Based on a step-wedge randomized control trial (intervention n = 136; comparison n = 137), this study investigated the impact of a peer mentor intervention for youth living with HIV aged 15-24 years in Ndola, Zambia. Using piecewise hierarchical linear modeling (HLM), change in internalized stigma predicted change in mindfulness, and mindfulness was a significant predictor of better self-reported adherence to antiretroviral therapy (ART) across both intervention groups. Intervention group membership did not predict rate of change in mindfulness, but predicted a reduction in internalized stigma and an increase in self-reported ART adherence. Following the peer mentor intervention, internalized stigma was significantly lower in the intervention group than the comparison group. Findings highlight the need to develop and implement interventions specific to adolescents living with HIV with a biopsychosocial approach that attends to both the physical and psychological needs specific to adolescents. Our findings support the inclusion of mindfulness-based components in interventions targeting ART adherence for adolescents living with HIV.

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

Forensic researchers and practitioners continue to face challenges when attempting to differentiate deceptive response styles, notably when comparing malingering and factitious disorder. However, due to the great disparities in research available, forensic examiners may not be adequately informed for considering factitious presentations as a competing hypothesis to malingering. De-emphasis of factitious disorders may also be attributed to the lack of empirical research and poor conceptual understanding of the disorder. Velsor and Rogers conducted a thorough review of various factitious motivations, drawing a parallel to Rogers' explanatory models of malingering. Due to the need for a systematic measure of FPPs, the Inventory of Self and Interpersonal Problems (I-SIP) was developed, largely based on the explanatory models of FPP. The current study employed a construct validity approach to the I-SIP to examine its convergent and discriminant validity in a sample of 80 inpatients from a private psychiatric hospital. Providing strong evidence of construct validity of the I-SIP, dramatic differences emerged between malingered and factitious presentations with extremely large effect sizes (ds = 1.09 – 3.62). In particular, results indicated strong support for the nurturance explanatory model of FPPs, as over-investment in treatment providers was an especially strong discriminator (d = 3.62). Moreover, …

Using a strong invariance structural equation modeling approach, the current study explored the role of parental styles, along with age and IQ, on the expression of psychopathic personality facets in a large (N = 734) male sample of Hispanic and non-Hispanic offenders. Multiple group confirmatory factor analyses revealed evidence of strong invariance across ethnic groups for the psychopathy and parenting scales (CFI = .95; RMSEA .03). Person-centered analyses examining psychopathic versus non-psychopathic cases demonstrated that the former reported greater levels of dysfunctional parenting, particularly abuse. Structural equation modeling results highlighted differential relationships between the variables of interest as a function of race/ethnicity.

Positive affect, which has been broken down into four lower-level facets (i.e., joviality, attentiveness, self-assurance, serenity), has demonstrated numerous ties to physical and mental health. The experience of positive affect can be regulated by emotion regulation strategies. However, few studies have assessed their relationship, and no studies have examined the relationship using the lower level facets of positive affect. The link between positive affect and emotion regulation may be of particular importance for individuals at increased risk for bipolar disorder, as both are disrupted in individuals with the condition. The aim of the present study was to examine the relationship between positive affect and emotion regulation while also exploring whether risk for bipolar disorder moderated their relationship. Undergraduates (N = 155) completed measures of emotion regulation, affect, and bipolar disorder risk at baseline. Using ecological momentary assessment (EMA), participants completed surveys 3 times a day for 7 days. Hierarchical linear models were estimated and revealed significant effects between certain baseline emotion regulation tendencies (experiential avoidance/ psychological inflexibility, rumination, behavioral social avoidance) and daily positive affect facets as well as between daily emotion regulation use (i.e., reappraisal, acceptance, reflection, savoring, mindfulness social support, suppression, rumination, procrastination) and daily positive affect facets. …

Past research has provided evidence for cultural differences in episodic memory when comparing European American and East Asian samples. However, cultural cognitive neuroscience has become over-dependent on European American vs. East Asian samples, which has left very little research into groups outside of this dichotomy. The aim of this dissertation was to address the need of more diverse samples in cultural cognitive neuroscience and to address the lack of research on Latinx biculturals. In this dissertation I explored how language could serve as a priming method to activate specific cultural systems, how bicultural Latinxs may switch cultural frames through language priming, and how priming of cultural systems affects their perception and recognition memory for certain visual information. The present study was designed to include a specific technique to investigate the potential cross-modal effect of cultural priming through language on visual cognition in bicultural and bilingual Latinxs. Results suggest that language did prime bicultural Latinxs to perform differently in a behavioral task, where images encoded in Spanish were more likely to be identified as incorrect and images encoded in English were more likely to be identified as correct. Additionally, we found that Cultural Blendedness directly predicted recognition accuracy, where higher identification …

Racism, sexism, and other forms of oppression are consequential to Black women's mental health. The current research examines the psychological impact of gendered racism, which is oppression on the basis of both gender and race, and the extent to which gendered racial identity may buffer the association between gendered racism and psychological distress (i.e., anxiety and depressive symptoms) among U.S. Black women. The study includes a sample of 150 Black women (at least 18 years of age or older, mean age = 39.11) recruited using Qualtrics panel service. Women were administered measures of gendered racism, gendered racial identity, and mental health (i.e., anxiety and depression). Data was analyzed through a series of bivariate correlations and moderation analyses using PROCESS macro. Results revealed that gendered racial identity did not moderate the association between gendered racism and mental health. This study advances our understanding of the oppression Black women contend with on the basis of their race and gender and offers insight about the factors that may mitigate the psychological impact of this phenomenon on Black women.

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.

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.

Research has shown that when athletes engage in preretirement planning and address various factors associated with leaving sport (e.g., voluntariness of retirement, shifting identity away from that of an athlete, preretirement planning, personal development, career development, social support), they had significantly better cognitive, emotional, and behavioral adaptation to life after sport. The NCAA is one of the largest sport institutions in the world and they provide limited guidelines to member institutions regarding preparing student-athletes for retirement from sport, and as a result, different schools are developing their own programs. This study explored what NCAA athletic departments do to prepare their student-athletes for their graduation and transition out of sport. Participants were athletic department administrators, and they completed a survey that assessed for current preretirement planning practices and available campus resources for student-athletes who are transitioning out of sport. I used frequencies, t-tests, and chi-square analyses to assess trends across divisional levels (DI vs. DII/DIII). Analyses show that significantly more DI than DII/DDIII institutions have preretirement planning programs. Additionally, there is no significant difference between the topics that are covered across divisional level. The degree to which participants agreed that athletic departments have an ethical/moral responsibility and their perception of who …

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

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.

Gordon Allport formalized a theory about intergroup contact, positing that contact between dissimilar groups could be effective in reducing intergroup prejudice. Over half a century later, research suggests that engaging in race talk —conversations about race and racism— can offer benefits such as increased racial literacy and critical consciousness, less intimidation when it comes to addressing race, less fear of differences, and a greater appreciation for people of all cultures and communities. However, race can be a difficult topic to discuss. It typically incites strong emotions, often challenges an individual's lived reality, and triggers anxiety and discomfort for conversational participants. While these barriers to race talk have been well-studied with White participants, little empirical work has been conducted with people of color as a focus. The present study utilized a qualitative, focus-group based methodology with grounded theory analyses to gather information on people of color's barriers to race talk. Results suggest that varied interpersonal contexts — such as when talking to White individuals, other people of color from different racial groups, and their own race— elicit differing levels of comfort and subsequent changes to engagement in race talk. Furthermore, intersecting identities such as gender, sexual orientation, and skin tone further …

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 …

Two important developments are addressed by this dissertation. First, the Psychological Inventory of Criminal Thinking Styles-Simplified Version (PICTS-SV) was examined in relation to the original PICTS. Second, the vulnerability of the PICTS-SV to intentional risk minimization (RM) was tested. Two separate studies recruited a total of 150 offenders from a court-mandated residential substance use treatment facility. As expected, Study I established the PICTS-SV's good concurrent validity with the PICTS, especially at the broad composite scale level. For Study II, criminal thinking failed to show the anticipated convergence with HCR-20 risk classifications or forensic correlates. Potential explanations, including a restricted range of risk levels in this sample, are discussed. As a particular strength, the findings highlight that the PICTS-SV, in contrast to many risk measures, displays robust resistance to RM distortion, although revisions to its Df-r validity scale are warranted. These results overall demonstrate strong evidence of the PICTS-SV's utility for assessing a dynamic criminogenic need to inform effective interventions and accurate risk determinations.

Alcohol-related motor vehicle crashes are a major preventable cause of death in the United States. One potential factor that may modulate the influence of alcohol intoxication on driving-related decision-making is posttraumatic stress. The current study evaluated the influence of induction of acute trauma-related stress (via script-driven imagery) during alcohol intoxication (.06% BrAC) on driving-related risky decision-making – willingness to drive, driving-related decision-making (i.e., attempted red light runs), and driving-related reaction time (i.e., braking latency) – among 56 trauma-exposed (currently symptomatic) adult drinkers from the community (M = 25.32; 46.4% female). Results indicated that trauma-related stress may exacerbate willingness to drive during a state of acute alcohol intoxication, but, alternatively, may have only a minimal-to-moderate effect on performance-based, driving-related decision-making (i.e., red light runs), and a potentially mitigating impact on driving-related reaction time (i.e., braking latency) under the influence of alcohol. Generally, results suggest that trauma-related stress may differentially impact varying aspects of driving-related risky decision-making, above and beyond the influence of alcohol. Implications for theoretical modeling for driving-related decision-making during acute intoxication and for the advancement of education and intervention efforts, as well as suggestions for future directions, including methodological and procedural improvements, are discussed.

The purpose of this study was to investigate the impact of low attributional complexity, intolerance, optimism, and experiential avoidance (EA) on psychological distress (stress, anxiety, and depression); specifically, the mediating role of EA in these relationships was examined. Structural equation modeling (SEM) was utilized to test the hypothesized model. The overall model accounted for 62% of the variance in psychological distress. The direct negative effect of intolerance on psychological distress and the mediator effect of EA on the relationship between optimism and psychological distress were found. These results and their implications, along with study limitations and future directions are discussed.

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.

The current project used data from the Health & Retirement Study (HRS) 2016 wave and assesses the relationship between everyday racial/ethnic discrimination and risk factors for cardiovascular disease. The role of acculturation and social support on this relationship was also considered. The sample size consisted of 3,994 non-Hispanic White, 1,140 non-Hispanic Black, and 842 Hispanic older adults. The results suggest that non-Hispanic Black and Hispanic individuals endorse higher perceived everyday racial/ethnic discrimination (p < .001) in comparison to non-Hispanic White individuals. Additionally, non-Hispanic Black adults have higher systolic and diastolic blood pressure readings (p < .001) than non-Hispanic White and Hispanic adults. Support for the direct and moderating role of certain aspects of social support and acculturation on health outcomes/behaviors related to cardiovascular disease risk among non-Hispanic Black (R2 = .07, F(15, 415) = 2.06, p= .011) and Hispanic (R2 = .30, F(5, 34) = 2.97, p = .025) older adults, respectively, were found. The limitations and clinical implications of the study are further discussed.

Racial trauma is linked to issues such as psychological distress, lower well-being, anxiety, and depression. The present research investigated some of the potential effects of viewing overt instances of racially violent media on trauma and, in general, on the psychological well-being of individuals. Specifically, the present study utilized physiological and psychological measures to explore how different racial groups on college campuses are impacted by exposure to vicariously traumatizing stimuli when the victim is either an in-group or an out-group member. The present study posited that higher ethnic-racial identity can serve as a buffer to the deleterious effects of racial trauma. In addition, this study explored the role that ethnic-racial identity of the perceiver plays in this relationship. Findings indicate that Black students exhibited the greatest level of emotional arousal in response to both the neutral and negative video depicting a police officer. Black students were also more likely to watch or be exposed to vicarious, racially traumatizing content. Additionally, greater ethnic-racial salience was associated with increased physiological response to both neutral and negative, video content depicting police officers.

In the current study, I examined the efficacy of mindful self-compassion, imagery, and goal-setting (i.e., treatment as usual) interventions on athletic identity, knee self-efficacy, subjective knee functioning, and perceived injustice, following ACL surgery. Twenty-nine adolescent and young adult athletes participated in the interventions and completed self-report measures assessing each of these constructs prior to their surgery and over seven weeks post-ACL surgery. HLM analyses demonstrated significant decreases in athletic identity and increases in subjective knee functioning from pre-surgery through seven weeks post-surgery. Intervention group further explained these decreases, though no one intervention clearly emerged as more or less beneficial. No significant changes were observed for athletes' ratings of knee self-efficacy or perceived injustice. Limitations and areas for future research are discussed.

The current study used a sample of service members and veterans to explore the association of combat exposure and perceptions of the family system using a moderated mediation model. Combat veterans over the age of 18 with a family of creation (N = 154) completed an online survey through which they were administered a background information questionnaire, the Combat Experiences subscale of the Deployment Risk and Resilience Inventory – 2, the Moral Injury Events Scale, the PTSD Checklist for DSM-5, the Patient Health Questionnaire, the Beck Anxiety Inventory, the McMaster Family Assessment Device, and the Dyadic Adjustment Scale – Revised. Results of six moderated mediation analyses revealed that exposure to potentially morally injurious events (pMIEs) moderated the relationship between (1) combat exposure and couple relationship satisfaction and (2) combat exposure and family functioning, both via PTSS, anxious symptoms, and depressive symptoms. To our knowledge, the empirical models presented in this paper are the first to model the role of pMIEs in SMV literature, and provide a foundation for other models to emerge moving forward. Implications and limitations are discussed.

This study sought to generalize the Psychological Inventory of Criminal Thinking Styles (PICTS) factor structure using the PICTS-Layperson (PICTS:L) in a community sample. The current study also sought to replicate previous findings that criminal thinking mediates the relationship between trauma and criminal behavior. Additionally, this study sought to explore if and/or how experiential avoidance (EA) contributes to the relationships between post-traumatic symptoms (PTS) and criminal thinking, and criminal thinking and criminal behavior. Community members recruited through Mturk, completed online measures of PTS, EA, criminal thinking, criminal behavior, and a demographics questionnaire. A confirmatory factor analysis (CFA), which was conducted to assess the PICTS:L factor structure in an online community sample, demonstrated the hierarchical second order factor structure was a good fit after problem items were removed. Mediation analyses results found that criminal thinking mediated the relationship between PTS and criminal behavior therefore replicating previous findings. Moderated mediation analyses were conducted to determine if EA moderates the relationships between PTS and criminal thinking, and criminal thinking and behavior. Findings suggest that EA plays a significant role, particularly for women who endorse relatively low EA. These and exploratory findings, limitations, implications, and future directions for work in these areas are discussed.