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An Examination of a Cognitive Dissonance Body Image and Health Intervention for the College Classroom 大学课堂认知失调的身体形象与健康干预研究
Pub Date : 2022-10-18 DOI: 10.1177/26320770221111759
Christina D. Colgary, Martin A. Swanbrow Becker, Qian Zhang, Jillian Konopa
Creating a positive college environment regarding body image concerns is warranted given their strong association with eating disorders (EDs) and the alarming rates of EDs on college campuses. There is also a growing need to universally diversify ED prevention programs and enhance selective prevention recruitment initiatives. This study included 132 undergraduate students in a universal and mixed-gendered setting (i.e., classrooms). Participants in the intervention condition received a single session of an adapted cognitive dissonance-based intervention aimed at reducing ED risk factors. The control condition included participants who received a general classroom lecture. Women and men in the two conditions were compared at pre-intervention, post-intervention, and 1-month follow-up timepoints on appearance-ideal internalization (thin-ideal and muscular-ideal), body image satisfaction, and behavioral intention to enroll in a selective ED prevention program, known as The Body Project (BP). Using mixed-effects modeling, results showed that women in the intervention condition significantly lowered muscular-ideal internalization scores at follow-up when compared to the control condition. There were no significant differences across all other variables, which suggests that the single session universal intervention was not effective in reducing body image dissatisfaction or triaging participants into The BP. Implications include further exploration of muscular-ideal internalization in ED development for women and the examination of other underlying dimensions of body image, such as internalized weight stigma and body functionality. Mixed-gendered settings might also benefit from cultivating conversations regarding the social injustices of beauty standards. These adjustments may help enhance the levels of cognitive dissonance experienced by participants.
考虑到身体形象与饮食失调症(EDs)的密切联系以及大学校园中令人担忧的EDs发病率,创造一个积极的大学环境是有必要的。也有越来越多的需要,普遍多样化的预防方案和加强选择性预防招聘倡议。本研究包括在一个普遍和混合性别环境(即教室)中的132名本科生。干预组的参与者接受了一次基于适应性认知失调的干预,旨在减少ED的危险因素。控制条件包括接受普通课堂讲座的参与者。在干预前、干预后和1个月的随访时间点上,对两种情况下的女性和男性进行比较,包括外表理想内化(瘦型理想和肌肉理想)、身体形象满意度和参加选择性ED预防计划的行为意愿,即身体计划(BP)。使用混合效应模型,结果显示,与对照组相比,干预组的女性在随访时的肌肉理想内化得分显著降低。所有其他变量之间没有显著差异,这表明单次普遍干预在减少身体形象不满或将参与者分类到BP中并不有效。其影响包括进一步探索肌肉理想内化在女性ED发展中的作用,以及检查身体形象的其他潜在维度,如内化的体重耻辱感和身体功能。混合性别的环境也可能受益于培养关于社会对美丽标准的不公正的对话。这些调整可能有助于提高参与者所经历的认知失调水平。
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引用次数: 0
Promoting Mental Health in Young Adults: A Brief Gratitude-Writing Intervention Reduced Brooding in People Who Ruminate 促进年轻人的心理健康:一个简短的感恩写作干预减少了沉思者的沉思
Pub Date : 2022-10-18 DOI: 10.1177/26320770221111757
Jessica M. Safi, Stephanie M. Rescigno, Josephine H Shih
Positive psychology interventions (PPIs) have the potential to bypass barriers to seeking mental health services by promoting well-being without the cost and stigma. Research on PPIs thus far has focused on depressed individuals as well individuals who sought out PPIs on their own. It is less clear, however, whether the promising findings on PPIs could extend to PPIs effectively reducing levels of vulnerability factors in individuals at risk for depression. Rumination is a perseverative cognitive process and named as a transdiagnostic risk factor for psychopathology. The current study tested the efficacy of a gratitude-writing intervention in college students who had high scores of rumination. Participants completed either the gratitude-writing or distraction task for 4 days. The gratitude-writing exercise was significantly more effective than the distraction exercise in reducing the brooding subtype of rumination and in increasing positive affect. Implications for the use of this intervention include its potential to increase confidence in PPIs and to serve as a stepping stone for young adults to seek mental health resources.
积极心理学干预(PPIs)有可能通过促进福祉而不需要成本和耻辱来绕过寻求精神卫生服务的障碍。迄今为止,对PPIs的研究主要集中在抑郁症患者和自己寻求PPIs的患者身上。然而,目前尚不清楚的是,关于PPIs的有希望的发现是否可以扩展到PPIs有效地降低抑郁风险个体的脆弱性因素水平。反刍是一种持续的认知过程,被认为是精神病理的跨诊断危险因素。目前的研究测试了在反刍得分高的大学生中感恩写作干预的效果。参与者完成了为期4天的感恩写作或分散注意力任务。在减少沉思亚型反刍和增加积极情绪方面,感恩写作练习明显比分心练习更有效。使用这种干预措施的意义包括它有可能增加对PPIs的信心,并作为年轻人寻求精神卫生资源的垫脚石。
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引用次数: 0
Promoting Well-Being and Responsiveness in Pre-Service Teachers Using Dialectical Behavior Therapy Skills: A Mixed-Methods Study 运用辩证行为治疗技巧促进职前教师的幸福感和反应性:一项混合方法的研究
Pub Date : 2022-09-05 DOI: 10.1177/26320770221097973
Almut K. Zieher, J. Armstrong
Mindfulness trainings are a promising approach for mitigating teacher burnout and promoting well-being and effective teaching, yet few studies with pre-service teachers employ this approach for prevention purposes, and only one has used dialectical behavior therapy (DBT) skills. In this study, 12 pre-service teachers were taught DBT skills in eight 1-hour weekly sessions to promote their mindfulness and well-being. Using mixed methods, we investigated how pre-service teachers used DBT skills and evaluated training effects and feasibility. Findings from 81 days of daily survey data indicated that pre-service teachers’ mindfulness and positive affect were significantly higher the evening after training sessions and that their positive affect remained elevated through the next evening. Completed homework sheets, researcher journals, and interviews provided evidence of how the pre-service teachers used DBT skills to navigate challenges and support their students. We identified the need for more frequent sessions and additional structures to promote practice of DBT skills in daily life. The results from this study point to the feasibility of using DBT skills in a preventative capacity as part of teacher preparation programming to support teachers’ ongoing well-being and effective teaching.
正念训练是一种很有前景的减轻教师职业倦怠、促进幸福感和有效教学的方法,但很少有针对职前教师的研究将这种方法用于预防目的,只有一项研究使用了辩证行为疗法(DBT)技能。本研究以12名职前教师为研究对象,每周进行8次1小时的训练,以提高他们的正念和幸福感。采用混合方法,对职前教师使用DBT技能的情况进行了调查,并对培训效果和可行性进行了评估。81天的日常调查数据表明,职前教师的正念和积极情绪在培训结束后的晚上显著提高,并在第二天晚上保持较高的积极情绪水平。完成的家庭作业表、研究人员日记和访谈提供了职前教师如何使用DBT技能来应对挑战和支持学生的证据。我们发现需要更频繁的会话和额外的结构来促进日常生活中DBT技能的实践。本研究的结果表明,作为教师准备计划的一部分,在预防能力方面使用DBT技能是可行的,以支持教师的持续福祉和有效教学。
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引用次数: 1
Impact of the Health-Smart Holistic Health Program: A CBPR Approach to Improve Health and Prevent Adverse Outcomes for Black Older Adults 健康智能整体健康计划的影响:改善黑人老年人健康和预防不良后果的CBPR方法
Pub Date : 2022-08-29 DOI: 10.1177/26320770221099586
C. Tucker, Guillermo M. Wippold, J. Roncoroni, Meagan A. Henry, Kirsten G. Klein, Matthew Garrepy, W. Ateyah, Alexanderia Burwell, Hermonyone Walker, Leslie Clements, Brandy N. Kelly Pryor, Dottington Fullwood
Black older adults experience poorer health and health-related outcomes than their non-Hispanic White counterparts. Novel, tailored strategies to promote health and prevent adverse health-related outcomes that are aligned with the preferences and values of Black older adults are needed given the limited effectiveness of “one-size-fits-all” approaches. The present study evaluated the impact of a 9-week, community-based participatory research-informed program called the Health-Smart Holistic Health Program for Seniors that aimed to improve health and prevent adverse outcomes among Black older adults by targeting body mass index (BMI), loneliness, food insecurity, and physical and psychological health-related quality of life. Participants (N = 139) were community dwelling, economically disadvantaged Black older adults living in an underserved area. Results indicated that from pre-intervention to post-intervention there were (a) significant decreases in BMI, loneliness, and food insecurity and (b) significant increases in the participating seniors’ psychological and physical health-related quality of life. Most of these changes were maintained at a 3-month post-intervention follow-up. These results have implications for similar efforts attempting to prevent adverse health outcomes among Black older adults, a high-risk and understudied group. Such efforts should be tailored and should address factors at multiple levels.
与非西班牙裔白人相比,黑人老年人的健康状况和健康相关结果都较差。考虑到"一刀切"方法的有效性有限,需要有新颖的、量身定制的战略来促进健康和预防与黑人老年人的偏好和价值观相一致的与健康有关的不良后果。本研究评估了一个为期9周、以社区为基础的参与性研究项目的影响,该项目被称为健康智能老年人整体健康项目,旨在通过针对身体质量指数(BMI)、孤独感、食物不安全感以及身体和心理健康相关的生活质量来改善黑人老年人的健康状况并预防不良后果。参与者(N = 139)是生活在服务不足地区的社区居住,经济上处于不利地位的黑人老年人。结果表明,从干预前到干预后,(a)老年人的体重指数、孤独感和食物不安全感显著降低,(b)老年人的心理和身体健康相关生活质量显著提高。大多数这些变化在干预后3个月的随访中保持不变。这些结果对试图在黑人老年人(一个高风险和研究不足的群体)中预防不良健康结果的类似努力具有启示意义。这种努力应因地制宜,并应涉及多个层面的因素。
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引用次数: 1
Breaking the Connection Between Depressive Symptoms and Alcohol Use Among Adolescents With a Text-Message Delivered Intervention: A Randomized Controlled Pilot Trial in Primary Care 用短信干预打破青少年抑郁症状和酒精使用之间的联系:一项初级保健的随机对照试验
Pub Date : 2022-08-27 DOI: 10.1177/26320770221100529
M. Mason, J. Coatsworth, M. Russell, J. Mennis
Adolescent depression is a significant public health problem reflected in increasing rates of major depressive episodes. Depression is also a critical risk for adolescent substance use. Adolescents who have experienced a major depressive episode are approximately twice as likely to engage in heavy drinking compared to those without. Developing strategies to intervene early and reduce adolescent depressive disorders and alcohol use is warranted. We examined the relationship between adolescent depressive symptoms and alcohol use with 69 adolescents enrolled in a preventive randomized controlled pilot trial for substance use risk within a federally qualified health care setting. We also tested a mediation model to determine if a text-delivered intervention reduced alcohol use by reducing depressive symptoms. Participants were randomized to a 4-week, text-delivered stress-and-coping intervention or a waitlist control condition. Participants completed baseline assessments and monthly follow-up surveys for 3 months. Logistic regression showed that adolescents with probable depressive disorder had six times higher odds of alcohol use compared to those with sub-clinical depressive symptoms. Mediation analysis revealed that the intervention reduced alcohol use by reducing depressive symptoms for adolescents with sub-clinical depressive scores. Results support targeting proximal risk factors such as depressive symptoms among adolescents presenting for primary care with text-delivered preventive interventions in order to reduce alcohol use. Incorporating more intensive interventions for adolescents with a broad range of presenting depressive symptoms is recommended.
青少年抑郁症是一个重大的公共卫生问题,反映在重度抑郁症发作率的上升上。抑郁症也是青少年滥用药物的一个重要风险因素。经历过严重抑郁发作的青少年酗酒的可能性大约是没有抑郁发作的青少年的两倍。制定早期干预和减少青少年抑郁症和酒精使用的战略是必要的。我们研究了69名青少年的抑郁症状和酒精使用之间的关系,这些青少年参加了一项在联邦合格医疗机构进行的药物使用风险的预防性随机对照试验。我们还测试了一个中介模型,以确定文本传递干预是否通过减少抑郁症状来减少酒精使用。参与者被随机分配到为期4周的文本传递压力和应对干预组或候补控制组。参与者完成了为期3个月的基线评估和每月随访调查。逻辑回归显示,与那些有亚临床抑郁症状的青少年相比,可能患有抑郁症的青少年酒精使用的几率要高6倍。中介分析显示,干预通过减少亚临床抑郁评分青少年的抑郁症状来减少酒精使用。研究结果支持针对初诊青少年的抑郁症状等近端危险因素,采用文本传递的预防干预措施,以减少酒精使用。建议对表现出广泛抑郁症状的青少年进行更强化的干预。
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引用次数: 0
Test of a Social Cognitive Model of Restorative Well-Being: Application to International Students 恢复性幸福感的社会认知模型测试:在国际学生中的应用
Pub Date : 2022-08-15 DOI: 10.1177/26320770221097627
Ijeoma Ezeofor, R. Lent, B. P. Moturu
The social cognitive model of restorative well-being (Lent, 2004) focuses on the means by which people help to stabilize their emotional functioning after exposure to challenging life conditions. We extended this model to the study of how international students navigate psychological adjustment to life in the United States. In this application, we focused on the interplay of cognitive, behavioral, social, and trait mechanisms that may help to mitigate distress and promote well-being in the context of change and transition. Participants were 233 international students at U.S. colleges and universities who completed measures of acculturative stress, life satisfaction, social support, self-efficacy in coping with life changes, general self-efficacy, and acculturation- and enculturation-based coping behaviors. Findings indicated that the model provided good fit to the data. Coping efficacy was strongly predictive of lower levels of acculturative stress, which in turn predicted life satisfaction together with general self-efficacy. We consider implications of the findings for future research as well as for interventions designed to prevent psychological distress and to promote effective coping among international students and in a broad range of other stress and coping contexts, such as life role transitions.
恢复性幸福的社会认知模型(Lent, 2004)关注的是人们在面对具有挑战性的生活条件后帮助稳定情绪功能的手段。我们将这个模型扩展到国际学生如何适应美国生活的研究中。在这个应用中,我们关注认知、行为、社会和特质机制的相互作用,这些机制可能有助于在变化和过渡的背景下减轻痛苦和促进幸福。参与者是233名美国高校的国际学生,他们完成了异文化压力、生活满意度、社会支持、应对生活变化的自我效能、一般自我效能以及文化适应和基于文化的应对行为的测量。结果表明,该模型与数据拟合良好。应对效能对低水平的异文化压力有很强的预测作用,而异文化压力反过来又能预测生活满意度和一般自我效能感。我们考虑了这些发现对未来研究的影响,以及旨在预防心理困扰和促进国际学生有效应对的干预措施,以及广泛的其他压力和应对环境,如生活角色转换。
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引用次数: 0
It’s Just the Fact It’s Against Us: The Role of Social Determinants of Health in Young Children’s Caregivers’ Preventive Health Behaviors 这只是对我们不利的事实:健康的社会决定因素在幼儿照顾者的预防性健康行为中的作用
Pub Date : 2022-08-01 DOI: 10.1177/26320770221095788
S. Fleary, Patrece L. Joseph, Pauline B. Dimaano, Ailish Dougherty
Persistent racial-, ethnic-, and income-related disparities in health outcomes for children suggest that there is still much to do to develop interventions that are responsive to communities’ needs. Cultural health capital, the health-related attitudes, beliefs, and behaviors needed to engage in a healthy lifestyle, is acquired throughout childhood and informs adult preventive health behaviors (PHBs). However, primary caregivers’ social determinants of health (SDH) dictate the opportunities they have for building children’s cultural health capital. Given that targeted, responsive interventions and policies to promote PHB in young children are needed, the purpose of this study was to explore how caregivers with varying SDH define preventive health and what affects their engagement in PHBs for themselves and their children. Six focus groups with primary caregivers of young children (N = 37, 89% female, mean age = ∼37.9 years old, ∼36% White) were conducted at community organizations. Data were analyzed using a deductive approach, and emergent themes were categorized by types of SDH (downstream, upstream, or both) within each focus group. Focus groups were categorized into three clusters based on participants’ SDH and access to resources: high-resource, low-income/moderate-resource, and low-income/low-resource. Caregivers’ definitions of preventive health were rooted in upstream and downstream determinants and differed by cluster. All clusters identified money and access to resources as barriers to engaging in PHBs and acknowledged that structural inequity impacted access to resources. Policies, programs, and structural change to address systemic barriers and mistrust in systems are vital to reduce disparities in health outcomes for children.
儿童健康结果中与种族、族裔和收入有关的持续差异表明,在制定符合社区需求的干预措施方面仍有许多工作要做。文化健康资本,即参与健康生活方式所需的与健康有关的态度、信仰和行为,是在整个童年时期获得的,并影响成人的预防性健康行为。然而,初级照顾者的健康社会决定因素决定了他们有机会建立儿童的文化健康资本。鉴于需要有针对性的、响应性的干预措施和政策来促进幼儿PHB,本研究的目的是探讨具有不同SDH的照顾者如何定义预防性健康,以及影响他们为自己和孩子参与PHB的因素。在社区组织中进行了6个主要照顾幼儿的焦点小组(N = 37, 89%为女性,平均年龄= ~ 37.9岁,~ 36%为白人)。使用演绎方法分析数据,并根据每个焦点组的SDH类型(下游,上游或两者)对紧急主题进行分类。根据参与者的SDH和资源获取情况,将焦点小组分为高资源组、低收入/中等资源组和低收入/低资源组。护理人员对预防性健康的定义植根于上游和下游决定因素,并因集群而异。所有集群都将资金和资源获取视为参与phb的障碍,并承认结构性不平等影响了资源获取。解决系统障碍和不信任的政策、规划和结构变革对于减少儿童健康结果的差异至关重要。
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引用次数: 0
Physical Spaces for Campus Sexual Violence Prevention: A Conceptual Model 校园性暴力预防的物理空间:一个概念模型
Pub Date : 2022-08-01 DOI: 10.1177/26320770221093641
S. McMahon, V. Banyard, N. Peterson, J. Cusano, Qiana L. Brown, Antoinette Y. Farmer
As a part of socio-ecological approaches to campus sexual violence prevention, there is a call for greater attention to the role of the environment. Despite this, physical space, an aspect of the built environment, is understudied. There is a lack of models for the ways physical space can help facilitate prevention efforts on campus. Disciplines such as criminology have put forth theories such as crime prevention through environmental design, which offer a foundation for application to college campuses but which require modification. The current model draws from reviews of research, theory, and critiques of work on the prevention and the physical environment to present a strengths-centered, social justice–based model for campuses to incorporate the consideration of physical spaces into sexual violence prevention planning.
作为预防校园性暴力的社会生态学方法的一部分,人们呼吁更多地关注环境的作用。尽管如此,作为建筑环境的一个方面,物理空间还没有得到充分的研究。缺乏物理空间帮助促进校园预防工作的模式。犯罪学等学科提出了通过环境设计预防犯罪等理论,这些理论为大学校园应用提供了基础,但需要修改。目前的模式借鉴了研究、理论和对预防和物理环境工作的批评,为校园提供了一个以优势为中心、以社会正义为基础的模式,将物理空间的考虑纳入性暴力预防规划。
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引用次数: 0
“I’m Not Alone”: A Group Intervention for Grieving Children “我并不孤单”:对悲伤儿童的群体干预
Pub Date : 2022-08-01 DOI: 10.1177/26320770221098730
Karen M. O’Brien, Gilly Cannon, Allison K. Stearns, Carol Walsh, E. Hill
Grieving children are at risk for negative outcomes (American Academy of Child and Adolescent Psychiatry, 2020). This study described a collaboration between a community agency and a large school district to create and implement groups for grieving children. A preliminary evaluation of the effectiveness of these groups was conducted. Quantitative and qualitative data from 318 students, 59 group facilitators, and 59 school counselors indicated that the grief group was a promising intervention for diverse students with regard to enhancing awareness about grief, reducing isolation, providing a place to share feelings, and learning coping strategies after the death of a significant person. This research may inform the development, implementation, and evaluation of other important interventions established through community partnerships to prevent negative outcomes associated with unattended grief in childhood.
悲伤的儿童面临负面结果的风险(美国儿童和青少年精神病学学会,2020年)。本研究描述了一个社区机构和一个大型学区之间的合作,为悲伤的孩子创建和实施小组。对这些组的有效性进行了初步评估。来自318名学生、59名小组辅导员和59名学校辅导员的定量和定性数据表明,在提高对悲伤的认识、减少孤立、提供分享感受的地方和学习重要人物去世后的应对策略方面,悲伤小组是一种有希望的干预措施。本研究可以为通过社区伙伴关系建立的其他重要干预措施的发展、实施和评估提供信息,以防止与童年无人照料的悲伤相关的负面结果。
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引用次数: 0
Who Do We Model? A Brief Report Comparing Different Sources of Normative Influence on Adolescent Bystander Intervention 我们为谁建模?比较不同来源对青少年旁观者干预的规范性影响
Pub Date : 2022-08-01 DOI: 10.1177/26320770221096764
A. Rizzo, Carrie K. W. Li, V. Banyard, Katie M. Edwards
Adolescence is a critical period of development in which various socializing relationships can play an important role in shaping behavior. This study examined adolescents’ bystander helping in relation to their perceived norms supporting intervention in dating and sexual violence situations across four different norm-referent groups. Survey questions asked about students’ bystander behavior and perceptions of bystander norms based on whether the norm was endorsed by friends, parents, teachers, and people in town. Paper-and-pencil surveys were completed during the school day by high school students (N = 609) in three different towns in northern New England. We used multinomial logistic regression to compare the impact of different norms on bystander behavior. Friend- and parent-referent bystander norms were both individually associated with increased helping behaviors. Multivariate analysis found only friend-referent norms were significantly related to more frequent helping behaviors. The implications of these results can inform norms-based prevention programs for adolescents.
青春期是一个发展的关键时期,在这个时期,各种社会关系在塑造行为方面发挥着重要作用。本研究调查了四个不同的规范参照群体中青少年的旁观者帮助与他们在约会和性暴力情况下的感知规范支持干预的关系。调查问题询问了学生的旁观者行为和旁观者规范的看法,这些规范是否得到了朋友、父母、老师和镇上的人的认可。在新英格兰北部三个不同城镇的高中生(N = 609)在上学期间完成了纸笔调查。我们使用多项逻辑回归来比较不同规范对旁观者行为的影响。朋友和父母参照的旁观者规范都与帮助行为的增加有关。多变量分析发现,只有朋友参照规范与更频繁的帮助行为显著相关。这些结果的含义可以为基于规范的青少年预防方案提供信息。
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引用次数: 0
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Journal of prevention and health promotion
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