Society and Mental Health最新文献

英文中文

LGBTQ+ Latino/a Young People’s Interpretations of Stigma and Mental Health: An Intersectional Minority Stress Perspective LGBTQ+拉丁裔/年轻人对污名和心理健康的解释：跨部门的少数族裔压力视角

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-07-01 DOI: 10.1177/2156869319847248

Rachel M. Schmitz, B. A. Robinson, Jennifer L Tabler, Brett Welch, Sidra Rafaqut

Lesbian, gay, bisexual, transgender, and/or queer (LGBTQ+) young people of color encounter interlocking systems of social prejudice and discrimination. However, little is understood about how subjective meanings of perceived structural stigma associated with multiple marginalized social statuses influence mental health. We document how perceived stigma can shape mental health inequalities among multiply marginalized individuals if they also encounter stigmatizing societal frameworks. Data come from in-depth interviews with 41 LGBTQ+ Latino/a young adults in the Rio Grande Valley collected from 2016 to 2017. Utilizing an intersectional minority stress framework, we qualitatively examine how young people conceptualize structural stigma, their multiple social locations (e.g., sexuality, gender, race/ethnicity, age), and their mental health. Findings highlight how LGBTQ+ Latino/a young adults experience structural racism, gender policing, and anti-LGBTQ+ religious messages in relation to their mental health. This study showcases the importance of an intersectional minority stress framework for documenting processes that can shape mental health inequalities.

女同性恋、男同性恋、双性恋、跨性别者和/或酷儿（LGBTQ+）有色人种年轻人遇到了相互关联的社会偏见和歧视系统。然而，人们对与多种边缘化社会地位相关的结构性污名的主观含义如何影响心理健康知之甚少。我们记录了如果被边缘化的人也遇到污名化的社会框架，他们所感知的污名化如何会塑造他们的心理健康不平等。数据来自2016年至2017年对格兰德河流域41名LGBTQ+拉丁裔年轻人的深入采访。利用跨部门的少数群体压力框架，我们定性地研究了年轻人如何将结构性污名、他们的多个社会位置（例如，性、性别、种族/民族、年龄）和他们的心理健康概念化。研究结果强调了LGBTQ+拉丁裔/年轻人在心理健康方面如何经历结构性种族主义、性别监管和反LGBTQ+宗教信息。这项研究展示了跨部门少数群体压力框架对记录可能形成心理健康不平等的过程的重要性。

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引用次数: 46

A Multilevel Investigation into Contextual Reliability in the Designation of Cognitive Health Conditions among U.S. Children 美国儿童认知健康状况指定中情境可靠性的多层次调查

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-07-01 DOI: 10.1177/2156869319847243

D. Shifrer, R. Fish

Unreliable diagnoses (e.g., based on inconsistent criteria, subjective) may be inaccurate and even inequitable. This study uses an event history approach with yearly child- and school-level data from 378,919 children in a large urban school district in the southwestern United States between 2006–2007 and 2011–2012 to investigate contextual reliability in the designation of cognitive health conditions (e.g., autism, learning disabilities). This study’s findings suggest the likelihood of designation is higher in schools with more resources (higher teacher-to-student ratio, student population with more resources at home, charter school or magnet program), controlling on student-level differences. Cross-level interactions suggest children’s likelihood of designation also may be higher if they are distinctive relative to other students in their school, sometimes even in terms of nonclinical qualities (race, English Learner status).

不可靠的诊断（例如，基于不一致的标准，主观的）可能是不准确的，甚至是不公平的。本研究采用事件历史方法，从2006年至2007年至2011年至2012年，美国西南部一个大型城市学区的378919名儿童的年度儿童和学校层面数据，调查认知健康状况（如自闭症、学习障碍）指定的情境可靠性。这项研究的结果表明，在控制学生水平差异的情况下，拥有更多资源的学校（师生比例更高、家庭资源更多的学生群体、特许学校或磁铁项目）被指定的可能性更高。跨层次的互动表明，如果孩子们相对于学校里的其他学生与众不同，有时甚至在非临床素质（种族、英语学习者地位）方面，他们被指定的可能性也可能更高。

引用次数: 19

Childhood Adversity and Internalizing Problems: Evidence of a Race Mental Health Paradox 童年逆境与内化问题:种族心理健康悖论的证据

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-07-01 DOI: 10.1177/2156869319843325

Ashleigh Kysar-Moon

Health disparities scholars describe the existence of a race mental health paradox—specifically, when black adults face higher levels of adversity compared with whites yet have similar or better mental health outcomes. Whether such a paradox exists among youth is unclear. Using data from the Longitudinal Studies of Child Abuse and Neglect, I examine black–white differences in children’s internalizing problems scores and consider the role of childhood adversities. Black children experience more adversity within family and neighborhood domains and cumulatively across ecological levels yet have comparable or better mental health at age 4 that endures over the early life course compared with white children (p < .05). Evidence suggests that among children with the greatest adversity (at the parent level), having three supportive adults and high degrees of support at age 6 were more effective for black youth than their white peers in diminishing risk for internalizing problems later in childhood (p < .05).

健康差异学者们描述了种族心理健康悖论的存在——具体来说，当黑人成年人面临比白人更高水平的逆境时，他们的心理健康结果相似或更好。年轻人中是否存在这样的矛盾还不清楚。利用儿童虐待和忽视纵向研究的数据，我研究了黑人和白人在儿童内化问题得分上的差异，并考虑了童年逆境的作用。与白人儿童相比，黑人儿童在家庭和社区领域以及在生态水平上经历了更多的逆境，但在4岁时具有相当或更好的心理健康，并且在早期生命过程中持续(p < 0.05)。有证据表明，在逆境最大的儿童中(在父母层面)，在6岁时有三个支持的成年人和高度的支持对黑人青少年比白人同龄人更有效地降低了童年后期内化问题的风险(p < 0.05)。

引用次数: 14

Romantic Relationship Quality and Suicidal Ideation in Young Adulthood 青年期浪漫关系品质与自杀理想

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-06-26 DOI: 10.1177/2156869320929386

Darla Still

Sociological research on suicidal ideation has often focused on structural factors, such as marital status, when analyzing the protective effects of social integration; however, less is known about how the quality of romantic relationships shapes suicidality among young adults. This study uses the National Longitudinal Study of Adolescent to Adult Health to examine the association between romantic relationship quality and suicidal ideation in young adulthood. Results indicate that simply being in a romantic relationship is unrelated to suicidal ideation. In fact, odds of reporting suicidal ideation are comparable for respondents who are married or cohabiting and respondents who are single or dating. Findings show that respondents who report greater romantic relationship quality in any romantic relation type are less likely to report suicidal ideation. This study contributes to previous research in the sociology of mental health by extending our understanding of the protective role of relationship quality.

在分析社会融合的保护作用时，对自杀意念的社会学研究往往侧重于结构性因素，如婚姻状况；然而，人们对浪漫关系的质量如何影响年轻人的自杀行为知之甚少。这项研究利用国家青少年到成年人健康纵向研究来检验年轻成年期浪漫关系质量与自杀意念之间的关系。研究结果表明，单纯的恋爱关系与自杀意念无关。事实上，已婚或同居的受访者与单身或约会的受访者报告自杀意念的几率相当。研究结果表明，在任何浪漫关系类型中，报告浪漫关系质量较高的受访者报告自杀意念的可能性较小。这项研究通过扩展我们对关系质量保护作用的理解，为心理健康社会学的先前研究做出了贡献。

引用次数: 8

Gender, Emotions, and Mental Health in the United States: Patterns, Explanations, and New Directions 美国的性别、情绪和心理健康：模式、解释和新方向

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-06-16 DOI: 10.1177/2156869320926236

R. Simon

I want to begin by thanking Jane McLeod and Brian Powell for nominating me for this award as well as the Awards Committee. Receiving the Pearlin Award (also fondly referred to as The Lenny) has special meaning for me because Len’s 1977 article on marital status, life strains, and depression—which I read as an undergraduate back in the stone age—inspired me to pursue graduate studies in sociology. Len’s poignant writing about the myriad ways in which individuals’ structural locations shape their everyday life experiences and subsequent mental health still inspires me. I’m grateful to him, Gerrie Pearlin, and members of the Mental Health Section for your generous support and friendship over the years. I’m a member of a few ASA sections, but this one has always been my primary identity group. I’d also like to take this opportunity to acknowledge Jane and Brian as well as Sarah Rosenfield, Mary Clare Lennon, Jennifer Glass, Kathryn Lively, Peggy Thoits, Arlie Hochschild, Catherine Ross, Debra Umberson, Walter Gove, Ronald Kessler, and our beloved colleague Carol Aneshensel whose theoretical and substantive insights have influenced my research. Special thanks to Kristen Marcussen and Jennifer Caputo, who are among the many wonderful graduate students with whom I have worked, as well as my husband and kids for their unconditional love.

首先，我要感谢Jane McLeod和Brian Powell提名我以及颁奖委员会。获得皮尔林奖（也被亲切地称为the Lenny）对我来说有着特殊的意义，因为Len 1977年关于婚姻状况、生活压力和抑郁症的文章——我在石器时代读过这篇文章——激励我攻读社会学研究生。Len关于个人的结构位置如何塑造他们的日常生活经历和随后的心理健康的无数方式的辛酸写作仍然激励着我。我感谢他、Gerrie Pearlin和心理健康科的成员多年来的慷慨支持和友谊。我是ASA几个部门的成员，但这个部门一直是我的主要身份群体。我也想借此机会感谢Jane和Brian，以及Sarah Rosenfield、Mary Clare Lennon、Jennifer Glass、Kathryn Lively、Peggy Thoits、Arlie Hochschild、Catherine Ross、Debra Umberson、Walter Gove、Ronald Kessler和我们深爱的同事Carol Anesensensel，他们的理论和实质性见解影响了我的研究。特别感谢Kristen Marcussen和Jennifer Caputo，他们是我共事过的众多优秀研究生之一，也感谢我的丈夫和孩子们无条件的爱。

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引用次数: 8

Social Characteristics as Predictors of ADHD Labeling across the Life Course 社会特征作为ADHD标签在整个生命过程中的预测因子

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-05-18 DOI: 10.1177/2156869320916535

Melissa Thompson, Lindsey Wilkinson, Hyeyoung Woo

Although originally considered to be a disorder of childhood, attention deficit/hyperactivity disorder (ADHD) is increasingly being diagnosed for the first time in adulthood. Yet we know little about the social characteristics (race, gender, and social class) of those first labeled in adulthood, how these differ from those first labeled in childhood/adolescence, and whether the ADHD label is applied proportionately across social groups given ADHD symptomology. Using data from the National Longitudinal Study of Adolescent to Adult Health, the current research considers how typifications of ADHD affect application of the ADHD label in childhood/adolescence and in adulthood. Results indicate that even after controlling for ADHD symptoms, social characteristics are important predictors of the ADHD label in childhood/adolescence but are less influential in predicting ADHD labeling in adulthood. Additionally, results indicate the importance of race in moderating the association between childhood ADHD symptoms and application of the ADHD label throughout the life course.

尽管最初被认为是儿童期的一种障碍，但注意力缺陷/多动障碍（ADHD）在成年后首次被诊断出来。然而，我们对成年后首次被贴上标签的人的社会特征（种族、性别和社会阶层）知之甚少，这些特征与儿童/青少年时期首次被贴标签的人有何不同，以及多动症标签是否在患有多动症症状的社会群体中按比例应用。利用国家青少年与成人健康纵向研究的数据，目前的研究考虑了多动症的典型化如何影响儿童/青少年和成年期多动症标签的应用。结果表明，即使在控制了多动症症状后，社会特征也是儿童/青少年多动症标签的重要预测因素，但对成年期多动症标签预测的影响较小。此外，研究结果表明，种族在调节儿童多动症症状和在整个生命过程中应用多动症标签之间的关联方面具有重要意义。

引用次数: 7

The “How” Question of the Healthy Immigrant Paradox: Understanding Psychosocial Resources and Demands as Pathways Linking Migration to Mental Health Risks 健康移民悖论的“如何”问题:理解社会心理资源和需求作为将移民与心理健康风险联系起来的途径

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-04-24 DOI: 10.1177/2156869320913090

Fei-Ju Yang

The current migrant health literature tends to focus on what determines immigrants’ mental health rather than how pathways such as psychosocial resources mediate the relationship between years since migration and mental health. Based on 4,282 foreign-born Canadian immigrant samples, this study includes both psychological distress and positive mental health as mental health measures because immigrants do not necessarily respond to stress by exhibiting distress. The correlation between psychological distress and positive mental health shows that these two measures are interrelated but distinctive concepts. Using piecewise regression models, this study finds that midterm immigrants have the highest levels of psychological distress and interpersonal strain. Guided by the stress process model, this study indicates that interpersonal strain acts as a major pathway to immigrants’ psychological distress but not positive mental health.

目前的移民健康文献倾向于关注决定移民心理健康的因素，而不是诸如社会心理资源等途径如何调解移民与心理健康之间的关系。基于4282个外国出生的加拿大移民样本，本研究将心理困扰和积极的心理健康作为心理健康指标，因为移民不一定通过表现出痛苦来应对压力。心理困扰与积极心理健康之间的相关性表明，这两个措施是相互关联的，但不同的概念。运用分段回归模型，本研究发现中期移民的心理困扰和人际关系紧张程度最高。在压力过程模型的指导下，本研究发现人际紧张是移民心理困扰的主要途径，而不是积极的心理健康。

引用次数: 8

“They Understand What You’re Going Through”: Experientially Similar Others, Anticipatory Stress, and Depressive Symptoms “他们理解你的经历”:经验相似的人，预期的压力和抑郁症状

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-03-10 DOI: 10.1177/2156869320910773

Matthew K. Grace

Past research demonstrates that experientially similar others—people who have confronted the same stressor or who occupy the same social role—are uniquely equipped to provide empathic understanding and tailored coping strategies to individuals navigating comparable, taxing circumstances. Using the case of premedical education, fixed-effects regression analyses of egocentric network data (N = 286) indicate that premeds whose support networks include a greater proportion of premedical peers over time experience fewer depressive symptoms. However, among premeds who report greater anticipatory stress about failing to achieve medical school admission, the presence of additional peers in support networks strengthens the detrimental effects of anticipatory stress. Qualitative data (n = 39) shed light on this empirical puzzle. Although peers offer a broad spectrum of support functions, they can also accentuate stressors or serve as a basis for negative social comparison. These findings introduce new considerations for theorizing the role of similar other support in the stress process.

过去的研究表明，经历相似的人——面对同样的压力源或扮演同样的社会角色的人——具有独特的能力，能够提供同理心的理解和量身定制的应对策略，以应对类似的、繁重的环境。以医学预科教育为例，自我中心网络数据(N = 286)的固定效应回归分析表明，随着时间的推移，支持网络中包括更大比例的医学预科同伴的预科学生抑郁症状较少。然而，在那些因无法进入医学院而报告更大预期压力的预科生中，支持网络中额外同伴的存在加强了预期压力的有害影响。定性数据(n = 39)揭示了这一实证难题。虽然同伴提供了广泛的支持功能，但他们也可以加重压力源或作为负面社会比较的基础。这些发现为理论化类似的其他支持在应力过程中的作用引入了新的考虑。

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引用次数: 7

"Go See Somebody": How Spouses Promote Mental Health Care. "去找人看看"：配偶如何促进心理保健。

IF 3 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-03-01 Epub Date: 2019-04-04 DOI: 10.1177/2156869319834335

Corinne Reczek, Mieke Beth Thomeer, Lauren Gebhardt-Kram, Debra Umberson

This study considers when, whether, and how spouses encourage professional mental health care by analyzing qualitative data from 90 in-depth interviews with gay, lesbian, and heterosexual spouses. Findings show that a majority of spouses are engaged in promoting each other's mental health care but that the strategies used to promote care vary by gender and the gender composition of the couple. The majority of gay men and lesbian women promote care by framing mental health problems as largely biochemical, fixable only with professional care or medicine, and work to destigmatize this care. Lesbian women uniquely emphasize the influence of a spouse's symptoms on marital quality as a reason to pursue care. Some heterosexual women and men also report seeing their spouse's mental health care as something for them to deal with on their own and thus do not encourage care. This study has important implications for researchers looking to understand why some individuals seek mental health care and others do not and provides policymakers insight into mental health interventions via spouses.

本研究通过分析与男同性恋、女同性恋和异性恋配偶进行的 90 次深入访谈的定性数据，探讨了配偶在何时、是否以及如何鼓励专业的心理健康护理。研究结果表明，大多数配偶都参与了促进对方心理健康的工作，但促进工作的策略因性别和配偶性别构成的不同而不同。大多数男同性恋者和女同性恋者通过将心理健康问题归结为主要是生化问题，只有通过专业护理或药物才能解决，并努力消除这种护理的污名化，来促进护理工作。女同性恋者特别强调配偶的症状对婚姻质量的影响，以此作为寻求护理的理由。一些异性恋女性和男性也表示，他们认为配偶的精神健康问题应该由他们自己来解决，因此并不鼓励进行护理。这项研究对于研究人员了解为什么有些人寻求心理保健而有些人不寻求心理保健具有重要意义，同时也为政策制定者提供了通过配偶进行心理保健干预的见解。

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Trajectories of Unsecured Debt across the Life Course and Mental Health at Midlife. 无担保债务的人生轨迹与中年心理健康。

IF 5.1 1区社会学 Q1 SOCIOLOGY

Society and Mental Health

Pub Date : 2020-03-01 Epub Date: 2018-12-17 DOI: 10.1177/2156869318816742

Amy Ruining Sun, Jason N Houle

In this paper, we contribute to a growing literature on debt and mental health and ask whether patterns of unsecured debt accumulation and repayment over two decades are associated with depressive symptoms at age 50. Using data from the National Longitudinal Study of Youth 1979 Cohort and group trajectory models, we have three key findings. First, we find substantial heterogeneity in debt trajectories across the life course. Second, respondents who report consistently high debt levels across the life course or who cycle in and out of high debt report significantly more depressive symptoms than respondents who hold consistently low levels of debt. These findings hold for both absolute and relative (debt-to-income) debt. Third, we find that the association between debt and depressive symptoms is strongest among respondents with less than a college degree, but we find less evidence for heterogeneity by race in this cohort.

在本文中，我们对有关债务和心理健康的文献作出了贡献，并探讨了二十年来无担保债务的积累和偿还模式是否与 50 岁时的抑郁症状有关。通过使用 1979 年全国青年纵向研究队列的数据和群体轨迹模型，我们得出了三个重要发现。首先，我们发现在整个生命过程中，债务轨迹具有很大的异质性。其次，在整个人生过程中持续高负债或在高负债中循环往复的受访者，其抑郁症状明显多于持续低负债的受访者。这些发现对绝对债务和相对债务（债务与收入之比）均适用。第三，我们发现债务与抑郁症状之间的关联在大学学历以下的受访者中最为强烈，但我们在这一群体中发现的种族异质性证据较少。

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