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Brief ACT for Undergraduates: A Mixed-Methods Pilot Investigation of Acceptance and Commitment Therapy Delivered over Zoom 大学生简短的ACT:一项混合方法的试点调查,通过Zoom提供接受和承诺治疗
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2022-02-02 DOI: 10.1080/87568225.2022.2029659
Morgan E. Browning, A. Morena, Evelyn R. Gould, Elizabeth E. Lloyd-Richardson
ABSTRACT University students face significant mental health challenges and often have difficulties seeking and obtaining mental health care. Acceptance and Commitment Therapy (ACT) seeks to increase psychological flexibility and valued living, and is well-suited for a transdiagnostic, skills-based approach that can support students with diverse needs. Embedding interventions in university courses may reach more students. A brief, four session ACT intervention plus follow-up, “Brief ACT for Undergraduates,” was delivered by a trained graduate student to 22 students participating in an undergraduate psychology seminar. Roughly half of the sample met clinical cutoffs on validated measures. Stress and anxiety decreased at follow-up. Students rated the intervention as helpful and accessible and reported moderate engagement with skills outside of class. These pilot results suggest embedding ACT within a university course is a beneficial way to support student mental health. Study limitations and future recommendations discussed, and the need for large-scale replication and RCTs emphasized.
大学生面临着重大的心理健康挑战,往往难以寻求和获得心理健康护理。接受和承诺治疗(ACT)旨在增加心理灵活性和有价值的生活,非常适合跨诊断、基于技能的方法,可以支持有不同需求的学生。在大学课程中嵌入干预措施可能会影响到更多的学生。一名训练有素的研究生向参加本科心理学研讨会的22名学生进行了简短的四次ACT干预和随访,名为“本科生简短ACT”。大约一半的样本符合有效措施的临床截止日期。在随访中,压力和焦虑有所下降。学生们认为这种干预是有帮助的、容易获得的,并报告说,他们在课外对技能的参与程度适中。这些试点结果表明,将ACT纳入大学课程是支持学生心理健康的有益方式。讨论了研究的局限性和未来的建议,并强调了大规模复制和随机对照试验的必要性。
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引用次数: 6
The Transition to Telepsychology during the COVID-19 Pandemic: College Student and Counselor Acceptability Perceptions and Attitudes COVID-19大流行期间向远程心理学的过渡:大学生和辅导员的可接受性观念和态度
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2022-01-26 DOI: 10.1080/87568225.2022.2029688
Jorge E. Gonzalez, Ashley Ramclam, Rune Moelbak, Meghan Roche
The COVID-19 pandemic forced univaersity and college counseling and psychological service centers to swiftly switch to telepsychology service delivery to meet the continuing needs of student clients. This study was conducted at the onset and peak periods of the COVID-19 outbreak. We explored student client and counselor acceptability, attitudes, perceptions, experiences, barriers, and facilitators to remote telepsychology services using Qualtrics survey methodologies. Student clients and counselors were sent, via e-mail, two separate, but parallel anonymous questionnaires developed for purposes of this study. Results revealed that most student clients agreed that mental health service delivery via telepsychology was an adequate alternative to face-to-face therapy, there were few challenges with telepsychology with ease of access a key benefit. Student clients also felt that the therapeutic alliance was commensurate with face-to-face therapy while identifying lack of privacy in the home as the most problematic aspect of telepsychology. Counselors and student clients both identified convenience as the most important characteristic of telepsychology. Limitations are discussed as well as directions for future research. [ FROM AUTHOR] Copyright of Journal of College Student Psychotherapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
新冠肺炎疫情迫使高校心理咨询和服务中心迅速转向远程心理服务,以满足学生客户的持续需求。本研究是在COVID-19暴发的发病和高峰时期进行的。我们使用Qualtrics调查方法探讨了学生客户和咨询师对远程心理服务的可接受性、态度、感知、经验、障碍和促进因素。学生客户和辅导员通过电子邮件发送了两份独立但平行的匿名调查问卷,这是为了本研究的目的而设计的。结果显示,大多数学生客户同意,通过远程心理学提供心理健康服务是面对面治疗的适当替代方案,远程心理学的挑战很少,易于获得是一个关键的好处。学生客户还认为,治疗联盟与面对面治疗是相称的,同时认为远程心理学中最具问题的方面是在家中缺乏隐私。咨询师和学生来访者都认为便利是远程心理学最重要的特征。讨论了局限性以及未来的研究方向。《大学生心理治疗杂志》版权归Taylor & Francis有限公司所有,未经版权所有者明确书面许可,其内容不得复制或通过电子邮件发送到多个网站或发布到listserv。但是,用户可以打印、下载或通过电子邮件发送文章供个人使用。这可以删节。对副本的准确性不作任何保证。用户应参阅原始出版版本的材料的完整。(版权适用于所有人。)
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引用次数: 1
Psychosis-Spectrum Screening and Assessment Within a College Counseling Center: A Pilot Study Exploring Feasibility and Clinical Need. 大学心理咨询中心的精神病谱筛查和评估:可行性和临床需求的初步研究。
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2022-01-01 DOI: 10.1080/87568225.2020.1797604
Elizabeth C Thompson, Nicole D Andorko, Pamela Rakhshan Rouhakhtar, Zachary B Millman, Kristin Sagun, Susan C Han, Doha Chibani, Gloria M Reeves, Bruce Herman, Jason Schiffman

Evidence supports the use of brief psychosis-spectrum screening tools for identifying individuals at an increased risk of developing a psychotic disorder. Screening has not been well studied in general mental health settings that serve young adults in the age range associated with highest risk for psychosis. This study explored the feasibility of psychosis-risk screening and assessment among help-seeking students at a university counseling center. The PRIME Screen-Revised was administered to students at clinic intake. Participants who screened positively were offered a follow-up assessment using the Structured Interview for Psychosis-risk Syndromes (SIPS). At intake, 510 students completed the PRIME Screen-Revised, with 132 (25.9%) screening positive. Comprehensive psychosis-spectrum evaluations were completed with 38 participants, and 22 met criteria for a psychosis-spectrum disorder, representing 57.9% of this subsample. Findings suggest that psychosis-risk screening in a college clinic is a promising approach to identifying those at high risk for or in the early stages of psychosis.

有证据支持使用简短的精神病谱筛查工具来识别发展为精神障碍风险增加的个体。筛查尚未在一般心理健康机构中得到很好的研究,这些机构为与精神病风险最高的年龄范围相关的年轻人提供服务。本研究探讨了在大学心理咨询中心进行心理风险筛查与评估的可行性。在诊所入学时对学生进行了PRIME屏幕修订。筛选阳性的参与者使用精神病风险综合征结构化访谈(SIPS)进行随访评估。在入学时,510名学生完成了PRIME筛查修订,其中132名(25.9%)筛查阳性。38名参与者完成了全面的精神病谱系评估,其中22人符合精神病谱系障碍的标准,占该子样本的57.9%。研究结果表明,在大学诊所进行精神病风险筛查是一种很有前途的方法,可以识别那些处于精神病高风险或早期阶段的人。
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引用次数: 4
Racial Microaggressions and Depression in Black College Students: The Role of Ethnic Identity 黑人大学生的种族微侵犯与抑郁:种族认同的作用
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-09-14 DOI: 10.1080/87568225.2021.1976607
L. R. Marks, M. Stenersen, K. Adams, D. Lattimore, B. C. Lee
ABSTRACT Researchers have noted the detrimental effects of racial microaggressions on the mental health of Black college students. Further, research has identified ethnic identity as a possible moderating factor on the mental health of racial minorities. We examined six dimensions of racial microaggressions and their relation to depression symptoms in a sample of 189 Black college students. We also investigated whether or not ethnic identity served as a moderator. Regression analyses demonstrated significant positive associations between all six dimensions of racial microaggressions and depression, and that ethnic identity significantly moderated the relationship between one dimension (i.e., Low-Achieving/Undesirable Culture) and depression, such that ethnic identity strengthened the relationship between this dimension and depression symptoms. . We discuss implications for research and clinical practice on college campuses, including a need for college counselors to address racial microaggressions and ethnic identity in their clinical work.
研究人员注意到种族微侵犯对黑人大学生心理健康的不利影响。此外,研究还发现,民族认同可能是影响少数民族心理健康的一个调节因素。我们以189名黑人大学生为样本,研究了种族微侵犯的六个维度及其与抑郁症状的关系。我们还调查了种族认同是否起到了调节作用。回归分析表明,种族微侵犯的所有六个维度与抑郁之间存在显著的正相关关系,种族认同显著缓和了一个维度(即低成就/不良文化)与抑郁之间的关系,因此种族认同加强了这一维度与抑郁症状之间的关系。我们讨论了对大学校园研究和临床实践的影响,包括大学辅导员在临床工作中解决种族微侵犯和民族认同的必要性。
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引用次数: 0
Using Cognitive-Behavioral Therapy with Exposure for Anxious Students with Classroom Accommodations 使用认知行为暴露疗法治疗教室住宿的焦虑学生
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-08-18 DOI: 10.1080/87568225.2021.1961110
Brian A. Zaboski, Emma Romaker
ABSTRACT Millions of college students across the United States experience anxiety disorders, evidencing a high need for evidence-based counseling techniques. At the same time, impairment resulting from anxiety often necessitates classroom accommodations at the postsecondary level. Cognitive-behavioral therapy with exposure (CBT ERP) involves a thorough assessment of the function of a client’s behaviors and a personalized treatment plan that gradually exposes them to feared stimuli. Yet students often underutilize classroom accommodations, and accommodations may conflict with the theoretical underpinnings of CBT ERP. We present a brief and accessible explanation of CBT ERP, discuss common classroom accommodations, and suggest methods for successfully integrating accommodations into cognitive-behavioral interventions.
美国数以百万计的大学生患有焦虑症,这证明了对循证咨询技术的高度需求。与此同时,焦虑造成的损害往往需要在中学后的水平上提供教室住宿。暴露的认知行为疗法(CBT ERP)包括对来访者行为功能的全面评估和个性化的治疗计划,使他们逐渐暴露于恐惧的刺激中。然而,学生往往没有充分利用课堂住宿,住宿可能与CBT ERP的理论基础相冲突。本文简要介绍了CBT ERP,讨论了常见的教室住宿,并提出了将住宿成功融入认知行为干预的方法。
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引用次数: 1
Treating in Place: A Model of On-campus Care for Serious Mental Illnesses 就地治疗:严重精神疾病的校园护理模式
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-08-13 DOI: 10.1080/87568225.2021.1961650
Beverly M. Mason
ABSTRACT For several decades, college counseling centers have struggled to meet a steady rise in demand for services. Research suggests that therapeutic advancements, including psychotropic medication, have led to an increase in students with serious mental illnesses who now represent a significant portion of this demand. Current strategies to meet the demand for treatment have fallen short, often resulting in students with serious mental illnesses withdrawing. This composite case study introduces the Next Step Program at Rutgers University, a new program designed specifically to treat students with serious mental illnesses on campus. Using a social ecological approach, this case study traces the development of changes implemented at the macro level of the university, the meso level of the college counseling center, and the micro level of a student receiving treatment at the Next Step Program. By highlighting how on-campus treatment removes common barriers to care and improves outcomes for both students with serious mental illnesses and the universities they attend, college counseling professionals and administrators will learn of the crucial positive impacts on-campus treatment can provide.
几十年来,大学咨询中心一直在努力满足不断增长的服务需求。研究表明,包括精神药物在内的治疗进步,导致患有严重精神疾病的学生人数增加,他们现在占了这一需求的很大一部分。目前满足治疗需求的策略不足,经常导致患有严重精神疾病的学生退学。这个综合案例研究介绍了罗格斯大学的下一步计划,这是一个专门为在校园里患有严重精神疾病的学生设计的新计划。本案例研究采用社会生态学的方法,追溯了在大学宏观层面、大学咨询中心中观层面以及在“下一步计划”中接受治疗的学生微观层面实施的变革的发展。通过强调校园治疗如何消除常见的治疗障碍,并改善患有严重精神疾病的学生和他们所就读的大学的结果,大学咨询专家和管理人员将了解校园治疗可以提供的关键积极影响。
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引用次数: 3
Student-Athletes and Counseling Services: Recommendations for Identifying and Developing Referral Sources 学生运动员和咨询服务:确定和发展推荐来源的建议
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-07-31 DOI: 10.1080/87568225.2021.1957338
R. Daltry, Kristin E. Mehr, L. Keenan
ABSTRACT The current article describes recommendations for identifying and developing referral sources for student-athletes seeking counseling services. A Counseling Center at a northeastern state university collected data from student-athletes presenting for mental health services about who referred them and what sport they played. Findings indicated a disparity between the number of female student-athletes presenting for services and male student-athletes as well as more student-athletes presenting for services during the Fall semester than the Spring semester. It was also found that athletic trainers and coaches were the biggest referral sources to university counseling services. Recommendations for other Counseling Centers are provided in creating and improving upon referral sources for student-athletes.
本文介绍了为寻求咨询服务的学生运动员确定和发展推荐来源的建议。东北部一所州立大学的咨询中心收集了前来心理健康服务的学生运动员的数据,包括是谁介绍了他们,他们参加了什么运动。调查结果表明,参加服务的女学生运动员和男学生运动员的数量存在差异,而且在秋季学期参加服务的学生运动员比春季学期多。研究还发现,体育教练和教练是大学心理咨询服务的最大推荐来源。为其他咨询中心提供了创建和改进学生运动员推荐来源的建议。
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引用次数: 2
Homecoming and College Transition Narratives of Student Military Veterans 学生退伍军人的返乡与大学转型叙事
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-06-07 DOI: 10.1080/87568225.2021.1926034
Michael A. Mahoney, J. Rings, Basilia C. Softas-Nall, Tabitha Alverio, D. M. Hall
ABSTRACT The purpose of this qualitative study was to explore the homecoming and college transition narratives constructed by student veterans in order to help college clinicians a) to more holistically understand these veterans and their experiences, b) to more fully enter their phenomenological worlds, and c) to form more genuine and effective therapeutic relationships with them. Twelve student veteran participants were interviewed, and six common themes emerged from the analysis. Theoretical and clinical implications are provided, as well as more practical recommendations for college clinicians on how to increase campus-wide support and inclusivity for their student veterans.
摘要本质性研究旨在探讨退伍军人的返乡和大学转型叙事,以帮助大学临床医生更全面地了解退伍军人及其经历,更全面地进入他们的现象学世界,以及c)与他们建立更真实有效的治疗关系。我们采访了12名学生老兵,分析得出了6个共同的主题。为大学临床医生提供了理论和临床意义,以及关于如何增加校园范围内对退伍军人学生的支持和包容性的更实用的建议。
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引用次数: 0
The Impact and Efficacy of E-Counselling in an Open Distance Learning Environment:A Mixed Method Exploratory Study 开放远程学习环境下电子咨询的影响和效果:一项混合方法的探索性研究
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-06-03 DOI: 10.1080/87568225.2021.1924098
Rossano Wells
ABSTRACT This paper reports on the findings of a study which sought to investigate the impact and efficacy of technology-based counseling offered by the University of South Africa (Unisa), an Open and Distance Learning (ODL) institution. The study focused specifically on student perceptions of the services they had received from professionals based in the Gauteng regional center, in the context of academic admissions and support, career indecision, financial and psychosocial challenges. A client satisfaction questionnaire was administered to 30 students. The theoretical framework for the study was Activity theory, which is a philosophical and cross-disciplinary framework for studying different forms of human practices as development processes, with both individual and social levels interlinked simultaneously. A mixed-method approach was adopted to explore participants’ experiences and perceptions of e-counseling. Quantitative data was analyzed using the Statistical Package for Social Sciences (SPSS). Open-ended responses contained in the questionnaire, were subjected to qualitative analysis using the Atlas.ti program. Accessibility, convenience, and efficiency were highlighted as significant benefits of e-counseling. Results of the study suggest that while e-counseling should not be construed as a substitute for traditional, face-to-face counseling and psychotherapy, particularly in respect of more severe emotional and psychological challenges, it can be a useful adjunct to traditional modes of practice. The study also has important quality assurance implications for student counseling practice in Open and Distance Learning (ODL) institutions, particularly with respect to informing online ethical imperatives.
本文报告了一项研究的结果,该研究旨在调查南非大学(Unisa),一个开放和远程学习(ODL)机构提供的基于技术的咨询的影响和功效。这项研究特别关注学生对他们从豪登省区域中心的专业人员那里得到的服务的看法,包括学术录取和支持、职业优优症、经济和心理挑战。对30名学生进行客户满意度问卷调查。这项研究的理论框架是活动理论,这是一个哲学和跨学科的框架,用于研究作为发展过程的不同形式的人类实践,个人和社会层面同时相互联系。采用混合方法探讨参与者对电子咨询的体验和看法。定量数据使用社会科学统计软件包(SPSS)进行分析。问卷中包含的开放式回答使用地图集进行定性分析。“透明国际”项目。可访问性、便利性和效率被强调为电子咨询的显著好处。研究结果表明,虽然电子咨询不应该被解释为传统的面对面咨询和心理治疗的替代品,特别是在更严重的情感和心理挑战方面,但它可以作为传统实践模式的有用辅助。该研究还对开放和远程学习(ODL)机构的学生咨询实践具有重要的质量保证意义,特别是在告知在线道德要求方面。
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引用次数: 4
Mental Health of Iranian College Students in a Nationally Representative Sample of over 74,500 Individuals: Scale Development and Standardization 超过74,500名伊朗大学生的全国代表性样本的心理健康:规模发展和标准化
IF 1.4 Q3 PSYCHOLOGY, APPLIED Pub Date : 2021-05-25 DOI: 10.1080/87568225.2021.1911527
Saeed Akbari Zardkhaneh, H. Poursharifi, M. Rajabi, H. Yaghoubi
ABSTRACT This study sought to develop the College Mental Health Scale (CMHS) as a screening instrument among Iranian college students. In total, the nationally representative sample (N = 74,571) was selected to match the Iranian college student population throughout the country. In the first study, a conceptual framework was developed and a pool of items based on the most prevalent mental disorders in Iranian college students were devised. In the second study, psychometric properties of CMHS was examined (n = 600). The third study was conducted in two phases. In the first phase (n = 2,750), explanatory factor analysis was used for reaching a better factor structure and in the second phase (n = 2,750) the invariability of factor structure and correlation of CMHS with related measure was examined. The result revealed a 56-item measurement scale consisting of seven dimensions as the most prevalent mental disorders. In the fourth study (n = 68,471), male and female norms were developed. The CMHS has adequate reliability and validity and can be used for assessment of college students’ mental health problems in Iran.
摘要:本研究旨在开发大学生心理健康量表(CMHS)作为伊朗大学生的筛查工具。总的来说,选择了具有全国代表性的样本(N = 74,571)来匹配全国的伊朗大学生人口。在第一项研究中,开发了一个概念框架,并根据伊朗大学生中最普遍的精神障碍设计了一个项目库。在第二项研究中,对CMHS的心理测量特性进行了检查(n = 600)。第三项研究分两个阶段进行。第一阶段(n = 2750)采用解释因子分析得出较优的因子结构,第二阶段(n = 2750)检验因子结构的不变性及CMHS与相关测度的相关性。结果显示,由七个维度组成的56项测量量表是最普遍的精神障碍。在第四项研究中(n = 68,471),制定了男性和女性规范。该量表具有足够的信度和效度,可用于伊朗大学生心理健康问题的评估。
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引用次数: 1
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JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY
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