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Citizenship as mental health. A study protocol for a randomised trial of awareness interventions for mental health professionals 作为心理健康的公民身份。心理健康专业人员意识干预的随机试验研究方案
IF 1.4 Q3 Medicine Pub Date : 2023-04-18 DOI: 10.1108/jpmh-09-2022-0089
F. Eiroa-Orosa
PurposeThe purpose of this study is to demonstrate how mental health is tied to citizenship, and to help professionals understand mental health in the context of social rights and responsibilities, to move towards a right-based practice.Design/methodology/approachThe author will explore the concept of citizenship together with mental health service users’, relatives’ and professionals’ organisations. Using a qualitative analysis of this exploration, this study will develop, implement and evaluate, using a randomised design, awareness interventions with mental health professionals.FindingsThe author will use thematic analysis for qualitative data and multilevel mixed-effects linear models to evaluate the effect of the awareness interventions.Social implicationsThe results of the project will enable conversations between mental health professionals, relatives and service users that might help them understand mental health as part of citizenship.Originality/valueTo the best of the author’s knowledge, this will be the first controlled study of standardised citizenship-based awareness interventions for mental health professionals.
目的本研究的目的是证明心理健康如何与公民身份联系在一起,并帮助专业人员在社会权利和责任的背景下理解心理健康,从而走向基于权利的实践。设计/方法/方法作者将与心理健康服务用户、亲属和专业人员组织一起探讨公民身份的概念。通过对这一探索的定性分析,本研究将采用随机设计,与心理健康专业人员一起制定、实施和评估意识干预措施。发现作者将使用定性数据的主题分析和多级混合效应线性模型来评估意识干预的效果。社会影响该项目的结果将使心理健康专业人员、亲属和服务用户之间能够进行对话,这可能有助于他们将心理健康理解为公民身份的一部分。原创性/价值据作者所知,这将是第一项针对心理健康专业人员的标准化公民意识干预的对照研究。
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引用次数: 1
Peer stigma, consequences, and anti-stigma strategies in adolescents with mental disorders: a qualitative investigation 青少年精神障碍的同伴耻辱感、后果和反耻辱感策略:一项定性调查
IF 1.4 Q3 Medicine Pub Date : 2023-04-11 DOI: 10.1108/jpmh-09-2022-0095
A. Aiyub, S. Jannah, M. Marthoenis, Asnawi Abdullah, H. Sofyan
PurposeThis paper aims to investigate the local perspectives, based on culture and beliefs about peer stigma, consequences and strategies to reduce mental health stigma among adolescents in Indonesia.Design/methodology/approachThis study included 30 participants, including students, teachers, health professionals and lecturers. Two sessions of focus group discussions and 14 sessions of in-depth interviews were performed to collect the data. A qualitative content analysis was carried out, and some related themes and sub-themes were explored.FindingsThis study found that peer stigma was prevalent and negatively impacted the psychological, social and intellectual development of adolescents with mental disorders (MD) in Indonesian society. Five strategies to tackle peer stigma were proposed, including increasing mental health literacy (MHL), reducing the harmful effects of stigma, fostering a supportive social environment, expanding access to and improving the quality of mental health care and advocating for public health policies.Research limitations/implicationsMore qualitative research on the experiences and perspectives of victims, perpetrators and society concerning mental health stigma in adolescents is required to fully understand why stigma arises, what causative factors and repercussions it has, as well as how to deal with it.Practical implicationsPeer stigma still exists among adolescents. It has negative impacts on their mental and psychological well-being. MHL, social environment, the harmful effects of stigma, as well as mental health access and policy were concerns of this study. A school is a place where adolescents spend most of their social time. Schools play a vital part in the stigma-reduction program.Originality/valueMental health stigma among adolescents with MD is an issue that has potentially hindered mental health recovery. Anti-stigma intervention based on local perspectives is valuable in increasing the effectiveness and acceptance of interventions.
目的本研究旨在探讨印尼青少年同伴耻辱感、后果和减少心理健康耻辱感的策略。设计/方法/方法本研究包括30名参与者,包括学生、教师、卫生专业人员和讲师。进行了两次焦点小组讨论和14次深度访谈以收集数据。进行了定性内容分析,并对相关主题和分主题进行了探讨。研究发现印尼社会中同伴耻辱感普遍存在,并对精神障碍青少年的心理、社会和智力发展产生负面影响。提出了解决同伴耻辱的五项战略,包括提高心理健康素养(MHL)、减少耻辱的有害影响、培育支持性社会环境、扩大获得心理保健的机会并提高其质量以及倡导公共卫生政策。研究局限/影响需要对受害者、肇事者和社会在青少年心理健康耻辱方面的经验和观点进行更多的定性研究,以充分了解耻辱产生的原因、造成的因素和影响以及如何处理它。实际意义在青少年中仍然存在着“速度耻感”。这对他们的精神和心理健康有负面影响。MHL、社会环境、污名化的有害影响以及心理健康的可及性和政策是本研究关注的问题。学校是青少年度过大部分社交时间的地方。学校在减少耻辱感的项目中起着至关重要的作用。青少年MD患者的心理健康耻辱感是一个潜在阻碍心理健康恢复的问题。基于当地观点的反污名化干预对于提高干预措施的有效性和接受度是有价值的。
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引用次数: 0
Editorial 社论
IF 1.4 Q3 Medicine Pub Date : 2023-03-27 DOI: 10.1108/jpmh-03-2023-160
J. Ashton
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引用次数: 0
Meeting in the middle: experiences of citizenship in community-engaged psychosis research 中间相遇:社区参与精神病研究中的公民经验
IF 1.4 Q3 Medicine Pub Date : 2023-03-07 DOI: 10.1108/jpmh-10-2022-0103
R. Higgs, Anne Liao, Tracy Windsor, S. Ben-David
PurposePrevious research has highlighted the importance of engaging people with lived experience (PWLE) in the knowledge creation process. However, diverse approaches to engagement exist. In addition, tensions remain in community-engaged research (CER), including how to address structural inequalities in research settings. This study aims to consider how CER interacts with citizenship within and beyond the research context.Design/methodology/approachThis study discusses the authors’ experiences as a majority-PWLE of psychosis research team in Canada, including successes and challenges the authors experienced building their team and navigating research institutions. This study also reflects on the authors’ pathways through citizenship, prior to and during the research process. This study discusses divergent models of CER and their applicability to the cyclical process of citizenship and community participation.FindingsRelationships between academic and peer researchers developed organically over time. However, this study was limited by structural barriers such as pay inequality and access to funding. The authors recognize that there are barriers to full citizenship and acknowledge their resources and privilege of being well supported within their communities. Team members built on a foundation of citizenship to access participation in research. This led to opportunities to engage in community spaces, and for PWLE to participate in research as partners and leaders. This study also found that citizenship is a way of giving back, by building a sense of social responsibility.Originality/valueAcademic and peer researchers can reflect on the authors’ experiences to build more inclusive research teams and communities by using a citizenship approach to research participation.
目的先前的研究强调了让有生活经验的人参与知识创造过程的重要性。然而,参与方式多种多样。此外,社区参与研究(CER)仍然存在紧张关系,包括如何解决研究环境中的结构性不平等问题。本研究旨在考虑CER如何在研究背景内外与公民身份相互作用。设计/方法/方法本研究讨论了作者作为加拿大精神病研究团队的大多数PWLE的经历,包括作者在组建团队和指导研究机构方面所经历的成功和挑战。这项研究还反映了作者在研究过程之前和过程中获得公民身份的途径。本研究讨论了CER的不同模型及其对公民身份和社区参与的周期性过程的适用性。发现学术研究人员和同行研究人员之间的关系随着时间的推移而有机发展。然而,这项研究受到薪酬不平等和获得资金等结构性障碍的限制。提交人认识到,获得正式公民身份存在障碍,并承认他们的资源和在社区内得到良好支持的特权。团队成员以公民身份为基础,参与研究。这带来了参与社区空间的机会,也让PWLE作为合作伙伴和领导者参与研究。这项研究还发现,公民身份是一种回馈方式,通过建立社会责任感。原创性/价值学术和同行研究人员可以反思作者的经验,通过使用公民身份方法参与研究,建立更具包容性的研究团队和社区。
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引用次数: 0
Smartphone addiction and psychological distress among Vietnamese college students: cyber-victimization as a mediator and academic stress as a moderator 越南大学生智能手机成瘾与心理困扰:网络受害为中介,学业压力为调节
IF 1.4 Q3 Medicine Pub Date : 2023-03-03 DOI: 10.1108/jpmh-08-2022-0081
Thi Truc Quynh Ho, Thi Khanh Linh Tran, S. Huynh
PurposeThe purpose of this paper is to examine the mediating effect of cyber-victimization (CV) and the moderating effect of academic stress (AS) in the link between smartphone addiction (SPA) and psychological distress (PD) among a sample of Vietnamese college students.Design/methodology/approachA total of 423 college students participated in this study. Measures of SPA, CV, AS and PD were used for data collection. Using PROCESS macro software (Model 4 and Model 1) and the bootstrapping method, the author performed a mediation analysis and a moderation analysis.FindingsResults indicated a significant mediating effect of CV in the link between SPA and PD. Moreover, this relationship was moderated by AS.Originality/valueThe findings could serve as a guide for future research and mental health professionals.
目的研究网络受害(CV)和学业压力(AS)在越南大学生智能手机成瘾(SPA)与心理困扰(PD)之间的中介作用。设计/方法/方法共有423名大学生参与了这项研究。数据采集采用SPA、CV、AS和PD测量。采用PROCESS宏软件(模型4和模型1)和bootstrapping方法,进行中介分析和调节分析。结果表明,CV在SPA和PD之间具有显著的中介作用。此外,AS对这种关系有调节作用。这些发现可以为未来的研究和心理健康专业人员提供指导。
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引用次数: 1
Making the case for citizenship-oriented mental healthcare for youth in Canada 为加拿大青年提供以公民身份为导向的精神保健
IF 1.4 Q3 Medicine Pub Date : 2023-03-02 DOI: 10.1108/jpmh-06-2022-0055
G. Jordan, C. Mutschler, S. Kidd, M. Rowe, S. Iyer
PurposeVarying stakeholders have highlighted how recovery-oriented mental health services such as youth mental health services have traditionally focused on supporting individual resources to promote recovery (e.g., agency) to the exclusion of addressing structural issues that influence recovery (e.g. poverty). One response to this criticism has been work helping people with mental health problems recover a sense of citizenship and sense of belonging in their communities. Work on citizenship has yet to influence youth mental healthcare in Canada’s provinces and territories. This paper aims to highlight ways that youth mental healthcare can better help youth recover a sense of citizenship.Design/methodology/approachThe arguments described in this paper were established through discussion and consensus among authors based on clinical experience in youth mental health and an understanding of Canada’s healthcare policy landscape, including current best practices as well as guidelines for recovery-oriented care by the Mental Health Commission of Canada.FindingsHere, this study proposes several recommendations that can help young with mental health problems recover their sense of citizenship at the social, systems and service levels. These include addressing the social determinants of health; developing a citizenship-based system of care; addressing identity-related disparities; employing youth community health workers within services; adapting and delivering citizenship-based interventions; and connecting youth in care to civic-oriented organizations.Originality/valueThis paper provides the first discussion of how the concept of citizenship can be applied to youth mental health in Canada in multiple ways. The authors hope that this work provides momentum for adopting policies and practices that can help youth in Canada recover a sense of citizenship following a mental health crisis.
目的:不同的利益攸关方强调,以康复为导向的心理健康服务,如青年心理健康服务,传统上侧重于支持个人资源促进康复(例如,机构),而不解决影响康复的结构性问题(例如,贫困)。对这种批评的一种回应是帮助有精神健康问题的人恢复公民意识和归属感。关于公民身份的工作尚未对加拿大各省和地区的青年心理保健产生影响。本文旨在强调青少年心理保健可以更好地帮助青少年恢复公民意识的方法。设计/方法/方法本文所述的论点是作者根据青年心理健康的临床经验和对加拿大医疗保健政策格局的了解,包括目前的最佳做法以及加拿大心理健康委员会以康复为导向的护理指导方针,通过讨论和达成共识而确立的。在此,本研究提出了一些建议,可以帮助有心理健康问题的年轻人在社会、系统和服务层面恢复他们的公民意识。其中包括处理健康的社会决定因素;发展以公民身份为基础的护理系统;解决与身份有关的差异;在服务范围内雇用青年社区卫生工作者;调整和提供基于公民身份的干预措施;并将青少年与民间组织联系起来。原创性/价值本文首次讨论了公民身份的概念如何以多种方式应用于加拿大的青少年心理健康。作者希望这项工作为采取政策和实践提供动力,帮助加拿大的年轻人在心理健康危机后恢复公民意识。
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引用次数: 0
Utilization of the mental health first aid ALGEE action plan: a longitudinal study 心理健康急救ALGEE行动计划的应用:一项纵向研究
IF 1.4 Q3 Medicine Pub Date : 2023-02-20 DOI: 10.1108/jpmh-09-2022-0096
Kimberly R. Laurene, Godslove K. Bonnah, Swetank M Patel, D. Kenne
PurposeMental health training programs exist to assist the public with aiding people experiencing mental distress. This study aims to examine the five steps of the Mental Health First Aid (MHFA) ALGEE action plan to assess which steps were used most frequently and how personal characteristics were associated with utilization.Design/methodology/approachIndividuals completing MHFA either at public schools with students ranging in age from 5 to 18 or at a university in the Northern central area of the USA were invited to participate. Prior to MHFA, participants completed an initial questionnaire, which included demographic questions and questions assessing the use of the MHFA ALGEE action plan, which is a plan to provide help to someone experiencing mental distress. Follow-up questionnaires were completed every quarter to assess the ALGEE action plan utilization at three-, six- and nine-months after completion of MHFA. A comparison group of individuals, not completing MHFA, was also included.FindingsAfter completing MHFA, individuals demonstrated an increase in using the ALGEE action plan at three- and six-months, but by nine-months there was a reduction in utilization. In general, age, gender and race did not usually influence the usage of the ALGEE action plan.Originality/valueAlthough other studies have measured the efficacy of MHFA, those studies have focused on participant predicted behaviors. The present study measured self-reported behavior and compared the behaviors to a comparison group over time.
目的心理健康培训项目旨在帮助公众帮助经历心理困扰的人。本研究旨在检查心理健康急救(MHFA)ALGEE行动计划的五个步骤,以评估哪些步骤使用最频繁,以及个人特征如何与使用相关。设计/方法/方法在美国中北部地区的公立学校或大学完成MHFA的个人被邀请参加。在MHFA之前,参与者完成了一份初步问卷,其中包括人口统计问题和评估MHFA ALGEE行动计划使用情况的问题,该计划旨在为经历精神痛苦的人提供帮助。每季度完成一次随访问卷,以评估MHFA完成后三个月、六个月和九个月ALGEE行动计划的利用率。还包括未完成MHFA的对照组。发现在完成MHFA后,个体在三个月和六个月时使用ALGEE行动计划的次数有所增加,但到九个月时,使用率有所下降。一般来说,年龄、性别和种族通常不会影响ALGEE行动计划的使用。原创性/价值尽管其他研究测量了MHFA的疗效,但这些研究侧重于参与者预测的行为。本研究测量了自我报告的行为,并将这些行为与一个对照组进行了一段时间的比较。
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引用次数: 1
Together through tough times: a qualitative study of community resilience to protect against mental health issues in the UK 一起度过艰难时期:英国社区抵御心理健康问题能力的定性研究
IF 1.4 Q3 Medicine Pub Date : 2022-11-03 DOI: 10.1108/jpmh-03-2022-0029
K. Southby, Timothy Bidey, Duncan Grimes, Zoe Khor, J. South, A. Bagnall
PurposeLiving in an area experiencing economic and social disadvantage is a known risk factor to poor mental health and well-being. This paper aims to understand how some communities experiencing disadvantage appear to be more resilient to the enduring challenges they face and display better mental health outcomes.Design/methodology/approachA qualitative case study approach was used. Semi-structured interviews (total = 74) were undertaken remotely with residents (n = 39) and voluntary, community and social enterprise groups, community leaders and other local stakeholders (n = 35) in four case study areas. Data analysis was cross-case, thematic analysis. Community analysis workshops (n = 4) and resilience mapping workshops (n = 4) in each site corroborated emerging insights.FindingsFour overlapping and interacting themes support community resilience: community hubs and local voluntary, community and social enterprise (VCSE) networks; opportunities to participate and make connections within communities; open and supportive environments to talk about mental health and well-being; and community identities and collective narratives. Differences in access to these resources was a cross-cutting theme.Originality/valueCommunity resilience can be understood in terms of the amount of resources – articulated in terms of capital – that communities can draw on in response to challenges, and how well these resources are mobilised. A thriving VCSE sector is important for community resilience in communities experiencing disadvantage as a mechanism for both sustainably building and mobilising community resources in the face of daily and enduring challenges.
生活在经济和社会处于不利地位的地区是导致心理健康和福祉不佳的一个已知风险因素。本文旨在了解一些处于不利地位的社区如何对他们面临的持久挑战更具弹性,并表现出更好的心理健康结果。设计/方法/方法采用定性案例研究方法。在四个案例研究区域,对居民(n = 39)、志愿者、社区和社会企业团体、社区领导人和其他当地利益相关者(n = 35)进行了半结构化访谈(总数= 74)。数据分析是跨案例、专题分析。每个站点的社区分析研讨会(n = 4)和弹性映射研讨会(n = 4)证实了新出现的见解。四个相互重叠和相互作用的主题支持社区恢复力:社区中心和当地志愿、社区和社会企业(VCSE)网络;在社区内参与和建立联系的机会;开放和支持性的环境来谈论心理健康和福祉;以及社区身份和集体叙事。在获取这些资源方面的差异是一个跨领域的主题。原创性/价值社区复原力可以通过社区在应对挑战时可以利用的资源数量(以资本的形式表达)以及这些资源的调动情况来理解。在面临日常和持久挑战的情况下,作为一种可持续建设和动员社区资源的机制,繁荣的VCSE部门对处于不利地位的社区的复原力非常重要。
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引用次数: 0
A child and adult psychiatrist discussion on the development of a youth mental health service 儿童和成人精神病学家关于发展青少年心理健康服务的讨论
IF 1.4 Q3 Medicine Pub Date : 2022-10-24 DOI: 10.1108/jpmh-08-2022-0082
Lucy Hunn, Tim Clarke, Amit Bhaduri, S. Maxwell, Jon Wilson
PurposeYoung people can often “fall through the gaps” between Child and Adolescent Mental Health services (CAMHS) and Adult Mental Health services (AMHS). This discursive viewpoint study aims to reflect a conversation among the authors on how CAMHS and AMHS psychiatry came together to develop and embed a UK community “Youth Mental Health Service”.Design/methodology/approachThis reflective viewpoint study explores the perspectives of three of the lead CAMHS and AMHS psychiatrists from the implementation phase of a community youth mental health service. It explores, in a discursive way, these individuals’ views on some of the key facilitators and barriers in the development of the service that aimed to “bridge the gap” for young people.FindingsThese clinicians’ reflections recognise the importance of strong clinical leadership in enabling a youth/young adult model of mental health to be implemented. They also recognise how culture internal and external to a service has a key role to play in the success and sustainment of implementing an innovative model. This study describes a merging of CAMHS and AMHS psychiatry to meet the needs of young people in the most developmentally appropriate way.Originality/valueThis reflective study highlights the need for services and systems to think creatively about how they can allow flexibility for CAMHS and AMHS psychiatrists to learn and plan together, as well as gain experiences across the age ranges, to facilitate collaborative working that is developmentally appropriate and meets the needs of young people in a way that is accessible to them.
目的:青少年往往会在儿童和青少年心理健康服务(CAMHS)和成人心理健康服务(AMHS)之间“落差”。这个话语的观点研究旨在反映作者之间的对话,关于CAMHS和AMHS精神病学如何一起发展和嵌入英国社区“青年心理健康服务”。设计/方法/方法这一反思性观点研究从社区青少年心理健康服务的实施阶段探讨了CAMHS和AMHS的三位首席精神病学家的观点。它以一种话语的方式探讨了这些人对服务发展中的一些关键促进因素和障碍的看法,这些服务旨在为年轻人“弥合差距”。这些临床医生的反思认识到强有力的临床领导在实施青年/青年心理健康模式方面的重要性。他们还认识到,服务的内部和外部文化如何在实施创新模式的成功和维持中发挥关键作用。本研究描述了CAMHS和AMHS精神病学的合并,以最适合发展的方式满足年轻人的需求。独创性/价值这项反思性研究强调了服务和系统需要创造性地思考如何允许CAMHS和AMHS精神科医生灵活地共同学习和计划,并获得跨年龄范围的经验,以促进适合发展的协作工作,并以一种适合年轻人的方式满足他们的需求。
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引用次数: 0
Adaptation of autism spectrum screening questionnaire (ASSQ) for use in Georgian school settings 自闭症谱系筛查问卷(ASSQ)在格鲁吉亚学校环境中的应用
IF 1.4 Q3 Medicine Pub Date : 2022-10-21 DOI: 10.1108/jpmh-03-2022-0028
M. Zirakashvili, M. Gabunia, N. Mebonia, T. Mikiashvili, G. Lomidze, S. Bishop, B. Leventhal, Y. Kim
PurposeEven though 95% of children with neurodevelopmental disorders, including autism spectrum disorder (ASD), live in low- and middle-income countries, there is a dearth of studies from these countries, including the Republic of Georgia. Several ASD screening tools are available, but few are validated for use in Georgian or other smaller countries. This study aims to adapt and validate the autism spectrum screening questionnaire (ASSQ) for use in Georgia.Design/methodology/approachThe ASSQ was administered for all third-grade students in 402 schools in the five main Georgian cities, n = 27,336. Prior to use, the 27-item ASSQ was translated, back-translated and adapted for use in Georgia. A total of 16,556 students (approximately 61%) were assessed by a parent and/or teacher. Optimal cutoff scores were estimated. Randomly chosen children who screened positive (n = 173) and negative (n = 127) were offered comprehensive assessment using standardized diagnostic procedures.FindingsData from 15,510 parents- and 13,517 teachers-administered ASSQ revealed statistically significant differences in median and cutoff scores between parents and teachers: 7 versus 4 and 9 versus 6, respectively. Cutoff score = 14, on either parent or teacher ASSQ, had sensitivity of 0.94, indicating that it can be used in school settings.Originality/valueThe Georgian adaptation of the ASSQ creates opportunity for further ASD research, while also providing a valid screening tool for clinicians. Data from Georgia will add to the growing understanding of the broader ASD phenotype.
尽管95%患有神经发育障碍(包括自闭症谱系障碍)的儿童生活在低收入和中等收入国家,但这些国家(包括格鲁吉亚共和国)缺乏相关研究。有几种ASD筛查工具可用,但很少有在格鲁吉亚或其他较小的国家得到验证。本研究的目的是适应和验证自闭症谱系筛查问卷(ASSQ)在格鲁吉亚的使用。设计/方法/方法对格鲁吉亚五个主要城市402所学校的所有三年级学生进行了ASSQ, n = 27,336。在使用之前,27项ASSQ被翻译,反翻译和改编以供格鲁吉亚使用。共有16,556名学生(约61%)接受了家长和/或老师的评估。估计最佳分数线。随机选择筛查阳性(n = 173)和阴性(n = 127)的儿童,采用标准化诊断程序进行综合评估。来自15,510名家长和13,517名教师的ASSQ数据显示,父母和教师之间的中位数和分数线在统计上存在显著差异:分别为7比4和9比6。截断分数= 14,无论是家长还是教师的ASSQ,敏感性为0.94,表明它可以在学校设置中使用。格鲁吉亚对asq的改编为进一步的ASD研究创造了机会,同时也为临床医生提供了有效的筛查工具。来自格鲁吉亚的数据将增加对更广泛的ASD表型的日益增长的理解。
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引用次数: 1
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Journal of Public Mental Health
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