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.

Individuals with a minority sexual identity, such as lesbians, gay men, and bisexuals (LGB) face increased risk for stigmatization surrounding their sexual identities and subsequent psychological distress. Sexual minorities of color (SMOC) face the same difficulties faced by White sexual minorities, often compounded with stigma and discrimination linked to their racial/ethnic identities. However, because SMOC remain underrepresented in research on LGB issues, empirically-driven knowledge about these groups is lacking, even among outcomes where noted disparities exist, such as depression. Emerging adulthood may be a particularly important period for understanding effects of intersectional identities and discrimination among SMOC, who often navigate identity-related milestones and experiences independently for the first time within this developmental period. This study examined the relationships between discrimination based upon racial/ethnic and sexual intersecting identities and depression symptoms among emerging adults, as well as ways that group identity factors (ethnic identity, sexual identity, conflicts in identity allegiances) moderated this relationship. Findings indicated that experience of intersectional discrimination was strongly, positively related to depression symptoms. Ethnic identity negatively related to depression independently, but not in the regression model accounting for other variables. Identity factors were not found to statistically significantly moderate the relationship between discrimination and depression symptoms. Discussion …

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 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 …

Relatively few studies have explored the relationship between gender role conflict (GRC) and an individual's religious/spiritual identities. This study sought to add to the research on GRC by exploring the experiences of female and male GRC, and expand the understanding of the influence of religion/spirituality (R/S) variables on GRC. Participants (N = 359) were recruited from social media and undergraduate courses and completed an online survey that assessed GRC, a variety of R/S variables, and life satisfaction. Overall, there were some significant differences found between male and female experiences of GRC. In general, the R/S variables did not have a large impact on GRC. However, religious fundamentalism and extrinsic and quest religious orientations were related to specific subscales of GRC. Maintaining congruency between one's personal values and one's religious institution was related to lower levels of specific subscales of GRC. Additionally, GRC was related to lower levels of life satisfaction. Regarding the subscales of GRC, restrictive emotionality was the strongest predictor of lower life satisfaction. By furthering research on the interplay between GRC and R/S, clinicians will be more equipped to handle the repercussions of stereotypical roles within gender and religion, address negative attitudes and behaviors, and lead discussions about …

Petrie and Greenleaf's sociocultural model proposes that athletes experience unique sport environment pressures regarding weight, body size/shape, eating and appearance that increases their risk of developing disordered eating (DE) attitudes and behaviors. Although research in cross-correlational studies has looked at prevalence of eating disorders (ED) and DE behaviors in different sport types, such pressures are likely to vary by sport depending on its unique environment and performance demands. For instance, female athletes in leanness sports experience more body dissatisfaction and societal appearance pressures compared to those in nonleanness sports. Because these effects have been established primarily with female athletes, I examined ED/DE correlates from Petrie and Greenleaf's model with 695 collegiate male athletes who represented five sport types (endurance, ball game, power, technical, weight-dependent) based on a well-established categorization system. Through a series of one-way MANCOVAs (BMI serving as the covariate), I found that sport types were significantly different from each other on all ED/DE correlates except for negative affect. Follow-up analysis revealed that power, endurance, and weight-dependent athletes showed the greatest number of significantly different group centroids, demonstrating distinct profiles among the sport types in their experiences of the ED/DE correlates. Discussion focuses on possible explanations for the research …

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 …

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 …

The current study aimed to explore the direct effect of insecure adult attachment on subjective wellbeing and its indirect effect via racial-ethnic identity. Additionally, the present study examined the extent to which racial-ethnic socialization practices may moderate adult attachment and racial-ethnic identity link. The final sample included 213 emerging adults (M = 20.94; SD = 2.96) with diverse racial-ethnic backgrounds. PROCESS Model 4 and 1 were used to examine the direct and indirect effect of insecure attachment on subjective wellbeing via racial-ethnic identity variables and the interaction effect between insecure attachment and racial-ethnic socialization on racial-ethnic identity variables. Results indicated the direct effect of insecure attachment on subjective wellbeing but did not support hypotheses for the indirect effect of insecure attachment on subjective wellbeing via the racial-ethnic identity variables. Additionally, results indicated that overt socialization buffered the negative impact of attachment avoidance on racial-ethnic identity exploration. Furthermore, racial-ethnic identity variables and subjective wellbeing significantly differed across racial-ethnic groups and socioeconomic statuses. Findings provide insight on the distinct concepts of attachment and racial-ethnic identity as they highlight inter- and intra-personal components, respectively. Mental health professionals may utilize overt socialization to help clients develop a sense of purpose and meaning related to …

We ran three MANOVAs in a sample of 422 young adults to examine differences in eating, shape, and weight concerns (i.e., ESW concerns) between gender diverse individuals, ciswomen, and cismen. Additionally, we examined the effects of self-esteem and sense of belonging on ESW concerns. We also tested for interaction (moderation) effects between gender and self-esteem and gender and sense of belonging. Findings indicated that gender diverse individuals experience ESW concerns at a significantly higher rate than cisgender men. There were no differences, however, in ESW concerns between gender diverse people and ciswomen. Self-esteem and sense of belonging significantly predicted ESW concerns, but no interaction effects were observed. Limitations of the current study include using one large gender diverse group rather than exploring each individual gender identity as well as limited recruitment. Future studies should recruit more participants across the gender spectrum in order to better understand the unique experiences of each gender group as it relates to eating, shape, and weight concerns and expand recruitment across broader regions of the United States.

Non-physical intimate partner violence (NPIPV) is the most pervasive type of abuse, yet literature has predominantly focused on physical IPV victimization. This study employed a mixed-methods design utilizing archival expressive writing data previously collected to identify the presence of NPIPV victimization. Participants wrote about their experience after a relationship dissolution using the expressive writing paradigm. They were asked to share their deepest thoughts and feelings across two sessions. A constructivist grounded theory approach established the theoretical framework for coding the presence of NPIPV acts between romantic partners. Four themes of NPIPV were established (degradation, isolation, control, and jealousy). Disclosure of NPIPV and other themes were also evident in these data. Quantitative analyses assessed changes in participants' psychological distress after completing a brief writing intervention. The intervention increased the likelihood of NPIPV victimization being mentioned from Time 1 to Time 2 writing sessions. This study increases clinical awareness regarding NPIPV by providing insights into this longest-sustained IPV subtype. All participants reported a reduction in avoidance symptoms after completing the writing intervention. Finally, gender continues to complicate this field as researchers must acknowledge both the existence of men's victimization experiences and the greater severity of women's victimization. Clinical implications demonstrate a strength …

Participants from earlier nationwide studies on predictors of internship match were contacted 7-10 years after obtaining their doctoral degree to gather additional data concerning their attained early career competencies and benchmarks (e.g., scores on the national licensing exam). In this sample (N = 190), licensure exam scores were significantly positively associated with scores obtained on the Graduate Record Examination (GRE), family of origin socioeconomic status, and student debt load. However, obtained licensure scores were not found to be significantly associated with any pre-doctoral training variables (e.g., intervention/ assessment hours, number of integrated reports, number of publications, rank order of matched internship site) or most post-doctoral early career activities. Weak positive associations between licensures scores and engaging in teaching / supervision / consultation services were observed. Few self-reported early career competencies were found to be weakly positively associated with scores on the national licensing exam (i.e., integrity, seeking supervision, scientific mindedness, evidence-based practice). Significantly inverse associations were found between national licensing exam scores and self-reported competencies in the areas of management and systems change. Findings are discussed and implications for the national licensing exam considered.

The current study examined the nature and extent of endorsement of PMIEs, the nature and severity of MI symptoms related to endorsement of a PMIE, and the relations between extent of endorsement of PMIEs and MI symptoms. We hypothesized that (1) PMIEs perpetrated by others would be endorsed to a greater extent than PMIEs perpetrated by oneself; (2) medical professionals who endorsed a PMIE would report significantly greater severity on all MI symptoms compared to medical professionals who did not endorse a PMIE; (3) experiencing PMIEs (perpetrated by oneself and/or others) to a greater extent would predict higher levels of MI symptom severity, and MI symptom severity would specifically be most strongly predicted by PMIEs perpetrated by oneself. Hypotheses were examined using t-tests, Pearson's r correlations, and multiple multivariate regression analyses. First, the current study found that PMIEs perpetrated by others were endorsed to a greater extent than those perpetrated by themselves; second, greater exposure to PMIEs was associated with significantly greater severity of 10 of the 14 outcomes. Third, PMIEs perpetrated by oneself predicted more MI symptomatology than PMIEs perpetrated by others, indicating that while PMIEs perpetrated by others are more common, PMIEs perpetrated by oneself are more strongly …

Socioeconomic status (SES) has been shown to reliably predict parenting practices, family well-being, and psychological outcomes throughout the lifespan. The current study employed a cross-sectional, quantitative design in which adult participants (N = 336) completed an online survey measuring demographic variables, financial stress, attachment security, and psychological well-being. The study results suggest that (a) both current and family history of financial stress negatively predicted attachment security, (b) SES positively predicted general psychological well-being, although individual SES factors (e.g., income, subjective SES, financial stress) demonstrated nuanced relationships with well-being, life satisfaction, and resilience, (c) family history of financial stress and attachment security mediated the relationship between calculated social status and psychological well-being, and (d) the mediated relationship between calculated social status and psychological well-being via the pathway of attachment security was significant for racial/ethnic minorities, but not for White participants. The present findings contribute to the current literature by (1) including multidimensional measurements of SES, (2) addressing nuances in the relationship between SES and attachment, (3) emphasizing the role of financial stress on attachment security, and (4) providing initial cross-cultural considerations in the relationships among SES, attachment, and psychological well-being. Future researchers are encouraged to conduct longitudinal analyses, amplify sample recruitment …

In Miranda v. Arizona (1966), the Supreme Court of the United States required that custodial arrestees be informed of their constitutional and continuous rights to silence and to legal counsel. Moreover, the ruling mandated that waivers be considered valid only if they were made knowingly, intelligently, and voluntarily. However, in the decades that followed, evidence from both caselaw and empirical scholarship clarified that, for many vulnerable populations, these rights are in jeopardy. Among these vulnerable populations, those with limited cognitive capacities (LCCs) have been functionally excluded from research which primarily focused on persons with intellectual disabilities. This thesis offers a novel exploration of the role of specific cognitive impairments on Miranda comprehension and reasoning, with a focus on verbal intelligence (VIQ). Using a large archival sample of pretrial defendants (N = 820), current results suggest that defendants struggled with Miranda abilities regardless of other, individual characteristics. However, verbal intelligence emerged as a very strong predictor of Miranda comprehension such that those with lower VIQ were considerably more vulnerable to impaired comprehension. More so, data suggest that several compounded vulnerabilities (i.e., minoritized racial/ethnic identity status, limited academic achievement, illiteracy) are essential to understanding the extent of vulnerability in the criminal legal …

To assess a wide range of stressors and traumas, we developed a trauma and stressors exposure checklist for adults to capture a wide variety of potential trauma exposure. This study details the extensive development and validation process of the Comprehensive Trauma and Stressors Checklist (CTSC). Study 1 consisted of item pool generation, review of existing trauma measures, content analysis, and expert review and input. Study 2 analyzed reliability and validity of the updated checklist. Participants were recruited from college and community samples (N = 200) and completed the CTSC along with five additional measures. The CTSC demonstrated high internal consistency (α =.96). Good temporal stability was established with a subset of participants (n = 28) who completed the survey twice for test-retest reliability (r = 0.86, p < .001). Significant correlations between scores on the CTSC and the Stressful Life Events Screening Questionnaire, Life Events Checklist for the DSM-5, Intersectional Discrimination Index, and Spiritual Abuse Questionnaire are evidence of strong convergent validity. Finally, the lack of significant correlations between CTSC scores and theoretically unrelated constructs supported the discriminant validity of the CTSC. This study provides preliminary evidence that the CTSC is a reliable and valid measure of exposure to traumas …

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 …

Research has extensively documented the mental health disparities that exist for ethnic and racial minorities living in the United States. With respect to Latinos, such disparities are marked by less access to care and poorer quality of mental health treatment. Studies on Latino mental health have found differences in mental health service utilization among ethnic subgroups and among different generations of Latinos. However, empirical data examining specific attitudes and barriers to mental health treatment among different generations of Latinos are limited. This study explored the relationships between Latino generational status, mental health service utilization, psychological distress, and barriers to mental health treatment. An online survey (N = 218) included samples of first-generation (n = 67), second-generation (n = 86), and third-generation or beyond Latinos (n = 65). Results indicated first-generation Latinos had the lowest rate of mental health service utilization and reported greater linguistic and structural knowledge barriers, however, they had lower perceived social stigma of mental health services when age at migration was considered. Implications of these findings for research, mental health service providers and mental health policy are discussed.

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 …

This study explored how well specific socio-cognitive processes (i.e., interpersonal problems, empathy, hostile attributional biases, envy/jealousy) predicted the manifestations of both grandiose and vulnerable narcissism. Additionally, we explored the impact of both forms of narcissism on the presence of maladaptive social behaviors (i.e., the perpetration of psychological abuse). We found that domineering interpersonal behaviors and a propensity to fantasize predicted significant unique variance in grandiose narcissism; envy of others, hostile attributional biases, and a propensity to fantasize predicted significant unique variance in vulnerable narcissism. Additionally, while domineering interpersonal behaviors and hostile attributional biases predicted significant variance in psychological abuse perpetration, only vulnerable narcissism added significant unique variance to its regression model. Lastly, only domineering interpersonal behaviors, envy of others, and hostile attributional biases predicted significant unique variance in psychological abuse victimization; narcissism was nonsignificant. The results of our study will contribute to an increased understanding of the nature of both grandiose and vulnerable narcissism and the impacts these personality styles have on an individual's ability to function effectively in interpersonal relationships.

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 …

The Examination for Professional Practice in Psychology (EPPP) is a requirement for licensure as a psychologist across the entire United States as well as in numerous territories and provinces. Despite many longstanding criticisms and findings of bias, the EPPP is being expanded (adding a second, putatively competency-based, portion to the overall exam) and rebranded as the Enhanced EPPP. A review of literature reveals strong skepticism surrounding these developments, particularly with respect to the issue of criterion validity. The current study sought to examine the criterion validity of the EPPP by (1) drawing archival competency assessment data from existing measures (convergent validity) and (2) gathering new neurocognitive and emotional intelligence data, along with demographic data (discriminant validity), with copies of EPPP score reports from individuals who have recently taken the EPPP. Competency ratings did not significantly positively correlate with EPPP scores and, instead, indicated the opposite trend. Analyses also revealed a significant relationship between ethnicity and exam scores, with White individuals scoring higher than other ethnicities. Finally, performance on neurocognitive tests significantly positively correlated with exam scores, indicating that general test taking abilities play a larger role than abilities and competencies unique to the psychology field. Given the gatekeeping role the …

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; …