The Social Determinants of Sexual and Reproductive Health in Integrative Sex and Couples Counseling: A Structural Competence Perspective

The Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts et al., 2015) call for counselors to address equity issues via social justice and advocacy. One equity issue relevant to counseling sexology is sexual and reproductive health inequities. This article applies the social determinants of sexual and reproductive health (SDSRH) to counseling sexology, specifically integrative sex and couples counseling, to address health inequities. A fictional case study incorporates the SDSRH from a cross-theoretical structural competence perspective. Future research should further elaborate SDSRH frameworks and evaluate the efficacy of their clinical applications

Personality Predictors of Emergency Department Post-Discharge Outcomes

20 pagesPersonality traits are important predictors of health behaviors, healthcare utilization, and health outcomes. However, we know little about the role of personality traits for emergency department outcomes. The present study used data from 200 patients (effective Ns range from 84 to 191), who were being discharged from the emergency department at an urban hospital, to investigate whether the Big Five personality traits were associated with post-discharge outcomes (i.e., filling prescriptions, following up with primary care physician, making an unscheduled return to the emergency department). Using logistic regression, we found few associations among the broad Big Five domains and post-discharge outcomes. However, results showed statistically significant associations between specific Big Five items (e.g., “responsible”) and the three post-discharge outcomes. This study demonstrates the feasibility of assessing personality traits in an emergency medicine setting and highlights the utility of having information about patients’ personality tendencies for predicting post-discharge compliance.This research was supported by a pilot grant awarded to Daniel K. Mroczek and Mitesh B. Rao from the Feinberg School of Medicine at Northwestern University, as well as grants from the National Institute of Aging awarded to Daniel K. Mroczek (AG018436; AG064006

Personality Traits and Mental Health Care Utilization: Longitudinal Findings from the MIDUS

This study investigated the associations between changes in mental health care utilization (MHCU), as measured by three types of mental health care, and changes in the Big Five personality traits over a 20-year period. Data included three waves of the Midlife Development in the United States (MIDUS) study, allowing for estimation of personality and MHCU in 4,658 adult participants, of which 1,632 provided data at all three time points. We used second-order latent growth curve models

Supplementary materials to: Personality predictors of emergency department post-discharge outcomes

Supplementary materials to: Atherton, O. E., Willroth, E. C., Schwaba, T., Goktan, A. J., Graham, E. K., Condon, D. M., Rao, M. B., & Mroczek, D. K. (2021). Personality predictors of emergency department post-discharge outcomes. Personality Science, 2, Article e7193. https://doi.org/10.5964/ps.719