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The findings indicated that the seriousness of acculturation-based intergenerational family conflict and the commitment dimension of ethnic identity were associated with symptoms of depression and anxiety. Additionally, the exploration dimension of ethnic identity was associated with less favorable attitudes toward seeking help from mental health professionals. There was no association between acculturation-based intergenerational family conflict and help-seeking attitudes. The findings underscore the importance of developing culturally informed interventions that attend to the intensity of family conflict and one's sense of connection to ethnic community in the college context. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Although sibling ties are typically among the longest lasting family relationships, relatively little is known about how adult siblings navigate family caregiving when a brother or sister has a serious mental illness. The present study examined the role of primary caregiver status, perceived sibling illness severity, sibling relationship quality, and self and sibling caregiving attitudes in understanding reports of personal loss and stress-related personal growth among siblings of adults with serious mental illness. Online surveys were completed by 226 adult siblings (141 women; 85 men; mean age = 34 years; SD = 9.05). Results suggest that well siblings' reports of self and sibling caregiving attitudes significantly differed as a function of primary caregiver status (i.e., sibling, parents, or others as primary caregiver or no caregiver). Sibling caregiving attitudes differentially predicted well siblings' experience of personal loss and stress-related growth, regardless of demographics and primary caregiver status, perceived sibling illness severity, and sibling relationship quality. Greater ambivalence about providing care to their sibling with mental illness was associated with adults' reports of greater personal loss while higher levels of sibling balanced care priorities were significantly related to higher levels of personal growth. Greater self-care attitudes were significantly related to lower levels of both personal loss and personal growth for well siblings. Understanding sibling caregiving attitudes has important implications for research and interventions with families coping with mental illness. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Pervasive bias-based bullying of sexual and gender minority youth amid often hostile school climates signals the importance of systems approaches to effect change. Nevertheless, most research on bullying victimization tends to adopt either lesbian, gay, bisexual, and transgender (LGBT)-specific approaches or broader approaches that omit mention of LGBT youth. We conducted a qualitative study, with the systems view of school climate as an organizing analytical framework, to explore determinants of school climate for LGBT youth and strategies for intervention. In-depth, semistructured interviews with 16 key informants, including teachers, school staff, administrators, frontline community providers, and experts on bullying victimization of LGBT youth, illustrate reciprocal and multilevel factors that produce school climates, which in turn foster or prevent bullying of LGBT youth. Not only do distal factors (e.g., LGBT-affirmative legislation, targeted resource allocation for LGBT programming) impact school microsystems, but proximal factors in the microsystem, including enacted homophobia and transphobia through multilateral interpersonal interactions, also influence meso- and macrolevel phenomena, such as the values and mission of the school. Participants recommended multilateral interventions and training that address both proximal and distal contexts of school social ecologies, including teacher-student, peer-to-peer (e.g., gay-straight alliances), and teacher-administrator interactions; behavioral health professional roles and responsibilities; school curricula and libraries; school-board engagement with individual schools; LGBT-inclusive policies; targeted resource allocation; and systemwide accountability. Positive school climates for LGBT youth are promoted through multilevel and reciprocal interventions that support social, psychological, and physical safety not just for LGBT students but for all students. (PsycInfo Database Record (c) 2021 APA, all rights reserved).Health-related quality of life (HQoL) is increasingly used as a measure of population health. The utility of HQoL lies in its ability to capture the subjectivity and totality of health-HQoL is an individual's subjective assessment of their physical, psychological, and social functioning. HQoL disparities exist in the United States, with some groups (e.g., individuals of low socioeconomic status [SES]) experiencing disproportionately low rates of HQoL, though little is known about the impact of perceived SES (PSES) on HQoL. Research is needed in order to (a) investigate the relationship of PSES on HQoL and (b) understand the mechanisms that may mitigate the adverse impact of PSES on HQoL. Therefore, the present study seeks to understand the role of resilience as a mediator in the relationship between PSES and HQoL among a sample (N = 284) of U.S. urban adults. Results from the present study indicate that resilience significantly mediates the relationship between PSES and physical and mental HQoL. The results of the present study have implications for researchers interested in behavioral health promotion interventions among individuals of low PSES. Resilience, a modifiable psychological variable, may be able to mitigate the adverse impact of PSES on HQoL and thus play a role in reducing HQoL disparities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).The opioid and pain crises affect every domain of family and community life with two million Americans living with opioid addiction, and 46,802 people dying from opioid overdoses in 2018 alone (National Center for Health Statistics, 2019). selleck inhibitor In addition, over 50 million Americans experience chronic pain, and half of those people suffer from chronic pain daily. Opioids are widely used to treat acute and chronic pain, and the lack of widespread access to nonpharmacological strategies to manage pain has contributed to the misuse of opioids. In fiscal year 2018, Congress added $500 million to the NIH's base appropriation to generate scientific solutions to the opioid and pain crises in America. The result was the Helping to End Addiction Long-Term Initiative, or NIH HEAL Initiative, a bold transagency effort. The authors of this editorial-psychologists in leadership roles in three NIH institutes- highlight several investments of the NIH HEAL Initiative, note the role of psychologists involved in HEAL, and describe the unprecedented steps the NIH is taking to harmonize data and rapidly and widely disseminate HEAL findings.