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Cultural humility, counseling alliance, and counseling outcome among LGBTQ+ clients LGBTQ+ 客户的文化谦逊、咨询联盟和咨询结果
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, APPLIED Pub Date : 2024-03-20 DOI: 10.1002/jcad.12510
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.

文献表明,LGBTQ+ 文化能力和文化谦逊是为 LGBTQ+ 客户提供咨询服务的关键要素。以往的研究表明,文化谦逊会通过咨询联盟为性少数群体客户带来更好的咨询效果。本研究调查了 584 名 LGBTQ+ 咨询客户(38.5% 为非双性恋者)的文化谦逊、咨询联盟和咨询结果之间的关系。研究结果表明,这三个构念之间均呈正相关。咨询联盟对文化谦逊与咨询结果之间的关系起到了中介作用。总体中介模型表明,在控制性别、性取向和教育水平的情况下,文化谦逊具有直接和间接效应,占咨询结果差异的 58%。研究结果强调了为 LGBTQ+ 客户提供咨询服务的咨询师培养文化谦逊性以改善咨询联盟和咨询结果的重要性。
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引用次数: 0
Suicide risk factors among older adults: Implications for counselors as Medicare providers 老年人自杀的风险因素:辅导员作为医疗保险提供者的意义
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, APPLIED Pub Date : 2024-03-19 DOI: 10.1002/jcad.12512
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.

自 2024 年 1 月 1 日起,专业心理咨询师将有资格为医疗保险受益人提供服务,而医疗保险是美国老年人的主要医疗保险项目。老年人口正在迅速增长,伴随增长的是自杀等心理健康问题的增加。接受家庭送餐服务(HDM)的老年人可能会因为与世隔绝而面临风险,尤其是在冠状病毒大流行期间。我们以自杀的人际关系理论为基础,试图了解接受居家送餐服务的老年人的近端风险因素(归属感受挫;TB;感知到的负担;PB)和远端风险因素(慢性疼痛、孤独感和感知到的社会支持)之间的关系。TB和PB与疼痛、孤独感和感知到的社会支持相关,这些变量可预测TB和PB。了解近端和远端自杀风险因素之间的关系可为咨询师采取干预措施提供信息,以解决孤独感、增强社会支持并识别老年人的自杀风险。
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引用次数: 0
Black men's perceptions of mothers as primary support for wellness 黑人男性认为母亲是健康的主要支持者
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-02-25 DOI: 10.1002/jcad.12502
LaTonya M. Summers, Michael Robinson, Karlesia Montague

Black men regard their mothers as the source of primary support and may benefit from having counselors incorporate their mothers into the counseling process. In this study, the researchers attempted to understand Black men's lived experiences and the impact of their mother's influence upon their wellbeing. Drawing on interviews with 10 Black men, the researchers excavated 5 themes related to development and wellness of Black men as clients. The researchers discussed the results with implications for counselors, along with current study's limitations.

黑人男性认为母亲是他们的主要支持来源,让咨询师将他们的母亲纳入咨询过程可能会使他们受益。在这项研究中,研究人员试图了解黑人男性的生活经历以及母亲对他们健康的影响。通过对 10 名黑人男性的访谈,研究人员挖掘出了与作为客户的黑人男性的发展和健康相关的 5 个主题。研究人员讨论了研究结果对心理咨询师的影响,以及当前研究的局限性。
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引用次数: 0
Development, prevention, social justice, and wellness: Affirming the ontological basis for counseling scholarship and practice 发展、预防、社会正义和健康:确认咨询学术和实践的本体论基础
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-02-06 DOI: 10.1002/jcad.12509
Matthew E. Lemberger-Truelove, Daniel Gutierrez, Patrick R. Mullen
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引用次数: 0
An ecologically informed transdisciplinary prevention model for Black and Latine family wellbeing 黑人和拉丁裔家庭福祉的生态学跨学科预防模式
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-02-02 DOI: 10.1002/jcad.12506
Fantasy T. Lozada, Naomi J. Wheeler, McKenzie N. Green, Andrene J. Castro, Rachel F. Gómez, Daniel Gutierrez

Given noted racial disparities in mental health and wellbeing, Black and Latine families are often the focus of prevention and intervention efforts. These efforts are traditionally embedded in deficit perspectives about these communities, ignoring their cultural wealth and collective agency. Yet increasing recognition of the interconnected systems and social determinants that lead to racial disparities and negative outcomes among Black and Latine populations requires counselors and other practitioners to broaden their conceptions of prevention and engage in collaboration to develop more effective and comprehensive prevention efforts. In the current paper, we provide an ecologically informed transdisciplinary model of family empowerment, prevention, and wellbeing with Black and Latine families. We apply this model to counseling practice as a potential roadmap for future counseling prevention work with Black and Latine families.

鉴于在心理健康和福祉方面存在明显的种族差异,黑人和拉丁裔家庭往往是预防和干 预工作的重点。这些努力传统上都是基于对这些社区的赤字观点,忽视了他们的文化财富和集体能动性。然而,越来越多的人认识到导致黑人和拉丁裔人口种族差异和负面结果的相互关联的系统和社会决定因素,这就要求心理咨询师和其他从业人员拓宽他们的预防概念,并参与合作,以制定更有效、更全面的预防措施。在本文中,我们为黑人和拉丁裔家庭的家庭赋权、预防和福祉提供了一个生态学的跨学科模型。我们将这一模式应用于咨询实践,作为未来黑人和拉丁裔家庭咨询预防工作的潜在路线图。
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引用次数: 0
Theory-informed school counseling: Increasing efficacy through prevention-focused practice and outcome research 以理论为依据的学校辅导:通过注重预防的实践和成果研究提高效能
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-01-24 DOI: 10.1002/jcad.12507
Hyunhee Kim, Citlali E. Molina, Jennifer S. Watkinson, Katheryne T. Leigh-Osroosh, Dan Li

School counselors are front-line providers to K-12 students in the areas of learning, mental health, and career development, based on their foundation in prevention, development, wellness, and social justice. Although school counseling remains an important role within K-12 schools, the profession faces existential threats to its continued existence due largely to the lack of applied outcome research validating its positive impact on student development. This conceptual article has two aims: (a) to reassert the unique importance of school counselors as a prevention provider who promote wellness, development, and social justice and (b) describe how theory-informed school counseling practice is a solution using Advocating-Student within Environment theory as an example. Implications for scholarship, training, and practice are described.

学校辅导员是 K-12 年级学生学习、心理健康和职业发展领域的一线服务提供者,他们的工作以预防、发展、健康和社会公正为基础。尽管学校心理辅导在 K-12 学校中仍扮演着重要角色,但由于缺乏应用成果研究来验证其对学生发展的积极影响,这一职业的继续存在面临着威胁。这篇概念性文章有两个目的:(a)重申学校咨询师作为预防服务提供者,在促进健康、发展和社会公正方面的独特重要性;(b)以环境中的 "倡导--学生 "理论为例,说明理论指导下的学校咨询实践是如何解决问题的。阐述了对学术、培训和实践的影响。
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引用次数: 0
Time series analysis in preventive intervention research: A step-by-step guide 预防性干预研究中的时间序列分析:分步指南
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-01-23 DOI: 10.1002/jcad.12508
Stephanie Dorais

Time series analysis (TSA) is a statistical approach rooted in data mining that measures outcomes that consistently fluctuate over time. It is uniquely positioned as a methodology for preventive intervention research due to its capacity to measure long-term impact in natural settings. With the ability to detect temporal patterns in a series of chronological data points, it allows researchers to detect naturalistic patterns, forecast future observations, and explain a change in data after an intervention is put in place. However, its application is historically sparse across behavioral research. This article provides counseling researchers with an overview of TSA and presents a step-by-step guide for conducting TSA analyses in counseling research. The author discusses the key concepts, steps for implementation, and the strengths and challenges of conducting TSA.

时间序列分析(TSA)是一种植根于数据挖掘的统计方法,用于测量随时间持续波动的结果。由于时间序列分析能够测量自然环境中的长期影响,因此在预防性干预研究中具有独特的地位。它能够从一系列按时间顺序排列的数据点中发现时间模式,使研究人员能够发现自然模式,预测未来观察结果,并解释干预措施实施后的数据变化。然而,这种方法在行为研究中的应用历来很少。本文向心理咨询研究人员概述了 TSA,并提供了在心理咨询研究中进行 TSA 分析的分步指南。作者讨论了开展 TSA 的关键概念、实施步骤以及优势和挑战。
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引用次数: 0
The effects of Student Success Skills on attendance and emotion regulation 学生成功技能对出勤率和情绪调节的影响
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-01-23 DOI: 10.1002/jcad.12503
Elizabeth Villares, Hannah Bowers, Greg Brigman, Cheryl Bottini

This study examines the effects of the Student Success Skills (SSS) intervention, an Advocating Student-within-Environment-informed intervention, on Hispanic students’ (N = 681) school attendance and emotion regulation. The study variables reflected students’ attendance, self-regulation, and test anxiety. The school counselors in the treatment group (n = 15) delivered the SSS program, while those in the control group (n = 15) did not. The results of multivariate analyses of covariance (MANCOVA) tests revealed significant differences in school attendance and test anxiety 30 weeks following the fifth SSS lesson. Statistical significance for self-regulation was found only 2 weeks after the fifth SSS lesson.

本研究探讨了 "学生成功技能"(SSS)干预--一种以环境为基础的 "倡导学生 "干预--对西班牙裔学生(681 人)的出勤率和情绪调节的影响。研究变量反映了学生的出勤率、自我调节能力和考试焦虑。治疗组(15 人)的学校辅导员实施了 SSS 计划,而对照组(15 人)的学校辅导员没有实施该计划。多变量协方差分析(MANCOVA)检验的结果显示,在第五次 SSS 课程 30 周后,学生在出勤率和考试焦虑方面存在显著差异。只有在第五次自学考试课程后 2 周,自我调节方面的差异才具有统计学意义。
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引用次数: 0
Results from a pilot efficacy trial of a motivational interviewing substance use intervention for Latinx/e youth 针对拉美裔青少年的动机访谈药物使用干预试点疗效试验结果
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, APPLIED Pub Date : 2024-01-23 DOI: 10.1002/jcad.12505
Oswaldo Moreno, Camila Tirado, Melissa Avila, Adrian J. Bravo, Isis Garcia-Rodriguez, Stephanie Romo, Jennifer Rodriguez, Cristian Matos, Cindy Hernandez, Mayra S. Ramos, Lisa Fuentes, Geovani Muñoz, Daniel Gutierrez, Rosalie Corona

We conducted a pilot feasibility study to examine the efficacy of a culturally adapted Group Motivational Interviewing for Teens–alternative tobacco product (GMIT-ATP) intervention among Latinx/e youth and whether, including caregivers, improved outcomes (GMIT-ATP+P). Adolescents (ages 10–16) and their caregivers were randomized to two groups after completing baseline assessments: (1) GMIT-ATP (N = 23) and (2) GMIT-ATP+P (N = 32). Youth in both conditions attended three youth-only sessions, and parents in the GMIT-ATP+P condition attended three parent-only sessions. Parents and youth completed measures before randomization, immediately after the intervention, and 3-month post-intervention. No significant differences were found when comparing conditions. However, adolescents’ reports of knowledge of the health effects of tobacco and ATP products increased from pre- to post-intervention and remained stable at the 3-month follow-up. Culturally enhancing preventive interventions have positive effects within the Latinx/e community, and there is potential for long-term sustainability.

我们开展了一项试验性可行性研究,以考察针对拉美裔青少年的文化适应性团体激励访谈-替代烟草制品(GMIT-ATP)干预的效果,以及包括照顾者在内的干预是否能改善结果(GMIT-ATP+P)。青少年(10-16 岁)及其照顾者在完成基线评估后被随机分为两组:(1) GMIT-ATP 组(23 人)和 (2) GMIT-ATP+P 组(32 人)。两种条件下的青少年都参加了三节只针对青少年的课程,而 GMIT-ATP+P 条件下的家长则参加了三节只针对家长的课程。家长和青少年分别在随机分配前、干预结束后和干预后 3 个月完成了测量。在比较各种条件时,没有发现明显的差异。不过,从干预前到干预后,青少年对烟草和烟草制品对健康影响的了解有所增加,并且在 3 个月的随访中保持稳定。提高文化水平的预防性干预措施在拉美裔社区产生了积极的影响,并有可能长期持续下去。
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引用次数: 0
Fostering healthy relationships: A preliminary investigation of relationship education 培养健康的人际关系:关系教育的初步调查
IF 2.3 3区 心理学 Q2 Psychology Pub Date : 2024-01-17 DOI: 10.1002/jcad.12504
Sejal M. Barden, Ryan G. Carlson, Dalena Dillman Taylor, Ruiqin Gao, Marangelie Velez

Robust and healthy relationships are pivotal for overall well-being and wellness. Social support, the reduction of stigma, and the cultivation of quality time are critical elements in establishing and nurturing a healthy relationship as they bolster emotional well-being, enhance communication, and alleviate stress. The aim of this research study was to investigate the associations between quality time, social support, and self-stigma among couples (N = 518 dyads) engaged in a randomized controlled relationship education intervention, whether online or face to face. Longitudinal Actor–Partner Interdependence Models (L-APIM) were employed to investigate the dyadic correlations and the influence of the intervention's modality on the three outcomes observed at the 1-month postintervention follow-up. Results indicated that individuals tend to exhibit consistent perceptions of quality time, social support, self-stigma related to help-seeking, and threats to self-confidence regarding help-seeking, both at baseline and the subsequent 1-month follow-up. Results and implications are discussed.

稳固而健康的人际关系对于整体福祉和健康至关重要。社会支持、减少耻辱感和培养高质量的时间是建立和培养健康关系的关键因素,因为它们能促进情感健康、加强沟通和减轻压力。本研究旨在调查参与随机对照关系教育干预(无论是在线还是面对面)的夫妻(518 对)之间的优质时间、社会支持和自我污名之间的关联。我们采用了纵向行动者-伴侣相互依赖模型(L-APIM)来研究干预后 1 个月随访时观察到的伴侣相关性以及干预方式对这三种结果的影响。结果表明,无论是在基线还是在随后 1 个月的随访中,个体都倾向于对优质时间、社会支持、与求助相关的自我耻辱感以及对求助自信心的威胁表现出一致的看法。本文对结果和影响进行了讨论。
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引用次数: 0
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Journal of Counseling and Development
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