Chris Segrin

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Courses

Scholarly Contributions

Chapters

• Segrin, C. G. (2015). Family conflict. In The SAGE handbook of family communication.
• Segrin, C. G. (2015). Marital communication. In Concise encyclopedia of communication.
• Segrin, C. G. (2020). Mental health problems in family contexts. In The darker side of family communication: The harmful, the morally suspect, and the socially inappropriate.
• Segrin, C. G. (2017). Longitudinal design. In The SAGE encyclopedia of communication research methods(pp 894-896). Thousand Oaks, CA: Sage.
• Segrin, C. G. (2017). Social skills training and adults.. In The SAGE encyclopedia of abnormal and clinical psychology(pp 3239-3240). Thousand Oaks, CA: Sage.

Journals/Publications

• Badger, T. A., Segrin, C., Crane, T. E., Chalasani, P., Arslan, W., Hadeed, M., & Sikorskii, A. (2025). Social Determinants of Health and Symptom Burden During Cancer Treatment. Nursing research, 72(2), 103-113.
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  Cancer survivors (defined as individuals from diagnosis to the end of life) in treatment experience multiple physical and psychological symptoms (e.g., fatigue, pain, depression, anxiety, disturbed sleep) that influence their well-being and treatment outcomes. Underrepresented cancer survivors may disproportionately experience greater symptom burden (number of symptoms, symptom severity, depression, anxiety).
• Segrin, C., Sikorskii, A., Cunicelli, N., & Badger, T. (2025). Moderators of interdependent psychological distress in cancer survivor-caregiver dyads. Journal of psychosocial oncology, 1-19.
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  The purpose of this study was to test dyadic interdependence in psychological distress (anxiety and depressive symptoms) and explore moderators of interdependence among cancer survivors in treatment and their informal caregivers.
• Skiba, M. B., Lind, K. E., Felion, C. M., Krupnik, C., & Segrin, C. (2025). Connected Community Classification (C3): Development, Validation, and Geospatial Application for Population Health Promotion and Equity. Journal of public health management and practice : JPHMP, 30(2), E74-E83.
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  Social determinants of health (SDOH) impact population health. Leveraging community-level strengths related to SDOH through a social infrastructure perspective can optimize health behaviors and health outcomes to promote health equity.
• Thomas Hebdon, M. C., Badger, T. A., Segrin, C., Crane, T. E., & Reed, P. (2025). Social and Cultural Factors, Self-efficacy, and Health in Latino Cancer Caregivers. Cancer nursing, 46(3), E181-E191.
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  Latino cancer caregivers are at risk of physical, mental, and emotional health issues. Sociocultural factors such as informational support, Anglo orientation, and spiritual practice may compound or protect against these risks.
• Badger, T., Segrin, C., Crane, T. E., Chalasani, P., Arslan, W., Hadeed, M., Cunicelli, N., Given, C. W., & Sikorskii, A. (2024). Symptom management interventions influence unscheduled health services use among cancer survivors and caregivers. Journal of cancer survivorship : research and practice.
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  Three sequences of telephone symptom management interventions were tested on use of unscheduled health services among cancer survivors with depressive or anxiety symptoms during treatment (N = 334) and their informal caregivers (N = 333).
• Badger, T., Segrin, C., Crane, T. E., Chalasani, P., Arslan, W., Hadeed, M., Given, C. W., & Sikorskii, A. (2024). A sequential multiple assignment randomized trial of symptom management for cancer survivors during treatment and their informal caregivers. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 32(8), 523.
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  Many cancer survivors and their informal caregivers experience multiple symptoms during the survivor's treatment.
• Badger, T., Segrin, C., Crane, T., Morrill, K., & Sikorskii, A. (2024). Social determinants of health, psychological distress, and caregiver burden among informal cancer caregivers of cancer survivors during treatment. Journal of psychosocial oncology, 42(3), 333-350.
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  This study compared three ethnic/racial groups of informal cancer caregivers on social determinants of health and tested social determinants of health as predictors of psychological distress and caregiver burden.
• Gallegos, M. L., & Segrin, C. (2024). Exploring the Role of Marianismo and Loneliness in Latinas' Physical and Mental Well-Being. Health communication, 39(12), 2884-2895.
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  The goal of this study is to better understand the role of social relationships and traditional gender norms in Latina health. Utilizing Hawkley and Cacioppo's theoretical model of loneliness and health as a framework, loneliness is proposed as a key component in the relationship between the Latina gender norm of marianismo and health. Participants were 178 female adults who identified as Latina ( 97) or non-Latina White ( = 81), ranging in age from 19-88, who completed measures of loneliness, marianismo, depression, overall health, and health practices. Results indicate that being Latina was associated with marianismo, which includes characteristics centered on women's roles as the core of the family, that was associated with lower loneliness, and lower loneliness was subsequently associated with better overall health, lower depression, and beneficial health practices. However, being Latina had no association with marianismo, that in turn had no association with loneliness, or health outcomes. These results suggest that elements of marianismo can play a protective role in Latina health and well-being, particularly when Latinas endorse the positive aspects of the gender norm that place women at the center of their families. Results also help explain the Latino health paradox by providing more specificity in the links between Latina ethnicity and positive health outcomes.
• Jiao, J., Pitts, M. J., & Segrin, C. (2024). Autonomy and overparenting: Are parents of emerging adults being responsive?. Family process, 63(3), 1623-1636.
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  Recognizing the various negative consequences of overparenting for the child such as poor mental health and relationship quality and delayed transition to full adulthood, this study examined to what extent parents of emerging adults were being responsive and tailoring their parenting practices to meet their child's characteristics, such as need for autonomy and trait autonomy. Survey data from 256 parent-emerging adult child dyads were used for analyses. The results showed that parent-reported overparenting was not associated with child-reported autonomy features. Nevertheless, parents engaged in lower levels of tangible assistance and higher levels of advice/affect management if they perceived their child as high in autonomy need or trait autonomy. Collectively, these findings suggest that parents might practice overparenting out of their own desires and needs rather than taking into account their child's developmental needs and traits. Practical recommendations for family therapists are offered.
• King, J. J., Badger, T. A., Segrin, C., & Thomson, C. A. (2024). Loneliness, Spirituality, and Health-Related Quality of Life in Hispanic English-Speaking Cancer Caregivers: A Qualitative Approach. Journal of religion and health, 63(2), 1433-1456.
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  Hispanic caregivers experiencing higher caregiving burden than their non-Hispanic cohorts, due in part to contextual factors, such as barriers to accessing health care, challenging employment environments, low education and income, immigration issues, and minority stress. Spirituality may serve as a coping strategy for Hispanic caregivers that influences health-related quality of life (HRQoL), possibly by modifying loneliness associated with caregiving. We explored these concepts using semi-structured interviews (N = 10 Hispanic caregivers). Participants shared perceptions of loneliness, spirituality, and how these factors related to HRQoL. Five themes emerged: caregiver experience, coping strategies, loneliness, religion and spirituality to gain strength. Findings suggested that spirituality and religion improved HRQoL partially by reducing loneliness. Future programs to improve HRQoL in Hispanic English-speaking cancer caregivers should address spirituality.
• Segrin, C., Jiao, J., & Cooper, R. A. (2024). Social Isolation Mediates the Effects of Negative Emotionality and Resilience on Drinking to Cope and Drinking Alone. Substance use & misuse, 59(13), 1860-1869.
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  The purpose of this research was to test an extension of the incentive motivation model of alcohol by examining effects of personality traits on drinking motives and contexts, as mediated by social isolation. Participants were 1269 adults who resided in the United States ( = 618) or United Kingdom ( = 651) and completed an online questionnaire measuring the traits of negative emotionality and resilience, along with social isolation, drinking motives (coping, social) and drinking contexts (alone, at a party, at a bar/club). Six months later, 70% of the participants returned to complete a similar online questionnaire. Path analysis was used to test the hypothesized models and revealed that negative emotionality had a prospective indirect effect on drinking to cope and drinking alone through increased social isolation over the 6-month period of observation. In contrast, the trait of resilience had a prospective indirect effect on reductions in the drinking to cope motive and reductions in drinking alone, through decreased social isolation. The findings suggest that personality traits that contribute to social isolation may be risk factors for dysfunctional drinking motives and contexts.
• Sikorskii, A., Badger, T., Segrin, C., Crane, T. E., Cunicelli, N., Chalasani, P., Arslan, W., & Given, C. (2024). Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 33(4), 1143-1155.
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  Late or residual symptoms diminish quality of life for many cancer survivors after completion of treatment.
• Skiba, M. B., Badger, T. A., Pace, T. W., Grandner, M. A., Haynes, P. L., Segrin, C., & Fox, R. S. (2024). Patterns of dietary quality, physical activity, and sleep duration among cancer survivors and caregivers. Journal of behavioral medicine.
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  Fruit and vegetable intake (FVI), moderate-to-vigorous physical activity (MVPA), and sleep duration are each independently associated with cancer-related and general health outcomes among cancer survivors. Past research suggests that health behaviors cluster among cancer survivors, with caregivers demonstrating similar patterns. This analysis examined co-occurrence of FVI, MVPA, and sleep duration among cancer survivors and informal cancer caregivers and identified sociodemographic and clinical correlates of health behavior engagement. Using data from the Health Information National Trends Survey (HINTS), an exploratory latent profile analysis (LPA) was conducted among those self-reporting a history of cancer or identifying as a cancer caregiver. The LPA model was fit with daily self-reported FVI (cups/d), MPVA (minutes/d) and sleep duration (hours/d). Multinomial logistic regression models were used to predict profile membership based on sociodemographic and clinical characteristics. Four health behavior profiles were identified (Least Engaged-No MVPA, Least Engaged-Low MVPA, Moderately Engaged, and Highly Engaged). The largest profile membership was Least Engaged-No MVPA, capturing 37% of the sample. Profiles were most distinguished by MVPA, with the lowest variance in sleep duration. Participants reporting higher FVI also often reported greater MVPA and longer sleep duration. Profile membership was significantly associated with age, relationship status, education, income, rurality, alcohol use, self-efficacy, psychological distress, BMI, and cancer type. This study identified four health behaviors patterns and sociodemographic correlates that distinguished those patterns among cancer survivors and caregivers drawn from a nationally representative sample. Results may help identify for whom health behavior interventions could be of greatest benefit.
• Cooper, R. A., & Segrin, C. (2023). When goodbyes matter: The conditional relationship between final conversations and symptoms of depression. Death studies, 47(5), 585-591.
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  An online survey of 528 people who lost someone close to them in the last 5 years was used to test associations between having final conversations (FCs) and depression. The direct effect was nonsignificant, but there were two significant moderation effects. Time since bereavement moderated the FC-depression relationship; there was a negative relationship between FCs and depression shortly following bereavement, but no relationship after more time had passed. The age of the deceased also moderated this relationship; there was a negative relationship between FCs and depression when the deceased was older, but no relationship when the deceased was younger.
• Cordova-Marks, F. M., Valencia, C., Badger, T. A., Segrin, C., & Sikorskii, A. (2023). Depression among Underserved Rural and Urban Caregivers of Latinas with Breast Cancer. Journal Of Human Behavior In The Social Environment, 33(3), 450-464.
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  Among Latino/as, informal caregiving duties are often deemed a family responsibility. Understanding psychological outcomes tied to caregivers of Latina breast cancer survivors is important to identify the impacts of cancer. Secondary analysis of baseline data collected in a randomized clinical trial (RCT) from 230 Latina breast cancer survivor-caregiver dyads. Characteristics of caregivers residing in rural/underserved and urban areas were compared using t- or chi-square tests. General linear models were used to analyze depressive symptoms in relation to residence, survivor-caregiver relationship, acculturation, obligation, reciprocity, and comorbidities. Urban residence was significantly associated with higher levels of depression controlling for survivor-caregiver relationship acculturation, obligation, reciprocity, and comorbidities. Mother caregivers had significantly higher levels of depression than other caregivers. Depression among Latino/a caregiver's providing care to an adult child is an important consideration as Latino/as are less likely to seek out/have access to mental health services than other groups.
• Jiao, J., & Segrin, C. (2023). Moderating the Association Between Overparenting and Mental Health: Open Family Communication and Emerging Adult Children's Trait Autonomy. Journal of child and family studies, 32(3), 652-662.
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  Research shows that overparenting (a.k.a. helicopter parenting) is associated with many child issues, among which disrupted mental health is one of the most consistently observed. The present study aims to examine if open family communication and child trait autonomy alter the associations between overparenting and emerging adult children's general self-efficacy, environmental mastery, anxiety, and depression. Cross-sectional data were collected from college students ( = 442, age = 20.28 years,  = 1.48) in the United States. Results showed that open family communication strengthened the negative association between overparenting and environmental mastery, and trait autonomy weakened the negative association between overparenting and general self-efficacy. None of these two moderators altered the associations between overparenting and child anxiety and depression. The effects of open family communication and trait autonomy in a controlling context are discussed. Overall, notwithstanding the moderation effects observed from open family communication and trait autonomy, the findings suggest that the effects of overparenting might be difficult to buffer.
• Segrin, C., Cooper, R. A., & Jiao, J. (2023). Neighborhood disadvantage has an indirect effect on problem drinking through increased psychological distress. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 37(7), 918-927.
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  Neighborhood disadvantage has been documented as a risk factor for problem drinking. The specific aim of this investigation is to test a model of neighborhood disadvantage, psychological distress, and problem drinking in a demographically and socioeconomically diverse sample.
• Sikorskii, A., Badger, T., Segrin, C., Crane, T. E., Chalasani, P., Arslan, W., Hadeed, M., Morrill, K. E., & Given, C. (2023). A Sequential Multiple Assignment Randomized Trial of Symptom Management After Chemotherapy. Journal of pain and symptom management, 65(6), 541-552.e2.
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  Many cancer survivors experience a lingering symptom burden after chemotherapy.
• Adamczyk, K., Park, J. Y., & Segrin, C. (2022). Patterns of intimacy crisis resolution and their associations with romantic loneliness in Polish and U.S. young adults. Developmental psychology, 58(8), 1600-1613.
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  In Erikson's model of development, intimacy and isolation denote polar outcomes of psychosocial crisis in young adulthood. Drawing on this model, the present study used three-wave longitudinal data to examine patterns of the success and lack of success in the resolution of Eriksonian crisis in relation to romantic loneliness as a negative outcome of the intimacy crisis, and compared across Poland and the United States. The data were collected from Polish and U.S. individuals aged 18-40 for Wave 1 ( = 763). Four patterns of the Eriksonian intimacy crisis were identified: (a) stable partnered status; (b) stable single status; (c) transition from single to partnered status; (d) transition from partnered to single status. In both countries, transition from single to partnered status was related to decreased romantic loneliness. Greater initial romantic loneliness was observed among Polish single adults who transited to partnered status in contrast to stable single adults. In turn, the U.S. partnered adults who transited to single status initially experienced lower romantic loneliness than stable single adults. Bivariate latent growth curve models pairing romantic loneliness with relationship satisfaction revealed that higher initial relationship satisfaction was associated with lower initial romantic loneliness, and a greater increase in relationship satisfaction was associated with smaller increases in romantic loneliness. The findings highlight that different resolutions of the intimacy crisis are related to diverse romantic loneliness and relationship satisfaction trajectories and these associations also appear to differ as a function of various marital and loneliness contexts in Poland and the United States. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
• Crane, T. E., Badger, T. A., Sikorskii, A., Segrin, C., Hsu, C. H., & Rosenfeld, A. G. (2022). Symptom Profiles of Latina Breast Cancer Survivors: A Latent Class Analysis. Nursing research, 69(4), 264-271.
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  Symptom research among Latinas with breast cancer is limited-especially as it relates to multiple co-occurring symptoms.
• King, J. J., Segrin, C., Badger, T. A., & Thomson, C. A. (2022). Exploring the relationship between loneliness, spirituality, and health-related quality of life in Hispanic cancer caregivers. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 30(6), 4781-4788.
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  Caregivers of cancer patients find it challenging to perform their roles and to meet the demands of caregiving. Spirituality has been investigated as a potential coping strategy employed by caregivers, yet spirituality and related practices vary among cultural groups. In this study, we investigated the relationship between spirituality and health-related quality of life (HRQOL) and evaluated mediation effects of loneliness on this relationship. The sample was 234 lower socioeconomic status (SES) Hispanic caregivers of breast cancer survivors using existing data from the Support for Latinas with Breast Cancer and Their Intimate and Family Partners study, funded by the American Cancer Society (Badger, PI). A cross-sectional analysis was conducted at baseline, using self-reported spirituality, loneliness, and HRQOL data collected from 2012 to 2017. The exposures and outcomes were assessed using the Spiritual Well-Being Scale, the Social Isolation-Short Form 8a PROMIS Item Bank v2.0 scale, and the Global Health Scale PROMIS v.1.0/1.1 scale. Descriptive and mediation analyses using the Preacher and Hayes' approach were conducted to estimate the direct effect of spirituality on HRQOL and the indirect effect of spirituality through mediation of loneliness in relation to HRQOL. A positive association between spirituality and HRQOL was found, whereas loneliness was inversely associated with HRQOL (b =  - .18, SE = .03, p 
• McElfresh, J. J., Skiba, M. B., Segrin, C. G., Badger, T. A., Crane, T. E., Crist, J. D., & Thomson, C. A. (2022). Interventions for Loneliness Among Adult Cancer Survivors: A Systematic Review and Meta-Analysis. Journal of psychosocial oncology, 39(4), 509-533.
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  Loneliness is common after cancer, contributing to poor outcomes. Interventions to modify loneliness are needed. This systematic review describes the current literature regarding loneliness interventions in cancer survivors. Databases including: Ovid/MEDLINE; The Cochrane Central Register of Controlled Trials (CENTRAL); Elsevier/Embase; Clarivate/Web of Science (Core Collection), EBSCO/PsycINFO, EBSCO/CINAHL were used to perform a systematic review of literature using PRISMA guidelines. Second, risk of bias, meta-analysis and a narrative synthesis approach was completed to synthesize findings from multiple studies. Six thousand five hundred three studies were initially evaluated; eight studies met inclusion criteria. Findings indicate a paucity of interventions, generally of lower quality. Interventions were feasible and acceptable; those interventions with cultural modifications were more likely to demonstrate effectiveness. There are limited interventions addressing loneliness in cancer survivors. Development and testing of culturally-relevant programs are warranted. Current studies suggest the psychosocial symptom of loneliness is modifiable among adult cancer survivors. Few interventions have been tested and shown to be effectiveness in cancer survivors in the U.S. and none have been tailored for older adult survivors, by patient gender/sex and few for specific race/ethnic groups. Results from this systematic review: a narrative synthesis and meta-analysis can inform future interventions targeting loneliness in this growing, yet vulnerable, adult cancer survivor population.
• Sikorskii, A., Segrin, C., Crane, T. E., Chalasani, P., Arslan, W., Rainbow, J., Hadeed, M., Given, C., & Badger, T. A. (2022). Use of scheduled and unscheduled health services by cancer survivors and their caregivers. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 30(9), 7341-7353.
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  The purpose was to determine predictors of scheduled and unscheduled health services use by cancer survivors undergoing treatment and their informal caregivers.
• Sonney, J., Ward, T., Thompson, H. J., Kientz, J. A., & Segrin, C. (2022). Improving Asthma Care Together (IMPACT) mobile health intervention for school-age children with asthma and their parents: a pilot randomised controlled trial study protocol. BMJ open, 12(2), e059791.
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  Asthma is an incurable, lifelong condition that places children at increased risk for exacerbation, hospitalisation and school absences. Most paediatric asthma interventions target parents alone and are overly prescriptive. Improving Asthma Care Together (IMPACT) is a novel shared management system comprised of a mobile health (mHealth) application, symptom watch and tailored health intervention that pairs parent and child together as an asthma management team. IMPACT helps families monitor asthma status, tailor asthma management strategies and facilitate intentional transition of asthma management to the child. The purpose of this study is to determine the feasibility, acceptability and preliminary efficacy of the IMPACT intervention.
• Adamczyk, K., Barr, A. B., & Segrin, C. (2021). Relationship status and mental and physical health among Polish and American young adults: The role of relationship satisfaction and satisfaction with relationship status. Applied psychology. Health and well-being, 13(3), 620-652.
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  There is growing recognition that relationship factors besides relationship status play an important role in young adults' mental and physical health. This study explored the concurrent (between-individual) and longitudinal (within-individual) associations between relationship status, relationship satisfaction, satisfaction with relationship status, and varied dimensions of health in samples of Polish and U.S. young adults. Data from young adults (aged 18-34 at Wave 1) were collected in a three-wave investigation in Poland and in the USA with one-year intervals between each of the measurements. The cross-sectional analyses demonstrated that individuals in relationships reported better health, particularly if they were in a higher-quality relationship. The fixed-effects models showed that relationship quality was a much more consistent and powerful predictor of health than was relationship status; however, for depression, satisfaction with relationship status was an independent contributor to health. Cross-cultural analyses revealed a stronger link between partner status and depression and emotional well-being, and relationship satisfaction and psychological well-being among Polish young adults than their American counterparts. The results demonstrated that characteristics of relationships and satisfaction with relationship status matter more for changes in health than relationship status alone and that these links may differ by cultural context.
• Adamczyk, K., Morelli, N. M., Segrin, C., Jiao, J., Park, J. Y., & Villodas, M. T. (2021). Psychometric Analysis of the Dating Anxiety Scale for Adolescents in Samples of Polish and U.S. Young Adults: Examining the Factor Structure, Measurement Invariance, Item Functioning, and Convergent Validity. Assessment, 10731911211017659.
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  This study explored whether the Dating Anxiety Scale for Adolescents (DAS-A), which was originally developed in the United States to assess dating anxiety in adolescents, is appropriate for use in samples of young adults from Poland and the United States. The factor structure, measurement invariance across country, gender and relationship status, degree of precision across latent levels of the DAS and the functioning of individual items, and convergent validity were examined in a sample of 309 Polish and 405 U.S. young adults. The confirmatory factor analysis (CFA) supported the original three-factor measurement model of the DAS. Invariance tests revealed factor loadings and item thresholds that differed across subgroups, supporting partial metric and partial scalar invariance. The MIRT analysis showed that all items adequately discriminated participants with low and high anxiety. Dating anxiety latent factor correlations with mental health and interpersonal competence were significant in the expected negative directions. The results call for careful interpretation of research involving the DAS in cultural, gender, and relationship status groups, particularly when the primary goal is to compare mean levels of dating anxiety. Further development of the scale is recommended before it can be used across country, gender, and relationship status groups.
• Badger, T. A., Sikorskii, A., Segrin, C., & Given, C. W. (2021). Supportive health education reduces health care utilization and costs in Latinas with breast cancer and their caregivers. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 29(3), 1225-1233.
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  To compare costs and relative cost savings from reductions in unscheduled health services use for two 8-week psychosocial interventions (telephone interpersonal counseling [TIPC], supportive health education [SHE]) delivered by telephone to Latinas with breast cancer and their informal caregivers. Cost information is required before adopting supportive care interventions as part of routine care. There is limited information on costs of producing supportive care interventions or their impact on service use.
• Crane, T. E., Badger, T. A., O'Connor, P., Segrin, C., Alvarez, A., Freylersythe, S. J., Penaloza, I., Pace, T. W., & Sikorskii, A. (2021). Lifestyle intervention for Latina cancer survivors and caregivers: the Nuestra Salud randomized pilot trial. Journal of cancer survivorship : research and practice, 15(4), 607-619.
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  Assess feasibility, acceptability, and preliminary efficacy of an integrated symptom management and lifestyle intervention (SMLI) to improve adherence to the American Cancer Society's (ACS) Guidelines on Nutrition and Physical Activity in Latina cancer survivors and their informal caregivers (dyads).
• Fanari, A., & Segrin, C. (2021). Longitudinal effects of U.S. students' reentry shock on psychological health after returning home during the COVID-19 global pandemic. International journal of intercultural relations : IJIR, 82, 298-310.
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  Guided by the stress process model (Pearlin, Mullan, Semple, & Skaff, 1990; Pearlin, 1999), the purpose of this longitudinal investigation was to examine the extent to which the stressor of premature forced reentry from studying abroad during the COVID-19 pandemic (e.g., reentry shock, reacculturative stress) was predictive of stress-related compromised mental health (i.e., perceived stress and loneliness) into the subsequent academic year. A total of 133 college students from different U.S. universities completed a short online questionnaire as soon as they came back from their study abroad experience (T1) and approximately six months after (T2), when they were resuming their Fall 2020 academic semester. Consistent with the stress process model, secondary stressors associated with reacculturation were predictive, concurrently and longitudinally, of mental health outcomes, especially loneliness, indicating that students who had the hardest time returning home unexpectedly were at the highest risk for worsened mental health over the following months. These findings reveal that reacculturation following unplanned termination of a study abroad experience is not an event as much as it is a process that unfolds over a period of months, as would be understood from the perspective of the stress process model.
• Gallegos, M. L., & Segrin, C. (2021). Family Connections and the Latino Health Paradox: Exploring the Mediating Role of Loneliness in the Relationships Between the Latina/o Cultural Value of Familism and Health. Health communication, 1-11.
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  This study aims to understand Latina/o health from a social relationships perspective. Specifically, a major goal of the study is to explain how despite disadvantages (e.g., lower income and less education), Latinas/os in some cases have superior health compared to non-Latina/o whites, a phenomenon known as the Latino Health Paradox. Based on the central role of familial relationships in Latina/o culture, and utilizing Hawkley and Cacioppo's theoretical model of loneliness and health as a foundation for the study, the premise underlying this research is that the Latina/o cultural value of has a beneficial impact on health via reduced loneliness. Participants were 255 adults who identified as Latina/o ( 139) or non-Latina/o white ( = 116), ranging in age from 19-88. Results indicate that being Latina/o predicted strong endorsement of familism, that predicted lower loneliness, and lower loneliness subsequently predicted better overall health, mental health, and health practices. These results suggest that the cultural value of familism provides health-related benefits for Latinas/os, which contributes to understanding the Latino health paradox. Results also underscore the value of including loneliness in studies examining the impact of cultural values on health, as only loneliness had statistically significant direct associations with all three health outcomes.
• Gallegos, M. L., Segrin, C., & Thompson, A. (2021). Parent-Child Relationships and the Health of Incarcerated Mothers: Exploring the Mediating Role of Loneliness. Health communication, 1-12.
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  The current study utilizes Hawkley, Cacioppo, and colleagues' model of loneliness and health to examine the influence of parent-child relationships on the health of incarcerated women. Participants were 121 incarcerated female adults who have at least one child, and who completed a questionnaire with measures of parental involvement, parent-child closeness, loneliness, overall health, physical functioning, depression, and anxiety. Results reveal that among incarcerated women, perceptions of close and involved relationships with their children were associated with less loneliness, and less loneliness was associated with better overall health and physical functioning, as well as lower depression and anxiety. Findings highlight the importance of including loneliness in studies that examine the impact of parent-child relationships on health, especially for this vulnerable population, and suggest that it is worthwhile to engage in efforts to help incarcerated women maintain close and involved relationships with their children through high-quality communication.
• Hebdon, M., Badger, T. A., Segrin, C., & Pasvogel, A. (2021). Social support and healthcare utilization of caregivers of Latinas with breast cancer. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 29(8), 4395-4404.
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  Family caregivers experience significant health consequences related to caregiving, including higher mortality rates. Latino caregivers may have additional challenges related to social determinants of health. Gender and social support are key factors to consider in the context of chronic illnesses and healthcare use in caregivers of Latinos diagnosed with cancer.
• Pace, T. W., Badger, T. A., Segrin, C., Sikorskii, A., & Crane, T. E. (2021). The Relationship Between Health-Related Quality of Life and Saliva C-Reactive Protein and Diurnal Cortisol Rhythm in Latina Breast Cancer Survivors and Their Informal Caregivers: A Pilot Study. Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 32(4), 326-335.
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  To date, no study has explored associations between objective stress-related biomarkers (i.e., inflammatory markers, diurnal rhythm of cortisol) and health-related quality of life (HRQOL) in Latina breast cancer survivors and their informal caregivers (i.e., family, friends). This cross-sectional feasibility study assessed saliva C-reactive protein, saliva diurnal cortisol rhythm (cortisol slope), and self-reported HRQOL (psychological, physical, and social domains) in 22 Latina survivor-caregiver dyads. Feasibility was defined as ≥85% samples collected over 2 days (on waking, in afternoon, and in evening). Associations between biomarkers and HRQOL were examined with correlational analyses. Collection of saliva was feasible. Strongest associations were observed between survivor evening cortisol (as well as cortisol slope) and fatigue, a component of physical HRQOL. Associations presented may help promote investigations of mechanisms linking stress-related biomarkers and HRQOL in Latina breast cancer survivor-caregiver dyads, which will facilitate development of culturally congruent interventions for this underserved group.
• Segrin, C., Jiao, J., & Cooper, R. A. (2021). Neighborhood Disadvantage and Mental Health: Test of a Parallel Mediation Model through Social Support and Negative Emotionality. Health communication, 1-9.
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  According to the life stress model, stressful circumstances occur in the context of social, psychological, and environmental features that can function as either resources or aggravating factors, each of which are associated with well-being. This research was designed to test indirect effects of living in disadvantaged neighborhoods on mental health, through reduced social support and increased negative emotionality. This model was tested with data from a national sample of 1050 adults residing in the United States. Participants completed measures of social support, negative emotionality, depression, loneliness, stress, and alcohol consumption. These scores were merged with data from the 2015 American Community Survey to assess indicators of neighborhood disadvantage at the zip code level. The test of a parallel mediation model with structural equation modeling indicated that neighborhood disadvantage did not have direct effects on either psychological distress or alcohol consumption. However, neighborhood disadvantage was associated with greater negative emotionality, and through negative emotionality, exhibited indirect effects on psychological distress and alcohol consumption. These results are consistent with elements of the life stress model that specify various psychosocial traits as maladaptive in the context of stressful environments.
• Badger, T. A., Segrin, C., Sikorskii, A., Pasvogel, A., Weihs, K., Lopez, A. M., & Chalasani, P. (2020). Randomized controlled trial of supportive care interventions to manage psychological distress and symptoms in Latinas with breast cancer and their informal caregivers. Psychology \& Health, 35(1), 87--106.
• Crane, T. E., Badger, T. A., Sikorskii, A., Segrin, C., Hsu, C., & Rosenfeld, A. G. (2020). Symptom Profiles of Latina Breast Cancer Survivors: A Latent Class Analysis. Nursing research, 69(4), 264--271.
• Segrin, C., Badger, T. A., Sikorskii, A., Pasvogel, A., Weihs, K., Lopez, A. M., & Chalasani, P. (2020). Longitudinal dyadic interdependence in psychological distress among Latinas with breast cancer and their caregivers. Supportive care in cancer, 28(6), 2735--2743.
• Segrin, C., Burke, T. J., & Kauer, T. (2020). Overparenting is associated with perfectionism in parents of young adults.. Couple and Family Psychology: Research and Practice, 9(3), 181.
• Badger, T. A., Sikorskii, A., & Segrin, C. (2019). Contextual and Cultural Influences on Caregivers of Hispanic Cancer Survivors. Seminars in oncology nursing, 35(4), 359-362.
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  To discuss contextual factors (barriers to accessing health care, immigration issues, minority stress, low education/income, challenging employment environments) and cultural values (familism, espíritu, confianza, marianismo, machismo) of Hispanic caregivers that may influence the caregiving experience.
• Badger, T., Segrin, C., Hepworth, J., Pasvogel, A., & Lopez, A. M. (2013). Counseling and health education delivered by telephone and skype to improve quality of life for breast cancer survivors and supportive partners. Psycho-Oncology, 22, 143-144.
• Badger, T., Segrin, C., Pasvogel, A., & Lopez, A. M. (2013). The effect of psychosocial interventions delivered by telephone and videophone on quality of life in early-stage breast cancer survivors and their supportive partners.. Journal of telemedicine and telecare, 19, 260-5.
• Crane, T. E., Badger, T. A., Sikorskii, A., Segrin, C., Hsu, C. H., & Rosenfeld, A. G. (2019). Trajectories of Depression and Anxiety in Latina Breast Cancer Survivors. Oncology nursing forum, 46(2), 217-227.
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  To identify subgroups of Latina breast cancer survivors with unique trajectories of depression and anxiety and examine predictors associated with these subgroups.
• Pace, T. W., Dodds, S. E., Sikorskii, A., Badger, T. A., Segrin, C., Negi, L. T., Harrison, T., & Crane, T. E. (2019). Cognitively-Based Compassion Training versus cancer health education to improve health-related quality of life in survivors of solid tumor cancers and their informal caregivers: study protocol for a randomized controlled pilot trial. Trials, 20(1), 247.
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  Cancer survivors and their informal caregivers (family members, close friends) often experience significant impairments in health-related quality of life (HRQOL), including disruptions in psychological, physical, social, and spiritual well-being both during and after primary cancer treatment. The purpose of this in-progress pilot trial is to determine acceptability and preliminary efficacy (as reflected by effect sizes) of CBCT® (Cognitively-Based Compassion Training) compared with a cancer health education (CHE) attention control to improve the primary outcome of depressive symptoms and secondary outcomes of other HRQOL domains (e.g., anxiety, fatigue), biomarkers of inflammation and diurnal cortisol rhythm, and healthcare utilization-related outcomes in both cancer survivors and informal caregivers.
• Segrin, C. (2019). Indirect Effects of Social Skills on Health Through Stress and Loneliness. Health communication, 34(1), 118-124.
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  The social skills deficit vulnerability model predicts that people with inadequate social skills are at risk for a range of psychosocial problems, especially when confronted with stress. People with poor social skills often experience stress and loneliness and these two constructs were tested as potential pathways by which the poor social skills confer a risk for compromised mental and physical health. An online survey was completed by 775 adults, aged 18-91. The sample matched national demographics for race/ethnicity and age, among those over 18. Structural equation modeling revealed indirect effects of social skills on both mental and physical health through both stress and loneliness. The models showed that poor social skills were associated with poor mental and physical health through elevated stress and increased loneliness. The findings reveal that social skills deficits are associated with physical as well as mental health problems.
• Segrin, C., & Badger, T. a. (2013). Interdependent psychological distress between Latinas with breast cancer and their supportive partners.. Journal of Latina/o Psychology, 1, 21-34.
• Segrin, C., Badger, T. A., Sikorskii, A., Pasvogel, A., Weihs, K., Lopez, A. M., & Chalasani, P. (2019). Longitudinal dyadic interdependence in psychological distress among Latinas with breast cancer and their caregivers. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer.
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  Cancer diagnosis and treatment can generate substantial distress for both survivors and their family caregivers. The primary aim of this investigation is to test a model of dyadic interdependence in distress experienced by cancer survivors and their caregivers to determine if each influences the other.
• Segrin, C., Badger, T., & Sikorskii, A. (2019). Psychological Distress and Social Support Availability in Different Family Caregivers of Latinas With Breast Cancer. Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 1043659619896824.
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  Latinas with breast cancer draw on a diverse range of family members for informal care. Latin cultures typically prescribe high levels of support and care for an ill family member that leave caregivers vulnerable to compromised well-being. In this cross-sectional survey study, 258 family caregivers of Latinas with breast cancer completed reports of psychological distress, availability of social support, and acculturation. Mothers who provide care to a daughter with breast cancer experience higher levels of psychological distress and report lower availability of informational support than most other types of family caregivers. Mothers' lower levels of acculturation may at least partially explain these reductions in well-being. This study highlights the diverse range of family and fictive kin who participate in family caregiving for Latina breast cancer survivors. Spousal caregivers may not represent a unique population, whereas mothers as caregivers are indeed distinct for their higher distress levels.
• Woszidlo, A., & Segrin, C. (2013). Direct and Indirect Effects of Newlywed Couples' Neuroticism and Stressful Events on Marital Satisfaction Through Mutual Problem Solving. Marriage & Family Review, 49, 520-545.
• Adamczyk, K., Segrin, C., Pavlich, C. A., & Osowiecka, M. (2018). CULTURAL AND INDIVIDUAL DIFFERENCES IN DATING ANXIETY AMONG AMERICAN AND POLISH YOUNG ADULTS. Psychological Applications and Trends, 14.
• Arroyo, A., Segrin, C., & Andersen, K. K. (2018). Examining the Role of Expressed Emotion in the Intergenerational Transmission of Mental Health Problems. Journal of Social and Clinical Psychology, 37(10), 812--834.
• BADGER, T., & SEGRIN, C. (2018). Female Caregivers of Male Cancer Patients. Gender in Psycho-Oncology.
• Burke, T. J., Segrin, C., & Farris, K. L. (2018). Young adult and parent perceptions of facilitation: Associations with overparenting, family functioning, and student adjustment. Journal of Family Communication, 18(3), 233--247.
• Segrin, C., Badger, T. A., & Sikorskii, A. (2018). A dyadic analysis of loneliness and health-related quality of life in Latinas with breast cancer and their informal caregivers. Journal of psychosocial oncology, 1--15.
• Segrin, C., McNelis, M., & Pavlich, C. A. (2018). Indirect effects of loneliness on substance use through stress. Health communication, 33(5), 513--518.
• Arroyo, A., Segrin, C., & Andersen, K. K. (2017). Intergenerational transmission of disordered eating: Direct and indirect maternal communication among grandmothers, mothers, and daughters. Body image, 20, 107--115.
• Arroyo, A., Segrin, C., Harwood, J., & Bonito, J. A. (2017). Co-rumination of fat talk and weight control practices: an application of confirmation theory. Health communication, 32(4), 438--450.
• Badger, T., Segrin, C., Swiatkowski, P., McNelis, M., Weihs, K., & Lopez, A. M. (2017). Why Latinas with breast cancer select specific informal caregivers to participate with them in psychosocial interventions. Journal of Transcultural Nursing, 28(4), 391--397.
• Bowers, J. R., & Segrin, C. (2017). Transitional instability, psychological health, and sexual risk taking among college students. Journal of Student Affairs Research and Practice, 54(4), 400--414.
• Burke, T. J., & Segrin, C. (2017). Weight-related social control in couples: associations with motives, constraints, and health behaviors. Communication Research, 44(3), 348--366.
• Dorros, S. M., Segrin, C., & Badger, T. A. (2017). Cancer survivors' and partners'key concerns and quality of life. Psychology, Health, & Medicine, 32(11), 1407--1427.
• Pavlich, C. A., Rains, S. A., & Segrin, C. (2017). The Nonverbal Bully: Effects of Shouting and Conversational Distance on Bystanders’ Perceptions. Communication Reports, 30(3), 129--141.
• Segrin, C., McNelis, M., & Pavlich, C. A. (2017). Indirect effects of loneliness on substance use through stress. Health communication, 1--6.
• Segrin, C., Pavlich, C. A., & McNelis, M. (2017). Transitional Instability Predicts Polymorphous Distress in Emerging Adults. The Journal of psychology, 151(5), 496--506.
• Sonney, J. T., Segrin, C., & Ward, T. M. (2017). Associations Among Behavioral Sleep Disturbance, Family Functioning, and Controller Medication Adherence in Children with Asthma. Journal of Developmental \& Behavioral Pediatrics, 38(3), 208--214.
• Sonney, J., Insel, K. C., Segrin, C., Gerald, L. B., & Moore, I. (2017). Association of Asthma Illness Representations and Reported Controller Medication Adherence Among School-Aged Children and Their Parents. Journal of Pediatric Health Care, 31(6), 703--712.
• Adamczyk, K., & Segrin, C. (2016). The Mediating Role of Romantic Desolation and Dating Anxiety in the Association Between Interpersonal Competence and Life Satisfaction Among Polish Young Adults. Journal of adult development, 23(1), 1--10.
• Arroyo, A., Segrin, C., & Curran, T. M. (2016). Maternal care and control as mediators in the relationship between mothers’ and adult children’s psychosocial problems. Journal of Family Communication, 16(3), 216--228.
• Arroyo, A., Segrin, C., Harwood, J., & Bonito, J. A. (2016). Co-rumination of fat talk and weight control practices: An application of confirmation theory. Health Communication, 1--13.
• Badger, T., Segrin, C., Swiatkowski, P., McNelis, M., Weihs, K., & Lopez, A. M. (2016). Why Latinas With Breast Cancer Select Specific Informal Caregivers to Participate With Them in Psychosocial Interventions. Journal of Transcultural Nursing, 1043659616656391.
• Bowers, J. R., Segrin, C., & Joyce, N. (2016). The role of transitional instability, psychological distress, and dysfunctional drinking in emerging adults’ involvement in risky sex. Journal of Social and Personal Relationships, 33(8), 1097--1119.
• Givertz, M., Burke, T., Segrin, C., & Woszidlo, A. (2016). Attachment orientation moderates the relationship between dedication and constraint commitment and felt constraint in married couples.. Couple and Family Psychology: Research and Practice, 5(1), 1.
• Givertz, M., Segrin, C., & Woszidlo, A. (2016). Direct and indirect effects of commitment on interdependence and satisfaction in married couples.. Journal of Family Psychology, 30(2), 214.
• Givertz, M., Woszidlo, A., Segrin, C., & Jia, Q. (2016). Direct and indirect effects of attachment orientation on relationship quality and constraint commitment in married couples. Journal of Family Studies, 1--18.
• Segrin, C. (2016). Pragmatics of Human Communication. The International Encyclopedia of Interpersonal Communication.
• Segrin, C., & Flora, J. (2016). Family Conflict is Detrimental to Physical and Mental Health. Communicating Interpersonal Conflict in Close Relationships: Contexts, Challenges, and Opportunities, 130.
• Segrin, C., McNelis, M., & Swiatkowski, P. (2016). Social skills, social support, and psychological distress: A test of the Social Skills Deficit Vulnerability Model. Human Communication Research, 42(1), 122--137.
• Segrin, C., McNelis, M., & Swiatkowski, P. (2016). Social support indirectly predicts problem drinking through reduced psychological distress. Substance use \& misuse, 51(5), 608--615.
• Adamczyk, K., & Segrin, C. (2015). Direct and Indirect Effects of Young Adults’ Relationship Status on Life Satisfaction through Loneliness and Perceived Social Support. Psychologica Belgica, 55(4).
• Badger, T. A., Segrin, C. G., & Pasvogel, A. (2015). Loneliness and emotional support predict physical and psychological distress in Latinas with breast cancerand their supportive partners. The Open Psychology Journal, 8(1), 105-112. doi:10.2174/1874350101508010105
• Bowers, J. R., Segrin, C., & Joyce, N. (2015). The role of transitional instability, psychological distress, and dysfunctional drinking in emerging adults’ involvement in risky sex. Journal of Social and Personal Relationships, 0265407515617621.
• Burke, T. J., & Segrin, C. (2015). Weight-Related Social Control in Couples Associations With Motives, Constraints, and Health Behaviors. Communication Research, 0093650215590606.
• Segrin, C., & Burke, T. J. (2015). Loneliness and Sleep Quality: Dyadic Effects and Stress Effects. Behavioral sleep medicine, 13(3), 241--254.
• Segrin, C., Badger, T., & Pasvogel, A. (2015). Loneliness and emotional support predict physical and psychological distress in latinas with breast cancer and their supportive partners. The Open Psychology Journal, 8(1).
• Segrin, C., McNelis, M., & Swiatkowski, P. (2015). Social Skills, Social Support, and Psychological Distress: A Test of the Social Skills Deficit Vulnerability Model. Human Communication Research.
• Segrin, C., Nevarez, N., Arroyo, A., & Harwood, J. (2015). Family of origin environment and adolescent bullying predict young adult loneliness. The Journal of psychology, 146(1-2), 119-34.
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  This study tested parental loneliness, family of origin environment, and a history of being bullied as predictors of loneliness in young adults. The role of social skills in young adults' loneliness was also examined. Participants were 111 young-adult-parent dyads who completed measures of loneliness and the family communication environment. In addition, young adults completed measures of social skills and history of being bullied. Predictions were tested with structural equation modeling, path analysis, and multiple regression analysis. Results showed that parental loneliness and a history of being bullied were each significant predictors of young adult loneliness. A family environment that supported open communication was negatively associated with young adults' loneliness. Parental loneliness and a history of being bullied each had direct effects on young adults' loneliness as well as indirect effects through reduced social skills.
• Burke, T. J., & Segrin, C. (2014). Examining diet- and exercise-related communication in romantic relationships: associations with health behaviors. Health communication, 29(9), 877-87.
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  This study examined the association between diet- and exercise-related social influence and support among romantic partners, as well as whether these variables were associated with their health behaviors. An Actor-Partner Mediator Model was used to examine these associations at the couple level (n = 192). Results indicated that individuals who felt their partners used more positive influence strategies also reported feeling more supported by their partners. Further, men who reported feeling more supported by their partners also engaged in healthier diet and exercise behaviors. Overall, the results suggested that people's perceptions of positive communication (i.e., influence and support) from their partners were generally more likely to be associated with their enactment of healthier behaviors. Implications for intrapersonal as well as interpersonal effects of influence, support, and health behaviors are discussed.
• Dennison, R. P., Koerner, S. S., & Segrin, C. (2014). A dyadic examination of family-of-origin influence on newlyweds' marital satisfaction. Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 28(3), 429-35.
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  The present study examined the influence of family-of-origin characteristics on current newlywed husbands' and wives' marital satisfaction, as well as possible mediation by current conflict resolution style. Results of a series of structural equation models, based on the Actor-Partner Interdependence Model (APIM), indicated that the family-of-origin characteristics (e.g., parental divorce, interparental conflict) were associated with lower marital satisfaction, especially for wives. Mixed evidence was found to indicate that conflict resolution style may partially mediate this relationship. Current findings provide evidence to support the phenomenon of the intergenerational transmission of marital quality found in the extant literature, but add to this literature by utilizing the APIM, including dyadic data collection and analyses techniques. Interpretations and implications are discussed, and future directions for research are suggested.
• Segrin, C., & Badger, T. A. (2014). Psychological and physical distress are interdependent in breast cancer survivors and their partners. Psychology, health & medicine, 19(6), 716-23.
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  Breast cancer diagnosis and treatment negatively affect quality of life in survivors and their supportive partners. The purpose of this investigation was to assess the degree of dyadic interdependence in psychological and physical symptom distress in dyads adjusting to breast cancer.
• Segrin, C., & Burke, T. J. (2014). Loneliness and Sleep Quality: Dyadic Effects and Stress Effects. Behavioral sleep medicine.
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  The aims of this investigation are to determine whether loneliness is associated with a person's own sleep quality and sleep quality of their partner, and to test stress as a potential mediator. Participants were 255 couples in married (75%) or cohabiting relationships who completed self-report measures of loneliness, sleep quality, stress, and depression. Results of Actor-Partner Interdependence analyses replicated findings in the literature showing an association between loneliness and poor sleep quality. The more lonely a male participant was, the lower his partner's sleep quality. In addition, the more lonely participants were, the higher they rated their partner's sleep disturbance. There were significant indirect effects of loneliness on poor sleep quality through increased stress, even after controlling for depression.
• Badger, T. A., Segrin, C. G., Lopez, A., & Pasvogel, A. (2013). The effect of psychosocial interventions delivered by telephone or videophone on quality of life of early-stage breast cancer survivors and their supportive partners. Journal of Telemedicine and Telecare, 19(5), 260-265. doi:101177/135763X13492289
• Badger, T. A., Segrin, C., Figueredo, A. J., Harrington, J., Sheppard, K., Passalacqua, S., Pasvogel, A., & Bishop, M. (2013). Who benefits from a psychosocial counselling versus educational intervention to improve psychological quality of life in prostate cancer survivors?. Psychology & health, 28(3).
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  We examined selected survivor characteristics to determine what factors might moderate the response to two psychosocial interventions.
• Badger, T. A., Segrin, C., Figueredo, A. J., Harrington, J., Sheppard, K., Passalacqua, S., Pasvogel, A., & Bishop, M. (2013). Who benefits from a psychosocial counselling versus educational intervention to improve psychological quality of life in prostate cancer survivors?. Psychology and Health, 28(3), 336-354.
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  PMID: 23045995;PMCID: PMC3574213;Abstract: Objective: We examined selected survivor characteristics to determine what factors might moderate the response to two psychosocial interventions.Design: Seventy-one prostate cancer survivors (PCSs) were randomly assigned to either a telephone-delivered health education (THE) intervention or a telephone-delivered interpersonal counselling (TIP-C) intervention.Measures: Psychological quality of life (QOL) outcomes included depression, negative and positive affect, and perceived stress.Results: For three of the psychological outcomes (depression, negative affect and stress), there were distinct advantages from participating in THE. For example, more favourable depression outcomes occurred when men were older, had lower prostate specific functioning, were in active chemotherapy, had lower social support from friends and lower cancer knowledge. Participating in the TIP-C provided a more favourable outcome for positive affect when men had higher education, prostate specific functioning, social support from friends and cancer knowledge.Conclusion: Unique survivor characteristics must be considered when recommending interventions that might improve psychological QOL in PCSs. Future research must examine who benefits most and from what components of psychosocial interventions to enable clinicians to recommend appropriate psychosocial care. © 2013 Copyright Taylor and Francis Group, LLC.
• Badger, T. A., Segrin, C., Hepworth, J. T., Pasvogel, A., Weihs, K., & Lopez, A. M. (2013). Telephone-delivered health education and interpersonal counseling improve quality of life for Latinas with breast cancer and their supportive partners. Psycho-oncology, 22(5), 1035-42.
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  This study aims to test two telephone-delivered interventions for their efficacy in improving quality of life (QOL) (psychological, physical, social, and spiritual) among Latinas with breast cancer and their family members or friends (labeled supportive partners in this study).
• Badger, T., Segrin, C., Pasvogel, A., & Lopez, A. M. (2013). The effect of psychosocial interventions delivered by telephone and videophone on quality of life in early-stage breast cancer survivors and their supportive partners. Journal of telemedicine and telecare, 19(5), 260-5.
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  We examined the effectiveness of two psychosocial interventions for improving QOL in recently diagnosed breast cancer survivors and their partners. The interventions were telephone health education (THE) and interpersonal counselling. The latter was delivered by telephone (TC) or by videophone (VC) in 8 weekly one-to-one sessions. Fifty two dyads composed of a woman with breast cancer and her supportive partner were randomly assigned to THE, TC or VC. The average age of the survivors was 53 years (range 40-66), and they were mainly white, married, with a college education, and employed. Approximately half of the supportive partners were spouses. Surveys of quality of life (QOL) were made at three points in the study, each separated by 8 weeks. There was significantly higher attrition in the THE group compared to the videophone or telephone counselling groups among both survivors (44% vs. 10% and 8%) and partners (44% vs. 10% and 15%). Regardless of group, participants showed increased QOL over time. Survivors' and partners' social well-being improved in the telephone and videophone interpersonal counselling treatment groups, but not in the health education group. Telephone-delivered psychosocial interventions can be effective for managing QOL in breast cancer survivors and their supportive partners. There was no evidence of superior outcomes associated with using videophones over the conventional telephone.
• Segrin, C. G. (2013). Direct and indirect effects of attachment orientation on relationship quality and loneliness in married couples. Journal of Social and Personal Relationships.
• Segrin, C. G. (2013). Direct and indirect effects of newlywed couples neuroticism and stressful events on marital satisfaction through mutual problem solving. Marriage and Family Review.
• Segrin, C. G. (2013). Interdependent psychological distress between Latinas with breast cancer and their supportive partners. Journal of Latina/o Psychology.
• Segrin, C. G. (2013). Parent and child traits associated with overparenting. Journal of Social and Clinical Psychology.
• Segrin, C. G. (2013). The intergenerational transmission of social skills and psychosocial problems among parents and their young adult children. Journal of Family Communication.
• Segrin, C. G., & Badger, T. A. (2013). Interdependent psychological distress between Latinas with breast cancer and their supportive partners. Journal of Latino/a Psychology, 1(1), 21-34.
• Passalacqua, S. A., & Segrin, C. (2012). The effect of resident physician stress, burnout, and empathy on patient-centered communication during the long-call shift. Health communication, 27(5), 449-56.
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  During the long-call shift medical residents experience a number of stressors that could compromise the quality of care they provide to their patients. The aim of this study was to investigate how perceived stress and burnout affect changes in empathy over the long-call shift and how those changes in empathy are associated with patient-centered communication practices. Residents (n=93) completed self-report measures of stress, burnout, and empathy at the start of their long-call shift and then completed measures of empathy and patient-centered communication at the end of the same shift. There was a significant decline in physician empathy from the beginning to the end of the long-call shift. Perceived stress was significantly associated with higher burnout, which was, in turn, significantly associated with declines in empathy from pre- to posttest. Declines in empathy predicted lower self-reported patient-centered communication during the latter half of the shift. This study suggests that residents who perceive high levels of stress are at risk for burnout and deterioration in empathy toward their patients, both of which may compromise the quality of their interactions with patients.
• Segrin, C. G. (2012). ). Family of origin environment and adolescent bullying predict young adult loneliness..
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  ;Full Citation: Segrin, C., Nevarez, N., Arroyo, A., & Harwood, J. (2012). Family of origin environment and adolescent bullying predict young adult loneliness. The Journal of Psychology, 146, 119-134.;
• Segrin, C. G. (2012). Identity style during the transition to adulthood: The role of family communication patterns, perceived support, and affect..
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  ;Full Citation: Bosch, L.A., Segrin, C., Curran, M.A. (2012). Identity style during the transition to adulthood: The role of family communication patterns, perceived support, and affect. Identity, 12, 275-295.;
• Segrin, C. G. (2012). Interdependent psychological quality of life in dyads adjusting to prostate canceradolescent bullying predict young adult loneliness.
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  ;Full Citation: Segrin, C., Badger, T.A., & Harrington, J. (2012). Interdependent psychological quality of life in dyads adjusting to prostate cancer. Health Psychology, 31, 70-79.;
• Segrin, C. G. (2012). Loneliness and poor health within families.
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  ;Full Citation: Segrin, C., Burke, T.J., & Dunivan, M. (2012). Loneliness and poor health within families. Journal of Social and Personal Relationships, 29, 597-611.;
• Segrin, C. G. (2012). Social skills, family conflict, and loneliness in families. Communication Reports.
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  ;Full Citation: Burke, T., Woszidlo, A., & Segrin, C. (2012). Social skills, family conflict, and loneliness in families. Communication Reports, 25, 75-87.;
• Segrin, C. G. (2012). The association between overparenting, parent-child communication, and entitlement and adaptive traits in adult children..
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  ;Full Citation: Segrin, C., Woszidlo, A., Givertz, M., Bauer, A., & Taylor, M. (2012). The association between overparenting, parent-child communication, and entitlement and adaptive traits in adult children. Family Relations, 61, 237;
• Segrin, C. G. (2012). The association between parent and adult child shyness and social skills on their family environment..
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  ;Full Citation: Arroyo, A., Nevarez, N., Segrin, C., & Harwood, J. (2012). The association between parent and adult child shyness and social skills on their family environment. Journal of Family Communication, 12, 249-264.;
• Segrin, C. G. (2012). The effect of resident physician stress, burnout, and empathy on patient-centered communication..
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  ;Full Citation: Passalacqua, S., & Segrin, C. (2012). The effect of resident physician stress, burnout, and empathy on patient-centered communication. Health Communication, 27, 449-456.;
• Segrin, C., Badger, T. A., & Harrington, J. (2012). Interdependent psychological quality of life in dyads adjusting to prostate cancer. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 31(1), 70-9.
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  Prostate cancer negatively influences quality of life (QOL) in survivors and the people with whom they are close. The purpose of this investigation was to assess the degree of dyadic interdependence in psychological QOL in dyads adjusting to prostate cancer and its treatment.
• Badger, T. A., Segrin, C., Figueredo, A. J., Harrington, J., Sheppard, K., Passalacqua, S., Pasvogel, A., & Bishop, M. (2011). Psychosocial interventions to improve quality of life in prostate cancer survivors and their intimate or family partners. Quality of Life Research, 20(6), 833-844.
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  PMID: 21170682;PMCID: PMC3117079;Abstract: Purpose: The primary purpose was to test the effectiveness of two telephone-delivered psychosocial interventions for maintaining and improving quality of life (QOL) (psychological, physical, social, and spiritual well-being) among 71 prostate cancer survivors and the 70 intimate or family partners who were supporting them in their recovery. Methods: This study used a three-wave repeated measures experimental design. Both the interpersonal counseling intervention (TIP-C) and health education attention condition (HEAC) were delivered using the telephone. Results: Improvements in depression, negative affect, stress, fatigue, and spiritual well-being were significantly higher for survivors in the HEAC than for those in the TIP-C condition. Partners in the HEAC condition showed significantly greater improvements in depression, fatigue, social support from family members, social well-being, and spiritual well-being compared to partners in the TIP-C condition. The results revealed superior outcomes for those assigned to the HEAC intervention. Conclusions: The psychosocial interventions in this study were effective in maintaining or improving the QOL for prostate cancer survivors and their partners. Both the survivor and their intimate partner or family member benefitted from the interventions. Future research is needed to determine the optimal timing and client characteristics for each intervention. © 2010 Springer Science+Business Media B.V.
• Segrin, C. G., Badger, T. A., & Figueredo, A. J. (2011). Stage of disease progression moderates the association between social support and depression in prostate cancer survivors. Journal of Psychosocial Oncology, 29, 552-560. doi:10.1037/a0023975

Proceedings Publications

• Badger, T., Sikorskii, A., Segrin, C., & Given, B. (2020). Symptom management interventions for cancer survivors: Cost and health service use outcomes. In PSYCHO-ONCOLOGY, 29.
• Crane, T., Sikorskii, A., Badger, T., Segrin, C., & Pace, T. (2020). Integrated intervention for managing psychological distress and improving adherence to ACS guidelines on nutrition and physical activity in Latinas with cancer and their informal caregivers: Results from a randomized pilot trial. In PSYCHO-ONCOLOGY, 29.
• Pace, T., Dodds, S., Sikorskii, A., Kobayashi, U., Badger, T., Segrin, C., Negi, L., Harrison, T., & Crane, T. (2020). Cognitively-based compassion training to improve health-related quality of life in solid tumor cancer survivors and their informal caregivers: Findings from a pilot randomized trial. In PSYCHO-ONCOLOGY, 29.
• Badger, T., Segrin, C., Weihs, K., & Lopez, A. M. (2015). Telephone Health Education and Counseling with Latinas Improve Psychological Distress. In PSYCHO-ONCOLOGY, 24, 272--272.

Presentations

• Pace, T. W., Sikorskii, A., Segrin, C. G., Badger, T. A., & Crane, T. E. (2018, Fall). Personalizing Symptom Management Interventions: Symptom Burden among Latinas with Breast Cancer and Their Informal Caregivers. State of the Science Congress. Washington DC: American Academy of Nursing.
• Pace, T. W., Sikorskii, A., Segrin, C. G., Badger, T. A., & Crane, T. E. (2018, Spring). Body Mass Index and Depression among Latina Breast Cancer Survivors. American Psycosocial Oncology Society Annual Meeting. Tucson, AZ: American Psycosocial Oncology Society.
• Pace, T. W., Sikorskii, A., Segrin, C. G., Badger, T. A., & Crane, T. E. (2018, Spring). Depression and Anxiety is Associated with Body Mass Index, but not Fatigue among Latina Breast Cancer Survivors. Western Institute of Nursing Annual Meeting. Spokane, WA: Western Institute of Nursing.
• Crane, T. E., Badger, T. A., Segrin, C. G., Hsu, C., Sikorskii, A., & Rosenfeld, A. G. (2017, February). Symptom Clusters in Latinas with Breast Cancer. APOS. Tampa Florida: APOS.
• Crane, T. E., Badger, T. A., Segrin, C. G., Hsu, C., Sikorskii, A., & Rosenfeld, A. G. (2017, February). Symptom Clusters in Latinas with Breast Cancer. American Psychosocial Oncology Society. Orlando, Florida: APOS.
• Crane, T. E., Badger, T. A., Segrin, C. G., Hsu, C., Sikorskii, A., & Rosenfeld, A. G. (2017, Spring). Symptom clusters in Latinas with breast cancer.. WIN. Denver, CO: Western Institute of Nursing 50th Annual Conference.
• Crane, T. E., Badger, T. A., Segrin, C. G., Pasvogel, A., Crane, T. E., Badger, T. A., Segrin, C. G., & Pasvogel, A. (2016, April). Symptom distress, depression and anxiety in Latinas with breast cancer and their supportive partners. Western Institute of Nursing Annual Communicating Research conference. Anaheim, CA: WIN.
• Crane, T. E., Crane, T. E., Badger, T. A., Badger, T. A., Segrin, C. G., Segrin, C. G., Pasvogel, A., & Pasvogel, A. (2016, February). Symptom distress, depression and anxiety in Latinas with breast cancer and their supportive partners. Annual American Psychosocial Oncology Society conference. San Diego, CA: American Psychosocial Oncology Society.
• Segrin, C. G. (2012, 2013-03-01). several.
  More info

  Badger, T.A., Segrin, C., Hepworth, J., Pasvogel, A., Weihs, K., & Lopez, A.M. (2012, February). Telephone-delivered health education and interpersonal counseling improve quality of life for Latinas with breast cancer and their supportive partners. Paper presented at the annual meeting of the American Psychosocial Oncology Society, Miami. FL.Segrin, C., & Badger, T.A. (2012, February). Psychological distress of Latinas with breast cancer is interdependent with their supportive partners' distress. Paper presented at the annual meeting of the American Psychosocial Oncology Society, Miami. FL.Givertz, M., & Segrin, C. (2012, May). The association between overinvolved parenting and young adults' self-efficacy, psychological entitlement, and family communication. Paper presented at the annual meeting of the International Communication Association, Phoenix, AZ.Givertz, M., Woszidlo, A., & Segrin, C. (2012, May). Direct and indirect effects of attachment orientation on relationship quality and loneliness in married couples. Paper presented at the annual meeting of the International Communication Association, Phoenix, AZ.Badger, T.A., Segrin, C., Figueredo, A.J., Harrington, J. , & Bishop, M. (2012, September). Who benefits from a counseling vs. educational intervention to improve psychological quality of life in prostate cancer survivors? Presented at State of the Science Congress on Nursing Research, Washington, DC.Badger, T.A., Segrin, C., Hepworth, J.T., Pasvogel, A., & Lopez, A.M. (2012, September). Counseling and health education interventions to improve QOL for breast cancer survivors & Supportive partners: Using Telephone and Skype. Presented at the 2012 State of the Science Congress on Nursing Research, Washington, DC. Burke, T., Woszidlo, A., & Segrin, C. (2012, November). Social skills, family conflict, and loneliness in families. Paper presented at the annual meeting of the National Communication Association, Orlando, FL.;Type of Presentation: Professional Organization;