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What are the reasons for injected methadone use? A qualitative study of people who use drugs parenterally in Barcelona. 注射美沙酮的原因是什么?对巴塞罗那父母吸毒者的定性研究。
IF 3.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-09 DOI: 10.1037/ort0000795
Immaculada Tineo,Fran Calvo,Josefina Andrea Núñez-Sahr,Amaia Garrido-Albaina,Montse Bartroli-Checa,Noelia Girona,María Gabriela Barbaglia
Oral methadone maintenance is a widely adopted and effective treatment for heroin and other opioid dependencies. However, injectable methadone usage may pose greater risks than heroin itself. Despite decades of oral methadone treatment in Spain, there is limited understanding of the motivations for parenteral consumption. This study aimed to examine the reasons for methadone injection, delineate its specific advantages and disadvantages compared with those of heroin use, and assess the benefits and drawbacks of supervised methadone injection within a harm reduction service from the perspective of people who inject drugs. A qualitative phenomenological study was conducted in 11 patients at a safe injection facility in Barcelona. Semistructured interviews revealed that the reasons for injecting methadone were its provision of a euphoric rush, the pleasurable sensation of needle insertion, and the avoidance of gastrointestinal discomfort associated with oral methadone use. The main attraction of methadone injection was its accessibility as a legal and fully state-funded treatment option in Spain, coupled with its effectiveness in relieving withdrawal symptoms. However, notable disadvantages included the risks inherent in injection. The benefits of supervised consumption rooms were its provision of immediate medical assistance in overdose situations, ease of access, and physical safety. Drawbacks included waiting times, limited opening hours, neighborhood stigmatization, and the distance people who inject methadone had to travel when obtaining methadone from the illicit market. Based on these findings, we make several recommendations aimed at reducing the harm associated with methadone injection and emphasize the need for comprehensive harm reduction strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
口服美沙酮维持疗法是一种广泛采用的治疗海洛因和其他阿片类药物依赖的有效方法。然而,使用注射美沙酮可能比使用海洛因本身带来更大的风险。尽管在西班牙口服美沙酮治疗已有几十年的历史,但人们对注射美沙酮的动机了解有限。本研究旨在探讨注射美沙酮的原因,明确其与使用海洛因相比的具体优缺点,并从注射吸毒者的角度评估在减低危害服务中监督注射美沙酮的利弊。我们对巴塞罗那一家安全注射机构的 11 名患者进行了定性现象学研究。半结构式访谈显示,注射美沙酮的原因是美沙酮能带来兴奋感、扎针时的快感以及避免口服美沙酮带来的肠胃不适。注射美沙酮的主要吸引力在于它在西班牙是一种合法的、完全由国家资助的治疗选择,而且在缓解戒断症状方面也很有效。不过,注射美沙酮也有一些明显的缺点,包括其固有的风险。监督消费室的优点是在用药过量的情况下可立即提供医疗援助,使用方便,人身安全。缺点包括等待时间长、开放时间有限、邻里间的鄙视,以及注射美沙酮者从非法市场获取美沙酮时必须长途跋涉。基于这些发现,我们提出了几项建议,旨在减少注射美沙酮带来的危害,并强调了全面减少危害策略的必要性。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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引用次数: 0
Losing a child with a severe developmental intellectual disability: Israeli mothers' accounts. 失去严重智力发育障碍的孩子:以色列母亲的叙述。
IF 3.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-09 DOI: 10.1037/ort0000790
Michal Mahat-Shamir,Shani Huri-Rotman
Caring for a child with a severe developmental intellectual disability is often extremely challenging. Consequently, if such a child passes away, the grieving process may be complex. In the present study, we sought to characterize Israeli mothers' meaning (re)construction in the face of such loss. Eight mothers who lost a child with severe developmental intellectual disability participated in in-depth semistructured interviews. Employing Interpretative Phenomenological Analysis, three primary meaning templates were identified from their narratives: regrieving the lost child, the duality of grief and relief, and continuous disenfranchisement. The findings revealed a distinctive rupture in the self-narratives of grieving mothers and depicted the intricately intertwined reality of living with and losing a severely disabled child. The interplay between personal and social aspects of this unique grief experience is highlighted, and practical implications are considered. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
照顾患有严重发育性智障的儿童往往极具挑战性。因此,如果这样的孩子去世了,悲伤的过程可能会很复杂。在本研究中,我们试图描述以色列母亲在面对这种损失时的意义(重新)建构。八位失去严重智力发育障碍子女的母亲参加了深入的半结构式访谈。通过解释性现象学分析,我们从她们的叙述中发现了三个主要的意义模板:重新找回失去的孩子、悲伤与解脱的双重性以及持续的权利被剥夺。研究结果揭示了悲伤母亲自我叙述中的独特断裂,描绘了与严重残疾儿童共同生活和失去孩子的错综复杂的现实。研究强调了这种独特悲伤经历的个人和社会方面之间的相互作用,并考虑了实际影响。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
The drive for muscularity and disordered eating among heterosexual and sexual minority men in Israel. 以色列异性恋和性少数群体男性对肌肉的追求和饮食失调。
IF 3.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-09 DOI: 10.1037/ort0000799
Zohar Spivak-Lavi,Ateret Gewirtz-Meydan
In this study, we investigated the moderating effects of self-acceptance and perceived country-level acceptance of gender and sexual orientation on the relationship between the drive for muscularity and disordered eating, particularly among sexual minority and cisgender men. We hypothesized that high levels of acceptance, both individually and within the societal context, would mitigate the pressure to adhere to conventional masculine ideals, consequently lowering the likelihood of engaging in disordered eating behaviors. Seven hundred twenty-three Israeli men aged 18-68 participated in the study. The sample included heterosexual men (67.9%) and sexual minority men (30.1%), with a deliberate oversampling of sexual minority men to explore differences in the suggested model between heterosexual and sexual minority groups. The data were analyzed using hierarchical robust regression, examining interactions between the variables of interest. The results revealed significant associations between the drive for muscularity, disordered eating, and lower self-acceptance of sexual identity. Sexual minority men reported higher levels of disordered eating and drive for muscularity than did heterosexual men, along with lower levels of acceptance of gender and sexual orientation (by the individual and the country). The association between drive for muscularity and disordered eating was moderated by sexual orientation and self-acceptance of gender identity, with a stronger association among men with lower self-acceptance of their gender identity and sexual minority men. The findings underscore the significance of fostering individual and country-level acceptance of gender and sexual orientation differences to promote well-being and mitigate the risk of disordered eating among heterosexual and sexual minority men, particularly the latter. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
在这项研究中,我们调查了自我接纳以及国家层面对性别和性取向的认知接纳对肌肉发达与饮食失调之间关系的调节作用,尤其是在性少数群体和顺性别男性中。我们假设,无论是个人还是社会背景下的高接受度都会减轻坚持传统男性理想的压力,从而降低出现饮食失调行为的可能性。723 名年龄在 18-68 岁之间的以色列男性参与了这项研究。样本包括异性恋男性(67.9%)和性少数群体男性(30.1%),特意对性少数群体男性进行了超额抽样,以探索异性恋群体和性少数群体之间建议模式的差异。采用分层稳健回归法对数据进行了分析,研究了相关变量之间的交互作用。结果显示,肌肉发达的驱动力、饮食失调和对性身份的自我认同感较低之间存在明显关联。与异性恋男性相比,性少数群体男性的饮食失调和肌肉发达驱动力水平较高,同时(个人和国家)对性别和性取向的接受程度较低。性取向和对性别认同的自我接纳程度会调节肌肉发达与饮食失调之间的关系,自我接纳性别认同程度较低的男性和性少数群体男性之间的关系更为密切。研究结果强调,促进个人和国家层面对性别和性取向差异的接受,对于促进异性恋和性少数群体男性(尤其是后者)的幸福感和降低饮食失调的风险具有重要意义。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Maintenance of heritage culture, internalized racism, and family conflict on self-esteem among Asian Americans. 传统文化、内化的种族主义和家庭冲突对亚裔美国人自尊的影响。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-05 DOI: 10.1037/ort0000794
Lydia HaRim Ahn, Da Hwin Kim, Yeeun Kim, Selin Saka, Gabrielle Balek

Lui (2015) suggested that intergenerational family conflict can arise between immigrant children and parents due to differences in mainstream U.S. culture and traditional heritage culture. Thus, the present study examined whether Asian American college students' internalized racism and perceived mothers' and fathers' maintenance of heritage culture were related to intergenerational family conflict and, in turn, self-esteem. Data were collected from 465 self-identifying Asian American college students around the United States (Mage = 19.60, SD = 2.21). A path analysis revealed that when controlling for participant age, gender, and generational status, greater internalized racism and mothers' maintenance of heritage culture messages were linked to greater intergenerational family conflict with mothers and, in turn, lower self-esteem. In addition, internalized racism and greater perceived maintenance of heritage culture from fathers were positively related to intergenerational family conflict with fathers, but intergenerational family conflict with fathers was unrelated to self-esteem. Implications include teaching Asian American college students about the effects of internalized racism and developing interventions to mitigate mental health challenges and family conflicts among Asian Americans. Results highlight how larger macrosystems affect family dynamics and the well-being of Asian Americans and the need to improve the racial climate in the United States. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Lui(2015)认为,由于美国主流文化和传统遗产文化的差异,移民子女和父母之间可能会产生代际家庭冲突。因此,本研究考察了亚裔美国大学生的内化种族主义和感知到的母亲和父亲对传统文化的维护是否与代际家庭冲突有关,进而与自尊有关。数据收集自美国各地 465 名自我认同的亚裔美国大学生(Mage = 19.60,SD = 2.21)。路径分析显示,当控制了参与者的年龄、性别和代际状况后,更多的内化种族主义和母亲对传统文化信息的维护与更多的代际家庭冲突以及更低的自尊相关联。此外,内化的种族主义和父亲对传统文化的维护与与父亲的代际家庭冲突呈正相关,但与父亲的代际家庭冲突与自尊无关。研究的意义包括向亚裔美国大学生传授内化种族主义的影响,以及制定干预措施以减轻亚裔美国人的心理健康挑战和家庭冲突。研究结果凸显了更大的宏观系统如何影响亚裔美国人的家庭动态和福祉,以及改善美国种族氛围的必要性。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Off the shelf and into the community: Advocacy and public scholarship. 走出书架,走进社区:宣传和公共学术。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-05 DOI: 10.1037/ort0000800
Apryl A Alexander

Psychological science can be used to inform the critical social and global issues affecting communities. Advocacy has been recognized as an essential and ethical responsibility of mental health professionals, as it champions the basic human and civil rights of individuals, families, and communities. Scholar-activism encourages psychology to bridge scholarly knowledge, social justice, and advocacy to foster social change. Public scholarship aims to consider dissemination beyond our scholarly journals and to communities and decision makers who might benefit from psychological science research and practice. There are existing barriers to psychologists' advocacy engagement, primarily centered around the need for social justice and advocacy education and training for psychology students and trainees. As the 2021 Marion Langer Award recipient, the author provides examples of how she integrated advocacy, social justice, and public scholarship into her early career work. Future directions for students, trainees, researchers, and practitioners are provided. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

心理科学可用于为影响社区的重大社会和全球问题提供信息。倡导被认为是心理健康专业人员的一项基本道德责任,因为它捍卫了个人、家庭和社区的基本人权和公民权利。学者行动主义鼓励心理学在学术知识、社会正义和倡导之间架起桥梁,以促进社会变革。公共学术旨在考虑在我们的学术期刊之外,向可能受益于心理科学研究与实践的社区和决策者进行传播。目前,心理学家在参与宣传方面还存在一些障碍,主要集中在心理学学生和受训人员对社会正义和宣传教育与培训的需求方面。作为 2021 年马里恩-兰格奖(Marion Langer Award)的获得者,作者举例说明了她是如何将宣传、社会正义和公共学术融入其早期职业工作的。文章为学生、受训人员、研究人员和从业人员提供了未来的发展方向。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
The impact of the COVID-19 pandemic on U.S. Latinx mental health: A validation of the Epidemic-Pandemic Impacts Inventory (EPII) scale. COVID-19 大流行对美国拉丁裔心理健康的影响:流行病-大流行影响量表 (EPII) 的验证。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-05 DOI: 10.1037/ort0000791
Lucas Torres, Cristalís Capielo Rosario, Fiorella L Carlos Chavez

Known and emerging data continue to document the significant impact of the COVID-19 pandemic on traditionally marginalized communities living in the United States, particularly Latinx. However, at the onset of the COVID-19 pandemic, no validated measures were available to assess how this health crisis affected Latinx communities. The present study sought to assess the negative impact of the COVID-19 pandemic in a sample of Latinx adults living in the United States (N = 2,300). Because Latinx are a heterogeneous group, we employed a person-centered approach to evaluate potential differences across negative COVID-19 pandemic impact indicators using the Epidemic-Pandemic Impacts Inventory (Grasso et al., 2020). Additionally, we assessed how these unique profiles were associated with anxiety/depression and alcohol use. Exploratory and confirmatory analyses suggested a six-factor oblique solution for the Epidemic-Pandemic Impacts Inventory. Results from a latent profile analysis identified six unique COVID-19 impact profiles that differentiated mental health outcomes. Profiles also differed along important Latinx within-group differences. The findings highlight the unique and heterogeneous COVID-19 experiences reported across the Latinx community with significant implications for mental health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

已知的和新出现的数据不断证明 COVID-19 大流行对生活在美国的传统边缘化社区,尤其是拉丁裔社区的重大影响。然而,在 COVID-19 大流行开始时,还没有有效的措施来评估这场健康危机对拉丁裔社区的影响。本研究试图评估 COVID-19 大流行对居住在美国的拉丁裔成年人(样本数 = 2,300)的负面影响。由于拉美裔是一个异质群体,我们采用了以人为本的方法,利用流行病-大流行影响清单(Grasso 等人,2020 年)评估 COVID-19 大流行负面影响指标之间的潜在差异。此外,我们还评估了这些独特的特征与焦虑/抑郁和饮酒的关系。探索性和确认性分析表明,流行病影响量表有一个六因素斜解。潜特征分析的结果确定了六种独特的 COVID-19 影响特征,它们对心理健康结果产生了不同的影响。此外,这些影响特征还存在重要的拉丁裔群体内部差异。研究结果凸显了拉美裔社区所报告的独特而又不同的 COVID-19 经历,对心理健康具有重要影响。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
"Beyond the letter of the law": A critical discourse analysis of social rights take-up in social work. "超越法律条文":对社会工作中社会权利使用情况的批判性话语分析。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-05 DOI: 10.1037/ort0000787
Sharon Razon, Guy Feldman

Social work is considered a human rights-based profession. One of the major domains wherein social workers advance human rights involves carrying out actions directed at ensuring the realization of social rights of underprivileged service users. However, empirical knowledge about the actual everyday practice of social rights take-up in social work contexts is still scarce. Guided by scholarship on social rights advocacy and social work discourse, this study explores how take-up of rights discourse is manifested in social workers' advocacy efforts on behalf of their marginalized service users. To do so, the study draws on 30 rights take-up letters written by practitioners in departments of social services in Israel, relating mainly to users' right to housing, an adequate standard of living, and health care. A critical discourse analysis of the letters shows that in their efforts to secure the rights of service users, social workers primarily employed three discursive moves: discourse of individual responsibility, discourse of charity, and clinical discourse. Additional findings show that very few letters used human rights discourse. We conclude by offering a structural explanation for social workers' reliance on discourses that depoliticize the idea and practice of securing people's social rights. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

社会工作被认为是以人权为基础的职业。社会工作者推进人权的主要领域之一是开展行动,确保弱势服务对象实现社会权利。然而,有关在社会工作背景下落实社会权利的日常实际做法的实证知识仍然很少。本研究以社会权利倡导和社会工作话语的学术研究为指导,探讨社会工作者在代表其边缘化服务对象开展倡导工作时如何体现对权利话语的采纳。为此,本研究参考了以色列社会服务部门从业人员撰写的 30 封权利诉求信件,主要涉及用户的住房权、适足生活水准权和医疗保健权。对这些信件的批判性话语分析显示,在努力确保服务使用者的权利时,社会工作者主要采用了三种话语方式:个人责任话语、慈善话语和临床话语。其他研究结果表明,只有极少数信件使用了人权话语。最后,我们从结构上解释了社工对话语的依赖,这些话语将确保人们社会权利的理念和实践非政治化。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
The role of racial bias and pathways to self-harm outcomes for Mexican-descent college students during the COVID-19 pandemic. 在 COVID-19 大流行期间,种族偏见的作用和墨西哥裔大学生自我伤害结果的途径。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-09-05 DOI: 10.1037/ort0000776
Natalia Jaramillo, Gisel Suarez Bonilla, Brandy Piña-Watson, Gabriela Manzo, Aundrea Garcia, Maria Sanchez, Jocelyn I Meza

The COVID-19 pandemic highlighted preexisting health disparities and impacted the mental health of many Latine/x in the United States. Emerging adults are at increased risk for anxiety, depression (Ganson et al., 2021; Kujawa et al., 2020), and suicidal ideation (Tasnim et al., 2020). There is a scarcity of research that has examined sociocultural factors (i.e., racial bias, pandemic-related stress) associated with mental health outcomes (i.e., depression) and how they may be associated with self-harm resulting from the COVID-19 pandemic for Mexican-descent emerging adults. Using socioecological framework, we examined how COVID-19-related racial bias and perceived pandemic stress related to self-harm among Mexican-descent emerging adults. We used serial mediation to identify indirect effects between these factors. The present study examined the experiences of Mexican-descent college students during the COVID-19 pandemic. The participants (N = 818) were college students (ages 18-25) and completed an online survey. Rates of self-harm were as follows: 10.5% (suicide ideation), 6.9% (nonsuicidal self-injury), and 2.9% (suicide attempts). Results showed a significant indirect effect of COVID-19-related racial bias on suicide attempts via COVID-19-related perceived stress and depression symptoms (β = .17, SE = .05, 95% CI [.10, .30]). Findings were consistent across self-harm outcomes (i.e., suicide ideation, nonsuicidal self-injury, and suicide attempts). This study elucidated novel processes from perceived COVID-19-related racial bias to self-harm outcomes via pandemic-related stress and depression symptoms. Findings inform culturally responsive interventions aimed at reducing self-harm in young adults faced with pervasive discrimination. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

COVID-19 大流行突显了原有的健康差异,并影响了美国许多拉丁裔/男同性恋的心理健康。新兴成年人患焦虑症、抑郁症(Ganson 等人,2021 年;Kujawa 等人,2020 年)和自杀倾向(Tasnim 等人,2020 年)的风险增加。很少有研究探讨与心理健康结果(即抑郁)相关的社会文化因素(即种族偏见、与大流行相关的压力),以及这些因素如何与墨西哥裔新兴成年人因 COVID-19 大流行而产生的自残行为相关联。利用社会生态框架,我们研究了与 COVID-19 相关的种族偏见和感知到的大流行压力如何与墨西哥裔新兴成年人的自我伤害相关。我们使用序列中介来确定这些因素之间的间接影响。本研究调查了墨西哥裔大学生在 COVID-19 大流行期间的经历。参与者(N = 818)均为大学生(18-25 岁),并完成了一项在线调查。自残率如下10.5%(自杀意念)、6.9%(非自杀性自伤)和 2.9%(自杀未遂)。结果显示,与 COVID-19 相关的种族偏见通过与 COVID-19 相关的压力感知和抑郁症状对自杀企图有明显的间接影响(β = .17, SE = .05, 95% CI [.10, .30])。研究结果与自残结果(即自杀意念、非自杀性自伤和自杀未遂)一致。本研究阐明了从感知到的 COVID-19 相关种族偏见到通过大流行病相关压力和抑郁症状产生自残结果的新过程。研究结果为旨在减少面临普遍歧视的年轻人自我伤害的文化应对干预措施提供了信息。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
Disgust proneness influences the effects of political orientation on xenophobia during the COVID-19 pandemic. 在 COVID-19 大流行期间,厌恶倾向会影响政治倾向对仇外心理的影响。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-07-18 DOI: 10.1037/ort0000777
Bunmi O Olatunji, Alexandra M Adamis

Although political conservatism has been associated with xenophobia, the processes that may explain this link during the COVID-19 pandemic are unclear. Xenophobia does increase during infectious disease outbreaks, suggesting an adaptation for those concerned about disease threats. Given that disgust facilitates disease avoidance, the present study examined the extent to which disgust proneness (DP) moderated the association between political conservatism and xenophobia during the pandemic. Community participants (n = 277) reporting their political orientation and levels of DP on May 27, 2020 completed measures of COVID-19 xenophobia and COVID-19 anxiety every 2 weeks for a total of 15 timepoints over 30 weeks. Multilevel models revealed that xenophobia was elevated among those high in DP but decreased throughout the pandemic. Xenophobia was also elevated among conservatives but also decreased during the pandemic. Consistent with predictions, DP moderated the effect of political orientation on xenophobia such that at high (but not low) levels of DP, the link between political orientation and xenophobia was significant, with higher levels of conservativism predicting higher xenophobia even when controlling for COVID-19 anxiety. The implications of the present findings for conceptualizing the various processes that explain how political attitudes may fuel xenophobia during future pandemics are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

尽管政治保守主义与仇外心理有关,但在 COVID-19 大流行期间,解释这种联系的过程尚不清楚。在传染病爆发期间,仇外心理确实会增加,这表明那些关注疾病威胁的人有一种适应性。鉴于厌恶会促进对疾病的回避,本研究探讨了厌恶倾向(DP)在多大程度上调节了大流行病期间政治保守主义与仇外心理之间的关联。社区参与者(n = 277)在 2020 年 5 月 27 日报告了自己的政治倾向和厌恶倾向水平,并在 30 周内每两周完成一次 COVID-19 仇外心理和 COVID-19 焦虑心理测量,共计 15 个时间点。多层次模型显示,DP水平高的人仇外心理会升高,但在整个大流行期间会降低。在保守派中,仇外心理也会升高,但在大流行期间也会降低。与预测结果一致的是,DP调节了政治倾向对仇外心理的影响,因此在高DP水平(而非低DP水平)时,政治倾向与仇外心理之间的联系是显著的,即使在控制了COVID-19焦虑的情况下,较高水平的保守主义也能预测出较高的仇外心理。本文讨论了本研究结果对概念化各种过程的影响,这些过程解释了在未来的大流行病期间,政治态度是如何助长仇外心理的。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Voices that matter: A community-driven intervention framework for Black women who have experienced traumatic loss. 重要的声音:针对经历过创伤性损失的黑人妇女的社区驱动干预框架。
IF 2.3 3区 医学 Q1 SOCIAL WORK Pub Date : 2024-07-08 DOI: 10.1037/ort0000771
Stephanie Castelin, Ana Paola Sáenz Jiménez, Danya Soto, Lisa D Daniels, Aldena D Brown, Tracy Fehrenbach

Although Black women face disproportionately high rates of gun violence and incarceration loss, there is a scarcity of culturally relevant interventions for this population. The aims of this study were to (a) examine the need for a culturally responsive, trauma-informed, and evidence-based grief intervention and to (b) identify key program components and considerations. Using a community-based participatory research framework, co-collaborators interviewed and surveyed 13 Black women who experienced gun violence and/or incarceration loss. Thematic analysis of interview data confirmed a need for this type of intervention due to the traumatic impact of losing a loved one, the inadequacy of available resources, and the personal and communal importance of addressing their grief. Critical intervention components included relationships and social support, help in "moving beyond" the experience, opportunities for emotional expression and validation, acknowledgment of spirituality and self-care, personal freedom in the grieving process, and addressing "underlying issues." The participants also completed a survey with 24 proposed intervention activities. The 22 they identified as "very important" largely corresponded with interview codes. Barriers to treatment included judgment and invalidation, lack of trust, disinterest, feeling stuck, mental health stigma, and lack of knowledge. Opinions about combining women with different types of loss in the same group and the importance of the group developers' lived experience were mixed. Overall, our findings support the need for culturally relevant, trauma-informed interventions in this population and provide a foundation for developing such an intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

虽然黑人妇女面临枪支暴力和监禁损失的比例过高,但针对这一人群的文化相关干预措施却很少。本研究的目的是:(a) 研究对文化敏感、创伤知情和基于证据的悲伤干预措施的需求;(b) 确定计划的关键组成部分和注意事项。共同合作者采用社区参与式研究框架,对 13 名经历过枪支暴力和/或监禁损失的黑人妇女进行了访谈和调查。对访谈数据的主题分析证实,由于失去亲人造成的创伤、可用资源的不足以及解决悲伤问题对个人和社区的重要性,她们需要这种类型的干预。关键的干预内容包括人际关系和社会支持、帮助 "超越 "这段经历、情感表达和验证的机会、对灵性和自我关怀的认可、悲伤过程中的个人自由以及解决 "潜在问题"。参与者还填写了一份包含 24 项建议干预活动的调查问卷。他们认为 "非常重要 "的 22 项活动与访谈代码基本一致。治疗的障碍包括评判和无效、缺乏信任、不感兴趣、感觉被困住、心理健康污名化以及缺乏知 识。对于将患有不同类型失能症的女性合并到同一个小组以及小组开发者的生活经验的重要性的看法不一。总之,我们的研究结果支持对这一人群进行文化相关、创伤知情干预的必要性,并为开发此类干预奠定了基础。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
期刊
American Journal of Orthopsychiatry
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