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Family of origin relationships are an important influence on career decision-making. The current study investigates the relationship between family cohesion, expressiveness and conflict and dysfunctional career thoughts. The Family Environment Scale-Form R (Moos & Moos, 2009) measured the family environment and the Career Thoughts Inventory (Sampson, Peterson, Lenz, Reardon, & Saunders, 1996) measured dysfunctional career thoughts. Participants were undergraduate students at a large Southern University. The results found that higher levels of family conflict and lower levels of family expressiveness were associated with higher levels of decision-making confusion, commitment anxiety, and external conflict. Implications for career counselors are discussed.

Examines the impact of sense of coherence in the career thought processes of a sample of college students. Participants completed the Sense of Coherence Scale and the Career Thoughts Inventory (CTI). Results indicated a medium relationship between sense of coherence and CTI Total and subscale scores. (Contains 29 references and 2 tables.) (GCP)

Introduction: Lymphedema remains a risk for 13–34% of breast cancer patients who require an axillary dissection (ALND) and radiation. Immediate lymphovenous anastomosis (LVA) may mitigate lymphedema by up to 30% by restoring the physiologic lymphatic drainage immediately after ALND. Currently, completion of ALND (cALND) versus radiation after neoadjuvant therapy (NAC) is being addressed by the Alliance A11202 trial, leaving a paucity of data to guide practice. Our study describes the implementation process of LVA into clinical practice after NAC for node-positive breast cancer in the current clinical context. Methods: We reviewed a prospective database of LVA in node-positive patients (cT1-4,Nany) who received NAC followed by axillary surgery ± immediate LVA from October 2021 to 2022. The evolution of the surgical approach is described. Specifically, patients who downstaged to clinically negative nodes post-NAC were offered targeted SLNB with dual-tracer and intraoperative frozen section (FS). Patients were reminded that the standard of care for any node positive is cALND. Immediate cALND with LVA was performed for grossly positive nodes or all positive SLNs; cALND was omitted for those with negative SLNs. For a microscopic disease on a frozen section, a shared decision was made pre-operatively, given each patient's differing valuations of the benefit and risks of cALND ± LVA versus no cALND with planned regional radiation postoperatively. LVA was offered as an option as part of our institutional evaluation of the procedure. Results: A total of 15 patients were included; the mean age was 49.9 (range 32–75) with stage IIA to IIIB breast cancer. Of these, 6 (40%) were triple negative, 5 (33.3%) HER-2 positive, and 4 (26.7%) ER/PR+ HER-2 negative. There were 13 women (86.7%) who had persistent axillary adenopathy based on clinical and/or ultrasound assessment, with 8 patients proceeding directly to ALND with LVA. Among these patients, 3 (37.5%) had pathologic nodal disease, and 5 (62.5%) were node negative, confirming the limitations of pre-operative imaging. As a result, the subsequent 7 (46.7%) underwent targeted SLNB with FS, with 3 patients (42.9%) avoiding an ALND as a result of a negative FS. A total of 4 patients (57.1%) had 1 or more positive lymph nodes on FS: 3 proceeded with a cALND and LVA, and 1 patient (14.2%) opted for no cALND based on a pre-operative discussion and received adjuvant radiation and chemotherapy. Of the 11 patients who underwent ALND and LVA, 1 patient (9.1%) developed lymphedema at 6.9 months following their surgery. The accuracy, sensitivity, and specificity of pre-operative US were 46.7%, 85.7%, and 12.5% and intraoperative FS were 88.0%, 72.7%, and 100%, respectively. Conclusions: As adjuvant nodal radiation and systemic therapy continue to improve, the benefit of a cALND in patients with the limited residual disease remains unclear as we await the outcomes from clinical trials. In the era of clinical uncertainty, we propose a nuanced approach to the axilla by utilizing a shared decision model with patients, incorporating targeted SLNB with FS and completion node dissection when required and desired by the patient, coupled with LVA in a simple stepwise treatment pathway. [ABSTRACT FROM AUTHOR]

The family can exert an important influence on career decision making. This study investigated the impact of adaptability and cohesion in family‐of‐origin relationships on dysfunctional career thoughts in 269 college students (221 women, 48 men). The Career Thoughts Inventory and the Family Adaptability and Cohesion Scales–IV were used to assess family dynamics and dysfunctional career thoughts. The study addressed the following research question: What is the impact of family cohesion and adaptability in the participant's family of origin on dysfunctional career thoughts, specifically decision‐making confusion, commitment anxiety, and external conflict? Results revealed that higher levels of family cohesion were associated with lower levels of decision‐making confusion, commitment anxiety, and external conflict and that higher levels of family adaptability were associated with lower levels of external conflict. [ABSTRACT FROM AUTHOR]

The study investigated the relationship between the psychosocial adjustment and dysfunctional career thoughts for adults with multiple sclerosis. The Reactions to Impairment and Disability Inventory measured psychosocial adjustment, and the Career Thoughts Inventory measured dysfunctional career thoughts. The results found that (a) higher levels of depression were associated with higher levels of decision-making confusion and commitment anxiety and (b) higher levels of adjustment were associated with lower levels of decision-making confusion. Rehabilitation counselor implications are discussed. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the current study is to investigate the relationship between career readiness, defined as capability and complexity, and vocational identity for individuals with disabilities. Method: Forty-three consumers participating in vocational evaluation services for a state-federal vocational rehabilitation agency completed the Career Thoughts Inventory (CTI) and My Vocational Situation (MVS). Regression analysis was used to investigate the relationship between two independent variables (complexity and capability) and vocational identity. Results: The results indicated that the independent variables (complexity and capability) accounted for 52% of the variance of the MVS--Vocational Identity score. Partial eta square for complexity was .03 (small effect) and for capability .46 (large effect). Conclusions: The results of the study provide support that improving career readiness contributes to improved vocational identity defined as the individual having a clearer and more stable understanding of their career goals, interests, personality, and talents. The Career Thoughts Inventory can be used by a vocational rehabilitation counselor to differentiate an individual's level of career readiness and develop targeted career interventions. [ABSTRACT FROM AUTHOR]

Knowledge of traumatic events and how trauma symptoms relate to social and psychological well-being continues to grow. One aspect of an individual's functioning that may be affected by exposure to traumatic events is the ability of the individual to engage in career- and work-related activities (D. H. Coursol, J. Lewis, & L. Garrity, 2001). The current study examines the relationship between trauma symptoms and the career development process of 131 college students. Results indicate a significant relationship between higher levels of trauma symptoms and higher levels of dysfunctional career thoughts and lower levels of work personality. Implications for career counselors are discussed. [ABSTRACT FROM AUTHOR]

The authors examined the relationship between sense of coherence and D. B. Hershenson's (1981) model of work adjustment, specifically, the individual domains of work personality and work competencies. A sample of college students completed the Sense of Coherence Scale (A. Antonovsky, 1987) and the Work Personality Profile Self-Report (WPP-SR). A multivariate analysis indicated a medium relationship between sense of coherence and the WPP-SR, with sense of coherence accounting for 18% of the variance. Univariate tests also indicated a medium relationship between sense of coherence and 4 of the 5 factor scales on the WPP-SR. [ABSTRACT FROM AUTHOR]