The onset of the COVID-19 pandemic during the spring of 2020 necessitated a sudden and national transition from in-person to telehealth mental health services. Burgeoning literature has supported the use of telehealth services generally, though there is little research related to its use among graduate-level trainees. The present study utilized data collected from a university counseling training center to compare client outcomes, namely ratings of depression and anxiety, between in-person (pre-pandemic; n = 86) and telehealth (intra-pandemic; n = 102) groups. Additionally, I examined treatment format (in-person vs. telehealth) as moderator of the association between client-reported working alliance and client-reported outcomes. Results showed a significant and negative effect of the working alliance on symptoms of depression and anxiety regardless treatment format. Implications for research and practice are discussed.

Each year, an alarming number of college women are victims of interpersonal violence. In investigating the experiences of college women, the process of disclosure has emerged as an important research focus. Much of the current literature on interpersonal violence disclosure has focused on negative and positive social reactions from informal and formal supports. However, there is a lack of literature understanding how those disclosure reactions are connected to psychological, emotional, and behavioral consequences after the disclosure. Through in-depth, semi-structured interviews with eight diverse college women, the present study explores the nuanced ways survivors experience formal and informal disclosures, interpret disclosure reactions, and experience distress and growth. Using Interpretative Phenomenological Analysis (IPA) following a feminist paradigm, I identified seven themes related to the process of sharing one’s interpersonal violence victimization with others. The themes were organized into two categories that illustrate participants’ disclosure experiences and the psychosocial consequences of disclosure. The findings of this study may be used to inform training for university resource personnel as well as education for individuals within a survivor’s support system.

Adolescent substance use is a complex and significant public health concern that has received considerable attention among researchers and practitioners (Gray & Squeglia, 2018). The purpose of this dissertation was to examine factors associated with substance use intervention effects and to develop subgroups of risk factors for Mexican adolescents. This dissertation utilizes secondary data from a randomized controlled trial of the school-based substance use universal prevention program, keepin’ it REAL (kiR). The dissertation included two studies. Study 1: This study tested a model on the efficacy of the school-based substance use universal prevention program, keepin’ it REAL, among a sample of Mexican adolescents (N = 3,742, 11-17 years old). Study 1 analysis included Structural Equation Modeling and results demonstrated that participation in kiR positively predicted alcohol resistance strategies and those alcohol resistance strategies were negatively and significantly associated with alcohol use. Further, depressive symptomology was a moderator of intervention effects as the effects of kiR on resistance strategies increased as the level of depressive symptomology increased. Study 2: this study explored subgroups (classes) of Mexican adolescents (N = 5,520, 11-14 years old) based on their experiences with violence (witnessing, victimization, and perpetration), depressive symptomology, and substance use (alcohol, tobacco, and marijuana). Using Latent Class Analysis (LCA) four empirically, well-differentiated classes emerged representing adolescents various risk typologies (Moderate Risk-Violence at 55% of the sample, Low Risk at 35%, High Risk at ~8%; and Moderate Risk-Substance Use at ~2%) Implications for research and practice are discussed across both studies.

Using a sample of 309 Asian American college students, the present study examined the effects of color-blind racial ideology (i.e., unawareness of blatant racial issues, unawareness of racial privilege and unawareness of institutional racism) on the link between internalization of the model minority myth (i.e., unrestricted mobility and achievement orientation) and psychological distress (i.e., social climate stress, interracial stress, within group stress, racism stress and achievement stress). Results primarily suggest the denial of blatant racism and racial issues (and not denial of racial privilege and institutional racism) exacerbate the effect of internalizing the model minority myth related to unrestricted mobility, while it buffers the effect of internalizing the model minority myth related to achievement orientation on race-related social stress. Also, denial of racial privilege appears to buffer the effect of internalizing the model minority myth related to unrestricted mobility and within group stress. Clinical implications and future directions for research are discussed.

The Centers for Disease Control and Prevention (2017) note that gay, bisexual, and other men who have sex with men (collectively referred to as MSM) face more barriers to accessing health care compared to other men. Such barriers include, lack of cultural- and sexual identity-appropriate medical and support services, concerns about confidentiality, and fear of discussing sexual practices or orientation in a medical setting. In comparison to other MSM populations, Latino MSM (LMSM) report having the least amount of access to health care (McKirnan et al., 2012). The purpose of the present study is to elucidate how individual- (i.e., age, education level, and income level), community- (i.e., social support and neighborhood collective efficacy), and sociocultural-level factors (i.e., immigration status, heterosexual self-presentation, sexual identity commitment, sexual identity exploration, and ethnic identity affirmation and belonging) may relate with perceived access to healthcare. It is hypothesized that ethnic identity affirmation and belonging will moderate relations between the aforementioned predictors and perceived access to health care based on increasing evidence that ethnic identity, or one’s sense of affirmation and belonging to one’s ethnic group, may be a health protective factor. Among a sample of 469 LMSM, this study found that there were several predictors across all three levels (i.e., individual, community, and sociocultural) of perceived access to healthcare. Additionally, data supported evidence that ethnic identity affirmation and belonging (Phinney, 2003) acts as a moderator of other predictors of perceived access to healthcare in this sample. These findings can inform outreach interventions of researchers and healthcare providers about psychosocial and cultural barriers and facilitators of access to healthcare.

Effective communication plays a major role in the psychological adjustment and quality of the relationship of couples coping with cancer, yet only a few communicative behaviors have been examined in the context of a cancer diagnosis and treatment. This study sought to expand the extant literature by describing a wider range of communicative behaviors (beyond the frequently researched withdraw, disclosure/holding back, and avoidance behaviors) through an observable measure, as previous research has relied heavily on self-report. Couples (134 cancer patients and their caregiving partners) were video-taped discussing a cancer-related concern in the laboratory. Discussions were coded separately for patients and caregivers using the Asymmetrical Behavioral Coding System which captures 22 communicative behaviors. These behaviors contribute to four higher-level scales: positive approach, negative approach, positive avoidance, and negative avoidance. Area under the curve was calculated to describe each factor. The most frequently observed behavior was positive approach, followed by negative avoidance, negative approach, and positive avoidance.

Paired samples t-test analyses examining the factors by moderating variables revealed that women engaged in more positive approach behaviors than did men; men engaged in more avoidant behaviors (both positive and negative) than did women; and caregivers engaged in more avoidant behaviors (both positive and negative) than did patients.

Findings are consistent with prior research in the field and suggest consideration of tailoring possible future interventions. Further investigation is needed to assess possible interactional effects to ultimately help couples better communicate about the challenges associated with cancer treatment and recovery.

Since the passing of anti-immigration laws, Latinos/as have become more vulnerable to racial profiling, thus increasing the chances of having negative interactions with police officers regardless of documentation status. Within criminology fields it has been reported that Latinos/as in general hold a higher fear towards the police when compared to Whites. However, there is has been limited research capturing perceptions of police officers using a quantitative approach. Method: 26 items were developed and was hypothesized to have 3 subscales: Fear of Police Officers, Anxiety of Interacting with Police Officers, and Self-Perceptions of How Police View Latinos/as. The final analytic sample included 288 self-identified as Latinos/as using an online survey. Most of the participants (92.7%) indicated being either U.S. citizens or permanent residents. Results: Results indicated that there were 3 latent factor structure of the POPS with Cronbach’s alpha’s above 0.9. Results from the Pearson bivariate analysis indicated that POPS sub-scale Anxiety of Interacting of police officers positively correlated with anxiety symptoms (r = .47, p < .01). In addition, POPS sub-scale Fear of Police Officers positively correlated with anxiety symptoms (r = .43, p < .01). POPS sub-scale Perceptions of Police Officers (r = .36, p < .01). Furthermore, direct negative past experiences with police officers had a moderation effect between the associations of self-perceptions of how police view Latinos/as and psychological distress by enhancing the relationship between those two variables (ΔR2= .25, F (2, 297) = 31.82, p < .05; (β = -.16, p > .05). Conclusion: This study contributes to our knowledge on self-perceptions of police among ethnic minorities and its association with mental health. These findings warrant attention for law enforcement and health service providers as it can help assist in understanding the mechanism involved in the development of Latino/a mental health disparities.

This is an analysis of broad racial discourse through a critical race theory: Responsibility Avoidance Discourse (RAD). RAD is coded English that communicates meaning through connotation, avoidance, and implication as a means of securing its main purposes: enforcing white supremacy, obscuring inequality, and hindering significant racial progress. RAD is extremely effective at directing discussion away from arguments that might induce self-reflexivity or question white privilege. It focuses on discrediting others as a means of legitimizing whiteness. I analyze examples of it from a variety of sources—from political discourse to media coverage and social media trends—to demonstrate its manifestations throughout society.

Intercultural couples -partners from two different countries- may face increased levels of stress within their relationship (internal stress). Internal stress can negatively impact relationship satisfaction, whereas developing healthy ways to cope (dyadic coping; DC) can lower stress levels and improve relationship satisfaction (e.g., Bodenmann, 2005). Specifically, it may be important for partners to perceive that their partner as supporting them during times of stress through engaging in DC. This study examined whether intercultural couples experience internal stress and what effects, if any, perceived partner engagement in DC had on their reported relationship satisfaction. Cross-sectional data was gathered from 85 couples and was analyzed using Actor-Partner Interdependence Models (APIMs; Kenny & Cook, 1999). Separate APIMs were conducted to examine the association between the independent variables (perceived partner engagement in: positive DC, negative DC, delegated DC, and supportive DC) and the outcome variables of internal stress and relationship satisfaction, while controlling for years each partner lived in their country of birth, average and differences on identification with individualism-collectivism values and behaviors, and if partners did or did not identify as the same race and/or ethnicity. Additionally, APIMs of internal stress on relationship as moderated by perceived partner positive and negative DC were conducted. Results showed significant associations of all independent variables on internal stress and relationship satisfaction. There were no signification interactions between internal stress and DC on relationship satisfaction. Implications for relationship researchers and mental health professionals working with intercultural couples are discussed.

In recent years, women have made significant advances in traditionally male occupations. Despite this progress, women are still underrepresented in many science, technology, engineering, and mathematics (STEM) fields. Social cognitive career theory (SCCT) and the model of Achievement Related Choices are two widely accepted career development theories. Both theories highlight the importance of self-efficacy and personal factors in career development; yet, neither of them has considered the predictive power of a specific outcome expectation, anticipated work family conflict (AWFC), in relation to the career development of men and women in STEM undergraduate programs. The purpose of this study was to assess the incremental validity of AWFC over and above that of self-efficacy and role salience, in predicting educational and occupational aspirations of undergraduate students in STEM programs at a large southwestern university. The study provides evidence that the factor structure of the AWFC scale does not hold up with the undergraduate population, and this finding was seen as reason to combine the AWFC subscales into one composite score. In a hierarchical multiple regression higher levels of STEM self-efficacy predicted higher intentions to persist in STEM. Role salience, AWFC, and the gender-AWFC interaction were not significantly related to intentions to persist. Although the study does not provide evidence for the incremental validity of AWFC, it does suggest that work-family balance considerations that have been observed in mature STEM populations may not yet be salient for students at the undergraduate level.