Purpose of review COVID-19 impacts multiple organ systems and is associated with high rates of morbidity and mortality. Pathogenesis of viral infection, co-morbidities, medical treatments, and psychosocial factors may contribute to COVID-19 related neuropsychological and psychiatric sequelae. This systematic review aims to synthesize available literature on psychiatric and cognitive characteristics of community-dwelling survivors of COVID-19 infection. Recent findings Thirty-three studies met inclusion/exclusion criteria for review. Emerging findings link COVID-19 to cognitive deficits, particularly attention, executive function, and memory. Psychiatric symptoms occur at high rates in COVID-19 survivors, including anxiety, depression, fatigue, sleep disruption, and to a lesser extent posttraumatic stress. Symptoms appear to endure, and severity of acute illness is not directly predictive of severity of cognitive or mental health issues. The course of cognitive and psychiatric sequelae is limited by lack of longitudinal data at this time. Although heterogeneity of study design and sociocultural differences limit definitive conclusions, emerging risk factors for psychiatric symptoms include female sex, perceived stigma related to COVID-19, infection of a family member, social isolation, and prior psychiatry history. Summary The extant literature elucidates treatment targets for cognitive and psychosocial interventions. Research using longitudinal, prospective study designs is needed to characterize cognitive and psychiatric functioning of COVID-19 survivors over the course of illness and across illness severity. Emphasis on delineating the unique contributions of premorbid functioning, viral infection, co-morbidities, treatments, and psychosocial factors to cognitive and psychiatric sequelae of COVID-19 is warranted.

This article provides international psychology trainees' experiences with and their perspectives on supervision. Using 3 illustrative exchanges of supervisory relationships from international trainees at different training stages, we highlighted the need for considering the acculturation and professional dual developmental processes in international trainees. We argue that the Integrative Developmental Model (IDM) is a promising framework that can further integrate the perspective of acculturation for supervision with international trainees. Implications for understanding these normative, dual developmental processes on supervision for both supervisors and supervisees are further discussed. Public Significance StatementCurrent theories and models of supervision have not adequately addressed the needs of international trainees, who represent an increasing number in the mental health fields of study. The authors provide real-life supervision exchanges in urging supervisors to apply principles of cultural humility to understand both the acculturative developmental needs and the professional needs at each IDM level for international trainees.

Whereas mindfulness has been shown to enhance personal well-being, studies suggest it may also benefit intergroup dynamics. Using an integrative conceptual model, this meta-analysis examined associations between mindfulness and (a) different manifestations of bias (implicit/explicit attitudes, affect, behavior) directed toward (b) different bias targets (outgroup or ingroup, e.g., internalized bias), by (c) intergroup orientation (toward bias or anti-bias). Of 70 samples, 42 ( N = 3,229) assessed mindfulness-based interventions (MBIs) and 30 ( N = 6,002) were correlational studies. Results showed a medium-sized negative effect of MBIs on bias outcomes, g = −0.56, 95% confidence interval [−0.72, −0.40]; I(2;3)2: 0.39; 0.48, and a small-to-medium negative effect between mindfulness and bias for correlational studies, r = −0.17 [−0.27, −0.03]; I(2;3)2: 0.11; 0.83. Effects were comparable for intergroup bias and internalized bias. We conclude by identifying gaps in the evidence base to guide future research.

This report describes initial results from a multi-stage project to manualize and adapt an indigenous therapy, Chinese Taoist Cognitive Psychotherapy (CTCP), for dissemination in the United States context. Study aims were to (a) integrate cultural adaptation and implementation science frameworks to manualize and adapt the original intervention and (b) explore the feasibility, acceptability, and effectiveness of the modified intervention, renamed Taoist Cognitive Therapy (TCT), in a sample of Chinese immigrants with generalized anxiety disorder (GAD). Incorporating bottom-up and top-down adaptation approaches, we involved Chinese American clinician stakeholders and experts in Taoist philosophy, cognitive-behavioral therapy, and GAD to help identify cultural and contextual barriers and solutions to enhance treatment acceptability and implementation. Five treatment-seeking Chinese American immigrants (average age = 43.2 years) with a primary diagnosis of GAD completed 14-16 sessions of TCT. Two participants also had secondary diagnoses of major depressive disorder. Changes on primary measures of worry and anxiety were assessed for statistical and clinical significance using reliable change indices (RCIs; Jacobson and Truax, 1991) and comparisons to normative data. In this sample of patients with limited prior exposure to Taoism, results found evidence of feasibility and acceptability of the modified intervention, with strong endorsement of Taoist principles at termination. Statistically and clinically significant improvements in anxiety, worry, psychological inflexibility, and emotional avoidance were found only for the participants without comorbid depression. Results suggest that Taoist principles of acceptance and flexible adaptation to natural laws may be helpful to Chinese immigrants coping with anxiety. However, additional treatment modifications may be required to address the low self-efficacy and fatalism expressed among those with comorbid depression.

This study integrates the conceptual and empirical research on mindfulness and intergroup bias to guide a meta-analysis that examines associations between mindfulness and (a) different manifestations of bias, e.g., implicit and explicit attitudes, affect, and behavior, directed towards (b) different bias targets, e.g., outgroup or ingroup (internalized bias), by (c) intergroup orientation, e.g., towards bias or anti-bias. Of 70 independent samples, 42 (178 effect sizes; N = 3,229) were studies of mindfulness-based interventions (MBIs) and 30 (150 effect sizes; N = 6,002) were correlational studies. Unconditional mixed-effects structural equation models showed a large, negative effect of mindfulness on bias for intervention (d = -0.56, CI 95% [-0.72, -0.40]) and correlational (r = -0.17 [-0.27, -0.03]) studies. Effects were comparable for intergroup bias and internalized bias; the largest effects were for behavioral outcomes. We conclude by identifying gaps in the evidence base and outline an agenda for future research.