potentially guide treatment planning and interventions.

There is growing concern for eating pathology and body dissatisfaction in sports; particularly, in sports that emphasize a lean body type. In 325 female collegiate swimmers/divers and gymnasts, we examined psychosocial well-being (i.e., perception of weight pressures, levels of internalization, body satisfaction, dietary intent, negative affect) at the beginning and end of an athletic season and predict their eating disorder classification at the end of their athletic season. Logistic regressions revealed that a model containing all 14 predictors at the beginning and end of an athletic season significantly predicted eating disorder classification at the end of an athletic season. Specifically, in the longitudinal logistic regression, with every one unit of increase on a measure of the pressure felt within the sport environment regarding their weight and every unit increase on a measure of their intentions to diet, respectively, the female athletes were 49% and 89% more likely to be classified in the subclinical/clinical group at the end of their sport season. Surprisingly, with every one unit of increase on a measure of sociocultural pressure to exercise, female athletes were 43% less likely to be classified in the subclinical/clinical group six months later. The cross-sectional logistic regression found that only dietary …

Elite and collegiate athletes are subpopulations at increased risk for the development of disordered eating and pathogenic weight management strategies; such risks may extend beyond sport participation into sport retirement. As athletes self-weigh, whether during their time in competitive sport or in retirement, it would be expected that they also experience increases in body dissatisfaction and psychosocial distress. Results suggest both a longitudinal impact, as well as continued cross-sectional relationships between SW and disordered eating attitudes and behaviors. Specifically, former SW (at Time 1) is related to their levels of body satisfaction in relation to the Body factor and the Overall Body at Time 2. Particularly, athletes who weighed themselves 7+ more times a week reported significantly higher levels of body dissatisfaction on the Overall Body factor and the Body factor than retired athletes who did not self-weigh, all other groups did not differ significantly from each other. Cross-sectional relations were found between current (Time 2) SW and Body Satisfaction (Overall Body, and Body factors), Dietary Restraint, and Bulimic Symptomatology. In all cases, those who engaged in SW 7+ times per week had significantly higher scores than all other groups.

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

This study examined the influence of multicultural training, multicultural discussions in supervision, and the supervisory working alliance on multicultural counseling competence. The sample consisted of 57 doctoral counseling interns, doctoral graduate students and post-doctoral students in counseling and clinical psychology. Participants completed several instruments including a demographic questionnaire, the Supervisory Working Alliance Inventory - Trainee, and the Multicultural Counseling Inventory. They filled out two questionnaires created for this study, one assessing multicultural discussions in supervision and another quantifying their multicultural training experience. Data analyses included multiple hierarchical regression, utilizing the Hayes PROCESS macro. Multicultural discussions in supervision moderated the relationship between the supervisory working alliance and multicultural counseling competence, but did not significantly moderate the relationship between multicultural training and multicultural counseling competence. Findings suggest that when multicultural discussions in supervision are positive, they significantly increases the strength of the relationship between good supervisory working alliance and multicultural counseling competence in psychology trainees. The findings may inform supervision practices and improve multicultural counseling competence in psychology graduate student trainees.

This study explored the impact of three psychological interventions over seven weeks - goal setting (GS), GS and imagery (IM), and GS and mindful self-compassion (MSC) - on 20 athletes' (Mage = 16.75 years) pain, cognitive appraisal, depression reinjury anxiety, psychological readiness to return to sport, and range of motion (ROM). IM and GS interventions have demonstrated initial effectiveness; however, no study has examined MSC in relation to post-ACL recovery. All athletes experienced significant decrease in pain (F(2) = 97.30, p = .000) from Week 1 to Week 7 and a significant increase in ROM from Week 2 to Week 7 (F(1) = 77.93, p = .000). All athletes experienced significantly higher depression at Week 1 compared to both Week 2 and Week 7 (F(2) = 9.01, p = .001), and significantly higher difficulty coping with their injury at Weeks 1 and 2 compared to Week 7 (F(2) = 6.32, p = .005). There were no statistically significant effects found between the intervention groups at Weeks 1, 2, and 7. However there were moderate effect sizes between interventions which suggest MSC and IM could help athletes cope with their injury during the first few weeks after surgery, and GS may …

Concussions, attention-deficit disorder (ADHD), and learning disabilities can adversely impact learning and academic achievement, particularly with respect to attention, memory, and executive functioning; fortunately, cognitive training can be beneficial and remediating these weaknesses. One such program, strategic memory advanced reasoning training (SMART), utilizes a top-down approach to train individuals in executive, higher-ordered thinking strategies including strategic attention, integration, and innovation to facilitate information synthesis and enhance cognitive efficiency. Thus, the purpose of the study is to examine whether SMART improved performances on various neuropsychological measures tapping into attention, processing speed, memory, and executive functioning for college student-athletes with neurological conditions (e.g., concussions, ADHD, LD). Student-athletes were randomly assigned to the SMART program or a "wait-list" control group and were administered a neuropsychological battery at baseline, immediately following the intervention, and after a four-month delay. Results showed that participants benefited from SMART with respect to working memory immediately following the intervention after controlling for baseline scores. The benefits of working memory also persisted after four months. Additionally, SMART was beneficial for improving attention, but only after four months after the intervention. The findings of the current study were consistent with previous studies which showed positive effects of SMART on working memory …

Self-construal (SC) refers to the way people perceive their identities in relation to self and others (Markus & Kitayama, 1991b). It has been found in the literature to influence thinking, decision-making, and preferences (e.g., Sung, Choi, & Tinkham, 2012) which suggests that a person's SC may affect her/his preference on psychological interventions. However, no empirical studies can be located that examined this relationship. The study examined the effects of independent SC, interdependent SC, general autonomy (GA), and sport autonomy (SA) on athletes' preferences and desire to use the interventions in the future, especially how these relations might vary as a function of the type of intervention. It was hypothesized that the relationship between each of the predictors and preference for and desire to use intervention would be moderated by the type of intervention received. Four hundred and thirty-one current and former athletes were recruited to participate in this study. Participants completed a questionnaire that measured SC, GA, and SA and were then randomly assigned to receive one of two self-talk interventions, representing either a self- or other-focused intervention. Participants were asked to rate their preference for and desire to use the given intervention in the future. Results found positive significant …

Self-enhancement is a process by which individuals misperceive themselves by viewing themselves in a positively biased manner. Past research indicates that self-enhancement can have both positive and negative effects on romantic relationships. The purpose of this dissertation was to explore the role of self-enhancement in unmarried dating couples (N = 124 couples; 248 individuals) with respect to conflict, dyadic adjustment, causal and responsibility attributions, and possible moderators between self-enhancement and dyadic adjustment. The results are organized in four sections. First, I found a curvilinear relationship between participant self-enhancement and conflict. At very low and very high levels of self-enhancement there were increased levels of conflict. Second, participant self-enhancement was positively associated with positively associated with increased participant dyadic adjustment, but there was no relationship between participant self-enhancement and partner dyadic adjustment. Third, there was no relationship between participant self-enhancement and causal and responsibility attributions. Fourth, forgiveness and commitment did not moderate the relationship between self-enhancement and dyadic adjustment; however, there were main effects for both forgiveness and commitment - both forgiveness and commitment were positively associated with dyadic adjustment. I conclude by discussing limitations, areas of future research, and implications for counseling.

The current study examined direct and indirect influences of romantic attachment processes, marital adjustment, and the coparenting relationship on family functioning. Data was collected from a community sample of 86 heterosexual couples with a child aged eight to eleven living in the home. Both spouses completed a demographic questionnaire, the Experiences in Close Relationships Scale, the Dyadic Adjustment Scale, the Coparenting Scale, and the Self-Report Family Inventory as part of a larger study on family processes in middle childhood. Data analysis included multilevel modeling, utilizing the actor-partner interdependence model. Results indicated that marital adjustment mediated the association between attachment processes and family functioning, suggesting that a healthy marital relationship is an important variable that helps explain links between attachment security and the family functioning. Findings also highlighted the benefit of conceptualizing adult romantic attachment, marital, and coparental subsystems within a systemic framework.

The purpose of the study was to examine the impact of internalized stigma of mental illness on the career development of college students with hidden disabilities. The availability of research investigating career variables within this population is limited and is primarily focused within the vocational rehabilitation arena. Therefore, one of the goals of the current study was to link separate bodies of literature on college students with disabilities, career development, and internalized stigma of mental illness. The second goal was to examine the interaction of internalized stigma of mental illness between career decision self-efficacy and career exploration on the perceived likelihood of achieving hoped for occupational possible selves (OPS). The study included college students with hidden disabilities and investigated variables related to mental illness and career. Participants were administered a background information questionnaire, the Career Decision Self-Efficacy scale (CDSE-SF), selected subscales of the Career Exploration Survey (CES), and the Internalized Stigma of Mental Illness scale (ISMI). Contrary to hypotheses, career decision making self-efficacy, career self-exploration, and internalized stigma of mental illness did not have a direct effect on the perceived likelihood of achieving hoped for OPS. However, career environment exploration did have a direct and positive association with perceived likelihood …