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Sleep promotion program for improving sleep behaviors among adolescents in selected schools: a randomized controlled trial 改善学校青少年睡眠行为的睡眠促进计划:一项随机对照试验
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-03-15 DOI: 10.1080/14623730.2017.1307775
Bindu John, Sumanth Shetty Bellipady, S. Bhat
Abstract Study objectives: The present study evaluated the efficacy of sleep promotion program (SPP) on sleep hygiene practices, sleep quality, daytime sleepiness, and present functioning among adolescents. Methods: A two-arm, parallel, cluster randomized controlled trial was adopted. Participants were 660 adolescents aged 11–17(330 each in the intervention and control group). A socio-demographic questionnaire with sleep and activity items along with standardized questionnaires was used. Results: Significant improvements were observed in the experimental group after the intervention in the sleep hygiene practices, overall sleep quality and its sub-components like subjective sleep quality, sleep latency, and sleep efficiency at 2 weeks, and daytime sleepiness at 6 weeks. Other sleep quality components such as sleep duration, sleep disturbance, daytime dysfunction, and the present functioning compared did not statistically differ from the control group. Statistically significant positive correlations were observed between the target sleep variables. Sleep hygiene tends to deteriorate with higher grade level of adolescents, whereas sleep quality, sleep duration, and daytime sleepiness became worse with higher age and grade level. Conclusions: SPP holds a promise for improving healthy adolescents sleep behaviors. Interventions to improve emotional health could be explored in the future.
摘要研究目的:本研究评估了睡眠促进计划(SPP)对青少年睡眠卫生习惯、睡眠质量、日间嗜睡和当前功能的影响。方法:采用双臂平行整群随机对照试验。参与者是660名11-17岁的青少年(干预组和对照组各330人)。使用了一份包含睡眠和活动项目的社会人口学问卷以及标准化问卷。结果:干预后,实验组的睡眠卫生习惯、整体睡眠质量及其子成分,如主观睡眠质量、睡眠潜伏期和2周的睡眠效率,以及6周的日间嗜睡,都有显著改善。其他睡眠质量成分,如睡眠持续时间、睡眠障碍、日间功能障碍和当前功能,与对照组相比没有统计学差异。在目标睡眠变量之间观察到统计学上显著的正相关性。青少年的睡眠卫生往往会随着年级的升高而恶化,而睡眠质量、睡眠持续时间和日间嗜睡则随着年龄和年级的增加而恶化。结论:SPP有望改善青少年的健康睡眠行为。未来可以探索改善情绪健康的干预措施。
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引用次数: 8
Evaluation of protective and vulnerability factors for depression following an internet-based intervention to prevent depression in at-risk adolescents 基于互联网的干预预防高危青少年抑郁后抑郁的保护性和脆弱性因素评估
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-03-15 DOI: 10.1080/14623730.2017.1308264
J. R. Kruger, P. Kim, V. Iyer, M. Marko-Holguin, J. Fogel, D. Defrino, Tracy R G Gladstone, B. V. Van Voorhees
Abstract CATCH-IT is a primary care Internet-based modality developed to prevent major depression in adolescents. Adolescents aged 14–21 years were screened for core symptoms of depression without reaching criteria for a mood disorder diagnosis. At baseline, 6 weeks, and at 2.5 years, participants were assessed for automatic negative thoughts (ATQ-R), educational impairment, and perceived social support. Also, motivational interviewing (MI) by the intervening primary care physician was tested against brief advice (BA) to determine how the level of physician involvement affects these psychosocial outcomes. Overall, we found significant decreases in ATQ-R and educational impairment from baseline to 2.5 years. There were no differences for perceived social support, and no differences between the MI and BA groups. Our findings suggest that offering CATCH-IT to adolescents may help attenuate maladaptive cognitive patterns and long-term struggles in school.
摘要CATCH-IT是一种基于互联网的初级保健模式,旨在预防青少年严重抑郁症。在没有达到情绪障碍诊断标准的情况下,对14-21岁的青少年进行了抑郁症核心症状筛查。在基线、6周和2.5岁时,对参与者的自动消极思维(ATQ-R)、教育障碍和感知社会支持进行评估。此外,干预初级保健医生的动机访谈(MI)与简短建议(BA)进行了测试,以确定医生的参与程度如何影响这些心理社会结果。总体而言,我们发现从基线到2.5年,ATQ-R和教育障碍显著降低。MI组和BA组在感知社会支持方面没有差异,也没有差异。我们的研究结果表明,向青少年提供CATCH-IT可能有助于减轻适应不良的认知模式和在学校的长期挣扎。
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引用次数: 7
Preliminary evidence for the role of newsprint media in encouraging males to make contact with helplines 初步证据表明,新闻纸媒体在鼓励男性拨打求助热线方面发挥了作用
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-03-15 DOI: 10.1080/14623730.2017.1307774
Anna Machlin, K. King, M. Spittal, J. Pirkis
Abstract This study explored the preliminary evidence for a relationship between constructive and affirming newsprint stories about depression or anxiety in males and use of helpline services by males. With the help of a Consumer Reference Group, we identified ten positive newsprint stories about males and depression or anxiety. We then obtained phone contact data from four national helplines in Australia: Lifeline, MensLine Australia, SANE Australia, and beyondblue. For each contact, we extracted the date, location and gender of the caller. Poisson regression analysis was used to determine the change in contact volume in the two weeks following each story, as compared to the two weeks prior to the story. Contact volume from males increased significantly in the two weeks after four of the ten stories, decreased after one story with no change after five of the stories. The stories that were associated with increased contacts were about men (including publicly revered role models) that male readers could identify with and tended to be stories of hope and recovery. The findings suggest newsprint media can positively influence male help-seeking and point to a need for articles to provide accurate representations of depression and anxiety, whilst maintaining an optimistic focus on recovery.
摘要本研究探讨了关于男性抑郁或焦虑的建设性和肯定性新闻报道与男性使用求助热线服务之间关系的初步证据。在消费者参考小组的帮助下,我们确定了十个关于男性和抑郁或焦虑的正面新闻报道。然后,我们从澳大利亚的四条国家帮助热线获得了电话联系数据:Lifeline、MensLine Australia、SANE Australia和beyondblue。对于每个联系人,我们提取了来电者的日期、地点和性别。使用泊松回归分析来确定与报道前两周相比,每个报道后两周的接触量变化。男性的接触量在10个故事中的4个故事后的两周内显著增加,在1个故事后减少,在5个故事后没有变化。与接触增加相关的故事是关于男性(包括公众尊敬的榜样)的,男性读者可以认同这些故事,并且往往是希望和康复的故事。研究结果表明,新闻媒体可以积极影响男性的求助,并指出需要文章来准确描述抑郁和焦虑,同时保持对康复的乐观关注。
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引用次数: 14
Personal factors underlying resilience: development and validation of the Resiliency Questionnaire for Adults 心理弹性的个人因素:成人心理弹性问卷的编制与验证
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-03-01 DOI: 10.1080/14623730.2017.1297248
J. Alonso-Tapia, Helena Garrido-Hernansaiz, R. Rodríguez-Rey, M. Ruíz, C. Nieto
Abstract Resilience outcomes following significant adverse events are related to certain personal attributes, termed resiliency factors. This study aimed to adapt the Prince-Embury resiliency model, developed with children and adolescents, to adult populations. To that end, the Resiliency Questionnaire for Adults (RQA) was developed, consisting of nine characteristics organised around three factors: Sense of Mastery, Sense of Relatedness and Emotional Reactivity. The questionnaire adequacy was tested in adults from both general and health-distressed populations (N = 430) through reliability, confirmatory factor, cross-validation and multiple-group analyses. Criterion validity was assessed via path analysis with latent variables to predict resilience outcomes. The RQA scores were reliable and the three-factor model fitted the data well. The three resiliency factors predicted two-thirds of the variance in resilience. This questionnaire constitutes a reliable and valid assessment of personal factors underlying resilience.
摘要重大不良事件后的恢复力结果与某些个人属性有关,称为恢复力因素。这项研究旨在将针对儿童和青少年开发的Embury王子弹性模型应用于成年人群。为此,制定了成人弹性问卷(RQA),由九个特征组成,围绕三个因素组织:掌握感、关联感和情绪反应性。通过可靠性、验证性因素、交叉验证和多组分析,在来自普通人群和健康问题人群(N=430)的成年人中测试了问卷的充分性。通过潜在变量的路径分析评估标准有效性,以预测恢复力结果。RQA评分是可靠的,三因素模型与数据拟合良好。三个弹性因素预测了弹性变化的三分之二。这份问卷是对弹性背后的个人因素的可靠和有效的评估。
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引用次数: 10
Legislative policy to support children of parents with a mental illness: revolution or evolution? 支持父母患有精神疾病的孩子的立法政策:革命还是进化?
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-01-01 DOI: 10.1080/14623730.2016.1270847
Phillip Tchernegovski, D. Maybery, A. Reupert
Abstract In 2014, a Mental Health Act was introduced in Victoria, Australia which mandated clinicians to recognize and support consumers’ children. Interviews were conducted with 11 clinical adult mental health professionals about their views and experiences of the introduction of the Act and its impact on their practices. Interviews revealed that sections of the Act relating to consumers’ children were not promoted within organizations and did not result in revolutionary practice change. Instead, practice development staff within organizations were viewed as the main drivers of practices to support consumers’ children. Suggestions are made for enhancing the impact of legislation to promote practice change.
摘要2014年,澳大利亚维多利亚州出台了《心理健康法》,要求临床医生承认并支持消费者的孩子。对11名临床成年心理健康专业人员进行了访谈,了解他们对该法案出台的看法和经验,以及该法案对他们实践的影响。采访显示,该法案中与消费者子女有关的条款没有在组织内得到推广,也没有导致革命性的做法改变。相反,组织内的实践发展人员被视为支持消费者子女的实践的主要驱动力。提出了加强立法影响促进实践变革的建议。
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引用次数: 13
Predicting parents’ intentions to seek help for young children’s mental health 预测父母为幼儿心理健康寻求帮助的意向
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-01-01 DOI: 10.1080/14623730.2016.1276024
Elizabeth Oh, Jordana K. Bayer
Abstract One in five school-age children has mental health problems, yet less than a quarter access professional help. Early childhood presents a window for prevention. This study implemented the ‘Theory of Planned Behaviour’ to explore parents’ intentions to seek professional help for young children’s behaviour and emotional problems. Participants were 442 parents of 6-year-old children, recruited as a population sample in infancy. The ‘Theory of Planned Behaviour’ measured parents’ personal intentions, attitudes and beliefs about seeking professional help for young children’s mental health. Although many parents (84%) had positive intentions to seek help if their young child were in need, a proportion (16%) was ambivalent/unlikely to do so. Specific beliefs distinguishing parents with positive intentions were that professionals would provide expert strategies with empathy and understanding, with appointments providing value for time and money. Community mental health initiatives could target these beliefs in facilitating better access for young children in need.
五分之一的学龄儿童有心理健康问题,但只有不到四分之一的人能获得专业帮助。幼儿期是预防的窗口期。本研究运用“计划行为理论”探讨父母在幼儿行为和情绪问题上寻求专业帮助的意向。参与者是442名6岁儿童的父母,他们被招募作为婴儿时期的人口样本。“计划行为理论”测量了父母为幼儿心理健康寻求专业帮助的个人意图、态度和信念。尽管许多家长(84%)在孩子有需要时积极寻求帮助,但也有一部分家长(16%)犹豫不决或不太可能这样做。具有积极意图的父母的具体信念是,专业人士会提供具有同理心和理解的专家策略,而预约会为时间和金钱提供价值。社区精神卫生倡议可以针对这些信念,促进有需要的幼儿更好地获得服务。
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引用次数: 12
Promoting college students to seek help for mental health difficulties: a social normative approach 促进大学生心理健康困难求助的社会规范方法
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-01-01 DOI: 10.1080/14623730.2017.1288155
D. Murphy, E. Hennessy
Abstract The aim of this study was to test whether an online social normative intervention would promote college students’ help seeking attitudes and intentions. To investigate this, a between-group, post-test, experimental design consisting of 207 students (69 males, 138 females), aged 18–25 years (M = 20.46, SD = 1.96) was used. Students who received the social normative feedback reported more positive help-seeking attitudes, with students who had mental health problems also reporting more positive help-seeking intentions. The findings of this study are discussed with respect to methodological considerations, and recommendations for practice and future research are provided for student counselling clinics.
摘要本研究的目的是测试在线社会规范干预是否会促进大学生的求助态度和意向。为了对此进行研究,使用了一个组间、测试后的实验设计,由207名学生(69名男性,138名女性)组成,年龄为18-25岁(M=20.46,SD=1.96)。接受社会规范反馈的学生报告了更积极的求助态度,有心理健康问题的学生也报告了更为积极的求助意图。这项研究的结果在方法上进行了讨论,并为学生咨询诊所提供了实践和未来研究的建议。
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引用次数: 5
‘Mental health is what makes life worth living’: an exploration of lay people’s understandings of mental health in Denmark “心理健康是让生活有价值的东西”:丹麦非专业人士对心理健康理解的探索
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2017-01-01 DOI: 10.1080/14623730.2017.1290540
Line Nielsen, B. Sørensen, R. Donovan, T. Tjørnhøj‐Thomsen, Vibeke Koushede
Abstract How people understand mental health has important implications for designing and implementing mental health promotion, and particularly where campaigns developed in one culture are implemented in another. Hence, as part of an adaptation of the Australian Act-Belong-Commit mental health promotion campaign into the Danish context, this qualitative study explored Danish lay people’s understandings of mental health and mental health promoting factors. In total, N = 39 individuals (27 adults and 12 young people) from various regions across Denmark participated in seven focus groups interviews. Two overall and intertwined understandings of mental health emerged: mental health as a ‘state of mind’ and mental health as a relation. Overall, Danish people’s understanding of what constitutes good mental health and what people can do to keep mentally healthy were consistent with the underlying messages in the Act-Belong-Commit campaign, and hence translatable to a Danish context. Given the lack of research in the area, this study contributes to the literature on lay people’s understanding of concepts around mental health and keeping mentally healthy.
人们如何理解心理健康对设计和实施心理健康促进具有重要意义,特别是在一种文化中开展的活动在另一种文化中实施时。因此,作为将澳大利亚“行动-归属-承诺”心理健康促进运动适应丹麦背景的一部分,本定性研究探讨了丹麦外行人对心理健康和心理健康促进因素的理解。共有来自丹麦不同地区的N = 39个人(27名成年人和12名年轻人)参加了7个焦点小组访谈。出现了对心理健康的两种全面和相互交织的理解:作为一种“心理状态”的心理健康和作为一种关系的心理健康。总体而言,丹麦人民对什么是良好的心理健康以及人们可以做些什么来保持心理健康的理解与“行动-归属-承诺”运动的基本信息是一致的,因此可以翻译为丹麦的情况。鉴于该领域缺乏研究,本研究有助于外行人对心理健康和保持心理健康概念的理解。
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引用次数: 16
The relative risks, and the likelihoods, of becoming postnatally distressed in the presence of common psychosocial risks: a study with Italian-speaking mothers 在常见的社会心理风险存在下,产后痛苦的相对风险和可能性:一项对讲意大利语的母亲的研究
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2016-10-19 DOI: 10.1080/14623730.2016.1251953
A. D. Della Vedova, S. Matthey
Abstract Several psychosocial risk factors have been consistently identified for postnatal distress in women, including lack of support, a personal or family history of depression, and recent stressful life events. Studies usually emphasize the statistical nature of these risks, without focusing on their clinical significance, which is important to aid in the communication with expectant couples. Four hundred and sixteen Italian-speaking women attending public health services completed measures, assessing current distress and psychosocial risk variables, at 2–3 months postpartum. Logistic regression, together with the strength of the obtained statistics, is reported. A personal history of depressed mood, stressful events, and conflict with her partner in the past year were risks of at least moderate size, though only for the last variable were half or more of the women with the risk likely to experience distress. A family history of mood disorders was no longer a risk once the woman’s personal history was taken into account. Furthermore between a quarter to a third of women lacking current social support experienced distress. Understanding the strength of these risks, and the frequency with which they are associated with postpartum distress, will help clinicians communicate the implications of such risks to couples.
一些社会心理风险因素已被一致地确定为妇女产后窘迫,包括缺乏支持,个人或家庭抑郁史,以及最近的压力生活事件。研究通常强调这些风险的统计性质,而不关注其临床意义,这对帮助与准夫妇沟通很重要。416名参加公共卫生服务的意大利语妇女在产后2-3个月完成了评估当前痛苦和心理社会风险变量的措施。逻辑回归,连同所获得的统计强度,报告。个人抑郁史、压力事件以及过去一年与伴侣的冲突至少是中等程度的风险,尽管只有最后一个变量有一半或更多的女性有可能经历痛苦。一旦考虑到女性的个人病史,情绪障碍的家族史就不再是一个风险。此外,在缺乏当前社会支持的女性中,有四分之一到三分之一的人经历过痛苦。了解这些风险的强度,以及它们与产后痛苦相关的频率,将有助于临床医生向夫妇传达这些风险的含义。
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引用次数: 4
Dynamics and perceptions of social support and their impact on well-being: a qualitative study of adolescents in Northern Ghana 社会支持的动态和感知及其对福祉的影响:加纳北部青少年的定性研究
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2016-10-19 DOI: 10.1080/14623730.2016.1243485
Angelina Wilson, N. Somhlaba
Abstract Although perceived social support has been studied in various contexts, there is still scant research on qualitative accounts of how perceptions of support for adolescents living in impoverished contexts are formed and relate to psychological well-being. We explored the dynamics and perceptions of social support among 18 purposefully selected school-going adolescents in the northern region of Ghana. Emerging thematic areas comprised: the dynamics of familial networks that included quality familial relationships; valued support from friends; and the negative aspects of various social relations. With family – and peer social relations perceived as beneficial for practical advice and – support, the mere existence of social ties was not the adolescents’ most important consideration for well-being. Instead, the quality of interactions across different social networks emerged as more instrumental for relational and overall well-being. Understanding the sources of problematic social interactions, such as the consideration of ‘face-saving’ when seeking instrumental support, could provide useful suggestions for interventions aimed at creating social environments that enhance positive mental health.
虽然感知社会支持已经在各种情况下进行了研究,但对于生活在贫困环境中的青少年如何形成并与心理健康相关的感知支持的定性研究仍然很少。我们探索了加纳北部地区18名有目的地选择的学龄青少年的社会支持动态和感知。新出现的专题领域包括:家庭网络的动态,包括高质量的家庭关系;来自朋友的宝贵支持;以及各种社会关系的消极方面。由于家庭和同伴社会关系被认为有利于提供实际的建议和支持,社会关系的存在并不是青少年对幸福最重要的考虑。相反,不同社交网络之间的互动质量对人际关系和整体幸福感更有帮助。了解有问题的社会互动的根源,例如在寻求工具支持时考虑“保全面子”,可以为旨在创造促进积极心理健康的社会环境的干预措施提供有用的建议。
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引用次数: 6
期刊
International Journal of Mental Health Promotion
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