Persistent periods of stress exacerbate the symptoms of chronic illness. Additionally, loneliness is strongly correlated with stress and both state and trait anxiety. Prolonged periods of loneliness are linked with depression in both clinical and student samples. Forgiveness, a cognitive, emotional, and behavioral response to interpersonal or intrapersonal conflict, is important to social harmony. in this study I describe three studies that examine forgiveness, loneliness, stress, and anxiety in two populations, a student population and an HIV+ clinical population. Study 1 examined how the variables of forgiveness and loneliness are associated with perceived stress in a student sample of undergraduate students. Study 2 examined the same variables (forgiveness, loneliness, and perceived stress) in an HIV-positive clinical population. Finally, study 3 extends the model and examines the relationship of forgiveness and loneliness to variables related to stress, state and trait anxiety. for studies 2 and 3, 63 HIV-positive individuals participated in the cross-sectional correlational study. the data was analyzed in each study using hierarchical linear regression analysis. We also tested the models for the three studies to determine if forgiveness moderates the relationship between loneliness and state and trait anxiety. in study 1, using hierarchical linear regression analyses, I found that …

Mental toughness has become a focus for researchers as coaches, athletes, and others extol its influence in performance success. In this study I examined mental toughness among collegiate athletes, focusing on its potential relationship to different demographic variables and to the athletes’ mood. Two hundred seventy-two student-athletes representing 12 different sports from a southwestern NCAA Division I university, participated by completing the Sports Mental Toughness Questionnaire (SMTQ), the Brief Assessment of Mood (BAM), and providing demographic information. Analyses of variance (ANOVA) assessed differences in mental toughness scores by sex, race, scholarship status, and starting status. Significant differences in mental toughness emerged between Black – White, male – female, and full – partial – zero scholarship athletes. Pearson correlations showed mental toughness was significantly related to lower levels of anxiety, sadness, anger, confusion, fatigue, and total mood disturbance, and higher levels of vigor.

It has long been recognized that childhood bereavement is a risk factor for depression in adulthood. Research also has consistently demonstrated that parental depression is linked to poor parent-child relationship quality. The current study examined whether bereavement in childhood increases likelihood of current depressive symptoms among parents and explored whether this vulnerability in the parent then alters the quality of the parent-child relationship. Archival data for a sample of 86 families (N=176 parents) are drawn from the Family & Kid Connection project led by Dr. Shelley Riggs. Instruments utilized include the Background Information Questionnaire, the Symptom Assessment-45 Questionnaire, and the Parenting Relationship Questionnaire. Using the Actor-Partner Interdependence Model, Multilevel Modeling procedures explored the hypothesis that parental depression mediates the association between parents’ childhood bereavement and their perception of the parent-child relationship. Results show a significant relationship between parental (actor) depressive symptoms and parent-child attachment, indicating the need for therapeutic interventions targeting the parent-child relationship, and not just parents, for parents suffering from depression.

The internship is one of the most important components of doctoral training in professional psychology. Given the serious problem of the internship imbalance, applicant and program characteristics that constitute a good “fit” with internship training programs have become of greater interest as securing an internship becomes a more competitive process. This study surveyed internship applicants from programs part of the Council of University Directors of Clinical Psychology (CUDCP), before and after the 2010 and 2011 match days. Number of interview offers was found to be the factor most consistently associated with successfully matching, and several other applicant characteristics salient to matching and obtaining interview offers were identified, including applicant personality. Additionally, personal accounts, but not empirical evidence, of going unmatched have attested to the psychological distress associated with this event. in the current study, while going unmatched was not found to be equitable to a traumatic stressor, evidence was found to support significant decrease in subjective well-being with respect to immediate distress. Findings are discussed in terms of the predictability of and implications for the match process and internship imbalance, and recommendations are made for future research directions.

Racial, ethnic and gender disparities have been found among a variety of health variables, but to date no study has comprehensively examined whether similar differences exist between sleep variables such as duration, efficiency and quality, in early adolescence. There is a general consensus among previous literature that adolescence is a time when a decrease in total sleep time and an increase in sleep problems are observed. Previous literature, however, mainly focused on the influence of puberty to explain these changes. the current study examined if differences exist between 1462 Caucasian, Hispanic/Latino, and African American early adolescents (ages 10-14 years) on sleep duration, efficiency and quality. Results showed that adolescent boys reported significantly longer sleep durations, better sleep quality, shorter sleep onset latencies, and later rise times than girls. Results also showed that sixth graders slept longer than seventh and eighth graders, and that seventh graders woke up much earlier than the other two grades. Lastly, results showed that Caucasian students reported longer sleep onset latencies and lower sleep efficiencies than African American students. Trends were observed for boys having greater sleep efficiencies than girls and for Caucasian students sleeping longer than Hispanic students. Based on the differences observed in our …

The aim of the current study was to examine how thinking about qualitatively different social network members may differentially affect cardiovascular reactivity to a subsequent stressor. Eighty-two undergraduates were asked to think and write about different types of relationships preceding a social stressor. No differences between conditions in CVR were found during social support induction phase or the stressor task. Women in the supportive condition were found to have slower SV recovery than those in the ambivalent condition. The results of this study are inconsistent with previous evidence for a relationship between mental representations of social ties and CVR. Future research should seek to rule out confounding variables and clarify this effect.

The typical educational stressors experienced by college students, in conjunction with developmental stressors such as separation from parents, individuation, and perceived social support, can interact to impact adaptation significantly. First generation college students (students who are the first in their family to attend college) can experience stressors beyond the typical educational stressors experienced by later generation college students, including lack of support from family and peers as well as financial difficulties that can interact to impact the pursuit of an education beyond the undergraduate level. The present study examined factors that may be especially influential in the pursuit of a higher education for first generation college students. Results indicated that aspects of family enmeshment were related to academic motivation for first generation students, but not for later generation students. Exploratory analysis showed that family and finances were mentioned more often among first generation students when compared to later generation students as stressors that strongly influence the desire to continue beyond the undergraduate level.

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 …

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.

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.

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.

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 …

Given increasing interest in the therapeutic benefits of mindfulness, limitations of its treatment utility are frequently questioned. As such, the purpose of the study was to examine the effects of mindfulness on a subsequent self-control task in a sample of college students. A total of 67 participants were randomly assigned to one of three conditions: a control condition, an experimental mindfulness-only condition or a comparison expectancy-plus-mindfulness condition to investigate the utility of mindfulness practice when motivated by an outcome of increased self-control. Results did not indicate a difference in persistence on a difficult task between conditions, regardless of the manipulation. Conceptual and experimental limitations of current study’s findings, as well as future directions, are discussed.

Sexual attraction (SA), as well as sexual (SBVs) and nonsexual boundary violations (NSBVs), have been identified as matters of ethical concern, being viewed as harmful within mental health or counseling relationships. Much of the literature in the area of SA and SBVs has focused on the counselor-client relationship, but it has been investigated only minimally in the field of sport psychology and specifically with regard to sport psychology professionals (SPPs). Because SA, SBVs, and NSBVs between SPPs and their client-athletes seem to be potentially problematic concerns in need of empirical investigation and practical scrutiny, the aim of this study was to examine: (a) the incidence of SBV and NSBV beliefs and behaviors among SPPs; (b) SPPs' feelings regarding SA for and from client-athletes; and (c) SPPs' willingness to seek supervision to manage their SA beliefs and behaviors towards client-athletes. SPPs (n = 365) completed the Survey of Applied Sport Psychologists (SASP) via e-mail or regular mail. As expected, SPPs experienced SA (40.6%) and generally did not experience strong feelings as a result of the SA. However, of the SPPs experiencing SA, 13.5% of males and 13.8% of females engaged in a SBV with a client-athlete. NSBV behaviors and beliefs are …

Bipolar disorder is a serious illness affecting approximately 2-4% of the population and is one of the world’s leading causes of disability. In individuals with bipolar disorder, medical comorbidity associated with cardiovascular, respiratory and endocrine disorders is related to increased rates of mortality. Recent updates to multi-system inflammatory related conceptualizations of bipolar disorder focus on the unique power that medical illness and biological processes may play as factors associated with course and outcome in bipolar disorder. The current study examined medical comorbidity and its associations with various demographic and psychological variables in individuals with bipolar disorder, schizophrenia, and major depressive disorder with psychotic features followed for 10 years from their first hospital admission. When compared to an age, gender and race-matched control sample from the population, those with bipolar disorder had significantly higher medical comorbidity across a range of medical diagnoses both at 6 months and 10 years after first hospital admission. Ten years following initial hospitalization, individuals in all three diagnostic groups reported increased rates of diabetes (OR: 2.0 – 3.7), stroke (OR: 4.6 – 7.0) and asthma (OR: 1.9 - 3.1), and individuals with bipolar disorder reported increased rates of cancer (OR = 2.1). A number of psychological …

Emerging adulthood is a term coined to recognize 18 to 25 year-olds who engage in self-exploration while not yet fully identifying as adults. Many emerging adult college students experience stress, anxiety, and depression. Although many colleges provide affordable and available mental health resources for students, many students who need help appear to not utilize these services. Gaining greater understanding of underlying processes that influence psychological treatment-seeking behavior is imperative. The current study sought to explore the role experiential avoidance (EA) plays as a treatment-seeking barrier in the context of emerging adulthood. Undergraduate students completed online measures of emerging adulthood dimensions, psychological symptoms, EA, self-stigma of, perceived public stigma of, intentions to, and attitudes and beliefs towards seeking treatment, treatment seeking behavior, and a demographics questionnaire. Binomial hierarchical logistic regressions and correlational analyses examined the relationship of EA and treatment-seeking behaviors, accounting for known barriers and emerging adult characteristics. After controlling for demographic variables, results indicated that EA was significantly positively correlated with self-stigma (r = .187), p < .001), perceived public stigma (r = .178, p < .001), intentions (r - .207, p < .001), psychological symptoms (r = .713, p < .001), and attitudes and beliefs (r = .009, …

The current study examined the impact of resilience and self-compassion on the relationship between combat exposure and psychological outcomes, specifically post-traumatic stress and post-traumatic growth. Service members and veterans with combat exposure (N = 143) completed an online survey, through which they were administered a Background Questionnaire, the Combat Exposure Scale, the PTSD Checklist for DSM-5, the Posttraumatic Growth Inventory, the Connor-Davidson Resilience Scale, and the Self-Compassion Scale. Results of a path analysis revealed a positive direct effect of combat exposure on post-traumatic stress symptoms and post-traumatic growth and a negative direct effect of self-compassion on post-traumatic stress symptoms. Furthermore, self-compassion moderated the relationship between combat exposure and post-traumatic growth. Implications of these findings and future directions for research are discussed.

Certified athletic trainers (ATCs) play a unique role in sport environments as the primary medical staff available to athletes. Thus, ATCs are well positioned to oversee athletes’ physical and psychological well-being. Although sport psychologists (SPs) have been identified as a potential resource for ATCs, previous studies have reported a lack of collaboration between SPs and ATCs. This study aimed to (a) examine ATCs’ views regarding professional roles for both ATCs and SPs, (b) explore ATCs’ referral behaviors, (c) evaluate ATCs belief in the credibility of sport psychology across demographic (i.e., gender, age) and experiential variables (i.e., access to SPs), and (d) examine ATCs’ involvement in sport psychology. Four hundred ninety-six ATCs (265 men, 231 women) completed and returned the questionnaire. ATCs viewed assisting in the psychological recovery of athletes as the most acceptable professional role for fellow ATCs; aiding in the psychological recovery of injured athletes and teach mental skills were identified by ATCs as the most appropriate roles for SPs. In considering an athlete experiencing interpersonal difficulties (e.g., relationship problems), a mixed design ANOVA revealed a ATC sex by referral option interaction; female and male ATCs indicated they would likely refer the athlete to a counselor/therapist, followed by a …