Short-term changes in social role statuses across young adulthood and their relation to heavy drinking in a given month.

Young adulthood is a developmental period during which individuals experience shifts in their social roles in various domains, which coincides with a period of time that is also high risk for lifetime peaks in alcohol use. The current study examined age-related changes in heavy episodic drinking (HED) and high-intensity drinking (HID) and associations with short-term (i.e., monthly) variation in young adults' social roles over a 2.5-year period in a community sample of young adults who reported past-year alcohol use (N = 778, baseline age range 18-23). Results showed probabilities of past-month HED and HID changed in a nonlinear fashion across ages 18-26 with greater probabilities of use at younger ages. Most participants did not report being in the same social role status every sampled month, underscoring the presence of short-term role variation. Living with parents and being in a serious romantic relationship in a given month were negatively associated with past-month HED. Living with parents in a given month was also negatively associated with past-month HID. Being a 4-year college student and being employed full-time in a given month were not significantly related to either outcome. Findings provided partial evidence that monthly statuses were associated with heavy drinking. Several avenues for future research are described in light of the findings.

Posttraumatic stress and depression symptom classes in parents of trauma-exposed children: a transdiagnostic perspective using pooled individual participant data.

Background: In the aftermath of child trauma, post-traumatic stress (PTS) and depression symptoms often co-occur among trauma exposed children and their parents. Studies have used latent class analysis (LCA) to examine PTS and depression symptoms and identify homogeneous subgroups among trauma exposed children. However, little is known about subgroups or classes of PTS and depression reactions of parents of traumatised children.Objectives: (1) Determine PTS and depression symptom classes at 2-9 months post-trauma, and (2) to examine sociodemographic covariates among parents of trauma exposed children.Methods: Using harmonised individual participant data (n = 702) from eight studies (Australia, UK, US) included in the Prospective studies of Acute Child Trauma and Recovery Data Archive (PACT/R), we modelled these phenomena at the symptom level using LCA.Results: Our LCA yielded three solutions: 'high internalizing symptom' class (11%); 'low PTS-high depression' class (17%); and 'low internalizing symptom' class (72%). Parents of children in the 'low PTS-high depression' class were more likely to have children of older age and be part of an ethnic minority, compared to the 'low internalizing symptoms' class. Mothers were more likely to be in the 'high internalizing symptom' class compared to the 'low internalizing symptoms' class.Conclusions: These findings reveal a qualitative structure and relationship between depression and PTS symptoms that highlights the importance of assessing and targeting a broad range of internalising symptoms in post-trauma psychological treatment.

Using harmonised individual participant data from eight studies included in the Prospective studies of Acute Child Trauma and Recovery (PACT/R) Data Archive we identified three distinct classes of parental internalising reactions using Latent Class Analysis.Mothers, family ethnic minority status, and children of older age were associated with distinct classes of problematic symptoms.The findings from the present study highlight the need for assessing and targeting a broad range of internalising symptoms after trauma, and that mothers, parents of older children and families with ethnic minority status might be at risk for elevated symptoms.

Life stressors and posttraumatic stress symptoms mediate the association between disaster exposure and identity-related distress in emerging adults.

Objective: The current multi-university, multi-disaster study examined the impact of natural disaster exposure on identity-related distress through life stressors and posttraumatic stress symptoms (PTSS). Participants: Young adult university students (n = 665, 77% female, M = 20.5 years old) participated in Wave (W) 1. Half provided contact information for follow-up, and 136 university students participated in W2. Method: University students in the mainland U.S. and Puerto Rico were asked about disaster exposure, life stressors, PTSS, and identity-related distress at W1 (M = 9.7 months post-disaster) and identity-related distress at W2 (M = 12.4 months after W1). Two serial mediation models assessed the indirect effect of disaster exposure on W1 and W2 identity-related distress through life stressors and PTSS. Results: Disaster exposure impacted identity-related distress concurrently and longitudinally through increasing life stressors since disaster and PTSS. Conclusion: Potential supportive services should address identity-related distress among disaster-exposed young adults with PTSS.

Social-cognitive mediators of the relationship of media exposure to acute mass violence and distress among adolescents.

OBJECTIVE: Traditional and social media coverage of acute mass violence (AMV; e.g., terrorism, mass shootings) create an environment where the possibility of being the victim of AMV is constantly portrayed and this media exposure has been linked to distress among people not directly affected. We explored how initial emotional reactions to media exposure to AMV, threat perception, and core beliefs may mediate the media exposure to current anxiety or depression symptoms relationship. METHOD: Adolescents (N = 342) in the United States aged 13-17 years old (M = 15.43, SD = 1.29; 71.6% female) completed online surveys asking about time spent watching AMV coverage in the media, initial emotional reactions to the media coverage, threat perception, core beliefs, and current anxiety and depression symptoms. Mediation was tested with PROCESS (Hayes, 2018) for anxiety and depression. Sex and having lived in a community exposed to an AMV event were control variables. RESULTS: Bootstrap confidence intervals (95%) for the unstandardized indirect effects of core beliefs, initial anxious emotional reactions, and personal threat perception based on 5,000 bootstrap samples did not include zero, providing support for mediation. Core beliefs and initial anxious emotional reactions were mediators between time-consuming AMV-related media and current anxiety symptoms. Personal threat perception and initial anxious emotional reactions mediated the relationship between time-consuming AMV-related media and current depression symptoms. CONCLUSION: The impact of media exposure to AMV on depression and anxiety can be understood through its influence on initial anxious reactions, core beliefs, and threat perception. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Predictors of Mental Health Outcomes in Grocery Store Workers amid the COVID-19 Pandemic and Implications for Workplace Safety and Moral Injury.

Limited research exists on the mental health (MH) of grocery store workers (GSWs), who have been on the frontlines throughout the COVID-19 pandemic. A disaster MH conceptual model incorporating demographics, disaster exposure and threat (COVID-19 fear and workplace threat perception), perceived stress, and social support (lack of from family and friends) was utilized to predict MH outcomes (anxiety, depression, and post-traumatic stress symptoms; PTSS) of GSWs. GSWs (n = 842) were recruited through a regional union in California. The participants were diverse (62.1% female) and were 18-69 years of age (M = 41.5, SD = 13.9). They completed an online survey regarding COVID-19 fear, workplace threat perception, perceived stress, lack of social support, and workplace needs/recommendations for support. Three hierarchical linear regression models were run assessing each MH outcome. Thematic analysis coding and an inductive approach were utilized for analyzing open-ended responses of workplace needs/recommendations. Females and younger GSWs (ages 18-29 years old) on average, reported higher MH symptoms than males and older age groups, respectively. COVID-19 fear and perceived stress were significant predictors of anxiety, while COVID-19 fear, workplace threat perception, and perceived stress significantly predicted depression and PTSS, explaining almost half of the variance for each model. Social support and demographics were not predictive of MH outcomes. Almost half of GSWs (40%) requested increased safety protections in the workplace. Feelings of fear of COVID-19, threat in the workplace, and overall perceived stress are predictive of GSWs' MH outcomes. Increasing feelings of safety in the workplace and reducing stress may lessen MH symptoms.

Factors affecting mental health service use among university students following an episode of mass violence.

OBJECTIVE: Episodes of mass violence can increase mental health (MH) symptoms among survivors, possibly leading to increased MH service use. Within the context of an episode of mass violence that impacted a university community, we prospectively explore the predisposing (demographics, clinical levels of MH symptoms, victimization history, objective exposure, and social support), enabling (MH stigma, prior MH service use,), and need (MH symptoms, current social support) variables that influence posttragedy MH service use. METHOD: In the original study, 593 students completed surveys at 2 time points during their first year of college. After the tragedy, students were invited to participate in a post event survey for a final sample of n = 142. RESULTS: A total of 14.3% of our sample accessed MH services post event. Results indicate that demographic factors were not related to MH service use. When examined jointly in a logistic regression, the final model suggests that prior MH service use and greater objective exposure were related to posttragedy MH service use. Other predisposing, enabling, and need factors were not associated with MH service use. CONCLUSION: Prior experience with MH services may help survivors engage in services following a disaster. As disaster MH service models tend to target outreach to those with the greatest exposure, this may be why those survivors had greater MH service use. (PsycInfo Database Record (c) 2021 APA, all rights reserved).