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A Systematic Review of Program Outcomes for the National Family Caregiver Support Program Using a Theoretical Approach 使用理论方法对国家家庭照顾者支持计划的项目结果进行系统回顾
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100157
D. Ivey
The National Family Caregiver Support Program provides grants to states with large populations of citizens ages 70 and older that are formal and informal caregivers to fund support for various services. The Child Welfare Information Gateway (2016) defined kinship caregiving as the full-time care and protection of children by relatives. The purpose of this study is to identify outcomes of state and community level programs initiated by the National Family Caregiver Support Program (NFCSP) that serves informal grandparent caregivers. Micro and macro frameworks of rational decision making, symbolic interaction, and agency theories were used in this study when determining program outcomes. Outcomes reported in this study were: (1) reduced isolation, (2) increased connection to resources, (3) increased independence/empowerment, (4) reduced stress, (5) lower levels of burden, (6) increased well-being, and (7) intergenerational reciprocity. The NFCSP is a significant first step in assisting this population and is an important federal program that provides much needed funding to Area Agencies on Aging (AAA) in support of grandparent raising grandchildren.
国家家庭照顾者支持计划向拥有大量70岁及以上公民的州提供赠款,这些公民是正式和非正式的照顾者,以资助各种服务。儿童福利信息门户(2016)将亲属照顾定义为亲属对儿童的全天候照顾和保护。本研究的目的是确定由国家家庭照顾者支持计划(NFCSP)发起的州和社区一级计划的结果,该计划为非正式的祖父母照顾者提供服务。本研究采用理性决策、符号互动和代理理论的微观和宏观框架来确定项目结果。本研究报告的结果是:(1)减少孤立,(2)增加与资源的联系,(3)增加独立性/赋权,(4)减轻压力,(5)降低负担水平,(6)增加幸福感,以及(7)代际互惠。NFCSP是帮助这一人群的重要的第一步,也是一个重要的联邦项目,为地区老龄化机构(AAA)提供急需的资金,以支持祖父母抚养孙子孙女。
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引用次数: 0
TEAM-CBT and Social Work: Skills to Breakdown Client Resistance and Promote Change in Micro Practice 团队认知行为治疗与社会工作:在微观实践中打破客户抗拒和促进变革的技能
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100114
F. Giesler, Ashlynn Oborn
and Promote Abstracts Social workers often struggle with how to cope with client resistance. This paper provides social workers with additional resources for reducing client resistance, increasing motivation to change, and developing an empathetic alliance with clients by introducing key concepts used in TEAM-CBT. TEAM-CBT was created by David Burn, MD to assist clinicians to identify the source of client resistance, to develop critical empathy skills to foster a healthy therapeutic relationship, and to help the client find their motivation. TEAM stands for testing, empathy, assessment of resistance, and methods. This client-centered approach aligns well with the National Association of Social Work (NASW) values and Council of Social Work Education (CSWE) practice competencies by encouraging evidence-based assessment of treatment, focusing on empathy and client validation to encourage the growth of a strong therapeutic relationship, identifying the client’s strengths that are evident in their resistance, and using client self-determination to assist in the discovery of motivation. The authors critically examine the elements of TEAM-CBT as a mental health intervention approach that is compatible with social work values and the standards for competent social work practice. This critical analysis provides social workers with guidance for empowering clients to change problematic behaviors.
社会工作者经常为如何应对客户的抵制而苦苦挣扎。本文通过介绍团队cbt中使用的关键概念,为社会工作者提供了额外的资源,以减少来访者的抗拒,增加改变的动机,并与来访者建立共情联盟。团队cbt是由医学博士David Burn创建的,目的是帮助临床医生识别客户抗拒的来源,培养关键的同理心技能,以促进健康的治疗关系,并帮助客户找到他们的动机。TEAM代表测试、移情、抵抗评估和方法。这种以客户为中心的方法与全国社会工作协会(NASW)的价值观和社会工作教育委员会(CSWE)的实践能力相一致,鼓励以证据为基础的治疗评估,注重同理心和客户验证,以鼓励建立牢固的治疗关系,确定客户在抵抗中明显的优势,并利用客户自决来帮助发现动机。作者批判性地考察了团队cbt作为一种心理健康干预方法的要素,这种方法与社会工作价值观和胜任社会工作实践的标准相兼容。这种批判性的分析为社会工作者提供了指导,使客户能够改变问题行为。
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引用次数: 0
Maternal Pre-Pregnancy Body Mass Index and Prenatal Sugar Consumption Predict Gestational Weight Gain and/or Postpartum Mental Health in a Health Professional Shortage Area 在卫生专业人员短缺地区,孕妇孕前体重指数和产前糖消耗预测妊娠期体重增加和/或产后心理健康
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100137
Lucinda L. Scott, N. Aubuchon-Endsley
This study investigated whether the amount of third trimester added sugar consumption interacted with pre-pregnancy BMI (PPBMI) to predict gestational weight gain (GWG) and postpartum mental health in Health Professional Shortage Area (HPSA) for primary care and mental health. Participants included pregnant women aged 18 to 36, with data collected in-person at 33-37 weeks gestation and 6 months postpartum using an anthropometric measurement, Dietary Screener Questionnaire (DSQ), Edinburg Postnatal Depression Scale (EPDS), Prenatal Anxiety Screening Scale (PASS), and the 14-item Perceived Stress Scale (PSS). No moderated mediation models were statistically significant. Results indicated that greater PPBMI predicted decreased GWG and increased 6-month postpartum depression symptoms. There was a significant, positive correlation between prenatal added sugar intake and 6-month postpartum depression, anxiety, and perceived stress symptoms. Support for associations between increasing PPBMI and increasing depression symptoms at 6 months postpartum in this sample of women in an HPSA for primary care and mental health highlights the importance of starting preventative care for women prior to pregnancy. Correlations between greater added sugar intake in the third trimester and increased depression, anxiety, and perceived stress symptoms at 6 months postpartum supports the need for more research directly investigating those relationships, which could inform perinatal prevention/intervention research.
本研究探讨了在初级保健和心理健康卫生专业人员短缺地区(HPSA),妊娠晚期添加糖摄入量是否与孕前体重指数(PPBMI)相互作用,以预测妊娠体重增加(GWG)和产后心理健康。参与者包括18至36岁的孕妇,在妊娠33-37周和产后6个月亲自收集数据,使用人体测量、饮食筛查问卷(DSQ)、爱丁堡产后抑郁量表(EPDS)、产前焦虑筛查量表(PASS)和14项感知压力量表(PSS)。没有调节的中介模型具有统计学意义。结果表明,较高的PPBMI预示着GWG降低和产后6个月抑郁症状增加。产前添加糖摄入量与产后6个月抑郁、焦虑和感知压力症状之间存在显著的正相关。支持PPBMI增加与产后6个月抑郁症状增加之间的关联,在本样本中接受初级保健和心理健康HPSA的妇女强调了在怀孕前开始对妇女进行预防性保健的重要性。妊娠晚期添加糖摄入量增加与产后6个月抑郁、焦虑和感知压力症状增加之间的相关性支持需要更多的研究直接调查这些关系,这可以为围产期预防/干预研究提供信息。
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引用次数: 1
Is Conscientiousness a Proxy for Depression? A study of Big Five Conscientiousness Predictive Power above Depression 尽责性是抑郁症的代表吗?抑郁症的大五种责任心预测能力研究
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100112
Corey E. Miller, Michael Brady, S. Dean
Is Conscientiousness a proxy for Depression? A study of Big Five Conscientiousness predictive power above depression. Abstracts The literature reveals a relationship between Conscientiousness and Depression. Research illuminating this relationship is lacking. The current study examined the predictive power of Big Five and narrow measures of Conscientiousness over depression in 110 undergraduates using College Grade Point Average (GPA) as the outcome measure. Results showed that Big Five Conscientiousness had little predictive power above Depression and narrow measures of Conscientiousness. This finding suggests that the constructs of Conscientiousness and Depression are not as independent as previously thought. The findings suggest that Conscientiousness might not be related to performance due to work ethic but because individuals high on Conscientiousness are not depressed. Thus, the relationship between Conscientiousness and performance may be better explained because of a lack of depression rather than a strong work ethic. conscientiousness, grit, and perseverance) in this study, this did not translate into a notable correlation between depression and college GPA. This suggests that depression changes the way people respond to self-report conscientiousness measures but does not change performance (i.e., biases our measures). Depression may correlate with having a lower opinion of oneself that is not reflected by actual performance. There are a host of practical implications that can be gleaned from these findings which warrant further research.
尽责性是抑郁症的代表吗?大五种责任感对抑郁症的预测能力研究。文献揭示了责任心与抑郁之间的关系。目前还缺乏阐明这种关系的研究。目前的研究以大学平均绩点(GPA)作为结果衡量标准,对110名本科生进行了大五项和狭义的尽责性对抑郁症的预测能力进行了检验。结果表明,大五种责任心对抑郁症和狭义责任心的预测能力较弱。这一发现表明,尽责性和抑郁的构念并不像之前认为的那样独立。研究结果表明,尽责性可能与职业道德的表现无关,但因为尽责性高的个体不会抑郁。因此,责任心和表现之间的关系可能更好的解释,因为缺乏抑郁,而不是强烈的职业道德。尽责,毅力和毅力),但这并没有转化为抑郁和大学GPA之间的显著相关性。这表明,抑郁改变了人们对自我报告尽责性测量的反应方式,但不会改变表现(即,偏差我们的测量)。抑郁可能与自我评价较低有关,而这种低评价并没有反映在实际表现上。从这些发现中可以收集到许多实际意义,值得进一步研究。
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引用次数: 0
Relieving Pandemic-Related Psychological Distress: Key Protective Factors Against Mental Health Impairment 缓解流行病相关的心理困扰:预防心理健康损害的关键保护因素
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100170
Dana Alonzo
Over the two past years, mental health professionals have warned about the negative mental health consequences related to the covid pandemic. Most commonly reported are increased rates of depression, anxiety disorders, post-traumatic stress symptoms, sleep and appetite disturbance, contagion fears, frustration, burden, boredom, and suicidal behavior [1-5]. Previous resreach by our group has found that in low-resourced, high-risk communities characterized by pre-existing condition of extreme poverty, violence, and limited educational and occupational opportunities, there is a high prevalence of Persistent Pandemic-Related Distress Syndrome (Authors, in press), a condition representing on-going mental health impairment consisting of psychological distress and physical symptomatology persisting for an extended period of at least 6-months after mitigation efforts such as lockdown and social distancing restrictions were lifted and unrelated to contagion and infection fears.
在过去的两年里,精神卫生专业人员警告了与covid大流行相关的负面心理健康后果。最常见的报道是抑郁症、焦虑症、创伤后应激症状、睡眠和食欲障碍、感染恐惧、沮丧、负担、无聊和自杀行为的发生率增加[1-5]。我们小组之前的研究发现,在资源匮乏、高风险的社区,以先前存在的极端贫困、暴力和有限的教育和职业机会为特征,存在高患病率的持续性大流行相关窘迫综合征(作者,在出版中)。一种代表持续精神健康损害的状况,包括心理困扰和身体症状,在解除封锁和社交距离限制等缓解措施后持续至少6个月,且与传染病和感染恐惧无关。
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引用次数: 0
A Case of Unintended Cognitive Consequences: Guns Prohibited Images Prime Aggressive Thoughts 一个意想不到的认知后果的案例:禁止枪支的图像引发攻击性思想
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100103
A. J. Benjamin, Meagan Crosby
We conducted an experiment to discover if guns-prohibited images prime aggressive thoughts as has already been demonstrated with gun images in other experiments. Ninety-three university students were randomly assigned to one of three prime conditions (gun, gun with a strikeout, and a flower) and then were given an aggressive word completion task. The results showed that participants in both the guns-prohibited image and gun image conditions completed a higher proportion of aggressive words than those in the neutral image condition, thus replicating and extending the weapons priming effect. The findings suggest that even weapon images intended to serve some prosocial purpose may have unintended cognitive consequences, especially given how ubiquitous these images are in many public places.
我们进行了一项实验,以发现禁止枪支的图像是否会引发攻击性想法,就像其他实验中已经证明的那样。93名大学生被随机分配到三种基本条件(枪、有三振出局的枪和一朵花)中的一种,然后被要求完成一项具有挑战性的单词完成任务。结果表明,在禁止枪支图像和枪支图像条件下,参与者完成攻击性词汇的比例都高于中性图像条件下的参与者,从而复制并扩展了武器启动效应。研究结果表明,即使是出于亲社会目的的武器图像,也可能会产生意想不到的认知后果,尤其是考虑到这些图像在许多公共场所无处不在。
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引用次数: 0
The Influence of Sheltering or Protective, Parental Behaviors Following Child Trauma; Hurricane Katrina 儿童创伤后父母庇护或保护行为的影响卡特里娜飓风
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100104
A. Anderson
s This study examined the relationship between parental behaviors and trauma experienced by 42 school-aged children (6 to 12 years of age) impacted by a natural disaster; Hurricane Katrina. Results showed that one of the parental behaviors examined, open communication, was positively associated with higher Post-traumatic Stress Disorder Reaction Index scores in the child population. This finding indicates that open communication from parent-to-child may increase trauma symptoms in school-aged children following a traumatic event. Results of this research may contribute to mental health intervention practices following child trauma, and disaster related prevention planning. The influence of parental behaviors following child exposure to trauma may be of particular importance to mental health practitioners, emergency management agencies and emergency and disaster relief workers.
本研究对42名6 ~ 12岁的学龄儿童进行了自然灾害影响下父母行为与创伤的关系研究。卡特里娜飓风。结果显示,父母的行为之一,开放的沟通,与儿童群体中较高的创伤后应激障碍反应指数得分呈正相关。这一发现表明,在创伤事件发生后,父母与孩子之间的开放式交流可能会增加学龄儿童的创伤症状。本研究结果可能有助于儿童创伤后心理健康干预实践和灾害相关预防规划。儿童遭受创伤后父母行为的影响可能对心理健康从业人员、应急管理机构以及紧急和救灾工作人员特别重要。
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引用次数: 0
Critical Race Theory, Wrongful Convictions and Disparate Exonerations of Minority and White Youths in the United States 批判种族理论,美国少数族裔和白人青年的错误定罪和不同的免责
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100148
Kenneth A. Jordan
Race is central to every aspect of the criminal justice system in the United States. According to the U.S. Bureau of Justice Statistics (BJS), in 2013, black males accounted for 37 percent of the total male prison population in the United States with white males accounting for only 32 percent followed by Hispanic males at 22 percent respectively. In the general population, however, Black males comprise only 6 percent of the total males population while White males constitute 31 percent of the total males population in the U.S. followed by Hispanic males who make up 8.4 percent of the total male population. The conviction of innocent defendants is quite disturbing regardless of race or ethnicity. Nothing is more glaring of this phenomenon than when one considers that African American males make up only 6 percent of the total males population but are reported as committing 52 percent of the murders. It is widely known that the lack of formal processes and constitutional due process in the juvenile justice system and the potential for substantial deprivations of children’s liberty through extensive periods of incarceration has been pervasive, persistent, and ongoing in this country (Juvenile Justice Center, 2020). Critical Race Theory has done nothing less than shed more light on the predictability of youth treatment landing them behind bars for lengthy prison sentences for crimes in which they frequently did not commit. Critical Race Theory falls short, however, of offering any plausible explanations for why so many minority youths are falsely imprisoned. Other theories must be considered as plausible explanations for this phenomenon of disparate treatment between the races whether it be police shooting, disparate convictions and incarceration or racial profiling. These theories include Racial Conflict Theory, Racial Threat Theory and Petit Apartheid Theory. The core idea of Critical Race Theory is that racism does not stop at the individua level, but it is systemic or system-wide and ingrained in our policies, in our legal systems and institutions. Critical Race Theory has absolutely nothing to do with “punishing kids for their skin color or making young white kids feel guilty for being white no more than critical thinking is criticizing someone for well thinking. Critical Race Theory is a dialogue for raising awareness of policies and practices that have had a disproportionately negative impact on racial minorities in particular and youth in general irrespective of race. There were 2,310 people serving life-without-parole sentences for crimes committed as juveniles (known as JLWOP) at the end of 2016. This study examines the data extracted from the national registry of exonerations in the United States on every known exoneration from 1989 to 2020. Contributing factors to such disparate convictions among young African American males such as false confessions, mistaken identity, false accusations, witness tampering, perjury or false statements unde
种族问题是美国刑事司法体系各个方面的核心问题。根据美国司法统计局的数据,2013年,黑人男性占美国男性囚犯总数的37%,白人男性仅占32%,西班牙裔男性分别占22%。然而,在美国总人口中,黑人男性只占男性总人口的6%,白人男性占男性总人口的31%,其次是西班牙裔男性,占男性总人口的8.4%。不论种族或民族,对无辜被告的定罪都相当令人不安。非洲裔美国男性只占男性总人口的6%,但据报道,他们犯下了52%的谋杀案,这一现象最明显。众所周知,在美国,青少年司法系统缺乏正式程序和宪法正当程序,长期监禁可能严重剥夺儿童的自由,这是一个普遍、持续和持续的问题(少年司法中心,2020)。批判种族理论所做的,不过是让我们更清楚地看到,青少年所受到的待遇,会让他们因为经常没有犯下的罪行而被判长期监禁。然而,批判种族理论未能提供任何合理的解释,解释为什么这么多少数族裔青年被错误地监禁。其他理论必须被认为是对种族间差别待遇现象的合理解释,无论是警察开枪,不同的定罪和监禁,还是种族定性。这些理论包括种族冲突理论、种族威胁理论和小种族隔离理论。批判种族理论的核心思想是,种族主义并不局限于个人层面,而是系统性的,在我们的政策、法律体系和制度中根深蒂固。批判性种族理论与“因为孩子的肤色而惩罚他们”或“让年轻的白人孩子因为自己是白人而感到内疚”毫无关系,就像批判性思维与批评某人思考得好没有任何关系一样。批判种族理论是一种对话,旨在提高人们对政策和做法的认识,这些政策和做法对少数民族特别是青年产生了不成比例的负面影响,无论种族如何。截至2016年底,有2310人因青少年犯罪被判处终身监禁不得假释。本研究检查了从1989年至2020年美国国家免罪登记中提取的每一个已知的免罪数据。在年轻的非裔美国男性中,导致这种不同定罪的因素,如虚假供词、错误的身份、虚假的指控、证人篡改、伪证或宣誓后的虚假陈述(尤其是警察)、检察官的不当行为、不充分的法律辩护和错误的证人识别,被强调和讨论为最终释放无罪的主要因素。这项研究假设的立场是,尽管所有的生命都很重要,但似乎非裔美国男性青年在那些被无罪释放的人群中所占比例更大。这项研究提供了政策影响和政策变化,似乎是解决这种令人震惊和悲惨的人类虐待的可行办法。
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引用次数: 1
Animal-Assisted Stress/Anxiety Groups: Positive Coping for Men in Prison 动物辅助压力/焦虑小组:监狱男性的积极应对
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100123
Yvonne Eaton-Stull, Cynthia Wright, Cassandra Spirnock, Maura Vulakovich
Incarceration is a very stressful experience, as one is separated from loved ones while facing multiple environmental stressors. Unmanaged stress can lead to physical and mental health consequences. 24 incarcerated men completed a 10-week treatment group with therapy dogs. This intervention intended to improve participant mental health, enhance coping strategies, and increase feelings of acceptance and reciprocity. These groups provided education on stress and coping strategies while integrating therapy dogs in the topics both as an educational example and a physical source of comfort. Assessment measures were used to evaluate anxiety, coping, and feelings about therapy dogs. Anxiety measurements significantly reduced from the beginning to the end of group, and an increase in active coping behaviors was also noted. Measurements about the therapy dog clearly indicated that these animals helped the participants feel more comfortable, happy and distracted from their stress and anxiety. Developing such treatment interventions has the potential to offer successful management of stress and anxiety for those who are incarcerated. Therapy dogs created an environment atypical of prisons, one where individuals felt supported and wanted to attend groups. This alone is extremely valuable to increase attendance and engagement in offered treatment.
监禁是一种非常紧张的经历,因为一个人与亲人分离,同时面临多种环境压力。不受控制的压力会导致身体和精神健康的后果。24名被监禁的男性完成了一个为期10周的治疗组,其中有治疗犬。该干预旨在改善参与者的心理健康,增强应对策略,增加接受感和互惠感。这些小组提供了有关压力和应对策略的教育,同时将治疗犬纳入主题,作为教育榜样和身体安慰的来源。采用评估方法评估治疗犬的焦虑、应对和感受。从小组开始到结束,焦虑测量值显著降低,积极应对行为也有所增加。对治疗犬的测量清楚地表明,这些动物帮助参与者感到更舒适、快乐,并分散了他们的压力和焦虑。开发这样的治疗干预措施有可能为那些被监禁的人提供成功的压力和焦虑管理。治疗犬创造了一个非典型的监狱环境,在那里,人们感到被支持,并想参加团体活动。仅凭这一点就对提高治疗的出勤率和参与度极有价值。
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引用次数: 1
Psychosocial Oncology Disparities: Treating the Whole Person in Rural Indigenous Communities 社会心理肿瘤学差异:在农村土著社区治疗整个人
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100105
Niesen Smith
s In recent years, psychosocial services have been viewed as paramount in treating cancer, yet disparities exist in psychosocial services for rural cancer patients. Using ecological theory, cancer care focuses on more than medical intervention, favoring treatment of the “whole” person. For Indigenous people experiencing cancer, responsive psychosocial interventions and practice frameworks are needed to address health-related distress. Using the intersection of diversity and environment, this conceptual paper provides a review of literature on the topic of cancer care with Indigenous people living in rural areas and furthermore argues that social workers, given educational experiences and practice frameworks, are essential culturally-responsive providers of psychosocial oncology services. Social workers must be utilized and mobilized as health care leaders in order to improve quality of life by advocating for culturally responsive, equitable services for people confronting cancer. Social workers have knowledge and skills to be front-line providers, service mobilizers, and program developers of culturally-responsive psychosocial oncology services.
近年来,社会心理服务被视为治疗癌症的最重要手段,但农村癌症患者的社会心理服务存在差异。利用生态学理论,癌症护理关注的不仅仅是医疗干预,而是对“整个”人的治疗。对于患有癌症的土著人民,需要有反应性的心理社会干预措施和实践框架,以解决与健康有关的痛苦。利用多样性和环境的交集,这篇概念性论文提供了对生活在农村地区的土著居民癌症护理主题的文献回顾,并进一步认为,社会工作者,鉴于教育经验和实践框架,是必不可少的文化响应的社会心理肿瘤学服务提供者。必须利用和动员社会工作者作为保健领导者,通过倡导为癌症患者提供符合文化要求的公平服务,提高生活质量。社会工作者拥有知识和技能,可以成为一线提供者、服务动员者和文化响应性心理社会肿瘤学服务的项目开发人员。
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引用次数: 0
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Journal of Mental Health and Social Behaviour
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