Racial and ethnic diversity representation in the field of health service psychology is neither equitable nor reflective of the increasingly diverse population nationwide. This discrepancy is endemic to widespread problems associated with mental health care: Minorities are severely underrepresented in the workforce, in psychology training programs, and in treatment populations. The longstanding lack of diversity among trainees in doctoral programs and among professionals in the workforce is associated with poorer mental health outcomes among minority patients; however, the specific contributors that facilitate and maintain racial/ethnic diversity constriction appear to be understudied. Based on the extant literature, a reasonable hypothesis might be that admission of qualified underrepresented minorities to doctoral training is constricted by ineffective and/or outdated recruitment and admissions practices. The proposed study sought to investigate whether impostor feelings or self-reported resilience might be predictive of intent to apply to graduate programs among underrepresented minority students earning their bachelor's degree in psychology. Results indicated that resilience was the most impactful variable in undergraduate students' intent to apply to graduate programs. Hypothesized ethnic differences in impostor feelings and self-perceived resilience were not observed in the study sample. The larger implications of these findings underscore the need for more culturally informed measures …

Family functioning has long been a focus of research in psychopathology. Decades of research has shown that family factors are associated with symptom severity, relapse, functional outcomes, and conversion to psychosis among at-risk individuals. Previous studies suggest family functioning varies across cultures, which raises the possibility that associations between family factors and psychopathology may also differ by culture. Furthermore, family functioning assessment generally involves instruments that have not been systematically validated for use with individuals from diverse cultural backgrounds. The current study used data from the Adolescent Brain Cognitive Development study (N = 11,138) to: (1) evaluate three family functioning scales (i.e., Family Environment Scale, Child's Report of Parental Behavior Inventory, Parental Monitoring Survey) and the Prodromal Questionnaire – Brief Child version for measurement invariance across racial/ethnic groups; (2) investigate the relations between family factors and psychosis; and (3) compare relations derived from Step 2 between racial/ethnic groups. Full scalar invariance was tenable for the CRPBI and the PQ-BC, providing statistical support for mean comparisons across groups. The FES and the PMQ lacked scalar invariance, which suggests mean comparisons across groups may not be appropriate. The CRPBI and the PMQ are significantly associated with the PQ-BC, and all three family …

Little is known about the current state of multicultural training within sport psychology master's programs. The study explored students' perceptions of their multicultural training and program climate. Importantly, differences in perceptions were investigated based on students' demographic factors, given that students with marginalized identities tend to report less favorable perceptions of and experiences in graduate training. Participants (N = 107) consisted of students and recent graduates of master's level sport psychology programs. Participants reported moderate levels of feeling safe, valued, and comfortable within their master's program, low to moderate levels of multicultural training integration within their curriculum and supervision, and low to moderate satisfaction with their multicultural training. Asian, Asian American, bi/multiracial, Black, African American, Hispanic, and Latino/a/e students, compared to their White peers, reported less satisfaction with their multicultural training, felt less safe, comfortable, and valued within their programs, and perceived less integration of multiculturalism into curriculum and supervision. A multiple regression analysis revealed that, for all students, perceptions of multicultural training integration and reports of feeling safe, comfortable, and valued was significantly related to students' satisfaction with their multicultural training. Discussion focuses on possible explanations for these findings, training implications, and future research directions.

Developmental psychology aims to elucidate how children's early relationships influence their interactions with the world. Piaget's cognitive development theory is often noted when discussing development, and although his cognitive descriptions of decentering (i.e., perspective taking) were compelling, they neglected interpersonal contexts. Accordingly, Feffer conceptualized decentering within a social context. To expand on Feffer's consideration of the social context, the current study explored early parent-child bonds and their impact on child development, specifically interpersonal decentering, in adolescence. In the present secondary analysis of data from the Institute of Human Development longitudinal Guidance Study at the University of California, Berkeley, I hypothesized that, for both boys and girls, conflict with relatives and a parent's nervous instability would moderate the association between early strong parental bonds and more mature decentering at ages 12.5 and 18 years, and that more imaginative play, introspection, and better physical health would moderate the relationship between strong father-son bonds at age 21 months and the son's more mature decentering at age 12.5 and 18 years. The findings revealed that the association between strong father-son bonds at 21 months and the son's more mature decentering at age 12.5 was strongest when the son was less introspective compared to when …

Past research demonstrates that participants who label themselves as ‘victims' experience worse trauma-related outcomes than those who label themselves as ‘survivors.' Self-labeling in trauma research is typically measured using a dichotomous measure where participants choose either victim or survivor, but this construct may be better conceived as more continuous. The current study assessed self-labeling as a possible continuous construct and explored its predictive validity. To capture self-labeling as a continuous construct, we created and utilized a new scale, the Trauma Self-Labeling Measure. Two hundred eleven participants completed a battery of questionnaires to measure self-labeling and four trauma-related outcomes: posttraumatic stress symptoms (PTSS), depression, anxiety, and resilience. When tested on the continuous trauma self-labeling measure, an overwhelming number of participants chose in-between victim and survivor (78.9%) which suggests self-labeling is better assessed using a continuous measure than dichotomous. However, correlation analyses revealed that the continuous self-labeling measure was not significantly correlated to the four trauma-related outcomes, whereas the dichotomous self-labeling, continuous victim, and continuous survivor measures were. When conducting post-hoc analyses, we found an unexpected positive correlation between the continuous victim and survivor self-labeling measures. This unexpected positive correlation suggests that self-labeling is not a singular construct, as previously assumed, but …

Narcissism is currently being redefined as a multidimensional construct. While some researchers hold that narcissism remains a unidimensional phenomenon, others have suggested that bi- and tridimensional conceptualizations may better represent the construct as well as align more succinctly with the experiences of individuals with varying levels of narcissistic traits. Also, since the latter conceptualizations offer a broader assessment of narcissistic tendencies, they may provide greater accuracy in identifying differing narcissistic phenotypes (e.g., malignant vs vulnerable). Given the variety in conceptualizations of narcissism, it remains an open area as to how their respective domains are associated with various risk factors and behavioral outcomes, particularly within antagonistic forms of narcissism. This thesis explored the multidimensional approaches to defining narcissism and examined the associations between narcissistic traits and attachment style, self-concept, self-esteem, emotion regulation, and aggression. Also, the current study explored how differences in college degree (business vs. psychology) and gender may influence the expression of narcissism and associations with attachment style. Overall, the study provides results relevant for a tridimensional view of narcissism and adds to the literature on narcissism's link with factors involved in personality pathology, gender, and choice of college degree.

Unipolar depression is a leading cause of disability and overall burden of disease for millions of individuals across the world. Depressive symptoms (e.g., depressed mood, anhedonia, fatigue, feelings of worthlessness, difficulties concentrating, etc.) can drastically affect an individual's life leading to occupational, social, and personal impairment. Past research shows significant ethnic and racial differences in depression rates and treatment. Moreover, previous literature has also begun to explore the multidimensional nature of depression, investigating its occasion-like (or episodic) and trait-like (or stable) factors. However, prior studies have not explored differences in occasion and trait depression by race or ethnicity, nor have they explored these questions in nurses, a group that faces substantial workplace stressors. To redress these gaps, the current study investigated trait and occasion depression in a large sample of nurses (N = 390) tracked across 12 months and aimed to understand whether trait versus occasion rates of depression differed by racial and ethnic minority status. Findings indicated substantially more trait depression (65.93%) than occasion depression (34.11%) across the year in nurses. However, there were no significant differences based on racial and ethnic minority status. Results highlight the importance of understanding depression as a much more stable aspect of an …

The current study consisted of 4,116 student-athletes (Mage = 19.84; women = 66.9%; White = 78.2%) to achieve two purposes when considering the disrupting effects of the COVID-19 pandemic and the cancellation of collegiate sports. First, I examined the relationship between gender, race/ethnicity, competition level, and athletic identity. Though there were no significant differences across NCAA Divisional levels, I found a significant gender by race interaction with Black male athletes reporting stronger athletic identities compared to White male and female athletes as revealed by post-hoc analyses. Second, I examined the relationship between athletic identity and psychological distress and found that when social support and self-compassion are both low, there is a moderate, positive relationship between athletic identity and psychological distress for the White female athletes. Additionally, there were main effects for self-compassion and social support where higher levels were related to lower psychological distress among the White female athletes and Latino/a athletes. For the Black male athletes, there was a main effect for only self-compassion. There was a significant self-compassion by social support interaction for the Black female athletes and White male athletes, suggesting that when self-compassion is low, or high, there are higher levels of psychological distress experienced when …

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 …

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 …

Research suggests that non-medical prescription drug (NMPD) use is becoming increasingly prevalent, particularly among adolescents. A critical step towards developing effective intervention efforts requires identifying adolescents who are at risk for NMPD use. An extensive literature suggests that both adolescents and adults with elevated anxiety sensitivity (AS) are at greater risk for problematic substance use, and a small body of work has identified similar links with NMPD use specifically among adults. However, most of this literature combines all prescription drugs into a single category, and no work has evaluated the relation between AS and NMPD use among adolescents. The current study endeavors to further this area of research by examining the relation between AS (overall and subscales) and NMPD use among adolescents. The project evaluated 276 adolescents (age 9-19 years) enrolled in a residential treatment program on level of AS, including sub-dimensions (i.e., cognitive, physical, and social), and NMPD use across three categories of drugs: analgesic (e.g., Vicodin®), anxiolytic (e.g., Xanax®), and stimulant (e.g., Adderall®). A series of logistic regression models indicated that overall AS predicted nonmedical analgesic use, but not anxiolytic/sedative or stimulant use. A closer investigation of the AS subscales demonstrated that only the AS social subscale significantly …

The purpose of the study was to examine whether athletic participation as a child and/or adolescent acts as a protective factor for youth who endure childhood maltreatment. After screening for childhood maltreatment, our 269 participants were separated into either an athlete group or a non-athlete group and compared using two one-way multivariate analyses of covariance (MANCOVA). Emotional neglect served as the covariate due to non-athletes' significantly higher emotional neglect scores than athletes. The first MANCOVA compared athletes and non-athletes on positive outcomes, which included measures of post-traumatic growth, three adaptive coping strategies, and self-compassion. In the second MANCOVA, we assessed for differences between athletes and non-athletes on negative outcomes, which included measures of traumatic, depressive, and anxious symptomology and a maladaptive coping strategy. Neither MANCOVA reached significance, rejecting our hypothesis that athletes would be more resilient than non-athletes to the negative impact of childhood maltreatment. Discussion considers possible reasons for the lack of significance, such as the recency of athletic participation or the specific type of maltreatment experienced, as well as limitations and directions for future research.

South Asians are the third fastest growing racial/ethnic minority group in the United States with distinct cultural characteristics. The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted racial and ethnic minorities in the U.S, including South Asians, across several life domains: work, home life/education, social activities, economic, emotional and physical health, infection, quarantine, and positive changes. The COVID-19 pandemic may have critically impacted South Asians with traumatic event experiences and posttraumatic stress disorder (PTSD) symptom severity across several life domains. Limited work suggests high rates of interpersonal traumas and substantial PTSD symptom severity in the South Asian community. Uniquely, the current study examined which life domains impacted by the COVID-19 pandemic associated with a greater count of traumatic event types, interpersonal vs. non-interpersonal traumas, and PTSD symptom severity. Results revealed that negative experiences in social activities, as well as distress in economic, emotional, and physical health domains, were significantly associated with the count of traumatic event types. Negative social activity experiences, and distress in the economic and emotional health domains, were also significantly associated with PTSD symptom severity. Quarantine and physical health domains significantly associated with the count of interpersonal traumas, while COVID-19-related experiences (in social, quarantine, and infection domains) …

The current research recruited 200 college students from the University of North Texas to explore the direct and indirect effects of familial ethnic-racial socialization on selected psychosocial variables (i.e., general self-efficacy, life satisfaction, and psychological distress) via ethnic-racial identity variables: exploration, affirmation, and resolution. The results indicated that cultural socialization from family predicted life satisfaction via exploration and resolution, predicted general self-efficacy via affirmation and resolution, and predicted psychological distress via affirmation. Additionally, patterns between exploration, affirmation, and resolution were explored through cluster analyses, and six ethnic-racial identity clusters were identified. The amount of familial ethnic-socialization and general self-efficacy reported by participants varied significantly among the identified ethnic-racial identity clusters. Implications of the findings for therapeutic interventions, university programs, and ethnic-racial identity measurement as well as limitations and future research directions are discussed.

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 …

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

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

The data surrounding barriers to student-athletes seeking mental health care are limited, but show that stigma is one of the most frequently reported barriers. Further, the effect of sharing demographic identities (i.e., race, gender) between a student-athlete and their mental health treatment provider has not been fully explored. The purpose of this study was to determine the frequency of reported barriers and facilitators to mental health as well as the importance of sport psychologist characteristics as a facilitator of mental health treatment. Participants consisted of student athletes from an NCAA Division I university, representing 11 sports. A series of two-way, repeated measures ANOVA analyses were conducted to determine within-subjects differences in overall reporting of barriers and facilitators, as well as between groups differences in race and gender. Significant differences were found in the rating of barriers and facilitators. Female student-athletes rated sharing a gender identity with their mental health treatment provider as more important than did male student-athletes. The findings of the study may aid athletic departments in developing targeted interventions to lower barriers and increase use of mental health resources to promote psychological well-being among student-athletes.

Bipolar disorder (BD) is a serious mental illness characterized by dramatically differing mood states and marked costs for the individual and society, making it important to find factors associated with the condition. Deficits in emotion regulation have been found across a wide range of mental health disorders and may represent an important risk factor for BD. Literature in this area has large methodological inconsistencies and many conclusions are mixed. Therefore, the current study sought to conduct a meta-analytic review of literature related to emotion regulation in BD. Results suggest that people with BD broadly report more frequent use of maladaptive emotion regulation strategies and less frequent use of adaptive emotion regulation strategies than healthy controls. Of these strategies, the largest effect sizes were found for risk-taking, rumination, impulsivity, catastrophizing, and self-blame. Comparisons to other clinical groups suggest that emotion regulation in BD is largely similar to major depressive disorder and less severely impaired than borderline personality disorder. Moderator analyses of BD samples in different mood states suggest mood state plays a limited role in emotion regulation strategy usage, although some maladaptive strategies may be more common in samples with depressive symptoms. Among emotion regulation strategies, increased positive rumination and suppression …

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

Interpersonally aversive, antagonistic, or "dark" traits have been the focal point of research for decades. In more recent personality research, affiliative, prosocial, or "light" traits have become an area of emerging interest. Examining both domains may allow for a more comprehensive perspective to understanding behaviors and social attitudes involved in human nature related to social dominance and authoritarianism. The purpose of this study was to explore the associations among aversive versus affiliative personality traits with social dominance orientation (SDO) and right-wing authoritarianism (RWA). Both SDO and RWA are robustly tied to prejudice and discrimination, as well as other negative interpersonal characteristics. In this way, the current study will help address if expression of SDO and RWA are primarily linked with presence of a negative (aversive traits) or more so with the absence of a positive (affiliative traits) The current study involved a large general population sample of males who were assessed with Self-Report Psychopathy Scale-Short Form (SRP-SF), subscales from the Short Dark Tetrad (SD4), and the Light Triad Scale (LTS), along with variables tapping the multifaceted domains involved in SDO and RWA. In addition to a series of multiple regression analyses, an exploratory structural equation model (ESEM) was tested to …

This study was conducted as part of a parent grantwhich examined the relationship between components of sleep and antibody responses to the flu vaccine in a population of 392 nurses working at two large hospitals. During/after sleep data was collected, nurses had blood drawn at four time points: immediately pre-vaccination, 1-, 6-, and 11-months post vaccine to obtain serum for detection of anti-influenza antibodies measured with an HI (hemagglutination inhibition) assay. Additionally, the inflammatory biomarkers IL6, IL1-β, TNF-α and CRP were measured at the pre-vaccine time point only to determine any correlation between the markers and antibody response. Data was analyzed using a hierarchical regression. In the first step, analyses assessed whether each change/average in cytokines over the one-month period had an impact on vaccine response for each of the four viral strains in the flu vaccine. In a second step, analyses assessed whether variables such as insomnia, stress, age, smoking, BMI, and race had any impact on vaccine response beyond the effects exerted through inflammation. The change in association (β) between the primary independent variable and primary dependent variable were examined in order to determine whether there are any suppression effects caused by baseline covariates on the relationship between …

Client pre-treatment expectations have a significant impact on psychotherapy outcome, therapeutic alliance, and attendance. Client expectations are thought to account for approximately 11-14% of variance in premature termination from psychotherapy. However, measures that conflate treatment beliefs and distinct measurement techniques for the same outcome construct obscure the relationship between expectations and psychotherapy outcomes. Clarifying these associations is necessary to support development of useful methods and processes that support client retention in evidence-based treatments. With drop-out rates of approximately 20% across treatment settings, and as high as 69.4% in psychology training clinics, risk of attrition is a significant liability to effective treatment. The meta-analytic findings presented herein clarify the association of pre-treatment expectations with psychotherapy outcome, considering competing definitions for client expectations and discrepant psychotherapy outcome measurement. Implications for attrition, treatment outcomes, and therapeutic alliance are discussed.

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, …