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The primary purpose of this study was to investigate how couples cope with the stress of job loss. We examined dyadic coping processes of social support and undermining over time for couples experiencing job loss and subsequent unemployment. The research design was a longitudinal field study of 357 individuals seeking reemployment and their respective partners. Data were collected at four times over the course of approximately a year. Results show a steady decline in support among jobseekers and their partners over time. Additionally, social support was found to be a significant predictor of inverse changes in undermining across all measured time periods. Results are discussed in connection with counseling intervention strategies for couples.

ObjectivePediatric patients can be significantly impacted emotionally by exposure to acute trauma which may negatively impact long-term functioning and lead to an increase in overall distress. This study reports on the incidence of acute stress disorder among pediatric trauma patients in a hospital setting in the southeastern region of the USA.MethodsPediatric patient mental health assessments were conducted using the Childhood Stress Disorders Checklist- Short Form (CSDC-SF) as part of a new integrated behavioral health standard of care within the Trauma Services Division of a level 1 pediatric hospital. Mental health consultations occurred at bedside on inpatient hospital admission into trauma services, or at the outpatient hospital clinic after discharge for injuries treated in the emergency department.ResultsAssociations among type of trauma, child age, and sex were explored in a sample of 617 children (58.9% male) aged 2–18 years (Mage=10.27). The sample was primarily ethnic minorities (56.1% black/African-American, 5% Hispanic/Latinx). Fifteen per cent or more of trauma reports were for burns (26%), motor vehicle accident (22.7%), and recreational sports or leisure activity-related injury (17.5%). Sixty-four per cent of children scored ≥1 on the CSDC-SF, indicating symptoms consistent with acute stress disorder. Higher scores were associated with female sex, age, and injury type.Level of evidenceLevel IV study provides evidence of the link between traumatic injury and mental health symptoms in a pediatric population. Findings highlight the critical need for mental health screening and provision of integrated mental health counseling services at time of acute pediatric trauma.