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Mass management of mental health issues during COVID-19 pandemic: the role of professional volunteer groups; an Iranian experience 新冠肺炎大流行期间心理健康问题的大规模管理:专业志愿者团体的作用;伊朗的经历
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-25 DOI: 10.1080/00207411.2022.2072146
E. Taheri, Tayebeh Hosseini, Z. Kafami, F. Faridhosseini, A. Saghebi, M. F. Fayyazi Bordbar, F. Farhoudi, N. Asgharipour, Z. Salimi, Asma Aghebati, M. Amiri, Abolfazl Akbari, Hossein Mohaddes Ardabili
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引用次数: 0
The challenges of conducting mental health research among resettled refugee populations: An ecological framework from a researchers’ perspective 在重新安置的难民群体中进行心理健康研究的挑战:研究人员视角下的生态框架
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-17 DOI: 10.1080/00207411.2022.2069962
A. Djelantik, C. M. van Es, A. M. Lahuis, N. Mooren
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引用次数: 0
“Gripping onto the last threads of sanity”: transgender and non-binary prisoners’ mental health challenges during the covid-19 pandemic “抓住理智的最后一线”:新冠肺炎大流行期间跨性别和非二元囚犯的心理健康挑战
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-05 DOI: 10.1080/00207411.2022.2068319
Olga Suhomlinova, M. O’Reilly, T. Ayres, Emily Wertans, M. Tonkin, S. O’Shea
Abstract Background Covid-19 has had an especially detrimental impact on mental health of people with intersectional marginalized identities. Yet, research evidence on this impact is lacking, with efforts to generate it stymied by pandemic restrictions. Aims To explore how a socially excluded gender minority group—transgender and non-binary (TGNB) prisoners—experienced, and coped with, the pandemic stressors. Methods The data were collected via correspondence with 15 TGNB prisoners in England and Wales in April-October 2020 using an exploratory person-centred qualitative longitudinal approach and examined using reflexive organic thematic analysis. Results The pandemic and its restrictions to support structures and health care detrimentally impacted TGNB prisoners’ mental health and wellbeing. TGNB prisoners experienced added stressors associated with their intersecting incarceration and gender minority positions, including prolonged solitary confinement and reduced access to gender-affirming health care. Environmental resources for problem-focused, emotion-focused, socially supportive and disengagement coping were reduced by the prison pandemic regime, with adaptive coping through positive distraction and engagement with TGNB/LGBTQ community particularly affected. Conclusions During a pandemic and beyond, greater support and innovative practices are needed to improve the TGNB prisoners’ access to gender-affirming care and to TGNB/LGBTQ community, to protect their mental health and wellbeing.
摘要背景新冠肺炎对跨部门边缘化身份人群的心理健康产生了特别不利的影响。然而,缺乏关于这种影响的研究证据,产生这种影响的努力因疫情限制而受阻。目的探讨被社会排斥的性别少数群体——跨性别和非二元(TGNB)囚犯——是如何经历和应对疫情压力的。方法2020年4月至10月,通过与英格兰和威尔士15名TGNB囚犯的通信,采用探索性的以人为中心的定性纵向方法收集数据,并使用反射性有机主题分析进行检查。结果疫情及其对支持结构和医疗保健的限制对TGNB囚犯的心理健康和福祉产生了不利影响。TGNB囚犯经历了与交叉监禁和性别少数地位相关的额外压力,包括长期单独监禁和获得性别确认医疗保健的机会减少。监狱疫情制度减少了以问题为中心、以情绪为中心、社会支持和脱离接触应对的环境资源,通过积极分散注意力和与TGNB/LGBTQ社区接触的适应性应对尤其受到影响。结论在疫情期间及以后,需要更多的支持和创新做法,以改善TGNB囚犯获得性别确认护理和TGNB/LGTQ社区的机会,保护他们的心理健康和福祉。
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引用次数: 0
The association between 13 Reasons Why and suicidal ideation and behaviors, mental health symptoms, and help-seeking behaviors in youths: An integrative systematic review 13个原因与青少年自杀意念和行为、心理健康症状和求助行为的关系:一项综合系统综述
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-29 DOI: 10.1080/00207411.2022.2064176
E. Leaune, Julie Leclerc, Robin Fender, C. Notredame, L. Jurek, E. Poulet
Abstract Background: The series 13 Reasons Why (13RW) raised critical concerns regarding the deleterious impact of fictional suicide portrayal on suicidal behaviors as it depicted the suicide of an adolescent without following the recommendations on media reporting of suicide portrayal. We aimed to assess the impact of 13RW on suicide rates, suicide attempts (SA), and suicidal ideation (SI) prevalence, mental health symptoms, and help-seeking behaviors in youths. Method: Following PRISMA guidelines, we systematically searched for articles on three databases up to January 2022. Results: A total of 17 articles met the inclusion criteria. Five large studies reported a significant increase in deaths by suicide and SA in youths in the United States and Canada after the release of 13RW. Mood deterioration or more intensive depressive symptoms were reported in vulnerable adolescents who watched 13RW. Youths with previous history of depression, SA, or SI, and those who identified themselves with the main character were at higher risk to report an increase in SI or mood deterioration. Help-seeking behaviors significantly decreased, but the effects on mental health awareness tended to be positive after the release of 13RW. Conclusion: Our review reveals critical results about the impact of 13RW on youths. We report an alarming harmful impact on suicide and SA rates, especially in more vulnerable youths. The reported positive effects do not balance the deleterious impact of 13RW.
背景:13个原因系列(13RW)提出了关于虚构的自杀描述对自杀行为的有害影响的关键关注,因为它描述了一个青少年的自杀,而没有遵循媒体报道自杀描述的建议。我们的目的是评估13RW对青少年自杀率、自杀企图(SA)、自杀意念(SI)患病率、心理健康症状和寻求帮助行为的影响。方法:根据PRISMA指南,我们系统地检索了截至2022年1月的三个数据库中的文章。结果:共有17篇文章符合纳入标准。五项大型研究报告称,在13RW发布后,美国和加拿大的青少年自杀和精神分裂症死亡人数显著增加。在观看13RW的脆弱青少年中,有情绪恶化或更强烈的抑郁症状的报告。有抑郁症、SA或SI病史的青少年,以及那些认为自己是主要角色的青少年,报告SI增加或情绪恶化的风险更高。13RW释放后,求助行为显著减少,但对心理健康意识的影响趋于正相关。结论:我们的综述揭示了13RW对青少年影响的关键结果。我们报告了对自杀和SA率的惊人有害影响,特别是在更脆弱的青少年中。报告的积极影响并不能抵消13RW的有害影响。
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引用次数: 2
Attitudes and preferences toward exercise interventions in adults with attention deficit hyperactivity disorder: A survey study 成人注意缺陷多动障碍对运动干预的态度和偏好:一项调查研究
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-20 DOI: 10.1080/00207411.2022.2060027
W. G. Cochrane, Larisa M Dinu, N. Kika, E. Dommett
Abstract Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, impulsivity and hyperactivity, causing significant functional impairment. Current pharmacological treatments have significant side effects and concerns about abuse potential. Exercise interventions show promise, but adequately powered controlled studies are lacking, particularly in adults. Before embarking on large-scale trials, the willingness and feasibility of using exercise as a standalone or adjunct treatment in adults with ADHD must be determined. We used an online survey to assess the attitudes and preferences to exercise in 117 medicated and unmedicated UK-based adults with ADHD. Intervention preferences and characteristics, and exercise logs were also investigated. Analysis revealed that participants’ willingness to engage in exercise as a standalone treatment differed based on medication use. Despite this, exercise interventions were considered feasible, with most willing to dedicate considerable time to exercise. In terms of support, the most popular approaches were in-person support from a personal trainer or healthcare professional or independent exercise following a personalized plan. The current study was dominated by young adult females and relied on self-report but remains the first study to assess preferences for exercise interventions in those with ADHD and holds important implications for future exercise interventions in adults with ADHD.
注意缺陷多动障碍(Attention deficit hyperactivity disorder, ADHD)是一种以注意力不集中、冲动和多动为特征,引起严重功能损害的疾病。目前的药物治疗有明显的副作用和滥用的可能性。运动干预显示出希望,但缺乏足够有力的对照研究,特别是在成人中。在进行大规模试验之前,必须确定将运动作为成人ADHD的独立或辅助治疗的意愿和可行性。我们使用一项在线调查来评估117名患有多动症的英国成年人的态度和运动偏好。干预偏好和特征以及运动日志也被调查。分析显示,参与者将运动作为独立治疗的意愿因药物使用而异。尽管如此,运动干预被认为是可行的,大多数人愿意花相当多的时间来锻炼。在支持方面,最受欢迎的方法是私人教练或医疗保健专业人员的亲自支持,或者根据个性化计划进行独立锻炼。目前的研究以年轻成年女性为主,依赖于自我报告,但仍然是第一个评估ADHD患者对运动干预偏好的研究,对未来成人ADHD患者的运动干预具有重要意义。
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引用次数: 4
Impact of the COVID-19 pandemic on mental health among women: An editorial 新冠肺炎大流行对妇女心理健康的影响:一篇社论
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-03 DOI: 10.1080/00207411.2022.2066299
G. Amatori, A. Cappelli, C. Carmassi, R. Rodgers, E. Bui
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引用次数: 2
What have we learned about what works in sustaining mental health care and support services during a pandemic? Transferable insights from the COVID-19 response within the NHS Scottish context 关于在大流行期间维持精神卫生保健和支持服务的有效方法,我们了解了什么?在苏格兰NHS背景下应对COVID-19的可转移见解
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-03 DOI: 10.1080/00207411.2022.2056386
N. Cogan, Heather Archbold, K. Deakin, B. Griffith, Isabel Sáez Berruga, Samantha Smith, G. Tanner, P. Flowers
Abstract Efforts have been made to adapt the delivery of mental health care and support services to the demands of COVID-19. Here we detail the perspectives and experiences of mental health workers (MHWs), in relation to what they found helpful when adapting mental health services during the COVID-19 pandemic and responding to its demands. Individual interviews were conducted with MHWs (n = 30) during the third COVID-19 lockdown. Interviews were audio-recorded, transcribed and managed using NVIVO. Qualitative data was analyzed using an inductive thematic approach. Three themes emphasized the importance of: (1) ‘self-care and peer support (checking in with each other)’, (2) ‘team cohesion and collaboration’ and (3) ‘visible and supportive management and leadership (new ways of working)’. Our findings emphasize the importance of individual, team and systems-based support in helping MHWs maintain their own wellbeing, whilst adapting and responding to the challenges in providing mental health care and support during this pandemic. Guidance and direction from management, with adaptive leadership in providing sustained, efficient, and equitable delivery of mental healthcare, is essential. Our findings support future policy, research and mental health practice developments through sharing important salutogenic lessons learned and transferable insights which may help with preparedness for future pandemics.
为适应新冠肺炎疫情的需要,精神卫生保健和支持服务的提供已取得积极进展。在此,我们详细介绍了精神卫生工作者的观点和经验,以及他们在COVID-19大流行期间调整精神卫生服务并应对其需求时发现的有用内容。在第三次COVID-19封锁期间,对mhw (n = 30)进行了个人访谈。使用NVIVO对访谈进行录音、转录和管理。定性数据分析采用归纳专题方法。三个主题强调了以下三个方面的重要性:(1)“自我照顾和同伴支持(相互检查)”;(2)“团队凝聚力和协作”;(3)“可见和支持性管理和领导(新的工作方式)”。我们的研究结果强调了以个人、团队和系统为基础的支持在帮助卫生保健工作者保持自身福祉方面的重要性,同时适应和应对在本次大流行期间提供精神卫生保健和支持方面的挑战。来自管理层的指导和指导,以及在提供持续、有效和公平的精神保健服务方面具有适应性的领导是至关重要的。我们的研究结果通过分享重要的有益健康的经验教训和可转移的见解来支持未来的政策、研究和精神卫生实践的发展,这些见解可能有助于为未来的大流行病做好准备。
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引用次数: 7
Fear of clowns: An investigation into the prevalence of coulrophobia in an international sample 对小丑的恐惧:对国际样本中小丑恐惧症流行程度的调查
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-03-14 DOI: 10.1080/00207411.2022.2046925
P. Tyson, S. K. Davies, Sophie Scorey, W. Greville
Abstract Although clowns have traditionally been portrayed as figures of fun in popular culture, more recent representations have been of fear-inducing characters such as “Pennywise” from the book and movie “IT”. However, it is not known whether these representations reflect fear of clowns within the general population, and there is a lack of data on the extent of this phenomenon. This study investigated the prevalence of clown fear in an international population, and the severity of this fear in those who reported it. The Fear of Clowns Questionnaire (FCQ), was designed for this purpose. Psychometric data indicated high levels of reliability for our new scale, with a Cronbach's alpha of 0.980, and a split-half reliability coefficient of 0.973. Demographic factors associated with clown fear were also explored; gender, age and country of birth. An opportunist sample of 987 participants were surveyed, consisting of 790 females and 197 males, aged between 18 and 77 years (M = 29.79; SD = 11.08). Of these, 272 (27.6%) reported a fear of clowns, whilst 50 (5.1%) rated this fear as extreme. A higher prevalence of clown fear was found for females compared to males (29.6 vs. 19.3%) and with a higher severity according to the FCQ. Age was negatively correlated with clown fear, and participants from the Asian continent exhibited the highest frequency of clown fear. We conclude that fear of clowns is common in the general population, although extreme fear has a similar incidence to that of other specific phobias.
虽然小丑在流行文化中一直被描绘成有趣的人物,但最近更多的表现是令人恐惧的角色,比如书籍和电影《IT》中的“Pennywise”。然而,目前尚不清楚这些表现是否反映了普通人群对小丑的恐惧,也缺乏关于这种现象程度的数据。这项研究调查了小丑恐惧在国际人群中的流行程度,以及报告这种恐惧的人的严重程度。恐惧小丑问卷(FCQ)就是为此目的而设计的。心理测量数据表明,我们的新量表具有很高的信度,Cronbach's alpha为0.980,二分信度系数为0.973。还探讨了与小丑恐惧相关的人口因素;性别、年龄和出生国家。该研究调查了987名机会主义参与者,包括790名女性和197名男性,年龄在18至77岁之间(M = 29.79;sd = 11.08)。其中,272人(27.6%)表示害怕小丑,而50人(5.1%)认为这种恐惧是极端的。根据FCQ,与男性相比,女性对小丑恐惧的患病率更高(29.6%对19.3%),并且严重程度更高。年龄与小丑恐惧呈负相关,来自亚洲大陆的参与者表现出最高的小丑恐惧频率。我们得出结论,对小丑的恐惧在普通人群中很常见,尽管极端恐惧与其他特定恐惧症的发生率相似。
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引用次数: 2
Measurement invariance of the Perceived Stress Scale-10 across gender in Korean university students 韩国大学生压力感知量表-10的性别测量不变性
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-03-07 DOI: 10.1080/00207411.2022.2046924
Boram Lee
Abstract This study examined the factorial structure and gender invariance of the 10-item Perceived Stress Scale (PSS-10) among 582 Korean university students. Data were collected from 582 university students enrolled in a four-year university in the central region of Korea. Confirmatory factor analysis was used to test four distinct factor models identified in previous studies. Analyses of multigroup invariance were also conducted to determine whether the PSS-10 items’ factorial structure exhibited gender invariance. Results indicated that the PSS-10 was the most adequately represented by a bifactor structure, composed of one general factor reflecting overlap across all 10 items and two separate factors of perceived stress and perceived coping. Multigroup invariance tests indicated that PSS-10 items were interpreted similarly between men and women and that responses could be meaningfully compared across gender. The study confirms that the PSS-10 is a theoretically sound instrument that is feasible for both research and university settings.
摘要本研究对582名韩国大学生的10项感知压力量表(PSS-10)的因子结构和性别不变性进行了调查。数据是从韩国中部地区一所四年制大学的582名大学生中收集的。验证性因素分析用于检验先前研究中确定的四个不同的因素模型。还对多组不变性进行了分析,以确定PSS-10项目的析因结构是否表现出性别不变性。结果表明,PSS-10最适合用双因子结构来表示,该结构由一个反映所有10个项目重叠的一般因素和两个感知压力和感知应对的独立因素组成。多组不变性测试表明,PSS-10项目在男性和女性之间的解释相似,并且可以对不同性别的反应进行有意义的比较。该研究证实,PSS-10是一种理论上合理的仪器,适用于研究和大学环境。
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引用次数: 1
Improving mental health care in rural Kenya: A qualitative study conducted in two primary care facilities 改善肯尼亚农村的精神卫生保健:在两个初级保健机构进行的一项定性研究
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-02-24 DOI: 10.1080/00207411.2022.2041265
Isabella D’Orta, A. Eytan, B. Saraceno
Abstract Mental health research is needed in African countries in order to improve quality of care at local levels. This paper presents the results of a study conducted in 2018 among one hundred care givers in two peripheral primary health care facilities in rural Kenya. Opened interviews were performed, with the aim of eliciting relevant issues. The body of knowledge generated by the Global Mental Health (GMH) movement was used as the theoretical frame of reference. Five broad topics emerged as particularly significant in the specific context of this study: a. a globally negative perception of mental illness; b. a lack of trained professionals associated with limited opportunities for task-sharing or task-shifting; c. an intense stigmatization of affected individuals; d. the importance of strengthening the collaboration between the formal health sector and traditional healers, and, e. the necessary efforts to be made in order to reach patients living in remote areas. Our study highlights the importance of actively detecting mental disorders, promoting initiatives to reduce stigma and adapting western designed tools for specific settings in low and middle income countries (LMICs).
摘要非洲国家需要进行心理健康研究,以提高地方一级的护理质量。本文介绍了2018年在肯尼亚农村两个外围初级卫生保健机构的100名护理人员中进行的一项研究结果。进行了公开采访,目的是引出相关问题。全球心理健康运动产生的知识体系被用作理论参考框架。在本研究的具体背景下,出现了五个特别重要的广泛主题:a.全球对精神疾病的负面看法;b.缺乏受过培训的专业人员,任务分担或任务转移的机会有限;c.对受影响个人的强烈污名化;d.加强正规卫生部门与传统治疗师之间合作的重要性,以及e.为帮助生活在偏远地区的患者所需作出的必要努力。我们的研究强调了积极检测精神障碍、促进减少污名化的举措以及将西方设计的工具用于中低收入国家特定环境的重要性。
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引用次数: 1
期刊
INTERNATIONAL JOURNAL OF MENTAL HEALTH
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