Graduate students in mental health service training programs are at risk of experiencing burnout. Using adult attachment theory as the guiding framework, this study examined a conceptual model which depicted the direct and indirect effect of attachment insecurity on burnout and the subsequent psychological distress via low self-compassion and emotion regulation difficulty with two cultural samples recruited from the U.S. and Taiwan, respectively. The final sample included 216 U.S. mental health graduate trainees and 201 Taiwanese trainees. Structural equation modeling was used to analyze the data. Findings from the final models best supported by the data revealed that in both cultural groups, attachment anxiety contributed to lower self-compassion which subsequently resulted in greater burnout and that emotion regulation did not play a mediational role in the models. Results also demonstrated cultural differences in several paths of the research model. For the U.S. sample, only higher attachment anxiety indirectly contributed to more psychological distress through low self-compassion and burnout was best positioned as an outcome variable similar to psychological distress, instead of being a mediator. For the Taiwanese sample, on the other hand, both attachment anxiety and attachment avoidance demonstrated significant indirect effects on higher psychological distress through lower self-compassion and …

Sibling aggression is one of the most frequently occurring forms of aggression within the family and has been associated with socioemotional problems. Guided by the cultural context perspective and family systems theory, a conceptual model depicting the direct and indirect effects of cultural orientation values, traditional gender role attitudes, parental differential treatment, and parent-child conflict on sibling aggression and psychosocial functioning (i.e., psychological distress and interpersonal difficulties) was developed. It was hypothesized that perceptions of cultural values and gender role attitudes endorsed by primary caregivers would be associated with family dynamics factors (i.e., parental differential treatment and parent-child conflict) that contributed to sibling aggression and resulting impaired psychosocial functioning. A total of 272 participants completed the online questionnaire that measured the variables of interest. Structural equation modeling (SEM) methods were used to analyze the data. Findings of the final models lent clear support to the indirect effects of cultural values and gender role attitudes on sibling aggression and resulting psychosocial functioning through differential treatment and parent-child conflict although the results also yielded some unexpected nuances regarding the indirect effect paths. Specifically, lower levels of independent cultural values contributed to greater levels of sibling aggression and impaired psychosocial functioning through more …

Retirement from sport is a process that unfolds over time in which athletes have varied experiences, ranging from seamless transition to psychological distress. Researchers have sought to understand the variables (i.e., athletic identity, social support) that contribute to successful or unsuccessful transitions, with athletic identity being one of the most frequently mentioned. Athletes who strongly identify with the athlete role at the time of retirement are more at risk for adverse retirement outcomes (i.e., mental health concerns, identity concerns, substance use). To date, few studies have examined the moderating effect of coping resources, such as social support, on athletic identity at the time of retirement. The purpose of this study was two-fold. First, we found that student-athletes who graduated and retired had lower athletic identity, higher alcohol use, and less perceived social support than their peers who continued competing four months after graduation. Second, we longitudinally examined the relationship of athletic identity and social support to the psychological well-being (i.e., life satisfaction and binge drinking) of collegiate student athletes who retired from sport. Neither T1 athletic identity nor T1 social support, nor their interaction, were related to T2 life satisfaction or T2 alcohol use in the retired student-athletes after controlling …

While experiencing childhood maltreatment (CM) increases the risk for negative lifetime outcomes, protective factors can lessen the harmful impact of stressful experiences and contribute to one's overall resilience. Musical engagement may operate as a protective factor by facilitating creative expression, increasing feelings of mastery, and providing a sense of belonging. It may also present stressors due to the unique demands of music performance (e.g., time constraints, competitiveness, scarce career opportunities). Due to the limited current research looking at musicians that have experienced trauma, we used a constructivist grounded theory approach to understand how the experience of engaging in music education and performance as children influenced resilience among adult survivors of CM. We invited thirteen students from prestigious music performance programs to participate based on their demonstrated resilience to perform at elite levels, despite reports of severe CM. Participants reflected on their experiences with CM, music education and performance, their identities as musicians, and the concept of resilience. Our analysis of interview transcripts supported the positive influence of social support, self-efficacy, and time and space away from their primary perpetrators of CM. Participants also consistently noted challenges present within organized music education, including ineffective instructors, pressure to perform well, and music …

Coaches' knowledge, attitudes, and beliefs about mental health – the construct of mental health literacy (MHL) – affects teams' mental health (MH) climates and the early detection, referral, and treatment of athletes' MH concerns. Thus, assessing collegiate coaches' MHL, and the factors related to its presence, is critical. Using the Mental Health Literacy Scale, I surveyed 1,571 NCAA coaches (Mage = 37.5 years, SD = 11.8; 51.4% cisgender female; 85.9% White) regarding their MHL and related demographic and MH-experience factors, including their belief regarding MH and sport performance. Overall, 99.9% of the coaches believed that athletes' MH affected their sport performances. Through hierarchical regression analyses, I found that coaches' exposure to MH treatment, their perceived helpfulness of MH treatment, their gender (i.e., woman), number of years coaching (i.e., fewer years), and NCAA Division in which they currently coach (i.e., DIII) were related significantly to their MHL, explaining 15.5% of variance. Coaches' race/ethnicity was not related to MHL. These findings provide insight on hiring and educating coaches, and hiring appropriately trained and licensed MH and sport psychology professionals. Specifically, coach education should be focused and practical: signs and symptoms of common MH concerns disorders; the ubiquity of MH concerns among athletes; …

The purpose of the current study was to understand the lived experiences and perspectives of high-functioning survivors of moderate or severe childhood maltreatment (CM) as related to the role of athletic participation in the development of their resilience. We emailed and screened Division I student-athletes from universities across the U. S. who did not meet criteria for a traumatic stress disorder. Using a constructivist grounded theory approach and constant comparison methodology, we obtained and analyzed interview data from 13 participants. The pathways through which participation in childhood athletics supported their coping include receiving social support from coaches and teammates, being present and engaged in their athletic participation, feeling relatively safe in their athletic environment, and spending time away from the main perpetrators of the CM. After applying concepts from existing literature to our data, we developed hypotheses to explain the processes by which participation in youth sport fosters resilience. For example, sport participation may provide opportunities for corrective emotional experiences that help young athletes heal. In addition, based on self-determination theory, maltreated elite athletes may benefit from sport participation because it meets their three basic needs (i.e., autonomy, mastery, and relatedness). We conclude this study with suggested implications for researchers …

Research identifies male athletes as a subpopulation at risk for developing eating disorders and disordered eating (ED/DE). Petrie and Greenleaf's sociocultural model proposes that various correlates contribute to the etiology of ED/DE in athletes. Among the correlates, body satisfaction has been identified as a direct precursor to ED/DE symptomatology in male and female athletes. Recent research has noted self-compassion's utility in alleviating the outcomes of poor body image and ED/DE through several pathways. However, researchers have yet to examine self-compassion in relation to body satisfaction and ED/DE in male athletes or the temporal relationship between these variables. This study longitudinally examined the direct and indirect effects of self-compassion on body satisfaction and ED/DE symptomatology in a mixed-sport sample of 452 male collegiate athletes by testing the cross-lagged, temporal relationships among self-compassion, body satisfaction, and ED/DE symptomatology across a four-month time frame. Time 1 self-compassion was neither directly related to Time 2 body satisfaction (β = 0.02, p = .755), nor indirectly to Time 2 ED/DE (β = -0.002, 95% BCaCI [-0.028, 0.014]) when controlling for Time 1 scores. Recent research supports my finding and suggests that the effects of self-compassion on body satisfaction and ED/DE symptomatology may be dependent on …

Since 2009, the suicide completion rate for military service members and veterans (SMVs) has exceeded rates in civilian populations, with risk highest among young, male veterans. Suicide risk factors include psychiatric illness, low social support, and repeated or prolonged exposure to traumatic events. Recent research further suggests that the experience of unresolved morally injurious events (MIEs) may create lasting feelings of guilt and shame that contribute to psychiatric illness. Additionally, adult attachment plays an important role in coping responses and relational strategies and may influence the degree to which SMVs experience helplessness and isolation that foster suicidal ideation. Protective factors such as social connectedness are important mitigating factors, substantially reducing the risk of suicidality. In the present sample of 206 combat SMVs, higher suicidal ideation was directly correlated with more MIEs, higher attachment avoidance and anxiety, and lower social support. Although neither social support nor attachment anxiety moderated the link between MIEs and suicidal ideation, a significant interaction between attachment avoidance and MIEs emerged, suggesting that higher attachment avoidance increases the risk for suicidal ideation among SMVs reporting more experiences of moral injury. Additionally, findings suggest that higher levels of social support buffer the detrimental effects of attachment anxiety, but …

Guided by the framework of bicultural identity integration (BII), a conceptual model depicting the direct and indirect effects of BII, cognitive flexibility, affect regulation, and coping on psychological wellbeing indicators (i.e., life satisfaction, depression) of adult children of immigrants (ACI) in the U.S. was developed. It was hypothesized that greater BII would contribute to greater cognitive flexibility and affect regulation, which would be associated with more utilization of adaptive coping strategies and greater psychological wellbeing. A total of 240 young ACI from across the U.S. completed the online research questionnaire that measured all variables of interest. Results from structural equation modeling analyses showed adequate model fit with the data. Findings provided support to the indirect effects of BII factors on wellbeing through affect regulation, however, the indirect effect paths are more complicated than what were hypothesized originally. Specifically, higher levels of identity harmony and identity blendedness contributed to more difficulties in emotion regulation, and subsequently, poorer wellbeing. Additionally, both cultural identity harmony and identity blendedness contributed to greater levels of cultural and relational maintenance strategies (i.e., avoidance, forbearance) in the context of intergenerational conflict through affect regulation, but not through cognitive flexibility. Notably, the latent variable of cultural coping strategies …

Research examining how these athletes, specifically football players, are racially mistreated in revenue sports in Power Five conferences, as well as the effect of this mistreatment on their health and well-being, has been sparse. Thus, the purpose of my study was to examine current Black male college football players' experiences of racial mistreatment within their lives in general, and their collegiate sport experiences in particular, and to learn how these experiences have affected their health and well-being across their academic, athletic, and social spheres of functioning. Through reflexive thematic analysis, I gathered that (a) the athletes believed that football defines and limits them, (b) they felt misunderstood and isolated on campus, (b) they were dehumanized and criminalized, and (d) they were physically and psychologically exhausted from chronic racial mistreatment. Despite the NCAA making positive strides toward addressing mental health concerns within collegiate athletics, there remains a clear need for more support and nourishment regarding the mental health of Black male college athletes, particularly football players. Further results and implications are discussed.

On January 30, 2020, the World Health Organization (WHO) declared the outbreak of the novel coronavirus (COVID-19) a public health emergency of international concern. In March 2020, the United States government imposed impactful safety and confinement measures issued by the Centers for Disease Control and Prevention (CDC) all over the country to prevent community transmission of COVID-19. Institutions of higher education rapidly transitioned to online learning and eliminated in-person engagements in the spring of 2020 as a result of the COVID-19 outbreak. The National Collegiate Athletic Association (NCAA) followed a similar trajectory by shutting down all athletic activities due to the global pandemic. While college students in general notably experienced increased pandemic related distress and mental health concerns (e.g., depression, anxiety) during the early stages of the global pandemic, the disruption of collegiate sport competitions and seasons uniquely and significantly impacted collegiate student athletes and their overall well-being. In this qualitative study, I sought to document and understand the narrative of Black student athletes' experiences of stress and coping during the first two months of the COVID-19 global pandemic and cancellation of collegiate sports. Through reflexive thematic analysis, I found that psychosocial resources such as avoidance, acceptance, mindful self-compassion, health …

The empirical study of grace, a relational virtue nestled within the fields of positive psychology and the psychology of religion and spirituality, has had a relatively slow start. Since research on experiences of grace is in the beginning stages, the purpose of the current study was to provide rich, context-based, qualitative data to describe (a) mainline Protestants' experiences of, and beliefs about, grace (e.g., common grace, justifying/saving grace, sanctifying grace, accepting grace), (b) how mainline Protestant Christians experience the interplay between divine grace and forgiveness (i.e., self-forgiveness, other-forgiveness), and (c) how mainline Protestant Christians experience the interplay between divine grace and humility. Interviews were conducted with 28 community adults who were affiliated with a mainline Protestant church. Results indicated that mainline Protestant Christians have varying beliefs about divine grace and how it is related to both the present moment and the afterlife. Divine grace was often defined as, or associated with, other relational virtues (e.g., forgiveness, love), and participants occasionally defined grace as a gift. Divine grace was further described as being instrumental in mainline Protestant Christians' experiences of (a) self-forgiveness, (b) other-forgiveness, (c) acknowledgement of personal weaknesses and limitations, and (d) connecting with others who are different. I conclude …

Middle childhood is the least understood developmental period in the attachment literature, likely due to active reorganization of the attachment system during this stage. Coinciding with increased cognitive and socioemotional competencies, middle childhood attachment begins to transition from relationship-specific attachment to general attachment representations. While parents continue serving as the primary attachment figure used as a secure base and safe haven, noticeable shifts occur in terms of the need for availability over proximity to attachment figures and the child's involvement in maintaining the attachment relationship. Currently, there is no dominant conceptual or methodological approach for studying attachment in middle childhood. The present study sought to develop and validate an observational coding system examining middle childhood attachment using a dimensional approach. The Middle Childhood Behavioral Attachment Dimensions (MCBAD) system demonstrated mixed reliability and validity compared to other established attachment measures. Compared to traditional categorical attachment measures, this study provides evidence for the utility of an anxiety-avoidance dimensional attachment scale in childhood. Additionally, the MCBAD is the first observational system that examines both nonverbal and verbal attachment behaviors in an unstructured separation-reunion episode, and findings suggest a need for further examination of verbal attachment during this developmental stage.

Moral injury (MI) among military personnel is a harmful condition caused by perpetrating, failing to prevent, or witnessing atrocities that violate one's deeply held morals or values. The current study built on the existing literature by exploring predictors of MI, specifically trait self-forgiveness (TSF), state self-forgiveness (SSF), perceived social support (PSS), and causal attributions (CA) following potentially morally injurious experiences (PMIEs) in service members and veterans. Participants were 92 U.S. military service members and veterans. The main findings were that TSF and PSS were both significantly negatively associated with MI in bivariate and multivariate analyses. Further, TSF and PSS were examined as potential moderators of the relationship between PMIEs and MI, but these moderation analyses were not significant. Given that some studies provide evidence for different symptom profiles between categories of PMIEs (i.e., PMIE-Self, PMIE-Other, and PMIE-Betrayal), the relationship between the different categories and TSF were explored. Of the three PMIE types, only PMIE-Betrayal was a significant negative predictor of TSF. Finally, CA was explored as a potential mediator of the relationship between TSF and MI outcomes, but this mediation analysis was not significant. Limitations, directions for future research, and implications for clinical practice are included for discussion.

Research has demonstrated that personality factors are associated with sport performance as measured by coach ratings and objective performance outcomes, as well as factors/behaviours that are understood to be facilitative for performance, such as problem-focused coping and quality of preparation. Given the potential utility of personality assessment, professional sport organizations have integrated it into their pre-draft procedures. However, it remains unclear whether such data, particularly at the factor level, can add value to draft selection process, over and above that of past performances. The purpose of the present study was to explore if the Big-Five personality traits are related to draft order and predictive of athletes' future performance in professional baseball. Latent profile analysis revealed two distinct personality profiles amongst 2018 and 2019 draft prospects. The results of the covariate analysis were not significant; however, this was likely due to the small n for class 2. Thus, there might in fact still be a meaningful difference between personality profiles by draft order. The results of a series of multiple regression analyses suggested that personality factors and facets were not predictive of performance in the season following the draft, after controlling for performance in the previous season for both hitters and …

Victims of racial discrimination often experience negative consequences that extend into all aspects of well-being (e.g., psychological, subjective, social). Racial microaggressions describe a series of verbal and non-verbal behaviors that cause harm, perpetuate negative stereotypes, and negate the experience of racial/ethnic minorities. Research has found a negative relationship between experiencing racial discrimination and psychological well-being, as well as a potential buffering effect of racial/ethnic identity. However, less information is available about the existence of these relationships with social well-being. The purpose of this dissertation is to fill a gap in the literature in regard to racial microaggressions, racial/ethnic identity, and social well-being in 453 racially diverse undergraduate students. Quantitative results indicated that African Americans reported higher levels of racial microaggressions and racial/ethnic identity than other groups, racial microaggressions were negatively associated with sense of belonging, racial/ethnic identity was positively associated with sense of belonging, and the association between racial microaggressions and sense of belonging was not moderated by racial/ethnic identity. Qualitative analyses using the conventional content analysis revealed two clusters of facilitative behavioral expressions of university/community inclusion: (a) interpersonal expressions of inclusion and (b) systemic expression of inclusion. I conclude by discussing limitations, areas for future research, and implications for …

The COVID-19 pandemic is a global traumatic stressor affecting millions of individuals worldwide. Traumatic events often cause significant resource loss and negatively affect mental health and emotional well-being. In the wake of trauma, many people draw on religious or spiritual faith to cope with adversity and suffering. One construct that has received increased attention within the field of religious/spiritual coping is spiritual fortitude (SF). SF refers to the one's ability to consistently draw on spiritual resources to transcend negative emotions in the face of stressors. In this study, I recruited 255 participants who had lived during the COVID-19 pandemic. Participants completed measures of resource loss, religious/spiritual struggles, SF, religious commitment, depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms. The overall results suggested participants utilized a wide range of coping strategies (e.g., religious/spiritual, social, health practice) during the COVID-19 pandemic. Both resource loss and religious/spiritual struggles were positively associated with mental distress. SF buffered the deleterious relationship between resource loss and mental distress. Specifically, for individuals high in SF, the relationship between resource loss and mental distress was weaker than for individuals low in SF.

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 …

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 …

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 …

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 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 = …

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, …

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.