Psychological Services最新文献

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The competency crisis and forensic evaluator burnout. 能力危机与司法鉴定人员职业倦怠。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-04-21 DOI: 10.1037/ser0000965
Mia M Ricardo, Dana L Formon, Cassandra A Bailey, Marcus T Boccaccini
{"title":"The competency crisis and forensic evaluator burnout.","authors":"Mia M Ricardo, Dana L Formon, Cassandra A Bailey, Marcus T Boccaccini","doi":"10.1037/ser0000965","DOIUrl":"10.1037/ser0000965","url":null,"abstract":"<p><p>Forensic psychologists conducting competence to stand trial evaluations may be at high risk of professional burnout (i.e., feeling exhausted, cynical, ineffective) due to the ongoing increase in demand for competence evaluations. The present study assessed the degree and potential consequences of burnout among 129 forensic evaluators conducting competence to stand trial evaluations in the United States. More than half of the evaluators (56%) reported being burned out and more than one third (39%) had considered leaving their jobs due to the demand of competence evaluations. Workload demands, feeling rushed while conducting essential job functions, understaffing, and class action lawsuits in the evaluator's jurisdiction were predictive of burnout and thoughts of job exit. These findings draw attention to the critical number of forensic evaluators experiencing burnout and the need for changes to end the cycle of understaffing, increased workload demands, burnout, and job exit. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"615-625"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053699","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}
引用次数: 0
Mental health and economic impact of a police coresponder program for individuals in crisis in Miami-Dade County. 迈阿密戴德县危机中的个人警察通讯员计划的心理健康和经济影响。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2026-04-09 DOI: 10.1037/ser0001030
Steven L Proctor, Stephanie Pastorino, Yisel Morell, Richard Pichardo, John W Newcomer
{"title":"Mental health and economic impact of a police coresponder program for individuals in crisis in Miami-Dade County.","authors":"Steven L Proctor, Stephanie Pastorino, Yisel Morell, Richard Pichardo, John W Newcomer","doi":"10.1037/ser0001030","DOIUrl":"10.1037/ser0001030","url":null,"abstract":"<p><p>The clinical and economic impact of a coresponder program was evaluated in a sample of 35 \"high-utilizers\" (defined as 3+ calls for service in a 6-month period for a behavioral health crisis requiring commitment per Florida's Baker Act statute) completing the program in Miami-Dade County, Florida. The final sample was predominately male (74%), White (83%), and Hispanic (83%), with an average age of 40 years. The program was associated with statistically significant improvements in all mental health functioning domains at the 6-month postenrollment follow-up, including reductions in violence risk, depressive symptoms, anger, and perceived stress, in addition to an increase in self-efficacy. High-utilizers experienced an average reduction of 2.43 calls for service from the 6-month period preenrollment to the 6-month period postprogram enrollment. In the 6-month period postenrollment, 65.7% no longer met high-utilizer criteria, and 82.9 no longer met high-utilizer criteria in the 6 months postprogram completion. All 35 individuals completing the program were referred to community-based mental health treatment with an average time from enrollment to attendance at their first appointment of about 25 days. High-utilizers were enrolled, on average, for 8.25 months, and for each person served, there was an estimated cost savings of $3,338 in reduced crisis stabilization services in the first 6 months postenrollment. Preliminary findings suggest the studied coresponder program is associated with significant estimated cost savings and reductions in 911 crisis calls, violence risk, depressive symptoms, anger, and perceived stress, in addition to improved self-efficacy, mental health functioning, and engagement in community-based mental health services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"491-501"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646318","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}
引用次数: 0
Psychology in health care: How psychologists' training translates to quality improvement. 卫生保健中的心理学:心理学家的培训如何转化为质量的提高。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-04-21 DOI: 10.1037/ser0000961
Kelley Arredondo, Alexandra B Caloudas, L David Wittkower, Steve G Caloudas, Kyler M Godwin, Jeffrey A Cully, Anthony H Ecker
{"title":"Psychology in health care: How psychologists' training translates to quality improvement.","authors":"Kelley Arredondo, Alexandra B Caloudas, L David Wittkower, Steve G Caloudas, Kyler M Godwin, Jeffrey A Cully, Anthony H Ecker","doi":"10.1037/ser0000961","DOIUrl":"10.1037/ser0000961","url":null,"abstract":"<p><p>Improving health care is complex and challenging and requires robust interventions to create change. Quality improvement (QI) interventions represent the current state of the art for improving care practices. QI as a field of research and practice has five key areas: (a) generalizable scientific evidence, (b) contextual awareness, (c) performance measurement, (d) plans for change, and (e) execution of planned changes. Applied psychology is ideally situated to lead and inform health care change and engage in QI approaches. Applied psychologists share training in scientific and empirical methods and maintain expertise in diverse domains including clinical health and human behavior change, industrial and organizational systems, human performance, education and training, and other related domains of skill and knowledge with significant potential to strengthen QI programs in health care. Collectively, psychology has an opportunity to assemble expert teams that can drive empirically informed impactful programs to improve health and health care practices. Unfortunately, QI approaches are not comprehensively addressed in training and professional development programs for psychologists. This article reviews opportunities for the field of psychology to improve its engagement in QI in health care settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"626-637"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990615","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}
引用次数: 0
Wellness program preferences and associated factors among Chinese Health Care Professionals during the COVID-19 pandemic. COVID-19大流行期间中国卫生保健专业人员的健康计划偏好及其相关因素
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-05-26 DOI: 10.1037/ser0000964
Shujing Zhang, Yi-Lang Tang, Eric Nehl, JungSu Oh, Jinbing Bai, Daphne Y Liu, Jia-Chen Fu, Feng Jiang, Huanzhong Liu, Yanqun Liu, Chunhua Zhang, Nadine J Kaslow
{"title":"Wellness program preferences and associated factors among Chinese Health Care Professionals during the COVID-19 pandemic.","authors":"Shujing Zhang, Yi-Lang Tang, Eric Nehl, JungSu Oh, Jinbing Bai, Daphne Y Liu, Jia-Chen Fu, Feng Jiang, Huanzhong Liu, Yanqun Liu, Chunhua Zhang, Nadine J Kaslow","doi":"10.1037/ser0000964","DOIUrl":"10.1037/ser0000964","url":null,"abstract":"<p><p>There is a dearth of information on wellness program preferences and influencing factors among Chinese health care professionals (HCPs). This study begins to establish a foundation for wellness programming for HCPs in China, especially during public health crises. It sought to (a) examine differences in wellness program preferences across the COVID-19 pandemic phases; (b) identify wellness program patterns and preferences; and (c) explore the influence of sociodemographic and psychological factors on these preferences. One hundred eighty participants (mean age of 33.1 ± 7.8 years) were HCPs from two hospitals in China who completed a battery of measures regarding preference for wellness programs (Wellness Programming Preferences Questionnaire), psychological symptoms (Patient Health Questionnaire-9; Depression, Anxiety, and Stress Scale-21), attitudes about professional help-seeking (Attitude Toward Seeking Professional Psychological Help-Short Form), and coping styles (Simplified Coping Style Questionnaire). Findings revealed that interactive and interpersonal wellness programs were preferred consistently throughout the pandemic. Peer support outreach (53.1%) and various onsite interactive programs, including wellness programming activities (50.6%), relaxation groups (46.7%), and in-person counseling (41.1%), were among the most preferred options. Further, HCPs with higher levels of help-seeking attitudes, <i>t</i>(145) = 3.28, <i>p</i> = .001, and positive coping styles, <i>t</i>(154) = 2.70, <i>p</i> = .008, endorsed higher preferences for an array of wellness programs. Our findings underscore the importance of developing and implementing interactive and interpersonally focused wellness programs to enhance the psychological well-being of Chinese HCPs. Future research should evaluate the effectiveness of culturally sensitive wellness programs for HCPs and compare wellness programming preferences worldwide. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"684-691"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161873","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}
引用次数: 0
Assessment and treatment of obsessive compulsive disorder in veterans with PTSD: A qualitative descriptive study. 退伍军人PTSD患者强迫症的评估与治疗:一项定性描述性研究。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-10-16 DOI: 10.1037/ser0000999
Gabriella T Ponzini, Yujung Choi, Susan Alton Dailey, Abigail Shapiro, Terri L Fletcher, Patrick S Calhoun, Heather A King
{"title":"Assessment and treatment of obsessive compulsive disorder in veterans with PTSD: A qualitative descriptive study.","authors":"Gabriella T Ponzini, Yujung Choi, Susan Alton Dailey, Abigail Shapiro, Terri L Fletcher, Patrick S Calhoun, Heather A King","doi":"10.1037/ser0000999","DOIUrl":"10.1037/ser0000999","url":null,"abstract":"<p><p>The comorbidity of obsessive compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) is common and leads to worse clinical and psychosocial outcomes than PTSD alone. Yet, OCD remains underdiagnosed and undertreated among veterans, a population with high rates of PTSD. This qualitative descriptive study aimed to understand Veterans Affairs providers' current practices for assessing and treating OCD in veterans with PTSD, as well as barriers to and needs for assessment and treatment. Twelve clinical psychologists were recruited to participate in semistructured interviews. The qualitative interview guide and analysis were informed by the consolidated framework for implementation research. Rapid, matrix, and team-based qualitative techniques were used to facilitate analysis. Psychologists across general mental health clinics (<i>n</i> = 7) and a trauma-focused specialty clinic (<i>n</i> = 5) were interviewed. Findings revealed most psychologists in general mental health clinics had assessed for and treated OCD in veterans with PTSD. Yet, across clinics, providers held misconceptions about OCD diagnosis and treatment. Providers reported barriers to assessment and treatment including a perceived lack of knowledge and training, access to consultation and resources, and time. Trauma-focused specialty clinic providers also noted national mandates as a barrier to OCD assessment and treatment in veterans with PTSD. Providers identified needs including time for and access to education, training, consultation, and resources. Findings from this study detail current practices and strategies to facilitate assessment and treatment of OCD in PTSD. Addressing current barriers and needs would increase accessibility of services and potentially improve the lives of thousands of veterans at Veterans Affairs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"580-589"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308819","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}
引用次数: 0
Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices. 自杀预防态度和信心的临床医生简介及其与报告的自杀预防实践的联系。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-07-28 DOI: 10.1037/ser0000981
Alexandra L Morena, Larissa M Gaias, Celine Larkin, Yan Wang, Catarina Kiefe, Edwin D Boudreaux
{"title":"Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.","authors":"Alexandra L Morena, Larissa M Gaias, Celine Larkin, Yan Wang, Catarina Kiefe, Edwin D Boudreaux","doi":"10.1037/ser0000981","DOIUrl":"10.1037/ser0000981","url":null,"abstract":"<p><p>Many who die by suicide seek care in general health care settings within a year before death, but only recently has suicide prevention become a core responsibility in these settings. Implementing suicide prevention practices is challenging, and common barriers to adoption include clinician attitudes and self-efficacy. Identifying clinician profiles can further illuminate patterns of suicide prevention practice attitudes and self-efficacy within clinician subgroups to inform implementation strategy selection and development. This study identified distinct clinician profiles of suicide prevention attitudes and confidence and examines their associations with suicide prevention practice delivery to patients. This study also investigated variables that help explain an individual's likelihood of belonging to latent profiles. Clinicians (<i>N</i> = 1,570) from one health care system completed a survey assessing attitudes, confidence in using suicide prevention practices, and current practice use. Latent profile analysis was conducted, followed by outcome and predictor analyses. Four unique profiles characterized by varying levels of attitudes and self-efficacy were identified. The profile characterized by poor attitudes toward the universal screening practice but high self-efficacy to utilize suicide prevention practices reported higher practice use with patients. Clinician characteristics (e.g., role) and contextual factors (e.g., leadership support) predicted profile membership. Results highlight meaningful variations in clinicians' suicide prevention attitudes and self-efficacy, identifying four distinct profiles. These findings highlight the need for further tailoring suicide prevention training and implementation strategy selection. Profiles characterized by neutral or low self-efficacy may benefit from implementation strategies that provide interactive assistance, while high confidence profiles may benefit from strategies targeting sustainment. Specific approaches to leverage these profiles for improved practice adoption are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"509-524"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732921","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}
引用次数: 0
Preintake attrition among children and adults waiting for trauma-focused treatment. 等待创伤治疗的儿童和成人的摄入前损耗。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-07-10 DOI: 10.1037/ser0000973
Caitlin Rancher, Owen Winters, Emily Tilstra-Ferell, Austen McGuire, Megan M Wallace, Alyssa A Rheingold, Daniel W Smith
{"title":"Preintake attrition among children and adults waiting for trauma-focused treatment.","authors":"Caitlin Rancher, Owen Winters, Emily Tilstra-Ferell, Austen McGuire, Megan M Wallace, Alyssa A Rheingold, Daniel W Smith","doi":"10.1037/ser0000973","DOIUrl":"10.1037/ser0000973","url":null,"abstract":"<p><p>Exposure to trauma is a pervasive stressor that globally impacts millions of children and adults and can lead to severe adjustment problems. Although receiving evidence-based trauma-focused mental health treatment can effectively reduce distress associated with exposure to trauma, over half of those who schedule an intake session fail to attend, known as preintake attrition. Understanding factors that predict preintake attrition is essential for improving clinical care and triaging the allocation of clinic resources. This study examined clinic archival data sourced from an outpatient training clinic that focuses on delivering evidence-based trauma treatment. Data included records from 249 clients (<i>n</i> = 96 children; <i>n</i> = 153 adults) who completed a phone screen at the clinic between January 2022 and December 2023. Of the 249 total clients placed on the clinic waitlist, 52% (<i>n</i> = 129) attended their intake appointment. Results indicated that certain factors assessed during the initial phone screen (demographic characteristics, index trauma, and referral source) predicted preintake attrition. Notably, waitlist duration also emerged as a predictor of attrition; children who did not attend their intake spent nearly twice as many days on the waitlist compared with children who attended their intake. These findings provide insight into predictors of preintake attrition and suggest potential targets for developing strategies to increase engagement in trauma-focused treatment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"590-598"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609212","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}
引用次数: 0
Veterans crisis line use among Asian American, Native Hawaiian, and Pacific Islander veterans: Contact reasons and risk assessment, by gender. 亚裔美国人、夏威夷原住民和太平洋岛民退伍军人使用危机热线:联系原因和风险评估,按性别分列。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-08-04 DOI: 10.1037/ser0000977
Lauren S Krishnamurti, Lindsey L Monteith, Aneeza Z Agha, Sumedha Chhatre, Claire A Hoffmire, Melissa E Dichter
{"title":"Veterans crisis line use among Asian American, Native Hawaiian, and Pacific Islander veterans: Contact reasons and risk assessment, by gender.","authors":"Lauren S Krishnamurti, Lindsey L Monteith, Aneeza Z Agha, Sumedha Chhatre, Claire A Hoffmire, Melissa E Dichter","doi":"10.1037/ser0000977","DOIUrl":"10.1037/ser0000977","url":null,"abstract":"<p><p>Suicide rates have increased substantially among Asian American, Native Hawaiian, and Pacific Islander (AANHPI) veterans, as well as among women veterans. The Veterans Crisis Line (VCL) is a resource available to all veterans as part of the Department of Veterans Affairs' multifaceted suicide prevention strategy. Despite well-documented gender differences in suicide risk and reasons for contacting the VCL, little is known about AANHPI veterans' use of the VCL and whether their reasons for contacting the VCL differ by gender. This descriptive analysis examined the demographics, reasons for contacting the VCL, and suicide risk assessment ratings for AANHPI veterans who contacted the VCL, by gender, as a first step to better understand VCL use in this heterogenous population. Using VCL and Veterans Affairs administrative data, we examined demographics, reasons for contacting the VCL, and suicide risk assessment ratings for 1,645 AANHPI veterans who contacted the VCL in Calendar Year 2020, stratified by gender and disaggregated between Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) veterans. Mental health was indicated as the most frequent reason for VCL contact for AANHPI women (84.8% of contacts) and men (66.1% of contacts). Suicidal thoughts or crises (34.5% of women, 27.5% of men) were noted as the second most frequent reason for contact across groups, followed by relationship problems (23.7% of women, 21.4% of men). We observed some similar patterns across race/ethnicity and gender subgroups, with some variation between groups. Nearly three quarters (74.6%) of NHPI women endorsed suicide risk screen indicator(s), with lower proportions among AA women (69.1%), AA men (57.8%), and NHPI men (57.3%). Additionally, 12.7% of NHPI women, 9.8% of NHPI men, 8.1% of AA men, and 5.6% of AA women were rated by VCL responders as being at elevated suicide risk. These initial descriptive findings highlight the importance of disaggregating data both by gender and race/ethnicity among AANHPI veterans. Further study of suicide risk and protective factors salient to each subgroup of AANHPI veterans is a critical next step to suicide prevention among these veterans. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"535-541"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776011","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}
引用次数: 0
Mental health service experiences regarding sexual orientation: Relations with demographics, depression, and suicidality among queer adults. 关于性取向的心理健康服务经验:与人口统计学、抑郁和酷儿成人自杀的关系。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2026-01-12 DOI: 10.1037/ser0001009
William J Hall, Denise Yookong Williams, Yinuo Xu, McRae Scott, Pin-Chen Chiang, Adam R Englert, Jake A Leite, Hayden C Dawes, Sonyia C Richardson, Ankur Srivastava
{"title":"Mental health service experiences regarding sexual orientation: Relations with demographics, depression, and suicidality among queer adults.","authors":"William J Hall, Denise Yookong Williams, Yinuo Xu, McRae Scott, Pin-Chen Chiang, Adam R Englert, Jake A Leite, Hayden C Dawes, Sonyia C Richardson, Ankur Srivastava","doi":"10.1037/ser0001009","DOIUrl":"10.1037/ser0001009","url":null,"abstract":"<p><p>Queer people experience high rates of depression and suicidality and are more likely to seek and use mental health services compared to heterosexual people. Few studies have investigated how mental health service experiences regarding sexual orientation and satisfaction/dissatisfaction with these services may be related to demographic characteristics and mental health outcomes among queer people. A national sample of 500 queer adults (<i>M</i><sub>age</sub> = 33.7, <i>SD</i> = 10.0; 60% female; 86% cisgender) in the United States completed an online survey that measured demographic characteristics, depressive symptoms, suicidal outcomes (ideation, planning, and attempts), mental health service experience about sexual orientation, and degree of helpfulness/unhelpfulness of these services. Results showed 39% of participants had talked with a mental health professional about their sexual orientation. Among those, 58% found the experience to be <i>helpful</i> to some degree, 24% found the experience to be <i>unhelpful</i> to some degree, and 18% found the experience neither unhelpful nor helpful. Regression results indicate that compared to individuals who had never talked with a mental health professional about their sexual orientation, those who had an unhelpful experience reported slightly higher levels of depressive symptoms, were nearly three times more likely to have seriously considered suicide, and were nearly four times more likely to have attempted suicide. Lack of education and training for mental health professionals about queer-specific issues, experiences, language, and affirmative practice may contribute to unhelpful experiences. Improvements in training, services, and policies are needed so that service use is helpful and not associated with elevated depression and suicidality. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"542-552"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960040","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}
引用次数: 0
Psychological well-being, PTSD, and their associations with eating disturbances in U.S. Veterans. 美国退伍军人的心理健康、创伤后应激障碍及其与饮食障碍的关系。
IF 1.8 3区 心理学
Psychological Services Pub Date : 2026-08-01 Epub Date: 2025-09-01 DOI: 10.1037/ser0000984
Keysha G Rule, Victoria L O'Connor, Sarah L Martindale
{"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) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"572-579"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","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}
引用次数: 0
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