European Journal of Health Psychology最新文献_第4页

Distinguished Reviewers in 2021 2021年杰出评审员

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2022-01-01 DOI: 10.1027/2512-8442/a000107

H. Spaderna

引用次数: 0

Well-Being and Resources of Minors With Refugee Background in Comparison to Minors With Migration or Native Background 难民背景未成年人与移民或本土背景未成年人的福利与资源比较

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2022-01-01 DOI: 10.1027/2512-8442/a000099

Pia Schmees, Johanna Braig, Hannah Nilles, Denise Kerkhoff, Z. Demir, J. Rueth, A. Lohaus, Heike Eschenbeck

Abstract. Background: Studies on the health of minors with refugee background (RM) often focus on symptoms and risks. In contrast to these deficit-oriented approaches, the present study examined well-being and resources of RM. Aims: The aim was to get an overview of the extent to which RM differ from both minors with migration (MM) as well as native (NM) background regarding well-being and resources. In addition, the study sought to identify resources of RM that are significant for well-being. General personal and social resources, religious identity and practice as well as multicultural resources (bilingualism, ethnic identity) were examined. Method: The study was conducted in Germany with minors aged 8–16 years. RM ( n = 209), MM ( n = 535) and NM ( n = 858) completed questionnaires. Comparative analyses and multiple regression analyses were computed. Results: RM showed lower well-being and fewer social resources than MM and NM. For personal resources, the group differences were less consistent. Personal and social resources predicted the well-being of minors. While multicultural resources were not significant, especially the resources sense of coherence, integration into peer group, and religious identity positively predicted the well-being of RM. Limitations: The group of MM is very heterogeneous. Further studies should differentiate the group of MM more precisely. Conclusion: The differences in well-being among RM, MM and NM can largely be explained by differences in resources. Religious identity is an important available resource for RM. Sense of coherence and integration into peer groups should be given special attention in health promotion for RM.

摘要背景:对难民背景未成年人健康的研究往往侧重于症状和风险。与这些以赤字为导向的方法相反，本研究考察了RM的幸福感和资源。目的:目的是概述RM与移民(MM)和本地(NM)背景的未成年人在福利和资源方面的差异程度。此外，该研究还试图确定RM对健康有重要意义的资源。一般的个人和社会资源，宗教认同和实践以及多元文化资源(双语，种族认同)进行了检查。方法:研究在德国进行，研究对象为8-16岁的未成年人。RM (n = 209)、MM (n = 535)和NM (n = 858)完成问卷调查。进行比较分析和多元回归分析。结果:RM表现出较低的幸福感和较少的社会资源。在个人资源方面，组间差异不太一致。个人和社会资源预示着未成年人的幸福。多元文化资源不显著，尤其是资源的凝聚力、同伴群体融合和宗教认同正向预测RM的幸福感。局限性:MM组是非常异构的。进一步的研究应更准确地区分MM组。结论:RM、MM和NM的幸福感差异在很大程度上可以用资源差异来解释。宗教认同是RM的重要可利用资源。在促进生殖健康方面，应特别注意连贯性和融入同伴群体的意识。

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引用次数: 2

Health and Well-Being of Refugee Children and Adolescents 难民儿童和青少年的健康和福祉

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2022-01-01 DOI: 10.1027/2512-8442/a000095

引用次数: 0

Coping of Young Refugees in Germany 德国青年难民的应对

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2022-01-01 DOI: 10.1027/2512-8442/a000094

Hannah Nilles, Denise Kerkhoff, Z. Demir, Johanna Braig, Pia Schmees, J. Rueth, Heike Eschenbeck, A. Lohaus

Abstract. Background: Coping is considered to have an important influence on well-being, especially in adolescent refugees dealing with a high amount of stress. In addition, gender differences in coping are a common topic for research and are often attributed to differences in socialization between boys and girls. Aims: The study aims at clarifying the gender differences in coping strategies used by non-Western adolescents. Additionally, associations with aspects of socialization, in particular Gender Role Attitudes (GRA), on gender differences are investigated. Method: Refugees from Syria, Iraq, and Afghanistan ( N = 106, 55% male) aged 11–18 years completed questionnaires in schools or housing facilities. Associations between gender, GRA, coping strategies, and well-being were investigated using moderation and regression analyses. Results: Gender differences found in previous literature could, in part be replicated. Refugee girls reported more anger-related emotion regulation than boys did. However, GRA did not show any connections to coping strategies. Limitations: Most limitations result from low reliabilities and possible biases due to the use of self-reports. Conclusion: The more frequent use of anger-related emotion regulation as the only gender difference replicated in this study highlights the importance of research with refugee samples to prevent over-generalization of previous results from Western cultures.

摘要背景:应对被认为对福祉有重要影响，特别是在处理大量压力的青少年难民中。此外，应对方面的性别差异是研究的一个共同主题，通常归因于男孩和女孩之间的社会化差异。目的:探讨非西方国家青少年应对策略的性别差异。此外，还调查了社会化方面，特别是性别角色态度(GRA)对性别差异的影响。方法:来自叙利亚、伊拉克和阿富汗的难民(N = 106，男性55%)，年龄11-18岁，在学校或住房设施完成问卷调查。性别、GRA、应对策略和幸福感之间的关系采用调节和回归分析进行了调查。结果:先前文献中发现的性别差异可以部分复制。难民女孩比男孩报告了更多与愤怒相关的情绪调节。然而，GRA与应对策略没有任何关系。局限性:大多数局限性是由于使用自我报告的低可靠性和可能的偏差造成的。结论:更频繁地使用愤怒相关情绪调节作为本研究中复制的唯一性别差异，强调了以难民样本进行研究的重要性，以防止对西方文化先前结果的过度概括。

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引用次数: 4

Social Support From Friends Among Unaccompanied Young Refugees 无人陪伴的年轻难民中朋友的社会支持

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2022-01-01 DOI: 10.1027/2512-8442/a000098

Serap Keles, B. Oppedal

Abstract. Background: Social support is an important resource and source of self-esteem and belongingness for all children and youths. Yet, for unaccompanied asylum-seeking and refugee minors, who leave their home countries without a caretaking adult, extra-familial social, supportive networks in exile may be crucial for their well-being. We propose that their origin in collectivist cultures involves resources for re-establishing social networks in countries of resettlement. Aim: The overall aim of this study is to examine if cultural factors such as values and self-construals are associated with variations in perceived social support from friends among unaccompanied young refugees. We propose a model in which related self-construals mediate the association between collectivist values and perceived friend support. Method: We collected cross-sectional self-report questionnaire data from 611 unaccompanied young refugees (84.5% male; Mage = 18.49 years, SD = 2.57 years) who had been granted residence in Norway. Results: Structural equation analyses revealed that higher levels of collectivist values were associated with stronger related self-construals, which, in turn, were positively associated with stronger perceived support from friends. However, related self-construals only acted as a partial mediator. Limitations: The generalizability of our findings to other groups of immigrant children and youth and/or to unaccompanied refugees in other countries is unknown and should be examined in future studies. Conclusion: Our results contribute new theoretical knowledge about how the development of social supportive relationships in the diaspora is embedded in cross-cultural contexts. Maintaining aspects of one’s heritage culture can promote resilient outcomes among unaccompanied young refugees.

摘要背景:社会支持是所有儿童和青少年自尊和归属感的重要资源和来源。然而，对于无人陪伴的寻求庇护者和难民未成年人来说，在没有成年人照顾的情况下离开祖国，流亡中的家庭外社会支持网络可能对他们的福祉至关重要。我们建议，他们在集体主义文化中的起源涉及在重新安置国家重建社会网络的资源。目的:本研究的总体目的是检验文化因素，如价值观和自我意识是否与孤身青年难民感知到的来自朋友的社会支持的变化有关。我们提出了一个模型，在这个模型中，相关的自我理解调解了集体主义价值观和感知的朋友支持之间的联系。方法:我们收集了611名无人陪伴青年难民的横断面自我报告问卷数据(84.5%男性;年龄为18.49岁，年龄为2.57岁)，获得挪威居留权。结果:结构方程分析表明，较高水平的集体主义价值观与较强的相关自我结构相关，而自我结构相关的自我结构又与较强的感知到的朋友支持正相关。然而，相关的自我理解只起到部分中介作用。局限性:我们的研究结果对其他移民儿童和青年群体和/或其他国家的无人陪伴难民的普遍性是未知的，应该在未来的研究中进行检查。结论:我们的研究结果为如何在跨文化背景下发展散居海外的社会支持关系提供了新的理论知识。维护本国遗产文化的各个方面可以促进无人陪伴的年轻难民取得有韧性的成果。

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引用次数: 0

The Role of Maternal Perceived Social Support on the Relation Between Prenatal Depressive Symptoms and Labor Experience 母亲感知社会支持在产前抑郁症状与分娩经验关系中的作用

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2021-12-13 DOI: 10.1027/2512-8442/a000103

F. Tani, Simon Ghinassi, L. Ponti

Abstract. Background: Depression during pregnancy is a severe risk factor for negative outcomes in women and children. In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women ( Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30–33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). Results: The Structural Equation Modeling showed that prenatal symptoms of depression are linked to a more complicated labor experience (β = .31, p < .001). However, the quality of the maternal social support can mediate this relationship (indirect effect: β = .17, p < .000). Limitations: The complexity of the proposed model, the characteristics of the sample, the variables investigated, and the questionnaires used are discussed. Conclusion: The perception of having a good social network is an important predictor of women’s health in the transition to motherhood, decreasing the negative effect of maternal prenatal depressive symptoms on the quality of women’s labor experience.

摘要背景:妊娠期抑郁是妇女和儿童不良结局的严重危险因素。特别是，产前抑郁症状与更复杂的分娩经历有关，其特点是分娩更痛苦，更频繁地求助于硬膜外镇痛和/或催产素。虽然这种联系是显而易见的，但对这种关系的可能中介知之甚少。目的:本研究探讨知觉母亲社会支持在产前母亲抑郁与分娩体验之间的中介作用。方法:研究对象为152名意大利未生育妇女(年龄31.68岁，SD = 4.94)。在两个不同的时间收集数据:T1(妊娠30-33周)妇女完成贝克抑郁量表和产妇社会支持量表;T2(分娩时)从医院记录中登记有关分娩的临床数据(分娩持续时间(小时)和催产素和硬膜外镇痛的使用(小时))。结果:结构方程模型显示，产前抑郁症状与更复杂的分娩经历有关(β = .31, p < .001)。然而，母亲的社会支持质量可以中介这种关系(间接效应:β = 0.17, p < .000)。局限性:所提出的模型的复杂性，样本的特征，调查的变量和使用的问卷进行了讨论。结论:良好的社会网络感知是产妇转产过程中健康状况的重要预测因子，降低了产妇产前抑郁症状对产妇分娩体验质量的负面影响。

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引用次数: 0

Socio-emotional problems and learning skills of Roma and recently arrived refugee children in German elementary schools 德国小学的罗姆人和最近抵达的难民儿童的社会情感问题和学习技能

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2021-11-18 DOI: 10.31219/osf.io/z7sd4

Sandy Chwastek, B. Leyendecker, J. Busch

Background: In Germany, many recently arrived and minority families live in multi-ethnic, high-poverty districts. Multiple risk factors threaten their children’s development.Aims: We examined the socio-emotional problems of these children in relation to their academic learning skills and executive functioning. Method: We compared teacher-rated socio-emotional problems of n = 112 Roma children (90% foreign-born), n = 101 refugee children (all foreign-born), and n = 56 German-born immigrant children (age in months: M= 99.66, SD= 13.61) between groups and to norm data. We related socio-emotional problems to receptive vocabulary, cognitive reasoning, motor skills, and executive functioning in n = 83 refugee and Roma children.Results: Roma children showed higher rates above cutoff than norm data in all subscales, more problems in all subscales but emotional symptoms than immigrant children, and more hyperactivity/inattention and peer problems than refugee children. Refugee children showed higher rates above cutoff than norm data in all subscales and more peer problems than immigrant children. Academic learning skills were overall below average among recently arrived children. Prosocial behavior was positively linked to fine motor skills. Other socio-emotional problems were not linked to academic learning skills and executive functioning. Gross and visuo-motor skills correlated positively with other academic learning skills. Limitations: We analyzed cross-sectional data. We did not include risk factors or non-immigrant German children.Conclusion: The heightened socio-emotional problems and low academic learning skills of refugee and particularly Roma children in high-poverty districts could jeopardize their educational trajectories. Additional support measures could increase their chances for educational participation.

背景:在德国，许多新移民和少数民族家庭生活在多民族、高度贫困的地区。多种危险因素威胁着他们孩子的发展。目的:我们研究了这些儿童的社会情感问题与他们的学术学习技能和执行功能的关系。方法:我们比较了n = 112名罗姆儿童(90%在国外出生)、n = 101名难民儿童(全部在国外出生)和n = 56名德国出生的移民儿童(月龄:M= 99.66, SD= 13.61)的教师评定的社会情绪问题在组间和常态数据之间的差异。我们将83名难民和罗姆儿童的社会情感问题与接受性词汇、认知推理、运动技能和执行功能联系起来。结果:罗姆儿童在所有亚量表中均显示高于临界值的比率高于正常数据，除情绪症状外，所有亚量表中的问题都比移民儿童多，多动/注意力不集中和同伴问题比难民儿童多。难民儿童在所有子量表中都比正常数据显示出更高的高于临界值的比率，并且比移民儿童有更多的同伴问题。在新来的孩子中，学术学习技能总体上低于平均水平。亲社会行为与精细运动技能呈正相关。其他社会情感问题与学术学习技能和执行功能无关。粗重技能和视觉运动技能与其他学术学习技能呈正相关。局限性:我们分析了横断面数据。我们没有包括危险因素或非移民德国儿童。结论:高贫困地区难民儿童，特别是罗姆儿童的社会情感问题加剧，学术学习技能低下，可能危及他们的教育轨迹。额外的支持措施可以增加他们参与教育的机会。

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引用次数: 1

Greater Post-Surgical Pain Predicts Long-Term Depressed Affect in Breast Cancer Patients: The Role of Coping. 更大的术后疼痛预示着乳腺癌患者的长期抑郁:应对的作用。

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2021-10-01 Epub Date: 2021-06-14 DOI: 10.1027/2512-8442/a000084

Hannah M Fisher, Chloe J Taub, Suzanne C Lechner, Michael H Antoni

Background: Depressed affect is observed during primary treatment for early-stage breast cancer and often persists into survivorship. Pain can influence the long-term emotions of women with breast cancer. Behavioral mechanisms explaining this relationship are less clear. Coping during primary treatment may play a role in the association between pain and depressed affect.

Aims: Our observational study examined a longitudinal mediation model testing whether post-surgical pain intensity predicted depressed affect 5 years later via disengagement and/or engagement coping at the end of treatment.

Method: Women (N = 240) with stage 0-III breast cancer completed measures of pain, coping, and depressed affect 4-10 weeks post-surgery, and 12 months and 5 years later.

Results: Structural modeling yielded measurement models of 12-month disengagement and engagement coping. Direct effects emerged between post-surgical pain intensity and 12-month disengagement (β = .37, p < .001) and engagement coping (β = .16, p < .05). Post-surgical pain intensity was also related to 5-year depressed affect (β = .25, p < .05). Disengagement and engagement coping were not associated with depressed affect at 5-year follow-up, and there was no evidence of mediation.

Limitations: This is a secondary analysis of data from a trial conducted several years ago, and may not generalize due to a homogenous sample with attrition at long-term follow-up.

Conclusions: Greater post-surgical pain intensity predicts more disengagement and engagement coping at the end of primary treatment, as well as depressed affect during survivorship. Managing post-surgical pain may influence the emotions of survivors of breast cancer up to 5 years later, possibly through coping or non-coping processes.

背景:抑郁情绪在早期乳腺癌的初级治疗中被观察到，并且经常持续到生存期。疼痛会影响乳腺癌患者的长期情绪。解释这种关系的行为机制尚不清楚。初级治疗期间的应对可能在疼痛和抑郁情绪之间的关联中起作用。目的:我们的观察性研究检验了一个纵向中介模型，该模型检验了术后疼痛强度是否可以通过治疗结束时的脱离和/或参与应对来预测5年后的抑郁影响。方法:240名0-III期乳腺癌患者在术后4-10周、12个月和5年后完成疼痛、应对和抑郁影响的测量。结果:结构建模得到了12个月脱离接触和接合应对的测量模型。术后疼痛强度与术后12个月脱离治疗(β = 0.37, p < 0.001)和治疗应对(β = 0.16, p < 0.05)之间存在直接影响。术后疼痛强度与5年抑郁情绪相关(β = 0.25, p < 0.05)。在5年随访中，脱离参与和参与应对与抑郁情绪无关，没有证据表明存在中介作用。局限性:这是对几年前进行的一项试验数据的二次分析，由于长期随访时样本均质，可能无法推广。结论:更大的术后疼痛强度预示着在初级治疗结束时更多的脱离接触和接触应对，以及生存期间的抑郁影响。术后疼痛的处理可能会影响乳腺癌幸存者长达5年后的情绪，可能是通过应对或不应对的过程。

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引用次数: 0

Efficacy Assessments as Predictors of Uncertainty Preferences 功效评估作为不确定性偏好的预测因子

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2021-09-23 DOI: 10.1027/2512-8442/a000092

E. Link, E. Baumann

Abstract. Background: Health challenges can cause feelings of uncertainty that individuals intend to reduce, increase, or maintain. Those goals are connected to different information seeking and avoidance behaviors, building four uncertainty preferences. Aims: We aim to understand what drives people to seek or avoid information through a more differentiated look at the underlying uncertainty preferences and their determinants. Our starting point to explain different uncertainty preferences are stable, individual traits determining individuals’ efficacy assessments. Method: We conducted a secondary analysis of an online survey among the German public in a sample with stratified demographic characteristics ( N = 3,000). The questionnaire measured different uncertainty preferences as well as coping efficacies and communication efficacy. Regression analyses determined the relevance of these predictors for the four uncertainty preferences. Results: The considered efficacy assessments explained a greater amount of variance in uncertainty preferences applying information seeking than information avoidance, but the influencing patterns are similar. Only health literacy as a communication efficacy was positively associated with both preferences applying information seeking and negatively associated with both preferences applying information avoidance. Limitations: The concept of uncertainty preferences should be critically assessed concerning its completeness. The low explanatory power of efficacy assessments for preferences underlying information avoidance strategies shows that further research is needed to identify relevant predictors. Conclusion: The findings suggest that efficacy assessments provide cognitive resources for goal-oriented uncertainty management, but a deeper understanding of specific underlying mechanisms of the different preferences requires further examination.

摘要背景:健康挑战可引起个体想要减少、增加或保持的不确定感。这些目标与不同的信息寻求和回避行为相关联，形成了四种不确定性偏好。目的:我们的目标是通过对潜在的不确定性偏好及其决定因素的更差异化的观察，了解是什么驱使人们寻求或避免信息。我们解释不同不确定性偏好的出发点是稳定的，个体特征决定了个体的效能评估。方法:我们对德国公众的一项在线调查进行了二次分析，该调查具有分层的人口统计学特征(N = 3000)。问卷测量了不同的不确定性偏好以及应对效能和沟通效能。回归分析确定了这些预测因子对四种不确定性偏好的相关性。结果:所考虑的效能评估解释了信息寻求比信息回避在不确定性偏好上更大的差异，但影响模式相似。只有健康素养作为一种沟通效能与信息寻求偏好呈正相关，与信息回避偏好负相关。局限性:不确定性偏好的概念应严格评估其完整性。对信息回避策略偏好的有效性评估的解释力较低，表明需要进一步研究以确定相关的预测因子。结论:研究结果表明，效能评估为目标导向的不确定性管理提供了认知资源，但对不同偏好的具体潜在机制的更深入理解需要进一步研究。

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引用次数: 3

IF 2.1 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology

Pub Date : 2021-09-23 DOI: 10.1027/2512-8442/a000093

A. Jones, A. Smakowski, Alicia Hughes, A. David, T. Chalder

Abstract. Background: High rates of psychological distress are reported in functional conditions and vascular stroke, but there is limited understanding of how patients with functional neurological symptoms in stroke settings respond to symptoms. Aims: This study compared patients with functional stroke symptoms to those with vascular stroke and chronic fatigue syndrome (CFS). Methods: A prospective cohort of 56 patients with functional stroke symptoms were age-gender matched to patients with vascular stroke and CFS. Analysis of variance compared groups on cognitive and behavioral responses to symptoms, psychological distress, and functioning. Sensitivity analyses controlled for known confounders. The proportions of clinical anxiety and depression were compared between groups. Results: The functional stroke symptom group had a higher proportion of clinical anxiety cases than the CFS group, and a higher proportion of clinical depression cases than the vascular stroke group. Patients with functional stroke symptoms reported the highest rate of “damage beliefs” and “all-or-nothing” behaviors and greater symptom focusing and resting behavior than patients with vascular stroke. Limitations: Larger cohorts and a longitudinal design would strengthen study findings. Conclusion: Compared to patients with vascular stroke or CFS, patients with functional stroke symptoms show a somewhat distinct profile of illness-related beliefs and behaviors, as well as higher rates of clinical anxiety. Understanding such group differences provides some insights into aetiology and cognitive-behavioral responses. Appropriate support and referral should be available to patients with functional stroke symptoms to address distress and reduce the likelihood of severe impairment.

摘要背景:据报道，在功能性疾病和血管性卒中中，心理困扰的发生率很高，但对卒中设置中具有功能性神经症状的患者如何对症状作出反应的了解有限。目的:本研究比较了功能性卒中患者与血管性卒中合并慢性疲劳综合征(CFS)患者的症状。方法:前瞻性队列研究56例功能性卒中患者，年龄性别与血管性卒中合并慢性疲劳综合症患者相匹配。方差分析比较各组对症状、心理困扰和功能的认知和行为反应。敏感性分析控制了已知的混杂因素。比较两组患者临床焦虑和抑郁的比例。结果:功能性脑卒中症状组临床焦虑病例比例高于CFS组，临床抑郁病例比例高于血管性脑卒中组。与血管性卒中患者相比，功能性卒中患者报告的“损伤信念”和“全有或全无”行为的比例最高，症状集中和休息行为的比例更高。局限性:较大的队列和纵向设计会加强研究结果。结论:与血管性卒中或CFS患者相比，功能性卒中患者在疾病相关信念和行为方面表现出某种不同的特征，并且临床焦虑率更高。了解这样的群体差异可以为病因学和认知行为反应提供一些见解。对有功能性卒中症状的患者应给予适当的支持和转诊，以解决痛苦和减少严重损害的可能性。

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引用次数: 0