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Talking with others about traumatic experiences (i.e., trauma disclosure) has been associated with increased posttraumatic growth (PTG). Although this association indicates the value of disclosing, there is evidence that external pressure to disclose can hinder the benefits of trauma disclosure. The aim of the current study was to examine the influence of pressure to disclose on the association between trauma disclosure and PTG. People who had experienced a traumatic event and disclosed their trauma to a close other were recruited using Amazon's Mechanical Turk (N = 208). Participants completed measures of trauma exposure, trauma disclosure, pressure to disclose, PTG, posttraumatic stress symptoms, and response to disclosure. The results indicated that the linear association between trauma disclosure and PTG was quadratically moderated by pressure to disclose, ηp2 =.025. Pressure to disclose strengthened the positive association between trauma disclosure and PTG from low, B = 0.818 (SE = 0.267), to moderate levels of pressure, B = 2.109 (SE = 0.471). However, when pressure was high, the association between disclosure and PTG was not significant, B = −1.19 (SE = 1.327). These findings indicate that a moderate amount of pressure to disclose may facilitate the positive impact of disclosure on PTG, yet a high amount of pressure may impede the positive association between disclosure and PTG. This research furthers understanding of the nuances of trauma disclosure and how close others' involvement in disclosure can impact the process of PTG for trauma survivors. [ABSTRACT FROM AUTHOR]

Objectives: Crisis counselors' active listening and collaborative problem‐solving helping styles have been associated with outcomes for clients in suicidal crises. These associations have been based on static conceptualizations of helping (i.e., helping style for the entire session). Our aim was to further understand how the crisis counseling helping process unfolds (i.e., helping trajectory) and helping trajectories' association with clients' outcomes. Methods: Online crisis chats (N = 269) with suicidal adults were coded for crisis counselors' helping styles (i.e., active listening and collaborative problem‐solving) and clients' outcomes (i.e., resolved or unresolved). Each talk‐turn was coded for helping style, which were used to examine helping‐style trajectories. Results: Growth‐curve models indicated that helping styles varied over the course of chats and that helping trajectories were different for resolved and unresolved chats. In resolved chats, helping styles moved from primarily active listening to primarily problem‐solving—with a deceleration in the middle of chats. In unresolved chats, helping initially moved from primarily active listening to primarily problem‐solving, but this trajectory decelerated in the middle of chats and then turned back toward primarily active listening. Conclusion: Our findings demonstrate that how the helping process unfolds is related to clients' outcomes. Implications for practice and research are discussed. [ABSTRACT FROM AUTHOR]

Objective(s): Interpersonal problems are one of the most persistent difficulties facing those with personality disorders (PDs) and are linked with dysfunction across numerous social domains. Using an interpersonal model of PDs, we examined the indirect effects of Avoidant PD (AvPD) symptoms and social dysfunction through interpersonal problems, as well as Borderline PD (BPD) symptoms and social dysfunction. Methods: Participants were 226 adults taking part in an outpatient treatment program. Results: Using cross‐sectional data from self‐reported measures, we found that cold (b = 0.10, 95% confidence interval (CI) [0.038, 0.176]) and overly nurturant (b = 0.04, 95% CI [0.001, 0.090]) interpersonal problems showed an indirect association between AvPD symptoms and social dysfunction. The only significant indirect association between BPD symptoms and social dysfunction was overly nurturant (b = 0.05, 95% CI [0.001, 0.120]). Conclusions: Results may aid in the development of more individualized treatments for AvPD and BPD symptoms. [ABSTRACT FROM AUTHOR]

Individuals with borderline personality disorder (BPD) often experience deficits in social role functioning, which encompasses the ability to adhere to socially defined rules and norms of behaviour. Additionally, research suggests that coping styles influence the way individuals with BPD manage stress and that symptom presentation and functioning in individuals with BPD vary across genders. This study sought to explore these variables via moderated mediation, investigating the mediating influence of coping styles on the association between BPD symptoms and social role dysfunction and if these associations were further moderated by gender. Participants (N = 233) were outpatients attending a programme for personality dysfunction. Participants completed measures of BPD symptoms, coping styles and social role dysfunction. Moderated mediation indicated that for women, emotion‐oriented coping and social diversion‐oriented coping mediated the association between BPD symptoms and social dysfunction. While BPD symptoms were positively associated with emotion coping, which was positively associated with social role dysfunction, BPD symptoms were negatively associated with social diversion coping, which was negatively associated with social role dysfunction. For men, coping did not mediate the association between BPD symptoms and social role dysfunction. Our findings may indicate that social support and a healthy social network may play an important part in the ongoing social role functioning of women with BPD. From this, potential early therapeutic interventions targeting safe social engagement in times of stress may decrease the pervasive and persistent nature of social dysfunction in BPD. © 2020 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Aim: While childhood adversity is a known risk for depressive symptoms, little is known about the contributing role of individuation difficulties among young adults. The present study examined individuation difficulties and perceived social support—and their interaction—as moderators of the relationship between childhood adversity exposure and depressive symptoms. Methods: Young adults (N = 119; M = 20.8 years) completed self‐report assessments of childhood adversity, depressive symptoms, individuation difficulties, and perceived social support. Regression analyses were used to examine interaction effects regarding depressive symptom severity. Results: A significant moderated moderation effect was found whereby individuation difficulties interacted with adversity exposure as perceived social support was reduced. Thus, at high levels of individuation difficulties, young adults with exposure to childhood adversity reported elevated depressive symptoms. This effect was buffered by social support such that when individuation difficulties were high, the association between adversity and depressive symptoms decreased from low to moderate and high support. Conclusion: Individuation difficulties and social support are important factors in the development of depressive symptoms from exposure to childhood adversity among young adults. [ABSTRACT FROM AUTHOR]

Background: Absorption is a trait‐like dimension reflecting a tendency to immerse oneself in sensory and imaginative experiences. This characteristic has scarcely been investigated in group psychotherapy. The present study examined absorption in relation to clients′ experience of early group process, and as a moderator of group cohesion and improvement in psychiatric symptoms, in an integrative group treatment programme. Methods: Participants included 81 clients, who completed an 18‐week programme of intensive, integrative, group treatment for personality dysfunction. Clients completed assessments of absorption and psychiatric symptom severity, and rated three aspects of group cohesion at week 5 of the programme. Results: Absorption was significantly associated with stimulation from the group after controlling for severity of symptoms and personality dysfunction. Moderation analyses found a significant interaction effect for absorption and the stimulation component of group cohesion with regard to symptom improvement. Absorption thus had a moderating effect on the relationship between stimulation from the group and improvement in psychiatric symptoms; for clients with higher levels of absorption, stimulation from group therapy contributed significantly to reduced symptom severity at post‐treatment. Discussion: Findings suggest that absorption may be a salient personality feature to consider in group therapy for clients with personality dysfunction. Conclusion: Absorption may contribute to treatment outcome, in that clients′ absorption tendencies could interact with their enthusiasm for the group experience, thereby leading to reduced symptoms following intensive group treatment. [ABSTRACT FROM AUTHOR]

Objective: While stage of change has been shown to be a robust predictor of eating disorder treatment outcome, little attention has been paid to the role of confidence. This study sought to better understand the role of confidence and the possible interaction it may have with stage of change in promoting eating disorder symptom change. Method: Participants were adult women in inpatient treatment for eating disorders. They completed measures of motivation for change, which assessed precontemplation, action, confidence and internality (changing for oneself vs. others) and eating disorder symptom severity at pretreatment (N = 159) and posttreatment (n = 59). Only treatment completer analyses were used. Results: Precontemplation and confidence had significant effects on pretreatment and posttreatment symptom severity, while action only had a significant effect on pretreatment symptoms. Confidence was shown to moderate relations between both measures of stage of change (i.e., precontemplation and action) and symptoms posttreatment. Follow‐up analyses indicated that high precontemplation was associated with poor outcome, irrespective of confidence, however, low precontemplation was associated with better outcome at high levels of confidence. The interaction between confidence and action was also significant at very high levels of confidence. That is, among individuals who had high action at baseline, those with low confidence had significantly poorer outcomes relative to those with high confidence. Discussion: Findings indicate that stage of change and confidence are both important prognostic factors and suggest that early behavior change in the absence of confidence may not guarantee best outcomes in inpatient eating disorder treatment. [ABSTRACT FROM AUTHOR]

Emotion dysregulation has been associated with impaired interpersonal functioning and increased risk of posttraumatic psychopathology. Given that social support is a robust predictor of psychiatric morbidity following trauma exposure, we examined whether emotion dysregulation was associated with posttraumatic psychopathology through its negative effect on social support. Using self-report data from 90 military veterans (89.9% men) enrolled in an outpatient psychotherapy program for posttraumatic stress disorder (PTSD), we found that social support partially mediated the effect of emotion dysregulation on PTSD (PM = .10) and depression symptoms (PM = .14). When source of support was considered, friend (PM = .08) and significant other support (PM = .06) were greater mediators of the effect of emotion dysregulation on depression symptoms than family support (PM = .01). There were no differential mediating effects for support providers on PTSD symptoms. Our findings indicate that social support is a statistically significant yet clinically limited mechanism through which emotion dysregulation is linked with psychiatric symptoms. Implications for these limitations and alternative potentially relevant interpersonal mechanisms are discussed. [ABSTRACT FROM AUTHOR]

This study examined vocational identity as a mediator of the relationship between occupational engagement (i.e., participation in a breadth of activities and interactions) and academic major satisfaction. Furthermore, the authors evaluated whether satisfaction with academic major related to academic success (i.e., grade point average). The mediational model was tested in a sample of undergraduate students ( N = 215). Results indicated that occupational engagement significantly predicted academic major satisfaction and that vocational identity fully mediated that relationship. These findings support occupational engagement as an important contributor to adaptive career decision making and encourage research on occupational engagement as an intervention point for career counselors. [ABSTRACT FROM AUTHOR]