COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this paper, COVID-19 is conceptualized as a unique, compounding, multidimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond.
These findings suggest potential mechanisms through which experiences of discrimination influence well-being among sexual minorities, which has important implications for research and clinical practice with these populations.
The present study applied C.L. Hammen's (1991) stress generation model to depressive symptoms in the context of marriage. The authors predicted that depressive symptoms would lead to increased marital stress, which would in turn lead to increased depressive symptoms. Social support processes were hypothesized to function as a mechanism by which dysphoric spouses generate stress. Hypotheses were tested in a sample of 154 newlywed couples. Depressive symptoms, marital stress, support perceptions, and support behavior (assessed using observational procedures) were assessed initially and 1 year later. Results provided evidence of marital stress generation among wives, and social support processes functioned as a mechanism of stress generation for wives. Results highlight the cyclical course of dysphoria and stress among wives.
Given the emphasis on within-subject associations between depression and marital quality in recent theory and practice, this study was undertaken with three goals: to examine within-subject associations between depressive symptoms and marital quality over time, to address gender differences in the magnitude and direction of these associations, and to determine whether neuroticism moderates the strength of these associations. A total of 164 newly wed couples provided 8 waves of data over 4 years of marriage. Hierarchical linear modeling confirmed the existence of bidirectional within-subject associations between marital satisfaction and depressive symptoms. Gender differences were rarely significant. Although neuroticism strengthened the effect of marital distress on symptoms as predicted, it weakened the effect of symptoms on marital distress among husbands. The theoretical and practical implications of these findings are discussed.
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