RESUMEN
OBJECTIVE: Community belongingness has been shown to be related to mental health outcomes in college students; however, little work has evaluated whether community belongingness impacts treatment change, especially during the COVID-19 pandemic, when social isolation and mental health concerns are exacerbated. Accordingly, the current study evaluated community belongingness as a predictor of treatment change for anxiety and depression in a university counseling center. METHOD: Participants included 516 young adults with clinical levels of anxiety or depression who attended at least two individual therapy sessions at a university counseling center during fall 2020. Participants completed broad measures of psychosocial functioning at each session. RESULTS: Paired-samples t-tests indicated that students demonstrated significant decreases in anxiety and depression after just one session. Linear stepwise regressions revealed that community belongingness was a significant predictor of symptom improvement for both anxiety and depression. CONCLUSION: These results suggest improving community belongingness on college campuses may be a way to buffer mental health and improve treatment outcomes for students seeking psychological services. Specific clinical and educational recommendations for ways to improve community belongingness are discussed.
Asunto(s)
Ansiedad , COVID-19 , Integración a la Comunidad , Depresión , Estudiantes , Universidades , Humanos , Masculino , Femenino , Adulto Joven , Estudiantes/psicología , COVID-19/epidemiología , Ansiedad/psicología , Ansiedad/terapia , Depresión/psicología , Depresión/terapia , Integración a la Comunidad/psicología , Aislamiento Social , Salud Mental/estadística & datos numéricos , Consejo , Resultado del TratamientoRESUMEN
OBJECTIVE: The purpose of the present study was to test a 1-hour peer suicide gatekeeper training for students from the broad college community in the context of an open pilot trial. METHOD: Two-hundred and thirty-one college students were recruited university-wide, Mage = 20.7, 65.4% female, and completed a peer suicide prevention gatekeeping training program. Assessments were completed at pre-training and post-training as well as 3-month follow-up. RESULTS: This brief peer suicide gatekeeper training program was associated with increases in suicide prevention knowledge. It was also associated with an increase in the number of students who identified suicidal youth and made mental health referrals, as well as total number of referrals made, over the course of three months. Females reported greater improvement in suicide prevention skills and knowledge post-training than males. CONCLUSIONS: Offering peer suicide gatekeeper training to students from the general college population may hold promise in suicide prevention efforts.
Asunto(s)
Control de Acceso , Grupo Paritario , Estudiantes/psicología , Prevención del Suicidio , Universidades , Adolescente , Adulto , Consejo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Personal Militar , Proyectos Piloto , Ideación Suicida , Suicidio/psicología , Adulto JovenRESUMEN
Recent studies suggest that a ruminative response style may contribute to the development and maintenance of Bulimia nervosa. However it is not clear what factors may contribute to the relationship between rumination and BN. One factor may be self-control, as studies suggest that BN symptomatology relates to deficits in self-control. In the present study, we hypothesized that the association between rumination and BN symptomatology would be the strongest among individuals with lower self-control relative to those with higher self-control. Participants were 353 students at a large university. Participants completed measures of self-control, rumination, and eating disorder symptomology as part of an online study. A hierarchical regression supported an interaction between rumination and self-control predicting bulimic symptomatology, controlling for BMI. Individuals with higher levels of rumination presented more bulimic symptoms if they also had lower levels of self-control, supporting our hypothesis. Based on these findings, assessing rumination in conjunction with self-control among individuals who present with eating concerns may help to direct treatment. Additionally, clinical interventions increasing self-control may also alleviate some BN symptoms in ruminators.
Asunto(s)
Bulimia Nerviosa/psicología , Conducta Alimentaria , Autocontrol , Estudiantes/psicología , Adolescente , Adulto , Anciano de 80 o más Años , Índice de Masa Corporal , Bulimia Nerviosa/diagnóstico , Trastornos de Alimentación y de la Ingestión de Alimentos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Análisis de Regresión , Adulto JovenRESUMEN
The present study examined associations among anxiety symptoms, anxiety disorder diagnoses, perceptions of family support and conflict, and suicidal ideation (SI) in a clinical sample of psychiatrically hospitalized adolescents. Participants were 185 adolescents (72% female; 84% white, mean age=15.02years, SD=1.33) hospitalized on an acute psychiatric inpatient unit. Results indicated that anxiety disorders and symptoms were positively associated with SI, even after controlling for mood disorder diagnoses and sex. Moreover, this relationship was stronger among youth who reported lower (versus higher) levels of family support. Family conflict was positively associated with SI but did not moderate the relationship between anxiety and SI. Results suggest that family support may represent an important intervention target to decrease suicide risk among anxious youth. Integrating positive parenting techniques (e.g., attending to positive behaviors, providing praise, emotion coaching) and effective parent-child communication into treatment with anxious youth may help achieve this aim.