Appearance ideals are standards of beauty imposed by a culture or society, that are unrealistic and impossible to achieve. Research documents the existence of three appearance ideals, thin, muscular and hourglass ideals. The thin ideal is the pursuit of a very thin and low body weight. The muscular ideal is the pursuit of a toned and fit body. The hourglass ideal is the pursuit of a shapely body with bigger breasts and hips/buttocks than waist. These ideals are associated with disordered eating. However, no current study has examined the prevalence of all three ideals, or how the combination of ideals relates to dietary restraint, one example of a disordered eating behavior. This study was conducted on 505 undergraduate women at Arizona State University, who were completing research credit for a psychology course. The women participated in an online survey that assessed their demographics, each ideal, and dietary restraint. Results show that all combinations of ideals exist. Specifically, 41.5% of the sample endorse high levels of all three ideals, while 12.5% report thin and muscular ideals, 9.5% report thin and hourglass ideals, 9.9% report hourglass and muscular ideals, 8.4% report low levels of all three ideals, 6.4% report muscular ideal only, 6.4% report hourglass ideal only, and 5.6% report thin ideal only. Endorsing more than one ideal significantly associated with dietary restraint. Findings fulfill an important gap in the literature, suggest future directions for research, and have important clinical implications.

Familism values have been shown to have a multitude of benefits for Mexican American youth. Understanding different pathways of the adoption of familism values from adolescence and young adulthood, and predictors of these pathways, is critical. The current study assessed different classes of change in familism values across five waves from fifth grade to young adulthood, and fifth-grade predictors of these profiles, among a sample of 749 Mexican American youth. Univariate and growth mixture modeling was used to determine classes of familism change and found two classes—one class that showed small, insignificant declines across adolescence that accelerated into young adulthood and one class that showed significant declines across adolescence that stabilized and increased into young adulthood. The three-step procedure was then used to examine the following fifth-grade predictors of familism classes: family conflict, family cohesion, harsh parenting, parental acceptance, economic hardship, and perceived ethnic discrimination. Family conflict and perceived ethnic discrimination were significant predictors of familism class membership. Greater family conflict predicted a greater probability of being in the class of significant declines in familism across adolescence that stabilized and increased into young adulthood. Greater perceived ethnic discrimination predicted a greater probability of being in the class of small, insignificant decreases across adolescence that accelerated into young adulthood. Gender moderated the impact of family cohesion. For females, greater father-reported family cohesion predicted a greater probability of being in the class with significant declines during adolescence that stabilized and increased into young adulthood. For males, greater father-reported family cohesion predicted a greater probability of being in the class with slight, insignificant declines in adolescence that accelerated into young adulthood. Youth nativity moderated the impact of maternal acceptance. For youth born in the U.S., greater mother-reported acceptance predicted a greater probability of being in the class of slight, insignificant declines across adolescence that accelerated into young adulthood. For youth born in Mexico, greater mother-reported acceptance predicted a greater probability of being in the class of significant declines in familism across adolescence that stabilized and increased into young adulthood. Limitations and implications for prevention and future research are discussed.

The goal of the current study was to investigate the prevalence of SAA and body dissatisfaction among freshman undergraduate students between 18-20 years old suffering from self-reported acne. A total of 73 participants in an online survey were asked to complete the Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Body Parts Satisfaction Scale (BPSS), and Social Appearance Anxiety Scale (SAAS). No significant correlation was found between acne severity and SAAS scores, but a significant, positive correlation was found between acne severity and body dissatisfaction. Moreover, acne sufferers had higher mean scores for the BPSS than non-acne sufferers indicating higher body dissatisfaction, but there was no significant difference in the scores for the SAAS between acne sufferers and non-acne sufferers. There was also no significant difference in correlations between acne severity and SAAS scores or BPSS scores between men and women, however, women had much higher mean scores for SAAS than men. In addition, scores for the SAAS and BPSS were found to have a significant, positive correlation with both depression and anxiety across the entire sample. There is paucity of research on the psychosocial effects of acne, more specifically social appearance anxiety (SAA), so further research is needed to replicate and extend the findings of the current study using a larger sample size ranging in acne severity.

There is a need to reinvent evidence-based interventions (EBIs) for pediatric anxiety problems to better address the demands of real-word service delivery settings and achieve public health impact. The time- and resource-intensive nature of most EBIs for youth anxiety has frequently been noted as a barrier to the utilization of EBIs in community settings, leading to increased attention towards exploring the viability of briefer, more accessible protocols. Principally, this research reports between-group effect sizes from brief-interventions targeting pediatric anxiety and classifies each as well-established, probably efficacious, possibly efficacious, experimental, or questionable. brief interventions yielded an overall mean effect size of 0.19 on pediatric anxiety outcomes from pre to post. Effect sizes varied significantly by level of intervention: Pre to post-intervention effects were strongest for brief-treatments (0.35), followed by brief-targeted prevention (0.22), and weakest for brief-universal prevention (0.09). No participant or other intervention characteristic emerged as significant moderators of effect sizes. In terms of standard of evidence, one brief intervention is well-established, and five are probably efficacious, with most drawing on cognitive and behavioral change procedures and/or family systems models. At this juncture, the minimal intervention needed for clinical change in pediatric anxiety points to in-vivo exposures for specific phobias (~3 hours), cognitive-behavioral therapy (CBT) with social skills training (~3 hours), and CBT based parent training (~6 hours, eight digital modules with clinician support). This research concludes with a discussion on limitations to available brief EBIs, practice guidelines, and future research needed to capitalize on the viability of briefer protocols in enhancing access to, and impact of, evidence-based care in the real-world.

Mental health disparities in the U.S. among racial and ethnic minorities are a serious public health issue associated with substantial ethical and economic costs as well as negative health outcomes. Compared with Whites, racial/ethnic minorities have been found to have greater mental disorder symptomatology, however, very little research exists on how this impacts functional outcomes and quality of life. Additionally, research addressing the impact of bias on symptomatology and functional outcomes, especially across racial/ethnic groups, is lacking. Using the International Classification of Functioning, Disability, and Health (ICF) Biopsychosocial Model of Disability as a conceptual framework, the current study aims to address the relationship between mental disorder symptomatology and functional impairment across racial/ethnic groups, as well as evaluate the influence of perceived bias on this association. These relationships were examined using data from the Collaborative Psychiatric Epidemiological Surveys (CPES) among White, Black, Latinx, and Asian American individuals (N = 10,276). Variables include past-30-day functional impairment, past-year mental disorder symptomatology, and lifetime perceived bias. One-way analyses of variance were conducted to compare mental disorder symptomatology and perceived bias across racial/ethnic groups. Pearson correlation analyses were conducted to assess the relationship between mental disorder symptomatology and functional impairment across racial/ethnic groups. Zero-inflated negative binomial regressions were conducted to evaluate the moderating effect of perceived bias on the relationship between mental disorder symptomatology and functional impairment across racial/ethnic groups. Additional exploratory analyses were conducted to assess the relationships between mental disorder symptomatology, perceived bias, and various domains of functional impairment across racial/ethnic groups. Findings speak to the need for additional research on predictors and correlates of mental health outcomes, such as social support, community, and other resiliency factors. Additionally, the need for broader conceptualizations of how bias, prejudice, stigma, and intersectional identity may impact health and wellbeing across diverse populations is illustrated in this work. Overall, findings indicate the continued existence of disparities in mental health across racial/ethnic groups and reify the need for additional work to address this public health problem.

Latino children are more than twice as likely to live in poverty than their non-Latino, White peers (Kids Count Data Center, 2017), yet limited work has aimed to understand neighborhood influences on pathways of mental health among Latino children. Substantial work documents the deleterious effects of living in a disadvantaged neighborhood on mental health outcomes throughout the lifespan (Leventhal & Brooks-Gunn, 2000). Parental and familial variables may explain neighborhood influences on children’s mental health during the first few years of life (May, Azar, & Matthews, 2018). The current study evaluated the influence of three neighborhood indicators (concentrated disadvantage, residential instability, and the percentage of residents identifying as Hispanic/Latino) on maternal postpartum depressive symptoms and child behavior problems at 3 and 4.5 years via mediation and moderated mediation models among a sample of 322 low-income, Mexican American mother-child dyads. Contrary to hypotheses and existing literature, concentrated disadvantage and residential instability were not predictive of maternal or child mental health outcomes. The percentage of residents identifying as Hispanic/Latino emerged as a protective neighborhood factor for both mothers and children. The neighborhood ethnocultural context may be especially relevant to understanding pathways of mental health specific to Mexican American families. More research is needed to understand specific parental and familial mechanisms underlying this protective effect.

Higher education institutions have increasingly sought to diversify the ethnic makeup of freshmen classes (Covarrubias, Herrmann, & Fryberg, 2016) and rates of Latinx college attendance have been rising (Hall, Nishina, & Lewis, 2017). However, despite comparable levels of earned-credits, Latinx students have lower rates of college completion (Contreras & Contreras, 2015). One potential explanation may be disproportionate increases in stress, and in particular, discrimination experiences reported by Latinx students during the transition from high school to college (Hunyh & Fuligni, 2012). As such, the aim of the current study was to examine whether everyday discrimination in high school and college were associated with changes in adolescent well-being and academic adjustment over the college transition in a sample of Latinx adolescents. Study participants were 209 Latinx adolescents (85.1% Mexican descent, 62.1% 2nd generation; 35.6% male; Mage= 17.59) who completed questionnaire assessments during the spring or summer before entering college (T1) and again during the first semester of college (T2; 88.5% retention). In both high school and college, participants completed a modified version of the Everyday Discrimination Scale (T1 α=.88, T2 α=.89; Williams et al., 1997). Dependent variables included internalizing symptoms in college (depressive symptoms {α = .95}, anxiety symptoms {α = .88}, stress symptoms {α = .94}; DASS; Lovibond & Lovibond, 1995), and institutional records of college GPA. Correlation and regression analyses were conducted in SPSS 23 to examine associations between discrimination experiences (high school and college) and college internalizing symptoms and GPA, controlling for high school levels. Other covariates included immigrant generation status, sex, parent education (as a proxy for socioeconomic status), and whether the participant attended the focal higher education institution. Zero order correlations (Table 1) revealed that greater reports of discrimination in high school and college were associated with higher depressive symptoms, higher anxiety symptoms, higher stress, but not GPA in college (Table 1; all ps <.05). In multivariate analyses and after adjusting for covariates similar patterns emerged (Table 2). Greater reports of discrimination in college were associated with higher depressive symptoms (β = .18, p < .05), anxiety symptoms (β = .19, p <.05) and stress (β = .18, p <.05), but not GPA (β = -.04, ns). Everyday experiences of discrimination in high school were not significantly associated with college outcomes. In summary, our findings suggest that discrimination experiences among Latinx students in college, but not high school, are associated with increases in internalizing symptoms, including depression, anxiety and stress. Interestingly, discrimination experiences in high school and college were not associated with academic achievement in the first semester of college. Such findings suggest that higher education institutions should focus on global indicators of well-being during the Latinx college transition and seek to implement programs to: a) reduce stress associated with engaging in diverse college environments and b) reduce discrimination experiences on college campuses. Future research is needed for replication of these results and should also seek to further explore the trajectories of internalizing symptoms beyond the first semester of college.

College-aged women are at an increased risk for the development of subclinical levels of eating disordered symptoms, which have been correlated to lasting deleterious cognitive, physical, and academic effects. The Body Project (TBP) is a universal group-based eating disorder prevention program that targets undergraduate women and challenges thin ideal messages through cognitive dissonance. Burlingame, Strauss, and Joyce (2013) in a meta-analysis of group treatments proposed five factors that independently and congruently work to promote individual change in group treatments: formal change theory, patient characteristics, leader characteristics, structural factors, and small group processes. A host of literature within TBP exists surrounding four of these factors, however, little research has been conducted on the small group processes that moderate individual change within this eating disorder prevention program.
The current study was designed to replicate and extend previous findings on the prevalence of the lemming effect within TBP, as well as examine how the lemming effect is related to outcome of treatment at a 3-month follow-up. Thirty-two participants aged 18-24 were examined. Groups ranged from 3 to 21 participants, including peer leaders. Twenty-nine audio recordings of session one of TBP were coded for lemming effects by the main research, and ten were coded by blind raters for inter-rater reliability measures. Three scales, the Ideal Body Stereotype Scale-Revised (IBSS-R), the Body Parts Satisfaction Scale-Revised (BPSS-R), and the Eating Disorder Examination Questionnaire (EDE-Q), were used to measure levels of thin-ideal internalization, body satisfaction, and frequencies of eating disordered (ED) behaviors, respectively.
Partial correlations revealed nonsignificant relationships between the number of lemming effects and the change in thin-ideal internalization and body satisfaction from baseline to follow-up. Additionally, a reliable change index revealed that the majority of change from baseline to follow-up was reliable for the IBSS-R, and the majority of change for the BPSS-R was unreliable. Lastly, chi-square tests of independence revealed nonsignificant relations between the number of lemming effects and change in ED behaviors.
Due to the small sample and lack of findings, future research would benefit from including a larger sample. This would enable larger power to detect effects and allow for more thorough statistical analyses to be performed to compare the relation of lemming effects to changes in outcome. However, this was the first study to look at the lemming effect variable as a small group process within TBP and added to the growing literature on how small group processes result in efficacious outcomes of treatment within group treatments.

The purpose of this literature review is to examine the distinction between Binge Eating Disorder (BED) and Food Addiction (FA). There is confusion and debate regarding the two: some argue they are distinct and others argue they are too similar for FA to deserve its own diagnosis. It is important to examine differences and similarities because obesity is a growing public health problem, and determining the root cause of obesity may help with efforts to reverse the problem. In addition, developing effective treatment and prevention programs will be easier once specific risk factors and characteristics of FA and BED are established. This literature review includes empirical studies and other literature reviews looking at the overlap, unique personality correlates, and general psychopathology associated with both BED and FA. A consistent finding among studies that looked at impulsivity and FA was that negative urgency and lack of perseverance accurately predicted FA, relative to BED. Other consistent correlates of FA were negative affect, emotion dysregulation, and (negative) self-esteem. Treatment options for FA currently include a combination of addiction-based treatment and psychotherapy that is commonly used for BED (i.e. CBT, DBT). Based on my research review, it seems reasonable to conclude that FA does in fact differ from BED and that efforts to identify unique treatment targets for FA are needed.