Predictors of Client Attrition in a University-Based Community Counseling Clinic

The purpose of this study was to investigate how symptom distress, social role, interpersonal relationships, gender, age, number of supports, and education level predict client attrition in a community sample. Using binary logistic regression and cross-sectional data, the authors examined the predictive impact of 8 variables on adult client attrition in a university-based community counseling clinic. Results indicated that education level, interpersonal relationships, and number of supports significantly predicted attrition. In this sample, gender, age, symptom distress, social role, and race did not significantly predict attrition. Implications for clinical assessment and counseling practice are discussed.     

Pedagogical Practices for Teaching Addiction Counseling Courses in CACREP‐Accredited Programs

We used a grounded theory approach to investigate educational strategies for teaching master's‐level addiction counseling courses. An emergent model of pedagogical practices, factors that influence development and implementation, and suggestions for counselor education programs are presented.     

The impact of the Gulf War on the churches in the Middle East: A socio-cultural and spiritual analysis

Much has been written about the Persian Gulf War, mostly from an American perspective. Little has been published from a non-Western, especially Christian perspective, to a North American audience. This paper is an attempt to highlight the effect of the Gulf War on the people of the Middle East generally and the Christian communities in particular. The author analyzes the social and political factors, summarizes the reports received from various public and private sources, such as national pastors and mission organizations, and presents his own impressions and evaluation of the current events as a Lebanese Christian national.     

The relationship between habitual physical activity status and executive function in individuals with Alzheimer’s disease: a longitudinal,cross-lagged panel analysis

To determine whether habitual physical activity status specifically influences executive function change in Alzheimer’s disease (AD) over 1 year. In this longitudinal cohort study, 45 participants with AD were recruited and provided follow-up data approximately 1 year later. Executive function measures (map search task, digit symbol substitution task, controlled oral word association task, verbal fluency task) and habitual physical activity measures (Physical Activity Scale for the Elderly (PASE) and handgrip strength) were taken at baseline and follow-up. Individual composites were subsequently created. Additional demographic, lifestyle, and neuropsychiatric measures were also taken. In a structural equation model (χ²(26) = 9.84, p = .998, comparative fit index = 1.00, root mean square error of approximation = .00), a significant association was found between habitual physical activity and executive function change (β = .27, p = .04). In a cross-lagged panel analysis, a significant path was found between the PASE score and executive change (β = .22, p = .01). As higher habitual physical activity levels were associated with reduced executive function change, the promotion of low-intensity habitual physical activities in individuals with a diagnosis of AD may be warranted. Further research is needed, however, to explore the impact of habitual physical activity on the trajectory of change across cognitive domains, and how this relates to the progression of the underlying pathology associated with this disease.