Publications by authors named "Amber Thalmayer"

A "big two" model has shown stronger cross-cultural replicability and links to theory than other contemporary models of personality trait structure. However, its theoretical and measurement models require better specification. We address this to create an initial English-language version of the Cross-Cultural Big Two Inventory with an empirically informed and culturally decentered approach, meaning that input from global contexts is used from the outset, without prioritizing Western perspectives.

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Euro-centric psychiatric conceptualizations often ignore the interplay of local with universal factors in psychological suffering. Emic, locally focused perspectives can enrich etic knowledge to provide culturally sensitive care and to better elucidate the role of culture in mental illness. This study explored the idiom (a terrible event has entered a person and remains standing inside), which was understood to relate to experiences of trauma and post-traumatic stress, among speakers of Khoekhoegowab, a southern-African click language.

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Webster and team's (2021) extension of our analysis to look at more journals over a longer time period suggests a slightly quicker trend away from Americanness in psychological journals than we found. However, they make a purely binary distinction between American and not American and do not address whether the change they document includes the most relevant increase in representation: that from the majority world. Overall we concur that the pace of change is slow and that our science would be benefited by increased attention to internationalization.

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This study explores a personality inventory derived from the results of an indigenous lexical study of personality. From the 272 most commonly used personality descriptors in Khoekhoegowab, the most-spoken of extant click languages of southern Africa, an 11-factor model of personality-trait structure was identified. Here, the Khoekhoegowab Personality Inventory (KPI) was created based on those results.

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Personality psychology relies heavily on evidence from North America and Europe. Lexical studies, based on the rationale that the most important psychological distinctions between people will be encoded in the natural languages, can provide input from underrepresented contexts by defining locally relevant personality concepts and their structure. We report the results of a psycholexical study in Khoekhoegowab, the most widely spoken of southern Africa's (non-Bantu) click languages.

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The field of psychology prides itself on being a data-driven science. In 2008, however, Arnett brought to light a major weakness in the evidence on which models, measures, and theories in psychology rest. He demonstrated that the most prominent journals in six subdisciplines of psychology focused almost exclusively (over 70% of samples and authors) on a cultural context, the United States, shared by only 5% of the world's population.

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The field of psychology relies heavily on evidence from North America and Northern Europe. Universally applicable models require input from around the globe. Indigenous lexical studies of personality, which define the most salient person-descriptive concepts and their structure in a population, provide this.

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Objective: This study investigates a set of variables related to the relative valuing of narrow self-interest versus the concerns of a larger community. These values likely capture stable dispositions. Additionally, because ethics-relevant values are associated with ongoing cultural and moral socialization, they may develop over time as in May's theory of "mature" values.

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Objective: To assess frequency, type, and extent of behavioral health (BH) nonquantitative treatment limits (NQTLs) before and after implementation of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA).

Data Sources: Secondary administrative data for Optum carve-out and carve-in plans.

Study Design: Cross-tabulations and "two-part" regression models were estimated to assess associations of parity period with NQTLs.

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Self-report scores on personality inventories predict important life outcomes, including health and longevity, marital outcomes, career success, and mental health problems, but the ways they predict mental health treatment have not been widely explored. Psychotherapy is sought for diverse problems, but about half of those who begin therapy drop out, and only about half who complete therapy experience lasting improvements. Several authors have argued that understanding how personality traits relate to treatment could lead to better targeted, more successful services.

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Article Synopsis
  • The Mental Health Parity and Addiction Equity Act (MHPAEA) aimed to improve behavioral health benefits by requiring that treatment limits for these services be equal to those for medical treatments for large, commercially insured employers.
  • A study analyzing data from 2008 to 2013 found that before MHPAEA, many plans imposed limits on behavioral health treatment, but after its implementation, these limits largely disappeared.
  • The results suggest that MHPAEA effectively removed quantitative treatment limits, but further efforts are needed to enhance access to behavioral health care beyond just eliminating these limits.
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Objective: Did mental health cost-sharing decrease following implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA)?

Data Source: Specialty mental health copayments, coinsurance, and deductibles, 2008-2013, were obtained from benefits databases for "carve-in" plans from a national commercial managed behavioral health organization.

Study Design: Bivariate and regression-adjusted analyses compare the probability of use and (conditional) level of cost-sharing pre- and postparity. An interaction term is added to compare differential levels of pre- and postparity cost-sharing changes for plans that were and were not already at parity pre-MHPAEA.

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Interrupted time series with and without controls was used to evaluate whether the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and its Interim Final Rule increased the probability of specialty behavioral health treatment and levels of utilization and expenditures among patients receiving treatment. Linked insurance claims, eligibility, plan and employer data from 2008 to 2013 were used to estimate segmented regression analyses, allowing for level and slope changes during the transition (2010) and post-MHPAEA (2011-2013) periods. The sample included 1,812,541 individuals ages 27-64 (49,968,367 person-months) in 10,010 Optum "carve-out" plans.

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Objective: The federal Mental Health Parity and Addiction Equity Act (MHPAEA) sought to eliminate historical disparities between insurance coverage for behavioral health (BH) treatment and coverage for medical treatment. Our objective was to evaluate MHPAEA's impact on BH expenditures and utilization among "carve-in" enrollees.

Methods: We received specialty BH insurance claims and eligibility data from Optum, sampling 5,987,776 adults enrolled in self-insured plans from large employers.

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It has been unclear which human-attribute concepts are most universal across languages. To identify common-denominator concepts, we used dictionaries for 12 mutually isolated languages-Maasai, Supyire Senoufo, Khoekhoe, Afar, Mara Chin, Hmong, Wik-Mungkan, Enga, Fijian, Inuktitut, Hopi, and Kuna-representing diverse cultural characteristics and language families, from multiple continents. A composite list of every person-descriptive term in each lexicon was closely examined to determine the content (in terms of English translation) most ubiquitous across languages.

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Here, two studies seek to characterize a parsimonious common-denominator personality structure with optimal cross-cultural replicability. Personality differences are observed in all human populations and cultures, but lexicons for personality attributes contain so many distinctions that parsimony is lacking. Models stipulating the most important attributes have been formulated by experts or by empirical studies drawing on experience in a very limited range of cultures.

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A general consensus on the Big Five model of personality attributes has been highly generative for the field of personality psychology. Many important psychological and life outcome correlates with Big Five trait dimensions have been established. But researchers must choose between multiple Big Five inventories when conducting a study and are faced with a variety of options as to inventory length.

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