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Facilitating a hearing voices group on acute and psychiatric intensive care units to promote acceptance and hope: preliminary learning and reflections 协助在急症及精神科加护病房成立听障小组,促进接纳和希望:初步学习和反思
Q4 SOCIAL WORK Pub Date : 2023-11-07 DOI: 10.1108/mhsi-09-2023-0099
John McEwan McManus, Styliani Gkika, Elaine Swift
Purpose Hearing voices can be a debilitating and traumatic experience, and psychiatric hospitals can feel unsafe and overstimulating to voice hearers. Research suggests this may prolong a service user’s admission time and lead to an unhelpful experience. Therefore, a hearing voices group (HVG) was developed to create a safe space where voice hearers could share their story with others with lived experience and access support. Design/methodology/approach The group was developed by the first author under the supervision of the inpatient psychology lead. Both a practice-based and expert by experience-based approach were considered during the development of the group structure. The group also aligned with the Hearing Voices Network and the Trust’s values. A questionnaire was developed to evaluate the effectiveness of the group using six five-point Likert scale questions and three open questions to collect the data, which was then analysed. Findings The themes from the qualitative data showed that staff and ward-based promotion of the group were paramount to ensuring patient engagement. The results also showed that voice hearers found the group therapeutic, and some found the coping skills shared to be beneficial and effective. Research limitations/implications A large percentage of women (76%) reported that they had attended a HVG before. This was not the case for service users from the male unit and psychiatric intensive care unit. This result is considered to reflect the fact that women in that unit had the opportunity to attend more than once during their admission, rather than that they had accessed these groups in other settings or in the community. Therefore, in the future, it would be useful to change this question to “have you attended any other HVGs in the past, prior to this admission?”, which might be more appropriate for data collection. Originality/value To the best of the authors’ knowledge, this is the original work of the first author, who is an expert by experience and an assistant psychologist. The results suggest that HVGs can be beneficial for patients in acute and intensive mental health care and highlight some necessary adaptations and the importance of adopting an MDT approach in promoting therapeutic groups.
听声音可能是一种使人衰弱和创伤的经历,精神病院可能会让听声音的人感到不安全和过度刺激。研究表明,这可能会延长服务用户的入院时间,并导致无益的体验。因此,我们创建了一个听声小组(HVG),以创造一个安全的空间,在这里,听声者可以与其他有生活经历和获得支持的人分享他们的故事。设计/方法/方法该小组由第一作者在住院心理学主任的监督下开发。在小组结构的发展过程中,考虑了以实践为基础和以经验为基础的专家方法。该组织还与听声网络和信托基金会的价值观保持一致。开发了一份调查问卷来评估该小组的有效性,使用六个五点李克特量表问题和三个开放问题来收集数据,然后对其进行分析。定性数据的主题表明,工作人员和病房的推广对确保患者参与至关重要。结果还显示,听者发现小组治疗,一些人发现分享的应对技巧是有益和有效的。研究局限性/启示很大比例的妇女(76%)报告说她们以前参加过HVG。对于男性病房和精神科重症监护病房的服务使用者来说,情况并非如此。这一结果被认为反映了这样一个事实,即该单位的妇女在入院期间有机会参加不止一次,而不是她们在其他环境或社区中参加过这些团体。因此,在将来,将这个问题改为“在此入学之前,您是否参加过其他hvg ?”,这可能更适合于数据收集。据作者所知,这是第一作者的原创作品,他是一位经验丰富的专家,也是一位助理心理学家。结果表明,hvg对急性和重症精神卫生保健患者有益,并强调了一些必要的调整和采用MDT方法在促进治疗组中的重要性。
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引用次数: 0
Examining the interplay between resilience, mental health and young adults: insights from bibliometric analysis on historical, contemporary and future trends 研究弹性、心理健康和年轻人之间的相互作用:来自历史、当代和未来趋势的文献计量分析的见解
Q4 SOCIAL WORK Pub Date : 2023-11-06 DOI: 10.1108/mhsi-09-2023-0092
Christine Nya-Ling Tan, Muhammad Ashraf Fauzi
Purpose This study aims to conduct a complete bibliometric analysis of published research to develop a solid roadmap for future research into developing young adults’ mental health and resilience and to further the body of knowledge and scientific advancement in this area. Design/methodology/approach A literature search using VOSviewer, through Web of Science, was conducted to identify young adult mental health and resilience studies. A total of 226 studies were identified between 1993 and the end of June 2022, as the number of published studies increased. Extracted data included citation, co-citation, keyword and co-word analyses. Findings This study evaluates the current knowledge structure of young adult mental health and resilience through co-citation analysis and discovers the directions and trends of popular topics in young adult mental health and resilience through co-word analysis. It suggests that legislators and physicians should aim to provide social support via screening and interventions, especially for young adults struggling with disruption in their social lives. Originality/value Using a bibliometric approach, the findings provide a robust roadmap for further investigation into young adult mental health and resilience evolution. This method will further advance the knowledge and progress of this field, as this research is the first attempt at doing so – to the best of the authors’ knowledge.
目的本研究旨在对已发表的研究进行完整的文献计量分析,为未来发展青少年心理健康和心理弹性的研究制定一个坚实的路线图,并进一步促进这一领域的知识体系和科学进步。设计/方法/方法通过Web of Science使用VOSviewer进行文献检索,以确定年轻人心理健康和恢复力的研究。随着发表的研究数量的增加,从1993年到2022年6月底,共确定了226项研究。提取的数据包括引文、共被引、关键词和共用词分析。结果本研究通过共引分析评估了目前青少年心理健康与心理弹性的知识结构,并通过共词分析发现了青少年心理健康与心理弹性的热门话题方向和趋势。它建议立法者和医生应该致力于通过筛查和干预来提供社会支持,特别是对那些在社会生活中挣扎的年轻人。独创性/价值使用文献计量学方法,研究结果为进一步研究年轻人心理健康和弹性进化提供了强有力的路线图。这种方法将进一步推动这一领域的知识和进展,因为本研究是在这方面的第一次尝试——据作者所知。
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引用次数: 0
Remarkable lives – Robyn Clegg-Gibson in conversation with Robert Hurst 非凡的人生——罗宾·克莱格-吉布森与罗伯特·赫斯特的谈话
Q4 SOCIAL WORK Pub Date : 2023-10-26 DOI: 10.1108/mhsi-10-2023-0105
Robyn Clegg-Gibson, Robert Hurst
Purpose The purpose of this paper is to share Robyn Clegg-Gibson’s story. Design/methodology/approach Robyn wrote a biography of her experiences. Robert then asked a series of questions from the perspective of a mental health academic researcher. Findings Robyn shared stories from her life, and how her experiences have shaped her life and herself. Research limitations/implications Narratives such as this give us an overview of only a single person’s experiences. However, they allow the person with lived experience to explore their story in depth. Practical implications What Robyn has written is very emotional. Her story will give readers an insight into her life and experiences. Social implications There is so much to learn from a story like Robyn’s. In particular, from her experiences of police processes after a crime. Originality/value To the best of the authors’ knowledge, this is the first time that Robyn has chosen to publish her unique story in the written form. The value of Robyn sharing her story is apparent upon reading it.
这篇论文的目的是分享Robyn Clegg-Gibson的故事。Robyn写了一本关于她的经历的传记。然后,罗伯特从心理健康学术研究者的角度提出了一系列问题。罗宾分享了她生活中的故事,以及她的经历如何塑造了她的生活和她自己。像这样的叙述只能给我们一个人的经历的概述。然而,他们允许有生活经验的人深入探索他们的故事。罗宾写的东西很情绪化。她的故事将让读者深入了解她的生活和经历。我们可以从罗宾这样的故事中学到很多东西。特别是,从她在犯罪后的警察程序的经历中。据作者所知,这是Robyn第一次选择以书面形式发表她独特的故事。Robyn分享她的故事的价值在阅读后显而易见。
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引用次数: 0
The weight of “the keys”: two autoethnographic accounts of how mental health nurse training has changed over the decades “关键”的重量:两个关于精神健康护士培训在过去几十年里如何变化的民族志自述
Q4 SOCIAL WORK Pub Date : 2023-10-24 DOI: 10.1108/mhsi-09-2023-0097
Barrie Green, Jake Stanworth
Purpose This paper aims to critically compare the impact and preparedness for practice of two types of mental health nurse training in the UK. One being a hospital-based apprenticeship model from the 1980s; the other a university-based and more academically focussed approach from this millennium. Design/methodology/approach This autoethnographic reflective commentary describes and reviews the effectiveness of two training curricula for Registered Mental Nurse (RMN) training. The first being the certificate-level 1983 syllabus of the UK Central Council for Nursing, Midwifery and Health Visiting, which was replaced in the late 1990s by diploma and degree-level Project 2000 training of the General Nursing Council. Using a reflective narrative approach to describe the lived experience of two qualified nurses, it compares, reviews and critiques both initiatives. Findings The author/researchers found both benefits and negatives inherent in each model. These were grouped into five key headings, which are a sense of belonging/identity; exposure to clinical practice; differences in training modality; development of clinical management skills and clinical preparedness; and academic merit. The older curriculum lacked an academic or research base, whereas the more recent approach encouraged and enhanced this element. However, with regard to preparing the clinician/registered nurse to feel confident in addressing a range of clinical and managerial challenges, the older style training seems to deliver better outcomes. They conclude that a move towards a “middle ground” between the two models may be of benefit to future RMN preparation. Research limitations/implications This study reports on the experience of two registered nurses. Therefore, the sample size is small. However, autoethnography is acknowledged as an effective means of delivering qualitative research; in addition, the authors access and use material from the wider literature to triangulate and critique their approach. This paper adds to the literature but also allows for duplication by others to further test the findings. Practical implications This type of study provides an opportunity for others to review, compare and contrast nursing or other multi-discipline changes in training/curriculum. The research method is one that is transferable and can be used within areas of practice, which have resource limitations. It provides an opportunity to replicate it in other services or jurisdictions. Social implications Nursing in the UK has experienced significant change over the past four decades. For RMNs, the move from hospitals into the community has been transformational. In addition, the influence of higher academic standards and the influence of the recent pandemic have challenged the profession and individuals within it. This study demonstrates positive and negative elements of the dilemma faced by nurses and offers a further contribution to this area. Originality/value There are a number of acade
目的:本文旨在批判性地比较英国两种类型的心理健康护士培训的影响和准备。一个是20世纪80年代以医院为基础的学徒模式;另一种是本世纪以来以大学为基础、更注重学术的方法。设计/方法/方法这篇自我民族志反思评论描述并回顾了注册精神护士(RMN)培训的两个培训课程的有效性。第一个是1983年联合王国护理、助产和保健访问中央委员会的证书级教学大纲,该大纲在1990年代后期被一般护理委员会的文凭和学位级项目2000培训所取代。使用反思性叙述方法来描述两位合格护士的生活经验,它比较,审查和批评这两个倡议。作者/研究人员发现了每种模式固有的优点和缺点。这些被分成五个关键的标题,分别是归属感/认同感;接触临床实践;培训方式的差异;临床管理技能的发展和临床准备;还有学业成绩。旧的课程缺乏学术或研究基础,而最近的方法鼓励并加强了这一元素。然而,在准备临床医生/注册护士有信心应对一系列临床和管理挑战方面,老式培训似乎提供了更好的结果。他们的结论是,在两种模式之间走向“中间地带”可能有利于未来RMN的准备。研究局限/启示本研究报告两名注册护士的经验。因此,样本量很小。然而,自我民族志被认为是提供定性研究的有效手段;此外,作者从更广泛的文献中获取和使用材料来三角化和批评他们的方法。这篇论文增加了文献,但也允许其他人重复以进一步测试研究结果。这种类型的研究为其他人提供了一个回顾、比较和对比护理或其他多学科培训/课程变化的机会。该研究方法是一种可转移的方法,可以在资源有限的实践领域中使用。它提供了在其他服务或司法管辖区复制它的机会。在过去的四十年里,英国的护理经历了重大的变化。对于rmn来说,从医院到社区的转变具有变革性。此外,更高的学术标准的影响和最近大流行病的影响对该专业及其从业人员提出了挑战。本研究展示了护士面临的困境的积极和消极因素,并为这一领域提供了进一步的贡献。有许多学术论文、媒体报道、法定报告和指南探讨了护士培训变化的影响。本文采用第一人称的自我民族志研究,研究这些变化在人类层面上的影响和有效性,即在地面上的护士。以病房药钥匙为载体,代表新晋护士必须面对的巨大责任;这在其他文献中没有广泛的表现!
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引用次数: 0
“Not so good vibrations”: five collaborative autoethnographic accounts of Brian Wilson, his life, music, rock “n” recovery’ 《不太好的震动》:五篇关于布莱恩·威尔逊的自传,包括他的生活、音乐、摇滚和“恢复”
Q4 SOCIAL WORK Pub Date : 2023-10-20 DOI: 10.1108/mhsi-09-2023-0103
Patrick Hopkinson, Mats Niklasson, Peter Bryngelsson, Andrew Voyce, Jerome Carson
Purpose The purpose of this paper is to provide an analysis of the life of the musician Brian Wilson from five different perspectives. Design/methodology/approach The authors used a mixed method of collaborative autoethnography, psychobiography and digital team ethnography to try and better understand the life and contributions of Brian Wilson. Findings Each of the five contributors provides different insights into the life and music of Brian Wilson. Research limitations/implications While the focus of this paper is on a single individual, a case study, the long and distinguished life of Brian Wilson provides much material for discussion and theorising. Practical implications Each individual presenting to mental health services has a complex biography. The five different contributions articulated in this paper could perhaps be taken as similar to the range of professional opinions seen in mental health teams, with each focusing on unique but overlapping aspects of the person’s story. Social implications This account shows the importance of taking a biological-psychological-social-spiritual and cultural perspective on mental illness. Originality/value This multi-layered analysis brings a range of perspectives to bear on the life and achievements of Brian Wilson, from developmental, musical, psychological and lived experience standpoints.
本文的目的是从五个不同的角度来分析音乐家布莱恩·威尔逊的一生。作者使用了一种混合的方法,包括协作的自我民族志、心理传记和数字团队民族志,试图更好地理解布莱恩·威尔逊的生活和贡献。五位作者都对布莱恩·威尔逊的生活和音乐提供了不同的见解。虽然本文的重点是一个单独的个体,一个案例研究,但布莱恩·威尔逊漫长而杰出的一生为讨论和理论化提供了很多材料。实际意义每个到精神卫生服务机构就诊的人都有一个复杂的履历。这篇论文中阐述的五种不同的贡献,或许可以被视为类似于精神健康团队中所看到的专业观点的范围,每一种观点都专注于个人故事中独特但重叠的方面。这篇文章显示了从生物学-心理学-社会-精神和文化的角度来看待精神疾病的重要性。这种多层次的分析从发展、音乐、心理和生活经验的角度,为布莱恩·威尔逊的生活和成就带来了一系列的视角。
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引用次数: 0
Facilitating workplace friendships for individuals with limited work capacity 为工作能力有限的人建立职场友谊
Q4 SOCIAL WORK Pub Date : 2023-10-18 DOI: 10.1108/mhsi-09-2023-0098
David Chun Yin Li
Purpose This paper aims to provide strategies for individuals with limited work capacity (LWC) to build workplace friendships and foster inclusion, which can benefit their mental health. Design/methodology/approach The paper integrates key theories such as social exchange theory and the similarity-attraction paradigm to analyze the dynamics of relationships. Practical tips grounded in the existing literature are outlined. Findings Effective communication, building trust, showing mutual respect and discovering common interests can facilitate friendship development for employees with LWC. Supportive organizational policies and culture are also critical. Social implications By building workplace bonds and inclusion, individuals with LWC may experience greater social support, more engagement and better mental well-being. This also helps to diminish stigma and marginalization. Originality/value This viewpoint provides practical guidance specifically designed for individuals with Limited Work Capacity (LWC) to overcome workplace obstacles and build social relationships. It addresses an existing gap in the interpersonal facets of disability inclusion.
本研究旨在为工作能力有限的个体提供建立职场友谊和促进包容的策略,从而有利于他们的心理健康。本文整合了社会交换理论、相似-吸引范式等关键理论,分析了人际关系的动态。在现有文献的基础上,概述了实用技巧。有效的沟通、建立信任、相互尊重和发现共同的兴趣爱好有助于LWC员工友谊的发展。支持性的组织政策和文化也至关重要。通过建立工作场所的联系和包容,LWC患者可能会获得更多的社会支持,更多的参与和更好的心理健康。这也有助于减少耻辱和边缘化。原创性/价值这一观点为具有有限工作能力(LWC)的个人提供了专门设计的实用指导,以克服工作场所障碍并建立社会关系。它解决了在残疾人包容的人际关系方面存在的差距。
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引用次数: 0
Post-adversarial appreciation: a novel re-conceptualisation of posttraumatic growth 后对抗欣赏:创伤后成长的新概念
Q4 SOCIAL WORK Pub Date : 2023-10-09 DOI: 10.1108/mhsi-08-2023-0090
Madison Harding-White, Dara Mojtahedi, Jerome Carson
Purpose This paper aims to explore current inconsistencies within the theoretical framework of current posttraumatic growth (PTG) literature in support of the suggestion for an alternative novel phenomenon labelled “post-adversarial appreciation”. Design/methodology/approach This re-conceptualisation has developed from the findings of empirical research conducted by the authors and their understanding of PTG. Findings Significant inconsistencies persist across the PTG literature in relation to the parameters required for PTG to manifest. It appears that PTG or an alternative concept labelled adversarial growth does take place following adverse/traumatic events, but that a separate phenomenon may better explain positive improvements in perceived personal appreciation during such events. This phenomenon is theorised by the authors as “post-adversarial appreciation”. Originality/value This paper suggests the existence of a novel phenomenon that may address many of the inconsistencies and present within the current PTG literature. This highlights a significant need for further research within the field of trauma and adversity in relation to positive outcomes which may result from such negative experiences.
本文旨在探讨当前创伤后成长(PTG)文献理论框架内的不一致性,以支持另一种被称为“后对抗欣赏”的新现象的建议。这种重新概念化是从作者进行的实证研究的发现和他们对PTG的理解发展而来的。研究结果:关于PTG表现所需的参数,PTG文献中存在显著的不一致。似乎PTG或另一种称为对抗性成长的概念确实发生在不良/创伤事件之后,但另一种现象可能更好地解释了在此类事件中感知到的个人欣赏的积极改善。这一现象被作者理论化为“后对抗性欣赏”。本文提出了一种新现象的存在,可以解决当前PTG文献中存在的许多不一致之处。这突出了在创伤和逆境领域进行进一步研究的重要必要性,这些研究与这些负面经历可能产生的积极结果有关。
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引用次数: 0
The death of migrant workers in India during the first wave of COVID-19 pandemic 在第一波COVID-19大流行期间,印度移民工人的死亡
Q4 SOCIAL WORK Pub Date : 2023-09-26 DOI: 10.1108/mhsi-08-2023-0086
Sumant Kumar, Avanish Bhai Patel
Purpose COVID-19 lockdown imposed by the government in India affected markets, factories, industries, construction sites, restaurants, transport services, etc. in which migrant workers were engaged. Migrant workers expected that after the imposition of the lockdown government will facilitate transportation facilities to their hometowns as they lost their jobs. But due to negligence from both the central and the state governments, neither transportation was arranged nor food, shelter or health facilities were arranged. This paper aims to investigate the causes of the death of migrant workers under the theoretical framework of negligence theory. Design/methodology/approach The authors have applied the content analysis method and collected 926 death cases of migrant workers from 28 Indian states. The researchers applied this technique as the newspapers in India are one of the largest and most useful sources to generate a report/record on migrant workers causes during the COVID-19 lockdown. During the lockdown period, due to lack of attention from the government, police atrocities, hunger and accidental cases increased which resulted in the death of migrant workers. Findings The finding of the study proves that during the first phase of COVID-19 lockdown the death cases of migrant workers increased due to negligence by the governments. The number of death cases of migrant workers has been analysed through applying negligence theory which included duty, breach, cause, in fact, proximate cause and harm which increased the death cases. It has been noticed that the central government without any prior notice-imposed lockdown all over India, in which all the states were not received any guidelines or communication which indicate what they have to do or how to handle the Covid-19 situation. Originality/value To the best of the authors’ knowledge, this is an original work of researchers which is basically based on negligence theory.
印度政府实施的新冠肺炎封锁措施影响了涉及农民工的市场、工厂、工业、建筑工地、餐馆、运输服务等。外来务工人员期待,在封锁措施实施后,政府会为他们提供交通便利,因为他们失去了工作。但由于中央和邦政府的疏忽,既没有安排交通,也没有安排食物、住所和医疗设施。本文旨在以过失理论为理论框架,探讨农民工死亡的原因。设计/方法/方法作者采用内容分析法,收集了来自印度28个邦的926例农民工死亡病例。研究人员之所以采用这种技术,是因为印度的报纸是在COVID-19封锁期间生成农民工原因报告/记录的最大和最有用的来源之一。在封锁期间,由于政府不重视,警察暴行、饥饿和意外事件增加,导致农民工死亡。研究结果证明,在新冠肺炎封锁的第一阶段,由于政府的疏忽,农民工死亡病例有所增加。运用过失理论对农民工死亡案件进行了分析,包括责任、违约、事由、事实、近因和伤害,这些因素增加了死亡案件的数量。大家注意到,中央政府在没有任何事先通知的情况下,在印度各地实施了封锁,所有邦都没有收到任何指示他们必须做什么或如何处理新冠疫情的指导方针或沟通。据作者所知,这是研究人员的原创作品,基本基于疏忽理论。
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引用次数: 0
Interprofessional education for mental health professions and peer support workers – to facilitate learning in teamwork 为精神卫生专业人员和同伴支援工作者提供的跨专业教育-促进团队合作学习
Q4 SOCIAL WORK Pub Date : 2023-09-19 DOI: 10.1108/mhsi-03-2023-0028
Tuija Viking, Julie Repper
Purpose In mental health care the peer support workers (PSWs) are, by their experience based expertise, supporting the recovery of people using services and have also been shown to stimulate interprofessional learning (IPL) but which, due to hierarchical teams, is challenged. Therefore, to prepare the teams for IPL that includes PSWs, this study aims to suggest an interprofessional education (IPE) for mental health professions and PSWs. What would such an education look like? Design/methodology/approach The base, in the development of the IPE, is two earlier studies of teams’ inclusion of PSWs and the IPL. Findings The present study suggests Knowledge base 1 with three categories: different roles, expertise and perspectives, and Knowledge base 2 with two categories: teamwork and IPL. The conclusion is that such online IPE offers a readiness for mental health professions and PSWs, in teamwork, to exchange their different expertise to facilitate IPL. This is important to improve the quality of mental health services. Research limitations/implications One limitation is that the empirical study, this paper is based on, is a small-scaled study. Nevertheless, the main results from this study and the other were considered useful as a ground for the development of the IPE. Originality/value By suggesting an IPE for mental health professions and PSWs, this paper adds to the literature on peer support as well as IPL.
在精神卫生保健中,同伴支助工作者(psw)凭借其基于经验的专业知识,支持使用服务的人的康复,并已被证明可以促进跨专业学习(IPL),但由于分层团队,这种学习受到挑战。因此,本研究旨在建议心理健康专业人员和心理健康工作者进行跨专业教育,以使团队为包括心理健康工作者在内的IPL做好准备。这样的教育应该是什么样的呢?设计/方法/方法在IPE的发展过程中,基础是两项关于团队纳入psw和IPL的早期研究。研究结果表明,知识基础1分为不同角色、专业知识和视角三个类别,知识基础2分为团队合作和IPL两个类别。结论是,这种在线IPE为精神卫生专业人员和社会心理学工作者在团队合作中交流他们不同的专业知识提供了准备,以促进IPL。这对于提高精神卫生服务的质量非常重要。研究局限/启示一个局限是,本文所基于的实证研究是一个小规模的研究。尽管如此,本研究和其他研究的主要结果被认为是有用的,可以作为IPE发展的基础。通过提出一种针对心理健康专业人员和心理健康工作者的公众心理研究,本文补充了关于同伴支持和公众心理研究的文献。
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引用次数: 0
Child abuse and neglect and associated mental health outcomes: a large, population-based survey among children and adolescents from Jamaica and Uganda 虐待和忽视儿童及相关的心理健康结果:对牙买加和乌干达儿童和青少年进行的大规模人口调查
Q4 SOCIAL WORK Pub Date : 2023-09-14 DOI: 10.1108/mhsi-08-2023-0089
Agata Debowska, Daniel Boduszek, Christine Fray-Aiken, Eric Awich Ochen, Karyl T. Powell-Booth, Esther Nanfuka Kalule, Roxanne Harvey, Florence Turyomurugyendo, Kenisha Nelson, Dominic Willmott, Samantha Mason
Purpose Few studies assess how child abuse and neglect (CAN) affects adolescents’ mental health. Further, the majority of studies conducted to date discount the individual CAN items and report overall prevalence rates for different types of abuse and neglect. The purpose of this study was to examine the levels of and gender differences in CAN subtypes, lifetime prevalence of individual CAN items and the contribution of different CAN subtypes for explaining depression, anxiety and irritability. Design/methodology/approach The sample included Jamaican ( n = 7,182, 60.8% female) and Ugandan ( n = 11,518, 52.4% female) youths. The authors used a population-based cross-sectional study design. Youths completed an anonymous survey in school settings. Findings The authors found gender differences in the levels of CAN subtypes. Maltreatment behaviors of lesser severity were more commonly endorsed by the youths than those of greater severity. Neglect and emotional abuse were the strongest correlates of depression (e.g. neglect: ß = 0.23, among Jamaican youths; emotional abuse outside-the-home: ß = 0.23, among Ugandan girls), anxiety (e.g. neglect: ß = 0.17, among Ugandan girls; emotional abuse outside-the-home: ß = 0.27, among Ugandan girls) and irritability (e.g. emotional abuse in-the-home: ß = 0.17, among Jamaican boys; emotional abuse outside-the-home: ß = 0.17, among Ugandan girls) in most samples. Originality/value These findings will inform policymakers and professionals working with youths in Jamaica and Uganda, providing comprehensive contemporary insights beyond existing research in these regions.
目的很少有研究评估儿童虐待和忽视(CAN)对青少年心理健康的影响。此外,迄今为止进行的大多数研究都低估了个别CAN项目,并报告了不同类型的虐待和忽视的总体患病率。本研究的目的是探讨CAN亚型的水平和性别差异、个体CAN项目的终生患病率以及不同CAN亚型对解释抑郁、焦虑和易怒的贡献。样本包括牙买加青年(n = 7182,女性占60.8%)和乌干达青年(n = 11518,女性占52.4%)。作者采用了基于人群的横断面研究设计。青少年在学校完成了一项匿名调查。研究人员发现,CAN亚型水平存在性别差异。较轻的虐待行为比严重的虐待行为更容易得到青少年的认可。忽视和情感虐待是抑郁症最密切的相关因素(例如,在牙买加青少年中,忽视:β = 0.23;家庭以外的情感虐待:乌干达女孩= 0.23)、焦虑(例如忽视:乌干达女孩= 0.17);家庭外的情感虐待:乌干达女孩= 0.27)和易怒(例如,牙买加男孩的家庭情感虐待:= 0.17);在大多数样本中,家庭外的情感虐待:ß = 0.17,在乌干达女孩中)。原创性/价值这些发现将为牙买加和乌干达的政策制定者和专业人士提供参考,为这些地区的现有研究提供全面的当代见解。
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引用次数: 1
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Mental Health and Social Inclusion
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