Cian L. Brown, Corey Peltier, Evan C. Smarinsky, Olivia J. Lewis, David Y. Lee
Single-case research designs (SCRDs) are a vital tool for researchers and practitioners in counseling to evaluate intervention and treatment effectiveness. This content analysis reviews the application of SCRDs in counseling to highlight knowledge accrued and existing gaps in the literature. We evaluated the methodological design and reporting adherence against recommended guidelines to provide guidance for future research. We included 50 SCRDs published between 2015 and 2021 across 15 journals (42 reviewed). Content results showed several trends, strengths, and areas of improvement in counseling SCRDs. No studies completely met the What Works Clearinghouse (2022) design standards or Single-Case Reporting Guideline in Behavioural Interventions (SCRIBE) reporting standards, yet several indicators had high levels of adherence. We discuss how the experimental design process can be enhanced to improve the internal validity, ways to improve transparency in reporting SCRD results, and the importance of contextualizing SCRD methodology to the counseling field.
{"title":"A review of counseling research using single-case research design","authors":"Cian L. Brown, Corey Peltier, Evan C. Smarinsky, Olivia J. Lewis, David Y. Lee","doi":"10.1002/jcad.12517","DOIUrl":"https://doi.org/10.1002/jcad.12517","url":null,"abstract":"<p>Single-case research designs (SCRDs) are a vital tool for researchers and practitioners in counseling to evaluate intervention and treatment effectiveness. This content analysis reviews the application of SCRDs in counseling to highlight knowledge accrued and existing gaps in the literature. We evaluated the methodological design and reporting adherence against recommended guidelines to provide guidance for future research. We included 50 SCRDs published between 2015 and 2021 across 15 journals (42 reviewed). Content results showed several trends, strengths, and areas of improvement in counseling SCRDs. No studies completely met the What Works Clearinghouse (2022) design standards or Single-Case Reporting Guideline in Behavioural Interventions (SCRIBE) reporting standards, yet several indicators had high levels of adherence. We discuss how the experimental design process can be enhanced to improve the internal validity, ways to improve transparency in reporting SCRD results, and the importance of contextualizing SCRD methodology to the counseling field.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"334-349"},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141264571","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}
David D. Christian, Cian L. Brown, Evan C. Smarinsky, Erin K. Popejoy, Allison Ames Boykin
The authors implemented an A–B–A with follow-up quasi-experimental single-case research design to assess the effectiveness of a consumer-grade neurofeedback (NFB)-assisted mindfulness-based intervention (MBI) for reducing anxiety in high-achieving high school students (N = 5). Three of the participants from racial/ethnic minority and lower socioeconomic status (SES) backgrounds reported reduced anxiety as measured by the State-Trait Anxiety Inventory for Youth (STAI-Y) during the intervention. In contrast, the two participants who identified as White, higher SES did not report decreased anxiety during the intervention. Results provide initial support for the use of the NFB-assisted MBI used in this study as a brief, targeted intervention for highly anxious, high-achieving high school students—specifically those from racial/ethnic minority and lower SES backgrounds. Implications for practice and research are discussed.
作者采用 A-B-A 加后续跟踪的准实验性单一案例研究设计,评估了消费者级神经反馈(NFB)辅助正念干预(MBI)对降低成绩优异的高中生(5 人)焦虑症的效果。根据青少年国家特质焦虑量表(STAI-Y)的测量,其中三名来自少数种族和社会经济地位(SES)较低背景的参与者在干预过程中焦虑程度有所减轻。相比之下,两名自称为白人、社会经济地位较高的参与者在干预期间并没有报告焦虑减少。研究结果初步证明,本研究中使用的 NFB 辅助 MBI 是一种针对高度焦虑、成绩优异的高中生(尤其是来自少数种族和较低社会经济地位背景的学生)的简短、有针对性的干预方法。本研究还讨论了对实践和研究的启示。
{"title":"Reducing student anxiety using neurofeedback-assisted mindfulness: A quasi-experimental single-case design","authors":"David D. Christian, Cian L. Brown, Evan C. Smarinsky, Erin K. Popejoy, Allison Ames Boykin","doi":"10.1002/jcad.12516","DOIUrl":"10.1002/jcad.12516","url":null,"abstract":"<p>The authors implemented an A–B–A with follow-up quasi-experimental single-case research design to assess the effectiveness of a consumer-grade neurofeedback (NFB)-assisted mindfulness-based intervention (MBI) for reducing anxiety in high-achieving high school students (<i>N</i> = 5). Three of the participants from racial/ethnic minority and lower socioeconomic status (SES) backgrounds reported reduced anxiety as measured by the State-Trait Anxiety Inventory for Youth (STAI-Y) during the intervention. In contrast, the two participants who identified as White, higher SES did not report decreased anxiety during the intervention. Results provide initial support for the use of the NFB-assisted MBI used in this study as a brief, targeted intervention for highly anxious, high-achieving high school students—specifically those from racial/ethnic minority and lower SES backgrounds. Implications for practice and research are discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"318-333"},"PeriodicalIF":2.3,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcad.12516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140366711","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}
The present study explored the interrelationship among counselor burnout, person–environment fit, and job crafting via a latent profile analysis (LPA). Using a sample of 451 school counselors (76.9% women, 23.1% men) in Türkiye, the LPA revealed three distinct profiles regarding adaptation to the environment (maladaptive, average, and adaptive). The auxiliary variable analysis showed that career adaptability and its components (i.e., concern, control, curiosity, and confidence) increased the likelihood of school counselors’ membership in the adaptive group. In addition, the results showed significant mean differences in the levels of positive affect and negative affect across profile memberships, such that the adaptive group had the highest positive affect and the lowest negative affect. Implications are discussed.
{"title":"Counselor burnout, person–environment fit, and job crafting among school counselors: A person–centered approach","authors":"Ersoy Çarkıt","doi":"10.1002/jcad.12513","DOIUrl":"10.1002/jcad.12513","url":null,"abstract":"<p>The present study explored the interrelationship among counselor burnout, person–environment fit, and job crafting via a latent profile analysis (LPA). Using a sample of 451 school counselors (76.9% women, 23.1% men) in Türkiye, the LPA revealed three distinct profiles regarding adaptation to the environment (maladaptive, average, and adaptive). The auxiliary variable analysis showed that career adaptability and its components (i.e., concern, control, curiosity, and confidence) increased the likelihood of school counselors’ membership in the adaptive group. In addition, the results showed significant mean differences in the levels of positive affect and negative affect across profile memberships, such that the adaptive group had the highest positive affect and the lowest negative affect. Implications are discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"302-317"},"PeriodicalIF":2.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370766","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}
Nathaniel N. Ivers, David A. Johnson, D. Robert Casares, Marlise R. Lonn, Thelma Duffey, Shane Haberstroh
In this article, we examine prolonged grief through an existential theoretical lens. In particular, we critically compare criteria for prolonged grief disorder with existential theoretical principles, including existential phenomenology, existential relatedness, and existential givens of human existence: death anxiety, existential freedom, existential isolation, and existential meaning/meaninglessness. We explore how existential perspectives and principles provide a clinically useful explanation for the presence and etiology of many of the symptoms of prolonged grief. We also describe counseling implications for treating prolonged grief phenomenologically, relationally, and through the lens of the four existential givens.
{"title":"Understanding prolonged grief from an existential counseling perspective","authors":"Nathaniel N. Ivers, David A. Johnson, D. Robert Casares, Marlise R. Lonn, Thelma Duffey, Shane Haberstroh","doi":"10.1002/jcad.12518","DOIUrl":"10.1002/jcad.12518","url":null,"abstract":"<p>In this article, we examine prolonged grief through an existential theoretical lens. In particular, we critically compare criteria for prolonged grief disorder with existential theoretical principles, including existential phenomenology, existential relatedness, and existential givens of human existence: death anxiety, existential freedom, existential isolation, and existential meaning/meaninglessness. We explore how existential perspectives and principles provide a clinically useful explanation for the presence and etiology of many of the symptoms of prolonged grief. We also describe counseling implications for treating prolonged grief phenomenologically, relationally, and through the lens of the four existential givens.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"370-381"},"PeriodicalIF":2.3,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcad.12518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379112","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}
Colette T. Dollarhide, Tanya Middleton, Liliana Burciaga, Jennifer Casani, Natese Dockery, Audia M. Fraley, Sailee Karkhanis, Allison Levine, Michele Lynn, Rumbidzai Mushunje, Ildico Harriet Osei Twerefour, Sarah Shrewsbury-Braxton
Social justice is listed as a professional value for the American Counseling Association (ACA) (2014), yet professional publication in this topic may not be commensurate with its importance to the profession. This article presents the results of a qualitative content analysis (QCA, Schreier, 2012) of titles and abstracts of 917 articles in 18 ACA journals and one American School Counselor Association journal to document each journal's publication rate of social justice-related articles for 2 years: 2018 (2 years before the ACA Anti-Racism Statement, 2020) and 2022 (2 years after the statement). Results for each journal are presented, and topics of social justice content are listed. Implications are provided for researchers, association leaders, editors, and reviewers.
{"title":"Social justice content in counseling journals: Comparison of publication rates","authors":"Colette T. Dollarhide, Tanya Middleton, Liliana Burciaga, Jennifer Casani, Natese Dockery, Audia M. Fraley, Sailee Karkhanis, Allison Levine, Michele Lynn, Rumbidzai Mushunje, Ildico Harriet Osei Twerefour, Sarah Shrewsbury-Braxton","doi":"10.1002/jcad.12520","DOIUrl":"10.1002/jcad.12520","url":null,"abstract":"<p>Social justice is listed as a professional value for the American Counseling Association (ACA) (2014), yet professional publication in this topic may not be commensurate with its importance to the profession. This article presents the results of a qualitative content analysis (QCA, Schreier, 2012) of titles and abstracts of 917 articles in 18 ACA journals and one American School Counselor Association journal to document each journal's publication rate of social justice-related articles for 2 years: 2018 (2 years before the ACA Anti-Racism Statement, 2020) and 2022 (2 years after the statement). Results for each journal are presented, and topics of social justice content are listed. Implications are provided for researchers, association leaders, editors, and reviewers.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"350-360"},"PeriodicalIF":2.3,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcad.12520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140380254","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}
The history of talk therapy is characterized by ideological trends rather than incremental progress. When a new trend is ascendant, insights from prior eras may be forgotten or lost. Currently, counseling is arguably dominated by an ideology of symptom reduction. Therefore, insights from the prior exploratory phase of talk therapy may be difficult for modern practitioners to access. I discuss eight important lessons that contemporary counselors can learn from exploratory therapies.
{"title":"Lessons contemporary counselors can learn from the exploratory therapies","authors":"James T. Hansen","doi":"10.1002/jcad.12515","DOIUrl":"10.1002/jcad.12515","url":null,"abstract":"<p>The history of talk therapy is characterized by ideological trends rather than incremental progress. When a new trend is ascendant, insights from prior eras may be forgotten or lost. Currently, counseling is arguably dominated by an ideology of symptom reduction. Therefore, insights from the prior exploratory phase of talk therapy may be difficult for modern practitioners to access. I discuss eight important lessons that contemporary counselors can learn from exploratory therapies.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 4","pages":"385-393"},"PeriodicalIF":2.3,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140385258","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}
Yi-Ying Lin, Dena Phillips Swanson, Ronald D. Rogge
Stigma remains a significant barrier preventing individuals from seeking the support they need, particularly for individuals with East Asian heritages. To explore potential mechanisms, this study examined links from East Asian ideologies to mental health help-seeking attitudes and peace of mind across five cultural groups: 322 respondents in China, 400 in Japan, 362 in Taiwan, 319 Asian Americans, and 688 white Americans. The three teachings of East Asia accounted for 31%–85% of the cross-cultural differences in mental health attitudes and peace of mind. Empowering Confucian tenets (self-cultivation, leading by example, and human heartedness), Taoism, and Buddhism all uniquely predicted greater peace of mind across most of the groups. Empowering Confucianism also predicted lower mental health stigma whereas Buddhism predicted greater stigma. Finally, Restrictive Confucian tenets (e.g., interpersonal harmony, propriety, and relational hierarchy) predicted greater stigma and lower peace of mind. Implications for addressing stigma/resistance within treatment and for promoting mental health across cultures are discussed.
{"title":"From zen to stigma: Buddhism, Taoism, Confucianism, and their cross-cultural links to mental health","authors":"Yi-Ying Lin, Dena Phillips Swanson, Ronald D. Rogge","doi":"10.1002/jcad.12514","DOIUrl":"10.1002/jcad.12514","url":null,"abstract":"<p>Stigma remains a significant barrier preventing individuals from seeking the support they need, particularly for individuals with East Asian heritages. To explore potential mechanisms, this study examined links from East Asian ideologies to mental health help-seeking attitudes and peace of mind across five cultural groups: 322 respondents in China, 400 in Japan, 362 in Taiwan, 319 Asian Americans, and 688 white Americans. The three teachings of East Asia accounted for 31%–85% of the cross-cultural differences in mental health attitudes and peace of mind. Empowering Confucian tenets (self-cultivation, leading by example, and human heartedness), Taoism, and Buddhism all uniquely predicted greater peace of mind across most of the groups. Empowering Confucianism also predicted lower mental health stigma whereas Buddhism predicted greater stigma. Finally, Restrictive Confucian tenets (e.g., interpersonal harmony, propriety, and relational hierarchy) predicted greater stigma and lower peace of mind. Implications for addressing stigma/resistance within treatment and for promoting mental health across cultures are discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"264-278"},"PeriodicalIF":2.3,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383500","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}
Jordan Shannon, Darius A. Green, Dwayne White, Guy J. Beauduy Jr., Avery Rosser
The view of Black male identities has historically been distorted. Traditionally, it has reflected the dehumanization of Black males through the lens of criminality and lacking dignity. However, in a similar fashion, little is known about the Black males in counseling, due to simultaneous under examination in empirical literature. Therefore, the researchers conducted a content analysis on the family of American Counseling Association and affiliate journals to observe the current state of scholarship on Black males’ experiences with counseling. Using an intersectional lens to the approach, our review yielded 102 articles on Black males' experiences with counseling published between 1972 and 2022. Implications for culturally responsive practices and counselor education are further discussed.
{"title":"A 50-year content analysis on Black males' experiences in counseling","authors":"Jordan Shannon, Darius A. Green, Dwayne White, Guy J. Beauduy Jr., Avery Rosser","doi":"10.1002/jcad.12511","DOIUrl":"10.1002/jcad.12511","url":null,"abstract":"<p>The view of Black male identities has historically been distorted. Traditionally, it has reflected the dehumanization of Black males through the lens of criminality and lacking dignity. However, in a similar fashion, little is known about the Black males in counseling, due to simultaneous under examination in empirical literature. Therefore, the researchers conducted a content analysis on the family of American Counseling Association and affiliate journals to observe the current state of scholarship on Black males’ experiences with counseling. Using an intersectional lens to the approach, our review yielded 102 articles on Black males' experiences with counseling published between 1972 and 2022. Implications for culturally responsive practices and counselor education are further discussed.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"279-291"},"PeriodicalIF":2.3,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383211","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}
Rattanakorn Ratanashevorn, So Rin Kim, Susan Kashubeck-West, Timo T. Ojanen
Literature suggests LGBTQ+ cultural competencies and cultural humility as critical components to providing counseling services to LGBTQ+ clients. Previous research has shown that cultural humility leads to better counseling outcomes through the counseling alliance in sexual minority clients. This study investigated the relationships among cultural humility, counseling alliance, and counseling outcome among 584 LGBTQ+ counseling clients (38.5% were non-cisgender). The results revealed that all three constructs were positively related to one another. Counseling alliance mediated the relationship between cultural humility and counseling outcome. The overall mediation model indicated that cultural humility had direct and indirect effects accounting for 58% of the variance in counseling outcome when controlling for gender, sexual orientation, and level of education. The findings underscore the importance of cultivating cultural humility among counselors working with LGBTQ+ clients to improve counseling alliance and counseling outcomes.
{"title":"Cultural humility, counseling alliance, and counseling outcome among LGBTQ+ clients","authors":"Rattanakorn Ratanashevorn, So Rin Kim, Susan Kashubeck-West, Timo T. Ojanen","doi":"10.1002/jcad.12510","DOIUrl":"10.1002/jcad.12510","url":null,"abstract":"<p>Literature suggests LGBTQ+ cultural competencies and cultural humility as critical components to providing counseling services to LGBTQ+ clients. Previous research has shown that cultural humility leads to better counseling outcomes through the counseling alliance in sexual minority clients. This study investigated the relationships among cultural humility, counseling alliance, and counseling outcome among 584 LGBTQ+ counseling clients (38.5% were non-cisgender). The results revealed that all three constructs were positively related to one another. Counseling alliance mediated the relationship between cultural humility and counseling outcome. The overall mediation model indicated that cultural humility had direct and indirect effects accounting for 58% of the variance in counseling outcome when controlling for gender, sexual orientation, and level of education. The findings underscore the importance of cultivating cultural humility among counselors working with LGBTQ+ clients to improve counseling alliance and counseling outcomes.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"253-263"},"PeriodicalIF":2.3,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140226183","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}
Mary Chase Mize, Laura Shannonhouse, Casey Barrio Minton, Matthew Fullen, Afroze Shaikh, Jordan Westcott
Professional counselors will be eligible to serve Medicare beneficiaries as of January 1, 2024, and Medicare is the primary health insurance program for older adults in the United States. This population is rapidly increasing, and growth is accompanied by increased mental health concerns such as suicide. Older adults who receive home-delivered meals (HDM) may be at risk due to isolation, especially throughout the coronavirus pandemic. Grounded in the interpersonal theory of suicide, we sought to understand the relationships between proximal (thwarted belongingness; TB, perceived burdensomeness; PB) and distal (chronic pain, loneliness, and perceived social support) risk factors among older adults who receive HDM. TB and PB were correlated with pain, loneliness, and perceived social support, and these variables predicted TB and PB. Understanding relationships between proximal and distal suicide risk factors may inform interventions for counselors to address loneliness, enhance social support, and identify suicide risk among older adults.
{"title":"Suicide risk factors among older adults: Implications for counselors as Medicare providers","authors":"Mary Chase Mize, Laura Shannonhouse, Casey Barrio Minton, Matthew Fullen, Afroze Shaikh, Jordan Westcott","doi":"10.1002/jcad.12512","DOIUrl":"10.1002/jcad.12512","url":null,"abstract":"<p>Professional counselors will be eligible to serve Medicare beneficiaries as of January 1, 2024, and Medicare is the primary health insurance program for older adults in the United States. This population is rapidly increasing, and growth is accompanied by increased mental health concerns such as suicide. Older adults who receive home-delivered meals (HDM) may be at risk due to isolation, especially throughout the coronavirus pandemic. Grounded in the interpersonal theory of suicide, we sought to understand the relationships between proximal (thwarted belongingness; TB, perceived burdensomeness; PB) and distal (chronic pain, loneliness, and perceived social support) risk factors among older adults who receive HDM. TB and PB were correlated with pain, loneliness, and perceived social support, and these variables predicted TB and PB. Understanding relationships between proximal and distal suicide risk factors may inform interventions for counselors to address loneliness, enhance social support, and identify suicide risk among older adults.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 3","pages":"292-301"},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140389816","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}