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Coping Strategy as Mediator between Parental Attachment and the Parent-Child Relationship
Previous research has shown that adult attachment anxiety and attachment avoidance are associated with both coping strategy use and the parent-child relationship. Additionally, research has shown that coping strategy is associated with aspects of the parent-child relationship. The current study aimed to further examine associations between parental romantic attachment, coping strategy use, and the parent-child relationship. It was hypothesized that coping strategy use would mediate the relationship between parental romantic attachment and aspects of the parent-child relationship. Participants included 86 heterosexual couples (N = 176 parents) from the Family and Kid Connection project archival dataset. Instruments included a demographic questionnaire, the Experiences in Close Relationships Scale, a brief measure of coping, and the Attachment and Relational Frustration Subscales of the Parenting Relationship Questionnaire. An actor-partner independence model was proposed and tested via multilevel modeling. Higher levels of parental attachment anxiety predicted poorer parent-child relationships. Father's attachment avoidance also predicted poorer father-child relationships. Higher levels of both parental attachment dimensions predicted greater use of avoidant emotional coping. Finally, greater use of avoidant emotional coping predicted poorer parent-child relationships. Results partially supported proposed mediational hypotheses. Two mediational paths were supported by results: an actor-actor path in which fathers' avoidant emotional coping mediated the association between fathers' romantic attachment avoidance and father-child attachment, and an actor-actor path in which mothers' avoidant emotional coping mediated the association between mothers' romantic attachment anxiety and mother-child attachment.
Using Relational Responding to Examine the Acquisition of Mindfulness and Meditation Material: An Analogue Study
Mindfulness meditation is a growing area of interest for both mental health professionals and the general public alike. Beneficial outcomes are associated with these practices, although the variety of measurement techniques makes research difficult to interpret. Definitions of these constructs are varied, and anecdotal accounts point to the idea that many people hold misconceptions about mindfulness and meditation, even when meanings are made clear. Still, no formal research has been published on misconceptions of mindfulness – or, if they exist, how such misinformation affects acquisition of related skills. Furthermore, mindfulness has been incorporated into therapeutic modalities without much consideration for context, including the client's learning history. The current analogue study examined how the presentation of mindfulness meditations (i.e., inaccurate rationale/meditation and accurate rationale/meditation) affects an individual's practice. Specifically, self-reported mindfulness and meditation skills, mood questionnaires, a matching-to-sample task, and qualitative measurements were used to assess acquisition. Although primary hypotheses did not yield significant findings, results from both preliminary and exploratory analyses demonstrate significant findings with regard to teaching, learning, and measurement related to mindfulness meditation. The results, future directions, and limitations are discussed.
Adolescents' Social Networking Use and Its Relationship to Attachment and Mental Health
Adolescents spend much of their time using the internet and electronic media. Since its inception, the use of online social networking (OSN) sites by adolescents continues to grow. With the proliferation of OSN, it is critical to examine how this activity affects psychological development, but better measurement tools are needed. As researchers struggle to keep up with this rapidly growing field, many gaps remain in the literature investigating the interrelations between adolescent's OSN use and mental health outcomes. Research examining the relationship between OSN and mental health outcomes, specifically depression and anxiety, has produced mixed results suggesting that other factors influence this association. A large research literature documents associations between attachment and mental health. Given that attachment also affects interpersonal communication, several studies have investigated links between attachment and OSN use in adult and college populations. Results indicated that even though attachment to father was independently related to anxiety and depression symptoms, it was not a significant moderator for mental health and OSN. Attachment to mother was a significant moderator for anxiety and depression and several OSN subscales. Based on this information, a greater focus on youth's interpersonal connection and social skills both online and offline may be beneficial when treating adolescents experiencing anxiety or depression.
The Relation of Perceived Motivational Climate, Mindset, and Achievement Goal Orientation to Grit in Male High School Soccer Players
Grit is defined as "perseverance and passion for long-term goals." Although studied in relation to various outcomes, such as retention and academic performance, few studies have examined variables that may contribute to grit's development. Further, few studies have examined this construct in relation to sport performance or within athletic environments, despite its clear connection to sport-related constructs like mental toughness and resilience. Thus, based in achievement motivation theory, this study examined the relations of the perceived motivational climate as defined by athletes' perceptions of the coaches' behaviors (task vs. ego), athletes' perceptions of their achievement goal orientation (task vs. ego), athletes' perceptions of their implicit theory (i.e., fundamental beliefs regarding whether or not ability can change; growth vs. fixed), and athletes' perception of their level of grit. Male varsity soccer players (N = 81; Mage = 15.80 ± .81) from a large metropolitan area in the south central U.S. completed questionnaires measuring these achievement motivation constructs. The full regression model was significant, accounting for 18% of the grit variance, F(6, 74) = 2.77, p = .017. Within the full model, having a growth mindset (β = .25, p = .035) and endorsing a task goal orientation (β = .36, p = .004) predicted higher levels of grit for the athletes. Neither the coach-created motivational climate, nor the athletes' ego orientation or fixed mindset, were significantly predicted their grit scores. Consistent with Dweck and Duckworth, components of achievement motivation theory, particularly related to a task or growth perspective, may play an important role in athletes' developing a perspective that allows them to work effectively and diligently toward long-term goals.
Family and Cultural Influences on Latino Emerging Adults' Career Development
There is an extensive amount of research on career development, but most of the constructs studied have focused on content-oriented variables rather than process-oriented variables. While some of the studies have examined samples from ethnic minority populations, the majority of studies use ethnic minority populations as comparison groups, studying between-group differences as opposed to within-group differences. The literature is especially deficient in the are of Latino career development. The current study will examine how family and culture influence the career development of Latino emerging adults. This study will explore the influence of socioeconomic status and acculturation on the career salience and career maturity of Latino emerging adults. The quality of the parent-emerging adult relationship will also be explored for its influence on career development outcomes in this population. One hundred fifty Latino undergraduate students ages 18-24 will be recruited for participation in this study. The participants will complete questionnaires regarding demographic information, acculturation, the quality of the parent-emerging adult relationship, career salience, and career maturity.
Cognitive Engagement in Later Life: Descriptive and Explanatory Findings
Findings on the relationship between engagement in lifestyle and cognitive functioning are not consistent; some authors report that engagement in lifestyle predicts an individual's cognitive functioning; while other report that an individual's cognitive functioning predicts the type and level of engagement an individual participates in. The current study will use longitudinal data (N = 235) to investigate the bidirectional relationship between engagement (engaged lifestyle activities) and cognition (crystallized & fluid intelligence). Despite inconsistent findings it is proposed that cognitive functioning may be better understood when examining how stimulation of activity, need for cognition, and openness to experience affect engagement in an active lifestyle. As such the current study will investigate if stimulation of activity, need for cognition, and openness to experience moderate the relationship between engaged lifestyles and cognitive functioning. The results, limitations and implications are discussed.
Accuracy of Partner Perception and Relationship Satisfaction: Investigating Masturbatory Habits
An individual's perceptions of various aspects of one's romantic relationship (irrespective of whether or not the perceptions align with reality) often play a critical role in romantic relationship satisfaction. Research has demonstrated that the accuracy of an individual's perception of his or her partner is generally positively related to the individual's romantic relationship satisfaction. However, when perceiving negative or conflictual messages from a partner, an individual's accuracy of perception is negatively associated with his or her romantic relationship satisfaction. Researchers have suggested that poor accuracy in perceiving negative messages might diffuse the negative intention in a way that is less impactful to the relationship. The present study was designed to investigate accuracy in the perception of sexual topics, specifically masturbatory habits. A sample of 93 married couples (186 individuals) responded to questions about (a) their own masturbatory behaviors and (b) their perception of their partners' masturbatory behaviors to determine the accuracy of each partner's perception of his or her partner. The association between accuracy and romantic and sexual relationship satisfaction was explored, along with one potential moderating variable: attitudes toward masturbation. Perceived reason for masturbating, perceived target of arousal during masturbation, and partner's actual reason for masturbating all positively predicted an individual's relationship satisfaction. Partner's actual openness about masturbatory behaviors moderated the association between accuracy of partner perception of openness about masturbation and both relationship and sexual satisfaction. When partners were more open about masturbation, accuracy was a stronger positive predictor of relationship and sexual satisfaction than when partners were less open about masturbation. Results, limitations, areas for future research, and clinical implications are discussed.
A Comparison of Treatments for Posttraumatic Stress Disorder Symptoms: Memory Specificity Training (MeST) and Cognitive Processing Therapy (CPT)
The effectiveness of memory specificity training (MeST) was compared with standard cognitive processing therapy (CPT) in treatment of individuals with posttraumatic stress disorder. Eighteen adults aged 18-36 were randomly assigned to the MeST intervention (n = 9) or to the active control group (n = 9) of CPT. Both treatments were administered in group format across 6 weeks. MeST consisted of 6 weekly sessions, while CPT consisted of 12 biweekly sessions. The trial was undertaken in the Psychology Clinic of the University of North Texas, with randomization to conditions accomplished via computer random number generator. The primary outcome measure was change in PTSD symptoms post-treatment from baseline. Sixteen individuals (13 women and 3 men; MeST n = 8 and CPT n = 8) completed treatment and their data was analyzed. MeST significantly decreased PTSD symptomology at post-treatment and these results were maintained at 3 months post-treatment. MeST was found to be as effective as the established CPT intervention at reducing PTSD symptomology. Both MeST and CPT significantly increased participants' ability to specify memories upon retrieval at post-treatment, with results maintained at follow-up. There were no significant effects of MeST or CPT in ability to increase overall controlled cognitive processing at post-treatment or follow-up. No individual in either group reported any adverse effects during treatment or at 3 months follow-up. MeST appears to hold promise as an efficacious treatment option for PTSD. MeST was as effective as CPT in reducing symptoms of PTSD, but required only half the number of treatment sessions to accomplish these gains. Replication of these findings in larger samples is encouraged.
Associations Between Witnessing the Abuse of a Sibling in Childhood and Experiencing Trauma Related Symptoms in Adulthood
Currently sibling research is burgeoning, yet there is virtually no literature regarding outcomes associated with witnessing the abuse of a sibling. The present study aimed to address this gap in the literature. A sample of 284 university students were surveyed regarding traumatic experiences in childhood and adulthood, the quality of childhood sibling relationships, and the experience of trauma symptoms in adulthood. Regression and moderation analyses were conducted to examine the relationship between witnessing the abuse of a sibling in childhood and trauma symptoms in adulthood and to assess whether sibling relationship quality moderates the association between sibling abuse and trauma symptomology. Results showed that witnessing the abuse of a sibling was associated with depression symptoms in the overall sample and for females reporting about a brother. Also, sibling conflict moderated the relationship between witnessed sibling abuse and externalization in sister-sister dyads. These associations should be considered in terms of the systemic abuse to which participants were exposed. Implications for clinical practice working with sibling-related victimization are discussed.
Development of a Self-Report Measure of Post-Traumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) According to the Eleventh Edition of the International Classification of Diseases (ICD-11): The Complex Trauma Inventory
The work group editing trauma disorders for the upcoming edition of the International Classification of Diseases (ICD-11) made several changes. Specifically, they significantly simplified the guidelines for post-traumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). The new domains for PTSD and the addition of CPTSD require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (Complex Trauma Inventory; CTI) according to the proposed ICD-11 domains, creating several items to assess each domain. We examined the factor structure of the CTI (using both exploratory and confirmatory factor analyses) in two separate samples of diverse college students (n1 = 501; n2 = 500), reducing the original 53 trauma items in the item pool to 21 items. Confirmatory factor analyses supported two highly-correlated second-order factors (PTSD and complex factors), with PTSD (i.e., re-experiencing, avoidance, hyper-arousal) and complex factors (i.e., affect dysregulation, alterations in self-perception and alterations in relationships with others) each loading on three of the six ICD-11-consistent first-order factors (RMSEA = .08, CFI = .92, GFI = .87, SRMR = .06). Internal consistency for PTSD (α = .92) and complex factors (α = .93) are excellent.
Logic, Emotion and Closure: Motivations for Choices of Faith
Spirituality and religiosity can play key roles in individual lives through influencing health, social relationships, political views, as well as many other facets (Newberg, D'Aquili & Rause, 2001; Milevsky & Levitt, 2004; Hirsh, Walberg & Peterson, 2013). As important as religious and spiritual beliefs are to societies, cultures, and individuals, little is known about which psychological factors determine choices of faith. Although there are likely many determinants of religious, spiritual, atheist or agnostic beliefs, this study explored four possible factors: critical thinking skills, need for cognition, need for emotional comfort/security, and need for closure. Participants included an undergraduate sample and a community sample. It was hypothesized that religious and spiritual individuals will have lower critical thinking skills, lower needs for cognition, higher needs for emotional comfort/security and higher needs for closure than agnostic and atheist individuals. Hypotheses also included potential interactions between these variables in predicting each faith path. Religiosity was measured using the I/E Religious Orientation Scale - Revised (Gorsuch & McPherson, 1989) and Spirituality was measured utilizing the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) (Fetzer Institute, 1999). These two faith paths were also self -reported by participants after definitions of each were provided. Atheist and Agnostic beliefs were only measured through self-report. Results indicated that both measures of logic (critical thinking skills and need for cognition) and emotional comfort/security (Need to Belong and Religious Motivations) predicted various faith paths. Limitations included sample characteristics and small numbers of Atheist and Agnostic individuals. A better understanding of the motivations for choosing either spiritual or non-spiritual paths may assist in further explanation of the multiple roles each faith choice plays in individual lives.
"Man Up!": Exploring Intersections of Sport Participation, Masculinity, Psychological Distress and Help-Seeking Attitudes
Contemporary masculinity research has focused on the ways in which socialized masculine ideologies influence, especially negatively, the lives of men. Adherence to traditional masculine norms has been inversely associated with psychological help-seeking yet positively related to psychological distress and substance use. Though sport has been conceptualized as an environment in which masculine ideologies (e.g., emphasis on competition) are learned and reinforced, few studies have quantitatively explored how, or if, masculinity differs in athletes and nonathletes. Using a sample of male collegiate athletes (n = 220) and nonathletes (n =205), this study explored: (a) differences in masculinity between athletes and nonathletes; (b) relations between masculinity and psychological/behavioral outcomes (e.g., depression, substance abuse) in athletes and nonathletes; and (c) the mediational role of self-stigma in the relation between masculinity and help-seeking in athletes and nonathletes. Athletes endorsed greater conformity to masculine norms (CMN) and experienced greater gender role conflict (GRC) than nonathlete peers. Masculinity variables also predicted depressive symptomology and alcohol use in both groups, though accounted for greater variance in nonathletes. Furthermore, self-stigma mediated the relationship between CMN and help-seeking intentions for both athlete and nonathlete men. Clinical implications of these findings and potential directions for future research are discussed. Using a sample of male collegiate athletes (n = 220) and nonathletes (n = 205), this study explored: (a) differences in masculinity between athletes and nonathletes; (b) relations between masculinity and psychological/behavioral outcomes (e.g., depression, substance abuse) in athletes and nonathletes; and (c) the mediational role of self-stigma in the relation between masculinity and help-seeking in athletes and nonathletes. Athletes endorsed greater conformity to masculine norms (CMN) and experienced greater gender role conflict (GRC) than nonathlete peers. Masculinity variables also predicted depressive symptomology and alcohol use in both groups, though accounted for greater variance in nonathletes. Furthermore, self-stigma mediated the relationship ...
Eight-Year Course of Cognitive Functioning in Bipolar Disorder with Psychotic Features
The purpose of the current study was to examine neuropsychological functioning in patients with bipolar disorder (BD) with psychotic features. Data from a large, epidemiological study of patients with first-episode psychosis was used to examine verbal learning and working memory 10 years after onset of psychosis in patients with BD relative to patients with schizophrenia (SZ) and patients with psychotic major depressive disorder (MDD). Cross-sectional comparisons of verbal learning and working memory at the 10-year follow-up mirrored findings of relative performance at the 2-year follow-up (Mojtabai, 2000), as patients with SZ performed significantly worse than patients with psychotic affective disorders. When FEP patients' cognitive performance was examined longitudinally, all groups showed non-significant decline over time, with no significant diagnostic group differences after accounting for current symptoms. More frequent hospitalizations and longer treatment with antipsychotics were associated with poorer performance on cognitive testing 10 years after illness onset, but these associations disappeared when controlling baseline cognitive performance. Within the BD sample, current positive and negative psychotic symptoms were associated with poorer performance on cognitive testing. After controlling for baseline cognitive performance, markers of clinical course were unrelated to cognitive performance, consistent with existing literature on longitudinal cognitive functioning in patients with BD. The current findings support a neurodevelopmental model of verbal learning and working memory deficits in patients with bipolar disorder.
Observed Parenting Aspects of Child Compliance in Custodial Grandfamilies
Custodial grandmothers and grandchild (aged 4 to 12) dyads (N = 170) completed self-report, other-report, and an observational task that captured child HI, expressive social support, and custodial grandmother-grandchild compliance variables. A multivariate analysis of covariance tested differences between high and low hyperactivity-inattention on observed parenting variables while controlling for child age. While overall results were not significant, there were significant differences between child age and observed parenting variables. A hierarchical regression model revealed that, when controlling for age, child hyperactivity-inattention does not moderate the relationship between commands given by a custodial grandmother and child compliance, but revealed that direct commands from the grandmother predicted compliance. A second hierarchical regression model suggested that encouragement and praise (versus criticism and discouragement) from a grandmother moderated the relationship between grandmother commands and child compliance, when controlling for child age. It appeared that when grandmothers gave indirect commands more frequently, encouragement and praise instead of criticism was associated with greater compliance. In dyads with frequent direct commands given, compliance was high, however dyads who scored high in direct commands with criticism and discouragement were most likely to comply. This study adds to the literature by providing insight into the challenges and strengths for this unique, growing population.
An Examination of a Framework for Posttraumatic Stress Disorder Correlates: Exploring the Roles of Narrative Centrality and Negative Affectivity
Recent estimates suggest that a large percentage of the population experiences some type of traumatic event over the course of the lifetime, but a relatively small proportion of individuals develop severe, long-lasting problems (e.g., posttraumatic stress disorder; PTSD). One major goal for trauma researchers is to understand what factors contribute to these differential outcomes, and much of this research has examined correlates of posttraumatic stress disorder (PTSD) symptom severity. An important next step in this line of research is the development of conceptual frameworks to foster a deeper understanding of the relationships among these diverse predictors of PTSD and their predictive power in relation to each other. A framework proposed by Rubin, Boals, and Hoyle centers on the influence of narrative centrality (construal of a traumatic experience as central to one's identity and to the life story) and negative affectivity (the tendency to experience negative emotion and to interpret situations and experiences in a negative light), suggesting many variables may correlate with PTSD symptoms via shared variance with these two factors. With a sample of 477 participants recruited from Amazon Mechanical Turk, this dissertation project extended the work of Rubin and colleagues by a) utilizing structural equation modeling techniques to simultaneously examine relationships among variables, b) investigating the utility of the model with a carefully-selected list of PTSD correlates, c) extending the model by including PTSD symptom severity, and d) exploring both direct and indirect effects to assess the roles of narrative centrality and negative affectivity as they relate to known PTSD correlates and PTSD symptom severity. PTSD correlates included social support quality and quantity, peritraumatic dissociation, negative posttraumatic cognitions, perceived injustice, and negative religious coping. Hypotheses were partially supported, and there was some evidence that the model may be effective in distinguishing between variables more and less germane to ...
Phases of Change in Psychotherapy Across Levels of Clinician Training
Given the alarmingly high rates of premature termination in training clinics, research aimed at understanding the course of change and treatment outcomes in training clinics deserves considerable attention. Additionally, more research is needed to understand the effectiveness of psychotherapy training and whether more training is actually associated with better client outcomes. Thus, this study sought to investigate whether clinicians' level of training and experience were related to a variety of clients' outcomes (e.g., well-being, symptom reduction, and life functioning) based on the phase model of psychotherapy. Unfortunately, confirmatory factor analysis of the OQ45.2 did not support the three-factor conceptual model paralleling the phase model. Rather, a two-factor model of best fit was identified. Neither clinicians' level of clinical training nor therapeutic orientation were found to be related to client improvements. However, this finding may have been attenuated by limited variance in client outcomes. Implications for clinical training and future outcome research methodologies are discussed.
The Effects of Self-Forgiveness, Self-Acceptance, and Self-Compassion on Subclinical Disordered Eating: The Role of Shame
Disordered eating is a general term that describes a wide range of behaviors from diagnosable eating disorders to subclinical patterns of behavior that do not meet criteria for diagnosis (e.g., problematic weight loss behaviors, excessive dieting, bingeing, purging). Disordered eating is prevalent and has a wide range of physical and psychological consequences. Negative self-conscious emotions such as shame and guilt have been implicated in the development and maintenance of disordered eating. Positive attitudes toward the self (i.e., self-forgiveness, self-compassion, self-acceptance) may be helpful in reducing shame, guilt, and disordered eating symptoms. In this dissertation, I explored the associations between positive attitudes toward the self, negative self-conscious emotions, and disordered eating in a sample of college students and adults (N = 477). Positive attitudes toward the self were associated with lower levels of disordered eating symptoms, and this relationship was partially mediated by lower levels of negative self-conscious emotions. I concluded by discussing areas for future research and implications for clinical practice.
An Experimental Study of Bifurcated (Weekend and Weekday) and Unitary (Past Week) Retrospective Assessments of Sleep
Discordance between weekday and weekend sleep schedules is common (Bonnet & Arand, 1995; Breslau, Roth, Rosenthal, & Andreski, 1997; Machado, Varella, & Andrade, 1998; Strauch & Meier, 1988; Tsai & Li, 2004). Brief retrospective self-report measures are essential for epidemiological research studies (Moul, Hall, Pilkonis, & Buysse, 2004), but self-reports are prone to error in recall, and the greater the variability in nightly sleep, the less reliable are retrospective reports (Babkoff, Weller, & Lavidor, 1996). More accurate self-report responses may be possible if measures prompt participants to consider variations in sleep schedules that are consistent (i.e., weekday and weekend sleep schedules). The current study experimentally examined whether Bifurcated (Weekday and Weekend) retrospective assessments of sleep are more accurate than Unitary (Past Week) assessments. Participants were randomly assigned to complete one of the two versions (Bifurcated vs. Unitary) of the Sleep Questionnaire. One hundred and thirty-one participants were included in the analyses. Results of a a series of analyses demonstrated that the Bifurcated version of the Sleep Questionnaire provided more accurate and less variable estimates of total sleep time than the Unitary version of the Sleep Questionnaire. Differences between the versions of the Sleep Questionnaire for other sleep variables were less consistent, and the increased length of the Bifurcated version of the Sleep Questionnaire may have contributed to increased missing and unusable data in this group. Overall, the findings suggest that in both research and clinical work, retrospective measures that examine weekday and weekend sleep separately may offer advantages over retrospective measures that do not differentiate between weekday and weekend sleep.
Self-Control in Overweight and Obese Individuals: The Relationship of Dispositional Self-Control and Blood Glucose
Currently, the etiology of obesity is conceptualized as a confluence of environmental, socioeconomic, behavioral, biological and genetic factors. With regard to behavioral factors, some have suggested that a failure of self-control may contribute to the difficulty of an overweight/obese individual because of their inability to resist food or maintain physical activity. Recent research proposed that self-control could be described as similar to a muscle that can be fatigued. Thus, if an individual engages in a self-control task they have lessened ability to utilize self-control on a subsequent task. Theory also suggests self-control may be fueled by a finite resource, identified as blood glucose. The role blood glucose plays is important to understand, especially in overweight and obese populations, as they may be more likely to be insulin resistant. In effect overweight and obese individuals are less likely to adequately process glucose. Therefore overweight/obese individuals might react to self-control tasks differently than normal weight individuals. Participants who were considered normal weight, overweight, and obese were recruited from the UNT research pool. They answered questions about their trait self-control in daily life and engaged in either a task that required them to exert self-control (e.g., resist crossing out a letter unless criteria is met) or a control task (e.g., cross out a letter without restriction). All participants then engaged in a subsequent self-control task to assess if engaging in the initial self-control task reduced performance on the subsequent self-control task compared to the control task. The current research findings were not in line with previous research, in that a depletion effect in self-control was not observed; in neither the normal weight individuals nor the overweight and obese groups. There were several limitations that may have contributed to these findings including; higher DSC than observed in the general population and a possible adaptation ...
Stigma, Spirituality and Psychological Quality of Life in People Living with HIV: A Mixed Methods Approach
HIV is a potentially fatal virus that affects over 1,148,200 people in the United States. Due to the minority status that comes with living with HIV, PLH (people living with HIV) often encounter various aspects of stigma due to HIV, which contributes to suppressed overall psychological quality of life (PQOL).While the relationship between stigma and PQOL in PLH is well documented, little research examines mediators of this relationship. We hypothesized that spirituality (as measured by sense of peace, forgiveness of self and perceived fulfillment of life's goal) mediates the relationship between stigma and PQOL (as measured by depression, mental health and stress). We used an explanatory sequential mixed methods design which utilizes two distinct phases of the research process: quantitative (QUANT) analysis followed by qualitative (QUAL) analysis. Results of the QUANT phase suggest spirituality is a partial mediator in the relationship between stigma and PQOL in PLH. In the QUAL phase, we interviewed 15 PLH to elaborate on the relationships between the three constructs. We found PLH endorsed personalized stigma most frequently. Similarly, our results also indicate PLH experience stress, depression and anxiety as a result of their HIV status. Lastly, participant's interviewed most commonly described their spiritual beliefs as relating to religion or God, which is in contrast to how spirituality was conceptualized in the quantitative portion of our study. In all, QUAL results confirmed QUANT findings, with the one main difference between how spirituality was conceptualized between the QUANT and QUAL qualitative portions of our study. Results highlight the importance of clinicians inquiring about PLH's PQOL, experiences of stigma and spiritual beliefs.
Using Pre-Session Mindfulness to Improve Session Presence and Effectiveness: A Randomized-Controlled Trial
While a significant amount of research illustrates the overall positive effects of therapists' general use of mindfulness, very few studies have addressed whether therapists' use of mindfulness translates to improved psychotherapy outcomes. The present study utilized a randomized-controlled design to test whether a brief mindfulness training program and pre-session mindfulness practice could have a positive impact on therapy; in particular, we hypothesized that mindfulness training and practice would improve ratings on therapeutic presence as rated by clients and therapists and session effectiveness as rated by clients. The present study also examined whether clients' subjective ratings of therapy outcome and therapists' theoretical orientation impacted outcome measures after therapists completed mindfulness training. The 20 participating therapists were randomly assigned to either the mindfulness training (MT) group or control group according to a computer generated randomization list. Results indicated that clients did not significantly improve on outcome measures after completing the mindfulness training. Clients' subjective ratings on a psychotherapy outcome measure did predict changes in their ratings of therapeutic presence. This finding may have important implications for future research examining client characteristics that may moderate the relationship between therapeutic presence and session outcomes. Limitations of the present study and future directions are discussed.
The Relationship Between Shame and Attachment Styles
Despite research documenting the association between shame and aspects of poor psychological functioning, shame's adverse effects have remained largely invisible in modern societies. Shame has been described as the "attachment emotion" (Lewis, 1980), yet, there is little research that examines the relationship between attachment style and shame, and conclusions from this research are tempered by methodological limitations. The current study aimed to address methodological limitations with a quasi-experimental design and employed measures of state and trait shame, shame coping styles, an Emotional Stroop task for assessing implicit shame, and a shame mood induction procedure (MIP). This methodology provided a basis to examine differences by attachment style for 271 university students in state, trait, and implicit shame, as well as the use of maladaptive shame coping styles at baseline and following a shame MIP. Additionally, a qualitative analysis of the shame MIP written responses was conducted to provide a more nuanced understanding of the task used to elicit feelings of shame and individual differences in events identified as shame-triggering. Results revealed that students evidencing an insecure attachment style (i.e., preoccupied, fearful, or dismissive). reported significantly more state and trait shame compared to students evidencing a secure attachment style after the shame MIP. Individuals with an insecure attachment also demonstrated significant increases in state shame from baseline to post-MIP. Additionally, students with a preoccupied or fearful attachment style were also significantly more likely to endorse utilizing maladaptive shame coping strategies compared to students with a secure attachment style. Clinical implications, limitations, and future research directions are discussed.
The Pursuit of Optimal Performance: The Effect of Mastery- and Ego-Oriented Feedback on Sport Performance, Task Difficulty Selection, Confidence, and Anxiety
Within an achievement motivation theoretical framework, there are factors thought to most heavily influence performance and task difficulty selection. More specifically, motivational climates, feedback, confidence, and anxiety have all been identified as important factors influencing outcomes within performance settings. Much of the literature in the area of achievement motivation has focused on on the effects of mastery- and ego-oriented feedback on performance within academic settings and has received limited attention in the sport psychology literature within an athletic setting. Given the demonstrated effects of mastery- and ego-oriented feedback on performance, the importance of performance within the athletic context, and the scant literature examining the effects of feedback on athletic performance, the influence of feedback on sport performance needed to be empirically examined. The primary aim of this study was to provide a clearer understanding of the relationship of factors influencing athletic performance, with the ultimate goal of moving research toward a greater understanding of how optimal performance is achieved. As a result, this research may prove applicable to researchers, coaches, and athletes working toward optimal performance. In this study, I examined how mastery- and ego-oriented feedback influenced youth athletes' soccer performance, task difficulty selection, confidence, and anxiety. Youth soccer athletes (n = 71) participated in a soccer kicking task consisting of two trials. Between subjects ANCOVA analyses revealed athletes receiving mastery-oriented feedback performed significantly better on the soccer kicking task than athletes receiving ego-oriented feedback. No differences were discovered on task difficulty selection, confidence, or anxiety. Providing athletes mastery-oriented feedback before or after skill execution could be helpful in the development of athletic skill development and performance. Limitations of the present study and questions to examine in future research are also discussed.
Attitudes about Caregiving: An Ethnicity by Generation Approach
The goal of this project was to understand ethnic and generational differences in attitudes towards caregiving and expected burden while taking into consideration factors such as gender, generation, familism, and acculturation. One hundred and sixteen young adults (ages 18-25) and 93 middle-age adults (ages 38-62) were enrolled in the study. Participants included European Americans, African Americans, and Hispanics. Using moderation analysis, two hypotheses were investigated: 1) Ethnicity relates to attitudes towards caregiving, moderated by gender, generation, familism, and acculturation. 2) Ethnicity and expected burden relate to each other, moderated by gender, generation, familism, and acculturation. Familism emerged as a moderator in the relationship between ethnicity and expected burden. Results suggested that the strength of the relationship between being African American and expecting burden was less for those with moderate familism (R =.078), slightly higher for low familism (R = .176), and the highest for high familism (R= .261). Additional results indicated that the strength of the relationship between being Hispanic, as opposed to being European American, and expected burden, was higher for middle-aged adults (R =.23) when compared to young adults (R =.19). The current findings lend support to the recently established idea that familism is not protective against burden as it increases one's sense of obligation towards family (Knight & Sayegh, 2010).
The Moderating Effect of Religiosity on the Relationship between Attachment and Psychological Wellbeing in a Muslim-American Sample
Although research on attachment theory has grown exponentially in the field of psychology, few studies exist that examine this theory among young Muslim-American adults, despite the fact that Muslim-Americans represent a significant and growing segment of the U.S. population. The first goal of the current study was to replicate the results of previous studies demonstrating a strong relationship between attachment and the selected wellbeing indicators of psychological symptoms and life satisfaction. The second goal of the proposed study was to examine the relationships among maternal attachment, Islamic religiosity, and psychological wellbeing. Findings provided partial support to the direct effects of attachment and religiosity variables on particular outcome variables but did not support the moderating effect of religiosity. High maternal Control was found to be predictive of less psychological distress, whereas both maternal control and care were found to be negatively associated with an interpersonal behaviors aspect of religiosity. In addition, those who endorsed practicing Islamic rituals were found to report less life satisfaction, and individuals who viewed the world through an Islamic lens reported higher psychological distress. Discussion on the findings, limitations of the study, future research directions, and counseling implications are addressed.
Attachment Insecurity, Emotion Regulation Difficulties, and Mindfulness Deficits in Personality Pathology
A growing body of research has documented associations between personality disorders (PDs) and attachment disturbance, and yet, attachment disturbance does not necessarily guarantee the development of PD pathology. Thus, understanding the mechanisms mediating the relationship between attachment disturbance and PD pathology remains an open area of research. One area with sound theoretical and empirical evidence has shown that attachment disturbances are associated with emotion regulation difficulties, as well as maladaptive interpersonal patterns of behavior. However, the research conducted thus far has predominately focused on borderline personality disorder, at the exclusion of other PD domains, and also has not broadened the scope of research to include other relevant psychological processes that may clarify how personality pathology and attachment disturbance are interrelated. Using a large independent sample of college (n = 946) and community-based individuals (n = 271), the current study aimed to (1) examine how the Personality Inventory for DSM-5 (PID-5) PD trait domains would be differentially associated with maladaptive attachment processes and emotion regulation problems, and (2) explore whether deficits in mindfulness and emotion regulation mediated the relationship between disturbed attachment and PD trait domains. Findings suggested that the PID-5 PD trait domains have general and specific relations to attachment insecurity, impairments in emotion regulation, and decreased mindfulness. Overall, the current study suggests that improving emotion regulation skills and increasing dispositional mindfulness may limit the expression of pathological personality traits. Implications of these findings and directions for future research are discussed.
Feigning ADHD: Effectiveness of Selected Assessment Tools in Distinguishing Genuine from Simulated ADHD
Research indicates that some college students may be strongly motivated to feign AHDD symptoms for desired external incentives, such as stimulant medication or academic accommodations. To date, literature examining feigned ADHD has been primarily focused on ADHD specific self-report measures (e.g., CAARS) and continuous performance tests (e.g., CPTs); however, little attention has been devoted to the use of multi-scale inventories in detecting feigned ADHD. For CPT measures, virtually no literature exists on the effectiveness of the TOVA to identify feigned ADHD, despite its frequent clinical use for establishing this diagnosis. The current study utilized a between-subjects simulation design to validate feigning cut scores on ADHD-specific measures using 66 feigners and 51 confirmed ADHD cases. As prior literature suggested, the results convincingly demonstrated that face-valid ADHD assessment measures were easily faked. Across both TOVA modalities (e.g., Auditory and Visual), the ADHD simulators performed significantly poorer than those diagnosed with ADHD. As an innovative approach, a Dissimulation-ADHD (Ds-ADHD) scale was developed and initially validated. The Ds-ADHD is composed of ten MMPI-2-RF items mistakenly believed to be clinical characteristics associated with ADHD. Requiring cross-validation, Ds-ADHD optimized cut scores and classification of ADHD feigners appears promising. They were clearly distinguishable from ADHD client, as well as those feigning general psychopathology. Recommendations for the utilization of the Ds-ADHD scale, and future directions for research are discussed.
Social Anxiety and Non-Medical Prescription Stimulant Use among College Students
Current evidence suggests that non-medical prescription stimulant (NMPS) use is on the rise, particularly among college students. Identifying individuals at risk for regular and problematic use is a critical step towards the development of effective intervention efforts. A growing body of work has noted that individuals with elevated levels of social anxiety (SA) or social anxiety disorder are at an enhanced risk for developing substance use problems, including NMPS use disorder. Despite the relevance of SA and NMPS use among college students, no studies have attempted to examine subclinical SA or the relation between SA and NMPS use among college students specifically. Thus, the present study sought to extend this area by testing the relation of SA symptoms and NMPS use frequency among college students. A large online study of college students was conducted (N=1604) to identify 252 NMPS users (18-25 years; 68.3% female). A hierarchical linear regression was used to test the moderation of positive prescription stimulant expectancies on SA symptoms in predicting past year NMPS use frequency. A subsample of 15 participants was also brought into the lab to assess subjective (State Anxiety) and physiological (salivary cortisol) responding to a social stressor task. Overall, the current study did not provide evidence that SA, via retrospective self-report or real-time responding was related to past year NMPS use frequency. Additional research is needed to resolve the discrepancies between the present findings and prior work.
Predicting Posttraumatic Stress Disorder Symptoms During Adolescence: A Longitudinal Study of The Role of Hypothalamic-Pituitary-Adrenal (HPA) Axis Dysfunction
Posttraumatic stress disorder (PTSD) is a trauma-related disorder that may develop in response to traumatic or stressful events. Dysfunction of the Hypothalamic-Pituitary-Adrenal (HPA) axis has been implicated in the disorder. Studies support such dysfunction as being a consequence of PTSD, rather than a precursor. However, most studies of the HPA are either cross-sectional or have been carried out in adults. The aim of the present study was to identify whether HPA dysregulation interacts with stressful experiences to increase the likelihood of developing PTSD symptoms in a community-recruited sample of healthy adolescent girls. Adolescent girls (N = 550) and one of their parents participated. Adolescents’ clinical symptoms were assessed at baseline and at a nine month follow-up. Saliva samples were collected from all adolescent participants at waking, 30 minutes after waking, and 8 pm on 3 consecutive days. Flattened diurnal slope of cortisol at baseline was associated with increased PTSD symptoms nine months later. Baseline cortisol awakening response (CAR) per se was not prospectively related to developing PTSD symptoms, but its interactions with stressful experience was associated with elevated PTSD symptoms at follow-up. Effects were small and need to be replicated in samples with more severe stressors, as well as more clinical levels of PTSD. Nevertheless, findings suggest that dysregulated basal HPA functioning may be involved in the development of PTSD symptoms.
Role of Combat Exposure and Insomnia in Student Veterans' Adaptation to College
Since 2002, the number of veterans enrolled in universities has nearly doubled, although 30-40% of veterans fail to complete their degree. While research efforts to understand the challenges veterans face transitioning from military life to college has increased in recent years, few studies have looked beyond the effects of post-traumatic stress disorder (PTSD). Insomnia is the most frequently reported symptom of combat veterans and can have serious implications for college students. The purpose of this study was to examine the role of insomnia and student veteran adaptation to college relative to civilian students. College students (N = 588) were administered a Background Information Questionnaire, the Insomnia Severity Index, the Deployment Risk and Resilience Inventory, and the Student Adaptation to College Questionnaire. Results revealed that students with insomnia reported significantly lower adaptation to college than students without insomnia. Student veterans reported better academic and personal-emotional adaptation to college than civilian students, while civilians reported better social adjustment than veterans. Although combat veterans without insomnia scored consistently higher academic adjustment than non-combat veterans and civilian students, when present insomnia seemed to have a greater negative effect on combat veterans’ academic adjustment relative to civilian students. Furthermore, insomnia mediated the relationship between combat exposure and veteran’s personal-emotional adjustment to college. Implications and future directions for research are discussed.
Stress, Spirituality and Self-Esteem: Correlates of Psychological Quality of Life in an LGB Sample
In the current study, we aimed to explore the relationship between perceived stress, spirituality and self-esteem and how they are related to psychological QOL. We found that our overall model accounted for 58% of the total variance in psychological QOL (adj. R2 = .58, F(10, 136) = 21.79, p < .001) with stress (β = -.37, p < .01) and self-esteem (β = .45, p < .01) as the significant predictors. Additionally we found that spiritual beliefs and practices moderate the relationship between stress and QOL (adj. R2= .49, F(11, 135) = 13.88, p < .001). Lastly, we conducted a principle component analysis (PCA) on our three variables of interest and outcome variable to determine whether the proposed structure of our measures holds true for our sample (i.e., LGB populations).
Mock Juror Effects of Blame and Conviction in Rape Cases: Do Attitudes, Beliefs, and Contact with Homosexuals Matter?
The current case involves a female rape victim. Research has shown the level of victim blaming can be elevated if the victim is a lesbian woman compared to a heterosexual woman. Mock jurors’ responses to personality trait questionnaires (e.g., Belief in a Just World, Attitudes Toward Women, Attitudes Toward Lesbians) and amount of contact they have with homosexual people were employed as predictors of how they would decide victim blaming and perpetrator guilt. Personality trait findings were not good predictors; however, greater contact with homosexuals did decrease negative attitudes toward lesbian victims. Limitations and implications for future research are addressed.
Impact of Grit on Performance After Mastery- or Performance-oriented Feedback
Grit and achievement motivation have been predictors of behavior in academia and military settings (Duckworth, Matthews, Peterson, & Kelly, 2007), but to date, research on their effects on sport performance has been limited. Given grit's predictive role in other performance domains, grit may be influential in athletes' long-term goal attainment, interacting with their achievement motives and leading to better performances. Athletes' trait levels of grit may influence how they understand and respond to messages received within motivational climates from key personnel such as from coaches and teammates. We examined potential moderating effects of grit on the relationship between motivational feedback and high school soccer players (N = 71, Mage = 15.81) performance on a soccer task, their desire to persist in the task, and their choices of task difficulty. We used hierarchical multiple regression to test the main effects of feedback and grit and to determine if grit moderated the effects of feedback on performance. Grit was a significant moderator of the feedback-shooting performance relationship, accounting for 3.9% of variance. Simple slopes analysis revealed a significant effect for low (B = 13.32, SEb = 4.44, p = .004, t = 2.99), but not high, (B = 2.11, SEb = 4.31, p = .63, t = .49), grit on task success. Grit was not a significant moderator of task difficulty selection or task persistence. These results suggest that for those high in grit, feedback about natural ability or hard work is not particularly influential on performance. However, for low grit athletes, type of feedback matters.
Medical Comorbidity in the Course of Bipolar Disorder
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 and demographic symptoms were examined for their ability to predict the development of medical illness across the assessment interval. Overall rates of medical illness were elevated both early in illness course and 10 years after diagnosis, suggesting that broad sequelae of multi-system inflammation are present early and progress over time.
Longitudinal Prevalence of Disordered Eating and Weight Control Behaviors in Female Collegiate Athletes
Female collegiate athletes have been established as a high-risk group for the development of eating disorders due to the high prevalence rates of clinical and subclinical eating disorders, which have ranged from 1.9% to 16.6% and 4.0% to 26.1%, respectively. Collegiate athletes appear to meet criteria for ED-NOS more often than anorexia or bulimia nervosa, and frequently engage in pathogenic weight control behaviors (e.g., dieting, excessive exercise). To date, only a few studies have examined the long-term stability of eating disorders in collegiate female athletes. The current study investigated the prevalence of eating disorders (i.e., eating disordered, symptomatic, and asymptomatic) and pathogenic weight control behaviors (e.g, binging, vomiting, laxative use) in 325 NCAA-DI female collegiate gymnasts and swimmers/divers across two time points – the beginning of their competitive seasons (Time 1) and during the final two weeks of their competitive seasons (Time 2). By Time 2, 90% of the athletes classified as eating disordered at Time 1 (n = 20) maintained clinical or subclinical eating disturbances. Of the 83 athletes originally symptomatic, 37.3% remained so and 10.8% became eating disordered. Significantly more athletes became satisfied with their bodies over the course of the season than became dissatisfied. The athletes reported using exercise and dieting/fasting as the most frequent forms of weight control behaviors, each of which were used less frequently at Time 2 than at Time 1. The results support overall stability of eating disorder behaviors and classification over the course of a competitive season. Limitations and implications are discussed.
Shame Due to Heterosexism, Self-esteem and Perceived Stress: Correlates of Psychological Quality of Life in a Lesbian, Gay and Bisexual Sample
Sexual minorities experience higher levels of stress than heterosexuals, which in turn affects coping and psychological quality of life (PQOL). Although many sexual minorities remain mentally healthy, a higher prevalence of mental disorders among members of the lesbian, gay and bisexual (LGB) communities exists; thus, LGB PQOL becomes an important area to examine. Several key factors are related to PQOL: shame due to heterosexism, self-esteem and perceived stress. Using minority stress model, I hypothesized that shame due to heterosexism and perceived stress are negatively correlated with PQOL, while self-esteem is positively correlated with PQOL. I hypothesized that collectively shame due to heterosexism, self-esteem and perceived stress account for a significant proportion of the variance in PQOL, that self-esteem moderates the relationship between perceived stress and PQOL and that age moderates the relationship between shame due to heterosexism and PQOL. I calculated Pearson product-moment correlation coefficient and found shame due to heterosexism was negatively correlated with PQOL (r(146) = -.21, p = .009), perceived stress was negatively correlated with PQOL (r (146) = -.69, p < .001) and self-esteem was positively correlated with PQOL (r(146) = .72, p < .001). I conducted a regression analysis and found our model accounted for 59% of the variance in PQOL (adj. R2 = .59, F(3, 144) = 68.88, p < .001). Self-esteem did moderate the relationship between perceived stress and PQOL (p = .029), but age did not moderate the relationship between shame due to heterosexism and PQOL. Results suggest perceived stress and self-esteem play key roles in sexual minorities’ PQOL. Implications are discussed.
Relationship Centrality and Expressive Writing: Understanding Post-breakup Distress
When a romantic relationship ends in dissolution, the ex-partners may experience distress similar to post-traumatic stress or complex grief (i.e., dysphoric mood, feelings of loss, intrusive memories, negative rumination regarding the relationship, and a loss of self-esteem). Interventions designed to reduce post-breakup distress have historically attempted to foster integration of the breakup into the self-narrative through techniques such as expressive writing. Recent research indicates centrality, or heightened integration of an event or concept into an individual’s identity, predicts heightened levels of distress in the case of negative life events, including romantic relationship dissolution. Given the role romantic relationships themselves play in identity formation, exploration is warranted of the potential distress resulting from over-identification with a romantic relationship itself, or relationship centrality, after a breakup has occurred. Furthermore, if an individual has overly-integrated a relationship into their identity, the effectiveness of interventions focusing on further integration of the breakup is called into question. This study explored the centrality of participants’ previous romantic relationships, the distress resulting from the dissolution of those relationships, and the role of expressive writing as a distress reduction tool when centrality is taken into account.
Self-definition and College Adaptation in Students From the Ronald E Mcnair Postbaccalaureate Achievement Program
While a great deal of psychological research is conducted on college students, less has been done on their adaptation to college. These young adults, as they develop ego identity and differentiate themselves from parents and families, must adjust to the social and academic environment of college. Psychosocial adjustment predicts college retention better than academic predictors do. First generation college students face greater than typical challenges adapting to college. The Ronald E. McNair Post-Baccalaureate Achievement Program exists to aid first generation, lower income undergraduate student who wish to pursue a doctoral degree. Self-definition scored from thematic apperceptive technique stories reflects an individual’s relative freedom from social role constraint. This study examined the role of self-definition and familial understanding and acceptance in this population as predictors of successful adaptation to college. While neither was found to be a significant predictor, family understanding and acceptance was found to be a more defining characteristic of this sample than was self-definition. This suggests that when social support is sufficient, individuals do not need to rely on self-definition.
Assessment of Hot and Cool Executive Functioning Following Trauma Using the Traditional Stroop Task, Emotional Stroop Task, and a Novel Implicit Association Test
Individuals who have experienced a traumatic event and develop Post-Traumatic Stress Disorder (PTSD) frequently show deficits in both primarily “cool” and “hot” cognitive executive functions (e.g., traditional & emotional Stroop tasks, respectively) that can be impacted by high affective salience. Given the dimensional nature of psychopathology, questions remain about individuals within the general population who have experienced trauma but do not meet full criteria for PTSD and yet may manifest problems in these areas, especially areas of hot and cool executive functioning (EF). Thus, the current project was designed to assess hot and cool EF in a relatively large sample of individuals from the general population who have experienced trauma and currently demonstrate sub-clinical levels of post-traumatic symptoms. The Stroop task, Emotional Stroop task, and a novel modified Implicit Association Test were utilized to assess EF across a spectrum of individuals with varying traumatic histories and level of post-traumatic symptoms. Results suggest that a greater frequency of trauma experiences was moderately associated with worse performance on both hot and cool executive functioning measures. Specifically, females within the sample evidenced a close relationship between traumatic experiences, post-trauma symptoms, and executive functioning. Clinical and theoretical implications are discussed.
Determinants of Effort and Associated Cardiovascular Response to a Behavioral Restraint Challenge
This study directly tested implications of motivation intensity theory on effort to restrain against a behavioral urge or impulse (i.e. restraint intensity). Two factors were manipulated—magnitude of an urge and the importance of successfully resisting it—with cardiovascular (CV) responses related to active coping measured. Male and female undergraduate students were presented with a mildly- or strongly evocative film clip with instructions to refrain from showing any facial response. Success was made more or less important through coordinated manipulations of outcome expectancy, ego-involvement, and performance assessment. As expected, systolic blood pressure responses assessed during the performance period were proportional to the evocativeness of the clip when importance was high, but low regardless of evocativeness when importance was low. These findings support a new conceptual analysis concerned with the determinants and CV correlates of restraint intensity. Implications of the study and associations with current self-regulatory literature are discussed.
Reliability Generalization: a Systematic Review and Evaluation of Meta-analytic Methodology and Reporting Practice
Reliability generalization (RG) is a method for meta-analysis of reliability coefficients to estimate average score reliability across studies, determine variation in reliability, and identify study-level moderator variables influencing score reliability. A total of 107 peer-reviewed RG studies published from 1998 to 2013 were systematically reviewed to characterize the meta-analytic methods employed and to evaluate quality of reporting practice against standards for transparency in meta-analysis reporting. Most commonly, RG studies meta-analyzed alpha coefficients, which were synthesized using an unweighted, fixed-effects model applied to untransformed coefficients. Moderator analyses most frequently included multiple regression and bivariate correlations employing a fixed-effects model on untransformed, unweighted coefficients. Based on a unit-weighted scoring system, mean reporting quality for RG studies was statistically less than that for a comparison study of 198 meta-analyses in the organizational sciences across 42 indicators; however, means were not statistically significantly different between the two studies when evaluating reporting quality on 18 indicators deemed essential to ethical reporting practice in meta-analyses. Since its inception a wide variety of statistical methods have been applied to RG, and meta-analysis of reliability coefficients has extended to fields outside of psychological measurement, such as medicine and business. A set of guidelines for conducting and reporting RG studies is provided.
The Role of Injury-related Injustice Perception in Adjustment to Spinal Cord Injury: an Exploratory Analysis
Research has begun to explore the presence and role of health-related injustice perceptions in samples of individuals who experience chronic pain associated with traumatic injury. Existing studies indicate that higher level of injustice perception is associated with poorer physical and psychosocial outcomes. However, to date, few clinical populations have been addressed. The aim of the current study was to explore injustice perceptions in a sample of individuals who have sustained a spinal cord injury (SCI), as research suggests that such individuals are likely to experience cognitive elements characteristic of injustice perception (e.g., perceptions of irreparable loss, blame, and unfairness). The study explored the relationship between participants’ level of perceived injustice and several variables associated with outcomes following SCI (depression, pain, and disability) at initial admission to a rehabilitation unit and at three months following discharge. The Injustice Experience Questionnaire was used to measure injustice perceptions. IEQ was found to significantly contribute to depression and anger at baseline. IEQ significantly contributed to depression, present pain intensity, and anger at follow-up. The implication of these preliminary findings may be beneficial for development of future interventions, as many individuals in the United States experience the lifelong physical and psychological consequences of SCI at a high personal and public cost.
Quantitative Eeg Analysis of Individuals with Chronic Pain
Recent advances in neuroimaging and electromagnetic measurement technology have permitted the exploration of structural and functional brain alterations associated with chronic pain. A number of cortical and subcortical brain regions have been found to be involved in the experience of chronic pain (Baliki et al., 2008; Jensen et al., 2010). Evidence suggests that living with chronic pain shapes the brain from both an architectural and a functional perspective, and that individuals living with chronic pain display altered brainwave activity even at rest. Quantitative EEG (qEEG) is a method of spectral analysis that utilizes a fast Fourier transform algorithm to convert analog EEG signals into digital signals, allowing for precise quantification and analysis of signals both at single electrode locations and across the scalp as a whole. An important advance that has been permitted by qEEG analysis is the development of lifespan normative databases against which individual qEEGs can be compared (Kaiser, 2006; Thatcher et al, 2000). Pilot data utilizing qEEG to examine brainwave patterns of individuals with chronic pain have revealed altered EEG activity at rest compared to age- and gender-matched healthy individuals (Burroughs, 2011). The current investigation extended the findings of the pilot study by utilizing qEEG to examine a larger sample of individuals with chronic pain. Individuals with chronic pain displayed significantly reduced slow wave activity in frontal, central, and temporal regions. Findings will be presented in terms of specific patterns of altered EEG activity seen in individuals with chronic pain.
Contributing Factors in the Development of Complex Post-traumatic Stress Disorder Among Survivors of Interpersonal Violence
An understanding of factors that contribute to Complex Post Traumatic Stress Disorder (CPTSD) is of considerable importance to inform the prevention and treatment of the disorder. Moreover, gaining a better understanding of the factors that contribute to the etiology of CPTSD is of interest since most research to date focuses on the etiology of PTSD. Therefore, the purpose of the current study is to test the hypothesized prediction between childhood exposure to violence, childhood attachment, current interpersonal factors, and CPTSD symptoms. Using data from a community clinic and shelter serving victims of domestic violence and sexual assault, a partial least squares path analysis approach was employed to test the model’s strength in predicting contributing factors of CPTSD. Results support the proposed model, however, an alternative and more parsimonious model was found to be superior and revealed relationships between interpersonal variables and CPTSD. Specifically, women who reported child abuse and poor attachment with either parent, a perceived lack of current emotional and tangible support, and recent intimate partner violence (IPV) also reported symptoms of CPTSD. However, other variables, such as adult attachment avoidance and anxiety did not influence IPV or CPTSD as expected. Ultimately, the current findings lend support for Herman’s (1992) original conceptualization of CPTSD symptoms observed in survivors of prolonged and repeated trauma. Implications of these findings are discussed and results highlight the importance of assessing the contextual factors (e.g., social support, family environment) when a victim of prolonged trauma comes for treatment. Lastly, treatment implications and specific points of intervention are presented.
Cognitive Performance As a Function of Sleep Disturbance in the Postpartum Period
New mothers often complain of impaired cognitive functioning, and it is well documented that women experience a significant increase in sleep disturbance after the birth of a child. Sleep disturbance has been linked to impaired cognitive performance in several populations, including commercial truck drivers, airline pilots, and medical residents, though this relationship has rarely been studied in postpartum women. In the present study 13 pregnant women and a group of 22 non-pregnant controls completed one week of actigraphy followed by a battery of neuropsychological tests and questionnaires in the last month of pregnancy (Time 1) and again at four weeks postpartum (Time 2). Pregnant women experienced significantly more objective and subjective sleep disturbance than the control group at both time points. They also demonstrated more impairment in objective, but not subjective cognitive functioning. Preliminary analyses indicated increased objective sleep fragmentation from Time 1 to Time 2 predicted decreased objective cognitive performance from Time 1 to Time 2, though small sample size limited the power of these findings. Implications for perinatal women and need for future research were discussed.
Racial Microaggressions: Relationship to Cardiovascular Reactivity and Affect Among Hispanic/latinos and Non-hispanic Whites
Racial microaggressions are a type of perceived discrimination entailing a brief pejorative message by a perpetrator, whether verbal or nonverbal, intentional or unintentional, about a target person that operates below the level of conscious awareness. Research supports a relationship between perceived discrimination and worse mental and physical health outcomes, with the literature centered mainly on non-Hispanic blacks. Less research exists on how perceived discrimination, specifically racial microaggressions, affects the mental and physical health of Hispanic/Latinos. This study examined how exposure to racial microaggressions, using an experimental design whereby a confederate delivers two types of racial microaggressions, influences affect and cardiovascular reactivity (CVR) among Hispanic/Latinos and non-Hispanic whites. Results revealed that the experience of racial microaggressions did not evoke larger and longer lasting emotional and physiological arousal among Hispanic/Latinos and non-Hispanic Whites. Future directions are discussed.
Attachment Theory Within Clinical Supervision: Application of the Conceptual to the Empirical
Attachment theory has established itself as applicable to many types of relationships, encompassing caregiver-child, romantic, interpersonal, and psychotherapeutic interactions. This project sought to investigate the application of attachment theory to clinical supervision. Using suggestions put forth in previous work by Watkins and Riggs, this study examined the dyadic interactions inherent in both supervision and attachment. Using the working alliance as determination of the quality of supervision, attachment styles, leader-follower attachment, and attachment-based expectations were explored as predictors for supervisor-trainee dyad outcome in a training clinic for doctoral psychology students. The study design is longitudinal and prospective. Findings indicate the necessity of measurement of supervisory-specific attachment rather than general attachment, the stability of working alliance over time, and the large contribution of the leader-member attachment framework to the understanding of supervisory attachment. Implications include the importance of maintaining hierarchical, evaluative boundaries within supervisory relationship, consistent with a leader-follower dynamic.
Predictors of the Relationship Between Childhood Maltreatment and Career Decision Self-efficacy Among Undergraduate Students
Vocational disruption for survivors of interpersonal trauma has been noted by both practitioners and researchers. While limited empirical support exists, a firm theoretical framework and a full range of outcomes have not been explored. Guided by the framework of social cognitive career theory (SCCT), a promising framework recommended in the previous literature, the aim of the current study was to explore the function of contextual barriers and supports as predictors of career decision self-efficacy (CDSE). Due to the lack of consistency in previous research and absent theoretical specification of the particular mode of intervening variables, both mediation and moderation were explored using multiple regression. The results indicate the relationship between background factors (i.e., childhood maltreatment) and CDSE was fully mediated by an indirect pathway via personal factors (i.e., trauma-related symptoms) and learning experiences (i.e., anxious and avoidant attachment with a career-related mentor) in the prediction of CDSE. The results also indicate that personal factors (i.e., trauma-related symptoms) function as a moderator between background factors (i.e., childhood maltreatment) and learning experiences as anxious attachment with a career-related mentor. Finally, learning experiences as anxious attachment with a career-related mentor moderated the relationship between personal factors (i.e., trauma-related symptoms) and CDSE. Overall, within the SCCT model, the proposed predictors help explain differences in CDSE as related to childhood maltreatment through mediation and moderation. Theoretical and practical implications of the results are discussed.
An Initial Validation of the Virtual Reality Stroop Task (Vrst) in a Sample of Oef/oif Veterans
Currently, neuropsychologists rely on assessment instruments rooted in century old theory and technology to make evaluations of military personnel’s readiness to return-to-duty or return to their community. The present study sought to explore an alternative by evaluating the validity of a neuropsychological assessment presented within a virtual reality platform. The integration of a neuropsychological assessment into a cognitively and emotionally demanding virtual environment – reminiscent of a combat experience in Iraq – offers a more ecologically valid manner in which to evaluate the cognitive skills required in theater. U.S. military veterans’ (N = 50) performance on the Virtual Reality Stroop Task (VRST) was compared with performance on a paper-and-pencil, a computer adapted version of the Stroop task, and the subtests included in the Automated Neuropsychological Assessment Metrics-4 (ANAM4) TBI-MIL test battery. Results supported the validity of the VRST, indicating it demonstrates the typical Stroop effect pattern. The emotional salience of the VRST resulted in slowed reaction time compared to the ANAM Stroop. Further, the complex interference condition of the VRST offers opportunities for evaluation of exogenous and endogenous attentional processing. In the evaluation of threat, participants were noted to perform more accurately and more quickly in low threat versus high threat zones. Ancillary inquiries found no clinically meaningful findings regarding the role of deployment or post-concussive symptoms, and mixed findings regarding the effect of posttraumatic stress symptoms on neuropsychological performance among the three tested modalities.
The Role of Values in Psychotherapy Process and Outcome
Given the importance of client characteristics and preferences, and therapist expertise to evidence-based practice in psychology, the current study sought to contribute to the literature concerning the role of values in psychotherapy. Personal values of clients and trainee therapists in 29 dyads were examined for relationships between client and therapist values and associations with working alliance and outcomes. Although previous literature in this area has suggested that successful therapy is characterized by an increase in similarity of client and therapist values, the current study did not replicate this finding. However, client perceptions of therapist values were found to be important to working alliance and outcome. Findings are discussed in terms of suggestions for future research as well as implications for clinical practice, including the importance of discussing expectations and preferences with clients.