Counseling Psychology Commons^™

Effects Of Social Support Interventions On Medical Patient Survival: A Meta-Analysis Of Non-Randomized Clinical Trials, Ksenia Illinykh-Bair, Timothy B. Smith

Faculty Publications

Background: Prior research confirms that social support promotes resilience among medical patients with chronic illness. Beyond emotional benefits, research has increasingly shown the importance of social support on physical health outcomes. Therefore, identifying and evaluating interventions that increase social support among medical patients with chronic conditions is a priority for healthcare. Methods: This meta-analysis summarized data from 39,493 medical patients across 14 non-randomized trials that had been identified by a prior review of the survival benefits of social support interventions. Results: Across four studies reporting hazard ratio data, the results failed to reach statistical significance (HR = 2.10, 95% CI …

Recommendations From Multi-Disciplinary Professionals For Survivor-Informed And Comprehensive Care For Human Trafficking Survivors, Christina Tsoi, Timothy B. Smith, Elizabeth Cutrer-Párraga, Devan Clayton, Joshua M. Marshall, Jamila Mastny

Faculty Publications

Background: Human trafficking affects millions of people worldwide with multiple adverse outcomes including psychopathology. Although research on human trafficking has become abundant in other academic disciplines (e.g., public health, criminology, social work), healthcare research specific to the mental health treatment of survivors remains limited. Objective: The purpose of this study was to gather recommendations from professionals about mental health treatment of trafficking survivors. Method: Semi-structured interviews were conducted with 21 multidisciplinary professionals working with trafficking survivors. Data were analyzed using qualitative content analysis methodology. Results: An overarching theme derived from the data concerned the recommendation to implement trafficking survivor-informed care, …

Christian Beliefs About Salvation: Measurement And Associations With Mental Health And Well-Being, Anthony Edward Rose, Timothy B. Smith

Faculty Publications

Religious beliefs influence many behaviors and perspectives relevant to wellbeing and mental health. In Christianity, beliefs about how one attains salvation may be particularly relevant to psychology, but limited scholarship has considered cognitive aspects of religiosity. This study developed and evaluated a new measure of Beliefs about Salvation (BAS) that assesses affirmations of salvation (a) by God’s grace alone and (b) by God’s grace after human repentance/ordinances, as understood by different Christian denominations. We examined the association of the BAS with three measures of mental health and six measures of influences on religiosity. In a sample of 1556 predominantly members …

Mirrors For Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy, Isabel Medina Hull, Elizabeth Cutrer, Paul H. Ricks, G. E. Kawika Allen, Kendra M. Hall-Kenyon, Lorena Seu, Kristopher J. Urbina, Melia Fonoimoana Garrett

Faculty Publications

Pacific Islander youth face disproportionately high rates of suicide and mental health challenges, yet culturally appropriate interventions remain scarce. This study investigated whether culturally adapted bibliotherapy could effectively promote resilience in American Samoan children by incorporating culturally relevant stories and coping strategies. Through collaboration with on-island Samoan cultural brokers, we developed and implemented culturally adapted stories and lessons designed to resonate with the experiences of children in American Samoa. The study employed a mixed-methods approach with 34 American Samoan children aged 5–13 years, using observations, adapted card sorts, and forced-choice procedures to measure responses to the intervention. The results demonstrated …

"It Would Ruin My Life”:Pacific Islander Male Adolescents’ Perceptions Of Mental Health Help-Seeking Interpretative Phenomenological Analysis Focus Group Study, Melia Fonoimoana Garrett, Elizabeth Cutrer, G. E. Kawika Allen, Ellie Young, Kristopher J. Urbina, Isabel Medina Hull

Faculty Publications

Given rising mental health concerns among Pacific Islander (PI) adolescents, this population remains underserved by available mental health resources. This interpretative phenomenological analysis with focus groups (IPA-FG) examined the lived experiences and perceptions of 19 male PI adolescents (ages 14–16) from Native Hawaiian, Maori, Samoan, and Tongan backgrounds regarding mental health help-seeking behaviors. Four overarching themes emerged: stigma and judgment, cultural misalignment in professional services, impact of disclosure and perceived punitive consequences, and a complex ecosystem of trusted relationships as mental health support. Notably, participants expressed belief that disclosing mental health challenges would “ruin their lives” and held misconceptions about …

Ethnic-Racial Socialization Experiences Of Mexican American Youth, Katherine J. Bingham, Elizabeth A. Cutrer-Párraga, Timothy B. Smith

Faculty Publications

Research has shown that ethnic–racial socialization (ERS) predicts education and mental health outcomes for adolescents. However, limited research has evaluated the ERS experiences of Latinx students. The current study examined ERS experiences of Mexican American youth in four focus group interviews that were transcribed and analyzed at both the individual and group level using interpretive phenomenological analysis. Main themes included feeling like an outsider, navigating discrimination, encountering social/emotional difficulties, and achieving a positive identity. Each theme contained two to three subcategories that provide further insight into the Mexican Americans' ERS experiences. Participants reported within-group discrimination, motivation to disprove stereotypes, and …

Coaching Elementary Teachers In Literacy: Does Feedback Type Matter To Low And High Implementers?, Elizabeth Cutrer, Erica Ellsworth Miller, Erjola Gjini, Melia Fonoimoana Garrett

Faculty Publications

For literacy coaches and teachers, feedback is an integral component of effective coaching. Yet, little is understood

about the interaction between feedback and high/low implementing teachers within coaching sessions. This multiple

case study explored the types of feedback literacy coaches provided both high and low implementing teachers over a

two-year period. In the first year, the literacy coaches provided at least twice as much instructional feedback as

emotional feedback to low-implementing teachers. Those teachers not only received more feedback in general, but the

feedback they received was primarily what they needed to do to improve. In contrast, during the same …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Coaches Supporting Teachers Reluctant To Implement Intervention Instruction: The Role Of Reflection, Elizabeth Cutrer, Erica E. Miller

Faculty Publications

No abstract provided.

Maternal Depression Moderated By Family Resources When Children Have Developmental Disabilities., Timothy B. Smith, Terisa P. Gabrielsen

Faculty Publications

Children with developmental disabilities require extensive parental involvement in intervention, but parents with depression may be less able to intervene effectively. We examined prevalence of depression symptoms and predictors among 131 mothers of children with disabilities enrolled in early childhood special education. Participants completed several self-report measures of depression and child and family functioning. Children were directly evaluated using the Battelle Developmental Inventory. One year later, 68 mothers repeated self-report measures. Participants (30%) reported elevated depression symptoms across time. Depression scores were correlated with parental stress and family resources. An interaction between higher maternal depression and higher child functioning with …

Stent Retriever Versus Direct Aspiration Thrombectomy For Acute Large Vessel Occlusion: A Meta-Analysis Including 17,556 Patients, From Mr Clean To Present, Eric R. Smith, Jacob A. Bethel, Timothy B. Smith, Grant Holden, Furkan Torlak, Matthew Grimsbo, Ali Seifi, Justin R. Mascitelli

Faculty Publications

Objective

Stent retriever (SR) and direct aspiration (DA) mechanical thrombectomy (MT) improve clinical outcomes for stroke secondary to large vessel occlusion. The purpose is to perform an updated meta-analysis comparing the two techniques.

Methods

PubMed database was searched for studies between January 1, 2015, and July 5th, 2021 with mechanical thrombectomy to treat acute ischemic stroke.

Results

We identified 136 studies including 17,556 patients, with 11,258 (64.1%) patients treated by SR or a combined approach and 6298 (35.9%) patients with DA. The DA group had less posterior cerebral artery strokes, was significantly older, and had lower National Institutes …

Understanding Spiritual Well-Being Among Critical Incident Stress Management-Trained First Responders, Harvey Burnett

Faculty Publications

No abstract provided.

Representation Of Race And Ethnicity In Counseling And Counseling Psychology Journals, Jared M. Hawkins, Roy A. Bean, Timothy B. Smith, Jonathan G. Sandberg

Faculty Publications

Whereas previous literature reviews have concluded that people of color are underrepresented in psychological literature, the fields of counseling and counseling psychology have taken a clear affirmative stance with respect to human diversity. This study sought to evaluate the representation of people of color in four key journals across the 2000-2019 timespan: The Counseling Psychologist, Journal of Counseling Psychology, Journal of Counseling & Development, and Counselling Psychology Quarterly. Journal articles were coded for several variables, including focus on racial/ethnic minority (REM) groups and article content topics. Results indicated that 757 (26.3%) of the articles were coded REM-focused. Of …

Very Young Child Survivors’ Perceptions Of Their Father’S Suicide: Exploring Bibliotherapy As Postvention Support, Cortland L. Watson, Elizabeth Cutrer, Melissa A. Heath, Erica E. Miller, Terrell A. Young, Suzanne Wilson

Faculty Publications

Each year in the United States, 7000 to 30,000 children experience their parent’s suicide. Due to the stigma associated with suicide, feelings of guilt, and intense grief, surviving family members avoid talking about suicide. Over time, children struggle with confusion and intense emotions associated with their parent’s suicide. In this study, seven adults, who reported being younger than six years old at the time of their father’s suicide, participated in individual semi-structured interviews. Participants’ responses highlight the challenges that young children face due to limited memories of their deceased parent. Interviews concluded with an opportunity for participants to review and …

Trigger Warnings In Psychology Classrooms?: Comparing Sexes From A Diverse Religious Institution, Jasmine Collard, Herbert W. Helm Jr

Faculty Publications

Sensitive, oftentimes unsettling topics are inherent, especially in psychology education (Boysen et al., 2018). Prior notification - also known as trigger warnings - to help students prepare for, or avoid, possibly disturbing, upcoming education topics (Boysen, 2017, p. 164) are being pushed for by college students on potentially disturbing content. We previously replication Guy A. Boysen’s “Trigger Warnings in psychology Classes: What Do Students Think?” and found that students from a diverse, religious institution had few significant differences, but, in general, the results from the two data sets were quite similar (Kim et al, 2020). To expand on this knowledge, …

Spiritual Well-Being - A Proactive Resilience Component: Exploring Its Relationship With Practices, Themes, And Other Psychological Well-Being Factors During The Covid-19 Pandemic In Cism-Trained First Responders, Justine Jaeger, Harvey J. Burnett Jr., Kristen R. Witzel

Faculty Publications

Research suggests spiritual resilience may ameliorate the negative effects of exposure to traumatic events among disaster mental health first responders. Our study examined the relationship between spiritual wellness and associated resilience factors among four groups of first responders (law enforcement, fire services, emergency medical services and 911 dispatchers) trained in Critical Incident Stress Management (CISM) during a global pandemic. Utilizing a mixed methods-survey with transcendental phenomenological design, data was collected from 107 participants with membership in the International Critical Incident Stress Foundation (ICISF) or the Michigan Crisis Response Association (MCRA). Participants completed the Connor-Davidson Resilience Scale, Spiritual Well-Being Scale-Shortened Version, …

Effects Of Psychosocial Support Interventions On Survival In Inpatient And Outpatient Healthcare Settings: A Meta-Analysis Of 106 Randomized Controlled Trials, Timothy B. Smith, Julianne Holt-Lunstad

Faculty Publications

We evaluated randomized controlled trials (RCTs) of psychosocial support interventions in inpatient and outpatient healthcare settings reporting survival data, including studies reporting disease-related or all-cause mortality. LOdds ratio (OR) and hazard ratio (HR) data were analyzed separately using random effects weighted models. Of 42,054 studies searched, 106 RCTs including 40,280 patients met inclusion criteria. Across 87 RCTs reporting data for discrete time periods, the average was OR = 1.20 (95% CI = 1.09 to 1.31, p < 0.001), indicating a 20% increased likelihood of survival among patients receiving psychosocial support compared to control groups receiving standard medical care. Among those studies, psychosocial interventions explicitly promoting health behaviors yielded improved likelihood of survival, whereas interventions without that primary focus did not. Across 22 RCTs reporting survival time, the average was HR = 1.29 (95% CI = 1.12 to 1.49, p < 0.001), indicating a 29% increased probability of survival over time among intervention recipients compared to controls. Among those studies, meta-regressions identified 3 moderating variables: control group type, patient disease severity, and risk of research bias. Studies with patients having relatively greater disease severity tended to yield smaller gains in survival time relative to control groups. In this meta-analysis, OR data indicated that psychosocial behavioral support interventions promoting patient motivation/coping to engage in health behaviors improved patient survival, but interventions focusing primarily on patients’ social or emotional outcomes did not prolong life. HR data indicated that psychosocial interventions, predominantly focused on social or emotional outcomes, improved survival but yielded similar effects to health information/classes and were less effective among patients with apparently greater disease severity.

Psychotherapy Utilization And Presenting Concerns Among International Asian And Asian American Students In A University Counseling Center., Hannah Stokes, Derek Griner, Timothy B. Smith, Mark Beecher, G. E. Kawika Allen, Jon Cox, Klint Hobbs, Natalie Ann Kirtley

Faculty Publications

Limited psychological research has disaggregated the experiences of Asian American (AA) from international Asian (IA) college students seeking psychotherapy. When combined, important differences between these groups are overlooked. We examined archival data collected from AA, IA, and European American (EA) students at a large, Western, university counseling center. Results indicated no significant differences between groups related to maximum number of psychotherapy sessions attended or likelihood of treatment discontinuance. However, we found significant differences between these groups on a number of items related to presenting concerns and to severity of presenting distress, with IA students presenting with the most distress, followed …

Forgiveness And Gratitude As Mediators Between Religious Commitment And Well-Being Among Latter-Day Saint Polynesian Americans, Davis Kealanohea Kane, G. E. Kawika Allen, Timothy B. Smith, M Ming, Aaron Jackson, Derek Griner, Elizabeth Cutrer-Parraga

Faculty Publications

An abundance of research has investigated well-being as it relates to religiosity and character strengths, such as forgiveness and gratitude. However, few studies have investigated how increases in forgiveness and gratitude might explain why religious commitment enhances well-being, particularly for U.S. ethnic/racial minority populations. This study investigated if the character strengths of forgiveness and gratitude mediated the relationship between religious commitment and well-being among Latter-day Saint Polynesian Americans – a fast growing, yet understudied, population. Results indicated that forgiveness and gratitude fully mediated the relationship between religious commitment and self-esteem, and gratitude partially mediated the relationship between religious commitment and …

Recruiting And Retaining School Psychologists: The Role Of District Level Administrative Supervisors, Ellie L. Young, Rachel Butler, Timothy B. Smith, Sterling Hilton, Alivia Smith

Faculty Publications

A shortage of school psychologists has been evident since the profession was initially recognized as a distinct field, and there is insufficient research on what current administrative supervisors are doing to address this problem. This qualitative study examined the perceptions of district level administrative supervisors regarding recruitment and retention of school psychologists. Participants reported the following: (a) school psychology graduate programs not producing enough school psychologists, (b) challenges of finding school psychologists to hire, (c) competing with neighboring school districts, and (d) trying to recruit and retain in a worker’s market that favors the school psychologist. These administrative supervisors also …

The Identity Formation Process Of Immigrant Children: A Case Study Synthesis, Jose Carbajal

Faculty Publications

Introduction: Children who immigrate often have difficulties in adjusting to their host country. A single case study based on similar narratives is composed to develop the character of a child’s developmental cultural issues as he immigrated to the United States from El Salvador. Attachment theory is reviewed to discuss how detachment and re-attachment affected him. A review of the literature on assimilation and acculturation is also provided. Objectives: The author synthesizes the work experience with the population with migration history to illustrate how attachment and loss impact these individuals, through a composed case study illustrated through the experience of Ramni, …

Science Into Practice: Effective Solutions For Social Isolation And Loneliness., Julianne Holt-Lunstad, Ryan Layton, Bonnie Barton, Timothy B. Smith

Faculty Publications

Robust research evidence confirms the adverse health effects of social isolation and loneliness, with increasing focus on finding effective solutions. What can we extract from epidemiology and relationship science to help us design more effective solutions? This article identifies themes in contemporary scholarship that inform effective program and intervention design. The themes include: (1) multiple underlying causal factors that may require tailored approach; (2) the time course of relationships and disease development versus length of interventions; (3) the protective effects of relationships are based on naturally occurring or existing close relationships, yet most programs involve strangers; and (4) not all …

Toward Christian-Identity Response Theory: Exploring Identity, Spirituality, And Response To Adversity Among African American Males Placed At Risk, Charity Hannah Garcia

Faculty Publications

Christian-Identity Response Theory (C-IRT) adds to limited research integrating spiritual development as a central component of human development across the life span and provides a substantive theory for how spiritual development may lead to transformative practice. Thirty-four African American males in three age groups (13-17; 18-25; 26+), placed at risk during adolescence and connected with Christian Community Development Association (CCDA) organizations at the time of data collection, engaged in the research process. Focus group discussions or initial interviews were followed by in-depth interviews. Line-by-line and incident-by-incident coding led to the formation of tentative categories and themes. Data was compared to …

International Student Support Groups: Learning From Experienced Group Members And Leaders, Nathan` Page, Mark Beecher, Derek Griner, Timothy B. Smith, Aaron Jackson, Klint Hobbs

Faculty Publications

Adjustment to college can be particularly difficult for international students. A multi-site qualitative study investigated the experiences of six group leaders and 10 group members who participated in seven different university counseling center international student support groups. Analyses of interview data using hermeneutic interpretation resulted in nine major themes and ten sub-themes organized into four sections: (1) Recruitment and group design, (2) Experiences of group members, (3) Experiences of group leaders, and (4) Additional considerations. College and university counseling centers can effectively work with international students by providing outreach and support groups.

The Tragedy Of Child And Adolescent Suicide, Brad Hinman

Faculty Publications

"In 2015, the Centers for Disease Control and U.S. Department of Education reported that 20 to 28 percent of U.S. students in grades 6 to 12 have experienced bullying, 30 percent admitted to bullying others, and 70 percent witnessed bullying in some form. According to the report, children and young adults are affected by bullying and cyberbullying during their school-age years, and some even into adulthood.³ “School violence and bullying occurs throughout the world and affects a significant proportion of children and adolescents. It is estimated that 246 million children and adolescents experience school violence and bullying in …

Effects Of Parent-Implemented Interventions On Outcomes Of Children With Developmental Disabilities: A Meta-Analysis., Tina Dyches, Timothy B. Smith, Barbara Mandleco, Byran Korth

Faculty Publications

Background: A large body of literature exists related to parent-implemented interventions for children with disabilities, so it is helpful to synthesize the results of outcome-based interventions for children with developmental disabilities. Specifically, what are the effects of parent-implemented interventions intended to improve children’s (1) social behaviors, (2) life skills/adaptive behavior, and (3) communication skills?

Method: Using meta-analytic aggregation of effect sizes across 30 studies with a total of 1,356 participants, this review examined the association between parent-implemented interventions and intended outcomes of young children with developmental disabilities.

Results: Across all 30 studies comparing children’s outcomes to control groups, the random …

Client Outcomes Across Counselor Training Level Within A Multitiered Supervision Model, Scott J. Nyman, Mark A. Nafziger, Timothy B. Smith

Faculty Publications

The authors examined client outcome data to evaluate treatment effectiveness across counselor training level. They used a multitiered supervision model consisting of professional staff, interns, and practicum students. Clients (N = 264) demonstrated significant improvement with no significant outcome differences between professional staff and supervised trainees. Limitations and future directions are discussed.

Racial Attitudes Among Asian And European American College Students: A Cross-Cultural Examination., Timothy B. Smith, Raquel Bowman, Sungti Hsu

Faculty Publications

College campuses are becoming increasingly racially diverse and may provide an optimal setting for the reduction of racial stereotypes and prejudices perpetuated in society. To better understand racism among college students, this study evaluated the attitudes of Asian and White European Americans toward several racial out-groups. Participants completed a survey containing the Social Distance Scale, and differences between participants' ratings of their own race were contrasted with their ratings of other races. Findings revealed strong preferences for social affiliations with members of their same racial background, with attitudes towards out-groups differing as a function of the race of the participant. …

School Experiences Of Early Adolescent Latinos/As At Risk For Emotional And Behavioral Disorders, Ryan M. Balagna, Ellie L. Young, Timothy B. Smith

Faculty Publications

Previous research has shown that Latino/a middle school students exhibiting emotional or behavioral disturbance are at risk for undesirable academic outcomes. The purpose of this study was to understand the perceptions and experiences of at-risk Latino/a students to identify ways to improve interventions designed to promote their academic retention and success. Participants included 11 Latino/a students between the ages of 11 and 13, 8 male and 3 female, who were screened for being at risk for behavior disorders using the Systematic Screening for Behavior Disorders. These students shared their perceptions and experiences of schooling during in-depth qualitative interviews. Interpretative phenomenological …

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 …