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Pilot Study of a Positive Psychology Intervention to Reduce Work-Related Stress Among Service Providers in a Drug Abuse Treatment Clinic 积极心理学干预试点研究:减轻药物滥用治疗诊所服务提供者的工作压力
Pub Date : 2024-08-08 DOI: 10.1027/2157-3891/a000107
Austin J. P. Ferolino, Segundo A. Abrea
Abstract: Service providers in community-based drug abuse treatment and recovery clinics are more likely to experience work-related stress, which has negative repercussions for their mental health, their employing organizations, and their clients. A randomized pretest–posttest research design was utilized to assess the preliminary efficacy of a positive psychology intervention aimed at enhancing psychological capital (PsyCap) to reduce work-related stress experienced by these service providers. Fifty-three service providers were randomly assigned to the immediate group or the delayed intervention group. Results indicated significant postintervention enhancement in PsyCap and reduction in work-related stress. At 1-month follow-up, intervention effects were sustained for PsyCap and work-related stress. Although the intervention appears to be a promising stress management strategy for community-based substance abuse treatment providers, additional research is needed to improve its efficacy, generalizability, and sustainability.
摘要:社区药物滥用治疗和康复诊所的服务提供者更有可能经历与工作相关的压力,这对他们的心理健康、雇用机构和客户都会产生负面影响。我们采用了随机的前测-后测研究设计,以评估旨在增强心理资本(PsyCap)的积极心理学干预措施对减轻这些服务提供者的工作压力的初步效果。53 名服务提供者被随机分配到即时干预组或延迟干预组。结果表明,干预后的心理资本(PsyCap)明显增强,与工作相关的压力也有所减轻。在 1 个月的随访中,干预效果在心理上限和工作压力方面得以持续。虽然对于社区药物滥用治疗提供者来说,这种干预似乎是一种很有前景的压力管理策略,但还需要进行更多的研究来提高其有效性、普及性和可持续性。
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引用次数: 0
Uncovering Reproductive Injustice Toward Women With Disabilities 揭露生殖领域对残疾妇女的不公正待遇
Pub Date : 2024-07-01 DOI: 10.1027/2157-3891/a000103
Laura Pacheco, Coralie Mercerat, Marjorie Aunos, Marie-Marthe Cousineau, A. Goulden, Michelle Swab, Bethany Brenton, Sibusiso Moyo
Abstract: For centuries, the reproductive agency of women with disabilities have been challenged and often undermined by informal and formal support networks. Evidence illustrates that women with disabilities face disproportionately higher rates of reproductive violence compared to their nondisabled peers (i.e., long-term contraception or forced sterilization). However, little is known about the specific nature, type, and impact of reproductive violence on women with disabilities. This scoping review examined the literature related to the reproductive violence against women with disabilities. We used Arksey and O’Malley’s framework, and based on our inclusion criteria, 28 empirical articles were included. Most studies were published in the disciplines of health (i.e., nursing and medicine) within the North American context and used qualitative research designs. Main findings within the scoping review included themes related to imposed contraception, rationalization of sterilization, barriers to sexual and reproductive health services, and the discourses underpinning reproductive injustice toward women with disabilities. The findings of the study have implications for future disability community-based research, peer-led supports, practice guidelines for professionals, and intersectoral policy provision aiming at supporting the reproductive agency of women with disabilities.
摘要:几个世纪以来,残疾妇女的生育权一直受到非正式和正式支持网络的挑战和破坏。有证据表明,与非残疾妇女相比,残疾妇女遭受生殖暴力(即长期避孕或强迫绝育)的比例要高得多。然而,人们对生殖暴力的具体性质、类型和对残疾妇女的影响知之甚少。本范围界定综述研究了与针对残疾妇女的生殖暴力相关的文献。我们采用了 Arksey 和 O'Malley 的框架,根据纳入标准,共纳入了 28 篇实证文章。大多数研究发表于北美地区的卫生学科(即护理和医学),并采用了定性研究设计。范围界定审查的主要发现包括与强制避孕、绝育合理化、性健康和生殖健康服务的障碍以及对残疾妇女的生殖不公正相关的主题。研究结果对未来以残疾社区为基础的研究、同伴支持、专业人员实践指南以及旨在支持残疾妇女生殖机构的跨部门政策规定都有影响。
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引用次数: 1
Enacting Reproductive Justice 实现生殖正义
Pub Date : 2024-07-01 DOI: 10.1027/2157-3891/a000105
Catriona Ida Macleod, Yamini Kalyanaraman, Laurah Mogonong
Abstract: How may reproductive justice be enacted in services and provider training to further the sustainable development goals of healthy lives and universal access to sexual and reproductive health and rights? We argue for careful baseline qualitative research infused with feminist and reproductive justice theory and, based on the findings of this research, the development and refinement of healthcare provider training through action research. We report on our implementation of this process in developing an in-service person-centered abortion counseling training course aimed at South African abortion healthcare providers. The baseline research consisted of recordings of abortion counseling sessions and interviews with healthcare providers and users. Several problematic directive and anti-abortion interactions were surfaced, which led to the development of a policy brief and step-by-step guidelines for providers. Subsequently, action research was employed to operationalize these guidelines into an in-service person-centered abortion counseling training course, and an iterative process enabled course improvement. Data collected for the course refinement included recordings of various sessions during the course, participants’ reflective journals, case presentations, and feedback forms, as well as interviews conducted two months post the first course. Comparing baseline findings with data collected as part of the action research shows some shifts in healthcare providers’ actions. We report on a shift in respecting bodily autonomy and encouraging autonomous decision-making. Structural and normative barriers continue, however. The enactment of reproductive justice through in-service training shows promise but must be supplemented with advocacy around other barriers.
摘要:如何在服务和提供者培训中体现生殖公正,以促进健康生活和普及性健康和生殖健康及权利的可持续发展目标?我们认为,应进行细致的基线定性研究,其中应融入女权主义和生殖公正理论,并根据研究结果,通过行动研究来发展和完善医疗服务提供者的培训。我们报告了在针对南非人工流产医疗服务提供者开发以人为本的在职人工流产咨询培训课程过程中实施这一过程的情况。基线研究包括人工流产咨询课程的录音以及对医疗服务提供者和使用者的访谈。研究发现了一些有问题的指令性和反堕胎互动,并据此为医疗服务提供者制定了政策简介和分步指南。随后,我们采用行动研究的方法,将这些指导原则落实到以人为本的在职堕胎咨询培训课程中,并通过迭代过程对课程进行改进。为改进课程而收集的数据包括课程中各个环节的录音、参与者的反思日记、案例展示和反馈表,以及在首次课程结束两个月后进行的访谈。将基线研究结果与作为行动研究一部分收集的数据进行比较后发现,医疗服务提供者的行动发生了一些转变。我们报告了在尊重身体自主权和鼓励自主决策方面的转变。然而,结构性和规范性障碍依然存在。通过在职培训实现生殖公正的前景光明,但必须辅之以针对其他障碍的宣传。
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引用次数: 1
Unmet Expectations, Unmet Needs, and Uncertainty–A Qualitative Survey Study of Women Who Described Giving Birth as Traumatic 未满足的期望、未满足的需求和不确定性--对将分娩描述为创伤的妇女的定性调查研究
Pub Date : 2024-07-01 DOI: 10.1027/2157-3891/a000102
Tonya Pavlenko, Lillien Nathan, Ellen Yom, Agnes Stachnik, Allison Yarrow, Lisa Rubin
Abstract: Traumatic childbirth can have wide-ranging consequences for birthing individuals. Data were obtained from a large-scale ( N = 1,210) online survey of perinatal experiences in the United States. Utilizing a Reproductive Justice framework, we analyzed open-ended responses regarding the most difficult aspects of pregnancy and childbirth from 54 participants who solely identified their births as traumatic. We identified the following themes: Mental and Emotional Toll; The Toll of Relentless Work Expectations; The Embodied Toll; Complications and Interventions; Loss of Control: Bodily Autonomy; and Loss of Control: Interactions with Medical Systems and Professionals. Results underscore the inadequacy of perinatal support in the United States, highlighting the imperative to address policy and research to advance the UN Sustainable Development Goals of Good Health and Wellbeing and Gender Equality.
摘要:创伤性分娩会给分娩者带来广泛的影响。我们从一项关于美国围产期经历的大规模(N = 1,210 )在线调查中获得了数据。利用生殖公正框架,我们分析了 54 名仅将其分娩认定为创伤性分娩的参与者对怀孕和分娩最困难方面的开放式回答。我们确定了以下主题:精神和情感的折磨;无情的工作期望的折磨;体现的折磨;并发症和干预;失去控制:失去控制:身体自主权;以及失去控制:与医疗系统和专业人员的互动。研究结果强调了美国围产期支持的不足,突出了解决政策和研究问题的必要性,以推进联合国可持续发展目标中的良好健康和福祉以及性别平等。
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引用次数: 1
Gendered Racism in Pregnancy and Stress Among Women in the United States During the COVID-19 Pandemic COVID-19 大流行期间美国妇女在怀孕期间的性别种族主义和压力
Pub Date : 2024-07-01 DOI: 10.1027/2157-3891/a000104
Emily Rehbein, Amanda Levinson, H. Preis, Brittain L. Mahaffey, M. Lobel
Abstract: High stress experienced during pregnancy increases risk for adverse birth outcomes such as low birthweight and preterm birth that occur disproportionately among women of color in the United States. Prior research has identified a distinct form of discrimination, gendered racism in pregnancy (GRiP), that likely elevates stress and is suspected to contribute to racial disparities in birth outcomes among American women. We investigated associations of GRiP experiences and distress with two types of stress, pregnancy related and pandemic related, among 2,995 pregnant women in the United States at the height of the COVID-19 pandemic, a time when health care restrictions, social contact limitations, and concerns about COVID-19 infection created added stress for pregnant women. Using data collected online during the second US pandemic surge (December 2020), we found that pregnant self-identified Hispanic/Latina ( n = 233), Non-Hispanic/Latina Black/African American ( n = 182), and Multiracial/Other ( n = 201) women experienced greater GRiP and greater stress of both types than Non-Hispanic/Latina White women. Structural equation modeling indicated a strong association of racial/ethnic identity with prenatal stress that was mediated by GRiP, independent of other contributors to prenatal stress. Focusing on the harmful impact of gendered racism coupled with culturally informed individual interventions and change at multiple societal levels and institutions may help reduce the poorer reproductive outcomes that are disproportionately common among communities of color in the United States. Addressing and alleviating discrimination can improve reproductive justice for all who choose to give birth throughout the world, regardless of their race, ethnicity, nationality, or other identities.
摘要:在怀孕期间经历的高压力会增加不良出生结果的风险,如低出生体重和早产,而这些情况在美国的有色人种妇女中发生得尤为严重。先前的研究发现了一种独特形式的歧视,即妊娠期性别种族主义(GRiP),它可能会增加压力,并被怀疑是造成美国妇女出生结果种族差异的原因。在 COVID-19 大流行的高峰期,我们调查了美国 2995 名孕妇的 GRiP 经历和痛苦与两类压力(与妊娠有关的压力和与大流行有关的压力)之间的关联,当时医疗保健限制、社会接触限制以及对 COVID-19 感染的担忧给孕妇带来了额外的压力。利用在美国第二次大流行高峰期(2020 年 12 月)在线收集的数据,我们发现与非西班牙裔/拉丁裔白人妇女相比,自我认同为西班牙裔/拉丁裔(n = 233)、非西班牙裔/拉丁裔黑人/非洲裔美国人(n = 182)和多种族/其他(n = 201)的孕妇经历了更大的 GRiP 和更大的两类压力。结构方程建模表明,种族/民族身份与产前压力有密切联系,这种联系是由 GRiP 介导的,与产前压力的其他因素无关。关注性别化种族主义的有害影响,同时采取有文化背景的个人干预措施,并在多个社会层面和机构进行变革,可能有助于减少美国有色人种群体中普遍存在的较差生育结果。解决和减轻歧视可以改善全世界所有选择生育的人的生殖正义,无论他们的种族、民族、国籍或其他身份如何。
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引用次数: 1
Abortion Attitudes Across Cultural Contexts 不同文化背景下的堕胎态度
Pub Date : 2024-07-01 DOI: 10.1027/2157-3891/a000101
Lora Adair, Nicole Lozano, Nelli Ferenczi
Abstract: We explored between-country and within-country variability in abortion attitudes, using country-level factors (e.g., gender equality) and individual-level factors (e.g., gender role attitudes) as predictors. Participants from Mexico ( N = 215), India ( N = 215), the United States ( N = 215), and the United Kingdom ( N = 206) were recruited via Qualtrics Panels. Regression models and ANOVAs were used to assess whether estimates of gender inequality, gender role attitudes, motherhood norms, belief in big/moralizing gods, and sexual strategy were associated with abortion attitudes. As predicted, individuals living in countries with greater gender inequality, and more restrictive abortion policy, reported more restrictive abortion attitudes and stronger support for banning abortion. Furthermore, individuals who endorsed more traditional gender role ideologies, who reported belief in big/moralizing gods and who used long-term sexual strategies also reported more restrictive abortion attitudes and stronger support for banning abortion. Exploratory analyses highlight how these relationships vary as a function of cultural context. We can conclude that both contextual factors (e.g., local abortion legislation and gender inequality) as well as individual factors (e.g., gender role attitudes and religious/spiritual belief) shape people’s attitudes toward abortion. Implications regarding the bidirectional relationship between attitudes and policy in reproductive health are discussed.
摘要:我们利用国家层面的因素(如性别平等)和个人层面的因素(如性别角色态度)作为预测因素,探讨了堕胎态度在国家间和国家内的变异性。通过 Qualtrics 小组招募了来自墨西哥(N = 215)、印度(N = 215)、美国(N = 215)和英国(N = 206)的参与者。我们使用回归模型和方差分析来评估性别不平等、性别角色态度、母性规范、对大神/道德神的信仰以及性策略的估计是否与堕胎态度相关。正如所预测的那样,生活在性别不平等程度更高、堕胎政策更严格的国家的人,对堕胎的态度更严格,更支持禁止堕胎。此外,那些赞同更传统的性别角色意识形态、信奉大神/道德神以及使用长期性策略的人也报告了更严格的堕胎态度和对禁止堕胎更强烈的支持。探索性分析强调了这些关系是如何随着文化背景的变化而变化的。我们可以得出结论,环境因素(如当地的堕胎立法和性别不平等)和个人因素(如性别角色态度和宗教/精神信仰)都会影响人们对堕胎的态度。本文讨论了生殖健康态度与政策之间的双向关系。
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引用次数: 1
Documenting Reproductive Injustice, Striving for Reproductive Justice 记录生殖不公正,争取生殖公正
Pub Date : 2024-07-01 DOI: 10.1027/2157-3891/a000106
Judith L. Gibbons, Nancy M. Sidun, J. Chrisler
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引用次数: 0
Job Loss During the COVID-19 Crisis COVID-19 危机期间的失业情况
Pub Date : 2024-04-01 DOI: 10.1027/2157-3891/a000098
Ma. Tonirose D. Mactal, Mendiola Teng‐Calleja, Jaimee Felice Caringal-Go, Rae Mark S. Zantua
Abstract: Massive involuntary job loss is one of the most damaging consequences of the COVID-19 pandemic. As a distressful life event, studies revealed how it can adversely impact one’s well-being, especially when challenges are unmanaged. Using phenomenology as its theoretical lens, this study aimed to provide an understanding of the experiences of sudden job loss among 12 Filipino migrant workers through semistructured online interviews. In particular, it explored the difficulties, coping mechanisms, and critical resources that enabled them to deal with the transition from being substantial income earners to jobless individuals. The analysis underscored the need for a concerted response, especially at the government level, to help mitigate the adverse psychological and economic impact of unemployment among migrant workers.
摘要:大规模非自愿失业是 COVID-19 大流行造成的最具破坏性的后果之一。作为一种令人痛苦的生活事件,研究揭示了它如何对一个人的福祉产生负面影响,尤其是当挑战得不到管理时。本研究以现象学为理论视角,旨在通过半结构化在线访谈,了解 12 名菲律宾外来务工人员的突然失业经历。研究特别探讨了使他们能够应对从高收入者到失业者转变的困难、应对机制和关键资源。分析结果强调,有必要采取协调一致的应对措施,特别是在政府层面,以帮助减轻失业对移徙工人造成的负面心理和经济影响。
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引用次数: 0
Everyday Experiences of In-Work Poverty and Policy Responses in the Assemblage of Situations of Precarity in Aotearoa New Zealand 新西兰奥特亚罗瓦地区在职贫困的日常经历和各种危险情况下的应对政策
Pub Date : 2024-03-13 DOI: 10.1027/2157-3891/a000100
Ahnya Martin, Darrin Hodgetts, Pita King, Denise Blake
Abstract: Lived experiences of in-work poverty remain under-researched in countries such as Aotearoa New Zealand NZ. Community-orientated psychologists often argue that people experiencing such complex issues develop considerable expertise that is invaluable in efforts to reimagine effective responses. The core aim of this article is to explore participant experiences of government efforts to alleviate the negative impacts of in-work poverty on socioeconomically marginalized groups, including the emergent Māori precariat class. From the perspective of assemblage theory, this article documents how government efforts to support low-income households become territorialized within a dynamic geography of relations as experienced by 10 precariat households (9 Māori, one Cook Island Māori). The analysis is based on four interviews per household, with a total of 40 interviews across the 10 households. These interviews encompassed photo-elicitation and mapping exercises and document householder experiences of policy initiatives, including annual minimum wage rises, the introduction of healthy homes standards, and related government support initiatives. What emerges from participant accounts is considerable disappointment regarding government efforts to render assistance that do not address dysfunctional and extractive relationships between precariat households and more affluent groups, such as private landlords. Evident from the analysis is how current policies do not adequately address the relational nature of poverty and how many policies combine in the everyday lives of the precariat to cancel out potentially positive impacts on poverty reduction. We offer a series of recommendations for how participant concerns might be addressed.
摘要:在新西兰奥特亚罗瓦等国家,对在职贫困生活经历的研究仍然不足。以社区为导向的心理学家通常认为,经历过此类复杂问题的人积累了大量的专业知识,这些专业知识对于重新构想有效的应对措施非常宝贵。本文的核心目的是探讨政府为减轻在职贫困对社会经济边缘群体(包括新兴的毛利贫民阶层)的负面影响所做努力的参与者经验。本文从组合理论的角度出发,记录了政府支持低收入家庭的努力如何在动态的关系地理中被地域化,10 个贫困家庭(9 个毛利家庭,1 个库克群岛毛利家庭)对此有切身体会。分析以每户四次访谈为基础,10 户家庭共进行了 40 次访谈。这些访谈包括图片征集和绘图活动,记录了住户对政策措施的体验,包括每年最低工资的提高、健康住宅标准的引入以及相关的政府支持措施。从参与者的叙述中可以看出,他们对政府提供的援助相当失望,因为这些援助并没有解决贫困家庭与更富裕的群体(如私人房东)之间功能失调和榨取性的关系。从分析中可以看出,当前的政策并没有充分解决贫困的关系本质,许多政策在贫困人口的日常生活中结合在一起,抵消了对减贫的潜在积极影响。我们就如何解决参与者关注的问题提出了一系列建议。
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引用次数: 0
“We Feel Sad for the Baby Because the Mother Is Bad” – A Positioning Analysis of Filipino Ob-Gyns on Women Who Have Undergone Abortion "我们为婴儿感到难过,因为母亲很坏"--菲律宾妇产科医生对堕胎妇女的定位分析
Pub Date : 2024-03-13 DOI: 10.1027/2157-3891/a000099
Mara Teresina D. Lee, Raphael F. Canalita, Janelle Angelica A. Tong, M. Macapagal
Abstract: The criminalization of abortion has limited the access of women who seek to undergo abortion, resulting in women seeking unsafe means to acquire abortions. As experts on women’s reproductive health, obstetrician-gynecologists (ob-gyns) have the ability to influence the trajectory of abortion in the Philippines. Our research aimed to discover how Filipino ob-gyns position women who have undergone abortion, how they position themselves in relation to these women, and the rights and duties they ascribe to both themselves and these women. We conducted one-on-one in-depth, semistructured interviews with seven ob-gyns who are currently practicing across different institutions in Metro Manila. The analysis revealed reflexive and interactive positions, along with respective rights and duties of ob-gyns on women who have undergone abortion. The ob-gyns viewed themselves as protectors of religion, informed, moral enforcers, and sympathetic, while women who have undergone abortion were seen as religious transgressors, misinformed, having loose consciences, and selfish. These results imply that, should abortion be decriminalized, ob-gyns in the Philippines may still conscientiously object to performing the procedure for moral and religious reasons.
摘要:将堕胎定为犯罪限制了妇女寻求堕胎的机会,导致妇女寻求不安全的堕胎手段。作为妇女生殖健康方面的专家,妇产科医生有能力影响菲律宾的堕胎轨迹。我们的研究旨在了解菲律宾妇产科医生是如何定位堕胎妇女的,他们是如何定位自己与这些妇女的关系,以及他们赋予自己和这些妇女的权利和义务。我们对目前在大马尼拉市不同机构执业的七名妇产科医生进行了一对一的深入半结构式访谈。分析揭示了妇产科医生对堕胎妇女的反思性和互动性立场,以及各自的权利和义务。妇产科医生认为自己是宗教的保护者、知情者、道德执行者和同情者,而堕胎妇女则被视为宗教践踏者、知情不报者、良心放纵者和自私者。这些结果表明,如果堕胎合法化,菲律宾的妇产科医生仍可能出于道德和宗教原因而有意识地反对实施堕胎手术。
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引用次数: 0
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International Perspectives in Psychology
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