{"title":"Long-term effects of the school context on depressive symptoms among Asian Americans.","authors":"So-Young Park, Yeddi Park, Jungup Lee","doi":"10.1037/ort0000753","DOIUrl":"https://doi.org/10.1037/ort0000753","url":null,"abstract":"<p><p>Despite the importance of the school environment for mental health outcomes, there is little research on how the school context during adolescence may impact depressive symptoms among Asian Americans (AAs) over time. The purpose of this study was to investigate (a) the long-term effects of perceived prejudice from peers and teachers on school belonging and depressive symptoms in adolescence, early young adulthood, and young adulthood among AAs and (b) the mediating effects of school belonging and two early depressive symptoms on the associations between perceived prejudice from peers and teachers and young adulthood depressive symptoms. The data came from the National Longitudinal Study on Adolescent Health. The present study used a subsample of 689 AAs who completed interviews during adolescence, young adulthood, and adulthood. The major data analysis strategy was structural equation modeling. The structural equation modeling results indicated that the major path coefficients from school context to depressive symptoms at the three time points for AAs were statistically significant, except for the path from adolescent depressive symptoms to young adulthood depressive symptoms. There were three significant mediating effects of school belonging and two early depressive symptoms on the association between perceived prejudice from teachers and young adulthood depressive symptoms in AAs. The results emphasize the importance of identifying school contextual risk factors leading to mental health disparities and developing culturally appropriate intervention strategies for AAs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263652","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":"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":"https://doi.org/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) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-06","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}
Caitlin I Laughney, Yong Gun Lee, Emily Allen Paine, Elwin Wu
{"title":"Posttraumatic stress disorder mediating associations between child sexual abuse and substance use among transgender adults in the United States.","authors":"Caitlin I Laughney, Yong Gun Lee, Emily Allen Paine, Elwin Wu","doi":"10.1037/ort0000761","DOIUrl":"https://doi.org/10.1037/ort0000761","url":null,"abstract":"<p><p>Transgender people experience an excess burden of child sexual abuse (CSA), mental health concerns, and substance use compared to cisgender populations. Posttraumatic stress disorder (PTSD) has been found to mediate the association between CSA and substance use behaviors in cisgender populations, but this dynamic has not been previously examined among transgender adults. The aim of this study is to test if PTSD may mediate a relationship between CSA and substance use among transgender adults. Data were analyzed from the U.S. Transgender Population Health Survey (2016-2018), a national probability sample of transgender adults (<i>N</i> = 274). CSA was measured using the Adverse Childhood Experiences subsection for sexual abuse. Past-month PTSD was measured using the Primary Care-PTSD <i>Diagnostic and Statistical Manual of Mental Disorders, fourth edition</i> screening tool. Substance use was determined by lifetime binge drinking, polydrug use, and the Drug Use Disorders Identification Test. Baron and Kenny's approach was used to assess PTSD as a mediator between CSA and substance use. Within our sample, nearly half (45%) of the transgender adults experienced CSA. Lifetime binge drinking (40%), polydrug use (20%), and indications of drug-use-related problems (Drug Use Disorders Identification Test x¯ = 4.52) were frequently reported. Transgender adults who have experienced CSA had increased risk of PTSD and substance use, and PTSD was a mediator in all models. Results suggest that adult transgender CSA survivors are at increased risk of drug and alcohol use, and that PTSD may be an important contextual factor for substance use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200530","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":"Truth, racial healing, and transforming systems of racism.","authors":"Gail C Christopher","doi":"10.1037/ort0000765","DOIUrl":"https://doi.org/10.1037/ort0000765","url":null,"abstract":"<p><p>This article stemmed from an acceptance speech for the Global Alliances' 2022 Presidential Award made by Dr. Gail Christopher and her daughter, Heather McGhee. Heather McGhee is a New York Times best-selling author of the book <i>The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together</i>. The history, transformative impact, and importance of the truth, racial healing, and transformation movement in exposing and eradicating the fallacy of a hierarchy of human value are outlined. Dr. Christopher shares insights into the past and provides hope for the future through her Rx Racial Healing model for authentic storytelling and changes in perspective. The article also discusses the momentum of public health jurisdictions declaring racism as a public health crisis and presents a resource, Healing Through Policy: Creating Pathways to Racial Justice, that has been developed to assist jurisdictions in related work. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200622","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}
Jessica R Goodkind, Julia Meredith Hess, Cirila Estela Vasquez Guzman, Alexandra Hernandez-Vallant
{"title":"From multilevel to trans-level interventions: A critical next step for creating sustainable social change to improve mental health.","authors":"Jessica R Goodkind, Julia Meredith Hess, Cirila Estela Vasquez Guzman, Alexandra Hernandez-Vallant","doi":"10.1037/ort0000754","DOIUrl":"https://doi.org/10.1037/ort0000754","url":null,"abstract":"<p><p>Eliminating mental health disparities requires simultaneously addressing numerous determinants of health, including social inequities. Although emphasis on multilevel change is growing, interventions typically involve separate efforts or people focusing on each level. We propose a <i>trans-level</i> conceptual model for mental health intervention that simultaneously facilitates change across multiple intersecting levels with four guiding principles: (1) emphasis on structural change; (2) involvement of people experiencing health and social inequities in achieving structural change by addressing the necessary preconditions of access to resources for basic needs, community membership and belonging, and knowledge or information to participate in social change efforts; (3) valuing and building on the expertise and strengths of individuals, families, and communities experiencing health inequities; and (4) dismantling unequal power dynamics of helping relationships through a focus on mutual learning and support and cocreation of change. Tracing the trajectory of a 23-year community-based mental health intervention partnership (the Refugee and Immigrant Well-Being Project), we illustrate the trans-level intervention model and describe its impact on individual mental health and sustainable change at multiple levels. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082943","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":"\"It's probably an addiction-It can't be anything else\": The role of addiction discourse in the self-identity of men who pay for sex.","authors":"Ayelet Prior, Einat Peled","doi":"10.1037/ort0000760","DOIUrl":"https://doi.org/10.1037/ort0000760","url":null,"abstract":"<p><p>This study is about the role of the addiction discourse in the self-identity of Israeli men who pay women for sex (MPWS). Using the theoretical framework of <i>symbolic interaction,</i> we identified two main contradictory themes regarding the role of the addict identity in the self-narratives of the participants: one presenting the addict identity as contributing to the participants' positive self-perception and the second as challenging it. Within a social context that often portrays MPWS as perpetrators and abusers, the addiction discourse was a useful source in helping the participants negotiate the dilemma of how to engage in \"deviant\" acts and still appear to be decent men. While not dismissing the reality of addiction or the distress experienced by some of the participants, we suggest that being \"sick\" and \"having no control over one's actions\" might be considered by some MPWS as preferable explanations to being an outlaw, or villain. However, the inconclusive nature of the sex addiction discourse intimidated some of the participants' self-identity, thus stressing the need for a clear definition and further theorization of sex addiction, particularly in the context of sex for pay. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082942","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}
Valerie V Salcido, Puja Patel, Casandra J Gomez Alvarado, N Keita Christophe, Gabriela L Stein
{"title":"Understanding how Latinx youth cope with discrimination: A call to action.","authors":"Valerie V Salcido, Puja Patel, Casandra J Gomez Alvarado, N Keita Christophe, Gabriela L Stein","doi":"10.1037/ort0000731","DOIUrl":"https://doi.org/10.1037/ort0000731","url":null,"abstract":"<p><p>Racial-ethnic discrimination leads to poorer academic and mental health outcomes for Latinx youth. Although there is a growing literature on the resilience processes that shield Latinx youth from the negative ramifications of these experiences, there is limited work that specifically considers the coping behaviors and processes that youth enact to counter the harmful impact of racial-ethnic discrimination. This limited work is further hampered by a lack of measurement tools that account for the uniqueness of racial-ethnic discrimination as a stressor and the culturally relevant coping strategies endemic to Latinx populations. This article reviews the mixed findings among studies that have examined discrimination, coping strategies, and Latinx youth outcomes. Furthermore, the pressing need for a new measure that would better capture the nuanced manner in which Latinx adolescents cope with racism-related stress is outlined. This work concludes with methodological considerations as well as recommendations for the field's study of coping with the insidious impact of racism-related stress among Latinx adolescents. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082944","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":"Supplemental Material for Transgenerational Trauma: Perceived Parental Style, Children’s Adaptational Efforts, and Mental Health Outcomes in Second Generation and Third Generation Holocaust Offspring in Hungary","authors":"","doi":"10.1037/ort0000758.supp","DOIUrl":"https://doi.org/10.1037/ort0000758.supp","url":null,"abstract":"","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140971604","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":"Ethnocultural disparities in loneliness among women in Israel: A population-based study.","authors":"Tehila Refaeli, Netta Achdut","doi":"10.1037/ort0000755","DOIUrl":"https://doi.org/10.1037/ort0000755","url":null,"abstract":"<p><p>Loneliness was predicted for women in three ethnocultural groups in Israel: native Jews, Israeli Arabs, and Former Soviet Union (FSU) immigrants. The study was based on Lund et al.'s (2018) conceptualization of social determinant domains of mental health disorders, as in the United Nations Sustainable Development Goals. Social determinants were demographic, economic, social-cultural, and neighborhood factors. We examined whether ethnocultural disparities in loneliness persist when controlling for social determinants in these four domains or whether ethnic disparities are related to other forms of inequality among the three study groups, as reflected in these four domains. Next, we explored associations between the co-occurrence of key social determinants with loneliness. We used cross-sectional representative data of working-age women from the Israeli Social Survey (<i>N</i> = 5,600). Hierarchical logistic regression analyses indicated a higher risk for loneliness among FSU immigrants and Israeli Arabs than among native Jews. Economic risk factors significantly increased the risk of loneliness. Social and cultural factors decreased the risk of loneliness, while discrimination increased it. Improved neighborhood conditions decreased the risk of loneliness. Ethnocultural disparities in loneliness diminished when economic determinants were controlled. Co-occurrence of risk factors greatly increased the risk for loneliness, demonstrating a stepped relationship. Developing supportive networks for women, mainly from minority groups, to increase trust and fight discrimination against any background is necessary. Moreover, significant efforts must be made to combat poverty and narrow socioeconomic inequalities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855666","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}
Luis H Zayas, Alejandra Garcia Isaza, Jaime Fuentes-Balderrama, María Elena Rivera-Heredia
{"title":"Well-being and contexts of development of U.S. citizen children in Mexico following parental deportation or voluntary relocation.","authors":"Luis H Zayas, Alejandra Garcia Isaza, Jaime Fuentes-Balderrama, María Elena Rivera-Heredia","doi":"10.1037/ort0000734","DOIUrl":"https://doi.org/10.1037/ort0000734","url":null,"abstract":"<p><p>When undocumented immigrant parents are deported from the United States, they must decide whether or not to take their U.S.-born and undocumented immigrant children with them, often to countries the children have never visited or know little about. Other parents do not wait to be deported by the government and decide to relocate to their home countries with or without their children. Both sets of families experience relocation but under different circumstances. These differences deserve exploration to understand the psychological and emotional effects on children's well-being. In this cross-sectional study, we explored differences in self-concept, internalizing and externalizing behaviors, as well as the perception of the home, school, and neighborhood contexts of 178 U.S. citizen children (USCC) whose parents returned to Mexico forcibly and voluntarily. Through snowball sampling, we recruited the sample from two bordering Mexican states, Michoacán and the State of Mexico. Significant estimated marginal mean differences in internalizing and externalizing behavior problems, unhappiness, as well as parent-child conflict and support were found between USCC who relocated due to a parental deportation and those USCC whose parents relocated to Mexico voluntarily. Implications for clinicians in Mexico and the United States include recognizing the reasons, timing, decisions, events, and contexts of relocation. Findings can help inform immigration policies, practices, and future research. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307998","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}