Introduction: More than 1.2 million children in military families face long separations from a parent due to deployment or extended assignment, which can lead to significant family dysfunction as well as behavioral, emotional, and scholastic problems for the child. The purpose of From Caring 2 Coping is to identify and provide healthcare providers of military children tools to recognize and address maladaptive and externalizing behaviors of these children, while also assisting the nondeployed parent or caregiver to provide their children with the necessary support to reduce stress and increase their own coping skills.

Materials and Methods: After approval from Arizona State University IRB, children aged 4-11 years who are currently or forecasted to be separated from a military parent due to a deployment or extended assignment, were recruited from a military pediatric clinic along with their primary caregiver. An intervention was adapted from Bowen and Martin’s (2011) Resiliency Model of Role Performance for Service Members, Veterans, and their Families to identify and improve individual assets and family communication skills, find support through social connections, and prepare for potential stressors by constructing a Roadmap of Life. The Parental Stress Scale (PSS) and Pediatric Symptom Checklist (PSC-17) were completed before and after the 4-week intervention along with a final caregiver survey to evaluate the caregiver’s perceptions of From Caring 2 Coping.

Results: Four mothers and eight children completed the program for which Wilcoxon matched-pairs signed-rank test compared results from pre- and post PSC-17 surveys from the children showing significant improvement post-intervention (p = 0.017). The post PSC-17 results were compared to post PSS results with Spearman Correlation Coefficient, r = 0.949, that is statistically significant (p = 0.05). From Caring 2 Coping is rated as an effective program by parents in a postintervention survey that is easy to incorporate into daily activities. Parents ranked highest satisfaction through use of the Family Communication Plan and Family Timeline.

Conclusions: From Caring 2 Coping intervention tools improved family communication, use of individual assets and Roadmap of Life coping skills, thereby improving child and caregiver coping response as evidenced by improved PSC-17 and PSS scores. Basing the intervention on the Resiliency Model of Role Performance which has proven successful in the military population, improves the chances for success in this target population. However, the small sample size of four families requires further study with more families at all levels of the deployment cycle in order to refine the intervention.

Adolescents in the U.S. are experiencing a growing epidemic of maladaptive coping. The increasing occurrence of these behaviors make it likely that school personnel will continue to see an increase in adolescents presenting with maladaptive coping patterns, such as nonsuicidal self-injury and suicide, highlighting the urgency for continued research regarding effective education. Nonsuicidal self-injury is highly correlated with suicidal behavior, and suicide is the second leading cause of death among ten to nineteen year olds in the US. Research points to the use of a specific type of Coping Skills Training known as Mental Health Literacy that reduces the chances that maladaptive coping will become the norm in adulthood.

An ever expanding body of research has shown that children of divorce are at increased risk for a range of maladaptive outcomes including academic failure, behavior problems, poor psychological adjustment, reduced self-concept, and reduced social competence (Amato, 2001). Furthermore, the widespread prevalence of divorce makes preventing these poor outcomes a pressing public health concern. The Children of Divorce-Coping with Divorce (CoD-CoD) program is an internet-based selective prevention that was derived from recent research identifying modifiable protective factors in children of divorce including active and avoidant coping, divorce appraisals, and coping efficacy. CoD-CoD addresses these putative mediators through careful adaptation of intervention components previously demonstrated to be effective for children from disrupted families (Pedro-Carroll & Alpert-Gillis, 1997; Stolberg & Mahler, 1994; Sandler, et al., 2003). In the CoD-CoD efficacy trial, 147 children ages 11-16 whose family had received a divorce decree within 48 months of the intervention start date served as participants. Participants were assessed in two waves in order to test the small theory of the intervention as well as the interventions effects on internalizing and externalizing behaviors. Analyses indicated that the program effectively reduced the participants total mental health problems and emotional problems as reported on the Strengths and Difficulties Questionnaire (SDQ) (d = .37) and for total mental health problems this effect was stronger for children with greater baseline mental health problems (d = .46). The program also had mediated effects on both child and parent-reported total mental health problems whereby the program improved coping efficacy for children with low baseline coping efficacy which led to reduced parent-reported mental health problems. To the author's knowledge this is the first randomized controlled trail of internet-based mental health program for children or adolescents which utilizes an active control condition.

Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think causes their seizures, and the psychological consequences of those attributions. The aim of the present study was to investigate PNES patients' attributions for their seizures, and to determine how these attributions relate to stress and emotion regulation. It was hypothesized that participants who attribute their seizures to something (i.e., have an explanation for their seizures) will have lower perceived stress and less difficulty with emotion regulation than those who are unsure of the cause of their seizures. Twenty-four PNES participants completed a questionnaire assessing seizure diagnosis, characteristics of seizure impact, perceived stress, psychological symptoms, emotion regulation, attributions for seizures, and coping resources. Contrary to the hypothesis, having an explanation for seizures, rather than being “unsure” of seizure cause, was related to greater perceived stress. While it would seem that attributing unpredictable seizure events to a cause would lower perceived stress and emotion regulation difficulty, this study indicates that an attribution to an unknown cause may be more beneficial for the individual.

While the literature on caregivers of loved ones with Alzheimer's Disease and Related Disorders (ADRD) has continued to grow, the relationship of ethnicity and acculturation factors with regards to the coping strategies used by caregivers has not been extensively explored. The current study included participants from the Palo Alto site of the Resources for Enhancing Alzheimer's Caregiver Health (REACH) project. The study examined differences in coping strategies between 140 non-Hispanic White, 45 less acculturated Latina, and 61 more acculturated Latina caregivers. Univariate and Multivariate Analysis of Variance, as well as post hoc analyses, were conducted to determine the differences among the three groups. Results indicated less acculturated Latina caregivers employ more avoidant coping strategies compared to non-Hispanic White caregivers. However, no differences were found among the other groups in their use of avoidance coping. Moreover, there were no differences found in the use of social support seeking, count your blessings, problem focused, and blaming others coping among the three groups. These findings have important implications for the design of culturally relevant psychoeducational and therapeutic interventions aimed towards meeting the individual needs of these three populations. In addition, the findings expand on the understanding of maladaptive coping strategies that may be potentially exacerbating caregiver distress among Latina caregivers.

Daily life stressors and negative emotional experiences predict poor physical and psychological health. The stress response of the hypothalamic-pituitary-adrenal axis is a primary biological system through which stressful experiences impact health and well-being across development. Individuals differ in their capacity for self-regulation and utilize various coping strategies in response to stress. Everyday experiences and emotions are highly variable during adolescence, a time during which self-regulatory abilities may become particularly important for adapting to shifting social contexts. Many adolescents in the U.S. enter college after high school, a context characterized by new opportunities and challenges for self-regulation. Guided by biopsychosocial and daily process approaches, the current study explored everyday stress and negative affect (NA), cortisol reactivity, and self-regulation assessed at the momentary, daily, and trait level among a racially/ethnically and socioeconomically diverse sample of first-year college students (N = 71; Mage = 18.85; 23% male; 52% non-Hispanic White) who completed a modified ecological momentary assessment. It was expected that within-person increases in momentary stress level or NA would be associated with cortisol reactivity assessed in college students' naturalistic settings. It was predicted that these within-person associations would differ based on engagement coping responses assessed via momentary diary reports, by the range of engagement coping responses assessed via diary reports at the end of the day, and by higher trait levels of self-regulation assessed via standard self-report questionnaire. Within-person increases in momentary stress level were significantly associated with momentary elevations in cortisol only during moments characterized by greater than usual engagement coping efforts (i.e., within-person

increases). At a different level of analysis, within-person increases in momentary stress level were significantly associated with increases in cortisol only for those with low trait levels of coping efficacy and engagement coping. On average, within-person increases in momentary NA were significantly associated with cortisol reactivity. Tests of moderation revealed this momentary association was only significant for those with low trait levels of support-seeking coping.

ABSTRACT The relationships between adaptive and maladaptive aspects of gender roles in predicting substance use were examined in a sample of 955 (450 boys, 505 girls) Mexican American 7th and 8th grade adolescents participating in a school-based substance use intervention. The moderating effect of linguistic acculturation, the mediating effects of antisociality, depressive symptoms, and adaptive and avoidant coping on gender role-substance use relationships were examined. Correlational and path analyses supported the Functional Model of Gender Roles that considers these roles as adaptive or maladaptive social coping strategies. For boys, the path analyses yielded significant direct paths from aggressive masculinity to composite alcohol, cigarette, and marijuana use measures, with all other effects of gender roles on substance use operating through the mediators. Bootstrapped mediation tests yielded significant indirect paths, where for boys the positive relationships between assertive and aggressive masculinity with substance use and the negative relationship of affective femininity with substance use were mediated through antisociality, which is predictive of increased substance use. For girls, the positive relationship between aggressive masculinity with cigarette and alcohol use and the negative relationship of affective femininity with alcohol and cigarette use were also mediated by adaptive coping, which is predictive of decreased substance use. A different set of significant indirect paths through avoidant coping connected assertive masculinity and submissive femininity to alcohol use for boys. For boys, the paths from affective femininity to antisociality and adaptive coping were found to be moderated by linguistic acculturation, with the negative correlation of affective femininity with antisociality and positive correlation of this gender role with adaptive coping being stronger in boys low in acculturation. In turn, the pathway from this acculturation by affective femininity interaction to substance use was found to be mediated by antisociality. The present analyses confirmed the importance of gender roles and their interaction with acculturation in predicting substance use in Mexican American adolescents. The analyses also were important in delineating functional mechanisms through which these gender roles have their effects, with implications for the design of interventions to reduce substance use in this population.

The present study examined whether a history of childhood sexual abuse would be related to attachment to mother, to father, and to friends, mattering to parents and to friends, and coping behaviors. In addition, whether use of force, duration of abuse, and severity of abuse were related to perceived negative impact of childhood sexual abuse was examined. Gender differences among survivors were also investigated. Specifically, from the initial sample of 258 young adults, 186 who met the age requirement were included in the tests of the hypotheses. All participants were between the ages of 18 and 25. Compared to those with no history of childhood sexual abuse (n = 109), survivors (n = 77) reported lower attachment to father and less mattering to parents. There were no differences in attachment and mattering to friends or in emotion-focused and problem-focused coping. When gender differences were examined among survivors, females reported greater use of problem-focused coping and perceiving their childhood sexual abuse experiences as more negative than did the male survivors. There were no differences among male and female survivors of childhood sexual abuse on emotion-focused coping. Force and severity, but not duration, were linked to more negative perceptions of the childhood sexual abuse. Attachment to mother emerged as a key variable in that attachment to mother was positively related to attachment to friends, mattering to friends, and the use of problem-focused coping. Stronger attachment to mother and attachment to father, but not a history of childhood sexual abuse, were related to more perceived mattering to parents. These results highlight the importance of attachment to caregivers in developing peer attachment and a sense of mattering to friends, problem-focused coping skills, and perceiving childhood sexual abuse as having a less negative impact on their lives. Clinical and research implications and suggestions for future directions are discussed.

Despite some prevailing attitudes that bullying is normal, relatively innocuous behavior, it has recently been recognized as a serious problem in schools worldwide. Victimized students are more likely to evidence poor academic and semi-academic outcomes, experience social difficulties, and drop out of school in comparison to their non-victimized peers. Although anti-bullying programs have proliferated during the last decade, those aimed at helping children cope with bullying often suffer from a lack of basic research on the effectiveness of children's responses to bullying. The focus of this study was to delineate the ways in which elementary school-aged children typically cope with peer victimization, then to examine which strategies reduce future risk for harassment and associated adjustment problems to inform prevention and intervention program development. A cohort-sequential design was used to examine the effectiveness of children's strategies for coping with peer victimization. The sample included 317 children (157 boys; 49.5% Caucasian, 50.5% Hispanic; M age =10 years 5 months at T1) who were surveyed in the Fall and Spring of two academic years. Confirmatory factory analysis was used to validate the factor structure of the coping measure used and internal reliability was verified. Comparison of means indicated differences in children's coping based upon sex and age. For example, girls tend to cope more emotionally and cognitively, while boys are more behavioral in their coping. Regression results indicated that a number of specific relationships were present between coping, victimization, loneliness, and anxiety. For example, support seeking behavior was effective at decreasing victimization for younger children (fourth graders) who experienced high initial victimization. In contrast, revenge seeking behavior was predictive of increased victimization for both girls and highly victimized students. Problem solving was effective at reducing adjustment problems over time for younger students and, although results for older students were non-significant, it appears to be a promising strategy due to a lack of association with negative future outcomes. Results highlight the importance of identifying influential characteristics of individual children in order for prevention and intervention programs to successfully decrease the incidence and adverse impact of bullying behavior.

ABSTRACT Caregiving studies generally do not focus on the post-caregiving phase of care, or African Americans post-caregivers (AAPCGs). This mixed-methods study guided by the Transitions Theory, explored the experiences of 40 AAPCGs residing in Los Angeles, California and Phoenix, Arizona, whose loved ones died within the last 10 years. Data collection tools included individual interviews, demographic questionnaire, CES-D, Brief Cope, and Social Support. Findings present the specific aims of the study. Aim 1 dealt with the types, patterns and properties of post-caregiving transitions (PCT). Many AAPCGs experienced multiple, simultaneous transitions that continued to impact their lives many years after caregiving ends. Aim 2 dealt with factors that facilitate or inhibit healthy PCT. Facilitators include: Being satisfied with care provided; fulfilling death-bed promises; living out the legacy of the deceased; deep spiritual beliefs in God and support of family, friends and church. Inhibitors include: Experiencing a deep sense of loss, confusion, depression, loneliness, and guilt; physical challenges such as fatigue and exhaustion, breathing problems, dizziness, fainting, cognitive difficulties, pain, headaches, hypertension and insomnia; family conflicts, job or home loss that linger long after PCT. Aim 3 involves process indicators including: connectedness with family, friends, co-workers, church and God; returning to work or school. Coping strategies that helped AAPCGs include: productive ventures, family mementoes, reminiscing, new baby, or visiting cemetery. Appropriate coping led to outcome indicators of mastery such as new environment; making decisions; taking actions; readying oneself for another caregiving role; preparing for one's own life and death; or caring for self. Fluid integrative identities include: Sense of balance, peacefulness and joy, fulfillment, compassion; remembering without pain; or new identity. Implications for practice, policy, education and research include: Care providers and policy makers must ensure that AA caregivers receive adequate EOL and hospice information and support for adequate preparation of loved one's death. Geriatric educators must design and implement curricular programming that includes the post-caregiving phase as a very important phase of caregiving. Researchers should design culturally-congruent assessment tools or improve the checklist developed in this study to appropriately measure PCT; and also develop culturally-relevant interventions to facilitate healthy PCT.