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Psychological First Aid–Informed Guidelines for Mental Health Professionals Working With Central American Unaccompanied Minors in Transitional Settings 在过渡环境中与中美洲无人陪伴未成年人一起工作的精神卫生专业人员的心理急救知情指南
Q3 Psychology Pub Date : 2023-04-19 DOI: 10.1027/2157-3891/a000074
Priscilla Mendez, Teresa Celada-Dalton, Irina Quebles
Abstract: News of unaccompanied minors (UMs) from Central America entering the United States–Mexico border have inundated political and social platforms as policies are discussed to address this crisis. The hope for a future away from violence, poverty, and fear drives these minors into embarking on an uncertain journey to the United States. The dangers these children encounter on their long travels along with previous distressing experiences from their home country put a devastating toll on their psychological and overall well-being. Their anguish continues as these youth are placed in transitional settings (i.e., shelters) while awaiting to be released into their new communities. While psychological care is often available at these settings, the complex realities of these children call for culturally and trauma-responsive guidelines to address their unique psychosocial needs. This conceptual paper reviews existent literature on the mental health needs of Central American youth in the United States–Mexico border as well as relevant theories and principles, such as the evidence-informed psychological first aid (PFA), which has shown to help Central American youth in the immediate aftermath of disasters and other crises. The aim of this manuscript was to adapt and expand on the core elements of PFA and utilize its theoretical basis to (1) enhance the psychological health of Central American UMs in transitional settings and (2) equip mental health professionals working in the United States–Mexican border or other US mental health professionals to address the immediate psychological needs of UMs from a culturally sensitive and trauma-informed approach.
摘要:随着各国讨论应对这一危机的政策,中美洲无人陪伴未成年人(UMs)进入美墨边境的消息充斥了政治和社会平台。对远离暴力、贫困和恐惧的未来的希望驱使这些未成年人踏上了前往美国的不确定之旅。这些儿童在长途旅行中遇到的危险,以及之前来自祖国的痛苦经历,对他们的心理和整体健康造成了毁灭性的伤害。他们的痛苦还在继续,因为这些年轻人被安置在过渡性环境中(即庇护所),同时等待被释放到新的社区。虽然在这些环境中通常可以获得心理护理,但这些儿童的复杂现实要求制定符合文化和创伤的指导方针,以解决他们独特的社会心理需求。这篇概念性论文回顾了关于美墨边境中美洲青年心理健康需求的现有文献,以及相关理论和原则,如有证据的心理急救(PFA),它已被证明能在灾难和其他危机后立即帮助中美洲青年。该手稿的目的是适应和扩展PFA的核心要素,并利用其理论基础:(1)增强过渡环境中中美洲UMs的心理健康;(2)装备在美国-墨西哥边境工作的心理健康专业人员或其他美国心理健康专业人员,以文化敏感和创伤知情的方式解决UMs的直接心理需求。
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引用次数: 0
The Relationship Between Stigma and Social Support to Quality of Life in Indonesia and the Philippines During the COVID-19 Pandemic 2019冠状病毒病大流行期间印尼和菲律宾耻辱与社会支持对生活质量的关系
Q3 Psychology Pub Date : 2023-04-12 DOI: 10.1027/2157-3891/a000078
Rozel S. Balmores-Paulino, A. Suryani, May Kyi Zay Hta, Aron Harold Gorre Pamoso, A. Liem, Rachel Sing-Kiat Ting
Abstract: The importance of quality of life (QoL) was magnified as countries faced the COVID-19 pandemic. This study aimed to determine the relationship between COVID-19-related stigma and preferred social support to QoL in two Southeast Asian countries. This paper examined (1) the differences in the physical and psychological dimensions of QoL (QoL-PSY, QoL-PHL), COVID-19 perceived stigma (PcS) and public stigma (PS), and preferred social support (PSS) between Indonesia (IDN) and the Philippines (PHP); (2) the associations between PS and PcS with QoL; (3) the associations between PSS and QoL; and (4) the role of the country as a moderator between the relationship of PcS and PSS to QoL. Data were collected from 992 participants (PHP = 564; IDN = 428) through an online survey (April–June 2022) and analyzed through multivariate analysis of covariance (MANCOVA), hierarchical multiple regression, and multiple-group path analysis. After controlling for potential covariates, we found significant country differences in QOL and PSS, where Indonesia's estimated means for these two measures were significantly higher than the Philippines. Both domains of PSS had significant positive associations with both QOL domains in the merged sample; similarly, PcS had significant negative associations with both domains of QOL. Path analysis also showed similar significant predictors (PSS and PcS) associated with QoL for both countries with minor coefficient variations, except PS and PSS-ST. The findings show a similar relationship pattern between perceived stigma and social support (strong ties) to the QoL in Indonesia and the Philippines. Cultural interventions to mitigate perceived stigma were suggested in healthcare settings.
摘要:随着各国面临COVID-19大流行,生活质量(QoL)的重要性被放大。本研究旨在确定两个东南亚国家与covid -19相关的污名和首选社会支持与生活质量的关系。(1)印度尼西亚(IDN)和菲律宾(PHP)在生活质量(QoL- psy、QoL- phl)、COVID-19感知污名(PcS)和公共污名(PS)以及首选社会支持(PSS)的生理和心理维度上存在差异;(2) PS和PcS与生活质量的关系;(3) PSS与生活质量的相关关系;(4)国家在个人满意度和个人满意度对生活质量的影响中所起的调节作用。数据来自992名参与者(PHP = 564;IDN = 428)通过在线调查(2022年4 - 6月),并通过多变量协方差分析(MANCOVA)、层次多元回归和多组路径分析进行分析。在控制了潜在的协变量后,我们发现在生活质量和PSS方面存在显著的国家差异,其中印度尼西亚对这两项措施的估计平均值显著高于菲律宾。合并样本的PSS与两个QOL域均有显著正相关;同样,pc与生活质量的两个领域都有显著的负相关。通径分析还显示,除PS和PSS- st外,两国与生活质量相关的预测因子(PSS和PcS)具有较小的系数变化。研究结果表明,在印度尼西亚和菲律宾,感知到的耻辱与生活质量的社会支持(强联系)之间存在类似的关系模式。文化干预措施,以减轻感知耻辱被建议在医疗保健设置。
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引用次数: 2
Facing the Frontline – An Interpretative Phenomenological Analysis of the Filipino Rural Doctors' Mental Health Amid COVID-19 面对一线——新冠肺炎背景下菲律宾乡村医生心理健康的解释性现象学分析
Q3 Psychology Pub Date : 2023-04-12 DOI: 10.1027/2157-3891/a000080
Mary Diane Umil, Miranda Ellen Meneses, Caitlin Ann Sioson†, Mendiola Teng‐Calleja
Abstract: Global health crises impose considerable strain in health care systems worldwide that create mental health challenges among medical practitioners. Greater challenges are experienced by doctors practicing in rural areas of developing countries such as the Philippines that have weak healthcare infrastructures and meager resources for health services. Thus, this study sought to explore doctors’ experiences of working in rural areas during the COVID-19 pandemic and to identify contextual factors contributing to their mental health. Interpretative phenomenological analysis was used in gathering and analyzing data from semistructured interviews with 12 doctors who worked in rural areas in Eastern Visayas, a region that has very few doctors and that experienced a rise in COVID-19 cases at the time of the study. The findings revealed challenges to doctors’ mental health that include fear of exposure, burnout, scarcity of supplies, and patient-related challenges that reflected contextual realities in the area. The results also described coping strategies utilized by the rural doctors, e.g., communing with nature, diskarte (resourcefulness), social support from family and coworkers, and bayanihan (observed in this study as mutual support among doctors in the rural community to achieve collective goals). The findings highlight policy implications and other forms of support that will sustain rural doctors’ mental health amid a pandemic.
摘要:全球健康危机给全球卫生保健系统带来了相当大的压力,在医疗从业者中创造了心理健康挑战。在菲律宾等发展中国家农村地区执业的医生面临着更大的挑战,这些地区的医疗基础设施薄弱,医疗服务资源匮乏。因此,本研究旨在探讨医生在COVID-19大流行期间在农村地区工作的经历,并确定影响他们心理健康的环境因素。解释性现象学分析用于收集和分析对在东米沙鄢群岛农村地区工作的12名医生进行的半结构化访谈的数据,该地区医生很少,并且在研究期间COVID-19病例有所增加。研究结果揭示了医生心理健康面临的挑战,包括对暴露的恐惧、倦怠、物资短缺以及与患者相关的挑战,这些挑战反映了该地区的背景现实。结果还描述了乡村医生采用的应对策略,如与自然沟通,分散(机智),家庭和同事的社会支持,以及巴亚尼汉(本研究观察到农村社区医生之间为实现集体目标而相互支持)。研究结果强调了政策影响和其他形式的支持,这些支持将在大流行期间维持农村医生的心理健康。
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引用次数: 1
Kiasu (Fear of Losing Out) 怕输(怕输)
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000066
Chi-Ying Cheng, Sheila X. R. Wee
Abstract: “Kiasu,” a Hokkien term, which directly translates as the “fear of losing out” is synonymous with the Singapore identity. Yet, there has been little empirical research investigating this indigenous psychological construct in Singapore. This paper first delves into Singapore’s Kiasu culture and existing research of Kiasu, which diverges on the operationalization and measurement of Kiasu as a psychological construct. While early research conceptualized Kiasu as a behavioral tendency, more recent investigations have begun to construe Kiasu as a mindset. Next, we review Kiasu-related outcomes in four domains: academic performance, learning strategies, well-being, and creativity. Finally, we propose a new theoretical framework integrating current research to guide future research directions. Specifically, the proposed integrated model is composed of Kiasu antecedents, individual Kiasu mindset, Kiasu behaviors, and Kiasu outcomes with moderators of normative Kiasu mindset and incentive system in the context. We believe that this proposed integrated model will help us better understand the prevalent Kiasu mindset and behavior in Singapore.
摘要:“怕输”是闽南语,直接翻译为“怕输”,是新加坡人身份认同的代名词。然而,在新加坡,很少有实证研究调查这种本土心理结构。本文首先对新加坡的家情文化和家情研究现状进行了梳理,并对家情作为一种心理建构的可操作性和可测量性进行了探讨。虽然早期的研究将“爱”定义为一种行为倾向,但最近的研究开始将“爱”解释为一种心态。接下来,我们回顾了四个领域的kiasu相关结果:学业成绩、学习策略、幸福感和创造力。最后,结合现有研究,提出了一个新的理论框架,以指导未来的研究方向。具体而言,该整合模型由“爱”前因、个体“爱”心态、“爱”行为和“爱”结果组成,并以情境中的规范“爱”心态和激励制度为调节因子。我们相信,这一综合模型将有助于我们更好地理解新加坡普遍存在的嘉苏心态和行为。
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引用次数: 1
Journeying Through Different Mythic Worlds 穿越不同的神话世界
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000072
Boon-Ooi Lee
Abstract: The global mental health movement (GMHM) seeks to close the treatment gap in low- and middle-income countries including those in Southeast Asia. However, the GMHM has been criticized for its overemphasis on a Eurocentric approach to mental health care, ignoring the diversity of knowledge and resources in local communities. Given the pluralistic health care systems in most Southeast Asian countries, people may utilize both Indigenous healing and Western mental health services. Therefore, indigenous healing systems can be integrated into mental health care to offer additional resources to local people to cope with emotional distress. Using a single case study approach, this article aims to explore the therapeutic aspects of indigenous healing systems relevant to mental health care. The case is about Jing, a Chinese woman who simultaneously consulted psychiatrists, a dang-ki (Chinese shaman/spirit medium), and a traditional Chinese medicine physician in Singapore. I attempt to answer three questions. First, what is Jing’s experience of seeking help from different forms of healing systems? Second, what are the therapeutic aspects of indigenous healing systems relevant to mental health care? Third, what are the challenges for reconciling the experiential truth with the empirical truth? Based on her narrative, although these healing systems were structured in different mythic worlds and explanatory models, Jing found all of them helpful without experiencing any cognitive dissonance. This may be because she did not passively respond to the treatments but actively negotiated her expectations with the healers, constructed meanings, and adopted a pragmatic attitude to meet her needs.
摘要:全球精神卫生运动(GMHM)旨在缩小包括东南亚在内的低收入和中等收入国家的治疗差距。然而,GMHM因过度强调以欧洲为中心的精神卫生保健方法而受到批评,忽视了当地社区知识和资源的多样性。鉴于大多数东南亚国家的多元化卫生保健系统,人们可能同时利用土著治疗和西方精神卫生服务。因此,土著治疗系统可以整合到精神卫生保健中,为当地人提供额外的资源来应对情绪困扰。使用一个单一的案例研究方法,本文旨在探讨土著愈合系统相关的精神卫生保健的治疗方面。该案件是关于Jing的,她是一名中国妇女,同时咨询了新加坡的精神科医生,当当(中国萨满/精神媒介)和中医。我试图回答三个问题。首先,Jing从不同形式的治疗系统中寻求帮助的经验是什么?第二,与精神卫生保健相关的土著治疗系统的治疗方面是什么?第三,调和经验真理与经验真理的挑战是什么?根据她的叙述,尽管这些治疗系统是在不同的神话世界和解释模型中构建的,Jing发现它们都很有帮助,而且没有经历任何认知失调。这可能是因为她没有被动地回应治疗,而是积极地与治疗师协商她的期望,构建意义,并采取务实的态度来满足她的需求。
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引用次数: 1
Call for Papers: “Environmental Justice and Psychology: Alternative Ideas on Environmental Issues” 征文:“环境正义与心理学:关于环境问题的另类观点”
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000077
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引用次数: 0
Applied Psychology Researchers’ Reflections on Conducting Indigenous People’s Psychological Studies in the Philippines 应用心理学研究者在菲律宾进行原住民心理研究的思考
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000069
Abstract: Situated against the backdrop of the Clark Special Economic Zone is the Clarkfield Aytas (also spelled as Aeta) who inspired the researchers at the Applied Psychology Program of the University of the Philippines in Pampanga to engage in Indigenous Peoples (IP) research. The condition of the Clarkfield Aytas somewhat parallels the experiences of the world’s IP whose diminishing domain forces them to adapt to a way of life that is different from theirs and assume identities that had never been created before in their culture. Studying the Aytas’ life conditions and other psychological variables detached from the bigger context of being a part of the ecosystem in which they exist in interdependence and the nation-state’s sociohistorical reality only partially describes their condition. Similarly, not responding to their need for greater community participation and empowerment may deem our psychology irrelevant and useless in advancing social justice and inclusive progress. How can psychology contribute to IP studies? Multidisciplinary research approaches in critical theories, the Sikolohiyang Pilipino, and community psychology may be utilized to come up with useful methodologies. Challenges remain for researchers in doing research with the Filipino Indigenous communities: to examine their own paradigms/worldviews and pedagogical orientation and seek to answer the question as to whether their psychology truly helps uplift the living conditions of a special population of Filipinos, the Indigenous People.
摘要:克拉克经济特区的背景是克拉克菲尔德艾塔斯(Clarkfield Aytas),它启发了邦板牙菲律宾大学应用心理学项目的研究人员从事土著人民(IP)研究。Clarkfield Aytas的情况与世界上IP的经历有些相似,他们的领域不断缩小,迫使他们适应一种与他们不同的生活方式,并承担起以前从未在他们的文化中创造过的身份。研究阿伊塔人的生活条件和其他心理变量,脱离了作为生态系统一部分的更大背景,他们相互依存,存在于民族国家的社会历史现实中,只是部分地描述了他们的状况。同样,不回应他们对更多社区参与和赋权的需求,可能会认为我们的心理学在促进社会正义和包容性进步方面是无关紧要和无用的。心理学对知识产权研究有何贡献?多学科的研究方法在批判理论,菲律宾人的Sikolohiyang,和社区心理学可以用来提出有用的方法。研究人员在研究菲律宾原住民社群时仍面临挑战:检视他们自己的范例/世界观和教学取向,并寻求解答他们的心理是否真的有助于提升菲律宾原住民这个特殊族群的生活状况。
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引用次数: 1
Call for Papers: “Work/Organizational Psychology in Africa: Amplifying African Perspectives in the Practice and Research of Work/Organisational Psychology in Africa” 征文:“非洲的工作/组织心理学:在非洲工作/组织心理学的实践和研究中扩大非洲视角”
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000073
Charles L. Tchagnéno, S. Bazana, Zonke Zungu
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引用次数: 0
The Associated Factors of Self-Harm and Suicide Ideation Among Chinese Indonesians During the COVID-19 Pandemic 新冠肺炎疫情期间印尼华人自残及自杀意念相关因素分析
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000070
Benny Prawira, A. Liem, Jony Eko Yulianto, Jin Han
Abstract: Background: This study aimed to identify the associated factors of self-harm and suicide ideation among Chinese Indonesians during the COVID-19 pandemic. Methods: A nonrandom sampling was performed through a nationwide online survey in Indonesia (May–June 2021). The online survey covered participants’ demographic information, suicide literacy, suicide stigma, loneliness, and self-harm and suicide ideation. A series of t-tests, χ2 tests, and hierarchical logistic regressions with the backward stepwise method were used to identify the factors associated with self-harm and suicide ideation. Responses from a total of 484 Chinese Indonesians were analyzed in this study. Results: The predictive model showed a significant goodness of fit to the observed data [χ2(17) = 174.1, p < .001; R N2 = .41]. Chinese Indonesians with an average monthly income of ≥USD 843 were found to be 0.23 times (95% CI = 0.07–0.99) less likely to experience self-harm and suicide ideation than those who did not have an income. A one-point increase in the intensity of suicide glorification and loneliness were associated with 3.06 and 3.67 increase in the chance of experiencing self-harm and suicide ideation, respectively. Conclusion: One third of Chinese Indonesians self-reported self-harm and suicide ideation during the COVID-19 pandemic. Mental health and suicide prevention intervention programs are recommended to target those with low socioeconomic status, high glorification toward suicide, and high perceived loneliness.
摘要:背景:本研究旨在了解新冠肺炎疫情期间印尼华人自残和自杀意念的相关因素。方法:在印度尼西亚(2021年5月至6月)通过全国在线调查进行非随机抽样。这项在线调查涵盖了参与者的人口统计信息、自杀知识、自杀耻辱、孤独、自残和自杀念头。采用一系列的t检验、χ2检验和分层logistic回归,采用后向逐步回归方法来确定与自残和自杀意念相关的因素。本研究共分析了484名印尼华人的回答。结果:预测模型与观测资料的拟合优度显著[χ2(17) = 174.1, p < .001;R n2 = 0.41]。平均月收入≥843美元的印尼华人自残和自杀意念的可能性是无收入人群的0.23倍(95% CI = 0.07-0.99)。自杀美化和孤独的强度每增加1分,经历自我伤害和自杀意念的几率分别增加3.06和3.67分。结论:三分之一的印尼华人在新冠肺炎疫情期间自残和有自杀念头。针对社会经济地位低、自杀倾向高、孤独感高的人群,建议实施心理健康和自杀预防干预方案。
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引用次数: 1
Examining the Understanding and Practices of Self-Care Among Philippine Helping Professionals 检视菲律宾助人专业人士对自我照顾的理解与实践
Q3 Psychology Pub Date : 2023-04-01 DOI: 10.1027/2157-3891/a000076
Deborah Barrozo, Samuel M. Girguis, R. Blair, Jenss Chang
Abstract: Although the concept of self-care for helping professionals has a growing body of psychological literature in the United States, this is not the case in other countries, such as the Philippines. As the research on self-care for helping professionals has continued to develop, it is becoming evident that further exploration is needed in relation to different predictor variables, populations, and professions. Inherent to the ideals and values of the mental health profession is the focus on the needs of the client, possibly at the cost of the professional. The potential outcome may be a helping professional who is numb to their day-to-day life stressors who may experience burnout at a much faster rate in comparison to other professions. The research on burnout has emphasized the importance of self-care but yet to examine how self-care should be implemented within the Philippine culture. In the Philippines, a typical helping professional’s caseload may be more than three times the average in developed countries, such as the United States. The purpose of this study is to highlight the importance of self-care, provide a framework of self-care components important to Filipino/a helping professionals, and explore how they address burnout and vicarious trauma in relation to their self-care practices. Using qualitative interviews of Filipino/a helping professionals and Conventional Content Analysis, 12 self-care themes emerged from their responses.
摘要:尽管在美国,帮助专业人员自我护理的概念在心理学文献中越来越多,但在其他国家,如菲律宾,情况并非如此。随着对帮助者自我照顾的研究不断深入,在不同的预测变量、人群和职业中,需要进一步的探索。心理健康专业的理想和价值观固有的是关注客户的需求,可能以专业人员的成本为代价。潜在的结果可能是,帮助专业人士对日常生活压力源麻木,与其他职业相比,他们可能会以更快的速度经历倦怠。关于倦怠的研究强调了自我照顾的重要性,但尚未研究如何在菲律宾文化中实施自我照顾。在菲律宾,一个典型的帮助专业人士的案件量可能是美国等发达国家平均水平的三倍以上。本研究的目的在于强调自我照护的重要性,提供一个自我照护要素的框架,并探讨他们如何处理与自我照护实践相关的倦怠和间接创伤。通过对菲律宾/外籍专业人士的定性访谈和传统的内容分析,从他们的回答中产生了12个自我保健主题。
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引用次数: 1
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International Perspectives in Psychology: Research, Practice, Consultation
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