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 …

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, …

When COVID-19 hit the United States in spring of 2020, collegiate student-athletes, who had sport seasons canceled and were forced to move off-campus, were uniquely and significantly impacted. Psychosocial resources, such as social support, self-compassion, and resilience, may have been used to help athletes cope with the stress of COVID-19. I used structural equation modeling to analyze the relationship of resilience, self-compassion, and social support to collegiate female athlete's (n = 3,924) psychological well-being at the beginning of the COVID-19 pandemic. Collectively, the more supported, self-compassionate, and resilient the athletes reported being, the less psychological distress they said they were experiencing (resilience to psychological distress (β = -.215, p < .001), self-compassion to psychological distress (β = -.533, p < .001), and social support to psychological distress (β = -.187, p < .001)). Further, self-compassion and social support were related indirectly (and inversely) to psychological distress, to the extent that they contributed to the athletes perceiving themselves as more resilient (Self Compassion X Resilience X Psychological Distress: β = -.106, 90% CI [-.148, -.069]; Social Support X Resilience Psychological Distress: β = -.065, 90% CI [-.099, -.041]). The total effect of social support, which included the direct and indirect effects, …

Although the prevalence of disordered eating and exercise behaviors (DE/EBs) among queer men of color (Q-BIPOC) is higher than their heterosexual and white sexual minority peers, little is known about the mechanisms behind these differences. We evaluated a series of hypotheses to test DE/EB models on a sample of 78 Q-BIPOC men, who were recruited online during the COVID-19 pandemic and given a questionnaire measuring DE/EBs, body dissatisfaction, depression, mesomorphic ideal internalization, gender role conflict, and distress from intra-community racism and heterosexism. Results show that Q-BIPOC men reported high rates of emotional and binge eating, restrictive eating behaviors, supplement/diet pill use, and depression symptoms. Gender role conflict and intra-community racism/heterosexism are positively associated with emotional and binge eating, with gender role conflict holding unique predictive contribution as other variables of interest were held constant. Fat and muscle dissatisfaction were the strongest predictors of DE/EBs, mediating the effects of both mesomorphic ideal and depression. Results support the tripartite influence and dual pathway models for our sample, with mixed support for intersectional minority stress and affect regulation. Clinicians are cautioned to carefully assess Q-BIPOC men for eating disorders, given high rates of critical behaviors in the current sample. Researchers are also encouraged …

The purpose of this study was to investigate college student athletes' psychological health and well-being in the months immediately following graduation/retirement, which has been indicated as a critical time period. Participants consisted of collegiate athletes (N = 166; women = 138, men = 28; Mage = 21.84 years, SD = 0.86) who were surveyed at the end of their competitive seasons when they were graduating and retiring from their sports (Time 1) and 3 to 4 months later (Time 2). Athletes completed measures of readiness to graduate/retire, depression, body satisfaction, and satisfaction with life at Time 1; they completed the measures of psychological well-being at Time 2. Bivariate correlations revealed six dimensions of retirement readiness related to outcomes at Time 2: seeing self as more than an athlete, maintaining social support, neglecting other areas of life, achieving sport goals, utilizing sport career services and developing a new focus after retirement. Through a series of hierarchical regression analyses, one of reach psychological well-being outcome, I entered the Time 1 measure and gender in Step 1 and then the correlated dimensions for that outcome at Step 2. For body satisfaction, F(5, 160) = 27.281, p < .000, adj. R2 = .443, only …

The Diagnostic and Statistical Manual of Mental Disorders arranges co-occurring clusters of symptoms into distinct disorder categories, which theoretically have specific etiologies, pathologies, and treatments. However, researchers and clinicians alike have consistently found DSM diagnoses to have high rates of comorbidity, low diagnostic specificity, and no disorder has proven to be a discrete category. There is mounting evidence that dimensional taxonomies more accurately capture the underlying structure of mental illness and clinical presentations. The recently proposed hierarchical taxonomy of psychopathology presumes to address the issues of categorical nosologies using a data driven approach to create a dimensional model of psychopathology. However, heretofore there are no empirical examinations of HiTOP's ability to predict psychotherapy treatment outcomes. This study compared the predictive validity DSM, RDoC, and HiTOP criteria using natural language processing on free text narrative notes. Of the three GMM run, only the model using DSM criteria as predictors had adequate model fit. Additionally, none of the nosologies significantly predicted treatment course. Implications for the application of RDoC and HiTOP are discussed.

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 …

Black mothers socialize their daughters to embody the strong Black woman (SBW) schema to help them navigate gendered racist oppression. While research indicates that ascribing to the SBW schema offers Black women psychosocial benefits (e.g., increased self-esteem), identifying with the SBW schema has been linked to several negative psychological outcomes (e.g., anxiety, depression, and stress). Considering the evidenced negative implications associated with identifying with the SBW schema on Black women's mental health, the current study had three aims: (1) investigate the socialization messages Black women received about strong Black womanhood, (2) explore the extent to which they identified with these messages, and (3) assess the implications of this socialization on Black women's functioning. To address these aims researchers conducted semi-structured interviews with 11 Black college women (Mage = 20.09; SD = 1.04). For this manuscript, we extracted data pertaining to aim one and analyzed this data using a consensual qualitative research (CQR) data approach. Findings revealed messages Black women were given about strong Black womanhood (i.e., know your worth, depend on yourself, overcome societal barriers, little to no messages about strong Black womanhood, and additional responses) and illuminated behaviors mothers modeled that exemplified strength (i.e., self-sufficient, preserving, caretaking, and additional …

Very few studies have attempted to directly explore the relationship between psychopathic traits and prejudice. Among the scant studies that do exist, interpretation is often clouded by measurement limitations. The current study surveyed a large sample of adults from the general U.S. population to further our understanding of the associations between psychopathic traits and prejudicial attitudes, as well as critical constructs linked to prejudice. By using modern and well-validated measures of the target constructs new relationships were documented for the first time. A path analytic framework was utilized to represent the network of construct inter-relations. Finally, the current study examined the relationships between psychopathic traits, in relation to the other members of the Dark Triad and positive human traits, referred to as the Light Triad, as well as how the latter may serve as ‘buffers' from prejudicial attitudes.

Female collegiate athletes have been identified as a group at risk of developing eating disorders (EDs) and unhealthy weight control behaviors. Interventions grounded in cognitive dissonance theory and those that incorporate mindfulness-based interventions have shown improved body image and reductions in internalization and ED symptomatology over time in female non-athletes. However, few studies have examined the efficacy of intervention programs among female athletes, and, despite early promising results, previous research has been limited in several ways (e.g., methodology, small sample size). The purpose of this study was to conduct a long-term (i.e., three years) qualitative follow-up evaluation of Bodies in Motion (BIM), an ED prevention program developed specifically to acknowledge the unique experience and needs of female athletes with respect to their bodies as women and athletes. Results indicate that, similar to their initial experiences, now-retired athletes reported increased awareness of sport and societal messages and their impact on body image, shifted perspectives in their view of themselves and their bodies, and ongoing use of skills to manage body image in their lives. Further, with the passage of time, athletes continued to report a positive experience in the program and the utility of Bodies in Motion as they navigated challenging …

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

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

The Personality Assessment Inventory (PAI) is a widely used and available self-report measure designed to assess clinical syndromes and has the potential to assist in the process of ADHD assessment. Since the PAI's inception, several researchers have attempted to create other supplemental indicators, some so effective and useful that they were added to the second edition of the Personality Assessment Inventory Professional Manual. Previous researchers have offered important insights into the possibility of the creation of an ADHD item-level index for the PAI that would effectively decrease false positive rates and increase accurate detection of ADHD in the adult population. Previous researchers were not successful in creating an item-level subscale that reliably detected adult ADHD. Four experts in ADHD assessment rated PAI items that they believed could discriminate adults with ADHD from adults without ADHD. After performing a PCA on the top 16 items chosen by the experts, 12 items sufficiently loaded onto one factor that has clear face validity by conceptually matching the DSM-5 description of inattention and impulsivity commonly seen in adults with ADHD as well as the "internalized restlessness" Hallowell and Ratey describe for adult ADHD. The PAI-ADHD was found to have good internal consistency, a = …

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 …

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

Research suggests that adult attachment is associated with various social roles, such as parenting, with insecure attachment patterns corresponding to lower levels of parenting competence. An increasing amount of research suggests that attachment patterns and social roles are interwoven with gender role beliefs. With family systems theory as an overarching framework, the current study extends the literature by examining dyadic associations between these variables in a sample of 61 cohabitating couples with at least one child under of the age of 18 in the home. Participants included opposite-sex and same-sex romantic partners who were recruited using online snowball sampling processes. The actor-partner interdependence model was used to assess the mutual influences between romantic partners in the parental dyads, specifically focusing on attachment patterns, parenting competence, and the moderating effect of individual gender role-beliefs and incongruence between the two partners' gender role beliefs in the co-parenting relationship. Results indicated both actor and partner attachment anxiety and avoidance were negatively correlated with parenting competence; gender roles beliefs moderated that association with egalitarian gender role beliefs buffering the negative effects of partners' high attachment avoidance or anxiety. Additionally, results indicated that gender role belief incongruence between partners also moderated the relationship between attachment …

The current study employed both a variable- and person-centered approach to analyze data taken from a large sample of U.S. adults (N = 602, 59% males). For the former, structural equation modeling was utilized to empirically articulate the links between the four facets of psychopathy (interpersonal, affective, lifestyle, antisocial) and the six facets of ethnocentrism. For the person-centered approach, descriptive discriminant analysis was used to assess for differences in psychopathic trait profiles between those elevated or low in ethnocentric attitudes. Consistent with expectations, the affective dimension positively predicted denigration of out-group members whereas the lifestyle domain negatively predicted all facets of ethnocentrism. Unexpectedly, the antisocial facet positively predicted group cohesion and devotion towards one's ethnic in-group. Additionally, those elevated in ethnocentrism had higher interpersonal and affective scores and lower lifestyle scores relative to those low in ethnocentric attitudes. Results are discussed in the context of risk assessment for hate-based violence and the overlap in the nomological network of psychopathy and prejudicial attitudes.

This person-centered analytic approach identifies homogeneous offender subtypes in terms of psychopathic trait profiles and facilitates examination of correlates that may be linked with specific subtypes. Prosody is an external correlate that contains a wealth of information relevant to disruptions in cognition and affect and may offer novel insight into different psychopathic subtypes. The current study examined prosodic output in a male offender sample (n = 469) within the context of the clinical Psychopathy Checklist – Revised interview (PCL-R; Hare, 2003). Audio recorded speech samples were drawn from offender responses to affectively-charged PCL-R interview questions representing differing levels of valence and arousal. Generally consistent with previous literature, LPA results indicated that a four-class solution yielded the best model fit for the allocation of individual cases to subtypes with high overall classification accuracy (85%). Results of external validation analyses using mixed effects multivariate analysis of variance revealed significant two- and three-way interactions (psychopathy subtype x valence x arousal) for both speech production and variability indices that helped differentiate the subtypes. Overall, the current study suggests that meaningful differences exist in terms of prosodic output within psychopathic offender subtypes, which may be related to dysfunction in underlying affective processes. Implications of these …

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 …