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A PUBLICATION OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION • NOV/DEC 2021 psychology monitor on GST# R127612802 AI THE PROMISE AND CHALLENGES PAGE 62 THE SCIENCE OF EMPATHY PAGE 44 TREATING ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES PAGE 54 EFFECTIVE THERAPY FOR BLACK WOMEN PAGE 38 SUCCESSFUL GRANT WRITING PAGE 76
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@APA The Hot List RESOURCES, OPPORTUNITIES, AND NEWS FOR PSYCHOLOGISTS FROM APA What to Stream 1 “Psychological Science and Public Communications— Debates and Next Steps” A panel of psychological scientists and communication experts talk about the impor- tance of sharing research IMPACT with the public and the Explore the Legacy challenges psychologists of a Psychology Icon may face. Watch at www.apa.org/science. 2 T he new Magination Press book Evelyn Hooker and the Fairy Project celebrates the APA 2021 Content career of Evelyn Hooker, PhD, More than 1,000 the psychologist behind the presentations from APA’s research and advocacy that led 2021 convention in August to the removal of homosexu- SOLUTIONS are available to stream ality from the Diagnostic and Determine the Cost of through Nov. 15. Statistical Manual of Mental UPPER LEFT: THOMAS KUHLENBECK/IKON IMAGES; UPPER RIGHT:MAGINATION PRESS; LOWER LEFT: KLNGE/GETTY IMAGES Go to https://convention.apa.org. Disorders in 1973. Hooker’s Your Graduate Degree groundbreaking research on 3 gay men—conducted with a “Improving the Assessment National Institute of Mental T he American Psychological Association of Graduate of ADHD in Youth” Health grant and scornfully Students (APAGS) has developed the Financial Expen- This Nov. 19 webinar will referred to as “The Fairy diture Evaluation for Students (FEES) tool to help explore the most recent Project” by some federal offi- current and prospective psychology graduate students calculate research on ADHD and best cials—not only destroyed the and evaluate the cost of attending any psychology graduate pro- practices for assessing symp- myth that homosexuality was gram so that they can make informed decisions about the cost toms and impairments. a type of psychopathology but Go to www.apa.org/news/events/2021/ of their education. FEES helps students score graduate psychol- improving-youth-assessment. also helped spark a social jus- ogy programs on their transparency about a variety of factors, tice movement and important including the amount of financial support available; career allyship for LGBTQ+ people placement prospects; average salary of graduates; the availabil- that is still evident today. The ity of health insurance, including mental health benefits; and book ends with guidance on average time to degree completion. APAGS also encourages how to be an effective ally to training programs to use the tool to assess the costs their stu- LGBTQ+ people, discussion dents take on and how easy it is for students to find financial questions for young readers, details and other important information about their programs. and additional resources. Find it at www.apa.org/apags/resources/fees-tool. Order at www.apa.org/pubs/magination. 2 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
monitor on i psychology A publication of the American Psychological Association How to Reach Us VOLUME 52 | NUMBER 8 Answers to many of your questions may be found on PRESIDENT Jennifer F. Kelly, PhD, ABPP APA’s website: www.apa.org; for phone service call (800) 374-2721; for story ideas or comments, contact Editor in Chief CHIEF EXECUTIVE OFFICER Arthur C. Evans Jr., PhD Trent Spiner at tspiner@apa.org. CHIEF COMMUNICATIONS OFFICER Alicia Aebersold EDITORIAL EDITOR IN CHIEF Trent Spiner MANAGING EDITOR Susan Straight SENIOR EDITORS Lindsey Allen, Jamie Chamberlin, Tori DeAngelis, Jewel Edwards-Ashman IDEAS ART DIRECTOR Jerry Sealy CONTRIBUTING WRITERS Zara Abrams, 3 Things To Do This Month Ashley Abramson, Amy Edgar, Charlotte Huff, Chris Palmer, Stephanie Pappas, Helen Santoro, Kirsten Weir Praise your colleagues & explore new opportunities CONTRIBUTING DESIGNER Callie Strobel PRODUCTION MANAGER Peter S. 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POSTMASTER: Send address A PA’s journal American Psychologist is seeking images of original art- changes to Monitor on Psychology Subscriptions Department, 750 First St., N.E., Washington, DC 20002–4242. CANADA SUBSCRIPTIONS: Canada Post Agreement work to include on the covers of its 2022 issues. Art Editors Walter Number 40036331. Send change of address information and blocks of undeliver- able copies to PO Box 1051, Fort Erie, ON L2A 6C7. Printed in the United States of Heinrichs, PhD, and Anne E. Kazak, PhD, ABPP, and new Editor-in-Chief America. ©2021 by APA. Address editorial inquiries to the Monitor on Psychology Harris Cooper, PhD, welcome artists of all backgrounds to submit between editor, and advertising and subscription inquiries to Monitor on Psychology/adver- BILL CHIZEK/GETTY IMAGES tising or Monitor on Psychology/subscriptions. three and six images for consideration in any medium—including paint, photography, sculpture, mosaic, collage, and fabric. Submit photographs of Please recycle this magazine. If you wish to go paperless and receive only the digital edition of the Monitor, work along with a brief biography to Sue Harris, PhD, at Editor-AP@apa.org. please email membership@apa.org or call (800) 374-2721. Answers to many member-related questions can be found on APA’s website: www.apa.org. M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 3
Renew Your APA Membership APA continues to make your membership even more valuable with new resources to help you navigate challenges — and take advantage of opportunities. Get the latest research and information across psychology, the career development tools you need, and the advocacy you want — especially now. Renew online today at: on.apa.org/mon-renew 4 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
Features NOVEMBER/DECEMBER 2021 COVER STORY THE PROMISE AND CHALLENGES OF AI Psychologists are playing a larger role in the development and use of artificial intelligence software and technologies, such as therapeutic chatbots and facial-recognition systems. They’re also amassing a robust literature on human-computer interaction, digital therapeutics, and the ethics of automation. See page 62 54 WORKING WITH ADULTS WITH DEVELOPMENTAL DISABILITIES There is a yawning gap between the need for and the availability of mental health services for adults with intellectual and developmental disabilities—but psychologists can work to close that gap. 44 CULTIVATING EMPATHY Psychologists’ research offers insight into why it’s so important to cultivate “other-oriented” empathy, and how to help grow these skills in your patients and yourself. O N T H E C O V E R : I L L U S T R AT I O N B Y C H R I S G A S H / T H E I S P O T M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 5
Departments NOVEMBER/DECEMBER 2021 Marijuana use is associated with suicide risk. Page 14 2 @APA: THE HOT LIST 8 PRESIDENT’S COLUMN 10 UPDATE FROM THE CEO RESEARCH 13 IN BRIEF 21 DATAPOINT 88 BY THE NUMBERS NEWS 22 CHILDREN LOSING CAREGIVERS TO COVID 25 BUILDING A MORE DIVERSE FACULTY 30 PROTECTING HEALTH CARE TEAMS 37 JUDICIAL NOTEBOOK PEOPLE 35 4 QUESTIONS FOR LAURA BOXLEY 70 PSYCHOLOGISTS IN THE NEWS CE CORNER 3 8 EFFECTIVE THERAPY FOR BLACK WOMEN CAREER 71 HOW TO INCORPORATE OPEN SCIENCE 76 SUCCESSFUL GRANT WRITING 80 LAB WORK CAREER EMPLOYMENTS ADS 85 THE BEST JOBS IN PSYCHOLOGY THE VITAL WORK OF GRANT WRITING Research scientists and program officers share their advice on the importance of seeking out grant funding, making grant applications stand out, and using feedback to move past rejection. See page 76 Rethinking self-care. Page 35 Losing caregivers to COVID. Page 22 Meeting the needs of Black women. Page 38 6 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
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From the President HOW WE MOVED THE NEEDLE ON HEALTH EQUITY Psychology has an outsize role in providing solutions for society’s greatest challenges BY JENNIFER F. KELLY, PHD, ABPP As my presidential year ends, I have never felt prouder role in achieving health equity, including of the work psychologists are doing to make the world a increasing the number of people of color better place. ¶ This was a year of extreme challenges and in the education and leadership pipe- line and helping practitioners develop welcomed successes: from major natural disasters and competence in working with diverse the Jan. 6 insurrection to the withdrawal of troops from populations. Afghanistan and a return to school and work for many. I want to thank all our members who Throughout my time as your president, I have seen the selflessly gave their time and expertise power of psychologists coming together and using science to promote health- to APA this year. None of our import- ier outcomes for individuals and communities. ant work could have been accomplished without your volunteer leadership. I also Most notably, psychology has been Presidential Task Force on Psycholo- want to thank APA staff, who continue instrumental in fighting the COVID-19 gy’s Role in Achieving Health Equity. I to unite to make a difference in society. pandemic. Psychology will continue to encourage you to read the special issue It has been an honor and privilege to play a key role in addressing vaccine hes- of American Psychologist focused on serve as your president this year. In years itancy, dealing with ongoing social and health equity, published by APA. We to come, I know that APA will continue emotional fallout from the pandemic, have also proposed a resolution to coun- to thrive and have a major impact on and helping to shape the future of work cil articulating a vision of psychology’s society. n and education. A highlight for APA this year has been our historic strides in addressing racism and health disparities. We have been deliberate in focusing on psycholo- gy’s role in dismantling systemic racism in the United States. In February, APA’s Council of Representatives adopted a resolution to guide our efforts to counter racism. We are now focused on psychol- ogy’s role in helping to expose, and to ultimately dismantle, racism operating across society, from within education and science to government and public policy. I am most proud of the work of the WE ARE/GETTY IMAGES ● Jennifer F. Kelly, PhD, ABPP, is the 2021 APA president and director of the Atlanta Center for Behavioral Medicine. Follow her on Twitter: @JFK4APA. 8 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
From the CEO CREATING NEW OPPORTUNITIES AMID DISRUPTION Psychology can provide solutions to the biggest real-world issues BY ARTHUR C. EVANS JR., PhD When the COVID-19 pandemic began, most of us individual level of analysis are strategies viewed it as an acute crisis—a stressful, but defined, critical to ensuring our success. We also event. Then we realized that addressing the pandemic need to be intentional about creating would be more like a marathon—a crisis needing a new processes to draw out psychological sustained effort, but one that we would find a way to get knowledge needed and efficiently and effectively apply it. through and recover from. As time has gone on, it has During the development of APA’s become clear that the pandemic may be a phenomenon strategic plan in 2018, a strong and we will be living with in some way for much longer. consistent theme from our members was This change to viewing the coronavi- new long-term strategies to cope. This a desire to see psychology have more rus as something we must live with for means recognizing that the rapidity of impact on the critical issues of the day. an extended period versus something we change going forward will only increase, Since then, APA has made building our could overcome and “return to normal,” making change the “new constant.” All capacity to do this a significant goal for has profound implications for our lives these realities have implications for how the association. As our world becomes and the role our discipline and profession psychological knowledge and exper- increasingly complex, both APA and can play in assisting our society. tise is applied to real-world problems. the broader field of psychology must Moreover, the major societal issues we Using conceptual frames that routinely continue to explore new ways to apply are grappling with, like climate change incorporate themes like intersectional- knowledge from the field in innovative and racism, are fundamentally rooted ity and working increasingly beyond the and impactful ways. n in human behavior, reaffirming that solutions require psychological exper- tise. The nation’s COVID-19 recovery involves not only containing the virus but addressing the related effects of these societal issues on people’s health and well-being. As a nation, we need a new mental model for thinking about the rapidly evolving world around us and the various roles we play in it. We must deal with multiple complex issues simultane- ously. We must get used to the notion that many of our most vexing issues will not just disappear, but—like the coronavirus—will require us to develop DANIEL SLIM/GETTY IMAGES ● Arthur C. Evans Jr., PhD, is the Chief Executive Officer of APA. Follow him on More than 600,000 white flags on the National Mall in Washington, D.C., in September Twitter @ArthurCEvans. 2021 symbolize the lives lost to COVID-19 in the United States. 10 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
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In Brief Research COMPILED BY CHRIS PALMER THE LATEST PEER-REVIEWED STUDIES WITHIN PSYCHOLOGY AND RELATED FIELDS Police officers use different tones when talking with Black versus White drivers during traffic stops. TRAFFIC STOP DISPARITIES D isparities in how police officers treat Black to rate the officers’ tones of voice. The participants, and White Americans are reflected in subtle who did not know the race of the person being pulled differences in officers’ tones of voice during over, perceived that when officers spoke to Black routine traffic stops, according to research in the men at traffic stops, their tones of voice conveyed less Journal of Personality and Social Psychology. Researchers warmth, respect, and ease than when they spoke to collected 250 audio clips of predominantly male White men. In two additional studies with a total of officers speaking for 10 seconds from body camera 404 participants, the researchers found that listening FSTOP123/GETTY IMAGES footage of traffic stops of men in a midsize U.S. city. to officers speaking with a negative tone eroded peo- Across three studies, the researchers asked a total of ple’s trust in police. 414 White, Black, Latinx, and Asian men and women DOI: 10.1037/pspa0000270 M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 13
In Brief JOB DEMANDS AFFECT EXERCISE People with high-pressure jobs and little control over their work are less likely to exercise after leaving the office, according to research in the Journal of Experi- mental Psychology: Applied. In the first of two studies, 100 partici- pants in the United States took Being mentally part in a call center workplace active in old age can stave simulation. Half performed off dementia high-demand tasks and half per- by as much as formed low-demand tasks. After 5 years. completing their tasks, partici- pants rode a stationary bicycle for as long as they wanted. Participants in the high-demand condition cycled less than those in the low-demand condition. In a second study, 144 participants were split into four groups based on a combination of high- or low-demand tasks and high or low control over their job. Again, levels of marijuana use and READ AND WRITE TO participants with more demand- prevalence of major depres- FORESTALL DEMENTIA ing jobs cycled less. Though sive episodes. They found Being mentally active in old there was no direct association that even people who used age can stave off dementia by between level of job control marijuana on a less-than- as much as 5 years, suggests a and time spent cycling, there daily basis were more likely study in Neurology. Research- was an indirect effect of level to have suicidal ideation ers followed 1,903 older adults of job control on cycling and to plan or attempt enrolled in a longitudinal study time through its impact suicide than those who in the United States for an on participants’ sense of did not use the drug at all, average of about 7 years. Par- self-determination. with this effect larger for ticipants, who were primarily DOI: 10.1037/xap0000333 women than men. Among in their 70s and 80s at the people with depression, 35% start of the study, had annual SUICIDE RISK HIGHER IN People who used of participants who did not clinical evaluations to diagnose TOP: LJUPOC/GETTY IMAGES; BOTTOM: ALEXANDRUM/GETTY IMAGES MARIJUANA USERS marijuana even use marijuana had suicidal Alzheimer’s disease and other on a less-than- According to a study in JAMA daily basis were ideation, compared with 44% forms of dementia. They also Network Open, marijuana use is more likely to of those with nondaily mari- reported how frequently they associated with increased risk have suicidal juana use, 53% of those who engaged in seven cognitively ideation and to of suicidal thoughts, plans, and plan or attempt used marijuana daily, and 50% stimulating activities, including attempts. Researchers analyzed suicide than of those who had a marijuana visiting a library; reading mag- data from a nationally repre- those who did use disorder. Similar patterns azines, newspapers, or books; not use the sentative sample of 281,650 drug at all. held for suicidal plans and writing letters; putting together adults ages 18 to 34 years in the attempts among people with puzzles; and playing cards United States. They assessed depression. and board games. During the participants’ self-reported DOI: 10.1001/jamanetworkopen.2021.13025 study period, 457 participants 14 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
were diagnosed with Alzhei- their pupil size decreased, and non-White children were almost mer’s disease. The mean age of their brain activity revealed the twice as likely as their White onset of Alzheimer’s disease was presence of slow waves that are counterparts to say they enjoyed 94 for those participants with commonly observed after sleep school, and children with higher the highest level (above 90th onset. According to the research- cognitive abilities were also more percentile) of late-life cognitive ers, these results indicate that the likely to enjoy school. At age activity and 89 for those with the inattentive mind may result from 16, those children who reported lowest level (10th percentile and portions of the brain entering a enjoying school at age 6 scored, below). Neither education nor sleeplike state. on average, 14.4 points higher early life cognitive activity was DOI: 10.1038/s41467-021-23890-7 on a compulsory exam—a dif- associated with age of Alzhei- ference of almost three grade mer’s onset. In 695 participants ENJOY SCHOOL, levels—even after controlling whose brains were examined GET BETTER GRADES for cognitive ability and family postmortem, cognitive activity Research in npj Science of Learn- socioeconomic status. They were was found to be unrelated to ing indicates that children who also 29% more likely to obtain neural markers of Alzheimer’s enjoy school at age 6 tend to above-average grades. and other dementias, suggesting have higher academic achieve- DOI: 10.1038/s41539-021-00092-w that late-life cognitive activity ment 10 years later. Researchers Research indicates doesn’t influence brain pathology analyzed data from a longitu- that children who THE LONELY enjoy school at itself, but rather boosts cognitive dinal study that began in 1991 age 6 tend to have LIVE SHORTER, reserve—the ability to cope with of 12,135 children and their higher academic LESS-ACTIVE LIVES the pathology. parents in the United Kingdom. achievement 10 A study in the Journal of the years later. DOI: 10.1212/WNL.0000000000012388 They found that children who American Geriatrics Society indi- liked their teachers were more cates that lonely older adults are DAYDREAMING than 9 times more likely to enjoy more likely to live shorter lives AKIN TO SLEEP school than those who did not. than their peers and spend less Daydreaming is characterized Also, girls were twice as likely as of their remaining life in good by sleeplike activity in the brain, boys to report enjoying school, health. Researchers interviewed suggests research in Nature Communications. Researchers asked 26 well-rested partici- pants in Australia to perform two boring tasks requiring sustained attention. During the tasks, participants were ran- domly interrupted and asked to self-report their mental state: on task, mind wandering (think- ing of something else), or mind blanking (thinking of nothing). The researchers continuously assessed the participants’ pupil MONKEYBUSINESSIMAGES/GETTY IMAGES size and measured their brain activity with electroencephalog- raphy (EEG). When participants reported their minds were wandering or blanking, their performance dropped, they declared feeling more tired, M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 15
In Brief sports at a young age, rather than specializing in one, leads to Playing several greater long-term success. sports at a young DOI: 10.1177/1745691620974772 age, rather than specializing in one, may lead to more TOOTH LOSS long-term success as an adult athlete. LINKED TO DEMENTIA Losing teeth is a risk factor for cognitive impairment and dementia, according to a study in JAMDA: The Journal of Post-Acute and Long-Term Care Medi- cine. Researchers conducted a meta-analysis of 14 studies with 34,704 participants, 4,689 of whom had diminished cogni- tive function. They found that participants with tooth loss were 1.48 times more likely to develop cognitive impairment and 1.28 times more likely to be diag- nosed with dementia. Risks for these conditions increased with each additional lost tooth. How- ever, there was no association between tooth loss and cognitive 3,449 participants in Singa- to success, according to a impairment or dementia for par- pore age 60 and above three meta-analysis published in ticipants who wore dentures. The times between 2009 and 2015 Perspectives on Psychological researchers suggest that tooth about their health and level Science. Researchers examined loss may reflect socioeconomic of loneliness. They found that 51 studies involving 6,096 disadvantages that are also risk 60-year-olds who reported athletes, including 772 world- factors for cognitive impairment being sometimes or mostly class athletes. They found that, and dementia or that nutritional lonely lived 3 to 5 years less, on compared with less-skilled deficiencies arising from diffi- average, than did their less- youth athletes, world-class youth culty chewing may contribute to lonely peers. Similar findings started in their sport at an ear- these conditions. were obtained for 70- and lier age, spent less time doing TOP: WUNDERVISUALS/GETTY IMAGES; BOTTOM: MIKROMAN5/GETTY IMAGES DOI: 10.1016/j.jamda.2021.05.009 80-year-olds. The researchers other sports, had more practice Losing teeth also found that participants time with coaches, and reached is a risk factor LINKS BETWEEN for cognitive who felt lonelier lived fewer milestones more quickly. On the impairment and TBI AND ADHD years in a self-rated state of other hand, as compared with dementia. Children who have a severe good health and more years less-skilled adult athletes, world- traumatic brain injury (TBI) feeling limited in their activities class adult athletes started their are more likely to have atten- of daily living. sport and reached milestones at tion-deficit/hyperactivity disorder DOI: 10.1111/jgs.17343 a later age and accumulated less (ADHD) than are children with coach-led practice time in their no such injuries or other types of SUSTAINING SUCCESS primary sport but more such brain injuries, indicates research World-class youth and adult time in other sports. The find- in JAMA Pediatrics. Researchers athletes take different paths ings suggest that playing several conducted a meta-analysis of 24 16 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
studies from 1981 to 2020 that can contribute to the onset of a threefold increase in risk for included 12,374 children ages ADHD. new major depression symptoms, 4 to 18 who had experienced a DOI: 10.1001/jamapediatrics.2021.2033 especially among men. In addi- TBI and 43,491 children who tion, long working hours were had not. They found that children TOXIC OFFICES BREED related to a higher number of who experienced severe TBIs DEPRESSION new cases of severe symptoms of were about 4 to 6 times more Difficult workplaces can greatly major depression, but not to new likely to also have an ADHD increase employees’ risk of cases of milder symptoms. diagnosis. No association was depression, indicates research in DOI: 10.1136/bmjopen-2020-044133 found of ADHD with concus- Toxic workplaces BMJ Open. Researchers sur- sions or with mild or moderate were associated veyed 1,084 Australian full-time HANDWRITING FOSTERS with a threefold TBI. In addition, the incidence increase in risk employees about their employ- LITERACY SKILLS of pre-TBI ADHD diagnoses for new major ers’ management practices and Handwriting helps people learn (16%) was greater than the inci- depression assessed them for symptoms of spelling and reading skills faster symptoms. dence of ADHD among children major depressive disorder. They and better than do typing or in general (11%), which suggests found that workplaces with video exercises, suggests research that ADHD is a risk factor for management practices that fail in Psychological Science. Research- TBI. The data also allow for to protect workers’ mental health ers taught 42 adult participants the possibility that severe TBI and safety were associated with in the United States the Arabic PEOPLEIMAGES/GETTY IMAGES M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 17
In Brief words with the letters, use them to spell new words, and use them to read unfamiliar words. DOI: 10.1177/0956797621993111 BLAME THE PANDEMIC Research in Social Psychological and Personality Science suggests that couples who blamed the COVID-19 pandemic for their stress were more satisfied in their relationships. Researchers analyzed daily self-reports from 191 partic- ipants in the United States during April and May 2020 and again 7 months later. They found that although partici- pants were more unhappy in their relationships when expe- riencing higher levels of stress, the harmful effects of stress on relationships were weaker among those who blamed the pandemic for their problems. This effect, which was more pronounced in women than in men, did not weaken over the 7-month period. DOI: 10.1177/19485506211022813 INTERNET GAMING DISORDER A study in Psychiatry Research suggests that about 1 in 20 university students may exhibit addictive behavior related to alphabet in a variety of ways. letter on a keyboard, and a third online gaming. Researchers All participants watched vid- Research had to copy the letter with pen interviewed 2,984 undergrad- eos showing the letters being suggests that and paper. After six sessions, uate and graduate students at a couples who written along with their names blamed the all participants recognized the university in the United States and sounds. After watching the COVID-19 letters and made few errors when between 2007 and 2015 about PREDRAG POPOVSKI/GETTY IMAGES video for each letter, a third of pandemic for tested. But the handwriting their online gaming habits and their stress the participants saw a quick were more group achieved proficiency faster other use of technology. They flash of a letter on the screen satisfied in their than the other groups, some in found that 5.3% had internet and responded whether it was relationships. just two sessions. The handwrit- gaming disorder, a clinical the same letter they’d just seen, ing group was also better able condition characterized by a third had to find and press the than the other groups to write using the internet and/or an 18 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
electronic device for at least 15 hours per week and meeting at least five behavioral criteria, such as lying about gaming habits and inability to stop gaming. The researchers also found that stu- dents with this disorder were at greater risk than other students Hospitalizations for suicidal thoughts, suicide resulting from restrictive eating attempts, major depressive disorders increased disorder, social anxiety disorder, among young people nonrestorative sleep, excessive during the COVID-19 pandemic. fatigue, fewer close friends, and poor to fair health. DOI: 10.1016/j.psychres.2021.114043 MUSIC EARWORMS DISRUPT SLEEP were associated with poorer THE PANDEMIC HAS Listening to music can cause sleep quality. In the second study, INCREASED EATING sleep disruptions, suggests conducted in a U.S. sleep lab, 48 DISORDERS research in Psychological Sci- participants listened to one of During the COVID-19 pan- ence. In the first of two studies, three popular songs before falling demic, hospitalizations resulting researchers surveyed 199 online asleep. The researchers found that from restrictive eating disorders participants in the United States participants who experienced an (including anorexia nervosa and about music listening habits, how earworm had greater difficulty avoidant/restrictive food intake often they experienced musical falling asleep, had more night- disorder) increased among young earworms (i.e., songs that con- time awakenings, and spent more people, indicates a study in tinually run through one’s mind), time in light stages of sleep. The Pediatrics. Researchers reviewed and sleep quality. They found negative effects of earworms records at a large hospital in that 87% of participants believed were greater for instrumental the midwestern United States that music improves sleep. How- versions of the songs. for patients ages 10 to 23 who ever, participants who spent DOI: 10.1177/0956797621989724 were admitted for restrictive more time listening to music eating disorders from March throughout the day were 2017 through March 2021. They more likely to report recorded 125 total admissions persistent nighttime during the first 12 months of the TOP: BYMURATDENIZ/GETTY IMAGES; BOTTOM: PEOPLEIMAGES/GETTY IMAGES earworms, which COVID-19 pandemic (April 1, 2020, through March 31, 2021), which was more than double the People who spend average number of admissions in more time listening the same 12-month periods in to music throughout the day may be the previous 3 years. The number more likely to report of admissions per month rose persistent nighttime steadily over the course of the earworms, which are associated with pandemic period. poorer sleep quality. DOI: 10.1542/peds.2021-052201 ● For direct links to the research cited in this section, visit our online edition at www.apa.org/monitor. M O N I TO R O N P S YC H O LO G Y 19
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Research Datapoint By Jessica Conroy, BA, Luona Lin, MPP, and Karen Stamm, PhD NEWS ON PSYCHOLOGISTS’ EDUCATION AND EMPLOYMENT FROM APA’S CENTER FOR WORKFORCE STUDIES HOW MUCH DO PSYCHOLOGY GRADUATES EARN? n Salaries of graduates n The median salaries of n About 38% of n About 17% of bachelor’s with psychology degrees psychology bachelor’s, bachelor’s degree degree holders and 19% of in the United States vary master’s, and doctoral/ holders earned at master’s degree holders widely, with those who professional degree least $60,000, the earned at least $90,000, have higher degrees holders in 2019 were median salary of the median salary for tending to earn more. 1, 2 $50,000, $60,000, and master’s degree doctoral or professional $90,000, respectively.3 holders. degree holders. 2019 SALARY DISTRIBUTIONS BY PSYCHOLOGY DEGREE LEVEL BACHELOR’S 20% 25TH PERCENTILE 75TH 15% $36,000 PERCENTILE 10% 50TH $76,000 PERCENTILE H O L D E R S 5% $50,000 0% 0K 10K 20K 30K 40K 50K 60K 70K 80K 90K 100K 110K 120K 130K 140K 150K 160K 170K 180K 190K 200K+ MASTER’S D E G R E E 20% 25TH 75TH PERCENTILE PERCENTILE 15% $46,000 $81,000 P S Y C H O L O G Y 10% 50TH PERCENTILE 5% $60,000 0% 0K 10K 20K 30K 40K 50K 60K 70K 80K 90K 100K 110K 120K 130K 140K 150K 160K 170K 180K 190K 200K+ DOCTORAL AND PROFESSIONAL O F P E R C E N T 20% 50TH PERCENTILE 15% 25TH $90,000 PERCENTILE 75TH PERCENTILE 10% $65,000 $120,000 5% 0% 0K 10K 20K 30K 40K 50K 60K 70K 80K 90K 100K 110K 120K 130K 140K 150K 160K 170K 180K 190K 200K+ GRAPHICS: MARY BETH RAMSEY Note: Salaries greater than $200,000 were combined in the last group. 1 National Science Foundation, National Center for Science and Engineering Statistics. (2021). 2019 National Survey of College Graduates. [Public use data file]. https://ncsesdata.nsf.gov/datadownload/. 2 Data include psychology graduates working across a wide range of work sectors and occupation types, including psychology and non-psychology related jobs. 3 Values are based on full-time (35 hours/week or more) annual salary. These salaries have not been adjusted for inflation. Want more information? See CWS’s interactive data tools at www.apa.org/workforce/data-tools/index or contact cws@apa.org. M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 21
News Feature A HIDDEN PANDEMIC OF COVID-19 How psychologists are helping children who have lost caregivers to COVID-19 BY AMY EDGAR A n image of a dying parent hooked up to a LOSING A PARENT process,” she said. “Post-trau- ventilator.¶ Knowing a beloved grandpar- TO COVID-19 matic symptoms can greatly A child may have a wide range of lengthen the mourning process. ent had to die alone in the hospital during reactions to the loss of a parent They can also prevent children quarantine. Learning that your mother died before or loved one; grief is a difficult from focusing on everyday things, you had a chance to say goodbye. ¶ More than 1.5 journey. “However, when that like learning math or making million children have lost a caregiver during the loss or death is experienced as a friendships.” COVID-19 pandemic, and many of them have traumatic loss, it can derail devel- Corinn Elmore, PhD, a pedi- opment,” said Megan Goslin, atric psychologist who works suffered these types of traumatic experiences. PhD, a clinical psychologist and with families through Walter While losing a parent or caregiver is always a challenge associate research scientist at Yale Reed National Military Medical to a child’s mental health, these traumas are magnified University’s Child Study Center. Center in Bethesda, Maryland, in a situation like COVID-19. A study published by The Goslin’s work focuses on said that during the pandemic Lancet and led by epidemiologist Susan Hillis, PhD, who therapeutic interventions with she observed that many of her served on the Centers for Disease Control and Preven- children and families following regular patients without previous tion’s COVID-19 International Task Force, called such potentially traumatic events. anxiety began to experience it for orphanhood a “hidden pandemic” and pointed to the “Children can develop post-trau- the first time. She also said that likelihood of the tragic reverberations being felt well past matic symptoms that are over her patients who already suffered childhood (The Lancet, Vol. 398, No. 10298, 2021). and above the normal grieving from anxiety started suffering 22 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
much more acutely. For children who are experi- on the whole, she said she had Children’s grief during the encing devastating grief due to to spend a greater percentage of pandemic is complicated grief, COVID deaths, these stressors time empowering parents. She said Julian Ford PhD, ABPP, a can be far worse. “The uncer- found that because kids under professor of psychiatry and law tainty about who will contract 9 years old had trouble focus- and director of the Center for COVID and who will become ing for long periods of time, she Treatment of Developmental very ill adds further anxiety for would spend about 80% (rather A child who was Trauma Disorders at the Uni- orphaned when the child, who may fear the loss than her usual 30%) of a session versity of Connecticut. He noted her father died of of others [the other parent, other with the parent alone. For 9- to that “the isolation and loneliness COVID-19 in June family, friends] and contracting 12-year-olds, it was about 50/50 2021 during a many experienced due to pan- surge of infections COVID themselves,” said Ford. child and parent. With patients demic restrictions made it harder in Hyderabad, over 13 years old, she didn’t find for children to feel the support of India, holds a SUCCESSFUL APPROACHES much of a difference between photo of her close friendships or the comfort parents. TO CHILDREN’S GRIEF in-person and virtual sessions. of additional caregivers (such as With the shift toward telehealth “I worked to teach parents how extended family), other sources at the beginning of the pan- to counsel a child through grief, of support (such as teachers or demic, many providers weren’t including some of the techniques religious leaders), and even the sure at first if they could succeed I would normally have used with support of the dying parent (who in delivering their usual stan- a pediatric patient myself in the may be quarantining at home or dard of care, Stover noted. But office,” Elmore said. “Together, in the hospital).” given the need—especially for the parent and I would work on a “Another common thing I children going through intense narrative for the child.” observed during the pandemic grieving—“we had to learn to Stover added that while there was my pediatric patients wit- FURTHER deliver therapy in new ways,” she have been some negatives in nessing their parents losing their READING said. She explained that providers delivering virtual care, such as parents to COVID,” Elmore managed to adapt and learned to a lack of privacy in some living Global minimum said. “While the children grieved do things such as make better use situations and unequal access to estimates of for these lost grandparents, they children affected of technology with such strategies broadband internet service, they also wondered if they might lose by COVID-19- as screen sharing or dropping off were greatly outweighed by the their parents, too.” associated props for play-based therapy at positives: reaching more parents Carla Stover, PhD, an asso- orphanhood people’s homes so that parallel and families by meeting people and deaths of ciate professor at the Yale Child play could happen virtually. where they are and when they caregivers: A Study Center, researches the modelling study For children who had lost are available. impact of violence and trauma Hillis, S. D., et al. caregivers or other loved ones to For example, for parents on child development. The The Lancet, 2021 COVID-19 or whose parents widowed by COVID-19, setting “overarching stress” of everyone were sick with COVID, Elmore up child care for other children living through the pandemic and counseled the use of transitional while one is in a session can Estimates and the heightened levels of contin- projections of objects, since spending time with be an insurmountable financial ued anxiety can make treating COVID-19 and the sick or dying parent wasn’t burden on top of counseling patients a different experience, parental death in an option. Among the activities fees. With in-home telether- according to Stover. She points the US she recommended to children apy, this can become a nonissue, REBECCA CONWAY/THE NEW YORK TIMES/REDUX Kidman, R., et al. to pandemic stressors that even were writing a letter or creating said Goslin. Virtual visits can JAMA Pediatrics, children who have not lost a 2021 a drawing to be delivered to their also provide an opportunity to caregiver may face, such as diffi- loved one, or simply keeping a more easily speak to the surviv- culty navigating friendships with favorite photo of the loved one ing caregiver and children either families who are not vaccinated nearby. together or apart. or experiencing stress from In general, Elmore found that “For all children and families overhearing unsettling pandemic virtual therapy sessions required in need of therapy, virtual ther- news or discussions. her to change her approach, and, apy has particularly been helpful M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 23
News Feature in engaging dads,” said Stover. WHAT NEXT? She anticipates that virtual visits What’s needed for all popula- are here to stay; even with some tions is the allocation of more patients choosing to return to resources for early identifica- in-person appointments, others tion and treatment of mental may find it more convenient to health issues. “The mental health stay virtual. care system was stretched thin Psychologists working with even before the pandemic,” said families who are seeking addi- Goslin. Early treatment can not tional information after losing a only be more effective for men- caregiver to COVID-19 might tal health; it can also be more refer them to helpful resources cost-effective in the long run. such as the CDC’s COVID- Ford agrees and notes that 19 Parental Resources Kit, the economic support is a crucial National Child Traumatic Stress component of supporting griev- Network, or the Yale Child Study ing children. “The pandemic has Center. Focusing on the mental further adverse consequences, highlighted the need for funding health of the children is an obvi- such as substance use, and we for universal pre-K and child ous priority, but it isn’t the only must ensure that children have care for younger children and one, Ford said. “Providers need to access to these interventions,” economic support for families consider not only the emotional said Volkow. with children,” he said. For chil- needs of the bereaved child but Eleven-year-old dren who have lost a caregiver, also those of their caregivers, who THE IMPACT ON Juan Ramirez is this support could be a lifeline flanked by his need to be supported in their own BIPOC CHILDREN three teenage to basic necessities so that they grieving so that they feel compe- There have been a greater number siblings and their and their remaining caregiver can tent and successful in providing of caregivers lost to COVID-19 half sister, Marlene focus on emotional healing. Torres (right), for their children.” in BIPOC (Black, Indigenous, who became their Lucie Cluver, PhD, a coauthor and People of Color) communi- guardian when of the Lancet study and a pro- LONG-LASTING EFFECTS ties. Researchers recently found their father died of fessor of child and family social COVID-19, in New According to the Lancet that “Black children are dispro- Jersey in 2020. work at Oxford University and an study, children orphaned by portionately affected, comprising Their mother had honorary professor in psychiatry COVID-19 “often face adverse only 14% of children in the died of a heart and mental health at the Uni- attack just months consequences, including poverty, United States but 20% of those before their father versity of Cape Town, said, “We abuse, and institutionaliza- losing a parent to COVID-19” fell ill. have strong evidence from HIV tion.” For children who don’t (JAMA Pediatrics, Vol. 175, No. and Ebola to guide solutions. get the mental health care they 7, 2021). Goslin noted that she We need to support extended need to weather the loss of a has seen this national statistic families or foster families to care caregiver, the results can mean play out locally among the many for children, with cost-effective lifelong struggles and addictions, families that she works with economic strengthening, parent- according to Nora Volkow, MD, in New Haven, Connecticut ing programs, and school access. director of the National Institute (including among Black patients We need to vaccinate caregivers MOHAMED SADEK/THE NEW YORK TIMES/REDUX on Drug Abuse. and other people of color, immi- of children—especially grandpar- Psychologists play a major grants, essential workers, and ent caregivers” (The Lancet news role in the welfare of these chil- more). “I’ve observed them being release, July 20, 2021). dren. “Though the trauma a child disproportionately impacted by Cluver also underscored the experiences after the loss of a all the stresses and strains of real urgency of this situation: parent or caregiver can be devas- COVID,” said Goslin. “Working “We need to respond fast because tating, there are evidence-based from home is not an option for every 12 seconds a child loses interventions that can prevent everyone.” their caregiver to COVID-19.” n 24 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
News Feature BUILDING A BETTER, individuals as they navigate the stressors of the tenure process, MORE DIVERSE FACULTY as well as ensuring that their research and those of other Many universities are ramping up efforts to recruit and BIPOC scholars are embedded support BIPOC faculty, but inequities persist BY CHARLOTTE HUFF into the curriculum, he said. Mainstreaming these scholars’ work is crucial so “the BIPOC R obert Sellers, PhD, the recruiting efforts, the university faculty don’t feel like they are University of Michigan’s has built a referral network that exotic, or that the institution has Dr. Della Mosley chief diversity officer, includes historically Black and left the University done them a favor, when in fact describes his institution’s imple- Latinx universities to identify of Florida before their presence really enhances mentation of a 5-year diversity, emerging BIPOC scholars, Sell- the 2021 fall term the quality of the education that to protect her equity, and inclusion (DEI) ers said. It has created the LSA emotional resilience, the institution is providing,” said strategic plan as an effort to Collegiate Fellows Program to which she felt had Sellers, also the university’s vice build pathways for more diverse attract early career faculty who been eroded by a provost for equity and inclusion lack of institutional faculty, with a particular focus on have demonstrated a com- support and and the Charles D. Moody Col- elevating and making BIPOC mitment to diversity through experiences with legiate Professor of Psychology. (Black, Indigenous, and People teaching or research. University microaggressions. The University of Michigan, ALVIN C. JACOBS JR of Color) scholarship and voices leaders are also building for- which launched its first DEI integral to the public university. mal and informal mentorship strategic plan in 2016, is among Along with other faculty networks to support BIPOC those higher education institu- M O N I TO R O N P S YC H O LO G Y ● NOVEMBER/DECEMBER 2021 25
News Feature tions that have moved beyond Magazine, but not offering her BEYOND talking points and token faculty tenure. Moreover, building a TRADITIONAL HIRING hires amid the intensification of deeper bench of diverse faculty Improving BIPOC repre national discussions about racial will require more work than sentation among psychology justice and are improving the simply hiring more BIPOC faculty can benefit academic hiring of faculty of color among FURTHER scholars, said Jacqueline Bichsel, institutions in several ways, other inequities on U.S. cam- READING PhD, a psychologist and director including by attracting a more puses. Some universities, such as of research at the College and diverse mix of students to the How to fix diversity Johns Hopkins University and University Professional Asso- field, as well as to a specific and equity: the University of Wisconsin– Ritualized regimes of ciation for Human Resources institution, said A. Jordan Madison, have developed Target political expression (CUPA-HR). Wright, PhD, a clinical associate of Opportunity Programs, which must be rejected People of color made up 18% professor at New York University incentivize departments to hire Khalid, A., & of all psychology faculty posi- and chair of APA’s Board of Snyder, J. A. faculty from groups that have tions for the 2020–21 academic Educational Affairs (BEA). The Chronicle of been underrepresented through Higher Education, year and nearly 25% across “Faculty of color often are the various approaches, including 2021 all disciplines, according to seats of research around diversity by establishing a funding pool CUPA-HR data. But across the issues,” he said, noting that to recruit exceptional diverse Laying the 5 years that the association has students tend to gravitate toward groundwork: scholars. Others are looking at been collecting this data, a nota- research that feels relevant. “And Concepts and strategies to better recognize activities for ble pattern persists—BIPOC for many BIPOC students it is research, service, and other work racial equity work representation declines as faculty personally calling to see research that enhances equity and inclu- Center for Urban move along the promotional on BIPOC issues and issues of sion. This spring, a partnership Education, University track to full professor, Bichsel marginalization and historically of Southern California campus between Indiana Univer- said. minoritized groups.” Rossier School of sity and Purdue University called Education, 2020 For instance, 7.56% of assis- This fall, a new BEA work IUPUI announced inclusion of tant professors in psychology group is taking a closer look at that work into tenure-track eval- NIH’s new cluster identified themselves as Black diversity and hiring practices uations. Meanwhile, the National hiring program in 2020–21 versus 2.77% at the in psychology, Wright said. The aims to help Institutes of Health announced full professor level. Hispanics initial goal is to scan psychology schools attract in late 2020 that it would fund diverse faculty accounted for 6.81% of assis- and other fields for hiring selected institutions to hire clus- Mervis, J. tant professors and 3.82% of full initiatives and then develop ters of early career researchers Science, professors. Asians hold 9.06% a position statement likely from underrepresented groups 2020 of assistant professor positions outlining best practices, he said. through its Faculty Institutional versus 4.18% for full. CUPA-HR “Although we are starting with Rethinking the Recruitment for Sustain- course syllabus: data also show that female psy- psychology faculty, we want this able Transformation (FIRST) Considerations for chologists of all backgrounds, to be able to be used by academia program. promoting equity, including White, are less likely more broadly as well.” Despite such efforts, other diversity, and to move up the ranks, Bichsel Breaking into the faculty inclusion recent news has highlighted that said. ranks, particularly a tenure-track Fuentes, M. A., et al. BIPOC faculty can encounter Teaching of “We are getting started off position, has long proven to be hurdles that don’t necessar- Psychology, on the right foot, but something not unlike gaining membership ily have to be cleared by their 2021 is happening in the promotion to an exclusive club in many White peers. Earlier this year, process that is discriminating disciplines. A 2015 analysis of the University of North Carolina against women and minorities,” nearly 19,000 faculty hiring at Chapel Hill was criticized for she said. “This is continuing to decisions across business, recruiting Nikole Hannah-Jones, occur. We are not going to solve computer science, and history a Pulitzer Prize–winning jour- this problem when all of the old found that only 25% of doctoral nalist and leader of the 1619 White guys retire from their full programs produced 71% to Project for The New York Times professor positions.” 86% of all tenure-track faculty 26 M O N I TO R O N P S YC H O LO G Y ● N OV E M B E R / D E C E M B E R 2 0 2 1
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