Jill L. Adelson

Anxiety and depression in transgender individuals: the roles of transition status, loss, social support, and coping.

OBJECTIVE The purpose of the current study was to examine facilitative and avoidant coping as mediators between distress and transition status, social support, and loss. METHOD A total of 351 transgender individuals (n = 226 transgender women and n = 125 transgender men) participated in this study. Participants completed measures on transgender identity, family history of mental health concerns, perceptions of loss, coping, depression, and anxiety. RESULTS The rates of depressive symptoms (51.4% for transgender women; 48.3% for transgender men) and anxiety (40.4% for transgender women; 47.5% for transgender men) within the current study far surpass the rates of those for the general population. Structural equation modeling (SEM) was used to analyze the data-2 separate models were hypothesized, based on reports of anxiety or depression. The SEM results suggest that the processes for transgender women and transgender men are primarily similar for depression and anxiety; avoidant coping served as a mediator between transition status and both distress variables. Social support was directly related to distress variables, as well as indirectly related through avoidant coping. CONCLUSION Results suggest the need for practitioners to focus on interventions that reduce avoidant coping strategies, while simultaneously increasing social support, in order to improve mental health for transgender individuals. Individuals who are in the beginning stages of their transition will use different coping strategies than those who are in later stages; interventions should be adjusted on the basis of the transition status of transgender clients.

Dealing With Dependence (Part I): Understanding the Effects of Clustered Data

This article provides a conceptual introduction to the issues surrounding the analysis of clustered (nested) data. We define the intraclass correlation coefficient (ICC) and the design effect, and we explain their effect on the standard error. When the ICC is greater than 0, then the design effect is greater than 1. In such a scenario, the standard error produced under the assumption of independence is underestimated. This increases the Type I error rate. We provide a short illustration of the effect of non-independence on the standard error. We show that after accounting for the design effect, our decision about the statistical significance of the test statistic changes. When we fail to account for the clustered nature of the data, we conclude that the difference between the two groups is statistically significant. However, once we adjust the standard error for the design effect, the difference is no longer statistically significant.

Measuring the Mathematical Attitudes of Elementary Students: The Effects of a 4-Point or 5-Point Likert-Type Scale

The purpose of this study was to compare how students in Grades 3 to 6 respond to a mathematics attitudes instrument with a 4-point Likert-type scale compared with one with an additional neutral point (a 5-point Likert-type scale). The 606 participating students from six elementary and middle schools randomly received either the 4-point or 5-point format of the Math and Me Survey. Regardless of whether a neutral midpoint was offered or not, the structure of the instrument was virtually the same, with equal intercepts, means, variances and covariances, pattern coefficients, and nearly all residuals. The 5-point scale is preferred with this population because with this format the reliability estimate for the Mathematical Self-Perceptions subscale was higher (p = .049), and the pattern coefficients were stronger. Additionally, this format provided less model misfit than the 4-point format. Based on these findings, the authors recommend administration of the Math and Me Survey in the 5-point format. These findings also indicate that despite what some educators and educational experts believe, children in Grades 3 to 6 are capable of discriminating among five response options and do not tend toward the neutral point more so than with a 4-point scale.

Self-Efficacy, Intrinsic Motivation, and Academic Outcomes Among Latino Middle School Students Participating in an After-School Program

This longitudinal study examined how academic self-efficacy, intrinsic motivation, and participation in an after-school program contributed to the academic achievement of Latino middle school students over the course of one school year. Participants were 47 Latino students in sixth through eighth grades who attended two public middle schools in which an after-school program was held that was specifically for Latino students. Results from ordinary least squares regression revealed that intrinsic motivation was positively associated with students GPAs, self-efficacy was a positive predictor of students’ school attendance and standardized math achievement scores, and attendance at the after-school program also contributed positively to students’ math achievement. Results from multilevel growth modeling showed that students’ self-efficacy and intrinsic motivation remained stable across the school year and were not related to students’ degree of participation in the after-school program. Several avenues for future research within the Latino student population are discussed.

Development and Psychometric Properties of the Math and Me Survey Measuring Third Through Sixth Graders’ Attitudes Toward Mathematics

The Math and Me Survey was designed to measure elementary students’ attitudes toward mathematics. The authors conducted content validation, exploratory factor analysis, confirmatory factor analysis, item response theory, reliability, and external validity analyses to improve it and to test its psychometric properties. The final Math and Me Survey consists of two scales: Mathematical Self-Perceptions and Enjoyment of Mathematics.

Examining the effects of gifted programming in mathematics and reading using the ECLS -K

This study examined the average effects of schools’ third through fifth grade gifted programming policy in mathematics and reading on overall school achievement, on gifted students’ achievement and academic attitudes and on nongifted students’ achievement and academic attitudes. Data and results represent a broad, national look at school personnel–reported programming without distinction as to type, length, or degree of programming. No detrimental effects were found at the overall school level or for nongifted students. However, the results also indicated that, on average, the diverse programs reported in the Early Childhood Longitudinal Study, Kindergarten Class of 1988-1989 (ECLS-K) database had no effect on gifted students’ achievement or academic attitudes. Considered in light of prior research indicating benefits of specific programs and existing inconsistent policies and programs, this suggests the need for future research to determine effective program characteristics and suggests that policy makers, educators, and parents actively must seek research-based practices to use with gifted children.

Good-enough level and dose-effect models: Variation among outcomes and therapists

Abstract Objective: The current study examined the good-enough level (GEL) and dose-effect model on three outcome variables: well-being, symptom distress, and life functioning, while accounting for therapist effects. The dose-effect model assumes the rate of change is consistent across clients, and the GEL model assumes that the rate of change will vary according to the total length of treatment. Method: The sample included 13,664 clients who completed 2–100 sessions of therapy. Results: The GEL model was a better fit to the data compared to the dose-effect model for all outcomes. There were fewer changes in life functioning compared to well-being and symptom distress for clients. There were significant therapist effects for changes in symptom distress and life functioning, but not for the rates of change in well-being. Conclusion: Therapists should consider the rates of change for their own clients as well as by outcome.

School Support, Parental Involvement, and Academic and Social-Emotional Outcomes for English Language Learners:

This study examined the relationships among school support, parental school involvement, and academic and social-emotional outcomes for children who are English language learners (ELLs). The sample included 1,020 third-grade ELLs who participated in the Early Childhood Longitudinal Study (ECLS-K). Results from structural equation modeling showed that higher levels of school support predicted more parental involvement, more parental involvement predicted fewer social-emotional concerns for ELL children, and fewer social-emotional problems were linked to higher achievement scores. Contrary to expectations, results showed that ELL students had lower achievement and more social-emotional concerns when they attended schools that provided more support services. The authors discuss possible explanations for these findings as well as directions for future research and implications for policy and practice.

Trajectories of Change in Psychotherapy

OBJECTIVE The current study used multilevel growth mixture modeling to ascertain groups of patients who had similar trajectories in their psychological functioning over the course of short-term treatment. METHOD A total of 10,854 clients completed a measure of psychological functioning before each session. Psychological functioning was measured by the Behavioral Health Measure, which is an index of well-being, symptoms, and life-functioning. Clients who attended 5 to 25 sessions at 46 different university/college counseling centers and one community mental health center were included in this study. Client diagnoses and the specific treatment approaches were not known. RESULTS A 3-class solution was a good fit to the data. Clients in classes 1 and 3 had moderate severity in their initial psychological functioning scores, and clients in class 2 had more distressed psychological functioning scores. The trajectory for clients in class 1 was typified by early initial change, followed by a plateau, and then another gain in psychological functioning later in treatment. The trajectory for clients in class 2 demonstrated an initial decrease in functioning, followed by a rapid increase, and then a plateau. Last, the clients in class 3 had a steady increase of psychological functioning, in a more linear manner. CONCLUSION The trajectories of change for clients are diverse, and they can ebb and flow more than traditional dose-effect and good-enough level models may suggest.

Teachers or psychologists: who should facilitate depression prevention programs in schools?

The current study evaluates a depression prevention program for adolescents led by psychologists vs. teachers in comparison to a control. The universal school-based prevention program has shown its efficacy in several studies when implemented by psychologists. The current study compares the effects of the program as implemented by teachers versus that implemented by psychologists under real-life conditions. A total of 646 vocational track 8th grade students from Germany participated either in a universal prevention program, led by teachers (n = 207) or psychologists (n = 213), or a teaching-as-usual control condition (n = 226). The design includes baseline, post-intervention, and follow-up (at 6 and 12 months post-intervention). The cognitive-behavioral program includes 10 sessions held in a regular school setting in same-gender groups and is based on the social information-processing model of social competence. Positive intervention effects were found on the change in girls’ depressive symptoms up to 12 months after program delivery when the program was implemented by psychologists. No such effects were found on boys or when program was delivered by teachers. The prevention program can successfully be implemented for girls by psychologists. Further research is needed for explanations of these effects.