Adverse childhood experiences and the associations with depression and anxiety in adolescents

Objectives There has been increasing attention to adverse childhood experiences (ACEs) among adolescents in the U.S because ACEs may result in severe mental health issues. Although associations between ACEs and mental health have been explored, research on how different types or combinations of ACEs render different impacts on adolescents is limited. Therefore, this study aims to (a) examine latent classes of ACEs among adolescents who have experienced at least one ACE and (b) investigate associations of each latent group of ACEs with mental health problems, depression and anxiety. Method Questionnaires on ACEs and depression/anxiety from the 2016 National Survey of Children’s Health (NSCH) were used, and a total of 11,437 adolescents aged 10–17 years were included in this study. For analyses, latent class analysis (LCA) was implemented to identify the number and types of classes, which are pertinent to represent the heterogenous combinations of ACEs. Moreover, chi-square tests and ordinal regression were performed to investigate the associations of class memberships within ACEs with depression/anxiety. Results The LCA found four class memberships within ACEs: Multiple High-Risk, Broken Family, Income Hardship, and Multiple Low-Risk. These classes displayed differences in depression/anxiety. For both pre-existing and current conditions of depression/anxiety, the most prominence has been found in the Multiple High-Risk, followed by the Multiple Low-Risk, the Broken Family, and the Income Hardship, in order. Conclusions These differences among the classes indicate that understanding of ACEs and interventions should be based on considering latent classes of ACEs

Culturally Responsive Distance Counselor Education for International Counseling Students

Counselor education programs have increasingly offered distance education during the last decades. As one of the growing student populations in counselor education programs, international students need to be given more attention pertaining to their cultural and educational experiences as counseling students. Although distance learning in counselor education has gained empirical support for its effectiveness, it may still pose challenges to international counseling students due to their unique characteristics such as language barriers and cultural differences, which may render differing qualities of students’ learning experiences. Aiming to enhance our understanding of this student population to provide culturally responsive distance counselor education, the present article introduces international students in the context of distance counselor education and discusses implications for supporting international students in distance counselor education

Dynamics of Online Engagement: Counseling Students’ Experiences and Perceptions in Distance Learning

In this article, the authors present counseling students’ personal accounts of their experiences in distance education with a focus on online engagement based on an extensive review of the counseling literature. In addition, an evaluation tool was introduced for gathering qualitative and quantitative information regarding patterns of instructor engagement efforts and styles. Facilitating factors for experiential online learning were also identified from the students’ perceptions of online learning experience. Finally, the results were used to make specific recommendations for counselor educators to enhance their teaching efficacy and engagement

Emotion regulation from a virtue perspective

Background The ability to regulate one’s emotional state is an important predictor of several behaviors such as reframing a challenging situation to reduce anger or anxiety, concealing visible signs of sadness or fear, or focusing on reasons to feel happy or calm. This capacity is referred to as emotion regulation. Deficits in this ability can adversely affect one’s adaptive coping, thus are associated with a variety of other psychopathological symptoms, including but not limited to depression, borderline personality disorder, substance use disorders, eating disorders, and somatoform disorders. Methods The present study examined emotion regulation in relation to the virtue-based psychosocial adaptation model (V-PAM). 595 participants were clustered based on their Difficulties in Emotion Regulation Scale (DERS) score, producing two clusters (i.e., high functioning vs. low functioning). Then, emotion regulation group membership was discriminated by using five V-PAM virtue constructs, including courage, integrity, practical wisdom, committed action, and emotional transcendence. Results Results show that five virtues contribute to differentiating group membership. Practical wisdom was the strongest contributor, followed by integrity, emotional transcendence, committed action, and courage. Predictive discriminant analysis was conducted and 71% of cases were correctly classified. A discussion of the relationship between emotion regulation and virtues was elaborated. Conclusion The concept of virtue holds significant importance in the comprehension of an individual’s capacity to regulate their emotions, meriting future study. Methods: The present study examined emotion regulation in relation to the virtue-based psychosocial adaptation model (V-PAM). 595 participants were clustered based on their Difficulties in Emotion Regulation Scale (DERS) score, producing two clusters (i.e., high functioning vs. low functioning). Then, emotion regulation group membership was discriminated by using five V-PAM virtue constructs, including courage, integrity, practical wisdom, committed action, and emotional transcendence. Results: Results show that five virtues contribute to differentiating group membership. Practical wisdom was the strongest contributor, followed by integrity, emotional transcendence, committed action, and courage. Predictive discriminant analysis was conducted and 71% of cases were correctly classified. A discussion of the relationship between emotion regulation and virtues was elaborated. Conclusion: The concept of virtue holds significant importance in the comprehension of an individual\u27s capacity to regulate their emotions, meriting future study

YAP/TAZ direct commitment and maturation of lymph node fibroblastic reticular cells

© 2020, The Author(s).Fibroblastic reticular cells (FRCs) are immunologically specialized myofibroblasts of lymphoid organ, and FRC maturation is essential for structural and functional properties of lymph nodes (LNs). Here we show that YAP and TAZ (YAP/TAZ), the final effectors of Hippo signaling, regulate FRC commitment and maturation. Selective depletion of YAP/TAZ in FRCs impairs FRC growth and differentiation and compromises the structural organization of LNs, whereas hyperactivation of YAP/TAZ enhances myofibroblastic characteristics of FRCs and aggravates LN fibrosis. Mechanistically, the interaction between YAP/TAZ and p52 promotes chemokine expression that is required for commitment of FRC lineage prior to lymphotoxin-β receptor (LTβR) engagement, whereas LTβR activation suppresses YAP/TAZ activity for FRC maturation. Our findings thus present YAP/TAZ as critical regulators of commitment and maturation of FRCs, and hold promise for better understanding of FRC-mediated pathophysiologic processes11Nsciescopu