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“We’re Not Gonna Talk about This, It Didn’t Happen. You’re Confused”: Adverse Communication in Family Responses to Mental Health, Childhood Sexual Assault, and LGBTQ Identities “我们不会谈论这个,它没有发生。你很困惑”:家庭对心理健康、儿童性侵和LGBTQ身份的反应中的不良沟通
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2023-05-09 DOI: 10.1177/21568693231170901
Armin A. Dorri, A. Stone, Brooke Izzy Heffington, Pekkam Jenny Njowo, Guadalupe Rivera, Phillip W. Schnarrs, Robert Salcido
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people disproportionately report high exposure to adverse childhood experiences (ACEs). In this study, we examine the ways that LGBTQ people with high ACEs also describe experiencing adverse communication with family systems about mental health, childhood sexual abuse (CSA), and their gender identity. From interviews with a racially diverse sample of 82 LGBTQ people in South Texas, we analyze how this adverse communication—including gaslighting, silence, denial and ignoring—is attentive to courtesy stigma dynamics. This adverse communication impacts transgender people, cisgender LGBTQ people, and Black or Latinx LGBTQ people differently; for example, Black and Latinx LGBTQ people discussed adverse communication about mental health and therapy within their families that prioritized the respectability of the family. These findings provide insight into family dynamics and communication practices in the lives of LGBTQ people, particularly at the intersections of multiple marginalized identities.
女同性恋者、男同性恋者、双性恋者、跨性别者和酷儿(LGBTQ)不成比例地报告了不良童年经历(ACE)的高暴露率。在这项研究中,我们研究了ACE高的LGBTQ人群在心理健康、儿童性虐待(CSA)及其性别认同方面与家庭系统进行不良沟通的方式。通过对南德克萨斯州82名不同种族的LGBTQ人群的采访,我们分析了这种不利的沟通——包括煤气灯、沉默、否认和忽视——是如何关注礼貌污名化的动态的。这种不利的沟通对跨性别者、顺性别LGBTQ者以及黑人或拉丁裔LGBTQ人的影响不同;例如,黑人和拉丁裔LGBTQ人群讨论了他们家庭中关于心理健康和治疗的不良沟通,这些沟通优先考虑家庭的受尊重程度。这些发现深入了解了LGBTQ人群生活中的家庭动态和沟通实践,特别是在多重边缘化身份的交叉点。
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引用次数: 0
Cumulative Pandemic Stressors, Psychosocial Resources, and Psychological Distress: Toward a More Comprehensive Test of a Pandemic Stress Process 累积的流行病压力源、社会心理资源和心理困扰:迈向流行病压力过程的更全面测试
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2023-05-02 DOI: 10.1177/21568693231165260
P. Louie, Laura Upenieks, Terrence D. Hill
Although the mental health consequences of individual COVID-19 stressors (e.g., bereavement, job loss, or financial strain) have been well-documented, little is known about the cumulative toll of multiple pandemic stressors. Using national data from the Crime, Health, and Politics Survey (May–June 2021), we test whether the accumulation of pandemic stressors is associated with greater psychological distress. We also consider whether this association is moderated by psychosocial resources (i.e., mastery, self-esteem, and social support). Our findings suggest that individuals who report three or more pandemic stressors tend to exhibit greater psychological distress than those who report fewer pandemic stressors or no pandemic stressors. While mastery offsets the impact of pandemic stressors at higher levels of stress exposure (i.e., two or more COVID-19 stressors), social support and self-esteem played a stress-buffering role to a point, but became ineffective at the highest levels of pandemic stress. The current study provides new insights into the pandemic stress process by conceptualizing and operationalizing the cumulative impact of COVID-19 stressors. We also confirm the continued significance of traditional coping resources in the context of novel pandemic stressors.
尽管个别COVID-19压力源(例如丧亲之痛、失业或经济压力)对精神健康的影响已得到充分记录,但对多种大流行压力源的累积损失知之甚少。利用犯罪、健康和政治调查(2021年5月至6月)的国家数据,我们测试了大流行压力源的积累是否与更大的心理困扰有关。我们还考虑了这种关联是否受到社会心理资源(即掌握、自尊和社会支持)的调节。我们的研究结果表明,报告三个或更多大流行压力源的个体往往比报告较少大流行压力源或没有大流行压力源的个体表现出更大的心理困扰。虽然在较高水平的压力暴露(即两个或更多的COVID-19压力源)中,掌握抵消了大流行压力源的影响,但社会支持和自尊在一定程度上发挥了压力缓冲作用,但在最高水平的大流行压力下变得无效。目前的研究通过概念化和操作COVID-19压力源的累积影响,为大流行压力过程提供了新的见解。我们还确认,在新的流行病压力源的背景下,传统的应对资源仍然具有重要意义。
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引用次数: 3
Personal network size and social accompaniment: Protective or risk factor for momentary loneliness, and for whom? 个人网络规模与社会陪伴:短暂孤独的保护因素还是风险因素,对谁有利?
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2023-03-01 Epub Date: 2023-01-12 DOI: 10.1177/21568693221142336
Alyssa W Goldman, Ellen L Compernolle

Personal networks yield important health benefits for individuals, in part by providing more opportunities to be in the company of others throughout daily life. Social accompaniment is generally believed to protect against momentary feelings of loneliness, although this hypothesis remains understudied. We examine how personal network size shapes older adults' experiences of momentary loneliness and whether this association varies by momentary social accompaniment. We use three waves of ecological momentary assessments (EMA; N = 12,359) and personal network data from 343 older adults in the Chicago Health and Activity in Real-Time study. Older adults with large personal networks experienced more intense momentary loneliness compared to those with smaller social networks when they were momentarily alone. This association was more pronounced among men. We discuss how research approaches that bridge global and momentary measures of social connectedness can reveal important nuances of our understanding of how interpersonal factors influence later-life well-being over time.

人际网络对个人健康有重要的好处,部分原因是在日常生活中提供了更多与他人相处的机会。社会陪伴通常被认为可以防止短暂的孤独感,尽管这一假设仍未得到充分研究。我们研究了个人网络大小如何影响老年人短暂孤独的经历,以及这种联系是否因短暂的社会陪伴而变化。我们使用了三波生态瞬时评估(EMA;N = 12,359)和来自芝加哥健康与活动空间实时研究的343名老年人的个人网络数据。与社交网络较小的老年人相比,拥有庞大人际网络的老年人在短暂独处时经历了更强烈的短暂孤独。这种关联在男性中更为明显。我们讨论了连接社会联系的全局和瞬时测量的研究方法如何揭示我们对人际因素如何随时间影响晚年幸福的理解的重要细微差别。
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引用次数: 0
Drinker Identity Development: Shame, Pride, and a Thirst to Belong 饮酒者身份发展:羞耻、骄傲和渴望归属
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2023-01-12 DOI: 10.1177/21568693221141927
Colter J. Uscola
Identity theorists assume that individuals intentionally construct and maintain a culturally valued sense of self. Although this logic makes sense for positive identities—doctor, parent, or scientist—it becomes questionable when applied to the construction of negative, or stigmatized, identities, such as that of a drinker. By interviewing 16 members of a metropolitan recovery community, I focus on how marginalized identities form seemingly absent of intention. In doing so, I show how stress and negative messaging from guardians, peers, and community members produce persistent painful emotions that restrict access to culturally valued identity pathways and steer individuals toward spaces of consumption. Through each lost socially valued role, the drinker identity becomes more salient, achieving more importance in daily life and becoming central to individuals’ lived experiences. That is, the drinker role becomes a primary source of positive affect and belongingness when these essential ingredients of social life are unobtainable elsewhere. More broadly, I challenge current theoretical assumptions that dominated intervention strategies and recovery policy for decades and offer considerations for policy and intervention programs.
身份理论家认为,个人有意构建并保持一种文化价值的自我意识。尽管这种逻辑对于积极的身份——医生、父母或科学家——是有道理的,但当它被应用于消极或污名化的身份的构建时,比如饮酒者的身份,就会变得有问题。通过采访一个大都市康复社区的16名成员,我重点关注边缘化身份是如何形成的,似乎是无意的。在这样做的过程中,我展示了来自监护人、同龄人和社区成员的压力和负面信息是如何产生持续的痛苦情绪的,这些情绪限制了人们获得文化价值的身份途径,并引导个人走向消费空间。通过每一个失去的社会价值角色,饮酒者的身份变得更加突出,在日常生活中变得更加重要,并成为个人生活体验的核心。也就是说,当这些社会生活的基本成分在其他地方无法获得时,饮酒者的角色就成为了积极情感和归属感的主要来源。更广泛地说,我挑战了几十年来主导干预策略和复苏政策的当前理论假设,并为政策和干预计划提供了考虑因素。
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引用次数: 0
Treatment’s Role in Clinical and Perceived Recoveries from Mental Illness 治疗在精神疾病临床和认知康复中的作用
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2022-11-11 DOI: 10.1177/21568693221131912
P. Thoits
How mental health treatment relates to clinical and perceived recoveries is examined with the 2019 National Survey on Drug Use and Health data, drawing from treatment-seeking and labeling theories. Clinical recovery and perceived recoveries were assessed among adult respondents who had a lifetime major depressive episode and reported ever having a mental health problem (N = 5,628). The “probably well” (with no current care need nor treatment involvement), individuals with unmet treatment needs, voluntary patients, and involuntary patients were contrasted. Compared with the high recovery rates of the “probably well,” individuals with unmet care needs had low clinical and perceived recoveries, and voluntary patients had low clinical but high perceived recoveries, supporting treatment-seeking predictions. With current distress symptoms controlled, involuntary patients’ perceived recovery rates were identical to “probably well” and voluntary patients,’ counter to labeling predictions. Because recovery perceptions may encourage (or weaken) treatment continuation, they warrant further research.
根据寻求治疗和标签理论,2019年全国药物使用和健康调查数据研究了心理健康治疗与临床和感知康复之间的关系。在有终身重度抑郁发作并报告曾有心理健康问题的成年受访者中评估临床康复和感知康复情况(N=5628)。将“可能很好”(目前没有护理需求,也没有治疗参与)、治疗需求未得到满足的个体、自愿患者和非自愿患者进行对比。与“可能很好”的高康复率相比,护理需求未得到满足的患者的临床和感知康复率较低,而自愿患者的临床但感知康复率较高,这支持了寻求治疗的预测。在目前的痛苦症状得到控制的情况下,非自愿患者的感知恢复率与“可能很好”和自愿患者的相同,这与标签预测相反。由于康复观念可能鼓励(或削弱)继续治疗,因此需要进一步研究。
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引用次数: 0
Vicarious Experiences of Major Discrimination and Psychological Distress among Black Men and Women. 黑人男女遭受重大歧视和心理困扰的模仿经历。
IF 3 1区 社会学 Q1 SOCIOLOGY Pub Date : 2022-11-01 Epub Date: 2022-08-19 DOI: 10.1177/21568693221116631
Myles D Moody, Courtney S Thomas Tobin, Christy L Erving

Racism-related stress frameworks posit that the discriminatory experiences of one's loved ones may threaten one's well-being, but relatively few studies have examined how they may impact mental health beyond childhood and adolescence. Using data from the Nashville Stress and Health Study (N = 1,252), the present study assessed the prevalence of vicarious experiences of discrimination among subsamples of Black men (n = 297) and women (n = 330), examined the association between vicarious experiences of discrimination and psychological distress among Black men and women, and evaluated the impact of vicarious discrimination on psychological distress in the context of other stressors. Results suggest that Black women report more vicarious exposure to specific types of discrimination. Furthermore, vicariously experienced discrimination was associated with higher levels of psychological distress among Black women, but not among Black men. Our findings extend the literature on racism-related stress and offer new insights for interventions aimed at reducing racial disparities in mental health.

与种族主义相关的压力框架认为,亲人的歧视经历可能会威胁到一个人的幸福,但相对而言,很少有研究探讨这些经历会如何影响童年和青少年时期以后的心理健康。本研究利用纳什维尔压力与健康研究(N = 1,252)的数据,评估了黑人男性(n = 297)和女性(n = 330)子样本中歧视替代经历的发生率,考察了黑人男性和女性中歧视替代经历与心理困扰之间的关联,并评估了其他压力因素背景下歧视替代经历对心理困扰的影响。结果表明,黑人妇女报告了更多遭受特定类型歧视的替代经历。此外,在黑人女性中,替代性歧视经历与较高的心理压力水平相关,但在黑人男性中却不相关。我们的研究结果扩展了有关种族主义相关压力的文献,并为旨在减少心理健康方面种族差异的干预措施提供了新的见解。
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引用次数: 0
Disability, Discrimination, and Mental Health during the COVID-19 Pandemic: A Stress Process Model. 新冠肺炎大流行期间的残疾、歧视和心理健康:压力过程模型
IF 3 1区 社会学 Q1 SOCIOLOGY Pub Date : 2022-11-01 DOI: 10.1177/21568693221115347
Robyn Lewis Brown, Gabriele Ciciurkaite

Drawing on data from a community survey with a sizeable subsample of people with physical, intellectual, and psychological disabilities in the Intermountain West region of the United States (N = 2,043), this investigation examined the association of social stressors stemming from the COVID-19 pandemic with ableism or disability-related discrimination. We further assessed the significance of these associations for variation by disability status in psychological well-being with a moderated mediation analysis. Study findings provide clear evidence that greater pandemic-related stressor exposure was associated with greater discrimination, which in turn increased the psychologically distressing aspects of the pandemic for people with disabilities relative to people without disabilities. This set of findings challenges us to think about how we engage in research concerning ableism and the proliferation of macro-level stressors such as those associated with the COVID-19 pandemic. The findings also support the application of a minority stress model in addressing mental health contingencies among people with disabilities-in this case, in examining the pandemic's psychological impact.

根据美国西部山间地区一项社区调查的数据(N = 2043),该调查对身体、智力和心理残疾者进行了相当大的子样本调查,研究了2019冠状病毒病大流行引发的社会压力源与残疾歧视或残疾相关歧视的关系。通过适度的中介分析,我们进一步评估了残疾状态对心理健康差异的相关性。研究结果提供了明确的证据,表明与大流行病有关的压力源暴露程度越高,歧视程度越高,这反过来又增加了残疾人相对于非残疾人在大流行病方面的心理痛苦。这组研究结果促使我们思考如何开展有关残疾和与COVID-19大流行相关的宏观层面压力源扩散的研究。研究结果还支持将少数群体压力模型应用于处理残疾人的心理健康突发事件——在这种情况下,用于检查大流行的心理影响。
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引用次数: 0
Market Transition, Occupational Status, and Depression in Urban China: A Population-based Multilevel Analysis 中国城市人口的市场转型、职业地位与抑郁:基于人口的多水平分析
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2022-09-12 DOI: 10.1177/21568693221122864
Yanhui Xu, Dongpeng Lai, Qingsong Chang
This study investigated the effects of ecological-level marketization, individual-level occupational status, and their interaction, on depression in residents in urban China. Population-based data (N = 13,004) from the 2016 China Family Panel Survey were used. A multilevel mixed-effects generalized linear model explored whether and to what extent market transition measured by the marketization index (MI), occupational status measured by international socio-economic index (ISEI), and their interaction, affected people’s depression. Results showed that higher MI (b = –.157, p < .001) and ISEI scores (b = –.124, p < .001) were associated with lower levels of depression. However, residents with high occupational status might suffer a uniquely elevated level of depression when living in highly marketized cities (b = .139, p < .05). Raising the public mental health awareness of residents with low occupational status from low marketized areas and that of residents with high occupational status from high marketized areas is warranted in societies undergoing rapid marketization, such as China.
本研究探讨了生态层面的市场化、个体层面的职业状况及其相互作用对中国城市居民抑郁的影响。基于人口的数据(N = 13,004)来自2016年中国家庭面板调查。多层次混合效应广义线性模型探讨了市场化指数(MI)衡量的市场转型、国际社会经济指数(ISEI)衡量的职业地位及其相互作用是否影响人们的抑郁,以及在多大程度上影响人们的抑郁。结果表明,较高的心肌梗死发生率(b = -)。157, p < 0.001)和ISEI评分(b = -。124, p < 0.001)与较低的抑郁水平相关。然而,高职业地位的居民在高度市场化的城市生活时,抑郁水平可能会升高(b = .139, p < .05)。在快速市场化的社会,如中国,有必要提高低市场化地区低职业地位居民和高职业地位居民的公众心理健康意识。
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引用次数: 0
Welcome to the Dark Side: The Role of Religious/Spiritual Struggles in the Black-White Mental Health Paradox 欢迎来到黑暗面:宗教/精神斗争在黑人-白人心理健康悖论中的作用
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2022-09-01 DOI: 10.1177/21568693221119786
Laura Upenieks, P. Louie, Terrence D. Hill
Over the past two decades, researchers have worked to make sense of the fact that black Americans tend to exhibit similar or better mental health profiles relative to their white counterparts. In this study, we extend previous research by proposing and testing a new potential explanation of the black-white mental health paradox: the dark side of religion or religious/spiritual (R/S) struggles. We also consider whether the association between R/S struggles and mental health is moderated by race. Our mediation analysis of data collected from a 2021 nationally representative sample of American adults (n = 1,381) indicates that black respondents tend to exhibit lower levels of non-specific psychological distress than white respondents partly because black respondents also tend to report lower levels of R/S struggles. Our moderation analysis demonstrates that the positive association between R/S struggles and psychological distress is more pronounced for white respondents than for black respondents.
在过去的二十年里,研究人员一直在努力理解这样一个事实,即美国黑人往往表现出与白人相似或更好的心理健康状况。在这项研究中,我们通过提出和测试黑人-白人心理健康悖论的新的潜在解释来扩展先前的研究:宗教或宗教/精神(R/S)斗争的黑暗面。我们还考虑了R/S斗争与心理健康之间的联系是否受到种族的调节。我们对2021年具有全国代表性的美国成年人样本(n=1381)收集的数据进行的中介分析表明,黑人受访者往往比白人受访者表现出更低的非特异性心理困扰,部分原因是黑人受访者也往往报告出更低的R/S挣扎水平。我们的适度分析表明,白人受访者的R/S斗争与心理困扰之间的正相关关系比黑人受访者更为明显。
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引用次数: 5
The Risk for Food Insecurity and Suicide Ideation among Young Adults in the United States: The Mediating Roles of Perceived Stress and Social Isolation 美国年轻人食物不安全和自杀念头的风险:感知压力和社会孤立的中介作用
IF 5.1 1区 社会学 Q1 SOCIOLOGY Pub Date : 2022-08-29 DOI: 10.1177/21568693221120066
Carlyn Graham, Gabriele Ciciurkaite
Young adults in the United States have the highest prevalence of suicidal thoughts of any adult age group. While limited, research indicates food insecurity heightens the risk of suicide ideation among young adults. However, research has not explored the pathways underlying the food insecurity—suicide ideation association among this population. Using 2008 data from Wave IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we fill this gap by testing for the mediating roles of perceived stress and social isolation in the association between the risk for food insecurity and suicide ideation among young adults ages 24–32 (N = 14,897). Our findings reveal that perceived stress and social isolation account for almost half of this association. Given the eradication of food insecurity in the United States is unlikely imminent, our results indicate an exigent need for interventions and programs to address psychosocial risk factors associated with food insecurity.
在美国,年轻人自杀念头的发生率是所有成年年龄组中最高的。虽然有限,但研究表明,粮食不安全会增加年轻人自杀意念的风险。然而,研究尚未探索这一人群中粮食不安全的潜在途径——自杀意念的关联。使用2008年国家青少年到成人健康纵向研究(Add Health)第四波的数据,我们通过测试感知压力和社会孤立在24-32岁年轻人的粮食不安全风险和自杀意念之间的关联中的中介作用来填补这一空白(N=14897)。我们的研究结果表明,感知压力和社交孤立几乎占了这种联系的一半。鉴于美国不太可能立即消除粮食不安全,我们的研究结果表明,迫切需要干预和计划来解决与粮食不安全相关的心理社会风险因素。
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引用次数: 2
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Society and Mental Health
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