American Journal of Orthopsychiatry最新文献_第10页

Evaluating skills for psychological recovery with gunshot injury survivors in a hospital-based early intervention program. 在医院早期干预计划中评估枪伤幸存者的心理康复技能。

IF 3.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2023-11-02 DOI: 10.1037/ort0000710

Joah L Williams, Erin P Hambrick, Vivian L Gleason, Madeleine M Hardt, Aisling V Henschel, Salomé A Wilfred, Elizabeth J Wilson, Sally Stratmann, Jasmine R Jamison-Petr, Michael Moncure

{"title":"Evaluating skills for psychological recovery with gunshot injury survivors in a hospital-based early intervention program.","authors":"Joah L Williams, Erin P Hambrick, Vivian L Gleason, Madeleine M Hardt, Aisling V Henschel, Salomé A Wilfred, Elizabeth J Wilson, Sally Stratmann, Jasmine R Jamison-Petr, Michael Moncure","doi":"10.1037/ort0000710","DOIUrl":"10.1037/ort0000710","url":null,"abstract":"Gun violence is a serious public health problem that places surviving victims at increased risk for a variety of mental health problems, including posttraumatic stress disorder (PTSD) and depression. Recognizing that many gunshot injury survivors lack access to mental health care in the early aftermath of a shooting, there has been growing interest in the use of early, preventive mental health interventions to help prevent long-term mental health complications like PTSD as part of routine care for survivors in acute medical settings, where initial outreach to survivors may be more successful. This study evaluates clinical outcomes associated with one such early intervention-Skills for Psychological Recovery (SPR)-provided to gunshot injury survivors as part of a hospital-based early intervention program embedded in a Level 1 trauma center in the Midwestern United States. Clinic data from 100 survivors (74.0% male, 78.0% Black/African American) who received SPR were included in the present study. Results suggest that receiving SPR in the early aftermath of a shooting is associated with statistically significant reductions in both PTSD, F(1, 26.77) = 22.49, p < .001, and depression, F(1, 29.99) = 6.49, p = .016, symptoms. Outcomes did not vary as a function of either PTSD risk status or intervention delivery method (i.e., in-person, telehealth). These findings support the effectiveness and acceptability of SPR as an early intervention for gunshot injury survivors when delivered as part of a hospital-based early intervention program. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"159-168"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429454","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}

引用次数: 0

Predictors of hope among at-risk young adults in Israel during the transition to adulthood. 以色列问题青少年在向成年过渡期间的希望预测因素。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2024-02-29 DOI: 10.1037/ort0000738

Yafit Sulimani-Aidan

引用次数: 0

Effects of the COVID-19 pandemic on stress, coping, and well-being among adults with histories of child maltreatment. 新冠肺炎大流行对有虐待儿童史的成年人的压力、应对和福祉的影响。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2023-10-12 DOI: 10.1037/ort0000707

Lisa Fedina, Karen A Roberto, Xuehan Zhang, Yujeong Chang, Jasmine Love, Todd I Herrenkohl

{"title":"Effects of the COVID-19 pandemic on stress, coping, and well-being among adults with histories of child maltreatment.","authors":"Lisa Fedina, Karen A Roberto, Xuehan Zhang, Yujeong Chang, Jasmine Love, Todd I Herrenkohl","doi":"10.1037/ort0000707","DOIUrl":"10.1037/ort0000707","url":null,"abstract":"A number of studies now confirm that the COVID-19 pandemic has increased and exacerbated mental health problems in the general population. Previous quantitative studies have found similar effects on mental health symptoms among adults with histories of childhood adversity; however, qualitative research is needed to provide a more in-depth understanding of pandemic-related experiences among this vulnerable population. Using semistructured qualitative interviews, we explored perceptions of adults with histories of child maltreatment and neglect to better understand the overall impact of the pandemic on their mental health, reported changes in stress and alcohol use, and reported coping strategies during the first year of the pandemic (N = 40). Approximately half of participants reported that the pandemic had greatly (negatively) impacted their life, relationships, and well-being. Contributing stressors included being fearful of getting sick, navigating work changes, and experiencing economic and housing hardships, grief and loss, and social isolation. Fewer than half of the sample reported more stress (46%), whereas a third (33%) indicated no changes to stress, and 10% had reduced stress. The majority (80%) indicated no changes in their alcohol use. Most participants reported they used positive coping strategies during the pandemic. Three primary themes emerged related to participants' perceptions of getting through difficult times: seeking outside support, engaging in positive reframing, and drawing on internal strength and resources. Findings can guide prevention strategies that strengthen social support and foster resilience among vulnerable populations of adults with histories of childhood maltreatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"89-98"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10922049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220971","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}

引用次数: 0

"Help me to decide": A study of human rights-based supported decision making with persons with intellectual disabilities. "帮我做决定"：智障人士基于人权的辅助决策研究。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2024-03-21 DOI: 10.1037/ort0000724

Ugnė Gudelytė, Jonas Ruškus, Katherine Tyson McCrea

{"title":"\"Help me to decide\": A study of human rights-based supported decision making with persons with intellectual disabilities.","authors":"Ugnė Gudelytė, Jonas Ruškus, Katherine Tyson McCrea","doi":"10.1037/ort0000724","DOIUrl":"10.1037/ort0000724","url":null,"abstract":"Decision making is the basis for individual autonomy and societal participation. To support persons' human right to make life decisions, the model of supported decision making (SDM) has evolved and complies with Article 12 of the United Nations Convention on the Human Rights of Persons with Disabilities. Models for implementing SDM and outcomes achieved by applying SDM in community settings remain insufficiently explored. This study used a human rights perspective with participatory, qualitative research methods to investigate environmental conditions and social support measures that enabled persons with intellectual disabilities (ID) to make and implement their own decisions. Data gathered were 6 months of field notes about implementing SDM in a L'Arche day activity program with 26 adults with ID, with opinions and drawings illustrating persons' decision making. All data were analyzed thematically. As a result of using the SDM intervention, persons with ID became more expressive, able to discuss and debate options, participated in organizational and municipal decision making, and expressed \"joy\" and feeling \"more like a human.\" Staff supporters found SDM fulfilling and noticed it increased the sense of ownership persons with ID experienced in individual and group meetings. An organizational environment that respects human dignity, supports sustained relationships between persons with ID and decision supporters, individualizes SDM depending on how persons can communicate, and encourages staff self-reflection about prejudices and positionality is essential for implementing SDM with persons with ID. SDM processes shift oppressive social narratives and policies in the direction of a social, relational model of the decision-making capacities and competencies of persons with ID. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"297-310"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177922","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}

引用次数: 0

A mixed-methods study of parents' social connectedness in a group-based parenting program in low-income communities. 低收入社区基于群体的育儿计划中父母社会联系的混合方法研究。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2023-10-05 DOI: 10.1037/ort0000695

Corinne M Plesko, Zhiyuan Yu, Karin Tobin, Rebecca Richman, Deborah Gross

{"title":"A mixed-methods study of parents' social connectedness in a group-based parenting program in low-income communities.","authors":"Corinne M Plesko, Zhiyuan Yu, Karin Tobin, Rebecca Richman, Deborah Gross","doi":"10.1037/ort0000695","DOIUrl":"10.1037/ort0000695","url":null,"abstract":"Group-based parent training (PT) is an evidence-based approach for strengthening parenting skills and reducing child behavior problems. However, there has been little research on the social connectedness (SC) formed among PT participants, particularly in low-income communities where parents may be more socially isolated. This study describes SC formed among parents in a group-based PT program implemented in their children's school and its association with changes in child behavior. Using a convergent mixed-methods design, data collection occurred between 2020 and 2022. Parents (n = 97) completed measures of their SC to other parents in their PT group and their child's behavior. Qualitative interviews with a representative subsample of parents (n = 17) were also conducted to understand parents' perceptions and experiences of SC within their PT group. Parents reported high levels of SC (M = 4.45 [range = 3.04-5 on scale of 1-5]; SD = 0.4). From baseline to postintervention, the number of children with child behavior problems significantly decreased (32.12%, 37.5% behavior intensity and problems, respectively). The magnitude of decline in child behavior problems was significantly related to parents' SC (b = -11.52, p = .02, SE = 4.99). Qualitative data confirmed high levels of SC, which parents linked to improvements in their parenting and children's behavior. Themes focused on the building of connections, committing to a safe space with parents who share similar goals, supporting one another, and gaining connections within the school environment and during the COVID-19 pandemic. Results highlight the potential synergistic effects of SC formed in the context of group-based PT with implications for strengthening parenting skills and children's well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10922201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169159","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}

引用次数: 0

Marion Kenworthy and values in the history of American child psychiatry. 马里恩-肯沃西与美国儿童精神病学史上的价值观。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2024-02-29 DOI: 10.1037/ort0000727

Laura Hirshbein

引用次数: 0

Advancing behavioral health and social justice: A century of global interdisciplinary progress in psychiatric mental health nursing. 促进行为健康和社会正义：一个世纪以来全球精神心理健康护理的跨学科进步。

IF 3.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 DOI: 10.1037/ort0000775

Cynthia Taylor Handrup,Pamela Galehouse,Sally Raphel,Edilma L Yearwood

{"title":"Advancing behavioral health and social justice: A century of global interdisciplinary progress in psychiatric mental health nursing.","authors":"Cynthia Taylor Handrup,Pamela Galehouse,Sally Raphel,Edilma L Yearwood","doi":"10.1037/ort0000775","DOIUrl":"https://doi.org/10.1037/ort0000775","url":null,"abstract":"This article explores the century-long history of psychiatric nursing through the dual lens of behavioral health and social justice, emphasizing the pivotal role of psychiatric nurses in mental health. Focused on the contributions of nurse members and leaders from the American Orthopsychiatric Association (later known as the Global Alliance for Behavioral Health and Social Justice), the article will provide a comprehensive timeline that showcases the evolution of the field. It will discuss diverse aspects of psychiatric nursing, including role development, work with children and families, minority populations, integrated care, mental illness prevention, mental health promotion, community mental health, and global mental health nursing. Moreover, the article will identify and examine barriers that have historically hindered, and continue to impact, the practice of psychiatric nursing and the delivery of quality mental health care universally. The influence of culture and stigma on mental health and the profession will be discussed, shedding light on how these factors have shaped psychiatric nursing. The article will delve into the future direction of the field, emphasizing the growing importance of global mental health, integrated care, workforce development, and the continued need for interdisciplinary collaboration. Through this exploration, the article aims to offer insights into the significant progress and enduring challenges faced by psychiatric nursing, ultimately underscoring its indispensable role in advancing mental health and social justice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"21 1","pages":"403-411"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209709","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}

引用次数: 0

Eighty years of national mental health policy: Exploring the inclusion of a human rights approach. 国家心理健康政策 80 年：探索纳入人权方法。

IF 3.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 DOI: 10.1037/ort0000773

Evelyn P Tomaszewski,Laura R Lento,Surasya Guduru,Ruta Rangel,Svetlana Yampolskaya,Kriti Vashisht,Samantha X L Tan

{"title":"Eighty years of national mental health policy: Exploring the inclusion of a human rights approach.","authors":"Evelyn P Tomaszewski,Laura R Lento,Surasya Guduru,Ruta Rangel,Svetlana Yampolskaya,Kriti Vashisht,Samantha X L Tan","doi":"10.1037/ort0000773","DOIUrl":"https://doi.org/10.1037/ort0000773","url":null,"abstract":"Mental health, historically framed as the mere absence of mental health disorders, has led to unequal treatment, resulting in more persons living with mental health challenges. This limited framing of mental health, often woven into policy and practices across a broad range of governance structures, programs, and services, has led to individual and collective discrimination and structural and systemic inequities, culminating in the infringement of fundamental human rights. Using a broader framework for viewing mental health (e.g., mental health as a continuum), the authors of this article propose that a right to mental health should form the basis of mental health policy. The article also considers the impact of stigma and discrimination and the implications of social determinants of health in forwarding a rights-based approach to mental health policy. The authors conduct a trends analysis of 80 years of United States' mental health policy and reflect on how social determinants and efforts to reduce stigma and discrimination have led to measurable progress toward achieving mental health equity. The Call-to-Action highlights opportunities to further support mental health and wellness through the use of interdisciplinary policy and practice recommendations that include the framing of mental health as a human right. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"19 1","pages":"392-402"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209710","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}

引用次数: 0

Self-understanding, envisioning the future, and prevention: An appreciation and a reflection on the occasion of the 100th anniversary. 自我认识、展望未来和预防：100 周年之际的欣赏与思考。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2024-03-21 DOI: 10.1037/ort0000733

William R Beardslee

引用次数: 0

Development and initial validation of a sexual and gender minority competency-based survey for health service professionals. 针对医疗服务专业人员的性与性别少数群体能力调查的开发与初步验证。

IF 2.3 3区医学

American Journal of Orthopsychiatry Pub Date : 2024-01-01 Epub Date: 2023-05-25 DOI: 10.1037/ort0000685

Corrine N Wilsey, Robert J Cramer, Shelley C Mishoe, Frank D Golom, Linda K Bennington, Catherine F Casey, Bonnie Van Lunen

{"title":"Development and initial validation of a sexual and gender minority competency-based survey for health service professionals.","authors":"Corrine N Wilsey, Robert J Cramer, Shelley C Mishoe, Frank D Golom, Linda K Bennington, Catherine F Casey, Bonnie Van Lunen","doi":"10.1037/ort0000685","DOIUrl":"10.1037/ort0000685","url":null,"abstract":"Sexual and gender minority (SGM) individuals endure a number of health disparities, such as higher rates of violence, mental health conditions, and medical concerns. These disparities are exacerbated by the fact that SGM individuals face stigmatizing health care provider and system-related experiences. The primary purpose of this study was to quantify health service providers' SGM health competency by developing a measure, namely the Health Care Competency Assessment Form-Sexual and Gender Minority Patients (HCAF-SGM). Further, we examined correlates of SGM health competency based on leading theories of prejudice, primarily the dual process model of prejudice and social identity theory. The study comprised two phases: item development and pilot testing, followed by a primary online survey administration with several health care professionals and training organizations (N = 155). Study findings supported a one-factor HCAF-SGM score, suggesting that health care providers view their competency regarding SGM individuals in a holistic manner, without differentiating between knowledge, attitude, and skill. The measure was found to be negatively associated with right-wing authoritarianism and positively correlated with specific social identities most salient to the topic of SGM health (i.e., health care professional and SGM). The HCAF-SGM shows promise as a reliable and valid assessment of perceived provider health care competency. Implications for SGM health-related measurement, clinical supervision, and training are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"99-112"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9514615","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}

引用次数: 0