Margarida Ferreira, Maria Manuela Calheiros, Carla Sofia Silva, Eunice Magalhães
{"title":"Out of sight is not out of mind: Associations between perceived maternal attachment and self-representations of youth in residential care moderated by sex and age.","authors":"Margarida Ferreira, Maria Manuela Calheiros, Carla Sofia Silva, Eunice Magalhães","doi":"10.1037/ort0000780","DOIUrl":"https://doi.org/10.1037/ort0000780","url":null,"abstract":"<p><p>The present study aimed to explore the associations between perceived maternal attachment and self-representations of youth in residential care (RC), considering the potential moderator role of youth's sex and age and the potential concurrent effect of frequency and type of family visits and length of time in RC. To this end, a sample of 659 youth aged 11-18 (<i>M</i> = 15.65, <i>SD</i> = 1.72) from RC settings filled out self-report questionnaires to evaluate their perceptions of maternal attachment and self-representations. Results indicated that lower perceived maternal attachment was associated with higher levels of global negative self-representations. Moreover, compared to young men, young women with lower levels of perceived maternal attachment perceived themselves as having more negative self-representations. No moderating effects of age were found. This study contributes to the literature in the field of RC with evidence regarding the association of perceived maternal attachment with self-representations and the moderating role of youth's sex, which informs the development of interventions with this vulnerable population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301776","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}
Rheeda L Walker, Mary O Odafe, Judy H Hong, Rebecca D Jewell, Iliana M Gonzalez
{"title":"Burdensomeness, acculturative stress, and suicide ideation among second-generation Asian American and Latinx university students.","authors":"Rheeda L Walker, Mary O Odafe, Judy H Hong, Rebecca D Jewell, Iliana M Gonzalez","doi":"10.1037/ort0000779","DOIUrl":"https://doi.org/10.1037/ort0000779","url":null,"abstract":"<p><p>Second-generation persons experience unique interpersonal stressors that contribute to overall risk for suicide. However, studies to date have yet to examine complex associations for interpersonal risks and suicide ideation in this growing population. Consistent with the interpersonal theory of suicide, the purpose of this study was to examine the potential moderating effects of acculturative stress (familial and general) in the association of perceived burdensomeness and suicide ideation among second-generation Asian American and Latinx young adults. Second-generation Asian American (<i>n</i> = 146) and Latinx (<i>n</i> = 139) university students completed self-measures of perceived burdensomeness, acculturative stress, suicide ideation, and depressive symptoms. Regression analyses revealed that the association for perceived burden and suicide ideation was most robust at higher levels of familial acculturative stress for Asian American study participants. Other models demonstrated likely clinical significance but did not reach statistical significance. In one example, perceived burdensomeness was associated with suicide ideation for second-generation Latinx study participants but, unexpectedly, at low (not high) levels of familial acculturative stress. General acculturative stress was not associated with suicide ideation for Asian American or Latinx university students in multivariate models. The current findings provide insight into interpersonal and contextual factors that contribute to suicide ideation for vulnerable second-generation Asian American and Latinx young adults. Further research is needed to assess shame, parental acculturative stress, and potential buffers such as peer support in risk/resilience models. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301773","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 lived experience of parents of children with disabilities as service users: A transformative learning theory perspective.","authors":"Menny Malka, Maayan Fine","doi":"10.1037/ort0000783","DOIUrl":"10.1037/ort0000783","url":null,"abstract":"<p><p>The study sought to examine the content and processes that characterize the lived experiences of parents of children with disabilities as service users. The study employed a qualitative approach, utilizing the photovoice methodology to explore formative experiences derived from participants' lived experiences. A total of 24 participants were interviewed; 19 were parents of children with autism and five were parents of children with other disabilities. The database was analyzed by content analysis. Four central themes were identified: (1) interactions with services and their representatives; (2) challenges embodied in the parents' lived experiences as service users; (3) translation into action: expanding the parental role; and (4) policy changing. Research findings emphasize the fact that as the child's primary caregiver, parents of children with disabilities should be treated as primary service users themselves. Services providing care and support for children with disabilities should consider parents' lived experience-based knowledge when designing and planning services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301779","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":"https://doi.org/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) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-19","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}
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
{"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":"https://doi.org/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) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professional quality of life among Israeli social workers in hospitals and a health maintenance organization (HMO) during the COVID-19 pandemic.","authors":"Shiri Shinan-Altman,Hadas Rosenne,Wendy Chen,Hanna Kaofer,Sagit Zeevi,Ran Nir-Paz,Shir Daphna-Tekoah,Nurit Guttman,Miriam Schiff","doi":"10.1037/ort0000798","DOIUrl":"https://doi.org/10.1037/ort0000798","url":null,"abstract":"We examined differences between social workers in hospitals versus social workers in community health services regarding levels of professional quality of life (ProQoL), proximity to COVID-19, resilience, perceived social support, and preparedness for the next pandemic during waves 3-5 of the COVID-19 pandemic in Israel (December 2020-December 2021, the main COVID-19 variants were Alpha and Delta). We also examined the moderating role of resilience, social support, preparedness for the next pandemic, and health care service type in the association between proximity to COVID-19 and ProQoL. Participants were 163 social workers from four hospitals and 98 social workers from a major health maintenance organization in the community. Social workers in both settings revealed moderate-high levels of compassion satisfaction and moderate levels of burnout and secondary traumatic stress. The study's model indicated that after controlling for the effects of the covariates, higher levels of self-reported-resilience and greater perceived organizational support were associated with higher compassion satisfaction and lower burnout and secondary traumatic stress. Furthermore, a stronger sense of preparedness for the next pandemic was related to lower levels of burnout. The model indicated that the effects of organizational support, informal social support, and preparedness on compassion satisfaction were dependent on the study group (i.e., working in hospital or community settings). Findings indicate that intervention programs should be implemented to help increase compassion satisfaction and prevent/reduce burnout and secondary traumatic stress among social workers in health care settings during health care crises. Enhancing resilience and preparedness should focus not only on the social workers as individuals but also on the institutions for which they work. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"4 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209846","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}
Immaculada Tineo,Fran Calvo,Josefina Andrea Núñez-Sahr,Amaia Garrido-Albaina,Montse Bartroli-Checa,Noelia Girona,María Gabriela Barbaglia
{"title":"What are the reasons for injected methadone use? A qualitative study of people who use drugs parenterally in Barcelona.","authors":"Immaculada Tineo,Fran Calvo,Josefina Andrea Núñez-Sahr,Amaia Garrido-Albaina,Montse Bartroli-Checa,Noelia Girona,María Gabriela Barbaglia","doi":"10.1037/ort0000795","DOIUrl":"https://doi.org/10.1037/ort0000795","url":null,"abstract":"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).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"47 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209679","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":"Losing a child with a severe developmental intellectual disability: Israeli mothers' accounts.","authors":"Michal Mahat-Shamir,Shani Huri-Rotman","doi":"10.1037/ort0000790","DOIUrl":"https://doi.org/10.1037/ort0000790","url":null,"abstract":"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).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"58 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209847","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 drive for muscularity and disordered eating among heterosexual and sexual minority men in Israel.","authors":"Zohar Spivak-Lavi,Ateret Gewirtz-Meydan","doi":"10.1037/ort0000799","DOIUrl":"https://doi.org/10.1037/ort0000799","url":null,"abstract":"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).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":"43 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209845","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}
Lydia HaRim Ahn, Da Hwin Kim, Yeeun Kim, Selin Saka, Gabrielle Balek
{"title":"Maintenance of heritage culture, internalized racism, and family conflict on self-esteem among Asian Americans.","authors":"Lydia HaRim Ahn, Da Hwin Kim, Yeeun Kim, Selin Saka, Gabrielle Balek","doi":"10.1037/ort0000794","DOIUrl":"https://doi.org/10.1037/ort0000794","url":null,"abstract":"<p><p>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 (<i>M</i><sub>age</sub> = 19.60, <i>SD</i> = 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).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141790","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}