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Perceived control moderates the internalized stigma model of seeking mental health services in distressed older adults. 感知控制调节受困老年人寻求心理健康服务的内化成见模式。
IF 3.9 1区 心理学 Pub Date : 2024-04-11 DOI: 10.1037/cou0000733
Dallas J Murphy, Corey S Mackenzie, Robert P. Dryden, Jeremy M Hamm
Older adults are especially unlikely to seek mental health services, and internalized stigma is a key reason why. However, little research has investigated which older adults are particularly likely to have stigma influence help-seeking. To address this, we tested whether perceived control (PC) moderates an internalized stigma model in which public stigma is internalized as self-stigma, which negatively predicts help-seeking attitudes and help-seeking intentions. We employed moderated mediation analysis of cross-sectional, secondary data from 348 psychologically distressed Canadian adults aged 65 years and older. Participants completed an online survey that included measures of public stigma of help-seeking, self-stigma of help-seeking, help-seeking attitudes, conditional help-seeking intentions, psychological distress, and PC. PC emerged as a moderator of the internalized stigma model. Those lower in PC were more likely to have public stigma negatively predict help-seeking intentions through the serial mediation of (a) self-stigma and (b) help-seeking attitudes. Further, those lower in PC were more likely to have public stigma internalized as self-stigma and more likely to have negative help-seeking attitudes predict lower help-seeking intentions. Finally, those lower in PC also had lower help-seeking intentions in the face of low levels of self-stigma. These results contribute to a nuanced understanding of which older adults are unlikely to seek help. Identifying PC as a moderator of the internalized stigma model suggests that interventions that enhance PC should protect against public stigma's internalization and improve help-seeking behaviors for older adults who need such help. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
老年人尤其不愿意寻求心理健康服务,而内在化的成见是一个重要原因。然而,很少有研究调查哪些老年人特别容易受到成见的影响而寻求帮助。为了解决这个问题,我们测试了感知控制(PC)是否会调节内化成见模型,在该模型中,公众成见被内化为自我成见,而自我成见会对求助态度和求助意向产生负面预测。我们对 348 名 65 岁及以上有心理困扰的加拿大成年人的横截面二手数据进行了调节调解分析。参与者完成了一项在线调查,调查内容包括公众对求助的成见、求助的自我成见、求助态度、有条件的求助意向、心理困扰和 PC。PC 是内化成见模型的调节因子。通过(a)自我成见和(b)求助态度的序列中介作用,PC 值较低的人更有可能因公众成见而对求助意向产生负面预测。此外,个人成长指数较低者更有可能将公众污名内化为自我污名,并且更有可能以消极的求助态度来预测较低的求助意愿。最后,PC 值较低者在面对低水平的自我污名时,求助意愿也较低。这些结果有助于深入了解哪些老年人不太可能寻求帮助。将 "个人成长 "确定为内化成见模型的调节因素表明,加强 "个人成长 "的干预措施应能防止公众成见的内化,并改善需要帮助的老年人的求助行为。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Supplemental Material for Mental Health Disparities of Sexual Minority Refugees and Asylum Seekers: Provider Perspectives on Trauma Exposure, Symptom Presentation, and Treatment Approach 性少数群体难民和寻求庇护者的心理健康差异补充材料:提供者对创伤暴露、症状表现和治疗方法的看法
IF 3.9 1区 心理学 Pub Date : 2024-04-11 DOI: 10.1037/cou0000731.supp
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引用次数: 0
A content analysis of counseling psychology literature: Resilience against oppression among people of color. 咨询心理学文献内容分析:有色人种抵御压迫的复原力。
IF 3.9 1区 心理学 Pub Date : 2024-04-04 DOI: 10.1037/cou0000735
David C. Stanley, Rawan Atari-Khan
The researchers analyzed articles from two flagship counseling psychology journals (i.e., Journal of Counseling Psychology and The Counseling Psychologist) to examine current understandings of resilience. There were 54 articles included in the final analysis that spanned the years 1997-2022. The researchers conducted a content analysis to identify, analyze, and report patterns across counseling psychology journals with regard to how resilience has been defined, the racial/ethnic groups that were of focus, and the forms of oppression that were studied or addressed. Five themes were generated that are a direct representation of the topics within previous literature on resilience in the field of counseling psychology. Those topics included: (a) ways of coping, (b) ethnic and racial identity, (c) advocacy/collective action, (d) personality factors, and (e) ability to endure stress and thrive. Implications for future research, clinical applications, mentoring, and advocacy are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
研究人员分析了两本咨询心理学旗舰期刊(即《咨询心理学杂志》和《咨询心理学家》)上的文章,以研究当前对复原力的理解。最终分析共收录了 54 篇文章,时间跨度为 1997-2022 年。研究人员进行了内容分析,以确定、分析和报告咨询心理学期刊中有关复原力定义方式、关注的种族/民族群体以及研究或解决的压迫形式的模式。分析得出的五个主题直接反映了咨询心理学领域以往有关复原力的文献中的主题。这些主题包括(a) 应对方式,(b) 民族和种族认同,(c) 倡导/集体行动,(d) 个性因素,以及 (e) 承受压力和茁壮成长的能力。讨论了未来研究、临床应用、指导和宣传的意义。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Depression, gender, and help-seeking among Arab/Middle Eastern North African (MENA) Americans: The role of enculturation. 阿拉伯/中东北非(MENA)裔美国人的抑郁、性别和求助:文化适应的作用。
IF 3.9 1区 心理学 Pub Date : 2024-04-04 DOI: 10.1037/cou0000734
Katherine Sadek, Germine H. Awad
The purpose of this study was to examine the ways in which depression severity, gender, acculturation, and enculturation are associated with help-seeking attitudes among Arab/Middle Eastern North African (MENA) Americans. A hierarchical linear regression was conducted with a sample of 296 Arab/MENA participants (154 women and 142 men). After controlling for pertinent demographic variables, depression severity was negatively associated with help-seeking. Further, there was a significant three-way interaction between depression severity, gender, and enculturation on help-seeking attitudes. For women with higher levels of depression symptoms, higher levels of enculturation were associated with less positive help-seeking attitudes; conversely, higher levels of enculturation for men were associated with more positive help-seeking attitudes. These results have significant implications for clinicians working with Arab/MENA American populations. Practitioners should be aware of acculturation and enculturation processes as well as the ways in which depression symptom severity may influence engagement in treatment differentially for Arab/MENA women and men. Future research is needed to examine the mechanisms underlying these relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
本研究旨在探讨抑郁症的严重程度、性别、文化适应和文化涵化与阿拉伯/中东北非(MENA)裔美国人的求助态度之间的关系。我们对 296 名阿拉伯/中东北非参与者(154 名女性和 142 名男性)进行了分层线性回归。在控制了相关的人口统计学变量后,抑郁严重程度与求助呈负相关。此外,抑郁症严重程度、性别和文化程度对求助态度的影响存在明显的三方交互作用。对于抑郁症状较严重的女性来说,文化程度越高,求助态度越不积极;相反,男性文化程度越高,求助态度越积极。这些结果对从事阿拉伯/美尼亚人群工作的临床医生具有重要意义。临床医生应该意识到文化适应和文化包涵的过程,以及抑郁症状的严重程度可能对阿拉伯/美尼亚女性和男性参与治疗产生不同影响的方式。未来的研究需要对这些关系的内在机制进行研究。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
In the name of interests: A joint consideration of interest development and consequence. 以利益之名:对利益发展和后果的共同思考。
IF 3.9 1区 心理学 Pub Date : 2024-04-01 Epub Date: 2024-02-01 DOI: 10.1037/cou0000723
Hui Xu

Vocational interests have been an important concept for career decision making and counseling. However, while researchers have separately explored the criterion validity of interest congruence and the formation mechanism of interests, there has been little joint, interactive consideration of the two key aspects of interests. A key issue remains unclear: Could interests with different focal formation mechanisms have different consequences? Drawing on the motivation and vocational literature, this article first explains why it is possible and necessary to differentiate the formation mechanisms of interests in terms of motivational focus (intrinsic, extrinsic-autonomous, and extrinsic-controlled). Then, it formulates how the motivational focus of interests interacts with the performance focus of environments (quality-oriented vs. quantity-oriented) and the value focus of individuals (intrinsic vs. extrinsic satisfaction) in shaping the criterion validity of congruence. By linking what people like with why they like it, the joint interest formation and consequence model (a) delineates the motivational, performance, and value moderators of congruence-criterion links and explains previous results; (b) suggests assessment strategies that can facilitate research and practice related to the joint model and marginalized populations; and (c) provides insights into the flexible use of interests in different scenarios of career selection. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

职业兴趣一直是职业决策和职业咨询的一个重要概念。然而,尽管研究者们分别探讨了兴趣一致性的标准有效性和兴趣的形成机制,但很少有人对兴趣的这两个关键方面进行联合、互动的思考。一个关键问题仍然不清楚:具有不同焦点形成机制的兴趣会产生不同的后果吗?本文借鉴动机和职业方面的文献,首先解释了为什么从动机焦点(内在、外在-自主和外在-控制)的角度来区分兴趣的形成机制是可能的,也是必要的。然后,文章阐述了兴趣的动机焦点如何与环境的绩效焦点(质量导向与数量导向)和个人的价值焦点(内在满足与外在满足)相互作用,从而形成一致性的标准有效性。通过将人们喜欢什么与为什么喜欢联系起来,兴趣形成与结果联合模型(a)描述了一致性与标准联系的动机、绩效和价值调节因素,并解释了以前的结果;(b)提出了评估策略,这些策略可以促进与联合模型和边缘化人群有关的研究和实践;以及(c)为在不同的职业选择情景中灵活运用兴趣提供了见解。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
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引用次数: 0
Members' goal orientation and working alliance in group therapy: A response surface analysis. 小组治疗中成员的目标取向和工作联盟:反应面分析。
IF 3.9 1区 心理学 Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI: 10.1037/cou0000722
Martin Kivlighan, Gerta Bardhoshi, Kun Wang, Christopher Anders, Sigal Zilcha-Mano

Research suggests that a client's achievement goal orientation and alliance are important for positive treatment outcomes. However, it is currently unknown how a member's goal orientation and alliance in tandem relate to members' improvement in group therapy, despite conceptual wisdom regarding the additive effect of a high alliance and a mastery or approach goal orientation. Therefore, this study sought to examine the congruence between members' goal orientation and the member-group alliance on members' perceived improvement in group therapy. Data for this study came from 99 clients across 10 interpersonal process groups. Polynomial regression and response surface analysis were used to test the congruent and discrepant effects of members' goal orientation (i.e., approach-performance, avoidance-performance, and mastery orientation) and group alliance on their perceived improvement in group therapy. As hypothesized, members who reported congruent high group alliance and high mastery orientation or approach orientation compared to congruent low alliance and low mastery or approach orientation reported high levels of improvement in group therapy. Regarding discrepant effects, discrepant high alliance and low avoidance orientation compared to low alliance and high avoidance was positively related to improvement in group therapy, and discrepant high alliance and low approach orientation compared to low alliance and high approach was positively related to improvement in group therapy. Last, discrepant high alliance and low mastery and low alliance and high mastery were positively related to improvement in group therapy, suggesting a compensatory effect between mastery orientation and alliance on improvement. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

研究表明,客户的成就目标取向和联盟对取得积极的治疗效果非常重要。然而,目前还不清楚成员的目标取向和联盟与成员在团体治疗中的改善之间的关系,尽管概念上认为高度联盟和掌握或接近目标取向会产生叠加效应。因此,本研究试图探究成员的目标取向与成员-团体联盟之间的一致性对成员感知到的团体治疗改善效果的影响。本研究的数据来自 10 个人际交往过程小组的 99 名客户。研究采用多项式回归和反应曲面分析法来检验成员的目标取向(即接近-表现取向、回避-表现取向和掌握取向)和团体联盟对他们在团体治疗中感知到的改善的一致性和差异性影响。正如假设的那样,报告了高团体联盟、高掌握取向或接近取向的团体成员,与报告了低联盟、低掌握取向或接近取向的团体成员相比,在团体治疗中的改善程度较高。在差异效应方面,高联盟和低回避取向的差异与低联盟和高回避取向的差异相比,与团体治疗的改善呈正相关;高联盟和低接近取向的差异与低联盟和高接近取向的差异相比,与团体治疗的改善呈正相关。最后,不一致的高联盟和低掌握和低联盟和高掌握与团体治疗的改善呈正相关,这表明掌握取向和联盟对改善有补偿作用。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
When you are the "other": A scoping review of the experiences of clinicians of color working with White clients. 当你是 "他人 "时:有色人种临床医生与白人客户合作经验的范围审查。
IF 3.9 1区 心理学 Pub Date : 2024-04-01 Epub Date: 2024-02-01 DOI: 10.1037/cou0000729
Elise J Y Choe, Jasmine Blake, Morgan C Huenergarde, Liz S Wells, Emily N Srisarajivakul

With an ever-diversifying population and society, intercultural dynamics has been a topic of interest for many years. This is especially true within the mental health profession, as the effects of clinician bias and behaviors on client outcomes have been studied and documented many times over. However, often times these studies focus on the White clinician and client of color dynamic, with focus on the White clinician's way of being or competency and the resulting perceptions of the client of color. The opposite dynamic, that of a clinician of color with a White client, has often been overlooked and ignored. Yet, with more clinicians of color (COCs) entering the field, and with demand of mental health services increasing, this unique dynamic needs to be understood. The experiences of COCs when they are the "other" within the room is unique and not well-documented. A scoping review of the literature is conducted to examine what research has been conducted on COCs working with White clients. A total of four articles were included in the final review, and the types of research being conducted, risks of micro- and macroaggressions, the different strategies utilized, and the unique needs of COCs are analyzed and summarized. This study adds to this budding conversation by examining the extant literature on COC's experiences. Results of the limited literature and hopeful future directions are discussed, including a discussion on cultural humility as a critical factor in individual and systemic change. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

随着人口和社会的不断多元化,跨文化动态一直是人们关注的话题。在心理健康专业领域尤其如此,因为临床医生的偏见和行为对客户结果的影响已被多次研究和记录。然而,这些研究往往关注的是白人临床医生和有色人种客户之间的动态关系,重点是白人临床医生的存在方式或能力,以及由此产生的有色人种客户的看法。与之相反的动态,即有色人种临床医生与白人客户的动态,往往被忽视和忽视。然而,随着越来越多的有色人种临床医生(COCs)进入这个领域,心理健康服务的需求也在不断增加,我们需要了解这种独特的动态。当有色人种临床医生作为 "他者 "出现在诊室时,他们的经历是独一无二的,但却没有得到很好的记录。我们对文献进行了一次范围界定审查,以了解对与白人客户合作的社区协调员进行了哪些研究。共有四篇文章被纳入最终综述,对正在进行的研究类型、微观和宏观侵害的风险、所使用的不同策略以及 COC 的独特需求进行了分析和总结。本研究通过考察有关 COC 经验的现有文献,为这一萌芽中的对话添砖加瓦。研究讨论了有限文献的研究结果和未来的发展方向,包括对文化谦逊作为个人和系统变革的关键因素的讨论。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Patient attachment and reflective functioning as predictors for therapist in-session feelings. 患者依恋和反思功能是治疗师在治疗过程中产生情感的预测因素。
IF 3.9 1区 心理学 Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI: 10.1037/cou0000726
Fredrik Falkenström, Jonatan Bjerén, Fredrik Björklund, Rolf Holmqvist, Annika Ekeblad

Therapists' in-session feelings in psychotherapy can be seen as indications of the development of the therapeutic relationship and the therapeutic process. To manage them appropriately, it is important to know to what extent they may be influenced by patients' pretreatment characteristics. This study aims to improve the understanding of therapists' emotional reactions in the psychotherapeutic setting by investigating if patients' pretreatment mentalization ability and attachment style predicted therapist in-session feelings. In a sample of 87 therapy dyads treated with interpersonal psychotherapy and cognitive behavioral therapy for depression, patient attachment was measured using self-reported Experiences in Close Relationships (ECR) and mentalization using Reflective Functioning (RF). ECR and RF were hypothesized to predict therapist feelings measured by the Feeling Word Checklist-24 at different treatment phases over the full course of treatment. Treatment method, patient age, gender, and pretreatment depression were evaluated as potential confounders. Multilevel modeling was used to analyze the data. Lower RF in patients predicted more negative therapist feelings in the mid- to late-treatment phases and less positive feelings in the late-treatment phase. Self-reported attachment anxiety or avoidance did not predict therapist feelings. Findings indicate that patients' ability to mentalize is important to consider when conducting psychotherapy, as it can influence therapists' feelings in the therapeutic process. Limitations of the present study's approach are discussed, and directions for future research are considered. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

治疗师在心理治疗过程中的会话感受可以被视为治疗关系和治疗过程发展的标志。为了对其进行适当的管理,了解其在多大程度上会受到患者治疗前特征的影响非常重要。本研究旨在通过调查患者治疗前的心智化能力和依恋风格是否会预测治疗师在治疗过程中的情绪反应,从而加深对治疗师在心理治疗环境中的情绪反应的理解。在 87 个采用人际心理疗法和认知行为疗法治疗抑郁症的治疗二人组样本中,使用自我报告的亲密关系经历(ECR)和反思功能(RF)对患者的依恋进行了测量。根据假设,ECR 和 RF 可以预测治疗师在整个治疗过程中不同治疗阶段的感受单词检查表-24 所测量的治疗师感受。治疗方法、患者年龄、性别和治疗前抑郁作为潜在的混杂因素进行了评估。采用多层次模型对数据进行分析。在治疗中后期阶段,患者较低的RF预示着治疗师较多的消极情绪,而在治疗后期阶段,患者较少的积极情绪。自我报告的依恋焦虑或回避并不能预测治疗师的感受。研究结果表明,在进行心理治疗时,患者的心智化能力是需要考虑的重要因素,因为它会影响治疗师在治疗过程中的感受。本文讨论了本研究方法的局限性,并探讨了未来的研究方向。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
The iBelong Scale: Construction and validation of a measure of racial-ethnic-cultural belonging. iBelong 量表:构建并验证种族-民族-文化归属感量表。
IF 3.9 1区 心理学 Pub Date : 2024-04-01 Epub Date: 2024-01-25 DOI: 10.1037/cou0000716
B Andi Lee, Helen A Neville

The purpose of this study was to develop a measure of racial-ethnic-cultural (REC) belonging for Black, Indigenous, and other people of color (BIPOC). The iBelong Scale was designed to assess the multidimensional components of REC belonging across diverse BIPOC groups. The scale was constructed based on a grounded conceptual framework of REC belonging, and the initial pool of items received feedback from community members and content experts. Validation of the iBelong Scale comprised data from 808 BIPOC participants collected across three interrelated studies for the purposes of initial validation, construct validity, and test-retest reliability. In Study 1, an exploratory factor analysis yielded a 25-item scale with five factors: (a) Home, (b) Connection, (c) Authenticity, (d) REC Thriving, and (e) Self-Definition. Results from Study 2's confirmatory factor analysis indicated that the five-factor model was an acceptable fit of the data and the best fit among competing models. Measurement invariance was assessed, and results indicated that the iBelong Scale measures REC belonging similarly across differing BIPOC groups. The iBelong Scale was related to a range of measures in theoretically expected ways, including positive associations with general belonging, racial/ethnic identity, and general well-being, and negative associations with loneliness and REC nonbelonging. Findings from Study 3 indicated the test-retest reliability of the iBelong Scale over a 2-week period. Limitations of the studies and implications for research and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

本研究的目的是为黑人、土著人和其他有色人种(BIPOC)开发一种种族-民族-文化(REC)归属感量表。iBelong 量表旨在评估黑人、土著人和其他有色人种(BIPOC)不同群体的 REC 归属感的多维组成部分。该量表的构建基于 REC 归属感的基础概念框架,最初的项目库得到了社区成员和内容专家的反馈。iBelong 量表的验证包括在三项相互关联的研究中收集的 808 名 BIPOC 参与者的数据,目的是进行初步验证、结构效度和重测可靠性。在研究 1 中,探索性因子分析得出了一个包含五个因子的 25 项量表:(a) 家,(b) 联系,(c) 真实感,(d) REC 繁荣,(e) 自我定义。研究 2 的确认性因素分析结果表明,五因素模型与数据的拟合度可以接受,是各种竞争模型中拟合度最好的。研究对测量不变性进行了评估,结果表明,iBelong 量表对不同 BIPOC 群体的 REC 归属感进行了相似的测量。iBelong 量表以理论预期的方式与一系列测量结果相关,包括与一般归属感、种族/民族认同感和一般幸福感的正相关,以及与孤独感和 REC 非归属感的负相关。研究 3 的结果表明,iBelong 量表在两周内的测试-重测可靠性良好。本文讨论了研究的局限性以及对研究和实践的影响。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Supplemental Material for A Content Analysis of Counseling Psychology Literature: Resilience Against Oppression Among People of Color 咨询心理学文献内容分析》的补充材料:有色人种抵御压迫的复原力
IF 3.9 1区 心理学 Pub Date : 2024-03-28 DOI: 10.1037/cou0000735.supp
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引用次数: 0
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Journal of Counseling Psychology
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