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The relationship between the psychological resilience and general health levels of earthquake survivor nursing students in Kahramanmaras earthquakes, the disaster of the century 世纪灾难--卡赫拉曼马拉什地震中幸存的护理专业学生的心理复原力与总体健康水平之间的关系
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-02-22 DOI: 10.1002/jcop.23110
Meltem Sirin Gok, Ayşe Aydin, Yaprak Baga, Bahar Ciftci

The present study was conducted to determine the relationship between the psychological resilience of earthquake survivor students and their general health status. This descriptive and correlational study was conducted at a state university in Turkey in June 2023 with the nursing department students of a university that experienced two major earthquakes in Turkey on February 6, 2023. The sample of the study consisted of 287 students. The data of the study were collected with the “Descriptive Characteristics Form,” “Brief Resilience Scale,” and “General Health Questionnaire-12.” Filling out the forms took approximately 5−10 min. It was determined in the present study that the psychological resilience of the earthquake survivor students was moderate. It was found that the girls, second graders, those with higher income levels, those who did not receive medication/professional support for their mental health, and those who described their health as good generally had higher psychological resilience levels. It was found that the general health status of the earthquake survivors was at an increased risk level, and 69% of them were at high risk for mental diseases. The mental health of girls, first graders, those who had low-income levels, those who lost loved ones in the earthquake, those whose houses were damaged, those who received medication/professional support for mental health, those who did not generally participate in distance education, and those who described their health as deficient in general, had worse mental health levels. A high relationship was detected between nursing students' psychological resilience and mental health (p < 0.05). It was concluded in the present study that as the psychological resilience of the students increased, the risk of mental disease decreased.

本研究旨在确定地震幸存者学生的心理复原力与其总体健康状况之间的关系。这项描述性和相关性研究于 2023 年 6 月在土耳其的一所国立大学进行,对象是 2023 年 2 月 6 日土耳其发生两次大地震的一所大学护理系的学生。研究样本包括 287 名学生。研究数据通过 "描述性特征表"、"简易复原力量表 "和 "一般健康问卷-12 "收集。填写表格大约需要 5-10 分钟。本研究确定,地震幸存者学生的心理复原力处于中等水平。研究发现,女生、二年级学生、收入水平较高者、未接受药物治疗/心理健康专业支持者以及自称健康状况良好者的心理复原力水平普遍较高。研究发现,地震幸存者的总体健康状况处于较高的风险水平,其中 69% 的人处于精神疾病的高风险状态。女生、一年级学生、低收入者、在地震中失去亲人者、房屋受损者、接受过药物治疗/心理健康专业支持者、一般不参加远程教育者以及认为自己的健康状况一般较差者的心理健康水平较低。研究发现,护生的心理复原力与心理健康之间存在高度相关性(p < 0.05)。本研究得出的结论是,随着学生心理复原力的提高,患心理疾病的风险也随之降低。
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引用次数: 0
Racism and violence in policing: Perspectives from a juvenile prison 警务工作中的种族主义和暴力:来自少年监狱的观点。
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-02-14 DOI: 10.1002/jcop.23104
Rebecca L. Fix

Following recent events involving racism and violence in policing, the current study sought to understand factors associated with support for related social movements and worries about personal, family, and peer safety. Data were from 78 currently incarcerated young people (M = 16.5 years; 31% Black) and 20 juvenile prison staff (M = 40.3 years; 72% Black) via online surveys. A comparable proportion of young people (47.3%) and staff (47.4%) reported participating in the Black Lives Matter movement. Among young people, prior experiences with police were significantly associated with support for social movements and worries about safety concerning racism and violence in policing. Among staff, race, ethnicity, sexual orientation, and racial and ethnic identity were significantly associated with social movement support and worries about safety. Civic education and interventions to promote racial and ethnic identity may promote support for systemic change and buffer against worries about racism and violence in policing.

最近发生了涉及种族主义和警务暴力的事件,本研究试图了解与支持相关社会运动以及担心个人、家庭和同伴安全有关的因素。数据来自 78 名目前被监禁的青少年(男 = 16.5 岁;31% 为黑人)和 20 名少年监狱工作人员(男 = 40.3 岁;72% 为黑人),他们都是通过在线调查获得的。有相当比例的青少年(47.3%)和工作人员(47.4%)表示参与了黑人生命至上运动。在年轻人中,以前与警察打交道的经历与对社会运动的支持以及对警务中种族主义和暴力的安全担忧有很大关系。在工作人员中,种族、民族、性取向以及种族和民族身份与支持社会运动和担心安全有很大关系。公民教育以及促进种族和民族认同的干预措施可能会促进对系统变革的支持,并减轻对警务工作中种族主义和暴力的担忧。
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引用次数: 0
Needle and syringe programs in prisons: Does it really matter? 监狱中的针头和针筒计划:这真的重要吗?
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-02-13 DOI: 10.1002/jcop.23108
Babak Moazen, Heino Stöver
<p>A significant proportion of people who inject drugs in prisons (PWIDP) lack access to the necessary treatment, care, and support for their drug use disorder, resulting in a persistent pattern of drug injection within correctional facilities (Dolan et al., <span>2015</span>). The exorbitant cost of a new syringe in prison (Treloar et al., <span>2016</span>) often compels PWIDP to resort to sharing needles, even despite their awareness of the associated risks of infection transmission. However, the act of sharing drug paraphernalia is not solely attributable to a lack of access; it is a complex phenomenon influenced by a combination of individual and structural factors, social environment, and prevailing policies (Allen et al., <span>2023</span>).</p><p>Needle and syringe programs (NSPs) are widely recognized as effective interventions for reducing needle sharing and preventing the transmission of infectious diseases among PWIDP (Lazarus et al., <span>2018</span>; Moazen et al., <span>2019</span>). While drug injection remains a significant healthcare challenge in prison settings, prison policymakers often exhibit reluctance in adopting NSPs within their facilities, as evidenced by the limited number of countries that have implemented such programs (Kamarulzaman et al., <span>2016</span>). For instance, in the European Union, only four countries currently offer NSPs in their prisons, with notably low program coverage in these nations (Moazen et al., <span>2020</span>).</p><p>Reluctance to implementing NSPs in prison settings can be attributed to a variety of factors, with security concerns emerging as the most commonly cited reason (Mogg & Levy, <span>2009</span>). There are apprehensions regarding the potential misuse of syringes as weapons against both fellow incarcerated individuals and staff members. Tragically, this concern materialized in 1990 in Australia when a 21-year-old prison guard named Geoffrey Pearce was fatally stabbed by a prisoner wielding a syringe contaminated with human immunodeficiency virus (HIV), eventually succumbing to acquired immunodeficiency syndrome (AIDS). Beyond security issues, opponents of NSPs in prison settings argue that providing incarcerated people with syringes may inadvertently encourage drug injection. However, there is a lack of substantial scientific evidence to support this claim.</p><p>The concerns raised by prison policy makers are entirely understandable. To address these apprehensions and determine the program's feasibility for permanent implementation, conducting a pilot phase is a prudent solution. A pilot program would effectively highlight any shortcomings, offering both policymakers and healthcare providers an opportunity to identify and rectify any existing issues. To enhance the program's acceptability and effectiveness, it is strongly recommended that both people who live and work in prisons actively participate in designing and implementing the pilot program. This collaborative approa
监狱中的注射吸毒者(PWIDP)中有很大一部分人因吸毒障碍而无法获得必要的治疗、护理和支持,导致在惩教设施内注射毒品的模式持续存在(Dolan 等人,2015 年)。监狱中新注射器的高昂费用(Treloar et al.然而,共用毒品用具的行为并不完全归因于缺乏获取途径;这是一个复杂的现象,受到个人和结构性因素、社会环境以及现行政策的综合影响(Allen 等人,2023 年)。针头和注射器计划(NSP)被广泛认为是减少共用针头和预防感染性疾病在吸毒成瘾者中传播的有效干预措施(Lazarus 等人,2018 年;Moazen 等人,2019 年)。虽然注射毒品仍是监狱环境中的一项重大医疗挑战,但监狱决策者往往不愿意在其设施内采用 NSP,实施此类计划的国家数量有限就是证明(Kamarulzaman 等人,2016 年)。例如,在欧盟,目前只有四个国家在其监狱中提供 NSP,这些国家的项目覆盖率明显较低(Moazen et al.人们担心注射器可能被误用为武器,攻击同狱囚犯和工作人员。1990 年,澳大利亚一名 21 岁的狱警杰弗里-皮尔斯(Geoffrey Pearce)被一名囚犯用沾有人体免疫缺陷病毒(HIV)的注射器刺伤,最终死于获得性免疫缺陷综合症(AIDS)。除了安全问题,反对在监狱环境中使用非注射器的人还认为,向被监禁者提供注射器可能会无意中鼓励注射毒品。监狱决策者的担忧完全可以理解。为了消除这些顾虑并确定该计划永久实施的可行性,开展试点阶段是一个谨慎的解决方案。试点计划将有效地突出任何不足之处,为政策制定者和医疗服务提供者提供一个发现和纠正任何现有问题的机会。为提高计划的可接受性和有效性,强烈建议在监狱中生活和工作的人员积极参与试点计划的设计和实施。联合国毒品和犯罪问题办公室(UNODC)编写的题为《在监狱和其他封闭环境中启动和管理针头和针筒计划》的手册(联合国毒品和犯罪问题办公室,2014年)是一份指南,概述了建立有效的监狱非营利性针头和针筒计划的关键原则,以确保这些计划的可持续性。尽管如此,如果出现难以克服的挑战,导致计划终止,则应将工作重心转向加强其他减低危害的干预措施,尤其要关注对患有药物使用障碍的被监禁者的治疗、护理和支持。
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引用次数: 0
Perceived loss of support to community caregivers during the COVID-19 pandemic in the United States 在美国 COVID-19 大流行期间,社区护理人员认为失去了支持。
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-02-08 DOI: 10.1002/jcop.23107
David P. Kennedy, Esther M. Friedman, Allison Kirkegaard, Sarah Edgington, Regina Shih

Coronavirus disease (COVID-19) had a negative impact on the health and well-being of community caregivers. Few studies examine the pandemic's negative impact on the availability of social networks of caregivers. This article uses data collected during COVID-19 before vaccination to examine caregivers' reports of perceived lost and reduced network support. We assessed the personal networks of a nationally representative sample of 2214 community caregivers in the United States. We analyzed associations between caregiving factors and caregivers' perceptions of lost and reduced network support. Changes in care recipient living circumstances during COVID-19, longer-term caregiving, care recipient hearing/vision/mobility problems, caregiver travel/socializing restrictions, caregiver race/ethnicity, caregiver income, caregiver age, network connectivity, family relationships, and network members' age were associated with perceived lost/reduced support during the pandemic. Findings provide insights for the development of social network interventions to support caregivers and help them cultivate support networks resilient to public health crises.

冠状病毒疾病(COVID-19)对社区护理人员的健康和福祉产生了负面影响。很少有研究探讨该流行病对护理人员社会网络可用性的负面影响。本文利用在接种疫苗前 COVID-19 期间收集的数据,研究了护理人员对所感知到的网络支持丧失和减少的报告。我们对美国具有全国代表性的 2214 名社区护理人员的个人网络进行了评估。我们分析了照护因素与照护者认为失去和减少的网络支持之间的关联。COVID-19 期间照顾者生活环境的变化、长期照顾、照顾者的听力/视力/行动不便、照顾者的旅行/社交限制、照顾者的种族/民族、照顾者的收入、照顾者的年龄、网络连接、家庭关系和网络成员的年龄与大流行期间感知到的支持丧失/减少有关。研究结果为制定社会网络干预措施提供了启示,以支持护理人员并帮助他们建立能够抵御公共卫生危机的支持网络。
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引用次数: 0
The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans 在具有全国代表性的美国退伍军人样本中,社会支持在童年逆境、军队性创伤和无家可归之间的关联中起到了中介作用。
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-01-30 DOI: 10.1002/jcop.23105
Nicole Bulanchuk, Emily Edwards, Robert H. Pietrzak, Jack Tsai

Among veterans, availability of social support and histories of military sexual trauma (MST) and/or adverse childhood experiences (ACEs) are particularly salient correlates of homelessness. Using path analyses, we investigated whether social support (i.e., interpersonal social support and community integration) would at least partially account for the relationships of MST and ACEs with any lifetime homelessness in a large, nationally representative sample of veterans (N = 4069, 9.8% female). Interpersonal social support and community integration partially explained the relationship between ACEs and any lifetime homelessness. However, they did not mediate the relationship between MST and any lifetime homelessness. Female veterans also reported higher trauma rates and lower perceived social support than male counterparts during correlational analyses. These results reinforce existing literature on the importance of research and interventions tailored to veterans with low social support and integration. Results have potential to inform interventions and policy for veterans experiencing and/or at risk for homelessness.

在退伍军人中,社会支持的可获得性以及军队性创伤(MST)和/或不良童年经历(ACE)的历史是无家可归问题特别突出的相关因素。通过路径分析,我们研究了社会支持(即人际社会支持和社区融合)是否至少能部分解释 MST 和 ACE 与具有全国代表性的大型退伍军人样本(样本数 = 4069,9.8% 为女性)中任何终生无家可归者之间的关系。人际社会支持和社区融合部分解释了 ACE 与终生无家可归之间的关系。但是,它们并没有调解创伤后和无家可归与终生无家可归之间的关系。在相关分析中,女性退伍军人也报告了比男性退伍军人更高的创伤率和更低的社会支持感知。这些结果加强了现有文献对针对社会支持和融入程度低的退伍军人进行研究和干预的重要性的认识。这些结果有可能为针对经历和/或面临无家可归风险的退伍军人的干预措施和政策提供参考。
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引用次数: 0
Community perceptions of contributors and solutions related to neighborhood violent crime: A qualitative interview study 社区对邻里暴力犯罪相关促成因素和解决方案的看法:定性访谈研究。
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-01-23 DOI: 10.1002/jcop.23103
Catanya G. Stager, Samantha Whitfield, Tiffany Osborne, Christson Adedoyin, Grace Okoro, Erin Carley, Yu-Mei Schoenberger, Dwayne A. Crawford, Melissa Thompson, Sharela Stafford, Lori B. Bateman

The current study is part of a community engaged planning phase and aimed to identify perceptions related to the prevalence of violent crime, crime contributors, the relationship between the community and law enforcement, and potential interventions and solutions. In March 2021, semistructured interviews were conducted with individuals from five groups who resided or worked in Bessemer, Alabama: (1) Law Enforcement, (2) Residents, (3) Civic Leaders, (4) Community Leaders, and (5) Victims of Crime. Interviews lasted approximately 60 min and were audio recorded, transcribed, and analyzed according to the guidelines of thematic analysis using NVivo 12. Emerging themes were examined in accordance with the CDC Social-Ecological Model: A Framework for Prevention. Participants (N = 18) were 50.0% female and 77.8% African American with an age range of 25–59 (mean = 43.4 years). Themes that emerged related to crime were: (1) impact, (2) contributors, and (3) solutions. Results indicate that impacts of violent crime at the individual level focused on fear, which led to widespread mental health issues. Relationship level impacts included a lack of trust of law enforcement and neighbors, and community level impacts were decreased neighborhood social cohesion as well as decreased safety. At the societal level, the poor reputation of the city was consistently highlighted. For contributors of crime, being a youth under age 30, drugs, and money were discussed as factors at the individual level. At the relationship level, participants mentioned poor parenting and gangs as crime contributing factors to violent crime. Furthermore, contributing issues related to underresourced schools as well as a poor relationship with law enforcement were brought up at the community level. Similarly, poverty was the overarching contributing issue at the societal level. Solutions that emerged included: education and training in life skills, focusing on young people, family/parenting, conflict resolution programs, programs within schools, improved relationships with law enforcement, and inclusive economic opportunities. Intervention plans are discussed that can merge these stakeholder findings with other data sources.

当前的研究是社区参与规划阶段的一部分,旨在确定与暴力犯罪发生率、犯罪促成者、社区与执法部门之间的关系以及潜在干预措施和解决方案有关的看法。2021 年 3 月,对在阿拉巴马州贝斯默居住或工作的五个群体的个人进行了半结构化访谈:(1)执法人员;(2)居民;(3)公民领袖;(4)社区领袖;(5)犯罪受害者。访谈持续约 60 分钟,根据主题分析指南使用 NVivo 12 进行录音、转录和分析。根据疾病预防控制中心的社会生态模型对新出现的主题进行了研究:预防框架》对新出现的主题进行了研究。参与者(N = 18)中女性占 50.0%,非裔美国人占 77.8%,年龄在 25-59 岁之间(平均 = 43.4 岁)。与犯罪有关的主题包括(1) 影响,(2) 成因,以及 (3) 解决方案。结果表明,暴力犯罪在个人层面的影响主要集中在恐惧上,这导致了广泛的心理健康问题。关系层面的影响包括对执法部门和邻居缺乏信任,而社区层面的影响则是邻里社会凝聚力下降以及安全性降低。在社会层面,城市的不良声誉一直被强调。在个人层面,30 岁以下青年、毒品和金钱被认为是导致犯罪的因素。在人际关系层面,参与者提到父母教育不当和帮派是导致暴力犯罪的因素。此外,在社区层面,与会者还提到了与资源不足的学校以及与执法部门的不良关系有关的问题。同样,在社会层面,贫困也是导致暴力犯罪的首要问题。提出的解决方案包括:生活技能教育和培训、关注年轻人、家庭/父母、冲突解决计划、校内计划、改善与执法部门的关系以及包容性经济机会。讨论了可将这些利益相关者的调查结果与其他数据来源相结合的干预计划。
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引用次数: 0
Empathy rules, maps and paths: A qualitative exploration of the factors that facilitate or inhibit empathy and prosocial responding among youth 移情规则、地图和路径:对促进或抑制青少年移情和亲社会反应因素的定性探索。
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-01-18 DOI: 10.1002/jcop.23106
Charlotte Silke, Bernadine Brady, Pat Dolan, Ciara Boylan

The aim of this study is to explore young people's perspectives on the factors that facilitate or inhibit empathy and prosocial responding among youth. Qualitative focus groups (n = 29) were undertaken with Irish young people aged 13–17 years relating to their views on the factors that facilitate or inhibit the expression of empathy. Parents, friends, and social media were found to be key influences, whereas barriers identified included societal norms, gender norms, lack of skill, or knowledge and target characteristics. This research provides important insights into adolescents’ perceptions of the social correlates of empathy. Concepts from the sociology of empathy, such as empathy maps and paths, are helpful in drawing out the implications for future research and practice.

本研究旨在探讨青少年对促进或抑制青少年共情和亲社会反应的因素的看法。我们与 13-17 岁的爱尔兰青少年(n = 29)进行了定性焦点小组讨论,了解他们对促进或抑制共情表达的因素的看法。研究发现,父母、朋友和社交媒体是关键的影响因素,而所发现的障碍包括社会规范、性别规范、缺乏技能或知识以及目标特征。这项研究为了解青少年对同理心的社会相关性的看法提供了重要启示。同理心社会学的概念,如同理心地图和路径,有助于为未来的研究和实践提供启示。
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引用次数: 0
Trauma-informed interactions within a trauma-informed homeless service provider: Staff and client perspectives 以创伤为导向的无家可归者服务提供者内部的互动:工作人员和客户的观点
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-12-14 DOI: 10.1002/jcop.23102
Amanda R. Barry, Erin Hoffman, Elizabeth Martinez-Charleston, Milena DeMario, Justine Stewart, Madeeha Mohiuddin, Martina Mihelicova, Molly Brown

This study aims to provide practical insights for developing trauma-informed interaction strategies between service providers and participants in homeless service organizations (HSOs). Twelve providers and 17 participants were interviewed for a qualitative study on trauma-informed care (TIC) within an HSO. Thematic analysis revealed six themes regarding provider approaches to TIC interactions with participants: provide a sounding board, promote safety, foster understanding and respect, build relationships and trust, facilitate connection to services, and ensure flexibility in service provision. Participants noted three themes regarding their views of TIC interactions with providers: possess education and experience, build relationships and trust, and demonstrate supportive interpersonal styles. This study describes the application of TIC within an HSO, emphasizing the importance of supportive, positive interactions that promote understanding, respect, and trust. It highlights key factors in service provision. The findings expand our understanding of TIC implementation in HSOs and suggest areas for improvement.

本研究旨在为无家可归者服务组织(HSOs)中的服务提供者与参与者之间制定创伤知情互动策略提供实用的见解。我们对 12 名服务提供者和 17 名参与者进行了访谈,就无家可归者服务组织内的创伤知情护理(TIC)进行了定性研究。主题分析揭示了服务提供者与参与者进行 TIC 互动的六个主题:提供一个倾听平台、促进安全、增进理解和尊重、建立关系和信任、促进与服务的联系,以及确保服务提供的灵活性。参与者指出,他们对与提供者之间的 "治疗信息交流中心 "互动的看法有三个主题:拥有教育和经验、建立关系和信任、表现出支持性的人际风格。本研究介绍了如何在 HSO 中应用 TIC,强调了支持性、积极互动对促进理解、尊重和信任的重要性。研究强调了提供服务的关键因素。研究结果拓展了我们对人道主义服务组织实施 TIC 的理解,并提出了需要改进的地方。
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引用次数: 0
Enhancing resilience and well-being among low-SES populations: The mediating effect of community resources 提高低社会经济地位人群的复原力和幸福感:社区资源的中介效应
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-12-14 DOI: 10.1002/jcop.23101
Lea Zanbar

Residents of low-socioeconomic status (SES) neighborhoods suffer from social, economic, and health problems and high exposure to crime and neglect. Based on the social cure approach, the study aimed to examine whether community resources are associated with resilience and well-being, and whether they mediate the associations between personal resources and these outcomes. The moderating effect of participating in community activity was also investigated. A total of 400 residents of low-SES communities, 200 of whom were community activists, completed questionnaires measuring personal resources, community resources, and the outcomes (resilience, well-being). Structural equation modeling revealed the mediating role of community resources. Moderation analysis indicated that different paths led to the outcomes among activists and nonactivists. The results indicate that personal resources alone do not substantially enhance welfare in low-SES communities, but should be channeled through community belonging and commitment. Moreover, professionals working with these communities should take into account the distinctions between activists and nonactivists.

低社会经济地位(SES)社区的居民遭受着社会、经济和健康问题的困扰,并且极易受到犯罪和忽视的侵害。基于社会治疗方法,本研究旨在探讨社区资源是否与复原力和幸福感相关,以及社区资源是否能调节个人资源与这些结果之间的关系。此外,还研究了参与社区活动的调节作用。共有 400 名低社会经济地位社区的居民(其中 200 人是社区积极分子)填写了调查问卷,对个人资源、社区资源和结果(抗逆力和幸福感)进行了测量。结构方程模型显示了社区资源的中介作用。调节分析表明,积极分子和非积极分子获得结果的途径不同。研究结果表明,仅靠个人资源并不能大幅提高低社会经济地位社区的福利,而应通过社区归属感和承诺来实现。此外,与这些社区打交道的专业人员应考虑到积极分子和非积极分子之间的区别。
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引用次数: 0
Evaluation of Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA) implemented in community-based settings 对在社区环境中实施的青少年文化知情和灵活家庭治疗(CIFFTA)进行评估
IF 2.3 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-12-14 DOI: 10.1002/jcop.23099
Maite P. Mena, Rebecca A. Lazarus, Kristal A. Otero, Daniel A. Santisteban

Effective family-based interventions are needed for youth who are experiencing emotional and behavioral difficulties and who are impacted by powerful environmental stressors. Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA) is a manualized and evidence-based, multicomponent family-based treatment that has been shown to be efficacious in research settings. The purpose of this paper is to report on the effectiveness of implementing CIFFTA for the treatment of Latino and Black youth and families in community settings. Utilization of services offered and changes in youth presenting problems and family functioning were used to evaluate the program. Two hundred thirty-two youth (11–18 years of age) and their caregivers were recruited over 2 years and CIFFTA was delivered by experienced masters-level family therapists over a 12–16-week period. Seventy-six percent met the 8-session criteria for retention in treatment and 71% completed treatment. Results showed significant improvements in youth behavioral and emotional presenting problems, reduction in family conflict and improvement in family cohesion and communication. Caregiver well-being such as reductions in parental stress, relational frustration, and improvement in parental confidence also showed significant improvement. Analyses of reliable change indices showed a substantial improvement in youth who entered the program in the clinical range of presenting problems. The findings point to CIFFTA's ability to retain youth and families who tend to underutilize needed services, to significant reductions in presenting problems, and to improvements in family functioning when implemented in a community setting.

对于那些在情绪和行为上遇到困难并受到强大环境压力影响的青少年,需要采取有效的家庭干预措施。青少年文化信息和灵活家庭治疗(Culturally Informed and Flexible Family-Based Treatment for Adolescents,CIFFTA)是一种以手册和证据为基础的多成分家庭治疗方法,在研究环境中已被证明具有疗效。本文旨在报告在社区环境中实施 CIFFTA 对拉丁裔和黑人青少年及家庭的治疗效果。利用所提供服务的使用情况以及青少年表现出的问题和家庭功能的变化来评估该计划。该项目历时两年,共招募了 232 名青少年(11-18 岁)及其照顾者,由经验丰富的硕士级家庭治疗师提供为期 12-16 周的 CIFFTA 治疗。76%的人达到了保留治疗的 8 个疗程标准,71%的人完成了治疗。结果显示,青少年的行为和情绪问题有了明显改善,家庭冲突减少,家庭凝聚力和沟通得到改善。照顾者的健康状况,如父母压力的减少、关系挫折的减少以及父母自信心的增强,也有明显改善。对可靠的变化指数进行的分析表明,参加该计划的青少年在临床表现问题方面有了很大的改善。研究结果表明,CIFFTA 有能力留住那些往往对所需服务利用不足的青少年和家庭,显著减少出现的问题,并在社区环境中实施时改善家庭功能。
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Journal of community psychology
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