Objective: The current study used path analysis to examine potential mechanisms through which experiences of discrimination influence depressive and social anxiety symptoms. Method: The sample ...included 218 lesbians and 249 gay men (total N = 467) who participated in an online survey about minority stress and mental health. The proposed model included 2 potential mediators-internalized homonegativity and rejection sensitivity-as well as a culturally relevant antecedent to experiences of discrimination-childhood gender nonconformity. Results: Results indicated that the data fit the model well, supporting the mediating roles of internalized homonegativity and rejection sensitivity in the associations between experiences of discrimination and symptoms of depression and social anxiety. Results also supported the role of childhood gender nonconformity as an antecedent to experiences of discrimination. Although there were not significant gender differences in the overall model fit, some of the associations within the model were significantly stronger for gay men than lesbians. Conclusions: These findings suggest potential mechanisms through which experiences of discrimination influence well-being among sexual minorities, which has important implications for research and clinical practice with these populations.
This study examined whether the Structured Clinical Interview for DSM (SCID), a widely used semistructured interview designed to assess psychopathology categorically, can be adapted to identify ...reliable and valid severity dimensions of psychopathology. The present study also examined whether these severity dimensions have better psychometric properties (internal consistency, test–retest reliability, and concurrent and predictive validity) than categorical diagnoses. Participants (N = 234) were recruited from the community and clinics. Retest reliability and prospective predictive validity (symptoms and functioning 1 year later) were examined in subsamples of participants. Dimensional severity scales were created from an adapted version of the SCID for both current and lifetime major depression, alcohol, substance, post‐traumatic stress disorder, panic, agoraphobia, social anxiety, specific phobia, obsessive–compulsive disorder, and generalized anxiety disorder. The SCID's severity scales demonstrated substantial internal consistency (all Cronbach's αs >.80), test–retest reliability, and concurrent and predictive validity. Symptom severity scales demonstrated significant incremental validity over and above categorical diagnoses for both current and prospective outcomes. The psychometric properties of SCID‐identified symptom scales were far superior to the psychometrics of categorical diagnoses for both current and lifetime psychopathology. These results highlight the feasibility and utility of the SCID to assess reliable and valid symptom severity dimensions of both current and lifetime psychopathology.
Research suggests that anxiety disorders tend to temporally precede depressive disorders, a finding potentially relevant to understanding comorbidity. The current study used diary methods to ...determine whether daily anxious mood also temporally precedes daily depressed mood. 55 participants with generalized anxiety disorder (GAD) and history of depressive symptoms completed a 21-day daily diary tracking anxious and depressed mood. Daily anxious and depressed moods were concurrently associated. Daily anxious mood predicted later depressed mood at a variety of time lags, with significance peaking at a two-day lag. Depressed mood generally did not predict later anxious mood. Results suggest that the temporal antecedence of anxiety over depression extends to daily symptoms in GAD. Implications for the refinement of comorbidity models, including causal theories, are discussed.
► Studies suggest that anxiety disorders tend to temporally precede depression. ► Temporal associations between symptoms within disorders remain unclear. ► We explore sequencing of daily symptoms within generalized anxiety disorder. ► Anxious mood strongly predicted later depressed mood, but not vice versa. ► Anxious mood was most strongly predictive of depressed mood at a two-day lag.
Editorial Davila, Joanne
Journal of consulting and clinical psychology,
12/2022, Volume:
90, Issue:
12
Journal Article
Peer reviewed
In this editorial, Davila reflects on the principles and goals that guided her as an editor and how they have shaped the direction of the journal these past 6 years. She discusses in detail the ...topics of stability, growth, and inclusiveness. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
In this editorial, Davila reflects on the principles and goals that guided her as an editor and how they have shaped the direction of the journal these past 6 years. She discusses in detail the ...topics of stability, growth, and inclusiveness. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Editorial Davila, Joanne
Journal of consulting and clinical psychology,
01/2019, Volume:
87, Issue:
1
Journal Article
Peer reviewed
This editorial provides a new policy going forward, and reaffirms a key policy issue for journal article reporting standards to Journal of Consulting and Clinical Psychology (JCCP). JCCP will now ...require all clinical trials presenting analyses of primary outcomes to be registered. By clinical trials, the author means those studies designed to examine the efficacy or effectiveness of a treatment or preventive intervention. The editorial team will be carefully screening articles for conformity to JARS/MARS guidelines, and articles may be rejected if guidelines are not followed. Although these policies will require more effort on the part of authors (and the editorial team), the author believes they reflect the best practice in clinical science and that they will have a positive effect not just on the journal but also on the field and public we ultimately serve. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Editorial Davila, Joanne
Journal of consulting and clinical psychology,
01/2019, Volume:
87, Issue:
1
Journal Article
Peer reviewed
This editorial provides a new policy going forward, and reaffirms a key policy issue for journal article reporting standards to Journal of Consulting and Clinical Psychology (JCCP). JCCP will now ...require all clinical trials presenting analyses of primary outcomes to be registered. By clinical trials, the author means those studies designed to examine the efficacy or effectiveness of a treatment or preventive intervention. The editorial team will be carefully screening articles for conformity to JARS/MARS guidelines, and articles may be rejected if guidelines are not followed. Although these policies will require more effort on the part of authors (and the editorial team), the author believes they reflect the best practice in clinical science and that they will have a positive effect not just on the journal but also on the field and public we ultimately serve.
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