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Mental Health Literacy: A Strategy for Global Adolescent Mental Health Promotion 心理健康素养:全球青少年心理健康促进战略
IF 0.4 Q4 Medicine Pub Date : 2020-05-31 DOI: 10.2174/2210676610666200204104429
Caroline S. Clauss-Ehlers, M. Carpio, M. Weist
Adolescence is defined by key transitional elements which are consideredwithin a cross-cultural context. The importance of building mental health capacity foradolescents in low- and middle-income countries (LMICs) as well as high-income countries(HICs) is reviewed.To review the developmental period of adolescence, global needs for mentalhealth promotion, the needs of LMICs while emphasizing building adolescent mental healthcapacity, and the importance of efforts to promote mental health literacy.Mental health literacy (MHL) is presented as a strategy that can increase publicawareness regarding mental health issues among adolescents. Increased awareness throughan MHL framework is discussed as a way to build adolescent mental health capacity; withthis work ideally occurring through global communities of practice (COP), dialogue, collaboration,and mutual support that aim to build innovation in systems of mental health promotion.The authors review structural components in research, practice, and policy that seekto build global adolescent mental health capacity, nested within COPs involving HICs andLMICs working together to advance mental health promotion for children, adolescents, andyoung people.The article concludes with a discussion of how the three structural components(i.e., research, practice, and policy) can address gaps in the provision of global mental healthservices for adolescents to meet adolescent mental health needs in LMICs and HICs. Amulti-sectoral approach emphasizing a global COP is presented as a way to scale up capacityand maximize outcomes.
青春期是由跨文化背景下考虑的关键过渡因素定义的。综述了为中低收入国家(LMIC)和高收入国家(HIC)的青少年建立心理健康能力的重要性。审查青春期的发展时期、全球促进心理健康的需求、LMIC的需求,同时强调建立青少年心理健康能力,以及努力提高心理健康素养的重要性。心理健康素养(MHL)是一种可以提高青少年对心理健康问题的公众意识的策略。讨论了通过MHL框架提高认识,以此作为建立青少年心理健康能力的一种方式;这项工作理想地通过全球实践社区(COP)、对话、合作和相互支持进行,旨在建立心理健康促进系统的创新。作者回顾了旨在建立全球青少年心理健康能力的研究、实践和政策中的结构性组成部分,这些组成部分嵌套在涉及HIC和LMIC的COP中,共同推动儿童、青少年和年轻人的心理健康促进。文章最后讨论了三个结构组成部分(即研究、实践和政策)如何解决为青少年提供全球心理健康服务的差距,以满足LMIC和HIC的青少年心理健康需求。强调全球缔约方会议的多部门方法被认为是扩大能力和最大限度地实现成果的一种方式。
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引用次数: 13
Bias-motivated Victimization of Immigrant Students in Schools: Incidence, Impact, and Intervention 学校中移民学生因偏见而受害:发生率、影响和干预
IF 0.4 Q4 Medicine Pub Date : 2020-05-31 DOI: 10.2174/2210676610666200204110916
B. Daly, Chandler E. Puhy, M. Silverstein, L. Jones
Bias-motivated victimization is common among school-age youthand is associated with negative academic and emotional consequences. Few studies havelooked at the incidence of various forms of bias-motivated victimization for first- and second-generation immigrant-origin students even though these students represent an especiallyvulnerable population for experiencing bias.The present study investigated whether immigrant-origin students reported higherincidences of bias-motivated victimization relative to their nonimmigrant-origin peers. Forstudents who experienced bias-motivated victimization, we examined the impact of these experienceson levels of distress and examined perceived social and community support betweenimmigrant-origin and nonimmigrant-origin students. Participants completed the Youth Bias Victimization Questionnaire (YBVQ), aquestionnaire designed to capture information about how often youth experience differenttypes of bias-motivated victimization.Approximately 60% of youth in the full sample reported experiencing one or moretypes of bias victimization in their lifetime and this rate was generally equivalent across immigrant-origin and nonimmigrant-origin participants. For those students who reported atleast one lifetime event of bias victimization, immigrant-origin youth were more likely thannonimmigrant-origin youth to experience victimization related to peers’ perceptions of theircountry of origin or immigrant status. There were no significant differences in reported levelsof distress or perceived social and community support between immigrant-origin andnonimmigrant-origin youth, regardless of whether they experienced bias-motivated victimizationduring their lifetime. Clinicians working in school settings should be aware of the high incidence ofstudents who experience bias-motivated victimization and when indicated provide targetedintervention services to those negatively impacted by these experiences.
偏见驱动的受害在学龄青年中很常见,这与负面的学术和情感后果有关。很少有研究关注第一代和第二代移民学生因偏见而受到各种形式伤害的发生率,尽管这些学生代表了一个特别容易受到偏见影响的群体。本研究调查了与非移民出身的同龄人相比,移民出身的学生是否报告了更高的基于偏见的受害率。对于经历过偏见驱动的受害的学生,我们检验了这些经历对痛苦程度的影响,并检验了移民和非移民学生之间感知到的社会和社区支持。参与者完成了青年偏见受害问卷(YBVQ),该问卷旨在收集有关青年经历不同类型的偏见驱动的受害的频率的信息。在整个样本中,大约60%的年轻人报告说,他们一生中经历过一种或多种类型的偏见受害,移民和非移民参与者的这一比例通常相当。对于那些报告了至少一次终身偏见受害事件的学生来说,移民出身的年轻人比非移民出身的青年更有可能经历与同龄人对其原籍国或移民身份的看法有关的受害。移民出身和非移民出身的青年在报告的痛苦程度或感知的社会和社区支持方面没有显著差异,无论他们在一生中是否经历过基于偏见的伤害。在学校工作的临床医生应该意识到,学生遭受偏见驱动的伤害的几率很高,并在必要时为那些受到这些经历负面影响的人提供有针对性的干预服务。
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引用次数: 1
Adolescent Mental Health Promotion through a Global Framework 通过全球框架促进青少年心理健康
IF 0.4 Q4 Medicine Pub Date : 2020-05-31 DOI: 10.2174/2210676610666200324112200
Caroline S. Clauss-Ehlers, M. Weist
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引用次数: 0
Community Psychiatry in a Latin American Context: Perú as a Case Example 拉丁美洲背景下的社区精神病学:以Perú为例
IF 0.4 Q4 Medicine Pub Date : 2020-05-31 DOI: 10.2174/2210676610666200317155858
Renato D. Alarcón, H. Vargas-Murga, July Caballero-Peralta, Yuri Cutipé-Cárdenas
Historical and conceptual issues related to community psychiatry asan innovative approach to clinical assistance across the world, precede a more or less detailedexamination of its presence, role and current accomplishments in Latin America, particularlyrelated to child and adolescent subpopulations. Information about transition processesfrom the traditional hospital-centered model to the community-based approach, applicablemental health policies, levels of implementation and quality of the available reports indifferent countries, are duly evaluated.Within an understanding of the broader Latin American context, the paper describesthe situation in Perú, a country considered representative of the Low and Middle Income(LMIC) group in the subcontinent.The situation in Perú is presented with particular emphasis on a recently establishedcommunity-based mental health centers program across its territory.This description includes consideration of variables such as personal, family andidentity empowerment, a focus on integrated care, and clinical outcomes and community relations.The development of community mental health centers across Perú is described.Adolescents represent the unique future of socio-culturally diverse LatinAmerican countries, and must be the target population of well-conceived, cohesive communitymental health policies and programs. The importance of political will to promote communityhealth centers that provide adolescents access to services is critical.
作为世界各地临床援助的创新方法,与社区精神病学相关的历史和概念问题,在对其在拉丁美洲的存在、作用和当前成就进行或多或少的详细审查之前,尤其是与儿童和青少年亚群相关的问题。适当评估了从传统的以医院为中心的模式向以社区为基础的方法的过渡过程、适用的心理健康政策、执行水平和各国现有报告的质量等信息。在对更广泛的拉丁美洲背景的理解中,本文描述了秘鲁的情况,该国被认为是次大陆中低收入群体的代表。秘鲁的情况特别强调了最近在其领土上建立的一个基于社区的心理健康中心项目。该描述包括对变量的考虑,如个人、家庭和身份授权,对综合护理的关注,以及临床结果和社区关系。介绍了秘鲁各地社区心理健康中心的发展情况。青少年代表着社会文化多样化的拉丁美洲国家的独特未来,必须成为构思良好、具有凝聚力的社区卫生政策和计划的目标人群。促进为青少年提供服务的社区卫生中心的政治意愿至关重要。
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引用次数: 0
Inpatient Milieu Therapy: Considerations for Adolescent and Transitional Age Youth 住院环境疗法:青少年和过渡年龄青少年的注意事项
IF 0.4 Q4 Medicine Pub Date : 2020-04-24 DOI: 10.2174/2210676609666190617150025
Hun Millard, S. Parke, Cynthia R. Wilson, Zheala Qayyum, Hyun Jung Kim, Timothy C. Van Deusen
The role of milieu therapy on inpatient treatment has becomemore prominent due to the changing landscape of hospital care, with shorter length ofstay, higher patient acuity, and rapid turnover. The modern inpatient unit promotes less individualpsychotherapy with the psychiatrist or therapist, and more milieu and group basedtreatment that emphasizes acute stabilization.The authors share some of the core domains that provide the basic framework formilieu treatment within an acute care setting when working with adolescents and transitionalage youth (TAY), with the aim to share clinical considerations for milieu therapy and offerpractical ideas for implementation in clinical practice.The therapeutic milieu and collaboration of an interdisciplinary team has a significantimpact on hospital treatment. Considerations for milieu therapy implementation inan inpatient unit include developmentally informed concepts related to milieu treatment ofadolescents and TAY patients in a hospital setting.
随着住院时间的缩短、患者病情的加重以及人员的快速流动,住院治疗中的环境疗法的作用日益突出。作者分享了一些核心领域,这些领域为在急症护理环境中为青少年和过渡阶段青年(TAY)提供环境疗法的基本框架,旨在分享环境疗法的临床考虑因素,并为临床实践中的实施提供实用的想法。在住院部实施环境疗法的注意事项包括在医院环境中对青少年和 TAY 患者进行环境疗法的发展相关概念。
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引用次数: 0
To love and/or to work: the ideological dilemma of young women. 恋爱和/或工作:年轻女性的意识形态困境。
IF 0.4 Q4 Medicine Pub Date : 2020-04-24 DOI: 10.2174/2210676609666190702150358
Flaherty Lt
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引用次数: 1
Preface 前言
IF 0.4 Q4 Medicine Pub Date : 2020-04-24 DOI: 10.2174/221067661001200413092352
L. Flaherty
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引用次数: 0
Prevalence of Body Dysmorphic Disorder and Predictors of Body Image Disturbance in Adolescence 青少年身体畸形障碍的患病率和身体形象障碍的预测因素
IF 0.4 Q4 Medicine Pub Date : 2020-04-20 DOI: 10.2174/2210676610999200420112129
James Collison, L. Harrison
Body dysmorphic disorder encompasses a range of cognitive andbehavioural states stemming from distressing, negative evaluations of one’s appearance. Despitethe seriousness of this condition, little is known about who is likely to receive a diagnosisand more importantly what the putative risk factors are. This is particularly so amongadolescent samples, where the extant literature is considerably smaller.This study had two broad aims: to estimate the prevalence of body dysmorphicdisorder within a young-adult population, and to examine the predictors of body image disturbance.Three-hundred and four adolescents (242 females; Mage = 17.68) completed theBody Image Disturbance Questionnaire and Body Dysmorphic Disorder Questionnaire,along with measures of clinical psychopathology, self-esteem, experiences of parenting, andbullying. Body dysmorphic disorder was present in 3.9% of the sample, which is in line withprevious estimates among adolescents. More interestingly, results indicated that instances ofhigh stress, low self-esteem, and reported experiences of bullying were able to predict 48%of body image dissatisfaction.Psychological interventions should be directed towards adolescents with bodyimage concerns, especially if they also report bullying, elevated stress, or diminished selfesteem.However, additional research is still warranted to gain an increasingly accurate understandingof the prevalence of body dysmorphic disorder and who is susceptible to developingthis disorder and how we can best serve these individuals in the community.
身体变形障碍包括一系列认知和行为状态,这些状态源于对自己外表的痛苦、负面评价。尽管这种情况很严重,但对于谁可能得到诊断,以及更重要的是假定的风险因素是什么,我们知之甚少。尤其是在红柱石样本中,那里现存的文献要少得多。这项研究有两个广泛的目的:估计年轻成年人群中身体畸形障碍的患病率,并检查身体图像障碍的预测因素。304名青少年(242名女性;Mage=17.68)完成了身体形象障碍问卷和身体变形障碍问卷,以及临床精神病理学、自尊、育儿经历和欺凌的测量。3.9%的样本存在身体变形障碍,这与之前对青少年的估计一致。更有趣的是,研究结果表明,高压力、低自尊和报告的欺凌经历能够预测48%的身体形象不满。心理干预应针对有身体形象问题的青少年,尤其是当他们也报告欺凌、压力增加或自尊下降时。然而,仍有必要进行更多的研究,以越来越准确地了解身体变形障碍的患病率,以及谁容易患上这种障碍,以及我们如何最好地为社区中的这些人服务。
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引用次数: 2
Reactive and Proactive Aggression among Immigrant and Non-Immigrant Early Adolescents in Norway: The Relations to Emotional and Conduct Problems 挪威移民和非移民早期青少年的反应性和主动性攻击:与情绪和行为问题的关系
IF 0.4 Q4 Medicine Pub Date : 2020-03-27 DOI: 10.2174/2210676610666200327165927
Hildegunn Fandrem, B. Oppedal, T. Idsøe
This study explores the differences in the association between threedifferent types of aggression (reactive aggression, power-related proactive aggression and affiliation-related proactive aggression) and emotional and conduct problems between earlyadolescents with immigrant and non-immigrant backgrounds in Norway.The sample comprised 1759 early adolescents in fifth to eighth grade (10- to 15-year-olds). The proportion of early adolescent immigrants with two foreign-born parents was862, and 897 participants were adolescents with two Norwegian-born parents. The genderdistribution was similar in the immigrant and non-immigrant samples, 48.2% boys and49.5% girls. The mean age was 11.6 years (SD 1.25) for immigrant boys, 11.7 (SD 1.29) fornon-immigrant boys, 11.6 (SD = 1.25) for immigrant girls, and 11.8 (SD = 1.27) for nonimmigrantgirls. Data were collected via self-report assessments.A multigroup structural equation model revealed that the effects of reactive andproactive aggression were different for conduct and emotional problems. Only reactive andpower-related proactive aggression was significantly associated with conduct problems, andeffect sizes were independent of immigrant status. The effects of reactive and power-relatedproactive aggression on emotional problems were stronger for non-immigrant early adolescents,while the effects of affiliation-related proactive aggression were stronger for immigrant-background early adolescents. A better understanding of the underlying mechanisms of the associations betweenaggression and emotional problems and the variation between immigrant and nonimmigrantearly adolescents can shed light on the etiology of mental health and behavioralproblems. The importance of such knowledge in designing interventions targeting aggressionamong early adolescents in multicultural contexts is discussed.
本研究探讨了挪威移民和非移民背景的早期青少年之间三种不同类型的攻击(反应性攻击、权力相关的主动攻击和从属关系相关的主动侵略)与情绪和行为问题之间的联系差异。样本包括1759名五至八年级的早期青少年(10至15岁)。父母在外国出生的早期青少年移民比例为862,897名参与者是父母在挪威出生的青少年。移民和非移民样本的性别分布相似,分别为48.2%和49.5%。移民男孩的平均年龄为11.6岁(SD 1.25),非移民男孩为11.7岁(SD 1.29),移民女孩为11.6岁,非移民女孩为11.8岁(SD=1.27)。数据是通过自我报告评估收集的。一个多组结构方程模型显示,反应性和主动性攻击对行为和情绪问题的影响是不同的。只有反应性和权力相关的主动攻击与行为问题显著相关,并且影响大小与移民身份无关。非移民早期青少年的反应性和权力相关的主动攻击对情绪问题的影响更强,而移民背景早期青少年的从属关系相关的主动侵略的影响更强。更好地理解攻击性和情绪问题之间的联系的潜在机制,以及移民和非移民青少年之间的差异,可以揭示心理健康和行为问题的病因。讨论了这些知识在设计针对多元文化背景下早期青少年攻击性行为的干预措施中的重要性。
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引用次数: 1
The Psychoanalytic-Interactional Method (PiM) for Adolescents with Borderline Personality Disorder 青少年边缘型人格障碍的心理分析互动法
IF 0.4 Q4 Medicine Pub Date : 2020-03-27 DOI: 10.2174/2210676610666200327164953
A. Streeck-Fischer, Charline Logé, S. Salzer
Studies have shown the practicality of diagnosing borderline personalitydisorder (BPD) in children from the age of 12 years (cf. ICD-11, DSM-5). Researchin the psychodynamic therapy of adolescents with BPD has been rare to date, however, theredo exist some studies on the efficacy and effectiveness of psychodynamic therapy in adultswith borderline personality disorder.We adapted the psychoanalytic-interactional method (PiM), originally developedin the treatment of severely disturbed adults, to the conditions of adolescents diagnosed withborderline personality disorder or structural deficits. Randomized controlled trial in an inpatientsetting (Salzer et al., 2013; Salzer et al., 2014) showed that PIM is efficacious for adolescentswith BPD symptoms. We describe the approach to treatment in detail. The results of the therapeutic study and the short case vignette show that PiM is auseful method in both inpatient and outpatient treatment and meets the specific requirementsof adolescent treatment.
研究表明,诊断12岁以下儿童的边缘性人格障碍(BPD)是实用的(参见ICD-11,DSM-5)。迄今为止,对青少年BPD的心理动力学治疗的研究很少,但也有一些关于心理动力学治疗边缘型人格障碍的疗效和有效性的研究。我们将精神分析互动方法(PiM)应用于被诊断为边缘型人格障碍或结构缺陷的青少年,该方法最初是为治疗严重精神障碍的成年人而开发的。一项患者随机对照试验(Salzer等人,2013;Salzer et al.,2014)表明PIM对有BPD症状的青少年有效。我们详细描述了治疗方法。治疗研究的结果和简短的案例表明,PiM在住院和门诊治疗中都是有效的方法,符合青少年治疗的具体要求。
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引用次数: 1
期刊
Adolescent Psychiatry
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