Concussion, or mild traumatic brain injury (mTBI), is a frequent cause of brain damage among youth and, therefore, represents a major public health problem. While most youth recover from concussion within 2 to 4 weeks, some concussed children and adolescents endure prolonged symptoms, along with mood disturbance sequelae for months. Few studies have assessed mood disturbance and concussion in pediatric populations. Additional research is necessary to understand pediatric concussion recovery and mood disturbance better, to guide early intervention efforts, and to improve pediatric concussion care. The purpose of this study was to examine how symptoms of mood disturbance (i.e., anxiety, depression, anger) and somatization relate to the odds of concussion recovery in male and female youth 12 to 17 years of age, who presented for neuropsychological evaluation after head injury. Significantly fewer females were deemed recovered at initial neuropsychological evaluation compared to males. Bivariate analyses of mood disturbance and somatization predictors revealed significant group differences in symptom burden between those determined recovered from concussion and those who had not recovered. Logistic regressions of each mood disturbance variable and somatization on concussion recovery suggested a modest decline in the odds of recovery as symptoms of mood disturbance or somatization increase. A multivariable logistic regression model of mood disturbance predictors, somatization, gender, and age was significant and explained over a quarter of the variance in concussion recovery; however, after a backward variable selection procedure, only depression and somatization symptoms were significant in the final model and accounted for a modest decline in the odds of concussion recovery at initial evaluation. Results replicate and extend research findings in pediatric concussion.

Depression has been found to be a major problem for young adults in college, with multiple studies indicating high prevalence rates for this population. College students struggling with depression suffer from various consequences, including academic impairment and suicidal ideation, with suicide being a leading cause of death for people in the typical age range for undergraduates. Grounded in cognitive behavior theory and humanistic theory, this study examined the intra and interpersonal factors related to depression among undergraduates. Specifically, the interrelations between friend social support, sense of belonging to the college, mattering to friends, hope, and depressive symptoms were explored. Sex and number of close friends were controlled for, as the literature also showed evidence of their significant relations to depression. The sample consisted of 177 undergraduates between the ages of 18 and 25 from a large southwestern university. Participants responded to an online survey. While participants represented a diverse range of ethnicities, the majority were White. Hierarchical multiple regression analyses revealed that hope and sense of belonging to the college negatively predicted depressive symptoms. Furthermore, through zero-order correlations, it was found that friend social support, sense of belonging to the college, mattering to friends, and hope were all positively correlated with each other. Implications for prevention and clinical practice include the roles that counselors, college personnel, and students play in the battle against depression.

Native Americans reported the least number of degree completion than any other population in the United States. Native American students experience multiple challenges while in college making them a high-risk population for college departure. This study used two hierarchical multiple regression to explore the relationship between non-cognitive factors (financial concerns, family support for education, cultural involvement, ethnic identity, academic self-efficacy) with both academic stress and academic persistence decisions from a combined sample of 209 Diné college students attending two tribal colleges on the Navajo reservation. Two-week test-retest reliabilities were calculated for three scales: family support for education, financial concerns, and Dine’ cultural involvement. The Multidimensional Inventory of Black Identity Scale was modified to measure two facets of ethnic identity (centrality and private regard) for Diné students. Academic Self-Efficacy was measured by the College Self-Efficacy Inventory. The Daily Hassles Index for College Stress was used to measure academic stress and the Persistence/Voluntary Dropout Decisions Scale was measured academic persistence decisions. Due to its suppression effect on the relation of private regard and academic stress, centrality was not included in the hierarchical regression predicting academic stress; however, it was included in the prediction of academic persistence decisions. Diné students reported high scores for family support for education that suggested that generally the students at Dine’ College perceived that their families as being supportive and encouraging their efforts to get their college degree. In the hierarchical regression predicting academic stress, in step one more cultural involvement and fewer financial concerns predicted less academic stress. In the final model, only fewer financial concerns

and greater academic self-efficacy predicted less academic stress. In the hierarchical regression predicting academic persistence decisions, private regard and academic self- efficacy were significant, positive predictors of persistence decisions. These findings are discussed in light of the role counseling psychologists can play in addressing financial concerns, ethnic identity, and academic self-efficacy among Dine’ students in order to decrease their academic stress and increase their positive decisions about staying in school.

Research has demonstrated that intimate partner violence (IPV) plays an important role in relationship satisfaction. Consistently, the research has indicated a negative association between the prevalence of IPV and relationship satisfaction (Cano & Vivian, 2003; Hotaling & Sugarman, 1990; Vivian & Langhrinrichsen-Rohling, 1994); however, more recent research has provided evidence of higher relationship satisfaction when IPV is present (Frieze, 2005; Hamby & Gray-Little, 2000; Williams & Frieze, 2005). There has been less emphasis placed on uncovering possible explanations for this inconsistency. Some researchers have suggested that victims find ways to rationalize their offender's behavior (Ackerman & Field, 2011), do not consider themselves victims of violence (Hamby & Gray-Little, 2000), or even fail to identify physical violence as IPV (Ferraro & Johnson, 1983) in order to maintain their desire to feel satisfied in their relationship. There is a need for additional research to understand why an individual might report higher relationship satisfaction when IPV is present in her/his intimate relationship and attempt to uncover underlying, contributing factors of IPV. This study sought understanding of the potential mediating role that idealization, the overly positive illusions of a partner or the intimate relationship (Murray, Holmes, & Griffin, 1996a; 1996b), may play on the association between IPV and relationship satisfaction. Additionally, gender was examined as a potential moderator between the predictor and outcome variables as IPV research has consistently documented the need for greater gender symmetry within this topic. One hundred and fifty-two adults (75 males and 77 females) who were currently involved in an intimate relationship (e.g., dating, engaged, married) or had been within the past 12-months completed a survey that assessed IPV, idealization, and relationship satisfaction. Three types of IPV were measured for the purposes of this study (i.e., psychological aggression, physical assault, and sexual coercion), and each was analyzed separately. Results indicated that idealization served as a mediating variable in the relationship between IPV and relationship satisfaction for all three types of IPV. Gender was not found to moderate the relationships for any of the three types of IPV and relationship satisfaction. Limitations, implications, and future research are discussed.

The purpose of this study was to examine the association between characteristics of the symptomatology change curve (i.e., initial symptomatology, rate of change, curvature) and final treatment outcome. The sample consisted of community clients (N = 492) seen by 204 student therapists at a training clinic. A multilevel approach to account for therapist effects was followed. Linear, quadratic, and cubic trajectories of anxiety and depression symptomatology, as assessed by the Shorter Psychotherapy and Counseling Evaluation (sPaCE; Halstead, Leach, & Rust, 2007), were estimated. The multilevel quadratic trajectory best fit the data and depicted a descending curve (partial “U”-shaped). The quadratic growth parameters (intercept, slope, quadratic) were then used as predictors of both symptom change and reliable improvement in general symptomatology (pre- to post-treatment), as assessed by the Outcome Questionnaire-45.2 (OQ-45.2; Lambert, Hansen, Umpress, Lunen, Okiishi et al., 1996). The quadratic growth parameters of depression and anxiety showed predictive power for both symptom change and reliable improvement in general symptomatology. Patterns for two different successful outcomes (1-change in general symptomatology and 2-reliable improvement) were identified. For symptom change, successful outcomes followed a pattern of low initial levels of depression and anxiety, high initial rates of change (slope), and high (flattening after initial drop) curvature, and the pattern applied to both within- and between-therapist levels. For reliable improvement at within-therapist level, successful outcomes followed a pattern of high initial rate of change (slope) and high curvature. For reliable improvement at between-therapist level, successful outcomes were associated with a pattern of low initial levels of depression and anxiety. Implications for clinical practice are discussed.

Sexual trafficking, the commercial sexual exploitation of individuals for profit, is reported to occur around the world. Tens of thousands of women and children are reported to be trafficked into the United States each year. Reports indicate a negative impact on an individual’s physical, mental, and interpersonal health. Presently, therapeutic models have been proposed but not yet formalized. Current training programs are not focused on developing therapeutic skills. The primary researcher developed the present study to discern an understanding of the lived experience of mental health professionals who have provided therapy with this population. Moreover, the primary researcher sought to understand how these mental health professionals view current preparation programs.

The present study used qualitative inquiry to examine the experience of practitioners in this field. Constructivism was used to center upon each interviewees’ description of their lived experience. Inductive thematic analysis was conducted to analyze the data generated within each interview. Thematic structures were intricately linked to the data generated by focusing on the internal elements of the interview rather than a pre-conceived structure. Validation was employed through analytic memo writing and audits.

Findings were consistent with core components of therapy; however, analysis yielded some themes specific to therapy with survivors of sexual trafficking. Interviewees shared a common practice of conceptualizing each client and a motivation to build a safe and collaborative relationship, provide focused therapeutic structure, and support their clients beyond the average boundaries of therapy. Interviewees reported a minimal amount of interaction with training programs due to scarcity.

The findings suggest an increased need for training programs to prepare professionals to provide therapy with this population. Interviewees described a need for sensitive and specific trauma therapy training, consistent with suggestions in the literature. Future research may include further investigation into training programs when more have been developed. Interdisciplinary teams were a common desire among interviewees. Future research may explore the efficacy of interdisciplinary teams with this population. Finally, interviewees indicated advocacy work as an intricate part of their role as a therapist with this population and future research could investigate how this may impact the therapeutic relationship.

The purpose of this paper is to review the literature on interventions for children with conduct disorder. Conduct disorder mainly effects children and adolescents, and is characterized as a pattern of persistent (sometimes anti-social) behavior in which an individual violates the basic rights of others or disregards societal norms and rules. If left untreated, conduct disorder can be a precursor to more severe behavioral problems and consequences, including juvenile delinquency and unlawful behavior as an adult. The interventions reviewed in this paper include cognitive-behavioral therapy (CBT), supportive counseling, experiential therapy, multisystemic therapy (MST), parent management training (PMT), military school, scared-straight programs and boot camps, and medication. Based on empirical data and recommendations from experts in the field, I conclude with suggestions for parents on how best to help their children diagnosed with conduct disorder.

Positive psychology focuses on the promotion of well-being (Seligman, & Csikszentmihalyi, 2000). Positive psychology interventions (PPIs) have been developed to help facilitate the development of skills needed to flourish and current research suggests that PPIs can help individuals improve their happiness, reduce stress, and become more resilient (Lyubomirsky, King, & Diener, 2005). National surveys highlight that students in higher education are in dire need of interventions aimed at helping them cope with the negative impact of stress (Douce & Keeling, 2014; Marks & Wade, 2015). Research among the graduate student population is scant even though they report high levels of stress and work even more hours than undergraduate students (Wyatt & Oswalt, 2013). PPIs implemented in the graduate student population focus heavily on psychologically-based programs, like psychology and social work, whose students may already be receiving assistance in self-care (Botta, Cadet, & Maramaldi, 2015; Burkhart, 2014; Nelson, Dell'Oliver, Koch, & Buckler, 2001). Thus, this current study is a randomized controlled trial testing an online PPI, adapted from Achor's work in the business industry (2012, 2014), compared with an online informative stress group and a wait list control group among graduate students from various disciplines at a large, public university in the Southwest. Participants were administered pre-, post-, and three-month follow-up tests to determine the impact of the interventions on their levels of perceived stress, happiness, and resilience. A multivariate analysis of covariance (MANCOVA) was used with covariates of age, gender, race, program of study, and graduate level of study (masters versus doctoral). The main findings of the study included: the students in the PPI group reported significantly higher resilience at the end of the three weeks than did the students in the informative stress or wait list control groups, even though measures of happiness or perceived stress were not impacted; and students from psychologically based programs received the most benefit from treatment, especially from the PPI intervention. All findings, implications, and suggestions for future directions are discussed.

Being married as an undergraduate student is uncommon, considering the average age people marry in the U.S. is 28-years-old. Given that the “traditional” undergraduate student is unmarried, being a married undergraduate student may be associated with the anticipation of stigma due to their marital status, which may be a stressful experience (hereafter-anticipated stigma stress) and have harmful effects on one’s well-being, particularly symptoms of anxiety. As such, it is important to identify ways in which romantic partners can help one another cope with this unique stressor by engaging in positive or negative dyadic coping (DC). Using cross-sectional data from 151 married undergraduate students, this project examined whether perceptions of partner’s positive and negative DC moderated the association between anticipated stigma stress and symptoms of anxiety. There was a significant main effect of anticipated stigma stress on anxiety, such that higher anticipated stigma stress was associated with greater symptoms of anxiety. Delegated DC moderated this association, such that when participants reported high levels of anticipated stigma stress, those who reported higher partner’s use of delegated DC also reported higher symptoms of anxiety as compared to those who reported low partner’s use of delegated DC. Implications for future research and mental health counselors are discussed.

Those who have borderline personality disorder (BPD), and those who have subclinical levels of BPD features, experience distress and impairment in important life domains, especially in their interpersonal interactions. It is critical to understand the factors that alleviate BPD symptoms in order to help affected individuals lead healthier lives. Rejection sensitivity and sleep disturbance are two factors that may maintain or exacerbate BPD symptoms, yet new research indicates socially supportive relationships are related to symptom remission. While extensive research exists on the interpersonal impairments associated with borderline personality pathology, little research exists on how individuals with BPD or BPD features perceive and experience their social support. The present study examined the relationships between BPD features, perceived social support, sleep quality, and rejection sensitivity in a racially diverse, large sample of primarily college-aged individuals (N = 396). Results indicated that BPD features had a significant positive relationship with self-reported rejection sensitivity and a significant negative relationship with self-reported perceived social support. Additionally, BPD features had a significant positive relationship with sleep disturbance. Sleep disturbance did not moderate the relationship between BPD features and rejection sensitivity as expected; however, the regression of rejection sensitivity on BPD features and sleep disturbance was significant. Finally, sleep disturbance moderated the relationship between BPD features and rejection sensitivity. Results extend and replicate recent research findings on the possible mechanisms that may maintain and alleviate BPD symptoms. Furthermore, the moderating effect of sleep disturbance on perceived social support for those with higher levels of BPD features is unique to this study.