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 recent inclusion of complex posttraumatic stress disorder (CPTSD) within the International Classification of Diseases, eleventh edition (ICD-11) prompted scholars to re-evaluate treatment guidelines for traumatic disorders. The present study aimed to conceptualize dyadic, community, and systemic connections within the context of ICD-11 traumatic disorders and investigate unique associations between factors capturing relational quality. The current study additionally utilized a novel network modeling approach to explore the CPTSD symptom network structure using a college sample of trauma survivors. Consistent with generations of theory and research, relational quality factors associated with the disturbances in self-organization (DSO) symptom cluster, and anticipated discrimination associated with both relational disturbance and sense of threat. Affect dysregulation, re-experiencing, and relational engagement emerged as most central within the CPTSD symptom network, providing evidence towards the role of affect regulation in relational functioning, while intersectional discrimination associated with both the PTSD and DSO symptom clusters. Findings from the present study provide context to the potential application of a relational and systems focused intervention.

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 …

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 …

This study aims to examine how individual athlete perceptions of motivational climate act as an antecedent and influence beliefs about teamwork behaviors. Specifically, how the positive and negative aspects of coach-created motivational climate are associated with: (a) understanding the team's purpose and the ability to plan to achieve the team's mission, (b) implementing designed plans for team success, (c) assessing team performances and environment, (d) creating alterations focused on increasing the probability for team success, and (e) preserving interpersonal relationships by resolving conflicts effectively. Participants consisted of female NCAA Division I collegiate athletes (N = 536; Mage = 20.13 years, SD = 1.36) from colleges/universities located in 22 of the 50 states. Hierarchical cluster analysis revealed three motivational climate clusters; low task/high ego, moderate task/moderate ego, and high task/low ego. The main effect for motivational climate and the overall model of teamwork and the individual component of their behavioral dimensions was significant. The DDA revealed a single significant function for each of the six (i.e., the overall model and individual overarching components of teamwork) MANOVAs conducted, which indicated the composite measures of teamwork behaviors discriminated between the different motivational climate clusters.

The onset of COVID-19 and cancellation of collegiate sports may have exacerbated student-athletes' psychological distress. Within a national sample of collegiate student-athletes (N = 5755; 66.7% women; 72.3% White), I determined how gender, race, and sport season related to rates of depression, stress, and counseling use. I used a cross-sectional methodology and collected data in April/May 2020. Overall, 26.5% (n = 1526) and 10.6% (n = 612) of the collegiate student-athletes endorsed clinical and high levels for depression and stress, respectively; 25.1% (n = 1443) and 69.7% (n = 4014) reported subclinical and moderate levels of depression and stress, respectively. Few student-athletes reported counseling use before (17.1%) or after (2.3%) the onset of COVID-19; those who reportedly used services endorsed higher levels of depression and stress than those who did not. Female student-athletes reported higher rates of depression, stress, and counseling use than male student-athletes. There were no race or sport season effects. Student-athletes who competed in spring sports endorsed higher levels of counseling use than student-athletes who participated in a fall season sport. Athletic departments must address their student-athletes' psychological distress by facilitating a higher use of mental health services.

The Personality Assessment Inventory (PAI) has gained widespread favor since its publication. However, validation studies of its interpretive descriptors remained limited to date. As such, the primary goal of the current study aimed at validating the interpretive descriptors through the lens of empirical correlates using the PDSQ as the external criterion. It also served as a replication and extension to the 2018 study conducted by Rogers and colleagues. The final archival sample included 204 clients from the UNT Psychology Clinic who were administered PAI between May 2016 and December 2020. Overall, reliability and construct validity were strongly supported for PAI clinical scales. Further, the current study replicated large majority of the correlates identified by Rogers and colleagues, which boosted the confidence in reproducible interpretations based on empirical correlates. Importantly, investigation of item-level and gendered correlates provided crucial interpretive implications that were otherwise obscured. For example, item-level correlates refined interpretation by clarifying the nature of scale-level correlates, particularly those of moderate strength. On the other hand, notable gender differences were identified for certain scales, which led to drastic differences in patterns of gendered vs. non-gendered correlates. Finally, several important methodological considerations are proposed in hope to facilitate the empirical research concerning …

Therapeutic alliance has been consistently demonstrated as a robust predictor of treatment outcomes, though the time in psychotherapy at which therapeutic alliance best predicts outcomes is unclear. Unfortunately, evidence suggests that racial and ethnic minority clients typically form weaker therapeutic alliances in treatment. The weaker development in therapeutic alliance among racial and ethnic minority clients may mediate discrepancies in treatment outcomes, including higher dropout rates. The purpose of this study was to explore this possibility by (1) investigating the temporal relationship between therapeutic alliance and treatment outcomes and (2) examining differences in therapeutic alliance ratings and treatment outcome, including unilateral termination, among racial and ethnic minority clients. The findings of this study may be integral to identifying and addressing psychotherapy treatment disparities that are tied to racial or ethnic minority status.

Habitual (i.e., average or typical) sleep duration and sleep efficiency vary widely by demographic characteristics, including age, gender, and racial/ethnic identity. Despite a wealth of studies on demographic patterns in habitual sleep, these results are often based on cross-sectional surveys, which ask participants to retrospectively recall their "typical" or "recent" sleep. Yet, sleep is a highly dynamic behavior and may fluctuate substantially from night-to-night. This intraindividual variability (IIV) in sleep/wake patterns can be captured a multitude of ways, most commonly by using formula-based calculations. Although there is growing attention on the importance of IIV in sleep, findings on demographic differences are still inconclusive, and there are no guidelines for typical values of IIV in sleep. The present study quantitatively synthesized 8 international data sets (N = 2847 participants, 29,832 total days of sleep data), focusing on examining age, gender, and racial/ethnic identity differences in IIV in sleep measured via sleep diaries, actigraphy, and electroencephalography. Sleep duration and sleep efficiency varied widely from night-to-night within people (duration: 64-119 minutes; efficiency: 5-8%). Different metrics of IIV were strongly correlated within and across sleep measurement types. Younger adults had more IIV in diary and actigraphy sleep duration. Gender differences in IIV in sleep …

Stereotypical beliefs about emotion have been shown to influence perceptions of competence. While emotional White women are often presumed to be generally less competent, emotional Black women receive variable competence ratings due to the intersecting stereotypes concerning both their race and gender. However, it is unclear how perceptions of competence fluctuate in response to anger, a stereotypically male emotion, in comparison to sadness, a stereotypically female emotion. The project at hand utilized participants' responses to a scenario of White and Black leaders engaging with subordinates in their workplace expressing either neutral, angry, or sad responses to an interaction. We aimed to identify if a Black woman leader's expression of anger garnered a more favorable response than a White woman leader's expression of anger in addition to whether both leader's expression of sadness would garner similarly low ratings of competence. Results reveal that perceptions of a woman leader's competence can be influenced by race alone with no significant influence from emotional expression. Specifically, a Black woman leader's competence can on average be rated lower than a White woman's competence regardless of emotional expression. This study provides further evidence that group stereotypes manifest differentially based on context.

The purpose of this study was to thoroughly review previous work and to create a new experimental paradigm combining recognition memory with value-based incentives and metacognitive confidence judgments, which may provide convergent evidence for the motivation-cognition interface. This paradigm involves a game-like task administering global and local motivational incentives. Furthermore, trial-level metacognitive confidence ratings were gathered to understand the relationship of metacognitive accuracy and value as a function of strategic control of attention and memory and incentive-based motivation. Paired samples t-tests and a repeated measures ANOVA were used to identify differences in recognition performance based on reward incentive, and Goodman-Kruskall gamma correlations between performance confidence estimates were used to measure metacognitive accuracy. The results showed the mean number of recognition hits (correctly remembering previously seen items) were indeed greater for high-value items compared to low-value items. I also report an unanticipated effect of block, such that the hit rate increased for low valued items from Block 1 to Block 2. Unfortunately, I did not find meaningful results for the metacognitive judgments. This study lays important groundwork for subsequent research incorporating physiological testing to provide a much-needed link between mind and brain with respect to motivation and cognition. Moreover, this study …

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 …

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, …

Betrayal trauma theory (BTT) explains the relationship between a victim and perpetrator to be an especially critical factor for predicting adverse trauma outcomes; however, to date, there is no adequate measure to assess this relationship. We aimed to create a measure of reliance, here defined as dependence on another for food, clothing, finances, emotional support, and more. We utilized a new scale, the Reliance on Perpetrator Scale, to measure this construct. 397 participants completed a battery of questionnaires to measure reliance and 4 primary outcomes of interpersonal trauma exposure: PTSD symptoms, depression, event centrality, and dissociation. A series of exploratory principal components factor analyses provided evidence for a 3 factor solution for this scale, though visual examinations of scree plots and a parallel analysis indicated 2 factors. We ultimately chose to retain 2 factors: practical reliance and emotional dependence. We expected and achieved predictive validity such that practical reliance and emotional dependence were both highly positively correlated with all outcomes. We expected and achieved convergent validity such that positive affect and secure attachment were highly positively correlated with emotional dependence as measured by an existing scale. The current study replicated previous findings that high betrayal events—as opposed to low betrayal …

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 …

Elevated social anxiety is a well-documented risk factor for developing problematic alcohol use behaviors. Adolescents with high social anxiety often report drinking for coping-related reasons, and drinking to cope has been linked to both acute and chronic alcohol use problems. Research further suggests that parenting is a primary socialization domain in terms of adolescent alcohol use onset and trajectory; however, no work has yet examined the role of parenting factors in the relation between social anxiety and coping motives for drinking. The current study investigated the role of two parenting dimensions, rejection/warmth and psychological control, on the link between social anxiety and problematic drinking motives. Drawing from an ongoing assessment of an inpatient program, the sample consisted of 94 girls and boys (ages 11-17 years). Regression analyses evaluated main effects of social anxiety, rejection, psychological control, the interactive effects of the parenting dimensions, and the three-way interaction of both parenting dimensions with social anxiety on coping motives for alcohol use. As expected, social anxiety was positively and statistically significantly related to coping motives when examined via raw scores, proportional values, and in the final model. Further, zero-order correlations indicated a positive, statistically significant relation between proportional coping motives and both …

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 …

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 …

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 …

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.

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 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.

Research has shown that when athletes engage in preretirement planning and address various factors associated with leaving sport (e.g., voluntariness of retirement, shifting identity away from that of an athlete, preretirement planning, personal development, career development, social support), they had significantly better cognitive, emotional, and behavioral adaptation to life after sport. The NCAA is one of the largest sport institutions in the world and they provide limited guidelines to member institutions regarding preparing student-athletes for retirement from sport, and as a result, different schools are developing their own programs. This study explored what NCAA athletic departments do to prepare their student-athletes for their graduation and transition out of sport. Participants were athletic department administrators, and they completed a survey that assessed for current preretirement planning practices and available campus resources for student-athletes who are transitioning out of sport. I used frequencies, t-tests, and chi-square analyses to assess trends across divisional levels (DI vs. DII/DIII). Analyses show that significantly more DI than DII/DDIII institutions have preretirement planning programs. Additionally, there is no significant difference between the topics that are covered across divisional level. The degree to which participants agreed that athletic departments have an ethical/moral responsibility and their perception of who …

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.