Aim: An National Health Service (NHS) mental health trust developed a pathway offering eye movement desensitization reprocessing (EMDR) to healthcare professionals (HCPs). This research aimed to evaluate whether EMDR was linked to improvements in posttraumatic stress disorder (PTSD) and sought to understand the experiences of service users. Method: Pre- and post-outcome measures of the Impact of Events Scale—Revised, patient health questionnaire-9, generalized anxiety disorder-7, and work and social adjustment scale were evaluated. Subsequently, a feedback survey was circulated to those who had accessed the service. Results: Analysis revealed statistically significant improvements in measures of PTSD, depression, anxiety, and functioning. The service was rated highly for accessibility and experience. Perceived treatment effectiveness was variable; however, reliving symptoms and sickness absence were reduced, and improvements made during therapy were reportedly maintained. Conclusion: This service evaluation offers preliminary support for the use of EMDR as a useful intervention for HCW. Recommendations that may be more broadly applicable for service development and considerations for future research are discussed.

Background: Little is known in the rehabilitation counseling profession regarding the needs and rehabilitation approaches used with seasonal and migrant farmworkers in the United States.

Objectives: The purpose of this article is to provide rehabilitation counselors with awareness of the vocational needs of seasonal and migrant farmworkers. The article also provides best practice approaches to effectively provide vocational rehabilitation (VR) services to this population.

Method: The article presents a first-person narrative by a recently retired rehabilitation counselor with more than 30 years of practice experience with the California Department of Rehabilitation. The bulk of this career focused on meeting the VR needs of migrant and seasonal farmworkers.

Findings: The first-person narrative conveys best practice approaches with outreach, vocational assessment, partnerships, and job placement found helpful with seasonal and migrant farmworkers.

Conclusions: To date, the rehabilitation counseling profession has largely ignored seasonal and migrant farmworkers. We hope the readers of this article will place greater professional attention on meeting the VR needs of this population in funding, program development, and training.

Background: Value change is critical for individuals’ psychosocial adaptation to chronic illness and disability. Although current value change theories facilitate our understanding of this process, limited interventions have been developed based on these theoretical frameworks.

Objective: The purpose of the study is to examine the issues with current value change theories and propose a value change application model.

Methods: A literature review approach was conducted in order to develop a value change application model by merging perspectives from rehabilitation psychology, cognitive dissonance theory, and schema theory.

Findings: The Disability Inconsistency Model is proposed in the present study.

Conclusion: The Disability Inconsistency Model views value from a dynamic perspective and identifies the catalyst to facilitate the psychosocial adaptation process. It also provides implications for the development of relevant interventions.

Though the importance of the inclusion of multicultural and social justice competencies in rehabilitation counselor education has been attended to for years, we know little about the content, concepts, activities, and assignments included in multicultural counseling courses. This mixed-methods study analyzed 25 multicultural counseling syllabi from CACREP-accredited rehabilitation counseling programs. Results indicated that nearly half of the multicultural counseling syllabi analyzed took an essentialist approach to educate future rehabilitation counselors. Very few syllabi mentioned the immigrant and refugee experience, and no syllabi exploredsize diversity and/or anti-fat bias. Class assignments and activities assigned exercises focused largely on students’ racial and ethnic identities. Additionally, results showed a common theme of ethnographic interviews, cultural site visits, and cultural immersion exercises. A call to action for counselor educators is included.

Demographic data projections for the United States indicate a significant increase in the population of older persons with disabilities. The Americans with Disabilities Act (ADA) mandates community access for individuals with disabilities, including older individuals who are aging with or aging into disabilities. However, there is limited research regarding the knowledge and the use of the ADA among this population specific to their perceptions and experiences regarding barriers and facilitators to community access and participation as mandated under the Act. The purpose of this qualitative focus group study was to explore the perceptions and experiences of a sample of older adults with disabilities regarding their community access, and their knowledge and utilization of the provisions of the ADA to facilitate community participation. Analysis of results identified three predominant themes within this sample of older adults: experiences with structural and attitudinal barriers to community access leading; fear of loss of autonomy and independence in the community, and how they deploy; coping and advocacy strategies to address barriers. Recommendations for improving ADA knowledge, access, and utilization among the population, as well as senior service providers, are also addressed.

The Veterans Health Administration (VHA) released qualification standards establishing the requirements for appointment as a rehabilitation counselor. The qualification standards represent a conversion of the previous vocational rehabilitation counselor occupational series to the broader discipline of rehabilitation counseling, the establishment of a national certification requirement, and conversion to the Hybrid Title 38 hiring authority to facilitate increased recruitment and retention. This article provides an overview of the new qualification standards and requirements for employment, reviews the occupation in the VHA, discusses internship opportunities, emphasizes how academia can help prepare students for service delivery to veterans, and offers guidance on connecting with a local Veterans Administration Medical Center and applying for federal employment.

Background: Functional independence represents a key outcome for individuals with traumatic brain injury (TBI). The burden of TBI on people of color (POC) is evident when examining functional outcomes post-injury. Previous studies have described racial minority status as being associated with poorer functional outcomes. However, little is known about racial disparities related to the rehabilitation care and outcomes of individuals with traumatic brain injury.

Methods: The study used data from the TBI Model Systems (TBIMS) National Database to assess 30-year trends of a total of 17,086 POC and Whites with traumatic brain injuries.

Findings: Trends were noted in rehabilitation length of stay (p = 0.002), total Functional Independence Measures (p = 0.0588) and efficiency scores (p = 0.0843) between POC and White participants. Changing trends were not evident in discharge disposition (p = 0.221).

Conclusion: Our findings show time-based changes in differences between POC when considering time spent in inpatient rehabilitation and degree of disability following TBI. This study reveals significant differences in length of stay between POC and White populations after weighting to account for age at injury and severity of injury. Prospectively, future research should consider the use of weighted analytic approaches to enable valid interpretation and implications of study findings.

Objective: Many thousands of people still receive electroconvulsive therapy (ECT) but it remains highly contested. A recent audit of the United Kingdom patient information leaflets found multiple inaccuracies and omissions, minimizing risks and exaggerating benefits (e.g., only six leaflets mentioned cardiovascular events). This study reports efforts to improve accuracy for patients and families. Methods: Letters were sent twice to managers of all 51 United Kingdom National Health Service Trusts, (regional bodies which deliver most healthcare) detailing the audit’s findings and the accuracy of their own Trust’s leaflet, also asking what changes would be undertaken. Results: Only nine Trusts responded and three committed to improvements. The Royal College of Psychiatrists released a slightly better but still highly misleading information sheet. Efforts to engage Government and all other relevant United Kingdom bodies failed. Conclusions: Trusts are unwilling to correct misinformation/ provide balanced information.

Mainstream psychiatry is unable to decide on its model of mental disorder. While the great bulk of research is biologically oriented, many practitioners prefer a more holistic model integrating biological, psychological, and social factors. The “biopsychosocial model” attributed to George Engel appears to offer theoretical support, but the evidence is that it does not exist in any form suitable for science. This puts psychiatry in an invidious position, exposed to allegations of misconduct with no obvious defense.

In 1962, in the wake of the thalidomide crisis, a new Amendment to the Food and Drugs Act introduced Randomized Controlled Trials (RCTs) into the regulations governing the licensing of medicines. It was believed that requiring companies to demonstrate their products were effective through RCTs would contribute to safety. In 1962, RCTs were a little-understood technique. It was thought trials would produce generalizable knowledge with similar outcomes for successive trials. As a result, regulators adopted a criterion of two positive placebo-controlled trials for licensing medicine. For physicians keen to stall therapeutic bandwagons and eliminate ineffective treatments, a negative RCT result was a good outcome. When it made a gateway to the market, companies, in contrast, had an interest to transform RCTs from assessments that might throw up unexpected or negative results into Randomized Controlled Assays (RCAs) that efficiently generated approvable results. This article outlines the differences between RCTs and RCAs, the steps companies took to transform RCTs into RCAs, and the consequences of this transformation.

The goal of the study was to determine factors associated with domestic violence in menopausal women. This was a cross-sectional study that 350 menopausal women participated. Data gathering used a World Health Organization’s violence against women instrument. Emotional violence was recognized as one of the most experienced types of domestic violence (48%). According to the multivariate logistic regression model, the status of exposure to sexual violence (before marriage) and the partner’s substance abuse was the most robust risk factors for domestic violence, while factors such as employment of women and satisfaction of income were protective against domestic violence. This study has highlighted the factors associated with domestic violence that health program managers need to address.

Hispanic/Latinx individuals disproportionately experience intimate partner violence (IPV) compared to their non-Hispanic/Latinx counterparts, and little is known about IPV among college-aged Hispanic/Latinx students. This study examines the rates of IPV victimization and perpetration and their correlates among Hispanic/Latinx and non-Hispanic White college students by analyzing cross-sectional survey data of 3,397 Hispanic/Latinx and White college students enrolled in seven universities. Compared to their White counterparts, Hispanic/Latinx students reported higher rates of IPV victimization and perpetration. Age, gender, drug use, and adverse childhood experience were associated with both IPV victimization and perpetration, while ethnicity was only associated with IPV perpetration. This study’s findings highlight the urgent need for more culturally sensitive IPV prevention services and responses to support Hispanic/Latinx college students.

On American college campuses, numerous students have died as a result of hazing activities perpetrated in fraternities, sororities, and other student groups. Still, little is known about the common characteristics among these hazing deaths. This study aims to investigate the circumstances surrounding these fatal incidents by examining hazing deaths that occurred at institutions of higher education in the United States from 1994 to 2019. This analysis revealed common characteristics related to the victims, organizations, institutions, incidents, and outcomes of these deaths. The findings support past hazing research, as victims were predominantly males pledging social fraternities. Although hazing deaths were widespread, there was variation among institutional characteristics, region, and size. The perpetrators of these incidents faced legal ramifications, including criminal convictions and civil lawsuits. The recognition of these trends can improve our understanding of the conditions present when dangerous hazing activities occur and the best practices for prevention and response.

The purpose of this study was to examine the longitudinal mediationa(l pathways on the link between various straining experiences and suicidal ideation and to test whether its relationship was mediated by the role of negative emotions, constraints, and motivations. Data for this study were collected as part of the Korean Welfare Panel Study, which was a longitudinal study conducted among 7,027 Korean households, surveyed annually from 2006 to 2012. The results indicated that bullying victimization had important effects on negative emotions, although bullying victimization was not significant for later suicidal ideation. Peer delinquency was significantly correlated with negative emotions and positively predicted later suicidal ideation. Also, the significant impact of bullying victimization was transmitted to suicidal ideation through negative emotions. It implies that individuals’ negative life events predicted strain or stressors generating negative emotions that, in turn, led to a high risk of suicidal ideation as a possible coping skill.

This research first aimed to test the Theory of Planned Behavior (TPB) as a model to understand the intentions to call a helpline of victimized males and females. A sample of 99 participants (53 males; 46 females) who were suffering violence at the time of participation were considered for analysis. Our results indicate that males and females’ attitudes and subjective norms significantly predicted intentions. Second, this study aimed to measure Gender Role Conflict (GRC) in victimized men and test its association with TPB constructs. GRC occurs when rigid, sexist, or restrictive gender roles result in the restriction, devaluation, or violation of others or the self. Our results indicate that GRC was only negatively associated with perceived behavioral control. Additionally, in our sample of men who filled the GRC measure (n = 245), victimized men reported significantly higher GRC than non-victimized men. Overall, our findings indicate gender specificities in the intentions to call a helpline and suggest that GRC plays an important role in seeking help for men.

Research on the role that attention-deficit hyperactivity disorder (ADHD) plays as a moderator of the relationship between exposure to violence and violent recidivism is limited. The Pathways to Desistance data were analyzed to examine these relationships. Survival analysis was used to examine ADHD as a risk factor predicting time to violent recidivism. Cox-proportional hazard modeling was used to assess the impact of ADHD on violent recidivism risk and examine ADHD as a moderator of the relationship between exposure to violence and violent recidivism. Results indicated that ADHD predicted quicker time to recidivism. The effect of witnessed violence was significantly weaker for participants with ADHD at baseline than those without ADHD at baseline. The direct effect of ADHD diagnosis at baseline on violent recidivism risk was only significant when the hypothesized interaction terms were included in the model. These findings suggest that individuals with ADHD may be less vulnerable to the impact of witnessing violence on their own risk for perpetrating violence. Effective targeting of treatment should be understood within this context.

There is a dearth of research on the relation of men’s cumulative experiences of nonintimate victimization (polyvictimization) to their victimization in intimate relationships. This study examines the association between nonintimate polyvictimization (including being abused as a child, cyberbullied, stalked, physically assaulted, and experiencing property crime) and the severity of intimate partner violence victimization in men. The sample of 8,784 men in current married/common-law relationships was drawn from a random sample of the 2014 Canadian General Social Survey. About 3% of the men (an estimate of about 265,000 men in Canada) experienced the most severe forms of partner abuse, including the combination of emotional abuse and controlling behaviors, physical violence, and the resulted injuries. Among these severely abused men, about one-third were polyvictims. As expected, a nonintimate polyvictimization predicted the increased severity of male partner abuse victimization, controlling for sociodemographic variables. These findings highlight the importance of preventing nonintimate polyvictimization of men that can help reduce their partner violence victimization.

This study was designed to shed light on the relationship between victimization and offending, a pattern commonly known as the victim–offender overlap, by exploring whether victimization and pessimism toward the future interact in association with self-reported delinquency. This study was performed on 1,300 (444 males, 645 females, and 211 sex not identified) members of the 2018 High School Senior Monitoring the Future cross-sectional study. Multiple regression analysis was conducted using a maximum likelihood estimator and bias-corrected bootstrapped 95% confidence intervals. The analysis revealed that victimization and the victimization × pessimism interaction correlated significantly with delinquency, after controlling for a series of demographic, family, and peer factors. These results indicate that pessimism toward the future may exacerbate the already strong relationship known to exist between victimization and delinquency.

The pandemic has shined a light on the universal experience of human suffering as a phenomenon that connects the lives of people across the world. Suffering is a profoundly personal experience, yet we also experience shared suffering. Reflective nursing practice serves as an essential foundation for engaging in self-awareness, embracing shared vulnerability, and exercising self-care that bolsters the delivery of compassionate nursing care across patient populations and communities. The well-being of a nurse is a collective responsibility among stakeholders, and a systems-level approach acknowledges the importance of self-care and invests in formal strategies that support the long-term well-being of the nursing workforce. By doing so, the needs of the suffering may be meaningfully addressed.

Students’ mental health issues are noteworthy. This study examined nursing students’ perceived stress and posttraumatic stress disorder (PTSD) and relationships among stress, PTSD, faculty support, and caring behaviors. Ninety-five undergraduate nursing students in the United States participated in the study. More than 90% of the students reported moderate to high levels of stress. Forty-three students (45.3%) scored over 31 points on the PTSD checklist. Students’ stress was positively correlated with PTSD but with no significant associations with their caring behaviors. Faculty support was negatively correlated with perceived stress and PTSD, indicating the significant influence of faculty support on students’ mental health.

Professional selfhood (PSH) is the embodiment of an individual’s social location influenced by being in and with the world. PSH informs our evolving professional journey as nurses. As our journeys are never singular, community formation to support this evolution is vital. Utilizing body mapping as an aesthetic methodology was enhanced through reflexivity situated in a critical hermeneutic circle. The phenomenon of interest in the original research study of six novice nurses was how the tension between what they desire to do and what they were able to do, lived in and on their bodies. This is our story, as a community of artists and researchers, who were inspired by a Critical Hermeneutic Circle the ongoing nurturance to enter this brave space to re-imagine our evolving PSH.

The use of psychological debriefing (PD) to stave off the symptoms of posttraumatic stress disorder (PTSD) has long been a controversial topic, hampered by the lack of congruent empirical evidence. This issue, PD within a healthcare setting, will be examined utilizing aspects of the theory of bureaucratic caring. Current findings suggest the popularity and recommendation of PD among the administrative staff of hospitals and individual employees but this is in direct contrast with numerous authors and global health governing bodies who discredit implementation. Overall, support for PD is not substantive, and implementation may increase the prevalence of PTSD among its participants. This dire consequence may, in turn, increase the economic and political burden of the healthcare system and poor health outcomes for participants. Awareness of the conflicting research may offer perspectives on (a) best practice standards, (b) the allocation of mental health resources, and (c) the creation of quality practice environments.

Caring is a core value of nursing and is often incorporated in nursing curricula. A qualitative research study was conducted based on Gadamer’s philosophical viewpoints to collect, analyze, and interpret aesthetic expressions of caring in nursing by Thai undergraduate students of nursing. Participants were 41 second-year baccalaureate degree nursing students from a university in Thailand. Data generated were graphic illustrations and short descriptions and narrative statements, which were analyzed and interpreted using thematic analysis. Trustworthiness was established following Lincoln and Guba’s criteria. Meanings of caring in nursing revealed five thematic categories: (a) nurturing wholeness of persons, (b) practicing aesthetic caring in nursing, (c) sharing self with honesty and trust, (d) helping persons using multiple processes, and (e) enhancing personhood. This study described caring in nursing as focused on persons, human relationships, and nursing processes of caring that enhance personhood. These findings inform professional nursing education toward a transformative caring process for students of nursing who are imbued with caring attributes.

What could be learned if we viewed our profession with the same compassion and understanding that we give to our patients? Applying caring science theory to the nursing profession offers a framework that is broad enough to hold the complex and broad narratives of every nurse. Using the caritas process of loving kindness and creative problem-solving, a care plan for the nursing profession evolved. A care plan for nursing provides nurses with a common lens, invites them to heal their profession from their own praxis, and creates hope and optimism for a collective path forward.

Bridging the gap between theory and practice, this study yielded a reliable and valid measure for responsible financial behaviors with the potential to serve practitioners when working with consumers. This research utilized Bandura’s Triadic Model of Causation (Bandura, 1985) to investigate and predict responsible financial behaviors. Data from the 2009, 2012, and 2018 National Financial Capability Study surveys were used to construct a responsible financial behaviors index with five subconstructs for time horizon, money management, risk management, debt awareness, and ownership of baseline financial accounts. Results from a series of regression models identified consistent relationships between the index and variables categorized as cognitive factors (financial knowledge, financial self-efficacy, and financial risk tolerance) and background characteristics (educational attainment, income, and marital status).

Introduction: As an innovative procedure, eye movement desensitization and reprocessing (EMDR) 2.0, which is based on standard EMDR, draws attention with its promising results. The adaptation of EMDR 2.0 to groups will be a significant contribution to the psychology literature. Considering the effectiveness of EMDR 2.0 on individual applications, this is a preliminary study that aims to explore the role of EMDR 2.0 on groups by developing the EMDR 2.0 group protocol (EMDR 2.0 GP).

Methods: In this pilot study, EMDR 2.0 GP is applied to a group of seven participants who had been exposed to a traffic incident. The role of EMDR 2.0 GP (three sessions; 3.5 hours in total) on posttraumatic stress disorder (PTSD) symptoms, depression, anxiety, and stress was measured. The Impact of Event Scale—Revised and the Depression-Anxiety-Stress Scale-21 (DASS-21) were used to assess these symptoms at pretreatment, one-week posttreatment, and one-month posttreatment.

Results: The participants (mean age = 47.14 ± 9.65) with a traffic accident experience (mean of the time elapsed = 88.57 ± 38.24 months) received EMDR 2.0 GP. Results showed that the EMDR 2.0 group had significantly lower depression (χ² [2, n = 7] = 9.364, p = .009, Kendall’s W = .668) and stress (χ² [2, n = 7] = 8.667, p = .013, Kendall’s W = .619) on the subscales of DASS-21 and lower intrusions (χ² [2, n = 7] = 6.333, p = .042, Kendall’s W = .452), avoidance (χ² [2, n = 7] = 7.280, p = .026, Kendall’s W = .520), and hyperarousal (χ² [2, n = 7]) = 10.800, p = .005, Kendall’s W = .771) at posttreatment.

Conclusion: The pilot study of EMDR 2.0 GP indicated that this newly developed protocol that was first applied to the group may be effective in reducing depression, stress, and PTSD symptoms among a nonclinical sample. This pilot study supports future randomized controlled EMDR GP applications.

Research has highlighted the negative effects of early neglect and abuse on the development of emotional self-regulation and attachment. Attention has focused more on negative affect states related to past adverse and traumatic experiences than on the deactivating effects of the absence of early shared positive affect states from parent-infant play, warmth, and affection. Treatment strategies for survivors of early neglect and abuse have focused on methods to metabolize memories of traumatic events. Skills development models have emphasized the benefits of distress tolerance, acceptance, and mindfulness training for patients with persistent negative affect states. Research on the benefits of therapeutic interventions intended to increase positive affect indicates they promote prosocial behaviors and creativity, broaden the scope of attention, reduce emotional symptoms and behavioral problems, and improve physical health. Within the field of eye movement desensitization and reprocessing (EMDR) therapy, procedures to increase positive affect have generally focused on resource development and installation procedures intended to increase access to positive affect-related memories and images. A neglected clinical issue is the inability of survivors of early neglect to tolerate and integrate actual positive interpersonal experience into positive emotional states, interpersonal scripts, or self-concepts. These deficiencies, characteristic of those with dismissing insecure attachment, help produce and maintain profound psychological, medical, and social problems that limit the ability of patients with these histories from progressing in psychotherapy. This article explores research supporting the potential benefits of an EMDR-related procedure, the positive affect tolerance (PAT) and integration protocol, along with possible mechanisms by which the PAT protocol in general, and its bilateral stimulation procedures, might produce clinical benefits for survivors of early neglect. Case vignettes illustrate the potential challenges of implementing and the potential impact of the PAT protocol. Research designs and assessment tools are described that could clarify the potential benefits of the PAT protocol compared to other treatments designed to increase positive affect.

The triadic therapy based on somatic eye movement desensitization and reprocessing (EMDR) for complex posttraumatic stress disorder (TSP) is a combination therapy, which comprises simplified EMDR, a triplet of micro-dose medicines, and a pair of Chinese medicines. The EMDR procedure is a tactile bilateral stimulation on the body surface with minimum verbal intervention within 15 minutes every two weeks in a period of 2–3 months. In this study, 22 adult patients were treated with TSP. The Impact of Event Scale—Revised, Beck Depression Inventory (second edition), and Global Assessment of Functioning scores of the patients were significantly improved. Moreover, TSP is a safe treatment procedure in terms of titration, cost-effectiveness, and time-effectiveness. It could also treat multiple difficulties in patients with cPTSD from medical problems to socioeconomic problems.

Purpose: COVID-19 is an unprecedented pandemic that has caused an increase in the intimate partner violence (IPV) victims rate, and social service-providing agencies shifted to emergency online and distance service-providing systems. In our study, we aimed to explore the experiences of IPV service providers during this pandemic.

Method: We used a cross-sectional qualitative method containing some quantitative questions. Data were collected by conducting 15 in-depth interviews and a survey with the service providers (22–65 years old) from six IPV service-providing agencies that are located in the Dallas-Forth Worth metroplex in North Central Texas. We used a phenomenological hermeneutical method to capture the service providers’ experiences.

Results: Four key themes highlight the essence of the experiences of the IPV service providers while providing the services during COVID-19. The four major themes are (a) experiences with telehealth, (b) barriers to social and legal services, (c) altered relationships, and (d) mental health impacts. In addition, a few subthemes are explored under the first three major themes. The service providers we interviewed provided details and vital information regarding challenges, adaptations, and resilience they experienced to assist the most disadvantaged group of the population.

Conclusion: This study will contribute to making attention to improving facilities, accessibility, and resources for both service providers and their clients. Findings highlight the need for agency owners and policymakers to consider more multimodal and creative solutions for such a vulnerable population and their service providers.

This article presents a critical discourse analysis (CDA) of the Johnny Depp and Amber Heard case in news media. The aim of the current research is to allow for an in-depth analysis of how a range of news media outlets used discourse to frame intimate partner violence (IPV) in modern news media. A synthesis of previous literature revealed methodological limitations and a potential research bias in the existing body of research addressing news media discourse regarding IPV. The current study utilized a sample of 12 articles from three news media outlets of distinct political orientations that were analyzed following guidelines on maintaining quality in CDA. Two discursive strategies are presented in this article: (a) predication and argumentation; (b) the construction of ingroups and outgroups. This article argues that these strategies were used to discredit the experience of Depp and create perceived ingroups and outgroups throughout the discourse. It is also noted that this sample of articles only highlighted instances of physical violence. Future research should investigate the effect this representation of IPV may have on consumers of news media, as societal expectations may inform help seeking.

This study investigates the prevalence of coping strategies (CSs) among women with intimate partner violence (IPV) experience in Jordan and the relationships between types of IPV, demographic factors, and CSs (problem-focused strategies [PFS], emotion-focused strategies [EFS], and avoidance-oriented strategies [AOS]) that they use. It also explores the predicting factors affecting the types of CSs applied. Eighty-nine Jordanian and Syrian women who experienced abuse were involved in the study. The data were collected using the revised version of the Conflict Tactics Scale (Straus et al., 1996) and the Coping Inventory for Stressful Situations: Situation-Specific Scale (Endler & Parker, 1990). The results indicated a moderate use of PFS and EFS and mid-to-high use of AOS. The psychological aggression and physical violence, injuries, help-seeking, education level, children, and marriage duration were significantly related to the use of all three strategies. Employment status, age, legal residency, and negotiation skills had no significant relationships with the used CSs. The regression results indicated that children, psychological aggression, and asking for help predicted 49% and 41% of the covariance of using PFS and EFS, respectively, while the number of children, physical violence, and injuries predicted 81% of the covariance of using AOS. The study suggested the importance of supportive social services for women with IPV experiences. The clinical practice implications for helping women who experience IPV and future research were discussed.

This qualitative study explores available intimate partner violence (IPV) intervention programs offered in Saskatchewan, Canada, a province with a substantial rural population and a high rate of IPV. Given these unique circumstances, it was necessary to investigate what IPV interventions are currently available and if professionals who work at these programs feel these programs are effectively meeting the needs of men who have perpetrated IPV and working toward reducing rates of IPV in the province. Interview respondents represented IPV intervention programs based in mental health, community corrections, and community-based organizations. Taken together, information shared by the professionals who work at these IPV intervention programs provides an overview of the current state of intervention programs offered in Saskatchewan, including the extent to which interventions align with the Principles of Effective Intervention (PEI). Findings include differences in the delivery of IPV interventions in rural communities and highlight challenges in delivering group interventions for clients who perpetrate different types of IPV, have different criminogenic needs, and have varying levels of risk. Findings inform recommendations for policy and practice, including the need for training for IPV intervention professionals, increased public awareness about IPV interventions, and incorporation of the PEI. Findings also inform recommendations for research, including longitudinal evaluations of outcomes for participants from various programs that incorporate data from multiple sources.

This study aims to determine the prevalence and the associated factors of domestic violence (DV) against pregnant women in Northeast India. The present study considers ever-married women who have experienced violence during any pregnancy. The association between DV and all socioeconomic variables that are thought to be associated with DV is examined using the bivariate analysis, which produces chi-square p-values for the significance of the measure of association. A logistic regression model is fitted using the significant covariates in the bivariate analysis and computes the relative risks of categorical variables via the odds ratios. About 2% of women experienced DV during any pregnancy in the region. During any pregnancy, the main perpetrators of violence are the husbands (74.1%) and the former husband or partner (10.5%). The main risk factors for violence during pregnancy were alcohol use by the husband and the low-income group. Urban women experienced more violence than rural women. Women who divorced and no longer lived with their husbands in Northeastern India experienced more abuse during pregnancy than women still living with their husbands. Current or former husbands are mostly responsible for violence during pregnancy.

Background: Intimate partner violence (IPV) against women is common during pregnancy and can have adverse mental health outcomes in women. Our objective was to evaluate the association between IPV and symptoms of depression in Peruvian pregnant women.

Methods: In this study, we performed a secondary analysis of the Demographic and Family Health Survey, ENDES 2013–2019. The study population consisted of a subsample of married or cohabiting Peruvian pregnant women. IPV was defined as any reported violence (psychological, physical, or sexual) committed by the last partner of women. The symptoms of depression were measured using the Patient Health Questionnaire-9. Poisson regression-generalized linear models were used to calculate adjusted prevalence ratios (aPR) with their respective 95% confidence intervals (95% CI).

Results: Overall IPV was 11.64%. The prevalence of psychological, physical, and sexual IPV was 6.92%, 8.56%, and 1.12%, respectively. After adjusting for confounding variables, IPV was associated with the symptoms of depression (aPR: 2.26, 95% CI: 1.88–2.73; p < 0.001). Likewise, psychological, physical, and sexual violence were also associated with the symptoms of depression (aPR: 2.01, 95% CI: 1.65–2.50; p < 0.001, aPR: 2.34, 95% CI: 1.91–2.86; p < 0.001, aPR: 2.31, 95% CI: 1.45–3.68; p <0.001).

Conclusion: One in 10 pregnant women experienced IPV, the most frequent type being physical violence. One in four pregnant women experiences depressive disorders. Furthermore, the presence of psychological, physical, or sexual violence independently doubles the probability of the occurrence of depression in Peruvian pregnant women.

This article proposes a machine-learning-based method that can predict individuals’ savings behavior in the presence of mental accounting. The proposed predictive model perceives wealth and consumption as each being divided into three nonfungible distinct classes, as posited by the mental accounting theory. The predictive model found that mental accounting categories do have predictive power on savings behavior where expenditure on discretionary items and current income are most important. Savings behavior is best predicted by the random forest model based on the Malaysia Ageing and Retirement Survey data.

In 1990, the Journal of Financial Counseling and Planning (JFCP) was established. The journal publishes academic research on consumer financial decision-making, financial education, counseling, and planning. This article reviews the journal’s contents published during the period 1990–2022. It analyzes JFCP’s publication trends, citation statistics, significant themes, authors’ collaborations, keywords, and contributions to the literature of consumer finance. Most studies employed Life Cycle Hypothesis and Expected Utility Theory. JFCP publishes mostly US-based quantitative empirical studies. JFCP’s eight knowledge themes are credit card behavior; financial literacy and financial behavior; financial risk tolerance; financial education, and financial behavior; financial distress and financial self-efficacy; financial well-being; workplace financial education and financial help-seeking behavior, and JFCP’s retrospection. Among JFCP’s articles, the most used keywords selected by authors are “survey of consumer finances” and “financial literacy.” This study also describes the author, country, and concept networks.

This article examines the relationship between the financial risk-taking behavior of individual investors and their subjective and objective knowledge. The data come from multiple waves of surveys conducted by the National Financial Capability Study between 2009 and 2018. We hypothesize that subjective knowledge will have a greater association with risk tolerance than objective knowledge of individual investors. Regression models are estimated with least squares as well as with the ordered logit method. Estimation results show that individual investors’ risk tolerance behavior is associated more with their subjective knowledge than their objective knowledge. This is true in all four surveys separately and in the combined sample. Additionally, as hypothesized, the relative influence of subjective knowledge on risk tolerance, compared to objective knowledge, increases as the survey periods move further away from the financial recession of 2007–2008. This article has important implications for behavioral and personal finance researchers, financial advisors, and regulators.

Emerging research in animal models and healthy women indicates that the sex hormone estradiol may moderate fear of extinction. There is limited research on estradiol in exposure-based therapy among clinically anxious women. The current pilot study aimed to address this gap by comparing exposure outcomes in women with panic disorder (PD) who had high (HE) vs. low estradiol (LE). Twenty-eight women (14 per group) with PD completed two interoceptive exposure sessions on consecutive days as well as self-report measures of panic severity. Electrodermal activity was assessed continuously throughout the exposure sessions. Results showed that although anxiety sensitivity and subjective distress improved from pre- to postexposure, suggesting that the intervention was effective in reducing panic-related anxiety, there were no differences in outcomes between the HE and LE groups. The findings suggest that estradiol may not moderate outcomes in exposure therapy in clinically anxious samples, although replication in larger samples will be needed.

Nonprofit organizations and regional universities have increasingly offered professional development opportunities for potential personal finance teachers as states and school districts have increasingly required high school students to take personal finance courses. Yet, current measures on teacher confidence and dispositions shadow these updates. This article employs unique data on high school teachers to estimate their confidence levels, professional development take-up, and attitudes about teaching personal finance courses in schools. The results show that 95% of teachers are confident in teaching personal finance. Teachers with licensure outside of business or economics were more likely to take up professional development in personal finance instruction. Meanwhile, 86% of teachers support a graduation requirement for personal finance instruction in high school. These findings suggest that high schools have the capacity to teach personal finance but also underscore the need for low-cost, easily accessible professional development opportunities.

Objective: This study investigated the roles of adherence and usage activity in adolescents’ (n = 161) gains during a 5-week web intervention program based on acceptance and commitment therapy (ACT).

Method: Program adherence was calculated as adherence percentage in relation to intended usage, whereas completion percentage, usage time, and usage weeks were used as indicators for usage activity. Subjective well-being was measured by self-reported life satisfaction and stress before and after the intervention.

Results: First, regression analysis results showed that higher adherence predicted an increase in life satisfaction during intervention. Second, three subgroups of adolescents were identified using K-means cluster analysis in regard to adherence, usage activity and intervention gains: (1) “Adhered, committed users with relatively large intervention gains” (35%), (2) “Less committed users with no intervention gains” (42%), and (3) “Non-committed users with no intervention gains” (23%). The results showed that the highest gains from the Youth Compass intervention program are most likely obtained when the program is used as intended in its design. In addition, time investment and engagement in doing exercises seem as important as filling the minimum adherence criterion.

Conclusions: The results support the feasibility of ACT-based web intervention programs in promoting adolescent well-being, although more attention should be paid to motivating adolescents to commit to them and invest enough time in them.

A fearful temperament in childhood is associated with child internalizing symptoms. However, the cognitive mechanisms explaining this association are poorly understood. We examined the effects of child fearful temperament on child internalizing symptoms and the underlying role of catastrophizing cognitions among clinically anxious youth. Children (N = 105; M_age = 10.09 years, SD = 1.22; 56.7% female; 62% ethnic minority) completed a diagnostic interview; self-report measures of temperament, catastrophizing, and internalizing symptoms; and behaviorally-indexed measures of catastrophizing and anxiety. Indirect effects were found for child fearful temperament on child self-reported internalizing symptoms by way of self-reported (but not behaviorally-indexed) catastrophizing cognitions. Models predicting behaviorally-indexed child anxiety were not significant. Our findings suggest that targeting fearful temperament during childhood before catastrophizing cognitions develop may have clinical utility. Likewise, among children temperamentally at-risk, addressing catastrophic cognitions may prevent later internalizing psychopathology.

This study provides theory and evidence on the relation between financial literacy overconfidence (FLO) and high-cost borrowing and its mediation and moderation through mobile financial services (MFS). We investigate whether MFS carry the effect of FLO on the household demand for alternative financial services (AFS), such as payday loans. Using the 2018 National Financial Capability Study, we show that using MFS both mediates and moderates the effect of FLO on the use of AFS. We find that unbanked households, who make up around 5% of the sample, are twice as likely to take out payday loans and three times as likely to use AFS than households with access to the banking system. Estimates show that 4% of the total effect of FLO on using AFS and taking out payday loans is mediated by using MFS. We find that households who use MFS are two to three times more likely to access AFS and take out payday loans than those who do not use MFS.

None of the currently used financial inclusion measurement indices covers savings, credit, remittance, and insurance services across access, usage, quality, and outcome dimensions as per globally accepted operational definitions of financial inclusion. Different indices have different combinations of financial inclusion indicators with some focusing on quantitative aspects and others on behavioral aspects alone. This makes the cross-cultural comparison of financial inclusion very difficult. The proliferation of new indices also hampers systematic knowledge advancement with significant disconnect between theory and practice. This paper analyses various loopholes in existing financial inclusion measurement methods and presents a very simple, flexible, innovative yet comprehensive measurement framework with immense theoretical, practical, and policy implications using India as the context.

The mounting educational loan delinquency is compelling bankers to discover various methods to reduce defaults in educational loan repayment. Policymakers emphasize designing a self-sustaining education financing model as a pathway to achieve inclusive education advocated by the United Nations. Willingness to repay is an attitudinal factor that envisages delinquency. With an aim to study the attitude of borrowers toward educational loan repayment using phenomenological research design, in-depth interviews were conducted with 40 postgraduate student borrowers from India to explore students’ loan repayment concerns. A qualitative data analysis software was used to consolidate data and visualize themes. The thematic analysis results include 11 subthemes classified under themes of positive and negative attitudes. Gratification, quality of life, and debt burden are the subthemes of negative attitude that may cause educational loan delinquency. Credit history, debt utility, financial knowledge, prioritizing repayment, integrity, and parenting practices are the subthemes of positive attitude that may help reduce educational loan delinquency. Practitioners in consumer finance can use the themes to assess the repayment attitude of the borrower, and educators can increase the financial knowledge of the borrowers.

This de-identified case study seeks to increase the understanding of the process and impact of modifying exposure and response prevention (ERP) to address obsessions associated with COVID-19. The case study presents the assessment, diagnosis, and treatment of obsessive-compulsive disorder via televideo utilizing ERP for a woman who presented with difficulty with contamination and harm obsessions related to COVID-19. Over the course of 7 months, including an initial evaluation, this client attended 24 treatment sessions via synchronous video telehealth. Psychoeducation, self-monitoring, in vivo and imaginal exposures, response prevention, and behavioral activation strategies were utilized. Following treatment, this client was successfully managing symptoms and her scores on the Yale Brown Obsessive-Compulsive Scale and Sheehan Disability Scale had decreased significantly.

This article uses unique survey data to examine the determinants and potential impacts of financial capability on the savings decisions of Thai industrial workers. A random sample of 352 individuals was interviewed, using the questionnaire to gather information on demographics and financial capability. It finds that less than half of the respondents were able to handle an emergency expense of 1 month’s income without borrowing. The results indicate that socioeconomic factors including education level, household income, and age are the key determinants of financial capability. Migrant workers from remote regions of the country are more likely to have a lower financial capability, especially in the financial knowledge component. An instrumental variable approach is used to investigate its potential impact on saving behavior. Overall, the strong and positive association between financial capability and savings adequacy suggests that financial education initiatives should place a strong emphasis on household budgeting and savings.

Background: Acceptance and commitment therapy (ACT) has been shown to promote willingness to experience intrusive thoughts among individuals with obsessive-compulsive disorder (OCD). Exposure with response prevention (ERP) delivered from an ACT framework (i.e., ACT+ERP) may facilitate changes in how patients relate to their unwanted internal experiences.

Aims: Accordingly, the present study aimed to examine the effect of ACT+ERP on appraisals of intrusive thoughts, relative to standard ERP.

Methods: Forty-eight adults who received 16 treatment sessions as part of a randomized controlled trial comparing standard ERP to ACT+ERP completed the Interpretation of Intrusions Inventory (III) at pre-treatment, post-treatment, and follow-up.

Results: Results showed a significant main effect of time for all III subscales, suggesting that appraisals of intrusive thoughts shift over the course of treatment. The effect of the condition × time interaction, however, differed between the III subscales. Specifically, a significant interaction emerged for the control of thoughts subscale, such that individuals who received ACT+ERP experienced greater reductions in beliefs about the need to control thoughts. The interaction term was not significant for importance of thoughts or responsibility subscales.

Conclusions: Findings suggest that augmenting ERP with ACT enhances change in beliefs about the need to control thoughts, but not in beliefs about responsibility and the importance of thoughts. Clinical implications and future research directions will be discussed.