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Social Anxiety in University Students: Towards an Intentional Life-Skills Based Prevention Model 大学生的社交焦虑:走向基于生活技能的预防模式
Pub Date : 2023-10-10 DOI: 10.29245/2578-2959/2023/3.1282
Hannah Ali, Steve Joordens
Research suggests that staying connected with people is very beneficial to our physical and mental well-being. Moreover, a lack of social connection is associated with poor mental and physical health, and lower overall well-being. For individuals with social anxiety, it is particularly difficult to cultivate social connections. Due to the prolonged period of social isolation during the COVID-19 pandemic, research suggests that social anxiety in university students has increased. This study employed a convergent parallel mixed method design and administered a self-reported questionnaire which included quantitative and qualitative questions. The questionnaire was administered to 301 undergraduate students to determine if feelings of social anxiety in students changed during and after the pandemic. This study also analyzed social anxiety levels across racial and ethnocultural demographics and assessed the cultural stigmas and barriers that may prevent students from accessing mental health services. Results from the quantitative analyses showed a significant difference in social anxiety scores before and after the pandemic. However, in our sample, feelings of social anxiety post-pandemic did not differ across race, or income which were our main variables of interest. In addition, there was a positive correlation between social anxiety scores and household income and fear of negative evaluation. The qualitative results showed that important barriers to accessing mental health services include fear of parents learning they are in therapy, cost of mental health services, language barriers, and concern that a therapist would not have cultural sensitivity. This study highlights the need for increased interventions to reduce social anxiety among students, and proposes a preventative approach we refer to as “Life-Skills Training” to address social anxiety.
研究表明,与人保持联系对我们的身心健康非常有益。此外,缺乏社会联系与精神和身体健康状况不佳以及整体幸福感较低有关。对于有社交焦虑的个体来说,培养社交关系尤其困难。研究表明,由于新冠肺炎大流行期间长期的社会隔离,大学生的社交焦虑有所增加。本研究采用趋同平行混合方法设计,采用自述问卷,包括定量和定性问题。研究人员对301名本科生进行了问卷调查,以确定学生的社交焦虑情绪在大流行期间和之后是否发生了变化。本研究还分析了不同种族和民族文化人口的社交焦虑水平,并评估了可能阻止学生获得心理健康服务的文化耻辱感和障碍。定量分析结果显示,大流行前后的社交焦虑得分存在显著差异。然而,在我们的样本中,大流行后的社交焦虑感在种族或收入之间没有差异,这是我们感兴趣的主要变量。此外,社交焦虑得分与家庭收入和对负面评价的恐惧呈正相关。定性结果表明,获得心理健康服务的重要障碍包括害怕父母知道他们正在接受治疗、心理健康服务的费用、语言障碍以及担心治疗师没有文化敏感性。这项研究强调了增加干预措施以减少学生社交焦虑的必要性,并提出了一种我们称之为“生活技能培训”的预防方法来解决社交焦虑。
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引用次数: 0
Mental health clinical exams’ evident adherence to industry standards for testing 心理健康临床检查明显符合行业测试标准
Pub Date : 2023-09-25 DOI: 10.29245/2578-2959/2023/3.1283
Benjamin E. Caldwell
The developers of clinical exams for US mental health licensure have faced significant recent criticism and calls for their exams to be paused or discontinued. Critics cite concerns over exams lacking evidence of validity, while they demonstrate strong evidence of racial and ethnic bias. Developers, in turn, argue that their exams are developed using accepted methods that conform with industry standards, specifically, the Standards for Educational and Psychological Testing.3 This manuscript challenges that assertion. Based on external research as well as developers’ own statements and publications, clinical exams for US mental health care licensure appear to deviate in important ways from both the letter and the spirit of the Standards. Clinical exams should be paused unless and until they are shown to be fair, equitable, valid, and more fully consistent with industry norms.
美国心理健康执照临床考试的开发者最近面临着重大批评,并呼吁暂停或停止他们的考试。批评人士表示,他们担心考试缺乏有效性证据,而它们却有力地证明了种族和民族偏见。而开发人员则辩称,他们的考试是使用符合行业标准的公认方法开发的,特别是教育和心理测试标准。本文对这种说法提出了挑战。根据外部研究以及开发商自己的声明和出版物,美国精神卫生保健执照的临床考试似乎在重要方面偏离了标准的文字和精神。应该暂停临床检查,除非并直到它们被证明是公平、公正、有效的,并且更完全符合行业规范。
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引用次数: 0
Adolescent Woes? Approval Motivation, Test Anxiety, and the Role of Perceived Self-Control 青少年问题?认可动机、考试焦虑与感知自我控制的作用
Pub Date : 2023-09-20 DOI: 10.29245/2578-2959/2023/3.1278
Swati Y Bhave, Jill N Mota, Latika Bhalla, Shailaja Mane, Anuradha Sovani, Surekha Joshi
The Association of Adolescents and Child Care in India (AACCI) conducts multicentric studies on youth behavior in India. Using openly accessible psychometric tools, the present study discusses the demographic-wise interrelationships between the Children’s Perceived Self-Control (PSC), Martin-Larsen Approval Motivation (AM), and Friedben’s Test Anxiety Scales (FTAS) administered to 712 students (Group-1: 10-14 yrs.; Group-II: 15-18 yrs.) from two Delhi-based schools. The survey-questionnaire included four demographic variables: age, gender, sibling status, and body mass index. Although mainstream literature has uniformly contented in favour of the benefits of PSC, one-way ANOVAs in the present study revealed that high PSC was associated with significantly high AM (F[2,709] =3.033, p =0.049), suggesting that people with high PSC may diligently weigh short- and long-term consequences, choosing behaviors that best align with their interests and enduringly valued goals. Further, this relationship was statistically significant for participants in the no siblings (p =0.005) and underweight groups (p =0.031). Participants with high PSC had the lowest FTAS scores; however, this relationship was not statistically significant. Lastly, AM and FTAS were negatively correlated (r =-0.216, p<0.01), especially for females, Group-II, and participants with siblings (r =-0.278, -0.292, and -0.244, respectively), clarifying distinct differences between AM and FTAS’ subscales. The implications of findings were shared with the school management to conduct customized interventions using the WHO’s Life Skills Education framework. The findings highlight the need for time-series interventional analysis to ascertain the direct and cumulative effects of intervention on the interrelationships between PSC, AM, and FTAS.
印度青少年和儿童保育协会(AACCI)对印度的青少年行为进行多中心研究。本研究使用开放的心理测量工具,讨论了儿童感知自我控制(PSC)、马丁-拉森认可动机(AM)和弗里登测试焦虑量表(FTAS)之间的人口统计学相互关系。第二组:15-18岁),来自德里的两所学校。调查问卷包括四个人口统计变量:年龄、性别、兄弟姐妹状况和体重指数。尽管主流文献一致赞同PSC的好处,但本研究中的单因素方差分析显示,高PSC与显著高AM相关(F[2,709] =3.033, p =0.049),这表明高PSC的人可能会努力权衡短期和长期后果,选择最符合他们兴趣和持久价值目标的行为。此外,这种关系在没有兄弟姐妹(p =0.005)和体重不足组(p =0.031)的参与者中具有统计学意义。PSC高的受试者FTAS得分最低;然而,这种关系没有统计学意义。最后,AM和FTAS呈负相关(r =-0.216, p<0.01),尤其是女性、ii组和有兄弟姐妹的参与者(r分别=-0.278、-0.292和-0.244),说明AM和FTAS的子量表存在明显差异。与学校管理层分享了调查结果的影响,以便使用世卫组织的生活技能教育框架进行定制干预。研究结果强调需要进行时间序列干预分析,以确定干预对PSC、AM和FTAS之间相互关系的直接和累积影响。
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引用次数: 0
Increasing Diversity and Inclusion in Research on Virtual Reality Relaxation: Commentary on ‘Virtual Reality Relaxation for People with Mental Health Conditions: A Systematic Review’ 增加虚拟现实放松研究的多样性和包容性——《虚拟现实放松对精神疾病患者的系统评价》述评
Pub Date : 2023-08-25 DOI: 10.29245/2578-2959/2023/2.1281
Simon Riches, Deanna Fallah, Ina Kaleva
Simon Riches1,2,3*, Deanna Fallah3,4, Ina Kaleva5 1Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom 2Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom 3South London and Maudsley NHS Foundation Trust, London, United Kingdom 4School of Psychology, University of Surrey, Surrey, United Kingdom 5Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom
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引用次数: 0
The Effectiveness of Mentalization-Based Treatment on Mindfulness and Perceived Social Support in Adolescents 心理化治疗对青少年正念和感知社会支持的影响
Pub Date : 2023-08-23 DOI: 10.29245/2578-2959/2023/2.1271
Sarah Bagherzadeh Jalilvand, Sedigheh Ahmadi
Adolescence is a critical period marked by significant changes in social relationships and emotional development. In light of the importance of promoting mental health in this age group, this study aimed to investigate the effectiveness of a mentalization-based treatment intervention on mindfulness and perceived social support among female adolescents aged 12-15 years in Tehran. A pretest-posttest control group design was employed, with participants randomly assigned to either the intervention group, which received the mentalization-based treatment, or the control group, serving as a comparison for evaluating the intervention's effectiveness. The Mindful Attention Awareness Scale (MAAS) and the Multidimensional Scale of Perceived Social Support Questionnaire (MSPSS) were used to measure mindfulness and perceived social support, respectively. The mentalization-based treatment intervention focused on enhancing the participants' ability to understand and interpret their own and others' mental states, fostering empathy, and improving interpersonal relationships. Data analysis was performed using Multivariate Analysis of Covariance (MANCOVA) to assess the impact of the mentalization-based treatment on mindfulness and perceived social support in female adolescents. The results indicated a significant improvement in both mindfulness and perceived social support after the intervention (P < 0.01). In conclusion, the findings suggest that mentalization-based treatment holds promise as an effective approach to enhance mental health outcomes, particularly in promoting mindfulness and perceived social support in female adolescents. Future attention should be given to the implementation of this intervention to support the well-being of adolescents during this critical developmental stage.
青春期是社会关系和情感发展发生重大变化的关键时期。鉴于促进这一年龄组心理健康的重要性,本研究旨在调查基于心理化的治疗干预对德黑兰12-15岁女性青少年正念和感知社会支持的有效性。采用前测后测对照组设计,将参与者随机分配到干预组和对照组,干预组接受基于心理化的治疗,对照组作为评估干预效果的比较。正念注意意识量表(MAAS)和感知社会支持多维量表(MSPSS)分别用于测量正念和感知社会支持。心理化治疗干预的重点是提高被试对自己和他人心理状态的理解和解释能力,培养共情能力,改善人际关系。数据分析采用多变量协方差分析(MANCOVA)评估心理化治疗对女性青少年正念和感知社会支持的影响。结果显示,干预后,正念和感知社会支持均有显著改善(P <0.01)。总之,研究结果表明,以心理为基础的治疗有望成为提高心理健康结果的有效方法,特别是在促进女性青少年的正念和感知社会支持方面。今后应注意实施这一干预措施,以支持处于这一关键发展阶段的青少年的福祉。
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引用次数: 0
Race, Socioeconomic Status, Health Locus of Control, and Body Mass Index 种族、社会经济地位、健康控制点和身体质量指数
Pub Date : 2023-08-21 DOI: 10.29245/2578-2959/2023/2.1279
Shervin Assari, Babak Najand
Background: This cross-sectional study aimed to investigate the complex interplay between socioeconomic status (SES), internal and external health locus of control, and body mass index (BMI) in a national sample of US adults. Given the unique challenges faced by Black individuals, it was hypothesized that the relationships between SES, internal and external health locus of control, and BMI would be weaker for Blacks compared to Whites. Methods: For this cross-sectional study, baseline data from the MIDUS Refresher sample, consisting of US adults, were analyzed. SES indicators such as income and education were examined as predictors of internal and external health locus of control. The analyses were conducted overall without and with race interactions. We also ran models within different racial groups. Results: Overall, 3198 participants entered our analysis who were White or Black. From this number, 2925 (91.5%) were White and 273(8.5%) were Black. In the pooled sample, high education and income were linked to higher internal and lower external health locus of control and lower BMI. The study revealed that the relationships between high SES indicators (income and education), internal health locus of control, and BMI were weaker for Black than White individuals. The study revealed that the relationships between high SES indicators (income and education) and external health locus of control was stronger for Black than White individuals. Conclusion: This study provides evidence for the complex interrelationships between SES, health locus of control, and BMI, while highlighting the role of race as a moderating factor. The findings suggest that the effects of SES on internal health locus of control is influenced by race, with weaker relationships observed among Black individuals compared to Whites.
背景:本横断面研究旨在调查美国成人国家样本中社会经济地位(SES)、内外健康控制点和体重指数(BMI)之间复杂的相互作用。鉴于黑人个体所面临的独特挑战,假设社会经济地位、内外健康控制点和BMI之间的关系在黑人中比白人弱。方法:在这项横断面研究中,分析了MIDUS Refresher样本的基线数据,该样本由美国成年人组成。社会经济地位指标,如收入和教育,作为内部和外部健康控制点的预测指标进行了检验。这些分析是在没有种族相互作用和有种族相互作用的情况下进行的。我们还在不同的种族群体中运行了模型。结果:总共有3198名参与者进入我们的分析,他们是白人或黑人。其中白人2925人(91.5%),黑人273人(8.5%)。在汇总样本中,高等教育和收入与较高的内部健康控制点和较低的外部健康控制点和较低的BMI有关。研究发现,黑人的高社会经济地位指标(收入和教育)、内在健康控制点和身体质量指数之间的关系弱于白人。研究发现,黑人的高社会经济地位指标(收入和教育)与外部健康控制点的关系强于白人。结论:本研究为社会经济地位、健康控制点和BMI之间的复杂相互关系提供了证据,同时强调了种族在其中的调节作用。研究结果表明,社会经济地位对内在健康控制点的影响受到种族的影响,与白人相比,黑人与内在健康控制点的关系较弱。
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引用次数: 0
Racial disparities in opioid use disorder and its treatment: A review and commentary on the literature 阿片类药物使用障碍及其治疗的种族差异:文献综述与评论
Pub Date : 2023-02-07 DOI: 10.29245/2578-2959/2023/1.1263
Sean Lynch, Faris Katkhuda, Lidia Klepacz, Eldene Towey, Stephen J. Ferrando
Despite public interventions, the rate of opioid use disorder (OUD) continues to rise. In this focused review of the existing literature, the authors describe how increases in OUD, as well as opioid-related deaths, have occurred disproportionately among people of color. Black patients in particular are dying of overdose at an increased rate, however are less likely to receive any treatment for OUD. Additionally, Black patients are less likely to receive buprenorphine than White patients, but more likely to receive methadone. Potential causes of these disparities are discussed, as well as the impact of the COVID-19 pandemic, and the successes of several pilot programs.
尽管有公共干预,阿片类药物使用障碍(OUD)的比率仍在继续上升。在对现有文献的重点回顾中,作者描述了OUD以及阿片类药物相关死亡的增加如何在有色人种中不成比例地发生。尤其是黑人患者,他们死于服药过量的比率正在增加,然而,他们接受OUD治疗的可能性较小。此外,黑人患者比白人患者接受丁丙诺啡的可能性更小,但接受美沙酮的可能性更大。讨论了造成这些差异的潜在原因,以及2019冠状病毒病大流行的影响,以及几个试点项目的成功。
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引用次数: 0
Association Between Depression and Recurrence of Peptic Ulcer Disease in Older Chinese Patients after Helicobacter Pylori Eradication: A Three-Year Study 幽门螺杆菌根除后中国老年患者抑郁与消化性溃疡复发的关系:一项为期三年的研究
Pub Date : 2019-08-01 DOI: 10.29245/2578-2959/2019/4.1181
Wenni Chen, Yu Yu, R. Xu, Hui Han, Gengzhen Chen
Results: PUD recurrence rate was higher in patients with self-reported depression (10.9%) than those without (6.2%). Apart from self-reported depression (OR 2.418 (1.232, 4.989), other significant predictors of PUD recurrence included H. pylori reinfection (OR 2.815 (1.198, 4.687), cigarette smoking (OR 2.318 (1.238, 4.862), excessive alcohol drinking (OR 2.287 (1.118, 4.677), high green tea consumption (OR 2.107 (1.025, 4.325), regular ingestion of acetaminophen (OR 2.273 (1.238, 4.218) and NSAIDs (OR 3.341 (2.174, 5.187), as well as regular (OR 3.372 (2.087, 5.298), occasional (OR 3.096 (2.032, 5.162), and infrequent aspirin consumption (OR 2.645 (1.218, 4.562). Similar results were yielded on the association between diagnosed depression and PUD recurrence.
结果:自我报告抑郁患者的PUD复发率(10.9%)高于无抑郁患者(6.2%)。除自报抑郁(OR 2.418(1.232, 4.989)外,PUD复发的其他显著预测因素包括幽门螺杆菌再感染(OR 2.815(1.198, 4.687))、吸烟(OR 2.318(1.238, 4.862))、过量饮酒(OR 2.287(1.118, 4.677)、大量饮用绿茶(OR 2.107(1.025, 4.325))、经常服用对乙酰氨基酚(OR 2.273(1.238, 4.218)、非甾体抗炎药(OR 3.341(2.174, 5.187)、以及定期(OR 3.372(2.087, 5.298)、偶尔(OR 3.096(2.032, 5.162)、不经常服用阿司匹林(OR 2.645(1.218, 4.562))。在诊断抑郁症和PUD复发之间的关系上也得出了类似的结果。
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引用次数: 1
Commentary: Association between Poor Sleep Quality and Subsequent Peptic Ulcer Recurrence in Older Patients with Mild Cognitive Impairment: Examining the Role of Social Engagement 评论:老年轻度认知障碍患者睡眠质量差与消化性溃疡复发之间的关系:社会参与的作用
Pub Date : 2019-05-01 DOI: 10.29245/2578-2959/2019/3.1179
Wenni Chen, Yewei Bao, Yu Yu, R. Xu, Shuyan Yang, Hui Han, Gengzhen Chen
{"title":"Commentary: Association between Poor Sleep Quality and Subsequent Peptic Ulcer Recurrence in Older Patients with Mild Cognitive Impairment: Examining the Role of Social Engagement","authors":"Wenni Chen, Yewei Bao, Yu Yu, R. Xu, Shuyan Yang, Hui Han, Gengzhen Chen","doi":"10.29245/2578-2959/2019/3.1179","DOIUrl":"https://doi.org/10.29245/2578-2959/2019/3.1179","url":null,"abstract":"","PeriodicalId":366333,"journal":{"name":"JOURNAL OF MENTAL HEALTH AND CLINICAL PSYCHOLOGY","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114523399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Promise of Clinician-Delivered Cognitive Training for Children Diagnosed with ADHD 临床医生为诊断为多动症的儿童提供认知训练的前景
Pub Date : 2019-05-01 DOI: 10.29245/2578-2959/2019/3.1180
A. L. Moore, C. Ledbetter
Mainstream approaches to treating Attention Deficit Hyperactivity Disorder in children include stimulant medication such as methylphenidate and behavior therapy that target deficits in attention as well as inappropriate behaviors but do not sufficiently address the multiple cognitive deficits associated with the disorder. Deficits beyond attention have been identified in ADHD including working memory, long-term memory, and processing speed. As key elements of cognition and intelligence that contribute to thinking and learning, these are critical deficits found in children with ADHD that must be addressed. In this review, we discuss existing research on cognitive training interventions for ADHD and evaluate their ability to target these multiple cognitive deficits as well as their ability to promote self-efficacy, social cognition, and motivation during training. We describe research on LearningRx, a clinician-delivered cognitive training intervention and suggest that human delivery enhances motivation and promotes social cognition and self-efficacy while strengthening weak cognitive skills associated with ADHD in children.
治疗儿童注意力缺陷多动障碍的主流方法包括哌醋甲酯等兴奋剂药物和行为疗法,这些药物针对的是注意力缺陷和不当行为,但没有充分解决与该障碍相关的多重认知缺陷。注意力缺陷多动症还包括工作记忆、长期记忆和处理速度。作为认知和智力的关键因素,这些是多动症儿童必须解决的关键缺陷,有助于思考和学习。在这篇综述中,我们讨论了ADHD认知训练干预的现有研究,并评估了它们针对这些多重认知缺陷的能力,以及它们在训练过程中促进自我效能感、社会认知和动机的能力。我们描述了LearningRx的研究,这是一种临床医生提供的认知训练干预,并表明人类交付可以增强动机,促进社会认知和自我效能,同时加强与儿童多动症相关的弱认知技能。
{"title":"The Promise of Clinician-Delivered Cognitive Training for Children Diagnosed with ADHD","authors":"A. L. Moore, C. Ledbetter","doi":"10.29245/2578-2959/2019/3.1180","DOIUrl":"https://doi.org/10.29245/2578-2959/2019/3.1180","url":null,"abstract":"Mainstream approaches to treating Attention Deficit Hyperactivity Disorder in children include stimulant medication such as methylphenidate and behavior therapy that target deficits in attention as well as inappropriate behaviors but do not sufficiently address the multiple cognitive deficits associated with the disorder. Deficits beyond attention have been identified in ADHD including working memory, long-term memory, and processing speed. As key elements of cognition and intelligence that contribute to thinking and learning, these are critical deficits found in children with ADHD that must be addressed. In this review, we discuss existing research on cognitive training interventions for ADHD and evaluate their ability to target these multiple cognitive deficits as well as their ability to promote self-efficacy, social cognition, and motivation during training. We describe research on LearningRx, a clinician-delivered cognitive training intervention and suggest that human delivery enhances motivation and promotes social cognition and self-efficacy while strengthening weak cognitive skills associated with ADHD in children.","PeriodicalId":366333,"journal":{"name":"JOURNAL OF MENTAL HEALTH AND CLINICAL PSYCHOLOGY","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130241365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
期刊
JOURNAL OF MENTAL HEALTH AND CLINICAL PSYCHOLOGY
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