Summary
Childhood maltreatment (CM) is a chronic stressor that often occurs in the family context and is related to adverse socioemotional outcomes including comorbid elevations in internalizing and externalizing symptomology (Duprey et al., 2019). In the present study, we tested the role of threat and deprivation dimensions of CM in the etiology of comorbid psychopathology in emerging adulthood. Additionally, we investigated emotion regulation as a mechanism between CM dimensions and emerging adult psychopathology. To address these aims, we used a longitudinal sample of emerging adults (N = 427, Mage= 19.67, 77.99% Black, 51.05% female) who had previously participated in research assessments at age 10-12. Using a person-centered approach, we found three classes of emerging adulthood psychopathology characterized by patterns of comorbidity. Results further showed that experiences of deprivation predicted membership in a high comorbidity class, and children’s emotion regulation difficulties mediated this association.

Objectives

• To identify profiles of comorbid psychopathology in emerging adulthood.
• To examine the impact of dimensions of family adversity on comorbid psychopathology.
• To identify mediating pathways between family adversity and comorbid psychopathology.

Subject Codes: mental health, abuse/neglect, emotional problems
Population Codes: emerging/young adulthood, low income, diverse but not representative
Method and Approach Codes: latent variable modeling, longitudinal modeling, mediation/indirect effects models

Summary
Research on positive childhood experiences (PCEs) indicates the importance of examining the pathways through which childhood experiences affect adult health. The aims of this study were to examine how shame may mediate the relationship between childhood experiences and health and to examine the roles of PCEs as a protective factor in moderating the relationship between adverse childhood experiences (ACEs), shame, and adulthood health. A cross-sectional sample of 206 low-income adults was analyzed using structural equation modeling (SEM) with shame, stress, and depression as latent variables. Shamemediated the relationship between both ACEs and PCEs with depression. However, shame did not mediate the relationship between childhood experiences and tobacco use. For PCEs as a moderator among those with low-to-moderate PCEs, ACEs were directly associated with shame and tobacco usage. For participants with high PCEs, ACEs were not associated with shame, depression, nor stress, and the relationship between ACEs and tobacco was attenuated.

Objectives

• To analyze how shame may mediate the relationship between childhood experiences and health.
• To analyze the role of positive childhood experiences (PCEs) as a protective factor in moderating the relationship between adverse childhood experiences (ACEs), shame, and health in adulthood.
• To demonstrate that while all exposure to adverse childhood experiences (ACEs) cannot be prevented, promoting high levels ofpositive childhood experiences (PCEs)can mitigate the negative effects of adversity on adult health.

Subject Codes: mental health, hope,
Population Codes: low income, inclusive of adults,
Method and Approach Codes: structural equation modeling (SEM), resilience,

Summary
One of the most persistent and troubling health disparities is the underutilization of mental health services, particularly for depression and anxiety, commonly occurring behavioral health concerns. The gap between individuals who need mental health care and those who receive care is large, and identified barriers to treatment include poor mental health and insurance literacy, as well as stigmatizing attitudes toward mental health disorders. The present study presents the results of an inquiry into the mental health literacy, insurance literacy, internalized stigma, and mental health symptoms. Results suggest that mental health literacy is poor, and associated with higher rates of depression, anxiety, stress, internalized stigma, and caregiver burden. Implications of poor mental health literacy for MFTs, and behavioral health service organizations, will be presented.

Objectives

• Participants will learn about disparities in mental health literacy
• Participants will learn about the prevalence of spread of mental health literacy in the sample
• Participants will learn about the correlates of mental health literacy, including depression, anxiety, and others

Subject Codes: mental health, anxiety, depression
Population Codes: Caucasian/White, African Americans, Hispanic/Latina/o/x
Method and Approach Codes: family therapy, research, general, regression: linear (simple, multiple, hierarchical)

Summary
Depression and anxiety are increasingly common in the college student population (Lipson et al., 2019). Experiencing depression and anxiety have been linked with negative academic outcomes (Fazio & Palm, 1998). Greater negative emotionality and lower positive emotionality have been shown to be related to greater depressive and anxiety symptoms (Klein et al., 2011). Using theory (Klein et al., 2011), we hypothesize that personality acts as a precursor and/or consequence of depressive symptomology. Further, we hypothesized that depressive symptoms in the second year of college mediates the association between personality traits at Wave 1 in relation to personality traits, depressive and anxiety symptoms and GPA at Wave 3. The sample is longitudinal and composed of college students. Hypotheses will be tested via path-analysis using Mplus. If the proposed hypotheses are substantiated, results may inform interventions for those at high risk for depression during the first year of college using personality factors.

Objectives

• To examine how personality factors (negative and positive emotionality) potentially act as precursors and/or consequences of depressive symptomology.
• Evaluate if depressive symptoms in the second year of college mediates the associations between personality traits at Waves 1 in relation to personality traits as well as depressive symptoms, anxiety symptoms, and cumulative GPA at Wave 3.
• To evaluate whether school stress moderates the association between personality traits and depressive symptom.

Subject Codes: mental health, stress, context
Population Codes: emerging/young adulthood, undergraduate students,
Method and Approach Codes: longitudinal research, path analysis, mediation/indirect effects models

Summary
College students often struggle with mental health challenges, such as anxiety and depression (McCarthy, et al., 2006). Adverse childhood experiences (ACEs) are linked with poor adult mental health (Merrick et al., 2017). Despite the ample research on college students’ mental health and ACEs and adult mental health, little is known about ACEs and college student mental health. The present study goal was to explore what types of difficulties college students face, and to examine the associations between ACEs, college students’ mental health. Preliminary analyses indicate that college students experienced anxiety, academic/career issues, depression, and relationship problems since coming to college. Regression analysis indicates college students’ anxiety, depression, and stress are predicted by ACEs. The results from this study will expand the research conversation around college students’ mental health and childhood adversity.

Objectives

• 1) Explore the self-identified problems and mental health issues that college students experiencing
• 2) Explore the association between college students’ mental health and adverse childhood experiences (ACEs)
• 3) Explore through regression analysis the associations of ACEs and three mental health measures namely anxiety, depression, and stress

Subject Codes: adversity, mental health, anxiety
Population Codes: undergraduate students, U.S.,
Method and Approach Codes: quantitative methodology, regression: linear (simple, multiple, hierarchical), lifespan development

Summary
Research shows that minoritized identification such as sexual minority or racial minority identification places adolescents at risk for maladjustment including higher levels of depression. Multiracial LGBTQ individuals in particularly experience depressive symptoms more frequently compared to monoracial LGBTQ individuals. In line with IPARTheory and research, in this study we examined the promotive role of LGBTQ identity-based family acceptance in depressives symptoms among 594 Biracial LGBTQ adolescents enrolled inthe LGBTQ National Teen Survey, and whether these relations differed across Black-White, Latinx-White, Asian-White, and Native American-White teens. Analyses revealed that higher levels of family acceptance were associated with less frequent depressive symptoms regardless of Biracial background, and that Native American-White adolescents reported more frequent depressive symptoms compared to Black-White Biracial adolescents.Findings can inform family therapeutic interventions.

Objectives

• To examine associations between LGBTQ identity based family acceptance and Biracial LGBTQ adolescents' depressive symptoms
• To explore Biracial subgroup differences in relations between LGBTQ identity-based family acceptance and depression among Biracial LGBTQ adolescents
• To compare Black-White, Latinx-White, Asian-White, and Native American-White Biracial LGBTQ adolescents' depressive symptoms

Subject Codes: depression, family relations, diversity
Population Codes: Multiracial or ethnic, LGB+, adolescence
Method and Approach Codes: quantitative methodology, diversity, regression: linear (simple, multiple, hierarchical)

Summary
Unfortunately, therapists’ outcomes do not improve over their careers (Goldberg et al., 2016). Furthermore, most therapists overestimate their effectiveness, believing themselves to be above average in terms of clinical effectiveness (Walfish et al., 2012). Similarly, therapists multicultural competency self-assessments do not align with the reports of their clients (Fuertest et al., 2006), which may contribute to large disparities in therapy outcomes for racial and ethnic minorities (Hayes et al., 2016) Consequently, approaches that target therapeutic efficacy and multicultural orientation is vital to improving treatment outcomes and addressing disparities. This poster highlight utilizes an innovative approach called deliberate practice to improve treatment outcomes and multicultural orientation. This empirically-based poster will help MFTs develop a framework for integrating deliberate practice into their own systemic practice. Participants will identify ways they can develop a baseline of clinical effectiveness and multicultural orientation, receive feedback on their performance, and practice their skills.

Objectives

• To recognize common barriers in the improvement of therapist outcomes based on empirical and scholarly work of Marriage and Family Therapists.
• To determine specific areas for growth in participants' own systemic, multicultural therapy.
• To engage in interactive deliberate practice activities targeting multicultural orientation and develop practical tools for integrating a routine of deliberate practice into their own work.

Subject Codes: evidence-based practice, diversity, mental health
Population Codes: marriage and family therapists/clinicians, non-clinical practitioners, educators
Method and Approach Codes: evidence-based practices/programs, family therapy, pedagogy

Summary
Essentially no rigorous work has been done which distinguishes the suicides of the divorced from the suicides of the married. This poster assesses the extent to which 32 socio-psychiatric predictors of suicide are able to differentiate between the suicides of divorced and married persons. The focus is on financial strain, a condition common to the divorced. Data are from the CDC’s National Violent Death reporting System and refer to 15,734 suicides. The results of a multiple logistic regression analysis find that divorced male suicides are 1.31 (CI:1.16,1.48) times more apt than those of married males to report financial strain. Divorced female suicides are 1.49 (CI:1.17, 1.90) times more apt than married female suicides to report financial strain. Several other social strains (legal, death, intimate partner, other relationship) differentiated between groups, but few psychiatric constructs did so. The results can inform risk assessment protocols for suicide prevention in divorced populations.

Objectives

• At the end of the presentation the audience should be able to discuss why financial strain differentiates between the suicides of married and divorced suicides.
• At the end of the presentation the audience should be able to discuss the extent to which the associations are gendered.
• At the end of the presentation the audience should be able to discuss how the results can be applied to suicide prevention.

Subject Codes: suicide, family structure, economics
Population Codes: divorced, low income, Caucasian/White
Method and Approach Codes: secondary data analysis, regression: logistic (binary, ordinal, or multinomial), quantitative methodology