Technological innovations in cognitive-behavioral therapy (CBT) provide excellent opportunities for mental health clinicians to expand access to mental health treatment among culturally diverse and marginalized populations. This brief report highlights challenges that mental health clinicians encounter as they integrate technological innovations in CBT into their work with diverse clients and provides recommendations for addressing them. The authors identify five key challenges of using technology-driven CBT: development of the therapeutic alliance; potential fit for clients from culturally diverse backgrounds and marginalized groups; geographic and economic access; ethical and legal concerns; and competency in CBT practice, training, and supervision.
View Article and Find Full Text PDFThe present study proposes and examines the pathways from exposure to community violence to bullying victimization through the influences of depression, exposure to peer delinquency, and drug use among 638 African American adolescents (aged 12-22) from low-resourced neighborhoods in Chicago's Southside. The study found that African American adolescents who were exposed to community violence were likely at risk of bullying victimization, depression, exposure to peer delinquency, and drug use. Depression can heighten the risk of bullying victimization.
View Article and Find Full Text PDFThe purpose of this study is to explore whether talking with parents, siblings, and friends will moderate the association between peer victimization and adverse outcomes (internalizing problems, alcohol/tobacco use, and delinquent friend affiliation). Data were derived from the Health Behavior in School-Aged Children, 2009 to 2010 cohort study in the United States ( = 12,642). Bivariate, logistic regression and ordinal least squares regression analyses were conducted.
View Article and Find Full Text PDFObjective: Perception of need is a key factor that influences decisions to seek help and complete treatment for substance use and mental health problems. In the current study, we examine patterns of perceived treatment needs among women with co-occurring substance use disorders and posttraumatic stress disorder (PTSD) and explore how these patterns are associated with demographics, psychosocial variables, and treatment-related factors.
Methods: Secondary data analysis of the Women and Trauma Study from the National Institute on Drug Abuse's Clinical Trial Network was conducted.
This study surveyed 228 women, ages 18-75, to assess their attitudes towards anger expression in themselves and other women. Following exposure to an anger-inducing vignette, the women were asked to complete the STAXI-2 and evaluate five possible responses based on how appropriate the response was and how likely they felt that other women would respond similarly. Correlation analyses revealed positive and negative relationships between the women's attitudes towards anger expression and their own style of anger expression, as measured by the STAXI-2.
View Article and Find Full Text PDFAfrican American women find themselves at a high risk of experiencing feelings of powerlessness associated with socioeconomic disparities rooted in a history of racism and sexism. The authors present a conceptual model that discusses powerlessness as a significant variable that contributes to the experience of anger and stress in African American women, and consequently to the adverse health consequences of such anger and stress. The authors review the current literature as well as census and health statistics to discern critical historical, social, and cognitive aspects of powerlessness and anger in African American women.
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