Fibromyalgia (FM) is a lifelong central nervous system disorder that is precipitated by a range of biological, psycho-cognitive, and social factors. The aims of this exploratory study were to (a) identify biopsychosocial and cognitive factors that may affect an individual’s response to FM, (b) determine whether individuals with FM can be grouped into homogeneous subgroups based on biopsychosocial factors associated with response to FM, and (c) compare subgroup differences in health outcomes and life satisfaction. This study included 302 participants with FM. Principal components analysis yielded three sets of biopsychosocial factors that may affect response to FM (i.e., protective, cognitive-affective, and physical factors). Based on these three factors, a cluster analysis was performed, which produced three homogeneous subgroups: (a) the moderate amount of problems group, (b) the least amount of problems group, and (c) the many problems group. Analysis of variance (ANOVA) results indicated that these three subgroups differed significantly in terms of health outcomes and life satisfaction. The findings of this study broaden the existing literature related to understanding FM from a multidimensional symptom response perspective and contribute to the development and validation of biopsychosocial interventions for people with FM.
The Black Lives Matter movement exposed the broad and deep issues of institutional racism in the United States. Helping young African Americans with disabilities persevere in their pursuit of college degrees and obtain entry-level professional jobs as career pathways to the middle class will contribute to workplace equity for young adults who are at the intersection of race, disability, and poverty. The Social Cognitive Career Theory (SCCT) has been validated extensively as a model of goal persistence for women and minority college students majoring in science, technology, engineering, mathematics, and medicine (STEMM). The present study evaluated SCCT constructs as predictors of goal persistence in a sample of African American college students with disabilities across various academic majors, using hierarchical regression analysis. The final model accounted for 53% of the variance in goal persistence scores, a large effect size. Academic milestone self-efficacy and career self-efficacy were the most important predictors of goal persistence, followed by academic barrier self-efficacy, deep learning style, and career outcome expectancy. The SCCT interventions designed to increase academic and career efficacy and outcome expectancy will increase the likelihood that African American college students with disabilities will complete their degrees and successfully obtain professional jobs.
The revised 2023 Commission on Rehabilitation Counselor Certification (CRCC) Code of Ethics, adopted in September 2022, addresses changes in ethical standards related to the counseling relationship. To promote awareness and understanding of these changes, this article reviews the purpose of Section A (The Counseling Relationship) of the CRCC Code of Ethics and provides a summary of the key revisions that have been made to Section A in the new revised Code and how the changes in these sub-sections of Section A impact counselors/practice.
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