American Journal of Orthopsychiatry最新文献

{"title":"Transgenerational trauma: Perceived parental style, children's adaptational efforts, and mental health outcomes in second generation and third generation holocaust offspring in Hungary.","authors":"Vera Békés, Claire J Starrs","doi":"10.1037/ort0000758","DOIUrl":"10.1037/ort0000758","url":null,"abstract":"<p><p>The intergenerational impact of genocide has been studied in various contexts, however, the mechanisms of trauma transmission remain unclear. The present study aimed to better understand the relationship between parental trauma and offspring mental health by exploring mechanisms of trauma transmission in the children (<i>n</i> = 599) and grandchildren (<i>n</i> = 311) of Holocaust survivors (HS) in Hungary. In a cross-sectional online survey study, we used the paradigm developed by Danieli, Norris, Lindert, Paisner, Engdahl, et al. (2015) and Danieli, Norris, Lindert, Paisner, Kronenberg, et al. (2015) to assess HS parental styles (i.e., parenting impacted by efforts to cope with past traumatic experiences), as reported by offspring participants, as well as participants' reported level of adaptational impact, that is, their efforts to cope and adapt, and current mental health symptoms posttraumatic stress disorder (PTSD, complex PTSD [C-PTSD], anxiety, depression). We found differences in parental styles reported by generation; however, the mechanism of how it impacted offspring mental health was similar. Mediation analyses showed that more intense parental styles were associated with higher adaptational impact, which, in turn, was related to more mental health symptoms, in both generations. This is the first study to apply the Danieli paradigm in a third-generation sample and the first to assess the psychological impact of the Holocaust in an Eastern European country (Hungary), using systematic quantitative assessment. Our findings highlight the Holocaust's continued impact on the third generation, and the importance of raising awareness of the impact of collective traumas through educational programs, enhancing culturally sensitive and transgenerational trauma-informed mental health services, and fostering tolerance and diversity in public policy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"12-22"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What helped the helpers? Health care social workers' phenomenological perspective regarding coping resources in the contexts of shared traumatic reality.","authors":"Einav Azut-Mazor, Menny Malka","doi":"10.1037/ort0000797","DOIUrl":"10.1037/ort0000797","url":null,"abstract":"<p><p>Coping resources are a vital component for health care social workers (HCSWs), considering the challenges embodied in their work routine. However, when it comes to times of national-global crisis, the issue of coping resources becomes both urgent and unique because it is a context of shared traumatic reality. In such situations, both the professional and the service users simultaneously face the same existential threat. Therefore, the present study used the interpretive phenomenological approach to examine coping resources as defined by 15 HCSWs regarding the role they played during the COVID-19 crisis. The participants completed semistructured, qualitative interviews in which they shared their knowledge about coping resources in the professional and personal-family dimensions. Four themes and nine subthemes related to coping resources emerged: (a) <i>professional vitality</i>, which is described through the subthemes of \"sacred\" work and being part of an elite unit; (b) <i>team cohesion</i>, manifested through the subthemes of team support and management support; (c) self-care, in which the subthemes of self-listening, internalized values, and rites of passage are expressed; and (d) <i>family support</i>, described through the subthemes of independence/stability, as well as pride. These findings highlight the ways in which coping resources helped the HCSWs contain and manage the home-work conflict, which takes on a critical meaning during times of national-global crisis. Therefore, HCSWs and the organizations that employ them need to recognize and institutionalize the various manifestations of these coping resources, some of which have been described as based on spontaneity. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"381-395"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of racial bias and pathways to self-harm outcomes for Mexican-descent college students during the COVID-19 pandemic.","authors":"Natalia Jaramillo, Gisel Suarez Bonilla, Brandy Piña-Watson, Gabriela Manzo, Aundrea Garcia, Maria Sanchez, Jocelyn I Meza","doi":"10.1037/ort0000776","DOIUrl":"10.1037/ort0000776","url":null,"abstract":"<p><p>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 (<i>N</i> = 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, <i>SE</i> = .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) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"166-175"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interconnectedness of mindfulness facets and their impact on mental health outcomes in Asian American and European American college students: A network approach.","authors":"Duckhyun Jo, Michael C Pan","doi":"10.1037/ort0000809","DOIUrl":"10.1037/ort0000809","url":null,"abstract":"<p><p>Despite extensive research supporting the effectiveness of mindfulness-based interventions, the understanding of the dynamic connections between various mindfulness facets, particularly across diverse cultures, remained limited. This study aimed to investigate the networks among mindfulness aspects across different cultural backgrounds and their individual associations with mental health and well-being. Using the data collected from 710 undergraduate students in Hawaii (445 Asian Americans, 265 European Americans), we constructed sparse networks for each group to investigate their centrality index. To compare the overall structures of these networks, we utilized permutation-based tests. In addition, we used relative weight analysis to evaluate the distinct contributions of each mindfulness facet to positive and negative mental health outcomes. The results indicated similar trends in both racial groups, emphasizing the importance of specific mindfulness aspects like describing and acting with awareness within the mindfulness construct. However, notable variations were observed, particularly in how observing and nonjudging facets related among Asian Americans. In addition, acting with awareness and nonjudging showed substantial inverse associations with negative mental health outcomes across groups, whereas the observing aspect displayed positive connections with anxiety and stress among Asian Americans. The findings suggest which aspects are fundamental to mindfulness, aiding in a nuanced understanding of the construct. They also emphasize the importance of acknowledging cultural diversity in both mindfulness research and its clinical applications. Practical implications and directions for future research were discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"549-560"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenging the use of the overall adverse childhood experiences (ACEs) score: Comparing total ACEs, maltreatment, and household dysfunction on mental health problems among White, African American, and Native American women under correctional control.","authors":"Michael Fitzgerald, Alex Bishop","doi":"10.1037/ort0000784","DOIUrl":"10.1037/ort0000784","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) have been consistently linked to mental health problems. There have been recent conceptual and empirical critiques that suggest maltreatment and household dysfunction to not be combined to create a composite ACE score. Women in correctional custody demonstrate disproportionately high ACE levels and greater mental health problems as to racial minorities. The present study compared the effects of varying operationalizations of the ACEs measure on women's mental health stratified across race using a sample of White, African American, and Native American women in correctional custody in Oklahoma. The cross-sectional study administered a paper-and-pencil survey to 494 women. Structural equation modeling was used to test hypotheses. Maltreatment was a significant predictor of women's mental health across all racial groups but demonstrated the strongest effect among African American inmates. Household dysfunction was not a significant predictor of mental health for any racial group. When comparing the maltreatment-only model to the maltreatment and household dysfunction model, and the overall ACE score model, there was little explained variance lost. These findings indicate that maltreatment demonstrates unique associations with women's mental health and may be the driving force behind the relationship between ACEs and adult mental health among women within correctional custody. Researchers are advised to not use the overall ACE score and instead break down the measure into the maltreatment and household dysfunction subscales. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"335-347"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Something lost, something gained: The trade-offs of Puerto Rican Hurricane Maria migrants.","authors":"María Fernanda García, James C Hodges, Beatriz Costas-Rodríguez, Mildred Maldonado-Molina, Seth J Schwartz, Maria F Pineros-Leano, Melissa M Bates, Ivonne Calderon, Megan M Taylor, José Rodriguez, Eric C Brown, Christopher P Salas-Wright","doi":"10.1037/ort0000782","DOIUrl":"10.1037/ort0000782","url":null,"abstract":"<p><p>In the aftermath of Hurricane María's devastating impact on Puerto Rico in September 2017, a wave of migration to the continental United States followed. Despite Puerto Rico's territorial association with the United States, its distinct culture and language often render its migrants as cultural minorities who are often treated as foreigners. Prior research has indicated that natural disasters can have a profound effect on the family unit, so examining the experiences of displacement and resettlement of Puerto Rican parents can shed light on the challenges faced by these families. Using cultural stress theory and psychological sense of community as guiding frameworks, this qualitative study aimed to explore the experience of Puerto Rican parents displaced to the United States following Hurricane María. A total of 42 Puerto Rican Hurricane María migrant parents agreed to participate in semistructured interviews. Our findings illuminate a <i>trade-off</i> in the lives of Puerto Rican migrants: As they departed their homeland, they exchanged social connections, support networks, and the vibrant social fabric of Puerto Rico for the promise of economic stability, reduced crime, and enhanced prospects for themselves and their children in the United States. This study represents a crucial contribution to the understanding of Puerto Ricans who have embarked on the challenging journey of relocating in the aftermath of Hurricane María. It underscores how they grapple with the multifaceted challenges and benefits inherent in their roles as cross-cultural climate migrants, transitioning from the predominantly Spanish-speaking, Latin American context of Puerto Rico to the diverse landscape of the United States. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"247-259"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic discrimination, cultural identification, and well-being among undocumented Hispanic immigrants in the United States: A test of the rejection-identification model.","authors":"Lawrence G Watkins, Cory L Cobb, Seth J Schwartz, Maria Duque, Pablo Montero-Zamora, Aigerim Alpysbekova, Sara Romero, Beyhan Ertanir, Charles R Martinez","doi":"10.1037/ort0000810","DOIUrl":"10.1037/ort0000810","url":null,"abstract":"<p><p>This study aimed to examine the rejection-identification model (RIM) within a community sample of undocumented Hispanic immigrants in the United States, a unique and vulnerable population who face distinct legal and sociopolitical challenges. The RIM posits that ethnic discrimination is associated with increased identification with one's ethnic group, which, in turn, is positively associated with well-being. Data were collected from a community sample of 140 undocumented Hispanic immigrants living in the South-Central United States during the height of the 2015 Trump presidential campaign. Path analysis was employed to examine direct and indirect effects of perceived ethnic discrimination vis-à-vis ethnic identity, U.S. identity, and two forms of well-being (life satisfaction and flourishing). Age (<i>M</i> = 34.83), gender (50% men), and time spent in the United States were included as covariates. Higher ethnic discrimination was associated with lower U.S. and ethnic identity. Both ethnic and U.S. identity were positively associated with flourishing, whereas only U.S. identity was positively associated with life satisfaction. We also found a significant indirect effect of ethnic identity in the relationship between ethnic discrimination and flourishing. Findings are inconsistent with the RIM, as ethnic discrimination was negatively rather than positively associated with ethnic group identification. Undocumented Hispanic immigrants are a vulnerable population who may experience dual disidentification from both U.S. and ethnic cultural streams when perceiving ethnic discrimination during adverse sociopolitical periods. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"561-573"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Right Now/Qué Hacer Ahora: Findings from an evaluation of a national mental health and coping campaign amidst the COVID-19 pandemic.","authors":"Amelia Burke-Garcia, Jennifer Berktold, Lucy Rabinowitz Bailey, Laura Wagstaff, Craig W Thomas, Cynthia Crick, Elizabeth W Mitchell, Jorge M Vallery Verlenden, Richard W Puddy, Melissa C Mercado, Allison Friedman, Katherine Bruss, Kanru Xia, Jared Sawyer, Miao Feng, Ashani Johnson-Turbes, Rachel Van Vleet, Dasha Afanaseva, Xiaoquan Zhao, Pierce Nelson","doi":"10.1037/ort0000793","DOIUrl":"10.1037/ort0000793","url":null,"abstract":"<p><p>Beyond its physical health impact, the COVID-19 pandemic also resulted in grief from loss of loved ones, isolation due to social distancing, stress, fear, and economic distress-all of which impacted mental health. <i>How Right Now/Qué Hacer Ahora</i> (HRN) is an award-winning, national campaign that provides emotional support to people disproportionately affected by COVID-19. We conducted a theory-based, culturally responsive evaluation to assess the campaign's effect on coping behaviors and resiliency between summer 2020 and spring 2021. We surveyed HRN's priority audiences (older adults/caregivers and those with preexisting health conditions, experiencing violence, or economic distress) in English and Spanish using NORC's national probability panel, AmeriSpeak, over three waves. We also analyzed social media data and monitored HRN website traffic and triangulated these data to understand the campaign's full impact. Campaign exposure was associated with people who were experiencing higher levels of stress and were more likely to seek information to support their emotional well-being. Campaign exposure was also positively associated with increased feelings of resilience and confidence in using coping strategies, especially for people experiencing violence or economic distress and people from racial and ethnic groups. Findings demonstrate the campaign's success in reaching its intended audiences with the mental health support they needed. Additionally, the HRN evaluation's design illustrates how the use of multiple data sources can elucidate a deeper understanding of campaign impact. Findings underscore that culturally responsive health communication interventions-like HRN-can provide needed mental health support and resources to disproportionately affected communities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"472-482"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role expectations among mentors for care leavers: Focusing on hope, closeness, and coping strategies.","authors":"Yafit Sulimani-Aidan, Nitzan Ben Eliyahu, Talia Schwartz-Tayri","doi":"10.1037/ort0000818","DOIUrl":"https://doi.org/10.1037/ort0000818","url":null,"abstract":"<p><p>The goal of the present study was to examine the role expectations of mentors for care leavers and the factors associated with these expectations-namely, hope, coping strategies, and anticipated closeness with the mentee. The sample included 133 mentors at the beginning of the mentoring relationship. The findings showed that mentors who exhibited higher levels of hope and utilized problem-focused coping strategies were significantly more likely to have task-oriented role expectations. Additionally, the mediation analysis revealed that problem-focused coping served as a mediator, explaining the link between mentors' levels of hope and their task-oriented role expectations. We address the study's findings as they pertain to Snyder's (2002) hope theory and Lazarus and Folkman's (1984) transactional model of stress and coping. Implications for practice include emphasizing the importance of having mentors discuss their initial expectations of the mentoring relationship. In addition, mentoring programs should foster hope among mentors and assess their coping strategies at the outset of the mentor-mentee relationship in order to identify well-suited pairings of mentors-mentees. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of sexual violence among racial minority college men.","authors":"Jonathan D Wolff, Pratyusha Tummala-Narra, Pooja Aradhya, Aisling Hegarty, Nina Shen, Chloe Tanega","doi":"10.1037/ort0000814","DOIUrl":"https://doi.org/10.1037/ort0000814","url":null,"abstract":"<p><p>Sexual violence (SV) against college men is a significant national public health concern. Yet, there is a dearth of research pertaining to this problem, particularly with respect to SV experiences faced by racial minority college men (RMCM). The present study aimed to address extant research gaps by investigating how sociocultural socialization and discrimination (e.g., racial, ethnic, gender, and intersectional) may influence RMCM's experiences of and responses to SV. Twelve RMCM whose ages ranged from 19 to 23 (<i>M</i> = 20.5) participated in semistructured interviews on sex and SV socialization, discrimination and SV experiences, and coping, disclosure, and help-seeking. Interview data were analyzed using conventional content analysis, and multiple themes emerged under the following domains: (a) socialization experiences related to sex and SV, (b) psychological impact of SV, and (c) disclosure and coping experiences. The findings indicate that familial and societal messages and discrimination highly influence SV experiences, conceptualizations, and coping. The findings have important implications for culturally informed research and practice with racial minority men SV survivors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}