Using a large (N = 387} national sample of psychology graduate students, we conducted a survey to examine Stressors, coping strategies, and barriers to the use of Wellness activities. Over 70% of graduate students reported a Stressor that interfered with their optimal functioning. Frequently endorsed Stressors included academic responsibilities, finances/debt, anxiety, and poor work/sehool-life balance. Common coping strategies used were support from friends, family, classmates, regular exercise, and hobbies. The leading barders to using Wellness strategies were lack of time and cost/money. Students in the health service professions (clinical/counseling/school) utilized psychotherapy more often than students in other areas of psychology (e.g., general, social, developmental); PsyD students reported cost as a barder to coping significantly more frequently than doctoral-level students. As hypothesized, univadate analyses suggest that ethnic/racial minodty students were more likely than White students to report discdmination as a Stressor and spidtuality as a coping strategy. Multivadate analyses suggest a relatively large overall effect of ethnic/racial group membership on stress and coping in psychology graduate students. Given the high percentage of psychology students expedencing disruptive levels of stress dudng graduate training, programs and faculty should take further steps to educate students about stress and to assist them in developing coping skills and addressing barders to their Wellness, making sure to attend to unique differences between diverse demographic groups. Based on our findings and the available literature, we provide recommendations for students, faculty, graduate programs, and policymakers.

The relationship between therapists and treatment outcome was examined in 14 highly trained therapists who participated in the Multicenter Collaborative Study for the Treatment of Panic Disorder. Overall, therapists yielded positive outcomes in their caseloads; yet, therapists significantly differed in the magnitude of change among caseloads. Effect sizes for therapist impact on outcome measures varied from 0% to 18%. Overall experience in conducting psychotherapy was related to outcome on some measures, whereas age, gender, gender match, and experience with cognitive-behavioral therapy (CBT) were not. Therapists with above- and below-average outcomes were rated similarly on measures of adherence and competency. The results suggest that therapists make a contribution to outcome in CBT for panic disorder, even when patients are relatively uniform, treatment is structured, and outcome is positive. Implications for future clinical outcome studies and for training clinicians are discussed.

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