Donald R. Marks

Prevalence of clinically elevated depressive symptoms in college athletes and differences by gender and sport

Background There are approximately 400 000 National Collegiate Athletic Association (NCAA) student athletes and 5–7 million high school student athletes competing each year. According to the US Department of Health and Human Services, the depression prevalence rate for young adults, which ranges from 10% to 85% across studies, is higher than that of other age groups. Given the relatively high prevalence of depression in individuals of collegiate age in the general population, the prevalence of depression among athletes in this age group warrants further study. This multiyear study examined the prevalence of depressive symptoms in college athletes, as well as demographic factors related to increased or decreased rates of depressive symptoms by gender and sport. Objective To describe the prevalence of depression symptoms among NCAA division I student athletes at a single institution over 3 consecutive years. Method Participants (n=465) completed a battery of measures during their yearly spring sports medicine physical across 3 consecutive years. The battery included the Center for Epidemiological Studies Depression Scale (CES-D) and a demographic questionnaire, administered during the course of routine sports medicine physical examinations. Differences in depressive symptoms prevalence and relative risk ratios were calculated by gender and sport. Results The prevalence rate for a clinically relevant level of depressive symptoms, as measured on the CES-D (CES-D ≥16), was 23.7%. A moderate to severe level of depressive symptoms was reported by 6.3%. There was a significant gender difference in prevalence of depressive symptoms, χ2 (1)=7.459, p=0.006, with female athletes exhibiting 1.844 times the risk of male athletes for endorsing clinically relevant symptoms. Conclusions The CES-D identified clinically relevant levels of depressive symptoms in nearly one-quarter of college student athletes in this large cross-sectional sample. Female college athletes reported significantly more depressive symptoms than males. Findings suggest that depression prevalence among college athletes is comparable to that found in the general college population. In light of these findings, sports medicine personnel may wish to implement depression screening and assessment of depressive symptoms across sports to identify at-risk athletes. Risk factors related to depression in college athletes warrant additional study.

Lectio for living: an exploration of mindful listening to poetic texts

ABSTRACT In the ancient contemplative practice known as lectio divina, sacred texts were read slowly and carefully while listeners attended to the sounds of the performance. Rather than reading analytically for specific interpretations, participants in this mindful listening practice observed the sensory experience of sounds, allowing meanings to emerge in the mind of their own accord. Many mindfulness- and acceptance-based psychological interventions make use of similar poetry listening practices. This study examined state mindfulness among undergraduate students when listening to series of brief poetic texts. Several participant characteristics, including facets of dispositional mindfulness, psychological flexibility, self-compassion, and compassion for others, were examined as potential predictors of both state mindfulness during the practice and the perceived value of mindful listening. The “observing” facet of dispositional mindfulness significantly predicted both the “decentering” and “curiosity” dimensions of state mindfulness. Qualitative analyses revealed participants’ perspectives concerning their engagement in the experiential practice.

An Exploration of the Mediators Between Childhood Maltreatment and Intimate Partner Violence

Intimate partner violence (IPV) is associated with numerous long-term consequences and warrants significant clinical attention. Recent theoretical models and empirical research have suggested that several factors play a role in the development of IPV perpetration, including childhood maltreatment, early maladaptive schemas, anger, and difficulties in emotion regulation. This study investigated the relationship between childhood maltreatment and IPV, specifically examining the mediation of this relationship by several variables thought to be related to this pernicious problem, including early maladaptive schemas, the experience of anger, and emotion regulation difficulties. In a young adult collegiate sample of 110 women in relationships, results of a bootstrapped multiple mediation analysis supported the hypothesis that childhood maltreatment predicted physical aggression within intimate partner relationships and found that the total indirect effect of childhood maltreatment on physical aggression through the 3 proposed mediators was significant. However, consistent with recent empirical findings, only difficulties in emotion regulation significantly mediated the relationship between childhood maltreatment and physical aggression within the sample.

Teaching Clergy and Religious

The community of clergy and religious orders totals more than 350,000 people in the USA alone (Wells, Probst, McKeown, Mitchem, & Whiejong, 2012), comprising a diverse range of individuals with widely varying professional responsibilities and roles. Churches and religious organizations have varied expectations and requirements for members of the clergy (e.g., celibacy) which can present challenges for the development and maintenance of social support networks. Mindfulness-based programs can provide strategies that assist clergy and members of religious orders in maintaining appropriate forms of self-care and facilitating effective engagement in valued life activities even when intensive time demands and complex roles and responsibilities threaten to reduce opportunities for reflection and contemplation.