Psychological Services最新文献

{"title":"Differences across service era in a Veterans Affairs assessment clinic: Observations from the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF).","authors":"Keegan J Diehl, Tristan T Herring, Arianna D Albertorio, Louis A Pagano, Paul B Ingram","doi":"10.1037/ser0000992","DOIUrl":"https://doi.org/10.1037/ser0000992","url":null,"abstract":"<p><p>Broadband personality measures, such as the Minnesota Multiphasic Personality Inventory (MMPI) family of instruments, are commonly used as diagnostic aids within the Veterans Affairs (VA) health care system. However, research on how military experiences (i.e., era of service and combat exposure) affect scores on these measures has yielded mixed findings regarding both the magnitude and pattern of symptom profiles. Additionally, concerns remain about the generalizability of these findings, as many studies have drawn samples from similar treatment settings, such as VA PTSD Clinical Teams. Conclusions reached by this line of research vary in how clinicians should integrate past experiences into expected response patterns. This study continues this line of work by providing the first comparison of service era differences in a nonposttraumatic stress disorder-focused VA sample undergoing a variety of assessment-related referrals. We examine differences on the MMPI-2-Restructured Form while controlling for known demographic influences (i.e., sex and service connection). Participants (<i>n</i>_{total sample} = 356) were compared for elevation rates on the content-based validity scales, and then, after excluding invalid protocols, we computed differences across the substantive scales using an analysis of covariance design. Despite the validity scale multivariate differences evident only on infrequent psychopathology responses and only on substantive scales substance abuse and disconstraint-revised, broader between-era contrasts suggest a similarity in Vietnam and Gulf veterans in their symptom experience, which may have implications for treatment planning and organizational expectations in the coming years. Results support the notion that demographic factors are critical to understanding service era influence and contextualizing their magnitude effectively. Clinical practice and research implications are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider perspectives on care for veterans with electronic health record flags for high suicide risk: A mixed methods study.","authors":"Jessica A Chen, Andrew R Devendorf, Alta du Pont, Eric Epler, Larry D Pruitt, Jesse Markman, Mark A Reger","doi":"10.1037/ser0000995","DOIUrl":"10.1037/ser0000995","url":null,"abstract":"<p><p>Electronic health record (EHR) flags alert staff within the Veteran Health Administration (VHA) to patients at high suicide risk for the purpose of enhancing their care. VHA implemented patient record flags category I-high risk for suicide (HRS-PRFs) in 2008, yet little is known about provider perceptions. In non-VHA settings, some EHR flags and alerts are perceived unfavorably by providers. This mixed methods quality improvement study examined perspectives of VHA mental health clinicians and suicide prevention coordinators (SPCs) regarding the perceived utility and drawbacks of HRS-PRFs. We conducted a national survey of SPCs (<i>N</i> = 286; February-March 2022) and semistructured qualitative interviews (January-July 2022) with a separate sample of SPCs (<i>n</i> = 5) and mental health clinicians (<i>n</i> = 20) with recent HRS-PRF experience. Providers reported satisfaction with HRS-PRFs and believed that they identify at-risk veterans and facilitate engagement in care. Survey and interview findings highlighted differences between SPCs and mental health clinicians regarding negative perceptions of HRS-PRFs. In the survey, one in five SPCs were dissatisfied with the administrative burden of delivering caring contacts, a required evidence-based suicide prevention intervention mailed for a year following flag inactivation. In the interview findings, some clinicians expressed concerns about unintended consequences on therapeutic rapport and stigma. Additional evaluation is warranted to assess veterans' experiences and clinical effectiveness outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness and its relationship with resilience among Vietnamese undergraduates: A quantitative study.","authors":"Do Quoc Minh Chau","doi":"10.1037/ser0001000","DOIUrl":"https://doi.org/10.1037/ser0001000","url":null,"abstract":"<p><p>Mental health has gained tremendous interest among researchers during the outbreak of the pandemic in 2020. Various programs for mindfulness and resilience training have also been introduced in response to help people cope with stress and adversity, both in clinical and nonclinical settings. Yet, their interplay remains underexplored in Vietnam. This study aimed to investigate the mindfulness-resilience relationship among university students. Undergraduates (<i>N</i> = 490) from various universities in Ho Chi Minh City, Vietnam, participated in a survey in which they reported the level of their mindfulness in everyday situations and how they recover from stress and difficulties. The Five Facet Mindfulness Questionnaire-Short Form and the Brief Resilience Scale were used as research instruments for the present study. The results revealed that (a) mindfulness and resilience showed a strong positive correlation, indicating that students with higher mindfulness also tended to report greater resilience (<i>r</i> = .89); (b) regression analysis demonstrated that mindfulness significantly predicted resilience, even after accounting for other variables (<i>R</i>² = .788); and (c) among the five facets of mindfulness, observation, description, nonreactivity, and nonjudgmental inner experience were significant predictors of resilience (<i>p</i> < .001), while aware actions was not (<i>p</i> = .264). These findings address a research gap in Vietnam, offering insights for culturally relevant mental health interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the Veterans Affairs Suicide Prevention in Emergency Department Intervention associated with improved mental health attendance and all-cause mortality outcomes?","authors":"Gregory M Dams, Robin D Kinnard, Jodie Trafton, Jonathan Zhang","doi":"10.1037/ser0000997","DOIUrl":"10.1037/ser0000997","url":null,"abstract":"<p><p>In late 2018, the U.S. Department of Veterans Affairs (VA) implemented the Suicide Prevention in Emergency Department (SPED; 116th U.S. Congress, 2020; VA, 2018) initiative to protect veteran lives and promote follow-up with mental health services. SPED mandated the use of safety planning, a suicide prevention intervention, for those assessed as at-risk of suicide in emergency departments. To assess implementation and potential SPED benefits, we extracted from medical records an archival sample (<i>N</i> = 14,743) of patients' first VA emergency department visit between October 1, 2018, and May 13, 2023, in which they were screened as at-risk of suicide and evaluated a subgroup of these patients who discharged to home (<i>n</i> = 7,024). Overall, implementation of the risk assessment triggering the SPED requirements and safety planning intervention administration was high with room for improvement. Exploratory logistic regressions revealed safety planning was associated with 26% reduced odds of all-cause mortality (i.e., death from any cause, including suicide-specific and nonsuicide-specific causes) within 1 year but was not associated with increased 30-day mental health encounter attendance. Suicide mortality was not examined as an outcome. Findings suggest safety planning may be relevant to a broader range of patients assessed as at-risk in VA emergency departments than initially targeted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the implementation of peer support specialists within mobile crisis teams: A scoping review of consolidated framework for implementation research domains and implementation strategies.","authors":"Suzanne S Tham, Subin Na, Phyllis Solomon","doi":"10.1037/ser0000996","DOIUrl":"https://doi.org/10.1037/ser0000996","url":null,"abstract":"<p><p>The involvement of peer support specialists in behavioral health crisis response is growing. While their roles in warm lines, crisis-receiving, and respite centers have been studied, their participation in mobile crisis teams remains underexplored. This review identifies the contexts and strategies for implementing peer support within mobile crisis teams to inform broader adoption. Following Arksey and O'Malley's methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, we searched MEDLINE, CINAHL, EMBASE, and APA PsycInfo, Sociological Abstracts, and Scopus through October 21, 2024. No peer-reviewed articles met the inclusion criteria. A gray literature search on October 28, 2024, using a web-based search engine, yielded 16 sources, which were extracted and assessed for quality. Using the Consolidated Framework for Implementation Research, we deductively coded all source documents by domain and inductively identified thematic patterns. Implementation strategies were also mapped to the Expert Recommendations for Implementing Change framework. Consolidated Framework for Implementation Research themes indicate that significant policy and local government initiatives facilitate innovation adoption within the outer setting. The lived experience of peers, their strong partnership ties, and the flexibility of incorporating peers are key innovation characteristics. Successful implementation depends on inner setting factors such as leadership alignment with policy, prioritization of recovery-oriented approaches, and resource allocation that fosters collaboration and accountability. Within the individual domains, team members must recognize the value and contributions of peers. Effective implementation may be compromised without strategic planning, early stakeholder engagement, and the development of transparent, accountable resources. Recognizing these determinants is essential for effectively prioritizing resources and advancing peer support in mobile crisis teams. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aeromedical officer training for mental health professionals leads to better outcomes for U.S. Navy and Marine Corps flight personnel.","authors":"Carrie H Kennedy, Jacob R Westerberg","doi":"10.1037/ser0000998","DOIUrl":"10.1037/ser0000998","url":null,"abstract":"<p><p>This study examines whether aeromedical officer (AMO) training enhances outcomes for Navy and Marine Corps aviation personnel. The conceptual approach of this research is grounded in the literature on the importance of cultural competence in military mental health services; thus, this study hypothesizes that AMO-trained providers yield better outcomes than nontrained providers. Utilizing a sample of 501 waiver requests for personnel diagnosed with mental health conditions, we compared waiver approval rates and career impacts between those evaluated by AMO-trained and nontrained providers. Results from a binary logic regression indicated that individuals assessed by AMO-trained providers were 2.1 times more likely to be granted waivers, thus reducing the chance of career disruption, as well as reducing operational costs and loss of mission-ready personnel. Additionally, AMOs facilitated a more seamless waiver process, avoiding unnecessary delays in obtaining a waiver. Findings suggest that AMO training significantly improves service delivery by enhancing providers' cultural competence, leading to more favorable outcomes for both individuals and commands, underscoring the need for specialized training in mental health services. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Providers' use and perceived benefits and barriers of delivering cognitive behavioral therapy for nightmares (CBT-N) to veterans.","authors":"Katherine E Miller, Courtney J Bolstad, Jessica A Carlile, Noelle E Balliett, Shilpa Trivedi, Joanne L Davis, Jessica Schubert, Christina Krieg, Mauli Shah","doi":"10.1037/ser0000994","DOIUrl":"10.1037/ser0000994","url":null,"abstract":"<p><p>Training and consultation in cognitive behavioral therapy for nightmares (CBT-N) were introduced for Veterans Health Administration (VHA) providers to reduce the frequency and severity of nightmares and improve functioning of veterans experiencing chronic nightmares. This study aimed to evaluate providers' sustained delivery of CBT-N and their perceptions of benefits and barriers to implementation to improve the successful adoption and long-term use of CBT-N throughout the VHA. VHA providers (<i>N</i> = 100) who completed the CBT-N training program at least 6 months prior to the study were sent an online survey about their continued use, feedback, and perceptions of CBT-N. The survey received a 65% response rate. Overall, perceptions of CBT-N were favorable. Ninety-five percent of providers reported continued delivery of CBT-N since completing the training program, with 100% of responders intending to use CBT-N in the future. Among CBT-N users, treatment was perceived to reduce nightmare frequency and/or severity and improve other domains of functioning (i.e., sleep health, trauma symptoms, quality of life). A third of the CBT-N users denied any barriers to using CBT-N. Primary barriers to use were related to providers' facility inner setting (e.g., unable to accommodate required session length or frequency, veteran population not appropriate for CBT-N) or veteran factors (e.g., schedule constraints, patient decision in shared decision making). Results encourage ongoing CBT-N training initiatives within the VHA. Directly tracking veteran outcomes and identifying necessary modifications to adapt CBT-N within the constraints of the inner setting, while preserving treatment integrity, are warranted to ensure and promote intervention effectiveness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A formative evaluation to adapt a brief mindfulness program to increase participant engagement, participant impact, and feasibility of delivery among veterans with PTSD.","authors":"Kyle Possemato, Dessa Bergen-Cico, Abigail Ramon, Shannon McKenzie, Wilfred Pigeon, Gregory P Beehler","doi":"10.1037/ser0000985","DOIUrl":"10.1037/ser0000985","url":null,"abstract":"<p><p>Brief mindfulness training can help veterans with posttraumatic stress disorder (PTSD) learn essential skills to manage distressing emotions and thoughts. This study sought to (a) refine the content of Primary Care Brief Mindfulness Training (PCBMT) to address PTSD symptoms and recovery, (b) improve the feasibility of training Veterans Health Administration staff to facilitate mindfulness classes, and (c) increase veteran attendance in the mindfulness classes by incorporating veteran peer specialists as PCBMT facilitators. The formative evaluation guided by the Framework for Reporting Adaptations and Modifications-Expanded included 32 mental health providers and five peer specialists who first participated in PCBMT and then provided suggestions for refinement. Qualitative responses were analyzed via rapid assessment and applied to refine PCBMT content. Next, facilitator training was delivered to providers and peers. Then, newly trained facilitators delivered PCBMT to veterans. Facilitator fidelity, veteran class attendance, satisfaction, and PTSD symptom change were assessed as adaptation outcomes. Content modifications included simplification of yoga poses, emphasis on trauma-sensitive content, and discussion of mindfulness in social situations. Training modifications included the development of a 3-day facilitator training. Context modifications incorporated role modeling and values clarification specifically for peer facilitators. Adapted PCBMT was associated with high facilitator fidelity, veteran attendance, and satisfaction and reduced PTSD symptoms (Cohen's <i>d</i> effect size = 0.79). (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12431635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological well-being, PTSD, and their associations with eating disturbances in U.S. Veterans.","authors":"Keysha G Rule, Victoria L O'Connor, Sarah L Martindale","doi":"10.1037/ser0000984","DOIUrl":"10.1037/ser0000984","url":null,"abstract":"<p><p>Trauma is associated with disordered eating in many populations. Military personnel, a population with strict focus on maintaining body condition, experience traumatic events at a higher rate than civilian populations; however, little is known about the relationship between trauma and eating disturbances among service members and Veterans. This analysis evaluated the association between posttraumatic stress disorder (PTSD) diagnosis and eating disturbances in a sample of postdeployment Veterans. The effect of potential confounding (e.g., age, sex, body mass index) and protective factors (positive affect and well-being [PAWB]) was also evaluated. Participants were 527 post-9/11 Veterans (80.7% male). All participants completed the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; the Neuro-QOL PAWB Scale; and the Eating Disturbances Scale as part of a multisite longitudinal study evaluating postdeployment mental health. Hierarchical linear regression evaluated direct and indirect effects of independent variables on eating disturbances. Analyses indicated lifetime PTSD diagnosis was no longer associated with eating disturbances after accounting for PAWB (B = 0.33, <i>p</i> = .29). The indirect effect of PAWB on the relationship between PTSD and eating disturbances was significant (<i>B</i> = 0.33, 95% confidence interval [0.53, 1.17]). Age, sex, and body mass index did not alter these relationships. Results support an association between PTSD and eating disturbances in the military population that does not appear to be contingent upon demographic factors. Further, analyses suggest that PAWB may function as a key influence for positive adjustment among Veterans at risk for eating disturbances. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of homelessness among veterans with and without criminal legal system involvement.","authors":"Katherine Kelton, Mengfei Yu, Kreeti Singh, Alex H S Harris, Jessica Blue-Howells, Matthew Stimmel, Sonya Gabrielian, Andrea K Finlay","doi":"10.1037/ser0000993","DOIUrl":"https://doi.org/10.1037/ser0000993","url":null,"abstract":"<p><p>Among military veterans in the United States, criminal legal system involvement is a risk factor for homelessness; however, the magnitude of and contributors to this association are not well understood. This study used national Electronic Health Record data from the Veterans Health Administration (VHA) to determine homelessness risk among veterans after legal involvement compared with veterans without legal involvement. Among veterans who received VHA health care in fiscal year 2022 and had no prior year homelessness or receipt of VHA homeless services, all veterans were coded as <i>with legal involvement</i>, defined by having an encounter with the VHA's Veterans Justice Programs (VJP), or <i>without legal involvement;</i> veterans without legal involvement were randomly selected without replacement by a 1:2 ratio. A Cox proportional hazards regression model was used to assess the risk of homelessness in the year after a veteran's index date (first VJP encounter for veterans with legal involvement, first clinical encounter for veterans without legal involvement). There were 24,679 veterans with legal involvement (33%) and 49,358 veterans without legal involvement (67%), with homeless rates of 22% and 2%, respectively. Veterans with legal involvement had a six times higher risk of homelessness over 1 year compared with veterans without legal involvement (adjusted hazard ratio = 6.15, 95% CI [5.73, 6.60], <i>p</i> < .0001). Veterans are at elevated risk for homelessness after legal involvement, suggesting the value of implementation approaches to engage VJP-involved veterans in primary prevention services and policy changes that enable engagement in housing services for legal-involved veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}