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Full-Text Articles in Counseling Psychology

Recommendations For Developing Video Games To Address Depression Among College Students, John Bodycombe Jul 2017

Recommendations For Developing Video Games To Address Depression Among College Students, John Bodycombe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Depression is a significant problem on college campuses, and the data shows that prevalence is on the rise (The National Survey on Drug Use and Health [NSDUH], 2014; Stewart, Ricci, Chee, Hahn, & Morgenstein, 2003). Depression impacts the well-being of students and puts them at risk for a variety of issues (Leach, 2009; Adams, Wharton, Quilter, & Hirsch, 2008; Serras, Saules, Cranford, & Eisenberg, 2010; Cranford, Eisenberg, & Serras, 2009; Weitzman, 2004). Many students with depression do not receive care (Blanco, Okuda, Wright, Hasin, Grant, Liu, & Olfson, 20008; Eisenburg and Chung, 2012), or receive care that is not minimally …


The Relationship Between Sexual Abuse And Body Image Of Members Of The United States Military, Chelsea Anne Taylor Jul 2017

The Relationship Between Sexual Abuse And Body Image Of Members Of The United States Military, Chelsea Anne Taylor

Masters Theses & Specialist Projects

The purpose of this study was to evaluate the effects of sexual abuse on body image of United States military service members and veterans. Participants completed an online questionnaire (n = 63) that measured their demographics, military status, sexual abuse experiences, combat experiences, relationships during deployment, and body image. Average scores on body image measures from participants who experienced sexual abuse (n = 10) were compared with average scores on body image measures from participants who did not experience sexual abuse (n = 49). Results indicate that there was not a significant difference in body image between service members who …


The Impact Of Racial Miscategorization And Racial Ambiguity On Multiracial Identity And Well-Being: A Qualitative Study, Shirley A. Newcomb Jul 2017

The Impact Of Racial Miscategorization And Racial Ambiguity On Multiracial Identity And Well-Being: A Qualitative Study, Shirley A. Newcomb

Dissertations (1934 -)

Despite the rapid growth of the multiracial population there is a dearth of literature that informs the field of counseling psychology about the identity development and well-being of multiracial people. More specifically, there is little research which explores the challenge of having one’s racial identity repeatedly questioned and/or miscategorized, and how these experiences of racial miscategorization and racial incongruence may influence their identity choices and well-being. The sample consisted of 11 total participants, (women N = 9, men N = 2) who self-identified as racially ambiguous and of multiracial descent. Overall findings of the study suggest that experiences of racial …


A Randomized Controlled Study Examining The Effectiveness Of A Gratitude Intervention And An Optimism Intervention On Well-Being: Moderating Effects Of Personality Disposition And Social Support, J. Brandon Waits Jul 2017

A Randomized Controlled Study Examining The Effectiveness Of A Gratitude Intervention And An Optimism Intervention On Well-Being: Moderating Effects Of Personality Disposition And Social Support, J. Brandon Waits

Doctoral Dissertations

Research suggests that engaging in activities that highlight gratitude and optimism can significantly increase well-being. However, additional research is needed to explore characteristics or conditions that optimize the effectiveness of such interventions. The purpose of the present study was to contribute to research in this area by examining the effectiveness each of a gratitude intervention and an optimism intervention on both subjective well-being and psychological well-being among college students. In addition, the current study examined whether personality disposition (i.e., trait gratitude and trait optimism) and social support moderated the effectiveness of these interventions on wellbeing. Data were collected from 144 …


The Experience Of Victimization As The Result Of Cyberbullying Among College Students: A Study Of Demographics, Self-Esteem, And Locus Of Control, Sonya P. Poole Jul 2017

The Experience Of Victimization As The Result Of Cyberbullying Among College Students: A Study Of Demographics, Self-Esteem, And Locus Of Control, Sonya P. Poole

Electronic Theses and Dissertations

Cyberbullying is commonly defined as a deliberate and aggressive act that is committed using an electronic form of contact. It has been linked to negative emotional and mental well-being along with incidents of suicide. The current study looks at the prevalence rates of cyberbullying among college aged adults. It uses a survey method design to examine the correlation of cyberbullying with gender, age, race, socioeconomic status, self-esteem, and locus of control. The results indicated a relatively high report of cyberbullying incidents when compared to previous studies. A significant difference was obtained when cyberbullying incidents were evaluated based on the participant’s …


Utah Teachers' Perceptions Of Student Social Skills And Behaviors: A Developmental Perspective, Karrah Beth Sampson Jul 2017

Utah Teachers' Perceptions Of Student Social Skills And Behaviors: A Developmental Perspective, Karrah Beth Sampson

Theses and Dissertations

Students' appropriate social skills and behaviors are essential for classroom success at any level but are of special importance at an elementary school level when the foundations of these skill sets are developing (Lane, Givner, & Pierson, 2004). An initial study investigated which social skills Utah elementary school teachers identified as being most important, and which behaviors are most problematic during the elementary school years. Elementary school teachers (Kindergarten through sixth grade) were randomly selected from Utah's school districts. In total, 295 of 1,144 teachers (26% return rate) participated (Weed, 2015). As a follow-up, this current study utilized data from …


Conceptual Model Of Career Counseling For Better Preparing Students For The Transition From School To Work, Brian Christopher Preble Jul 2017

Conceptual Model Of Career Counseling For Better Preparing Students For The Transition From School To Work, Brian Christopher Preble

STEMPS Theses & Dissertations

The purpose of this study was to design a conceptual model of career counseling for high school counselors to assist students with the school-to-work transition. A framework addressing the nature and substance of interactions and activities that support workforce preparation was needed. Qualitative research was conducted. Four focus groups comprised of unemployed individuals searching for work, gainfully employed artisans and skilled technicians, managers and employers from business and industry, and high school counselors were held to collect data. Two coders established intercoder agreements and a kappa was calculated to determine interrater reliability. Economic data obtained from interviews with business specialists …


Breaking The Silence: A Phenomenological Exploration Of Secondary Traumatic Stress In U.S. College Student Affairs Professionals, Robert Jason Lynch Jul 2017

Breaking The Silence: A Phenomenological Exploration Of Secondary Traumatic Stress In U.S. College Student Affairs Professionals, Robert Jason Lynch

Educational Leadership & Workforce Development Theses & Dissertations

Breaking the Silence: A Phenomenological Exploration of Secondary Traumatic Stress in U.S. College Student Affairs Professionals is a qualitative-intensive mixed methods study using phenomenology and art-based research techniques to uncover the essence of secondary traumatic stress in U.S. college student affairs professionals. Researchers in the fields of psychology, counseling, social work and other helping professions suggest that repeated exposure to individuals experiencing trauma, or hearing repeated details of an individual’s trauma, have negative outcomes on professional helpers. Coined secondary traumatic stress, this phenomenon may be defined as “the stress resulting from helping or wanting to help a traumatized or suffering …


Attitudes And Actions That Adoptive Parents Perceive As Helpful In The Process Of Raising Their Internationally Adopted Adolescent, Marina V. Kuzmina Jul 2017

Attitudes And Actions That Adoptive Parents Perceive As Helpful In The Process Of Raising Their Internationally Adopted Adolescent, Marina V. Kuzmina

Counseling & Human Services Theses & Dissertations

This phenomenological dissertation study explored the lived experiences of adoptive parents in the process of raising their internationally adopted adolescents. The researcher interviewed 9 participants. Criteria for selection of the research sample included having personal experience with parenting one or more international adolescents adopted at age 10 or older and raising these adolescents for at least two years following such adoption. Data analysis included steps suggested by Moustakas (1994) and the participation of a research team and external auditor. According to the recommendations of Lincoln and Guba (1985), several strategies for trustworthiness were implemented during this course of the study. …


Towards A New Profession: Counselor Professional Identity In Italy. A Delphi Study, Davide Mariotti Jul 2017

Towards A New Profession: Counselor Professional Identity In Italy. A Delphi Study, Davide Mariotti

Counseling & Human Services Theses & Dissertations

Counseling is a young profession compared to other mental health professions in Italy. The lack of agreement about counselor professional identity appears to have a negative impact on counselors. This situation has also led potential clients to confuse counselors with other mental health professionals. Because of this, the future development of counseling in Italy appears closely linked to a stronger counselor professional identity. The purpose of this Delphi study is to establish a consensus list among expert counselors of the distinctive elements that characterize counselor professional identity in Italy


Experience Of Nontenured, Tenure-Track Faculty And Gatekeeping: A Qualitative Research Study, Meghan Butler Jul 2017

Experience Of Nontenured, Tenure-Track Faculty And Gatekeeping: A Qualitative Research Study, Meghan Butler

Dissertations (1934 -)

Using a consensual qualitative research (CQR) approach, this study investigated the experience of nontenured, tenure track faculty (NTTTF) members involved in gatekeeping with students for non-academic concerns from American Psychological Association (APA)- and The Council for the Accreditation of Counseling and Related Educational Programs (CACREP)-accredited programs. The study investigated the emotional and cognitive reactions, factors supportive/facilitative and discouraging/hindering of the decision to intervene, the impact the gatekeeping process had on NTTTF relationships and what the NTTTF learned from the gatekeeping intervention. Participants were five female faculty members. Results indicated participants had little to no training in gatekeeping beyond informal training …


Survivors' Perceptions Of Support Following A Parent's Suicide, Suzanne Nicole Bennett Jul 2017

Survivors' Perceptions Of Support Following A Parent's Suicide, Suzanne Nicole Bennett

Theses and Dissertations

Children who experience a parent's death by suicide are a vulnerable population at risk for emotional and mental health issues as well as suicide attempts (Cerel, Fristad, Weller, & Weller, 1999; Kuramoto et al., 2010; Wilcox et al., 2010). Yet, in spite of the knowledge that effective postvention is in reality prevention (Cerel et al. 2008), relatively little is known about these children and adolescents, particularly regarding their experiences following the suicide. The current research study investigated which resources, assistance, and actions of those around the child were perceived as most helpful and unhelpful following the parental suicide. Through semi-structured …


Revisiting The Compassion Fatigue, Burnout, Compassion Satisfaction, And Resilience Connection Among Cism Responders, Harvey J. Burnett Jr. Jul 2017

Revisiting The Compassion Fatigue, Burnout, Compassion Satisfaction, And Resilience Connection Among Cism Responders, Harvey J. Burnett Jr.

Faculty Publications

Previous research by Burnett and Wahl found that resilience moderately mediated the association between compassion fatigue (CF) and burnout (BO) among trauma responders. No studies have attempted to replicate and verify the research results of Burnett and Wahl. This study examined whether similar patterns of resilience, CF, BO, and compassion satisfaction (CS) would be found among a convenience sample of disaster behavioral health (DBH) responders (N = 70) attending an annual Critical Incident Stress Management training conference in Michigan. Measures included the 30-item Professional Quality of Life Scale, the 14-Item Resilience Scale, the Response to Stressful Events Scale, and a …


Evaluation Of Psychology Clinicians’ Attitudes Towards Computerized Cognitive Behavior Therapy, For Use In Their Future Clinical Practice, With Regard To Treating Those Suffering From Anxiety And Depression, Nivek Dunne Jul 2017

Evaluation Of Psychology Clinicians’ Attitudes Towards Computerized Cognitive Behavior Therapy, For Use In Their Future Clinical Practice, With Regard To Treating Those Suffering From Anxiety And Depression, Nivek Dunne

Antioch University Dissertations & Theses

Computerized Cognitive Behavioural Therapy (CCBT) is an empirically supported therapeutic modality used in the treatment of anxiety and depression. It is an important area of research considering there is much research lacking in this area, especially regarding trainee and qualified psychology clinicians' attitudes which are informative in terms of uptake and adherence. This study examined trainee and qualified psychology clinicians' attitudes towards CCBT for use in their future clinical practice, with regard treating those suffering from anxiety and depression. Overall, 31 participants took part in the research, which resulted in 31 completed informed consent forms and questionnaires being returned to …


A Survey Of Students’ Knowledge About Child Sexual Abuse And Perceived Readiness To Provide Counseling Services, Jennifer Marie Foster Jun 2017

A Survey Of Students’ Knowledge About Child Sexual Abuse And Perceived Readiness To Provide Counseling Services, Jennifer Marie Foster

Journal of Counselor Preparation and Supervision

Master's level students in counselor education and counseling psychology (N = 304) were surveyed to explore their knowledge about child sexual abuse (CSA) and perceived readiness to provide related counseling services. While students demonstrated general knowledge about sexual abuse, preparedness to counsel was rated much lower with 69% of students indicating low levels of competency. Data was analyzed to explore demographic characteristics that led to increased readiness scores. Indicators of statistically significant higher readiness scores included: prior work or volunteer experience with victims of sexual abuse, participation in CSA trainings, and supervised field experience. Implications for student training and recommendations …


Nurturing Self: Psychotherapeutic Implications Of Women's Reflections On The Meaning Of Their Cherished Possessions, Stephanie L. Martin Jun 2017

Nurturing Self: Psychotherapeutic Implications Of Women's Reflections On The Meaning Of Their Cherished Possessions, Stephanie L. Martin

The Qualitative Report

Experiencing the importance of one’s personal treasures is ubiquitous to the human experience, but what is the depth and meaning of this lived phenomenon? An interpretive phenomenological method was used to explore the meaning and significance of women’s experience of their cherished personal possessions. Nine women participated in three individual semi-structured phenomenological interviews each. Interpretive analysis revealed that women’s experience of their cherished personal possessions is one of nurturing self. Through their cherished personal possessions, women nurture their sense of self by connecting with others, affirming personal experience, supporting self through change, and cultivating a sense of self. Implications for …


Dyadic Research In Couple Therapy: The Link Between Attachment And Relationship Satisfaction, Bryson Greaves Jun 2017

Dyadic Research In Couple Therapy: The Link Between Attachment And Relationship Satisfaction, Bryson Greaves

Loma Linda University Electronic Theses, Dissertations & Projects

Couple therapy ranks among the most frequently and diligently researched topics in Marital and Family therapy (MFT). Additionally, intimate partner relationships are a key focal point for clinical intervention with increasingly more couples seeking therapy to address relational conflict, repair emotional injury, and increase intimacy (Lebow, Chambers, Christensen, & Johnson 2012). Rigorous empirical inquiry has suggested that attachment theory is a crucial foundation to understanding relationship distress and increasing relationship satisfaction (Wiebe & Johnson, 2016). Secure attachment between intimate partners can lead to an increase in trust (Pistole, 1993), healthy emotion regulation (Kobak & Hazan, 1991), and positive conflict resolution …


The Effects Of Long-Term Participation In A Martial Arts Program On Self-Esteem And Bullying Victimization, Pamela Jeanne Dahle Jun 2017

The Effects Of Long-Term Participation In A Martial Arts Program On Self-Esteem And Bullying Victimization, Pamela Jeanne Dahle

Theses and Dissertations

Public concern over the occurrence of bullying in schools has increased considerably within the last decade. Although there are many programs in place that attempt to address the problem of bullying in schools, they have achieved only varying levels of success, with many failing to alleviate the problem. In addition, although some researchers have conducted studies on either the relationship between self-esteem and bullying victimization or the relationship between self-esteem and participation in martial arts, few have conducted studies seeking to understand the correlation between participation in martial arts, bullying victimization, and levels of self-esteem. The current study measured levels …


Psychotherapy Utilization And Presenting Concerns Among Black International And African-American Students In A University Counseling Center, Mica Nicole Mcgriggs Jun 2017

Psychotherapy Utilization And Presenting Concerns Among Black International And African-American Students In A University Counseling Center, Mica Nicole Mcgriggs

Theses and Dissertations

Little is known about the psychotherapy utilization, presenting concerns, and outcome differences between Black international and African American university students. The aim of this research is to identify potential similarities and differences between the two groups, as well as potential differences between the aforementioned groups and white students. This study examined archival data collected over the course of a 17-year period that focused on experiences of African-American, Black international, and White students at a large university in the Rocky Mountain West, United States. More specifically, archival data were analyzed to identify differences between the aforementioned groups of students in regard …


Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer Jun 2017

Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer

Electronic Theses, Projects, and Dissertations

This purpose of this study was to explore social workers’ perspectives of drug-induced psychosis. More specifically, it sought to determine how knowledgeable clinical social workers are on the impact illicit drug use on the development of psychotic disorders. The study also aimed to discover clinical social workers’ perspectives regarding the influence of illicit drug use on the development of psychotic illnesses. This study used mixed methods approach in attempt to solve the research question. The quantitative portion of the research, an anonymous survey, allowed for the assessment of social workers’ knowledge of drug-induced psychosis. The qualitative portion of the research, …


Impulsivity, Communication, And Marital Satisfaction In Newlywed Couples, Kenneth Tan, Amber M. Jarnecke, Susan C. South Jun 2017

Impulsivity, Communication, And Marital Satisfaction In Newlywed Couples, Kenneth Tan, Amber M. Jarnecke, Susan C. South

Research Collection School of Social Sciences

The authors used a vulnerability–stress–adaptation framework to examine how and why impulsivity affects communication and marital satisfaction in a sample of 100 newlywed couples. We specifically examined the links between impulsivity and perceptions of conflict communication patterns and their associations with marital satisfaction. Using an actor–partner interdependence framework, the results demonstrated that impulsivity was negatively associated with one's own and partner's marital satisfaction. Impulsivity was also negatively associated with constructive communication and positively associated with destructive communication. Furthermore, mediation analyses showed that communication patterns mediated the impulsivity–satisfaction link. Taken together, these findings suggest that impulsivity is likely to lead to …


Is The Relationship Between Trait Mindfulness And Psychological Distress Indirect?, Sailesh Maharjan Jun 2017

Is The Relationship Between Trait Mindfulness And Psychological Distress Indirect?, Sailesh Maharjan

Electronic Theses, Projects, and Dissertations

Mindfulness, purposeful attention without judgment or acceptance, and related practices are increasingly popular with a large number of people and have been incorporated into many western psychotherapies (e.g., Mindfulness-Based Stress Reduction, Dialectical Behavior Therapy, Acceptance and Commitment Therapy and Mindfulness Based Cognitive Therapy). There is considerable debate over whether mindfulness is best studied as a state, trait or procedure. Although many studies have found that trait mindfulness is related to physical and mental health outcomes, less is known about the mechanism(s) through which mindfulness enhances clinical outcomes. The current study explored the role of potential mediators of the relationship between …


A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot Jun 2017

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …


A Meta-Analytic Review Of The Association Of Therapeutic Alliance, Therapist Empathy, Client Attachment Style, And Client Expectations With Client Outcome, Alberto Soto Jun 2017

A Meta-Analytic Review Of The Association Of Therapeutic Alliance, Therapist Empathy, Client Attachment Style, And Client Expectations With Client Outcome, Alberto Soto

Theses and Dissertations

The therapeutic alliance has consistently been associated with improved client outcomes across numerous psychotherapy outcome studies. Previous systematic reviews have, however, evaluated the univariate association of the alliance with client outcome. The present meta-analytic review examines the association of the alliance with improved client outcomes after accounting for the presence of therapist empathy, client attachment styles, and client expectations. Across 23 independent studies, the alliance, adjusted for the presence of the other variables, remained as the most robust predictor of improved outcomes r = .258 (SE = .01, p < .001), with a 95% confidence interval of r = .18 to r = .33. After accounting for …


The Group Readiness Questionnaire: A Practice-Based Evidence Measure?, Mindy Judd Pearson Jun 2017

The Group Readiness Questionnaire: A Practice-Based Evidence Measure?, Mindy Judd Pearson

Theses and Dissertations

In recent decades, psychologists have increasingly turned to evidence-based practice (EBP) to guide their treatments with clients. Practice-based evidence (PBE) is one type of EBP that allows clinicians to treat their clients in a flexible, but effective way. PBE treatments are those that use information gathered about the client through measures or questionnaires to inform the clinical decisions therapists make in the process of treating the client. The use of PBE in group psychotherapy is increasing and there are many measures that can potentially be used to aid therapists by gathering client information or feedback in the areas of group …


Employing Polyethnography To Navigate Researcher Positionality On Weight Bias, Nancy Arthur, Darren E. Lund, Shelly Russell-Mayhew, Sarah Nutter, Emily Williams, Monica Sesma Vazquez, Anusha Kassan May 2017

Employing Polyethnography To Navigate Researcher Positionality On Weight Bias, Nancy Arthur, Darren E. Lund, Shelly Russell-Mayhew, Sarah Nutter, Emily Williams, Monica Sesma Vazquez, Anusha Kassan

The Qualitative Report

Researchers often focus on the content of their research interests but, depending on the research approach, may pay less attention to the process of locating themselves in relation to the research topic. This paper outlines the dialogue between an interdisciplinary team of researchers who were at the initial stages of forming a research agenda related to weight bias and social justice. Using a polyethnographic approach to guide our discussion, we sought to explore the diverse and common life experiences that influenced our professional interests for pursuing research on weight bias. As a dialogic method, polyethnography is ideally suited for the …


Examining The Relationship Between Traumatic Experiences And Posttraumatic Growth Among Counselors-In-Training, John A. Conteh, Mary J. Huber, Huma A. Bashir May 2017

Examining The Relationship Between Traumatic Experiences And Posttraumatic Growth Among Counselors-In-Training, John A. Conteh, Mary J. Huber, Huma A. Bashir

Human Services Faculty Publications

The present study explored the relationship between experience of trauma and posttraumatic growth (PTG) among 86 graduate level counselors-in-training (CIT). Results indicated that the most frequent trauma endorsed was witnessed or learned about violence to a loved one and the higher the rating of the most severe trauma experienced related to a higher reported level of personal growth. Overall, 67% of the CIT received support for their trauma by participating in personal counseling. Implications for counselor educators includes an understanding of the potential for trauma impacting students as well as different responses to trauma based on gender and the number …


Telemental Health Services As A Targeted Intervention For Individuals Who Are Deaf And Hard Of Hearing, Teresa Crowe May 2017

Telemental Health Services As A Targeted Intervention For Individuals Who Are Deaf And Hard Of Hearing, Teresa Crowe

JADARA

Deaf and hard of hearing individuals who have chronic mental illness are a population that is underserved. Like their hearing counterparts with mental illness, individuals who are Deaf and hard of hearing often face medical and treatment disparities. The purpose of this paper is to propose the use of telemental health (TMH) services, or services provided via videoconferencing technology, as a targeted intervention that may provide relief to Deaf and hard of hearing individuals with mental health problems. This paper addresses several areas that are important when considering service provision to Deaf and hard of hearing individuals, including a working …


When The Clinician Is Burdened: Clinician’S Trauma History, Resiliency And The Impact On Compassion Fatigue, Ashley Martin-Cuellar May 2017

When The Clinician Is Burdened: Clinician’S Trauma History, Resiliency And The Impact On Compassion Fatigue, Ashley Martin-Cuellar

Individual, Family, and Community Education ETDs

This dissertation study was motivated by the desire to understand the relationship between a clinician’s prior traumatic experiences and the degree to which trauma may alter the personal impact of their work with clients in the form of perceived compassion fatigue. The methodology used in this study was designed to gather information about the relationship between 1) a clinician’s trauma and current levels of compassion fatigue and compassion satisfaction, and 2) the relationships between a clinician’s trauma and compassion fatigue when moderated by mindfulness, subjective vitality, psychological well-being and sleep. Regression results indicated that mindfulness, subjective vitality and psychological well-being …


The Benefits Of Culturally Adapted Mental Health Treatments: A Meta-Analysis, Juan Valladares, Madeleine Coenen, Niyeli Herrera, Yoojin Kim May 2017

The Benefits Of Culturally Adapted Mental Health Treatments: A Meta-Analysis, Juan Valladares, Madeleine Coenen, Niyeli Herrera, Yoojin Kim

FHSS Mentored Research Conference

Cultural values, ideas, beliefs and word views may affect the way a mental intervention is received and therefore how effective it is. Historically, research has not focused on cultural minorities and these groups tend to have poorer success rates in treatments (Gonzalez et al., 2010). The purpose of this meta-analysis is to establish the aggregate effect of those mental health interventions that have been adapted to clients' cultural or ethnic backgrounds.