The American journal of orthopsychiatry最新文献

Research indicates that marriage equality legislation is associated with improved mental health outcomes for lesbian, gay, bisexual, transgender, and queer (LGBTQ) people. However, the public debate that often precedes such legislation may exacerbate psychological distress and minority stress. In 2017, the Australian Federal Government conducted a national survey to gauge support for marriage equality. The present study investigated the mental health of a sample of LGBTQ people during and after this survey period. A sample of 2,220 LGBTQ participants completed measures of psychological distress and minority stress during the survey period. Participants were invited for follow-up 1 week, 3 months, and 12 months after the postal survey results were announced. Data were analyzed using linear mixed models to evaluate change in psychological distress and minority stress across time points, and the influence of exposure to the marriage equality debate, sexual identity, and gender identity on psychological distress and minority stress. Reported symptoms of psychological distress and minority stress significantly decreased following the postal survey period. Greater exposure to the marriage equality campaign was associated with greater psychological distress and perceived stigma but not internalized stigma. Sexual and gender identity subgroups significantly differed on outcome variable means. This study documents the longitudinal effects on a minority group of a public vote and the enactment of legislation regarding their human rights. The results suggest the postal survey served as a significant stressor to Australia's LGBTQ community. Implications for policy and clinical practice are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Evidence suggests that the psychosocial adjustment of children of refugees may be compromised when a parent has symptoms of posttraumatic stress disorder (PTSD). We sought to determine whether trajectories of parental PTSD symptoms might relate to child adjustment and whether there is an additive effect when both parents, as opposed to just one, has prominent PTSD symptoms. We report data from the first three years of a prospective study of recent Australian humanitarian migrants: the Building a New Life in Australia study. Parental PTSD symptoms were assessed on three occasions, and latent class growth analysis was used to identify homogenous groups of parents based on their PTSD symptoms. The Strength and Difficulties Questionnaire was administered to assess child psychosocial adjustment. Regression analyses were then conducted to determine whether trajectories of parental PTSD symptoms predicted child adjustment. After controlling for child age and gender, the presence of either one or both parents with persistently high PTSD symptoms was associated with children's having greater emotional difficulties and poorer overall psychosocial adjustment. Children with both parents with persistently high PTSD had higher levels of emotional difficulties than did children with a single parent with high PTSD symptoms. For emotional difficulties, though not other domains of child psychosocial adjustment, there indeed appears to be an additive impact of having two parents, rather than just one, with persistently high PTSD symptoms, although the magnitude of these effects was small. The clinical and service provision implications of these findings are discussed. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

The shared experience of societal discrimination and affirmation can provide a basis for empathy among members of different marginalized groups. However, the potential mechanisms and moderating conditions involved in this process have been little studied. This experiment examined how perceived societal (in)equity of one's own group may influence one's reaction to other marginalized groups. We randomly assigned 310 cisgender White lesbian, gay, and bisexual (LGB) adults to conditions varying in LGB (in)equity salience (discrimination, affirmation, control) and in the target outgroup identity (transgender, Black). Participants completed a survey assessing thoughts, feelings, and behaviors related to the outgroup, that is, indicators of allyship. Based on the emerging theory of stigma-based solidarity, we expected LGB discrimination to improve intergroup relations with transgender people (i.e. a group readily sharing a common superordinate identity with LGB people) but worsen relations with Black people (i.e. a group not readily sharing a common superordinate identity). Counter to expectations, allyship variables were not predicted by discrimination as a main effect or in interaction with outgroup identity. However, we found support for the mediating role of emotions in explaining the indirect effect of discrimination on allyship. For example, discrimination produced greater outgroup identification by elevating negative affect, but only when the outgroup was transgender people. Results for transgender and Black targets converged for outcomes requiring participants to consider societal injustice toward the outgroup. We observed only one effect for affirmation: It reduced LGB people's empathic anger for both transgender and Black people. Results may inform efforts of coalition building. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Decades of research have categorized risk and protective factors for youth gang involvement in social contexts that include individual, family, peer, school, and community factors. However, most studies are cross-sectional and only examine 1 or 2 social-ecological contexts. This study, which used a time-to-event model with time-variant and time-invariant predictors, adds to this literature by using longitudinal social-ecological factors to examine increases in the hazard of gang entry among serious juvenile offenders followed for 7 years during the transition from adolescence to young adulthood. Lower socioeconomic status (SES), higher rates of exposure to violence, self-reported offending, and time spent in jail were associated with higher hazards rates of gang entry. Temperance (suppression of aggression and impulse control) was associated with decreases in the hazard of gang entry. Among family characteristics, higher parental hostility and having a father who had been arrested were associated with increases in the hazard of gang entry. Resistance to peer influence was a protective factor for gang entry. In addition, individuals who reported associating with delinquent peers or who had a higher proportion of friends who had been arrested had significant increases in the hazard for gang entry. School orientation was a significant protective factor, and neighborhood disorganization was associated with increases in the hazard for gang entry. Strategies for early intervention and prevention efforts are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

That racial/ethnic discrimination has adverse physical and psychological consequences, including stress, anxiety, depression, and their attendant health effects, is well documented. However, the particular dimensions within the broad construct of discrimination and their role in mental health are less well understood. This study investigates the dimensions of discrimination and explores their relation to depression and posttraumatic stress (PTS) symptoms. Using the Brief Perceived Ethnic/Racial Discrimination Questionnaire-Community Version, discrimination experiences were assessed among a community sample of African American and Latinx participants (N = 500). Factor analyses revealed 4 dimensions: Social Rejection, Stereotyping, Direct Threats/Attacks, and Police Mistreatment. In multivariate analyses, full regression models were significantly related to PTS and depression symptoms. Among the individual predictors, Social Rejection and ethnicity (Latinx) uniquely contributed to PTS symptoms in men, whereas Stereotyping and Direct Threat/Attack were associated with PTS symptoms for women. In regards to depressive symptoms, income, ethnicity (Latinx), and Social Rejection were significant predictors for men, while Social Rejection had an independent contribution for women. Thus, social rejection emerged as a significant unique predictor in 3 of the four models, suggesting that social ostracism may be a particularly harmful aspect of discrimination. Implications of these findings include the use of proactive and intervention strategies that emphasize a sense of belonging and mitigate the effects of exclusion and rejection. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The purpose of this study is to explore the experiences of mental health professionals who self-identify as having a mental illness by analyzing how they describe their experiences in their own words. Twelve therapists volunteered to be interviewed for a larger study of working professionals living with mental illness that focused on perceived prejudice and discrimination in the workplace, revealing versus concealing one's mental illness on the job, and how having a mental illness impacts one's identity as a professional. This article reports on how these themes relate to practicing psychotherapists who are typically careful about with whom they share their mental health information. The results highlight that expressions of prejudice toward people with mental illnesses were commonplace among these mental health professionals and may contribute to an inclination among therapists to reveal their mental health history selectively, if at all, on the job. When it comes to sharing with clients, therapists tended to be thoughtful and deliberate about self-disclosure, only using it when they believed it would be beneficial to the client rather than to themselves. Regardless of whether they shared with clients, most of the therapists emphasized that having direct experience with mental illness enhanced their capacity to empathize with their clients, although sometimes empathy could trigger their own symptoms. The implications of these results for psychotherapists are discussed, including how psychotherapists with mental illness should care for themselves and how psychotherapists without mental illness can be more sensitive to their colleagues. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Supervised access services (SAS) allow parents who represent a risk for their children or for the other parent to maintain contact with or exchange custody of their children in the presence of a third person. Even though these services have been designed in the children's best interest, few studies have, until now, documented the evolution in the parents' and children's adjustment or in the quality of the relationships between the family members throughout the services. To better understand this evolution, a longitudinal study comprising 3 time measures was conducted with 96 parents who were beginning the services. Although the results revealed that the children's evolution was stable all throughout the service trajectory, further analyses showed that the school-age children, and more particularly the boys, experienced a high level of difficulty. Furthermore, the study showed that the parents' evaluation of their children's adjustment differed according to whether or not the parent had to see the child in a supervised context. Finally, we observed that the evolution of the children's adjustment was correlated with the parents' psychological distress, the quality of the parent-child relationship, and conflict between the parents, all processes that did not have a tendency to improve throughout the service trajectory. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The goals of this article were to (a) examine the changes in educational achievements of children in care from preschool through the end of primary school; (b) identify subgroups exhibiting distinct educational trajectories; and (c) explore key predictive individual, care, and school characteristics. To this end, the study investigated a cohort of 1,834 children in England who had been in care in their final year of preschool. Data from the National Pupil Database and from the Children Looked After Database was used to examine national assessments of literacy and numeracy in preschool and School Years 2 and 6, as well as potential child (e.g., special educational needs), care (e.g., placement changes) and school predictors (e.g., school's mean ability level). The findings indicated that as early as preschool, children in care lagged substantially behind their peers and their relative academic condition worsened over time. Latent growth analyses revealed four distinct subgroups of children. One was a relatively resilient subgroup of children with "stable high" achievements over time, but more than 8 out of 10 children belonged to one of the other subgroups and exhibited maladaptive educational trajectories. Risk factors for a poorer trajectory included having special educational needs and spending more time in care during primary school, whereas attending higher performing schools was found to be related to better performing trajectories. The findings underscore the crucial need for early assessment and intervention efforts to deal with the unique educational needs of children in care. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Although sibling ties are typically among the longest lasting family relationships, relatively little is known about how adult siblings navigate family caregiving when a brother or sister has a serious mental illness. The present study examined the role of primary caregiver status, perceived sibling illness severity, sibling relationship quality, and self and sibling caregiving attitudes in understanding reports of personal loss and stress-related personal growth among siblings of adults with serious mental illness. Online surveys were completed by 226 adult siblings (141 women; 85 men; mean age = 34 years; SD = 9.05). Results suggest that well siblings' reports of self and sibling caregiving attitudes significantly differed as a function of primary caregiver status (i.e., sibling, parents, or others as primary caregiver or no caregiver). Sibling caregiving attitudes differentially predicted well siblings' experience of personal loss and stress-related growth, regardless of demographics and primary caregiver status, perceived sibling illness severity, and sibling relationship quality. Greater ambivalence about providing care to their sibling with mental illness was associated with adults' reports of greater personal loss while higher levels of sibling balanced care priorities were significantly related to higher levels of personal growth. Greater self-care attitudes were significantly related to lower levels of both personal loss and personal growth for well siblings. Understanding sibling caregiving attitudes has important implications for research and interventions with families coping with mental illness. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The process of resettlement in a new country and culture is commonly one of intense stress. Somali immigrants and refugees living in North America represent a large ethnocultural group navigating the complexities of forced displacement and resettlement. Despite the immense resilience exhibited by Somali communities in resettlement, the behavioral health needs of these communities require effective and culturally appropriate psychological assessment tools that can be used across service and research sectors. Given this need, we sought to examine the psychometric properties and concurrent validity of the Cognitive Fusion Questionnaire (CFQ), a transdiagnostic measure of cognitive fusion, in a sample of 233 (M age = 25.35; female = 45%) Somali young adults living in North America. Results using confirmatory factor analysis demonstrated that the one-factor structure of the CFQ previously found in other diverse populations held in the present sample. The structure and related item loadings were invariant across three key variables: gender, age, and location of resettlement in North America. Importantly, cognitive fusion was meaningfully associated with aspects of clinical and psychosocial functioning thought to be highly relevant to this population, including posttraumatic stress, anxiety, and depression symptoms, thwarted belongingness and perceived burdensomeness, and experiences of discrimination. Building upon the growing body of evidence supporting the CFQ's strong psychometric properties across cultural groups, researchers, and clinicians should have an added degree of confidence and enthusiasm in utilizing this measure to support immigrant and refugee communities. (PsycInfo Database Record (c) 2020 APA, all rights reserved).