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• W2605072013 abstract "An online survey sample of 166 non-urgent undergraduates, N = 47 (male) and N = 119 (female) waiting to begin counseling after triage found that females had significantly higher anxiety about meeting their assigned (intake) therapist than males. This gender difference of females being higher in counselor meeting anxiety could not be accounted for by gender differences in perceived stigma for receiving psychological help, wait time to begin counseling, or prior counseling activity. However, females had significantly higher generalized mistrust and abuse and also identified anxiety significantly more as their primary mental health issue for seeking counseling. Being aware of the potential for assigned counselor meeting anxiety, which a triage system may exacerbate, can sensitize the assigned intake counselor that it may take longer to establish rapport/build trust with some non-urgent clients (here females). (134 words) Keywords: triage; assigned counselor meeting anxiety; gender differences ********** Ever increasing numbers of students arrive on campus in need of some type of counseling (Gallagher, 2014). One partial solution to help handle the growing demand for services is the triage system. Rockland-Miller and Eells (2006) pointed out that a growing number of University Counseling Centers (UCCs) have adopted triage formats to address both increasing pathology and the increased volume of students seeking services. Triage systems do not have waiting lists per se. Rather, students are briefly seen or screened over the phone and designated as urgent or non-urgent. Students designated as non-urgent still wait after triage, but they have been clinically screened and given an appointment date with an assigned counselor who will complete the intake assessment and begin to provide treatment. However, DiMino and Blau (2012) found a significant positive relationship between wait time (days between triage and intake) and no-show rate for scheduled intake. In explaining this relationship, DiMino and Blau (2012) speculated there may be a lower client feeling of connection to treatment after a brief (usually 20 minutes to a half hour) triage session versus a full intake appointment (generally 60 minutes or longer). Triage clients also typically find out they will have a different assigned therapist to begin counseling. This can create a time and therapist gap between triage and intake. Clients who decide to seek counseling naturally form expectations about counseling. Levitt (1966) first coined the term expectation-reality discrepancy (ERD) to explain how disconfirmation of client expectations can interfere with subsequent counseling. Expectations about counseling have been formally measured (Tinsley & Harris, 1976), including clients' attitudes (e.g., acceptance), counselor characteristics (e.g., directiveness). At triage, non-urgent students may experience an informal type of ERD given the appointment's shorter duration and the subsequent wait time for intake with a different assigned therapist. Can this informal ERD take the form of anxiety about meeting the assigned therapist? Given the recent emergence of triage, no prior research was found exploring a gender difference in anxiety about meeting the assigned therapist. Moore and Owen (2014, p. 181) recently raised the issue of testing for gender differences in the general perceived relationships of pre-counseling functioning to counseling outcomes. Given the lack of prior research testing for a gender difference in anxiety about meeting the assigned therapist, it was tested as a research question. If a gender difference in meeting anxiety was found, what variables could help to account for this difference? Possible variables could include: perceived stigma for receiving psychological help (Komiya, Good & Sherrod, 2000); greater wait time (DiMino & Blau, 2012); prior counseling treatment (Freidman & West, 1987); the primary mental health issue motivating the client to come to therapy (Bishop, Bauer & Trezise Becker, 1998); and general level of trust (Satterfield & Lyddon, 1995). …" @default.
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• W2605072013 date "2016-12-01" @default.
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• W2605072013 title "Exploring Undergraduate Gender Differences in Anxiety about Meeting Their Assigned Therapist." @default.
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