The multilevel correlates, contributions, and consequences of leader humility in humanitarian aid work.

Objective: Leader humility has been linked to many positive outcomes but not examined in humanitarian aid work. Three studies examined the multilevel correlates, contributions, and consequences of leader humility in Medair-a large, multinational, faith-based aid organization. Study 1 examined correlates of leader humility in a sample of 308 workers and 167 leaders. Study 2 explored multilevel contributions of leader humility in 96 teams comprised of 189 workers. Study 3 utilized a subsample (50 workers, 34 leaders) to explore consequences of Time 1 leader and team humility on outcomes 6 months later. Method: Participants completed measures of humility (general, relational, team), leader and team attributions (e.g., effectiveness, cohesion, and growth-mindedness), organizational outcomes (e.g., job engagement and satisfaction; worker and team performance), and psychological outcomes (e.g., depression, anxiety, compassion satisfaction, and flourishing). Results: Leader and team humility contributed to multilevel positive attributions about leaders (as effective and impactful), teams (as cohesive, psychologically safe, and growth-minded), and oneself (as humble), and those attributions contributed to organizational and psychological outcomes. Teams' shared attributions of their leader's humility contributed to higher worker job satisfaction and team performance. Longitudinally, for workers and leaders, leader and team humility were associated with some positive organizational and psychological outcomes over time. Conclusion: In humanitarian organizations, leader humility seems to act as an attributional and motivational social contagion that affects aid personnel's positive attributions about their leaders, teams, and themselves. In turn, these multilevel positive attributions contribute to several positive team, organizational, and psychological outcomes among workers and leaders.

Resource loss and mental health during COVID-19: Psychosocial protective factors among U.S. older adults and those with chronic disease.

Across the globe, COVID-19 has disproportionately affected the physical and mental health of several vulnerable groups. In a series of two cross-sectional studies conducted April to July 2020, we examined its acute mental health effects on two vulnerable U.S. community samples-home-bound older adults who were at or below the poverty line (Study 1, N = 293, Mage  = 76.94, SD = 8.64; 75.1% female, 67.9% Black) and adults with chronic disease (Study 2, N = 322, Mage  = 62.20, SD = 12.22; 46.3% female, 28.3% racial/ethnic minorities). Based on the conservation of resources theory, we hypothesised that pandemic-related resource loss would be associated with greater mental distress, but perceived social support and positive psychological characteristics (trait resilience and optimism) would buffer against this adverse effect. Across both samples of vulnerable adults, pandemic-related resource loss was related to mental distress. Perceived social support was related to lower mental distress but did not consistently buffer the effect of resource loss on mental health. However, in Study 2, both trait resilience and optimism buffered this relationship. Findings are discussed in terms of their implications for the conservation of resources theory.

Psychological and spiritual outcomes during the COVID-19 pandemic: A prospective longitudinal study of adults with chronic disease.

OBJECTIVE: This prospective longitudinal study examined whether coronavirus disease 2019 (COVID-19) has led to changes in psychological and spiritual outcomes among adults with chronic disease. METHOD: Participants (N = 302) were a stratified, nonrandom sample of adults (Mage = 64.46, SD = 10.86, 45.7% female). The sample was representative of the chronically ill, U.S. adult population in gender, race/ethnicity, region, and religious affiliation but older in age and higher in socioeconomic status. Participants completed online-administered measures 1 month before the March 11 pandemic declaration (T1) and then 1 and 3 months after it (T2 and T3). At T1 through T3, they completed measures of depression, anxiety, personal suffering, psychological well-being, trait resilience, optimism, hope, grit, spiritual struggles, spiritual fortitude, and positive religious coping. At T2 and T3, they also completed measures of social support, physical health, resource loss, perceived stress, and COVID-19 fears and exposure. RESULTS: Overall, people did not change substantially in psychological or spiritual outcomes over time. However, trait resilience increased and personal suffering declined. People highest in prepandemic suffering increased in spiritual fortitude. Racial/ethnic minorities increased in religious importance. Roughly half (48.9%) of participants exhibited psychological resilience (no/minimal depression or anxiety symptoms) at both T2 and T3. Perceived stress and psychological resource loss were associated with adverse mental health outcomes, but social support and physical health were not. COVID-19 fears contributed more to mental health than COVID-19 exposure. CONCLUSIONS: Even among vulnerable populations such as adults with chronic disease, during pandemic conditions like COVID-19, many people may exhibit-or even increase slightly in-psychological and spiritual resilience. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Perceived and actual posttraumatic growth in religiousness and spirituality following disasters.

OBJECTIVE: Religious/spiritual (R/S) growth is a core domain of posttraumatic growth (PTG). However, research on R/S growth following disasters has over-relied on retrospective self-reports of growth. We therefore examined longitudinal change in religiousness/spirituality following two disasters. METHOD: Religious survivors of Hurricanes Harvey (Study 1) and Irma (Study 2) completed measures of perceived R/S PTG, general religiousness/spirituality ("current standing"-R/S PTG), and subfacets of religiousness/spirituality (spiritual fortitude, religious motivations, and benevolent theodicies). In Study 1, 451 participants responded at 1-month and 2-month postdisaster. In Study 2, participants responded within 5-days predisaster and at 1-month (N = 1,144) and 6-months postdisaster (N = 684). RESULTS: In both studies, perceived R/S PTG was weakly related to longitudinal increases in general religiousness/spirituality and in most of its subfacets, but reliable growth in any R/S outcome was rare. Additionally, Study 2 revealed evidence that actual change in psychological well-being is associated with actual (but not perceived) R/S PTG, but disaster survivors tend to exhibit declines in their religiousness/spirituality, spiritual fortitude, and religious motivations. CONCLUSIONS: Results suggest disaster survivors are only modestly accurate in perceiving how much positive R/S change they experience following a disaster. We discuss implications for clinical practice, scientific research, and empirical and conceptual work on PTG more broadly.

Relationship adjustment and quality among sexual minority persons with disabilities.

PURPOSE/OBJECTIVE: Little is known about romantic relationship adjustment or perceptions of relationship quality (e.g., commitment and trust) among sexual minority persons with disabilities. The purpose of this study was to explore if collective self-esteem, disability adjustment, attachment styles, and cultural humility served as unique correlates and predictors of relationship adjustment and relationship quality among sexual minority persons (e.g., lesbian, gay, bisexual, queer) with disabilities. METHOD: Ninety-two participants identifying as sexual minority persons living with a variety of disabilities (e.g., physical, psychiatric, medical, neurological), and who were partnered with sexual minority persons not living with a disability, were recruited using Amazon Mechanical Turk to complete an electronic questionnaire. RESULTS: Responses of 92 participants were analyzed using bivariate correlations and 3 separate blockwise hierarchical regression models. To varying degrees, collective self-esteem, attachment styles, and cultural humility served as significant correlates and predictors of dyadic adjustment, commitment, and trust. IMPLICATIONS: Implications for clinical practice and future research are discussed. Rehabilitation psychologists and other health care providers are encouraged to consider collective self-esteem, attachment styles, and cultural humility when working with sexual minority persons with disabilities in romantic relationships. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Conserving resources during chronic disaster: Impacts of religious and meaning-focused coping on Botswana drought survivors.

OBJECTIVE: This study explored the trauma symptoms of those who have endured a multiyear drought in Botswana, an arid, pastoral, and primarily Christian Southern African nation. Particularly, this study used conservation of resources theory to consider the effects of disaster-related resource loss (DRL) and the psychology of religion literature to investigate the roles of religious or spiritual (R/S) and meaning-focused coping. METHOD: Three hundred undergraduates in Botswana completed culturally adapted measures of their DRL, positive and negative R/S coping, search for meaning in life (meaning-focused coping), lifetime trauma exposure, and current trauma symptoms. Data were collected in the 4th year of the record-setting drought. RESULTS: Hierarchical regression analysis was used to add predictors sequentially and demonstrated that both DRL of energies (e.g., time, money) and coping behaviors (both negative R/S and meaning-focused) positively predicted current trauma symptoms beyond one's personal trauma exposure. Further, positive R/S coping was observed to moderate (buffer) the influence of DRL on trauma symptoms, whereas negative R/S and meaning-focused coping appeared to partially mediate the influence of DRL. CONCLUSION: This study extends research on DRL and coping to the context of chronic disasters. A nuanced treatment of resource loss (accounting for specific item wordings) suggests that although DRL in general may influence negative R/S coping, only some types of resource loss (energetic) from an ongoing-chronic disaster affect both one's current meaning-focused coping and trauma symptoms. In contrast to negative R/S coping behaviors (e.g., doubt), positive ones (e.g., seeking divine connection) were shown to mitigate those effects. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Integrating clients' religion and spirituality within psychotherapy: A comprehensive meta-analysis.

Some religious or spiritual (R/S) clients seek psychotherapy that integrates R/S values, while others may be reticent to disclose R/S-related aspects of struggles in a presumably secular setting. We meta-analyzed 97 outcome studies (N = 7,181) examining the efficacy of tailoring treatment to patients' R/S beliefs and values. We compared the effectiveness of R/S-tailored psychotherapy with no-treatment controls, alternate secular treatments, and additive secular treatments. R/S-adapted psychotherapy resulted in greater improvement in clients' psychological (g = 0.74, p < 0.000) and spiritual (g = 0.74, p < 0.000) functioning compared with no treatment and non R/S psychotherapies (psychological: g = 0.33, p < 0.001; spiritual: g = 0.43, p < 0.001). In more rigorous additive studies, R/S-accommodated psychotherapies were equally effective to standard approaches in reducing psychological distress (g = 0.13, p = 0.258), but resulted in greater spiritual well-being (g = 0.34, p < 0.000). We feature several clinical examples and conclude with evidence-based therapeutic practices.

Cultural humility: Pilot study testing the social bonds hypothesis in interethnic couples.

The purpose of this study was to explore factors associated with relationship quality in interethnic couples. Specifically, we tested the social bond hypotheses of humility in a sample of 155 individual participants currently in an interethnic relationship. Using a cross-sectional design, participants completed an online survey that included measures of demographics, conflict in their relationship, cultural humility, and relationship quality. We predicted that perceptions of one's partner's cultural humility would mediate the relationship between culturally based ineffective arguing and relationship satisfaction and commitment. Results indicated that cultural humility was positively related to both relationship satisfaction and commitment and negatively related to ineffective arguing. Mediation analyses revealed that approximately 26% of the variance in relationship satisfaction and about 8% of the variance in commitment was explained by the effect of ineffective arguing through cultural humility. Results of this study add to the growing body of evidence for the social bond hypothesis of humility and advance the field of research on interethnic couples by providing quantitative support for themes noted in previous qualitative studies on interethnic couples. (PsycINFO Database Record