American Journal of Orthopsychiatry最新文献

Our study aimed to assess the role of social support on the impact of discrimination on psychological distress for Asian American women and men. Using the Asian American sample from the Asian American and Native Hawaiian/Pacific Islander COVID-19 Needs Assessment Study (n = 3,508), we used logistic regression to examine the moderating role of different types of social support on the relationship between discrimination and psychological distress by gender. Among Asian Americans, facing discrimination was associated with higher odds of psychological distress, and receiving emotional support was associated with lower odds of psychological distress. When examining interactions between discrimination, social support, and gender, we found that facing discrimination led to the highest odds of psychological distress for Asian American women who provided emotional support. Our findings highlight different mechanisms by which social support buffers and exacerbates the psychological burden of discrimination for Asian Americans. These findings have overall and gender-informed implications for community policies to promote mental health resilience by actively alleviating the effects of racism among Asian Americans. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The present study examines the extent to which culturally stressful experiences may predict impaired well-being, increased internalizing symptoms (depression and anxiety), and increased externalizing problems (social aggression, physical aggression, and rule breaking) among a sample of Hispanic college students in Miami across a 12-day period. The predictive effects of cultural stressors on these outcomes were examined both (a) directly and (b) indirectly through daily fluctuations in students' personal identity synthesis and confusion. Results indicated direct predictive effects of cultural stress on four forms of well-being (self-esteem, life satisfaction, psychological well-being, and eudaimonic well-being), on symptoms of depression and anxiety, and on physical aggression and rule breaking. The predictive effects of cultural stress on all four forms of well-being and on symptoms of depression and anxiety were partially mediated through daily fluctuations (instability) in students' sense of personal identity synthesis. Findings were consistent across genders and between U.S.- and foreign-born students. Results are discussed in terms of implications for intervention and for policy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The study aimed to identify contributors to the trajectory of personal growth (PG) during the transition to parenthood against the background of a critical life event that occurred previously, namely, losing a parent. The study examined the contributions of the loss of one's own parent, the bond with one's parents in childhood, current parental distress (PD), and demographic variables to changes in the PG of adults when they themselves become parents. New Israeli parents completed self-report questionnaires in three phases: (a) up to 1 year following the birth of their first child (n = 2,182), (b) 6 months later (n = 1,045), (c) after another 6 months (n = 811). Our key findings showed that parental loss was not directly associated with changes in PG, but changes in PD mediated the associations between both loss and parental bonding on the one hand and the changes in PG on the other. Increase in PG levels over time was associated with being a woman, lower level of education and economic status, higher perceived paternal care, and higher maternal overprotection in childhood and decrease in PD. The present study extends knowledge of PG during the transition to parenthood, indicating that it may be shaped by changes in PD levels and the relationships with one's own parents. On the practical level, understanding the consequences for the trajectory of PG of having lost a parent and the nature of their bonding with their parents in childhood can help professionals design appropriate interventions for new parents. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

In the fields of medical and behavioral health care, there is a demonstrable scarcity of providers who possess the necessary levels of clinical and cultural competency required to serve transgender patients. As a result of this deficiency, many members of the transgender community engage in an avoidance of care. Among providers, there are observed deficiencies in awareness regarding specific acute and chronic health disparities experienced by members of the transgender population. We aim to demonstrate the unique and intersectional health disparities experienced by this community, to empower providers serving this community. Additionally, we endeavor to propose a range of potential clinical and political interventions and options for mobilization that providers can engage in. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

This study investigated associations between chronic developmental/behavioral and physical health conditions and social connectedness of adolescents using rich population-based data from a national U.S. birth cohort study. Potentially disabling health conditions were reported by caregivers and categorized by our team as developmental/behavioral or physical. Social connectedness was assessed using a validated scale that measured adolescents' reports of positive social connectedness across relevant contexts (family, friends, school). Of the 3,207 adolescents included, over one third had at least one chronic health condition. Unadjusted and adjusted linear and logistic regression models of associations between the presence of chronic health conditions (any developmental/behavioral health condition and any physical health condition, compared to no conditions) and adolescents' social connectedness outcomes were estimated. Compared to those with no chronic health conditions, adolescents with developmental/behavioral health conditions had lower odds of high positive social connectedness scores (adjusted odds ratio [AOR]: 0.80; CI [0.67, 0.94]), having friends they really care about (AOR: 0.76; CI [0.61, 0.94]), having people who care (AOR: 0.65; CI [0.50, 0.84]), and having people with whom to share good news (AOR: 0.77; CI [0.63, 0.94]). Adolescents with chronic physical health conditions had lower odds of reporting having people who care about them (AOR: 0.72; CI [0.55, 0.94]). The findings point to the need for interventions designed to foster the development of positive interpersonal relationships, reduce loneliness, and increase positive social identity among adolescents with chronic health conditions, particularly those with developmental/behavioral health conditions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A growing body of theory and research suggests that racial identity invalidation (RII)-the active denial of a person's racial identity and/or belonging to the racial group(s) they identify with-may play an important role in the mental health problems that Biracial Black-White youth face. However, research has yet to explore this empirically. The purpose of this study was to address this gap by examining whether RII was associated with depressive symptoms among Biracial Black-White adolescents and emerging adults (N = 713; 61% male; M = 18.40, SD = 3.71). From an intersectional and strengths-based lens, we also explore if (a) Biracial and Black pride individually or collectively moderate the relationship between RII and depressive symptoms and (b) if any of these associations differ by gender. The analyses included two hierarchical linear regressions (one for girls and one for boys) that were conducted using Model 3 of the PROCESS Macro in SPSS. The results indicated that RII was associated with depression symptoms for all participants. We also found several significant interaction effects illustrating that Biracial and Black pride both played a meaningful role in the relationship between RII and the mental health of the participants, but different patterns emerged for girls and boys. Collectively, the results position RII as a salient risk factor for Biracial Black-White adolescents and emerging adults while also illuminating the promotive and protective power of racial pride. The implications for research and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Although widowhood has been considered a significant risk factor for mental health, the duration of its effects and the potential mitigating factors involved in this relationship remain inadequately understood among Chinese older adults. This study investigates the longitudinal relationship between widowhood and depression and examines the interaction effects of health asymmetry, the number of children, and urban-rural differences from individual, familial, and social perspectives. A sample of 9,563 individuals for the four rounds period (from 2011 to 2018) is obtained from the China Health and Retirement Longitudinal Study. Results demonstrate that (a) the depression associated with widowhood is expected to revert to prewidowhood level after 3 years, (b) the relationship between widowhood and depression is stronger for older adults who are health pessimists compared to those who are health optimists, (c) the relationship between widowhood and depression is stronger for older adults with fewer children compared to those with more children, and (d) the relationship between widowhood and depression is stronger for older adults living in rural areas than those living in urban areas. These findings are essential for policymakers and practitioners working with widowed older adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Despite the importance of the school environment for mental health outcomes, there is little research on how the school context during adolescence may impact depressive symptoms among Asian Americans (AAs) over time. The purpose of this study was to investigate (a) the long-term effects of perceived prejudice from peers and teachers on school belonging and depressive symptoms in adolescence, early young adulthood, and young adulthood among AAs and (b) the mediating effects of school belonging and two early depressive symptoms on the associations between perceived prejudice from peers and teachers and young adulthood depressive symptoms. The data came from the National Longitudinal Study on Adolescent Health. The present study used a subsample of 689 AAs who completed interviews during adolescence, young adulthood, and adulthood. The major data analysis strategy was structural equation modeling. The structural equation modeling results indicated that the major path coefficients from school context to depressive symptoms at the three time points for AAs were statistically significant, except for the path from adolescent depressive symptoms to young adulthood depressive symptoms. There were three significant mediating effects of school belonging and two early depressive symptoms on the association between perceived prejudice from teachers and young adulthood depressive symptoms in AAs. The results emphasize the importance of identifying school contextual risk factors leading to mental health disparities and developing culturally appropriate intervention strategies for AAs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The history of the development of the Global Alliance for Behavioral Health and Social Justice was founded on understanding the social determinants of mental health and society and the necessity for multiple disciplines to organize advocacy for human rights and social justice. This led way to a wide cross-section of disciplines working together to engage at the policy level, in legislation, and within community settings as the Community Mental Health Movement developed and made a path for the reformation of many forms within the mental health field. This article reviews some of that interesting history and the importance of understanding those fundamental roots as we also look at the future for what is next in advocacy, social justice action, and policy directions for advancing the lives of those with serious mental illness, who face some of the most oppressive forms of marginalization and rejection of human rights and citizenship. This article will outline social justice action agendas for the organization and diverse collaborative fields to pursue as we embark upon the future and envision the full rights of citizenship for those with serious mental illness. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The present article reviews the scholarship and policy landscape about the state of child and youth well-being, as well as the scope of health/mental health and education inequities and the factors driving them. The research and policy literature are reviewed to provide exemplars of innovation in science, practice, prevention, policy, and public education that can advance progress and support optimism. Several guiding principles emerge that provide a foundation for improving well-being and equity for the next generation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).