Positive Psychological Well-being Research Articles

Assessing Mental Health and Psychological Wellbeing in Medical Students: A Systematic Review

Medical students' psychological wellbeing is a growing concern. However, the methods used and outcomes measured in studies evaluating psychological wellbeing lack consistency given their wide and diverse array. This systematic review aims to characterise and comprehensively evaluate the outcomes measured and methods used in studies assessing psychological wellbeing among medical students. A consensus on the constructs and methods used in indexing psychological wellbeing can lead to more effective assessments and consequently more effective interventions aimed at promoting wellbeing in medical students. Methods: Multiple databases were searched, including Medline, PsycINFO, Cochrane Library, and Web of Science. Grey literature was searched through Google Scholar, and reference lists of the included studies were further searched. Results: Forty-five studies were included, and findings were integrated into a narrative synthesis. The results showed that various methods were used and various outcomes were measured to index medical students’ mental wellbeing; outcomes tapped on stress, depression, anxiety, burnout, and minor psychiatric disorders as wellbeing indicators while commonly used measures were the General Health Questionnaire, Oldenburg Burnout Inventory, Perceived Stress Scale and Depression Anxiety Stress Scale. Self-reported measures and quantitative designs predominated, focusing on negative indicators of wellbeing. The findings of this systematic review highlighted the vast heterogeneity in outcomes measured and methods used in studies assessing psychological wellbeing in medical students. Conclusions: Homogeneity in the measures and outcomes used to assess wellbeing is necessary to improve the comparability and reliability of findings among studies. Future research should also use validated measures that capture both positive and negative aspects of psychological wellbeing to gain a more comprehensive understanding of the factors that can promote positive psychological wellbeing; and consequently, to inform the development of more effective interventions tailored to the mental health needs of medical students.

Effectiveness of strengthening exercises on positive thinking skills, psychological wellness and mental strength in athletes with a meniscus-ripped knee

This study aims to examine the influence of positive thinking, psychological well-being, and mental toughness on the recovery process following strengthening exercises in individuals diagnosed with a meniscus tear in the knee. The research cohort comprises 32 athletes diagnosed with a meniscus tear through Magnetic Resonance Imaging (MRI). Of these participants, 26 are male, and 6 are female, all aged above 18, engaged in amateur sports across diverse disciplines, and having sustained injuries during athletic activities. The participants were randomly assigned to two groups: Group A (experimental, n=16) and Group B (control, n=16). The study adopts a mixed model incorporating experimental, survey, and relational methodologies. The experimental model utilizes the experimental method with pretest-follow-up test and posttest control group design. Over an 8-week period, participants engage in exercises with each training session comprising 10 repetitions conducted twice daily. Assessments using the Positive Thinking, Psychological Well-Being, and Mental Resilience scales occur during the Pre-Test, Follow-up Test, and Post-Test stages throughout the study duration. Analysis of the research results reveals mean scores for positive thinking and psychological well-being scales above the medium level, whereas mental toughness scale scores approximate the middle level. The study concludes a moderate, yet statistically insignificant, positive correlation among positive thinking, psychological well-being, and mental toughness scale scores. Significantly, participants, guided by a physical therapist, exhibit a faster recovery rate compared to the control group. Consequently, it is inferred that the incorporation of psychological support alongside physical exercises contributes to an accelerated recovery process.

부모의 자율성 지지가 대학생의 심리적 행복감에 미치는 영향: 긍정심리자본의 매개효과 검증

This study aims to validate the role of positive psychological capital in the structural relationship between parental autonomy support and college students’ psychological happiness based on self-determination theory. The study also aims to explore practical interventions to promote psychological happiness among college students based on empirical evidence. The research method was to distribute questionnaires to college students in Busan Metropolitan City and Gyeongsangnam-do Province from September 2023 to November 2023, and statistically analyzed using SPSS 21.0 and AMOS 21.0 programs based on 289 data without missing data. The findings were as follows First, higher levels of parental autonomy support were associated with higher levels of psychological well-being. Second, higher levels of parental autonomy support were associated with higher levels of positive psychological capital. Third, higher levels of positive psychological capital were associated with higher levels of psychological happiness. Fourth, indirectly, positive psychological capital was found to have a partial mediating effect on the relationship between parental autonomy support and psychological happiness. These findings have implications for providing an empirical basis for enhancing self-determination and promoting psychological happiness in college students, who are pre-socialized adults. Therefore, it can be applied directly to parent education programs that enable parents to promote their positive psychological capital and psychological well-being through supporting college students’ autonomy, and indirectly to family counseling and family therapy to promote family members’ self-determination.

Developing the WE BEAT Well-Being Education Programme to foster resilience and build connection in paediatric heart disease.

The study of psychological well-being and related resilient outcomes is of increasing focus in cardiovascular research. Despite the critical importance of psychological well-being and related resilient outcomes in promoting optimal cardiac health, there have been very few psychological interventions directed towards children with heart disease. This paper describes the development and theoretical framework of the WE BEAT Wellbeing Education Program, a group-based psychoeducation and coping skills training intervention designed to improve psychological well-being and resilience in adolescents with paediatric heart disease. Program development was informed by patient and family needs and input gathered via large, international survey methods as well as qualitative investigation, a theoretical framework, and related resilience intervention research. An overview of the WE BEAT intervention components and structure of the programme is provided. The WE BEAT Wellbeing Education Program was developed as one of the first resiliency-focused interventions in paediatric heart disease with an overall objective to foster positive psychological well-being and resilient outcomes through a health promotion and prevention lens in an accessible format while providing access to safe, peer-to-peer community building. Feasibility pilot results are forthcoming. Future directions include mobile app-based delivery and larger-scale efficacy and implementation trials.

Surrogacy: An important pathway to parenthood. A call for international standardization

This comprehensive review examines the multifaceted landscape of surrogacy, a revolutionary treatment for infertility. The study examines historical origins, shifting trends, medical considerations, psychological implications, legal complexities, international variations, and ethical dilemmas surrounding surrogacy. With the advent of assisted reproductive technology, gestational surrogacy allows intended parents a genetic connection to their child. Medical facets encompass indications for gestational surrogacy, drawing attention to maternal health risks and infertility factors. Evidence indicates that medical outcomes are comparable to conventional pregnancies, suggesting a viable reproductive solution for intended parents. Due to the complex nature of surrogacy psychological and emotional vulnerability is inevitable; yet studies underscore positive psychological well-being and satisfaction among gestational carriers (GCs), intended parents (IPs) and children. Surrogacy also has many religious dimensions, as each religion has its own perspective on the distinctive process of creating life and its outcomes, such as, the determination of the child's mother according to their beliefs. Legal considerations emerge as a fundamental aspect, with differing regulations globally. The review emphasizes the significance of comprehensive agreements to safeguard the rights and responsibilities of surrogates and IPs. The unique surrogacy laws in Israel serve as a noteworthy example, reflecting a progressive approach that provides a promising template to establish crucial international guidelines on surrogacy. The absence of international consensus necessitates attention from the global community to address key concerns, including the well-being of GCs, legal recognition for IPs, and the child's best interests, with the goal of establishing a universal standard of care in the field.

The effects of social support and self-efficacy on hopefulness in low-income older adults during COVID-19 pandemic

BackgroundSocial support and self-efficacy play a significant role in improving positive psychological well-being in marginalized older adults. However, to date, there are few studies identifying the relationships during the COVID-19 pandemic. We examined the effect of social support and self-efficacy on hopefulness in a majority Black sample of marginalized low-income older adults during the COVID-19 pandemic.MethodsThis study used baseline data from a clinical trial designed to increase COVID-19 testing in Essex County, NJ, United States. The dataset involved participants 50 years old or older. We conducted: 1) cross-sectional descriptive/frequency statistics to understand the sociodemographic characteristics, 2) multivariate linear regression to investigate the direct relationships between social support subscales or self-efficacy and hopefulness, and 3) mediation analyses to examine the mediating role of self-efficacy in the relationship between social support and hopefulness.ResultsOur findings showed that self-efficacy had a partial mediating effect on the relationship between social support and hopefulness. After adjusting for covariate variables, social support subscales (i.e., emotional/informational, tangible, affectionate, positive social interaction social support) and self-efficacy were significantly associated with hopefulness. The indirect effect of social support via self-efficacy was positive and statistically significant.ConclusionSelf-efficacy mediated the relationship between social support and hopefulness in marginalized older adults aged 50 and over. Further research is needed to identify the various facets of positive psychological well-being using longitudinal data and a larger sample size.

Mental Health Research Among Tribal Population in India

Tribals are the most marginalized social category in the country. There is little and scattered information on the actual burden and pattern of illnesses they suffer from. Tribal communities in general and primitive tribal groups are prone to disease. Also, they do not have required access to basic health facilities. They are most exploited, neglected, and highly vulnerable to diseases with a high degree of malnutrition, morbidity, and mortality. Research on the mental health of tribal people is not much in numbers. Few studies made on them have produced inconsistent results. This study aims to assess the mental health status of tribal communities. It was found that due to a lack of appropriate mental health services in rural areas, the tribal population is unable to access the needful services and treatment. There is a need to develop a psychosocial care program for tribal to promote positive social, physical, psychological, and emotional well-being. This study is the first of its kind to review research on mental health among STs. Mental health research conducted among STs in India is limited and is mostly of low-to-moderate quality. Determinants of poor mental health and interventions for addressing them need to be studied on an urgent basis.

What Happens When a Leader is Toxic? A Qualitative Investigation

This paper investigates the phenomenon of toxic leadership and its dynamics within Higher Education Institutions (HEIs). Drawing upon social constructivist worldview, the research explores the prevalence, antecedents, outcomes, and impacts of toxic leadership behaviors on the psychological well-being of individuals within academic settings. The study employs a qualitative research design, utilizing semi-structured interviews to gather comprehensive insights from faculty, staff, and students across multiple HEIs. The findings reveal that the causes of leader toxicity extend beyond the leaders’ personality alone, rather other factors are associated to it as well. In addition to the personality traits highlighted which are associated to toxic leaders, certain environmental and cultural factors also foster the development of toxicity among the leaders and their subordinates. Such leader-member exchanges lead to destructive consequences, affecting not only the subordinate alone at an individual level but the overall organizational effectiveness as well. Thus, coping strategies to deal with such toxicity have also been discussed. Key themes identified were categorized as personality traits, organizational culture, psychological consequences and coping strategies. This research contributes to both theoretical understanding and practical implications, shedding light on the complexities of toxic leadership dynamics within the academic context. It underscores the importance of fostering healthier leadership practices and organizational cultures to promote positive psychological well-being and enhance overall academic experiences within HEIs. Recommendations for future research have also been discussed.

Turkish adaptation of Oxford positive self scale: Association with psychological distress, subjective vitality and psychological well-being

Positive cognitions contribute directly to psychological well-being, whilst negative cognitions are associated with many mental disorders including depression and anxiety. Psychometric properties of the Oxford Positive Self-Scale were analyzed in a Turkish sample group to assess positive beliefs about the self. In this context, two studies were conducted with two different sample groups. Study I included 403 participants (57 % female, mean age: 25.66) and Study II included 375 participants (56 % female, mean age: 26). Confirmatory factor analyses conducted within the scope of Study I confirmed the 8-item short form of the scale with a 4-factor structure. Configural, metric and scalar analyses also confirmed the measurement invariance. Reliability analyses showed that the scale was in the acceptable reliability range. Item Response Theory analysis provided discrimination. Furthermore, positive self was positively correlated with openness, conscientiousness, extraversion, agreeableness, subjective happiness, self-esteem and negatively correlated with neuroticism. Structural equation modeling in Study II revealed that psychological distress and subjective wellbeing mediate the relationship between positive self-regard and psychological well-being, highlighting their roles in predictive validity analysis. The results suggest that the Oxford Positive Self-Scale short form is valid and reliable for assessing individuals' positive self-cognitions.

Abstract P400: Trajectories of Psychological Well-Being Are Associated With High Cardiovascular Health Late in Life: Findings From the Women’s Health Initiative

Introduction: Psychological well-being (PWB) may influence cardiovascular health (CVH) through what the American Heart Association has called the “mind-heart-body connection”. However, few studies have examined longitudinal relationships between positive PWB and CVH. We estimated associations between trajectories of PWB and Life’s Essential 8 (LE8) achievement. Hypothesis: We hypothesized that women who maintained high levels of PWB over time would have higher LE8 scores later in life. Methods: We conducted group-based trajectory modelling in the Women’s Health Initiative (WHI) to identify latent trajectories of PWB among those with ≥3 measurements of purpose in life (PIL, N=29,717) and personal growth (PG, N=12,148). PIL and PG scores were calculated according to participants’ responses to the FACIT-Sp Meaning Subscale and Ryff’s Scales of PWB, collected between 2000-2021. The selection of trajectory models was informed by statistical criteria and prior literature. Late life CVH (2018-2021) was summarized by LE8, with scoring adapted based on available data: self-reported treatment for hypertension, diabetes, and hypercholesterolemia, and historical food frequency questionnaires were used. Logistic regression was performed to estimate associations between PIL and PG trajectory group membership and high CVH (LE8≥80), summarized by odds ratios (OR) and 95% confidence intervals (CI). Logistic models adjusted for baseline age, WHI study arm, race, marital status, income, and education in those with complete data (PIL N=28,033; PG N=11,495). Results: On average, PIL trajectories spanned 17 years (age 66-83) and three latent groups were identified: high/decreasing (n=12,073; 47.4%), moderate/decreasing (n=12,096; 44.1%), and low/stable (n=2,548; 8.6%). Compared to those in the low/stable group, women in the moderate/decreasing and high/decreasing PIL groups had significantly higher odds of having high CVH (OR 1.47 [1.35, 1.61] and OR 2.09 [1.92, 2.28], respectively). These associations were robust to adjustment for demographics and social determinants of health: moderate/decreasing (aOR 1.40 [1.27, 1.53]), high/decreasing (aOR 1.88 [1.71, 2.07]). PG trajectories spanned 9 years (age 74-83) and high/stable (n=3,832, 31.5%), moderate/stable (n=5,692, 46.9%), and low/stable (n=2,624, 21.6%) latent groups were identified. Membership in moderate/stable (OR 1.53 [1.40, 1.69] and high/stable (OR 1.95 [1.75, 2.16]) PG trajectory groups was also significantly associated with odds of having high CVH. These associations remained significant after adjustment (moderate/stable aOR 1.40 [1.27, 1.55]; high/stable aOR 1.64 [1.46, 1.84]). Conclusions: Maintaining high levels of PIL and PG may contribute to better CVH late in life. Further research is needed to investigate how strategies to improve PWB may be integrated within cardiovascular care among older adults.

A couple-based dyadic coping intervention for colorectal cancer patient-spousal caregiver dyads: A randomized controlled study

PurposeTo evaluate the clinical effects of a couple-focused dyadic coping intervention in colorectal cancer (CRC) couples. MethodsThe study was a single-blinded randomized controlled study which 226 CRC couples were recruited and randomized to either the intervention (N = 113) or the control (N = 113) group. All couples received usual care while the six-week dyadic coping intervention was provided to the intervened couples in psycho-education and skill training methods through face-to-face combined with telephone formats. Measurement data, including dyadic coping, marital satisfaction, quality of life and psychological well-being were collected at pre- and post-intervention periods. And multilevel model (MLM) was applied to analyze the effects of the intervention and the role tendency. ResultsA total of 173 couples completed the program and post-intervention evaluation. The retention rate was 76.5%. Results from MLM showed that the dyadic coping intervention is effective in promoting levels of dyadic coping (P < 0.001), marital satisfaction (P = 0.042), mental health (P = 0.006), and positive psychological well-being (P < 0.001), and alleviating depression (P = 0.015) in CRC couples. For role tendency, the intervention found to be more effective in CRC spousal caregivers’ positive psychological well-being compared to the patients (P = 0.037). ConclusionThe couple-based dyadic coping intervention is effective in promoting dyadic coping and improving psychological adjustment in CRC couples. More studies were needed to further evaluate the program and its long-term efficacy in the future. In addition, given the positive effects of the intervention, clinical nursing stuffs may consider implementing such intervention in their routine work while caring for CRC couples.

Female-Specific Refugee Trauma Impacting Psychological Wellbeing Post-Settlement: A Scoping Review of Research

Women represent approximately half of the refugee population, yet female-specific trauma pre, during, and after the refugee journey impacting post-settlement psychological wellbeing, is rarely explored. This scoping review described sources of evidence, key concepts, and gaps regarding traumatic experiences and the psychological wellbeing of women from refugee backgrounds following traumatic experiences with a particular interest in positive change post-settlement. Inclusion criteria were a) women from refugee backgrounds who experienced traumatic events throughout the refugee journey, and b) reported positive changes in their psychological wellbeing post-settlement. The systematic search strategy identified references from PsycINFO, PubMed, Embase, SCOPUS, and CINAHL databases as well as Google Scholar across 1992–2023. Ten studies were extracted, and data were mapped to study characteristics, trauma characteristics, psychological wellbeing domains, and recommendations for further studies. Findings described an emphasis on qualitative methods, utilizing interviews as a data collection technique, and recruiting participants from countries of origin or host countries with typically small populations of women from refugee backgrounds. It excluded individuals with disabilities. Traumatic experiences were signified as trauma types (refugee trauma and female-specific trauma) and trauma durations (acute trauma and prolonged trauma). Psychological wellbeing domains of autonomy, personal growth, and positive relations were the most represented, and purpose in life and self-acceptance were the least represented across the studies. Studies suggested further exploration of female-specific refugee trauma and its impacts to provide tailored support services. In conclusion, there was a paucity of studies that considered the psychological implications of experiencing female-specific refugee trauma influencing positive psychological wellbeing.

Evaluating a stepped care model of psychological support for adults affected by adversity: study protocol for a randomised controlled trial in Jordan

BackgroundThe burden of common mental disorders in low and middle-income countries (LMICs) is growing with little known about how to allocate limited resources to reach the greatest number of people...

An HBCU examination: flourishing and psychological well-being of college students during a pandemic

ABSTRACT While existing research has examined academic success and resiliency among Black college students, more attention should be given to explore flourishing and psychological well-being amidst a pandemic. The pandemic period also encompassed racial unrest that directly affected students. The concept of flourishing and psychological well-being of Black college students during a pandemic was explored. Data from the 2021 Healthy Minds Study conducted at an HBCU were reviewed to include variables associated with Diener et al. (2009) flourishing scale. Positive psychological well-being during a pandemic findings and implications will be discussed.

Self-concept clarity in social anxiety: psychometric properties and factor structure of the Self-Concept Clarity Scale in a social anxiety disorder sample

ABSTRACT Background The Self-Concept Clarity Scale (SCCS) is a 12-item self-report measure that assesses self-concept clarity (SCC). Previous research has identified a relationship between lower SCC and higher levels of social anxiety. As a measure of positive psychological well-being, the SCCS can be used as a tool to examine and monitor SCC in populations with social anxiety disorder (SAD) who appear to be susceptible to inconsistent or unstable self-concept. However, the scale has yet to be validated with a SAD sample. Methods A confirmatory factor analysis (CFA) was conducted on the SCCS data of sample of 87 individuals who met criteria for a diagnosis of SAD (M = 20.15, SD = 3.55; 83% female) and the reliability, convergent validity and norm scores of the SCCS with a SAD were also investigated. Results Results of the CFA supported a unidimensional factor structure. The SCCS was found to have good internal consistency (Cronbach’s α = .80) and SCCS scores were found to correlate with measures of psychological distress and social fears, however, no correlation was found with measures of social anxiety behaviours. Also, overall results found that the SAD sample scored lower on SCC than other clinical samples in previous literature. Conclusions These findings suggest that the SCCS is a psychometrically sound measure with unidimensional factor structure and demonstrated reliability and validity with a SAD sample, although additional research is warranted to replicate and extend the results of the current research.

Gratitude, optimism, and satisfaction with life and patient-reported outcomes in patients undergoing hematopoietic stem cell transplantation.

Associations between positive psychological well-being (PPWB) and patient-reported outcomes (PROs, e.g., quality of life [QOL]) have yet to be studied extensively in patients with hematologic malignancies who are allogeneic hematopoietic stem cell transplant (HSCT) survivors, despite substantial evidence that PPWB impacts PROs of other medical populations. We conducted a secondary analysis of cross-sectional data examining the association of PPWB and PROs at day 100 post-transplant among 158 allogeneic HSCT recipients. Optimism, gratitude, life satisfaction, and PROs (i.e., QOL, anxiety, depression, and PTSD symptoms) were assessed using the Life Orientation Test-Revised, Gratitude Questionnaire, Satisfaction with Life Scale, Functional Assessment of Cancer Therapy-Bone Marrow Transplant, Hospital Anxiety and Depression Scale, and Post-Traumatic Stress Disorder (PTSD) Checklist-Civilian Version, respectively. We used linear and multivariate regressions for all analyses and controlled for patient factors. Optimism was associated with better QOL (β=1.46; p<0.001) and lower levels of anxiety (β=-0.28; p<0.001), depression (β=-0.31; p<0.001), and PTSD (β=-0.58; p<0.001). Gratitude was associated with better QOL (β=1.11; p<0.001) and lower levels of anxiety (β=-0.21; p=0.001), depression (β=-0.14; p=0.021), and PTSD (β=-0.32; p=0.032). Finally, satisfaction with life was associated with better QOL (β=1.26; p<0.001) and lower levels of anxiety (β=-0.18; p<0.001), depression (β=-0.21; p<0.001), and PTSD (β=-0.49; p<0.001). Optimism, gratitude, and satisfaction with life were all associated with better QOL and lower levels of psychological distress in allogeneic HSCT survivors. These data support studies to harness PPWB as a therapeutic intervention for this population throughout HSCT recovery.

Student psychological well-being in higher education: The role of internal team environment, institutional, friends and family support and academic engagement.

Psychological well-being of students is an area of concern in higher education institutes across the world. Although several studies have explored the factors associated with students' psychological well-being, limited research has focused on the relation between the overall support for students and psychological well-being. Students of higher education may get formal support, in the form of team environment and institutional support; and informal support, in the form of family and friends' support. The purpose of this study is to examine the relation of these four kinds of support with psychological well-being of management students. We also examine the intervening role of academic engagement in this relationship. Analysis using structural equation modeling and hierarchical regression on data collected from 309 management students from Indian universities, shows that positive internal team environment, and institutional and family support positively relate to students' psychological well-being. Academic engagement partially mediates the relation between positive internal team environment and psychological well-being, and family support and psychological well-being. Also, academic engagement fully mediates the relation between institutional support and psychological well-being. The study highlights the significance of internal team environment and institutional support for students' academic engagement and psychological well-being, and the role of academic engagement in determining well-being. Based on these findings, we suggest interventions that can be undertaken by educational institutions to enhance psychological well-being of students. Theoretical implications and research avenues are discussed.

Positive Psychological Well-Being in Early Palliative Care: A Narrative Review of the Roles of Hope, Gratitude, and Death Acceptance.

In the advanced cancer setting, low psychological functioning is a common symptom and its deleterious impact on health outcomes is well established. Yet, the beneficial role of positive psychological well-being (PPWB) on several clinical conditions has been demonstrated. Early palliative care (EPC) is a recent value-based model consisting of the early integration of palliative care into standard care for solid tumors and hematologic malignancies. While the late palliative care primary offers short-term interventions, predominantly pharmacological in nature and limited to physical symptom reduction, EPC has the potential to act over a longer term, enabling specific interventions aimed at promoting PPWB. This narrative review examines nine English studies retrieved from MEDLINE/PubMed, published up to October 2023, focusing on EPC and three dimensions of PPWB: hope, gratitude, and death acceptance. These dimensions consistently emerge in our clinical experience within the EPC setting for advanced cancer patients and appear to contribute to its clinical efficacy. The choice of a narrative review reflects the novelty of the topic, the limited existing research, and the need to incorporate a variety of methodological approaches for a comprehensive exploration.

A Positive Psychology Intervention for Caregivers of Hematopoietic Stem Cell Transplantation Survivors (PATH-C): Initial Testing and Single-Arm Pilot Trial

Caregivers of patients with hematologic malignancies undergoing allogeneic hematopoietic stem cell transplantation (HSCT) play a crucial role in supporting their loved ones through physical, emotional, and practical challenges. This role has been associated with high levels of psychological distress and low levels of positive psychological well-being (PPWB). Positive psychology interventions for caregivers in other disease groups (eg, breast cancer) have been associated with improved outcomes. However, positive psychology interventions that specifically address HSCT caregivers' psychological needs are currently lacking. The goal of this single-arm open-pilot trial was to determine the feasibility and acceptability of the Positive Affect in the Transplantation of Hematopoietic Stem Cells (PATH) intervention for HSCT Caregivers to identify caregiver preferences to tailor PATH for HSCT caregivers. Adult caregivers of HSCT recipients were eligible for PATH during the HSCT recipient's first 100 d post-transplant. We defined, a priori, feasibility as >60% of participants who start the intervention completing ≥6/9 intervention sessions and acceptability as weekly ratings of ease and utility of the PP exercises ≥7/10 on a 10-point Likert Scale (0 = very difficult/not helpful; 10 = very easy/very helpful). We conducted semistructured qualitative exit interviews (n = 15) to explore HSCT caregivers' perception of PATH's content, benefits of PATH, as well as facilitators and barriers to engaging with the intervention. Transcribed interviews were analyzed using framework-guided rapid analysis by 2 coders. The intervention was feasible with 83% (15/18) of caregivers who started the intervention completing ≥6/9 intervention sessions. Among caregivers who completed ≥6/9 intervention sessions, ratings of ease (mean = 8.1; 95% CI: 7.4, 8.7) and utility (mean = 8.3; 95% CI: 7.8, 8.9) also exceeded our a priori threshold of ≥7/10. Caregivers identified benefits of PATH, including identifying and responding to emotions, dedicating time to self-care, and cultivating important relationships. Sociodemographic factors (eg, being retired) and the manualized structure of PATH were cited as facilitators to intervention engagement. Barriers to PATH engagement included lack of time and competing caregiving responsibilities. Caregivers preferred remote intervention delivery within the first 100 d post HSCT. This is the first study to show a 9-wk, phone-delivered positive psychology intervention is feasible in caregivers of allogeneic HSCT recipients. Our findings also underscore the specific preferences of this population for positive psychology interventions. Larger studies are warranted to establish the efficacy of these interventions in addressing persistent unmet psychological needs for HSCT caregivers.

Risk and protective processes in the link between racial discrimination and Chinese American mothers' psychologically controlling parenting.

Racial-ethnic minority parents' experiences with racial discrimination may function as a contextual stressor that negatively impacts psychological functioning to shape less effective parenting practices, including the use of more psychological control. Moreover, various factors can enhance or diminish psychological functioning in the face of racial discrimination. Accordingly, we examined the associations between Chinese American mothers' experiences of racial discrimination and three subdimensions of psychologically controlling parenting by considering the mediating roles of negative (depressive symptoms) and positive (psychological well-being) psychological functioning and the moderating role of maternal acculturation toward the mainstream culture (AMC) as a protective factor. Participants comprised 226 Chinese American mothers of preschoolers (Mage = 37.65; SDage = 4.39). Two separate moderated-mediation models with depressive symptoms or psychological well-being as mediators were tested using maximum-likelihood estimation. Findings revealed significant direct positive associations between racial discrimination and all three subdimensions of psychological control (love withdrawal, guilt induction, and shaming practices), as well as indirect associations through depressive symptoms but not psychological well-being. Importantly, the indirect associations were further moderated by maternal AMC. Results illustrate the importance of incorporating the contextual stressor of perceived racial discrimination in parenting determinant models and examining specific and nuanced processes in understanding the role of psychological adjustment. Support for Chinese American mothers' engagement in and access to various resources in the mainstream cultural context may help alleviate the adverse impact of racial discrimination on mothers' psychological health and ultimately on their negative parenting behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).