Counseling Commons^™

Sex Differences In The Acceptability And Short-Term Outcomes Of A Web-Based Personalized Feedback Alcohol Intervention For High School Seniors, Diana M. Doumas, Susan Esp, Rob Turrisi, Laura Bond, Sherise Porchia, Brian Flay

Counselor Education Faculty Publications and Presentations

Despite the escalation of alcohol use through high school, the majority of research on school-based alcohol interventions has been conducted with junior high students or first and second year high school students. Preliminary research indicates a brief, web-based personalized feedback intervention developed for college students (eCHECKUP TO GO) may be a promising program for high school seniors. Although these studies demonstrate positive intervention effects, there is some evidence for greater program efficacy for females in this age group. The current study investigates sex differences in program acceptability of the eCHECKUP TO GO and its relationship to short-term alcohol outcomes among …

Impact Of A Brief, Bystander Bullying Prevention Program On Depressive Symptoms And Passive Suicidal Ideation: A Program Evaluation Model For School Personnel, Aida Midgett, Diana M. Doumas, Claudia Peralta, Laura Bond, Brian Flay

Counselor Education Faculty Publications and Presentations

The purpose of this article is to present a study that can serve as a model of program evaluation for school personnel that can be used to improve services and demonstrate program efficacy to key stakeholders. The study presented in this article evaluated the impact of a brief, bystander bullying program (“stealing the show,” “turning it over,” “accompanying others,” and “coaching compassion,” [STAC]) on depressive symptoms and passive suicidal ideation among middle school students in a rural, low-income community (N = 130). This topic was selected as there is limited research examining the efficacy of bystander programs on improving …

Reduced Stroke Risk Among Patients With Atrial Fibrillation Receiving Chinese Herbal Medicines Treatment: Analysis Of Domestic Data In Taiwan, Li‐Cheng Zheng, Hanoch Livneh, Wei‐Jen Chen, Miao‐Chiu Lin

Counselor Education Faculty Publications and Presentations

Background and objectives: Patients with atrial fibrillation (AF) reportedly have a much higher risk of death due to stroke. Faced with this heavy burden, it remains unclear if the Chinese herbal medicines (CHMs), the most common form complementary and alternative medicine, can lower the risk of stroke for them. This study aimed to evaluate the association of CHMs use with stroke risk among them. Materials and Methods: From a nationwide database, 11,456 AF patients aged ≧ 20 years between 1998 and 2007 were identified. Afterwards, we enrolled 2670 CHMs users and randomly selected 2670 non-CHMs users using the propensity score …

Efficacy Of The Echeckup To Go For High School Seniors: Sex Differences In Risk Factors, Protective Behavioral Strategies, And Alcohol Use, Diana M. Doumas, Susan Esp, Rob Turrisi, Laura Bond, Brian Flay

Counselor Education Faculty Publications and Presentations

Objective: The purpose of this randomized controlled study was to examine sex as a moderator of the efficacy of a brief, web-based personalized feedback intervention (eCHECKUP TO GO) on decreasing cognitive risk factors for alcohol use, increasing protective behavioral strategies, and reducing alcohol use among high school seniors. Method: Participants (n = 311) were high school seniors randomized by class period to the eCHECKUP TO GO intervention or assessment-only control group. Participants completed online surveys at baseline and 30-day follow-up (91.0%; n = 283). Results: Students in the intervention group reported a significant reduction in normative perceptions of peer …

Gaining Administrative Support For Doctoral Programs In Counselor Education, Rebecca Scherer, Regina Moro, Tara Jungersen, Leslie Contos, Thomas A. Field

Counselor Education Faculty Publications and Presentations

Initiating and sustaining a counselor education and supervision doctoral program requires navigating institutions of higher education, which are complex systems. Using qualitative analysis, we explored 15 counselor educators’ experiences collaborating with university administrators to gain support for beginning and sustaining counselor education and supervision doctoral programs. Results indicate the need to understand political elements, economical aspects, and the identity of the proposed program. Limitations and areas for future research are presented.

The Impact Of A Brief Bullying Bystander Intervention On Depressive Symptoms, Aida Midgett, Diana M. Doumas

Counselor Education Faculty Publications and Presentations

The authors evaluated the impact of a brief bullying bystander intervention (STAC) on depressive symptoms among high school students using a randomized controlled design. Results of path analyses provided support for a mediational model in which the intervention was associated with an increase in sense of school belonging, which in turn was associated with a reduction in depressive symptoms. The authors discuss implications for high school counselors and counselors in other settings working with adolescents.

A Mixed Method Evaluation Of A Culturally Adapted, Brief, Bullying Bystander Intervention For Middle School Students, Molly Moran, Aida Midgett, Diana M. Doumas, Sherise Porchia, Steve Moody

Counselor Education Faculty Publications and Presentations

The purpose of this mixed method study was to examine the appropriateness of a brief, bullying bystander intervention (STAC) adapted for a middle school in a low-income, rural community with a predominantly White and Hispanic student body. We were also interested in understanding the experiences of the students who participated in the intervention. Quantitative analysis suggested that students gained knowledge about bullying, increased their confidence to intervene in bullying situations, and used the STAC strategies to intervene in bullying behavior. Analyzing the qualitative data using Consensual Qualitative Research methodology ([CQR] Hill et al.) revealed four domains in which students (a) …

The Use Of Generic Avoidant Coping Scales For Psychosocial Adaptation To Chronic Illness And Disability: A Systematic Review, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

This systematic review examined the validity of generic coping-with-stress measures in the relationships between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Major data bases were searched for studies on the association between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Findings indicated that reliance upon avoidance-type coping is linked to reports of poorer psychosocial adaptation. The veracity of these findings must be treated cautiously owing to conceptual, structural, psychometric, and other issues. Users of generic coping measures should consider these concerns prior to empirically investigating the link between generic avoidance-type coping measures and psychosocial adaptation …

Posttraumatic Growth Moderates The Effect Of Posttraumatic Stress On Quality Of Life In U.S. Military Veterans With Life-Threatening Illness Or Injury, Erin Martz, Hanoch Livneh, Steven M. Southwick, Robert H. Pietrzak

Counselor Education Faculty Publications and Presentations

• Facilitating PTG among U.S. Veterans who experienced life-threatening illness or injury can help to bolster quality of life of those individuals.

• It is particularly important to facilitate PTG for those Veterans who, in addition to experiencing life-threatening illness or injury, have experienced PTSD during their service.

• It should not be expected that PTG will eliminate co-occurring distress, such as posttraumatic symptoms.

• This study indicated that across the five interactions that were studied, the participants who reported higher levels of PTG actually experienced higher QoL under increased levels of PTSD.

Tinnitus, Depression, Anxiety, And Suicide In Recent Veterans: A Retrospective Analysis, Erin Martz, Chennettee Jelleberg, Deborah D. Dougherty, Charles Wolters, Aaron Schneiderman

Counselor Education Faculty Publications and Presentations

Objectives: The purpose of this project was to investigate whether there is an association between tinnitus diagnosis and suicide and whether depression and anxiety strengthen that association. Given that tinnitus is the top service-connected disability among U.S. Veterans (Veterans Benefits Administration, 2016) and that suicide among Veterans has been occurring at a higher frequency as compared with community suicide rates (Hoffmire et al., 2015), the possible associations between tinnitus and suicide will be explored. Co-occurring physical conditions also will be examined to determine if they increase the risk of suicide in the context of tinnitus.

Design: …

Bidirectional Associations Between Rheumatoid Arthritis And Depression: A Nationwide Longitudinal Study, Ming-Chi Lu, How-Ran Guo, Miao-Chiu Lin, Hanoch Livneh, Ning-Sheng Lai, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Rheumatoid arthritis (RA) and depression may be associated with each other pathophysiologically, but few studies have been conducted on the interplay between these two diseases using longitudinal measurement. Therefore, we used the National Health Insurance Research Database of Taiwan to investigate the bidirectional associations between RA and depression. One cohort was included to analyze RA predicting the onset of depression and a second cohort for analysis of depression predicting RA. A sex- and age-matched control group was included for both. The incidence of depression in RA subjects was higher than in non-RA subjects [15.69 vs. 8.95 per 1,000 person-years (PYs)], …

Evaluation Of A Brief, School-Based Bullying Bystander Intervention For Elementary School Students, Aida Midgett, Diana Doumas, Rhiannon Trull

Counselor Education Faculty Publications and Presentations

This study evaluated a brief, bystander bullying intervention for elementary school students. Students in the intervention group reported an increase in knowledge and confidence to act as “defenders.” Students in the intervention group also reported an increase in self-esteem relative to the control group, although this finding was limited to sixth-grade students. The study found no group differences in sense of school belonging. This article discusses implications for school counselors.

Interpretative Phenomenological Analysis: A Contemporary Phenomenological Approach, Raissa M. Miller, Casey A. Barrio Minton

Counselor Education Faculty Publications and Presentations

Interpretative Phenomenological Analysis (IPA) is a contemporary qualitative research method grounded in phenomenology, hermeneutics, and idiography. The philosophical principles and rigorous methodology make this approach well suited for research in counselor education and supervision. This primer introduces counselor educators to IPA theory and methodology and discusses considerations for implementation.

Effects Of Acceptance Of Disability On Death Or Dialysis In Chronic Kidney Disease Patients: A 3-Year Prospective Cohort Study, Hsin-Hung Chiang, Hanoch Livneh, How-Ran Guo, Mei-Ling Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Acceptance of disability (AOD) is a useful construct that assesses the ability of a patient to psychologically cope with chronic diseases, but its effect on long-term outcomes of patients with chronic kidney disease (CKD) remains unclear. This study aimed to evaluate the relation between AOD level and clinical outcomes in a cohort of CKD patients in Taiwan.

Methods: 262 CKD patients without dialysis at a hospital in Taiwan were consecutively recruited, from 2010 to 2011, and followed up for 3 years. At enrollment, demographic and clinical data were obtained, including baseline level measurement of AOD, using the …

Heavy Episodic Drinking And Alcohol-Related Consequences: Sex-Specific Differences In Parental Influences Among Ninth-Grade Students, Diana M. Doumas, Robin Hausheer, Susan Esp

Counselor Education Faculty Publications and Presentations

Parents impact adolescent substance abuse, but sex-specific influences are not well-understood. This study examined parental influences on adolescent drinking behavior in a sample of ninth-grade students (N = 473). Hierarchical regression analyses indicated parental monitoring, disapproval of teen alcohol use, and quality of parent-teen general communication were significant predictors of drinking behaviors. Sex, however, moderated these relationships. Specifically, parental monitoring was protective of heavy episodic drinking and alcohol-related consequences for females, whereas parental disapproval of teen alcohol was protective of heavy episodic drinking for males. Implications for sex-specific parent-based intervention programs are discussed.

The Relationship Of Socioeconomic Status And Counseling Outcomes, Lisa D. Hawley, Todd W. Leibert, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This study examined the relationship between various indices of socioeconomic status (SES) and clinical outcomes among clients at a university counseling center. It also explored links between SES and three factors that are generally regarded as facilitative of client change in counseling: motivation, treatment expectancy, and social support. Regression analyses showed that, overall, SES predicted positive changes in symptom checklists over the course of treatment. Individual SES variables predicting positive change were educational attainment and whether or not the client had health insurance. SES was not associated with motivation, treatment expectancy, or social support. Implications for SES research and counseling …

Counseling Emerging Adults In The Midst Of Life Transition: Applying Theory And Research To Practice, Joel A. Lane

Counselor Education Faculty Publications and Presentations

During the past decade, research examining 18- to 29-year-olds has resulted in the recognition of emerging adulthood as being a distinct developmental stage. Changing societal conditions during the latter 20^th century have contributed to a prolonged identity exploration process that extends well into the twenties. This period encompasses both increased autonomy compared to adolescence and also a moratorium from adult responsibilities, resulting in a subjective feeling of being ‘in-between’.

Converging with these changes are the many life transitions that are experienced during emerging adulthood. It is common for an emerging adult to graduate high school, leave home, enter college …

Counseling Emerging Adult Clients: The Role Of Attachment Relationships In Promoting Well-Being And Positive Development, Joel A. Lane, Christina M. Schnyders

Counselor Education Faculty Publications and Presentations

Emerging adulthood refers to a stage of development between adolescence and adulthood, generally encompassing the 18-29 age range. Sweeping societal changes during the latter 20^th and early 21^st centuries have resulted in a markedly different subjective experience in emerging adulthood compared to prior generations of 18- to 29-year-olds. Prominent features of emerging adulthood include demographic instability, feeling in-between, self-focus, prolonged identity exploration, and possibilities. Emerging adulthood is considered to be a critical period for well-being and functioning: impulsivity, risk-taking behaviors, and psychiatric onset are elevated in this age range, presumably because emerging adults concurrently experience the freedom and …

Counseling College Seniors Through The Transition Out Of College: Applying Theory And Research To Practice, Joel A. Lane, Dena Elghoroury

Counselor Education Faculty Publications and Presentations

The senior year of college represents a significant transition, during which individuals prepare to leave behind the freedom of the college experience and to assume ownership of adult roles. Recent research suggests that many of today’s college seniors are experiencing distress and reduced well-being regarding their ability to transition into career life, develop new support networks, and leave behind the freedom of the student lifestyle. This presentation will focus on the psychological implications of the graduation transition. The presenter will utilize his own research and clinical experience to provide attendees with a framework for understanding and working with seniors to …

Attachment, Well-Being, And College Senior Concerns About The Transition Out Of College, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This study examined the relationships among attachment, psychological well-being (PWB), life satisfaction, and concerns about the transition out of college among a sample of college seniors. A path analysis was conducted predicting that PWB and life satisfaction would mediate the relationships between attachment and three types of graduation transition concerns: career, change and loss, and support. Significant mediation effects impacting career concerns and change and loss concerns were discovered. Implications for college counseling are discussed. Keywords: attachment, college graduation, transition.

Attachment Relationships In Emerging Adulthood: Implications For Counselor Education And Supervision, Christina M. Schnyders, Joel A. Lane

Counselor Education Faculty Publications and Presentations

This session will explore the ways that attachment relationships influence emerging adulthood, the developmental stage experienced by individuals between the ages of 18-29. Findings will be presented from two research studies concerning attachment in emerging adulthood. Implications discussed will include adherence to CACREP standards, best practices for counselor educators who teach from a developmental framework, and best practices for supervisors working with emerging adult supervisees.

Twenty-Somethings In The Classroom And Counseling Office: Understanding Emerging Adult Counseling Students, Joel A. Lane

Counselor Education Faculty Publications and Presentations

Recent trends in many counseling training programs have reflected a proliferation of students entering graduate school directly after completing an undergraduate program. This proliferation has resulted in an increase in the number of emerging adult counseling students. Emerging adulthood is the term used to describe the ages of 18-25, and is unique in that individuals in this age group identify subjectively with aspects of both adolescence and adulthood without fully identifying with either. Lacking a crystallized adult identity poses unique challenges for these students, particularly with regard to developing professional identity and self-efficacy. While many emerging adults view these challenges …

Mentoring Counselor Education Doctoral Students To Teach Basic Counseling Skills, Erin E. Binkley, Joel A. Lane, Sarah Eikelberg

Counselor Education Faculty Publications and Presentations

As doctoral students in the field of Counselor Education prepare to become faculty members, engaging in supervised teaching experiences are both helpful and necessary to their development. In this presentation, two doctoral students and one faculty member will discuss their experience with mentoring as a tool for developing skill in teaching. In this mentoring relationship, the two doctoral students co-taught the Basic Counseling Skills course with the faculty member, and were mentored in areas of teaching, supervision, governance, and student evaluation. Experience of the mentoring process and development of teaching skills will be discussed by both the faculty member and …

A Narrative Conceptualization Of The Imposter Phenomenon: Implications For Supervisors Of Beginning Counselors, Joel A. Lane

Counselor Education Faculty Publications and Presentations

The Imposter Phenomenon, characterized as a sentiment that one is incompetent despite overwhelming contradictory evidence, is perhaps the most significant challenge that counseling students face as they begin their practicum experiences. Individuals experiencing this phenomenon are unable to internalize evidence of their competence. They believe that their successes can be attributed to luck, and feel that fraudulence is the primary reason for their having progressed to the point of the practicum experience. An inability to see one’s counseling abilities as competent can negatively impact his or her work in multiple ways. Supervisors of these counseling students are in a unique …

The Ethical Implications Of Bartering For Mental Health Services: Examining Interdisciplinary Ethical Standards, Joel A. Lane

Counselor Education Faculty Publications and Presentations

The present paper discusses literature concerning the practice of bartering for counseling, psychological, or social work services in lieu of traditional monetary payment. The author contrasts the language concerning the practice of bartering found in the respective ethical codes for each profession, and presents literature describing both risks and potential benefits of bartering arrangements. The primary risks of bartering include liability concerns and the potential for harmful or exploitive dual relationships. The primary benefits are that bartering makes mental health services available to those who cannot afford traditional fees, and allows for a culturally relevant compensation method for those whose …