Counselor Education Commons^™

The Addition Of Chinese Herbal Medicines Is Effective As A Prophylactic Treatment Against Dental Diseases For Sjögren’S Syndrome Patients: Insight From Real-World Database, Ching-Ya Juan, Wei-Jen Chen, Hanoch Livneh, Ming-Chi Lu, Tzung-Yi Tsai

Leadership, Learning and Counseling Faculty Publications and Presentations

Background and Objectives:

Sjögren’s syndrome (SS) is a chronic autoimmune disease that affects the salivary glands and increases the risk of developing dental diseases (DDs). Chinese herbal medicines (CHMs) represent a promising alternative strategy for SS treatment; however, the association between CHMs and DD risk has not been confirmed. In this retrospective, cohort-based, nested case-control study, we explored whether or not combining CHMs with routine treatments for SS can reduce the chance of DDs.

Materials and Methods:

In the beginning, we recruited subjects aged 20–80 years with newly diagnosed SS who were free of DDs between 2001 and …

Our Ethical Duty: Assessing The Competencies Of Counselors-In-Training For Counseling With Transgender And Gender Expansive Clients, Deanna N. Cor, M. N. Saltis, Megan Doughty Shaine, Lauren Streeter

Counselor Education Faculty Publications and Presentations

Counselors report a lack of competence in working with transgender and gender expansive (TGE) individuals. TGE people report a lack of competent and affirming care. This study used the Gender Identity Counselor Competency Scale- Revised (GICCS-R) to understand self-reported competence and training levels in working with this population. Participants were 90 masters-level counselors in training who had at least started practicum in CACREP-accredited programs. Hierarchical linear regression was utilized to determine factors that predict competence including identities and training levels. Results highlight a lack of perceived competence in skill-based training. Counselor education programs must focus on improving TGE affirmative skills.

The Combined Treatment Of Chinese Herbal Medicines Is Correlated With A Lower Risk Of Rheumatoid Arthritis In Patients With Depression: Evidence From A Population-Based Patient–Control Study, Chieh-Tsung Yen, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Major depression places psychological strain on the individual that may increase the risk of developing rheumatoid arthritis (RA). Though the use of Chinese herbal medicines (CHMs) is widespread in clinical practice, its effect on the prevention of RA incidents is still unknown. This study aimed to evaluate the association between CHMs use by patients with depression and their subsequent risk of being diagnosed with RA.

A 14-Year Content Analysis Of School-Family Partnership Publications In Counseling: Trends, Gaps, And Future Directions, Yi-Wen Su, Dan Li

Counselor Education Faculty Publications and Presentations

This content analysis examined 55 articles on school-family-community partnerships published in counseling journals between 2010 and 2024, identifying trends in publication type, methodology, and population focus. Most articles (54.54%) were conceptual, with Professional School Counseling leading in publication volume. Limited empirical research and a lack of focus on diverse populations were noted, with only 18.18% addressing racial minorities (primarily Latino and African American) and 5.45% focusing on rural communities. Four primary strategies for strengthening partnerships emerged: Inclusivity, Leadership and Empowerment, Equity-Focused, and Consistent Communication—each aligning with the school counselor’s roles in fostering collaborative, equitable partnerships. Recommendations emphasize a need for …

Gatekeeping As An Online Adjunct Clinical Instructor In Counselor Education, Bernadet Dejonge, Deborah J. Rubel, Yun Shi

Counselor Education Faculty Publications and Presentations

This interpretative phenomenological analysis study examined how adjunct instructors teaching online clinical counseling courses experienced gatekeeping in the context of the university system. The research question was: How do online, adjunct instructors teaching master’s level clinical counseling courses experience their university interactions as a part of gatekeeping? The participants described five experiential themes. These were: a) Balancing marginalization in the system with advocacy for the profession; b) Maneuvering through dependency on the system in gatekeeping; c) Finding consultation while navigating gatekeeping interactions; d) Managing the intensity of clinical courses; and e) Navigating the steep learning curve of learning how to …

Mindfulness In Helping Professions: A Systematic Review Of Interventions And Research Gaps, Yi-Wen Su, Ye Luo

Counselor Education Faculty Publications and Presentations

Mindfulness interventions yield significant benefits such as stress reduction, increased empathy and compassion, and enhanced self-efficacy among counselors. These outcomes are particularly valuable for helping professionals. This systematic review examines mindfulness interventions within mental health professional development programs, evaluating their effectiveness, assessing outcomes, and analyzing the mindfulness measures used. A comprehensive search across three databases identified 19 articles meeting the inclusion criteria. Findings demonstrate that diverse formats of mindfulness interventions effectively enhance mindfulness levels, reduce stress, foster self-compassion, and improve mental health outcomes among counselors and trainees. The review underscores the necessity for future studies to report practical significance to …

Parent Attitudes Towards Predictive Testing For Autism In The First Year Of Life, Aurora M. Washington, Amanda H. Mercer, Catherine A. Burrows, Stephen R. Dager, Jed T. Elison, Annette M. Estes, Rebecca Grzadzinski, Chimei Lee, Joseph Piven, John R. Pruett, Multiple Additional Authors

Counselor Education Faculty Publications and Presentations

Abstract Background Emerging biomarker technologies (e.g., MRI, EEG, digital phenotyping, eye-tracking) have potential to move the identification of autism into the first year of life. We investigated the perspectives of parents about the anticipated utility and impact of predicting later autism diagnosis from a biomarker-based test in infancy. Methods Parents of infants were interviewed to ascertain receptiveness and perspectives on early (6-12 months) prediction of autism using emerging biomarker technologies. One group had experience parenting an older autistic child (n=30), and the other had no prior autism parenting experience (n=25). Parent responses were analyzed using inductive qualitative coding methods. Results …

Effect Of Company-Driven Disability Diversity Initiatives: A Multi-Case Study Across Industries, Brian N. Phillips, Teresa A. Granger, Chase Ochrach, Kathryn A. Thomas, Antonio Reyes, Rachel F. Kesselmayer, Catherine A. Anderson, Katherine B. Friedman, Multiple Additional Authors

Counselor Education Faculty Publications and Presentations

OBJECTIVE: In this article, we share insights emerging from case studies conducted across seven companies.We illustrate the motives, processes, and outcomes of these initiatives. METHODS: This study is built on the previously published case studies conducted across seven companies. We applied elements of consensual qualitative research (CQR) for the data collection and analyses before performing an in-depth qualitative content analysis using the data coded for each company, looking for commonalities and differences. RESULTS: Although practices differed, all companies experienced noted benefits. Committed leadership and complementary company values facilitated successful outcomes for initiatives. The strength or salience of disability-inclusive actions and …

A Call To Action For Disability And Rehabilitation Research Using A Discrit And Disability Justice Framework, Toni Saia, Rana Yaghmaian, Rachel Cuesta, Carlyn Mueller, Roxanna N. Pebdani

Counselor Education Faculty Publications and Presentations

Purpose: Disability and ableism exist within a societal context that does not ignore the many facets of a person’s identity, however often our disability research does not recognize how experiences vary based on the intersecting identities individuals hold. This article utilizes Intersectionality, Dis/ability Critical Race Studies (DisCrit), and Disability Justice to identify ways for rehabilitation researchers to adapt their research practices for maximum inclusivity and representation.

Materials and Methods: Using these three frameworks, we have developed a call to action including recommendations for rehabilitation researchers to consider as they design and implement research projects.

Results: Incorporating these frameworks provides an …

Adding Chinese Herbal Medicine To Routine Care Is Associated With A Lower Risk Of Rheumatoid Arthritis Among Patients With Asthma: A Population-Based Retrospective Cohort Study, Wei-Chiao Chang, Hanoch Livneh, Wei-Jen Chen, Chang-Cheng Hsieh, Yu-Han Wang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Due to the shared pathogenesis of asthma and rheumatoid arthritis (RA), patients with asthma were found to have a higher risk of RA. While the benefits and safety of Chinese herbal medicine (CHM) for asthma have been reported, the scientific evidence regarding its effect on RA is limited. This longitudinal cohort study aimed to determine the relation between CHM use and RA risk in patients with asthma.

Methods: Using the nationwide claims data, we enrolled 33,963 patients 20–80 years of age who were newly diagnosed with asthma and simultaneously free of RA between 2000 and 2007. From this sample, …

Association Of Chinese Herbal Medicine Use With The Depression Risk Among The Long-Term Breast Cancer Survivors: A Longitudinal Follow-Up Study, Shu-Yi Yang, Hanoch Livneh, Jing-Siang Jhang, Shu-Wen Yen, Hua-Lung Huang, Michael W.Y. Chan, Ming-Chi Lu, Chia-Chou Yeh, Chang-Kuo Wei, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background

Breast cancer patients are at elevated risk of depression during treatment, thus provoking the chance of poor clinical outcomes. This retrospective cohort study aimed to investigate whether integrating Chinese herbal medicines citation(CHM) into conventional cancer therapy could decrease the risk of depression in the long-term breast cancer survivors.

Methods

A cohort of patients aged 20–70 years and with newly diagnosed breast cancer during 2000–2008 was identified from a nationwide claims database. In this study, we focused solely on survivors of breast cancer at least1 year after diagnosis. After one-to-one matching for age, sex, and baseline comorbidities, breast cancer patients …

Parecoxib Reduced Postsurgical Pain And Facilitated Movement More Than Patient Controlled Analgesia, Szu-Ching Chiu, Hanoch Livneh, Jin-Cheng Chen, Chia-Ming Chang, Honda Hsu, Tsay-I Chiang, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Postoperative pain management is an imperative issue for patients undergoing lumbar spinal fusion surgery. Delayed pain relief is associated with poor clinical outcomes. This study compared the effects of intravenously administered patient-controlled analgesia (PCA) with intravenous parecoxib, both commonly used methods for analgesic pain control after surgery.

Methods: A non-randomized study was used to recruit 68 patients who were scheduled to receive lumbar spinal fusion surgery at a hospital in Taiwan from April through December of 2020. The group treated with parecoxib received an initial perioperative dose of parecoxib 40 mg during a 30-min period and then postoperative intravenous …

Can The Concepts Of Energy And Psychological Energy Enrich Our Understanding Of Psychosocial Adaptation To Traumatic Experiences, Chronic Illnesses And Disabilities?, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

The aim of this paper is to familiarize the reader with the concept of psychological energy (PE), and the role it plays in deepening our understanding of psychosocial adaptation to traumatic life events and, more pointedly, the onset of chronic illness and disability (CID). In order to implement this aim, the following steps were undertaken: First, a brief historical review of the nature of energy, force and action, as traditionally conceived in the field of physics, is provided. Second, an overview of PE is presented, with a shared emphasis on both its historical underpinnings and its present conceptualizations in the …

Adding Pay-For-Performance Program To Routine Care Was Related To A Lower Risk Of Depression Among Type 2 Diabetes Patients In Taiwan, Wei-Cheng Lian, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Patients with type 2 diabetes (T2DM) often experience depression during treatment, negatively influencing their treatment compliance and clinical outcomes. Recently, the pay-for-performance (P4P) program for chronic diseases, with high-cost and high-risk feature, such as T2DM, has been implemented and has been operational for several years. Nevertheless, its effect on the risk of developing depression among T2DM cases is unknown. This study aims to explore the association of P4P use with the subsequent risk of developing depression among these patients.

Methods: This cohort study used a nationwide health insurance database to identify patients 20–70 years of age newly diagnosed with …

Equipping Preservice Teachers With Trauma Informed Care For The Classroom, Tamarine Foreman, Perianne Bates

Northwest Journal of Teacher Education

In an effort to prepare preservice teachers to enter the classroom where students may have experienced or been exposed to trauma, the authors designed and facilitated instruction around trauma’s influence on the learning process. The intent of the instruction was to improve the preservice teacher’s ability to realize, recognize, and respond to students without re-traumatizing the students. The authors compared pre and post scores on the ARTIC-35 Education version (Baker et al., 2016) and found the instruction significantly improved the preservice teachers’ knowledge, awareness, and self-efficacy in working with students who have experienced or been exposed to trauma.

Psychometric Evaluation Of The Arthritis Self-Efficacy Scale In Chinese Adults With Rheumatic Diseases: A Cross-Sectional Study, Tzung-Yi Tsai, Ming-Chi Lu, Hanoch Livneh, Miao-Chiu Lin, Ning-Seng Lai, How-Ran Guo

Counselor Education Faculty Publications and Presentations

The Arthritis Self-Efficacy Scale (ASES) was designed to assess the degree of self-efficacy among patients with arthritis. Though the original English version of this instrument has shown a high degree of reliability and validity, a Chinese version of this scale has yet to be validated. Therefore, the aim of this cross-sectional study was to evaluate the psychometric characteristics of the Chinese version of ASES (C-ASES) in a population of Chinese adults with rheumatic diseases (RDs).

The Relationship Of Acupuncture Use To The Endometriosis Risk In Females With Rheumatoid Arthritis: Real-World Evidence From Population-Based Health Claims, Hanoch Livneh, Wei-Jen Chen, Chien-Hui Hsu, Ying-To Hu, Ning-Sheng Lai, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objectives: Women affected by rheumatoid arthritis (RA) have a higher risk of endometriosis, an estrogen-dependent, chronic inflammatory disease. Though acupuncture has long been a safe and effective therapy for treating inflammatory conditions, it is unclear whether it could prevent the onset of endometriosis. This study aims to determine the effect of acupuncture on the subsequent risk of endometriosis in female RA patients.

Methods: Between 1998 and 2010, female subjects with RA were recruited from a nationwide database (5,736 patients; age ≥20 years). Enrolled patients included 2,407 acupuncture users and 2,407 nonusers randomly selected using propensity scores. The occurrence of endometriosis …

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 …

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)], …

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 …

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 …