Social and Behavioral Sciences Commons^™

Accountability As A Key Virtue In Mental Health And Human Flourishing, John R. Peteet, Charlotte Vanoyen-Witvliet, C. Stephen Evans

Faculty Publications

We propose that accountability plays an implicit, important, and relatively unexamined role in psychiatry. People generally think of accountability as a relation in which one party is held accountable by another. In this paper, we examine accountability as a virtue, drawing on philosophy, psychiatry, and psychology to examine what it means to welcome being accountable in an excellent way that promotes flourishing. When people manifest accountability as a virtue, they are both responsive to others they owe a response, and they are responsible for their attitudes and actions in light of these relationships. Psychiatric treatment often aims to correct disordered …

A Scoping Review Investigating Relationships Between Depression, Anxiety, And The Prep Care Continuum In The United States, Sarah J. Miller, Sayward Harrison, Kamla Devi Sanasi-Bhola

Faculty Publications

Men who have sex with men and transgender women in the United States are at increased risk for HIV and may benefit from pre-exposure prophylaxis (PrEP), a once-a-day pill to prevent HIV. Due to stigma and discrimination, sexual and gender minority (SGM) populations are also at risk for depression and anxiety. This scoping review sought to identify literature addressing relationships between the PrEP care continuum, depression, and anxiety among SGM individuals and others at high risk for HIV. We conducted a systematic review of four databases (i.e., PubMed, PsycInfo, Web of Science, Google Scholar) and identified 692 unique articles that …

The Roles Of Identity Formation And Moral Identity In College Student Mental Health, Health-Risk Behaviors, And Psychological Well-Being, Sam A. Hardy, Stephen W. Francis, Byron L. Zamboanga, Su Yeong Kim, Spencer G. Anderson, Larry F. Forthun

Faculty Publications

Objectives: This study examined the roles of identity formation and moral identity in predicting college student mental health (anxiety and depressive symptoms), health-risk behaviors (hazardous alcohol use and sexual risk taking), and psychological well-being (self-esteem and meaning).

Method: The sample comprised 9,500 college students (aged 18–25 years, mean = 19.78, standard deviation = 1.61: 73% female; 62% European American), from 31 different universities, who completed an online self-report survey. Results: Structural equation models found that identity maturity (commitment making and identity synthesis) predicted 5 of the health outcomes (except sexual risk taking), and moral identity predicted ail of the health …

Impact Of Adverse Childhood Events On The Psychosocial Functioning Of Children Affected By Parental Hiv In Rural China, Jordan Ezell, Sayward Harrison, Yanping Jiang, Xiaoming Li

Faculty Publications

Introduction: Children affected by parental HIV are more likely than unaffected peers to experience trauma and are at-risk for negative psychological and social outcomes. This study aimed to examine the relationship between adverse childhood events and psychosocial functioning among children affected by parental HIV.

Methods: A total of 790 children ages 6–17 from Henan, China were enrolled in a longitudinal, randomized controlled trial of a resilience-based psychosocial intervention. At baseline, children reported on numerous psychosocial factors, including trauma exposure, symptoms of anxiety and depression, and peer social functioning. We used linear regression analysis to test the direct effect of trauma …

Screening For Posttraumatic Stress Disorder In Ards Survivors: Validation Of The Impact Of Event Scale-6 (Ies-6), Megan M. Hosey, Jeannie-Marie S. Leoutsakos, Ximin Li, Victor D. Dinglas, O. Joseph Bienvenu, Ann M. Parker, Ramona O. Hopkins Phd, Dale M. Needham, Karin J. Neufeld

Faculty Publications

Background: Posttraumatic stress disorder (PTSD) symptoms are common in acute respiratory distress syndrome (ARDS) survivors. Brief screening instruments are needed for clinical and research purposes. We evaluated internal consistency, external construct, and criterion validity of the Impact of Event Scale-6 (IES-6; 6 items) compared to the original Impact of Event Scale—Revised (IES-R; 22 items) and to the Clinician Administered PTSD Scale (CAPS) reference standard evaluation in ARDS survivors.

Methods: This study is a secondary analysis from two independent multi-site, prospective studies of ARDS survivors. Measures of internal consistency, and external construct and criterion validity were evaluated.

Results: A total of …

Socioemotional Selectivity And Mental Health Among Trauma Survivors In Old Age, Derek M. Isaacowitz, Timothy B. Smith, Laura L. Carstensen

Faculty Publications

Empirical tests of socioemotional selectivity theory support the contention that the developmental trend in adulthood to focus increasingly on fewer, but emotionally significant, social partners is associated positively with psychological well-being. Tenets of the theory, however, also suggest conditions in which selectivity could instead lead to an increase in negative emotional experiences. In particular, if the socioemotional world of the individual includes emotional distress, selective focus on emotions and close relationships may detract from rather than enhance well-being. In the current study, we examined selectivity and associated well-being in Holocaust survivors, Japanese-American internment camp survivors, and comparably-aged people who lived …

The Relationship Between Family Support; Pain And Depression In Elderly With Arthritis, Wendy C. Birmingham, Man Hung, Jerry Bounsanga, Maren W. Voss, Anthony B. Crum, Wei Chen

Faculty Publications

The prevalence and chronic nature of arthritis make it the most common cause of disability among U.S.A adults. Family support reduces the negative impact of chronic conditions generally but its role in pain and depression for arthritic conditions is not well understood. A total of 844 males (35.0%) and 1567 females (65.0%) with arthritic conditions (n = 2411) were drawn from the 2012 Health and Retirement Study to examine the effect of family support on pain and depressive symptoms. Using regression analysis and controlling for age, ethnicity, gender, marital/educational status and employment/income, physical function/disability status, pain and antidepressant medications, and …

Attitudes Toward Anger Management Scale: Development And Initial Validation, David J. Boudreaux, Eric R. Dahlen, Michael B. Madson, Emily Bullock-Yowell

Faculty Publications

This article describes the development and preliminary validation of the Attitudes Toward Anger Management Scale (ATAMS), a self-report measure of attitudes toward anger management services. Undergraduate volunteers (N = 415) completed an initial version of the instrument. Principal components analysis yielded a two-factor solution. Convergent and incremental validities were supported.

Ethnic Identity And Personal Well-Being Of People Of Color: A Meta-Analysis, Timothy B. Smith, Lynda Silva

Faculty Publications

This meta-analysis summarized research examining the relationship between the constructs of ethnic identity and personal well-being among people of color in North America. Data from 184 studies analyzed using random effects models yielded an omnibus effect size of r = .17, suggesting a modest relationship between the two constructs. The relationship was somewhat stronger among adolescents and young adults than among adults over age 40. No differences were observed across participant race, gender, or socioeconomic status, which findings support the general relevance of ethnic identity across people of color. Studies correlating ethnic identity with self-esteem and positive well-being yielded average …

Social Relationships And Mortality Risk: A Meta-Analytic Review, Timothy B. Smith, Julianne Holt-Lunstad, J. Bradley Layton

Faculty Publications

Background: The quality and quantity of individuals' social relationships has been linked not only to mental health but also to both morbidity and mortality. Objectives: This meta-analytic review was conducted to determine the extent to which social relationships influence risk for mortality, which aspects of social relationships are most highly predictive, and which factors may moderate the risk. Data Extraction: Data were extracted on several participant characteristics, including cause of mortality, initial health status, and pre-existing health conditions, as well as on study characteristics, including length of follow-up and type of assessment of social relationships. Results: Across 148 studies (308,849 …

Sexual Harassment Experiences And Harmful Alcohol Use In A Military Sample: Differences In Gender And The Mediating Role Of Depression, Jaimie L. Gradus, Amy E. Street, Kacie Kelly, Jane Stafford

Faculty Publications

The current investigation identified the genderspecific prevalence of sexual harassment and assault experienced during U.S. military service and the negative mental and physical health correlates of these experiences in a sample of former reservists. We surveyed a stratified random sample of 3,946 former reservists about their experiences during military service and their current health, including depression, posttraumatic stress disorder, somatic symptoms, and medical conditions. Prevalence estimates and confidence intervals of sexual harassment and assault were calculated. A series of logistic regressions identified associations with health symptoms and conditions. Both men and women had a substantial prevalence of military sexual harassment …

Sexual Harassment And Assault Experienced By Reservists During Military Service: Prevalence And Health Correlates, Amy E. Street, Jane Stafford, Clare M. Mahan, Ann Hendricks

Faculty Publications

The current investigation identified the gender-specific prevalence of sexual harassment and assault experienced during U.S. military service and the negative mental and physical health correlates of these experiences in a sample of former reservists. We surveyed a stratified random sample of 3,946 former reservists about their experiences during military service and their current health, including depression, posttraumatic stress disorder, somatic symptoms, and medical conditions. Prevalence estimates and confidence intervals of sexual harassment and assault were calculated. A series of logistic regressions identified associations with health symptoms and conditions. Both men and women had a substantial prevalence of military sexual harassment …

Culturally Adapted Mental Health Interventions: A Meta-Analytic Review, Timothy B. Smith, Derek Griner

Faculty Publications

There is a pressing need to enhance the availability and quality of mental health services provided to persons from historically disadvantaged racial and ethnic groups. Many previous authors have advocated that traditional mental health treatments be modified to better match clients? cultural contexts. Numerous studies evaluating culturally adapted interventions have appeared, and the present study used meta-analytic methodology to summarize these data. Across 76 studies the resulting random effects weighted average effect size was d = .45, indicating a moderately strong benefit of culturally adapted interventions. Interventions targeted to a specific cultural group were four times more effective than interventions …

From The Individual To Individualism: A Critique Of The Helping Professions, Timothy B. Smith, Matthew R. Draper

Faculty Publications

Individualistic values characterize contemporary society and many popular approaches to mental health treatment. This paper critiques the individualistic values embedded in the helping professions that implicitly contradict the teachings ofJesus Christ, the surest foundation for mental health interventions. Members of AMCAP are encouraged to search out and replace problematic values that contradict gospel teachings which have been integrated into contemporary mental health practice.