BACKGROUND: Impostor syndrome is increasingly presented in the media and lay literature as a key behavioral health condition impairing professional performance and contributing to burnout. However, there is no published review of the evidence to guide the diagnosis or treatment of patients presenting with impostor syndrome. PURPOSE: To evaluate the evidence on the prevalence, predictors, comorbidities, and treatment of impostor syndrome. DATA SOURCES: Medline, Embase, and PsycINFO (January 1966 to May 2018) and bibliographies of retrieved articles. STUDY SELECTION: English-language reports of evaluations of the prevalence, predictors, comorbidities, or treatment of impostor syndrome. DATA EXTRACTION: Two independent investigators extracted data on study variables (e.g., study methodology, treatments provided); participant variables (e.g., demographics, professional setting); diagnostic tools used, outcome variables (e.g., workplace performance, reductions in comorbid conditions); and pre-defined quality variables (e.g., human subjects approval, response rates reported). DATA SYNTHESIS: In total, 62 studies of 14,161 participants met the inclusion criteria (half were published in the past 6 years). Prevalence rates of impostor syndrome varied widely from 9 to 82% largely depending on the screening tool and cutoff used to assess symptoms and were particularly high among ethnic minority groups. Impostor syndrome was common among both men and women and across a range of age groups (adolescents to late-stage professionals). Impostor syndrome is often comorbid with depression and anxiety and is associated with impaired job performance, job satisfaction, and burnout among various employee populations including clinicians. No published studies evaluated treatments for this condition. LIMITATIONS: Studies were heterogeneous; publication bias may be present. CONCLUSIONS: Clinicians and employers should be mindful of the prevalence of impostor syndrome among professional populations and take steps to assess for impostor feelings and common comorbidities. Future research should include evaluations of treatments to mitigate impostor symptoms and its common comorbidities.

Ethnic and racial identity are among the most researched topics in the multicultural counseling literature. The popularity of these constructs, combined with ongoing controversies surrounding their measurement, warrants a critical examination by scholars in the field. The author contends that a combination of science and ideology has influenced the field and warns that a rigid and uncritical adherence to old paradigms will stifle growth and the production of useful knowledge. The author provides a review of measurement issues pertaining to ethnic and racial identity research and recommendations for future research and better practices involving ethnic and racial identity instruments.

This study examined differences in minority status stress, impostor feelings, and mental health in a sample of 240 ethnic minority college students. African Americans reported higher minority status stress than Asian Americans and Latino/a Americans, whereas Asian Americans reported higher impostor feelings. Minority status stress and impostor feelings were examined as predictors of mental health. Impostor feelings were stronger predictors of mental health than minority status stress. Counseling implications for ethnic minority students are discussed. Este estudio examinó las diferencias en estrés por estatus de minoría, sentimientos de impostor, y salud mental en una muestra de 240 estudiantes universitarios pertenecientes a minorías étnicas. Los afroamericanos comunicaroun un estrés por estatus de minoría más alto que los asiático‐americanos y los latinoamericanos, mientras que los asiático‐americanos comunicaron sentimientos de impostor más elevados. Se examinaron el estrés por estatus de minoría y los sentimientos de impostor como predictores de salud mental. Los sentimientos de impostor fueron predictores más fuertes de salud mental que el estrés por estatus de minoría. Se discuten las implicaciones en consejería para estudiantes de minorías étnicas.

This study examined the academic self-concept construct in a sample of 206 African American students attending historically Black colleges and universities (HBCUs) and predominantly White colleges and universities (PWCUs). Institutional, gender, and class status (i.e., year in college) differences in academic self-concept were investigated as well as factors that predict academic self-concept. Participants completed the Academic Self-Concept Scale. Findings indicated that the best predictor of academic self-concept for students attending PWCUs was grade point average, whereas the best predictor of academic self-concept for students attending HBCUs was quality of student-faculty interactions. Additional analyses indicated that grade point average is significantly more important for the academic self-concept of African American students attending PWCUs than African American students attending HBCUs. Implications for psychologists are discussed.

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