The most effective and useful way to diagnose and subtype depression has been a long debated topic which even now does not have a definite answer. The biopsychosocial approach to diagnosis may be a solution to this problem by linking various etiologies to symptom presentation. The biopsychosocial model, in regard to depression, takes into account biological risk factors/contributors, psychological or cognitive risk factors/contributors, and social risk factors/contributors to depression when making diagnosis and subtyping determinations. However, the most effective way to use this model in the assessment, diagnosis, and treatment of depression is not yet clear. In this study, the utility of the biopsychosocial model as an effective approach to conceptualizing and treating depression was assessed by testing hypotheses that showed that etiological contributors are related to the presence and differential presentation of depression, and that these etiologically-based subtypes of depression respond differently to different forms of treatment. These hypotheses were tested using data from the National Comorbidity Survey - Replication (NCS-R). Results showed that the biopsychosocial model can effectively predict the presence, severity and chronicity of depression, and may inform specific biopsychosocially-based subtypes. No conclusions could be drawn regarding success in treatment based on the biopsychosocial model. Future directions …

This study examines the extent to which locus of control and social support are linked to self-efficacy with regard to disease management in HIV-positive adults. Perceived ability to effectively manage illness was measured with the Self-Efficacy for Managing Chronic Disease Scale. Scores from the Multidimensional Scale of Perceived Social Support and the Multidimensional Locus of Control Scale were used as predictors. The gender-balanced sample (N = 69) of HIV+ adults was primarily African-American (65.3%) and European American (30.5%), with a mean age of 47 years (SD = 8.37). Correlational analyses suggested significant positive relationships between self-efficacy, social support, and locus of control due to powerful others. A regression analysis found that the model accounted for 23% of the variance in self-efficacy (adj. R-squared =.23, F (5, 63) = 4.81, p < .01), with social support (&#946; = .37, t = 3.28, p < .01) and locus of control (&#946; = .25, t = 2.26, p < .05) both significant predictors. Results suggest that social support and locus of control contribute to the belief that HIV can be managed. Interestingly, an external locus of control contributed to this belief, perhaps due to the perception of a physician, religious icon, or partner …

Currently, only the TSI assesses complex traumatic reactions and patient response styles. However, its feigning scale, ATR, uses a flawed detection strategy and is potentially confounded by experiences of complex PTSD. As a consequence, clinicians using the TSI to evaluate severely traumatized patients have no useful method for discriminating genuine and feigned responding. Several detection strategies have demonstrated utility within evaluations of feigned trauma including the assessment of rare symptoms, symptom combinations, symptom selectivity, and symptom severity. The current study created scales on the TSI according to these strategies using a development sample of 107 severely traumatized patients. Validation of all TSI feigning scales was then performed with a second independent sample of 71 severely traumatized patients using a mixed simulation design. Results found support for each scale's convergent validity with SIRS primary scales (M rs = .52) and discriminant validity with measures of defensiveness on the SIRS (M rs = -.07) and TSI (M rs = -.19). Each scale also produced expectedly mild to moderate relationships with SADS-C clinical scales (M rs = .32) and the SCID-IV PTSD module (M rs = -.02). Support for their criterion validity was only moderate (M ds = .69) when comparing the scores …

Complex posttraumatic stress disorder (CPTSD) integrates symptoms common to victims of "complex" traumas, like childhood physical or sexual abuse, with the diagnostic criteria of posttraumatic stress disorder (PTSD). It was hypothesized that a history of witnessing interparental violence would be related to adulthood CPTSD symptoms. Results from hierarchical multiple regressions with 287 college students showed that witnessing interparental violence and experiencing child physical abuse predicted higher levels of CPTSD, PTSD, and depression symptoms. After controlling for child abuse, witnessing interparental violence predicted higher levels of traditional PTSD symptoms, but it did not predict an increase in overall CPTSD symptom severity or depression. Results suggest that the traditional PTSD construct, rather than CPTSD, best accounts for the symptoms of those who witnessed interparental violence in childhood.

Diabetes mellitus affects 7.8% of the American population. National health statistic data and other research shows that racial/ethnic disparities exist in terms of prevalence and treatment outcomes. The present study investigated the role of patient health beliefs (i.e., locus of control, self-efficacy) and the doctor-patient relationship (e.g., satisfaction and collaboration with health care provider), as relative predictors of diabetic control (i.e., HbA1c levels) and overall satisfaction with diabetes care, in older adult participants with diabetes. Demographic, psychosocial, and diabetes-related data from the Health and Retirement Study (HRS) 2003 Diabetes Study were analyzed to compare treatment outcomes among non-Hispanic White, non-Hispanic Black, and Hispanic individuals with various types of diabetes. Non-Hispanic White individuals exhibited better diabetic control than their minority counterparts (F(2, 592) = 7.60, p < .001); however, no significant group differences were noted in terms of psychosocial factors. Diabetic control was best predicted by time since diagnosis (&#946; = -.21, p < .001), satisfaction with diabetes self-care (&#946; = .19, p < .001) and age (&#946; = .12, p < .01). In addition, satisfaction with provider care was best predicted by perceived collaboration with provider (&#946; = .44, p < .001), satisfaction with diabetes self-care (&#946; = .22, p …

In recent years, organizations have invested increasing financial and labor-related resources on employee training. The assumption is that training will benefit the organization through improved performance which will result in greater efficiency, greater customer satisfaction and, ultimately, increased revenue and profits. Further, employees are assumed to benefit because their improved performance should lead to career advancement and increased compensation. However, measuring the effect of training on employee performance has been problematic due to the difficulty of isolating the effect of training from other human resource management practices and environmental and organizational influences. Hierarchical multiple regression analyses were used to test a model for predicting merit pay increase, job promotion and performance ratings from measures of general and finance training, as well as employee tenure, gender, educational level and organizational level. It was found that while significant contributions (i.e., betas) were made by finance and general training for performance ratings, promotion and merit pay increase, they did not increase the variance accounted for by tenure, organizational level and gender.

The purpose of this study was to develop a manualized therapy group for wives or significant others of veterans with posttraumatic stress disorder and to evaluate its effectiveness in reducing wives' psychological symptoms. A second aim of the study was to determine if women's involvement in the wives group resulted in decreases in their husbands' PTSD symptoms. Women recruited for the study were administered pre-test measures during a screening session. They then participated in a 9-session manualized therapy group designed by the researcher that included psychoeducational, process, and support components. Examples of group topics included psychoeducation regarding PTSD, assertiveness and communication, intimacy, self-care, and stress management. After completing the group sessions, participants were asked to complete post-test measures. Other factors explored in this study included marital satisfaction, perceived social support, general satisfaction with the group, and demographic variables. Results indicated that wives who participated in the group treatment exhibited significant decreases in secondary stress symptoms and increases in marital satisfaction from pre-test to post-test. The majority of participants also reported high levels of satisfaction with the group process. Therefore, it appears that the group protocol presented in this study could be a useful tool in the treatment of wives of …

First generation college students face some unique challenges in the pursuit of higher education. Aside from academic stressors, there are stressors related to social and cultural transitions which may exacerbate pre-existing emotional or psychological distress. Research suggests that acculturation influences psychological well-being and development. The current study examined the relationships between acculturation, acculturative stress, socio-economic status, and symptoms of anxiety among first-generation college students of Hispanic origin. Participants (N = 125) included those who were first in their family to attend college and were primarily female, of traditional college age, and of Mexican heritage. All measures were self-report and were completed online. Overall, this study was inconclusive as most analyses were underpowered. The present study failed to support a relationship between style of acculturation and symptoms of anxiety, although, experiencing Anglo marginality was related to high levels of acculturative stress and anxiety. Finally, regression analysis revealed that acculturative stress, age, and Anglo marginalization were significant predictors of anxiety and accounted for 31% of variance in anxiety. Implications of the present study were discussed. Further study with adequate power is highly recommended.

Previous research has shown that alcohol abuse may cause a deficit in frontal lobe functioning, specifically, areas of the frontal lobe that are related to executive function. Additionally, problems with executive function have been related to increased difficulty in managing cravings to addictive substances. The current study explored the relationship between alcohol use and performance on measures of executive functioning in a sample of 121 traditional college students. Students were given 5 measures of executive function designed to explore mental set shifting, updating, inhibition, sustained attention, and planning. These measures were used to examine the relationship between executive function and craving as measured by the Obsessive Compulsive Drinking Scale. Levels of alcohol use were also examined using the Alcohol Use Disorders Identification Test in relation to executive function performance and family history of alcohol abuse.

Many substance users deny their substance use to avoid negative consequences, thus diluting the accuracy of assessment. To address this issue, indirect items are often included on substance use measures to identify those who deny their use. The purpose of this study was to examine the effect of complete denial and partial denial on substance use measures. Partial denial, also termed denial of effects, is the denial of substance use interfering in multiple domains of a person's functioning. The study used a mixed within- and between-subjects design with participants from a dual diagnosis inpatient unit. Each participant completed the study under two different conditions which include an honest condition and an experimental condition (either complete denial or partial denial). Results show that partial denial is distinctly different from complete denial across three self-report substance use measures. Importantly, substance users engaging in these denial conditions were often undetected by these measures.

The purpose of this study was to examine the career development of African-American male athletes and non-athletes. The study utilizes Gottfredson’s circumscription and compromise model of career development as a framework for understanding the way individuals go about selecting different career paths based on various contextual variables and career development processes. A sample of 71 African-American male college students completed self-report questionnaires measuring different aspects of their background make-up, relevant career development processes, and career development outcome variables. Results of the study suggest that non-athlete students have a more developmentally appropriate approach to careers. Results also suggest that perceived career barriers and career locus of control mediate the relationship between athletic status and maturity surrounding careers. Career development is a complicated process and further study on this population is very important, especially when considering athletes. Implications for the findings are discussed as are suggestions for directions of new research concerning African-American career development.

The relationship between life stress and working memory capacity (WMC) has been documented in college students and older adults. It has been proposed that intrusive thoughts about life stress are the mechanism responsible for the impairments seen in WMC. To examine the mechanism responsible for these impairments the current study attempted to induce intrusive thoughts about personal events. The current study allowed for a test of predictions made by two theories of mind wandering regarding the impact of these intrusive thoughts on WMC task performance. One hundred fifty undergraduates were assigned to a control group, positive event group, or negative event group. Participants in the positive and negative event groups completed a short emotional disclosure about an imagined future positive or negative event, respectively, to induce positive or negative intrusive thoughts. WMC measures were completed prior to and following the emotional writing. Results indicated a significant relationship between WMC and mind wandering, however the writing manipulation did not result in any consistent changes in intrusive thoughts or WMC. The results suggest a causal relationship between WMC and mind wandering. The emotional valence of the intrusive thought altered the impact on WMC. No relationship was seen between the measures of stress …

This study examined whether religious coping moderated the effects of thin-ideal images on body satisfaction among college women. Religious (N = 178) participants met for a pre-test to complete religiosity measures. A week later, the participants reconvened and were assigned to one of two conditions: before (n = 83) or after (n = 95). Within each of these two groups, participants were randomly assigned to read a list of statements: positive religious statements, positive nonreligious statements, negative religious statements, positive body neutral religious statements, and neutral statements. Each participant was exposed to a task that included 10 images of thin-ideal models, read her list of statements, and completed the Body Dissatisfaction Scale of the EDI-3. The results revealed no significant main effect of placement, type of statement and no significant Placement X Statement Type interaction. However, when religious statements were collapsed and a subsequent 2 (Placement) X 3 (Statement type) analysis was conducted the results indicated a significant main effect for type of statement. Reading religious statements resulted in less body dissatisfaction than non-religious statements. There was no main effect for placement and no Placement X Statement Type interaction. Ethnic differences in religiosity were noted (all p’s <.05). Implications and …

Chronic insomnia is a highly prevalent disorder in general and young adult populations, and contributes a significant economic burden on society. Previous studies have shown healthcare utilization (HCU) is significantly higher for people with insomnia than people without insomnia. One limitation with previous research is accurate measurement of HCU in people with insomnia is difficult due to a high co-morbidity of medical and mental health problems as well as varying operational definitions of insomnia. Assessing HCU in people with insomnia can be improved by applying research diagnostic criteria (RDC) for insomnia, using a population with low rates of co-morbid medical/mental health problems, and measuring HCU with subjective, objective, and predictive methods. The current study found young adults with chronic insomnia had greater HCU than normal sleepers, specifically on number of medications, and chronic disease score (CDS) estimates of total healthcare costs, outpatient costs, and predicted number of primary care visits. The presence of a medical and/or mental health problem acted as a moderating variable between chronic insomnia and HCU. Simple effects testing found young adults with chronic insomnia and a medical/mental health problem had the greatest HCU followed by normal sleepers with a medical/mental health problem, chronic insomnia, and normal …

The purpose of this study was to examine the development of work and family plans in young adults, and to clarify the long-term stability, prevalence, and consequences of anticipated work-family conflict. The study utilizes Super’s model of career development and social cognitive career theory, as well as research on current work-family interface, as a framework for understanding the period of anticipating and planning for multiple role integration that occurs between adolescence and adulthood. A sample of 48 male and 52 female college students assessed two years prior completed self-report questionnaires measuring work, marriage, and parenting experience; anticipated work-family conflict; and multiple-role planning. Results of this study suggest that students desire both a career and a family, and recognize potential challenges of a multiple-role lifestyle. Such recognition of anticipated work-family conflict varies by conflict domains and measurement methods, but remains stable over two years. Results also suggest that anticipated work-family conflict does not mediate the relationship between experience and planning; instead, marriage experience predicts planning directly. Implications for the findings are discussed as are suggestions for directions of new research concerning anticipated work-family conflict and planning for multiple roles.

The motivational climate, as created by coaches, and athletes’ goal orientations are key constructs in understanding children’s experiences with sport. In this study, the relationship between the perceived motivational climates, male adolescents’ goal orientation, and their experiences of self-esteem, sport competence, enjoyment, and ultimately, intention to continue participating in sport was examined. Participants were 405 male adolescents (Sample A: n = 200; Sample B: n = 205) aged 13-15 years old. Structural equation modeling indicated an overall good fit to the structural model for both data sets. A task goal orientation was predicted by higher levels of coach-created task climate. Participants with higher task goal orientation had greater sport competence, self-esteem, and more enjoyment in sport; enjoyment was the only significant predictor of their intention to continue playing the sport they believe is most important over the next three years.

I obtained 182 session graphs from 10 client records from a university-based neurotherapy clinic and from a private practitioner. These graphs were used to examine the relationship of therapeutic crossover activity (defined as at least 3 minutes in duration and at least 1μv in amplitude) with and without predetermined amplitude thresholds of beta (15-20Hz) to client reports of imagery and to treatment outcomes. Crosstab analysis revealed that significantly more reports of imagery were observed in the therapeutic crossover with beta condition and that higher amplitudes of slower brainwave activity correlated with progression to deeper states of consciousness. Multi-level modeling revealed a significant interaction between therapeutic crossover activity, higher beta frequency amplitude, and reported salient imagery. Due to small sample size, significance testing was not deemed appropriate. However, observation in change of pre-post scores suggested that individuals who experienced more therapeutic crossover with sufficient beta amplitude conditions had greater improvements on post-test measures (BAI, BDI, BHS, PSQI and MMPI) than those with no or few crossovers. Higher amplitudes of slower brainwave activity correlated with progression to deeper states of consciousness, with delta amplitude positively correlating with transpersonal states. Reports of imagery and/or biographical memory are much more likely to occur during …

Objectification theory (Fredrickson & Roberts, 1997) has been used to explain how mechanisms related to socialization, sexual objectification, and psychological variables interact to predict mental health difficulties. Among a sample of 626 undergraduate women (age 18-24), this study empirically tested components of Moradi and Huang’s (2008) model and extended it by including additional socialization experiences (i.e., sexual abuse, societal pressures regarding weight and body size). Structural equation modeling analyses suggested that the model provided a good fit to the data and the model was tested in the confirmatory sample. Across the two samples, high levels of Body Shame and low levels of Internal Bodily Awareness directly led and high levels of Societal Pressures Regarding Weight and Body Size, Internalization of Cultural Standards of Beauty, and Self-objectification indirectly led to increased Bulimic Symptomatology and accounted for 65 to 73% of the variance in Bulimic Symptomatology. A history of sexual abuse and sexual objectification were not consistently supported within the model and do not appear to be as salient as the experience of societal pressures regarding weight and body size in understanding women’s experience of bulimic symptomatology. Implications for practice and future research are discussed.

The parent-child relationship is significant throughout the life course, although both positive and negative changes occur as children reach adulthood and develop an identity independent of their family of origin. Grief resulting from parental loss during this time may be a product of many variables including age, relationship quality, and sex roles. The current study examined several variables potentially influencing grief after the death of a parent. As part of a larger study, adults (n = 180) completed measures assessing parental involvement, personal grief and adjustment, as well as sex role preferences. The archival data were subjected to analyses of covariance, taking into account time since the death and children’s sex role preferences (traditional or egalitarian). Female sex of the child was significant in predicting several aspects of grief, suggesting that women have a stronger emotional experience of grief. This may be a result of young women’s stronger emotional bonds with parents when compared to men, feelings of exclusion from college peers during bereavement, or vulnerability for rumination. Sex role preferences were also influential in several aspects of grief. Sex of the parent was not significant, although the interaction for sex of the parent and sex of the child was, …

Recent trauma research argues trauma results in distinct positive and negative consequences, however; many trauma variables positively correlate with both outcomes. This study examined posttraumatic growth (PTG) and post-traumatic stress disorder (PTSD) symptoms as positive and negative trauma outcomes. Behavioral, cognitive, and demographic correlates and predictors were assessed to help clarify differences between the two outcomes. While several behavioral factors were common to both PTG and PTSD symptoms, centrality of event and problem focused coping were the strongest PTG predictors, whereas centrality of event and avoidant coping were the strongest PTSD predictors. These findings indicate while greater incorporation of a trauma/stressful event into one’s identity is a key component of both PTG and PTSD development, behavioral response may be a determining factor between growth or debilitation.

Although cardiovascular disease (CVD) does not occur until mid to late life for most adults, the presence of risk factors for CVD, such as high blood pressure (BP) and high cholesterol, has increased dramatically in young adults. Type D personality consists of two personality traits, negative affectivity (NA) and social inhibition (SI), and has repeatedly been shown to be an independent predictor of hard medical outcomes (e.g. morbidity and mortality) in cardiac patients. The present study examined the relationships between Type D personality (high NA and high SI), coping strategies, and physiological markers of cardiovascular health in a sample of non-medical, university students. Measures of cardiovascular risk included high frequency heart rate variability (HF HRV), calculated LDL cholesterol, and systolic blood pressure (SBP). Regression analyses revealed that higher use of social supportive coping was a significant predictor of calculated LDL cholesterol. Social supportive coping was also shown to moderate the relationship between Type D personality and HF HRV. Interventions that target psychological and physiological mechanisms associated with CVD are well developed. Clear identification of young adults who are at risk of developing CVD is necessary to intervene in a manner that could potentially save lives. Additional systematic research, especially if …

The current study examined the role of self-reported and child-reported maternal lack of acceptance in increasing the likelihood of developing internalizing and externalizing symptoms among children with ADHD symptomatology. The effects of a social desirability bias on mother’s self-reports of rejection were controlled for. Mother-child agreement about parenting behaviors like warmth/affection, hostility/aggression and indifference/neglect was also investigated. In addition, variables with the potential to affect agreement (i.e., parents’ social desirability bias, child age, child sex) were examined. Participants included 120 boys and 90 girls, 6 to 11 years old (M = 8.25, SD = 1.18) with and without ADHD and their primary parent/guardian (N = 209). Parent and child participants completed self-report instruments separately. Results indicate that the relationship between mother-and-child-reported ADHD symptoms and internalizing symptoms is strongest when mothers exhibit low levels of rejection. Among the ADHD subsample, maternal lack of acceptance acts as a risk factor by strengthening the relationship between hyperactive/impulsive symptoms and externalizing symptoms. In addition, mothers and their children report significantly different levels of parenting behaviors. Child age and child sex were significant predictors of parent-child disagreement.

The purpose of the current study is to investigate the extent to which mindfulness (observing and describing), dispositional optimism and personal meaning are associated with self-efficacy for managing a chronic disease (SEMCD) among 57 people living with HIV in the DFW Metroplex. Several statistical analyses, including a hierarchical linear regression analysis, were conducted. Results indicate, after controlling for age and gender, the overall model accounted for a significant proportion of the variance (adjusted R2 = .39) in self-efficacy for managing chronic disease, F (6, 50) = 5.80, p < .01. Both subscales of mindfulness were significantly related to self-efficacy. However, observing was negatively, associated with SEMCD (β = -0.44, p < .05), and describing was positively associated with self-efficacy (β = 0.60, p < .01). As a result, incorporating these mindfulness skills into self-efficacy based self-management programs may greatly improve self-management, thus positively influencing psychological and physiological health outcomes that are essential to the health and wellbeing of people living with HIV/AIDS. Future research should investigate methods of manipulating observing and describing, and determine what proficiency in these skills is most beneficial to improve self-efficacy.

Thirty-four parents were referred by their CPS caseworkers to participate in one of two ACT for Parenting workshops. These workshops followed a 12 hour treatment protocol based on an acceptance and commitment therapy philosophy of parenting. Briefly, an ACT philosophy of parenting maintains that effective parenting requires awareness and acceptance of thoughts and feelings as they occur in the context of the parent-child relationship. An ACT philosophy of parenting also relies heavily on the identification and commitment to parenting values. Participants were asked to track acceptance and valuing behavior on a daily basis for 25 days prior to the intervention and 25 days post-intervention, as well as to complete a package of self-report instruments designed to measure both ACT specific and general psychological processes, at three different points (pre-, post- and follow-up). Nineteen parents received the treatment, and of those, seventeen provided follow-up data 3-4 months post-intervention. Results indicate statistically significant changes in the expected directions for scores on the BASC-2 Externalizing Composite as well as on the Meta-Valuing Measure. A total of 10 parents also evidenced clinically significant change in the expected directions on a variety of outcome measures.