American Journal of Orthopsychiatry最新文献

{"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":2.3,"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":"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":"\"Confused, alienated, and injured identity\": The role of minority ethnic identity in increasing the vulnerability of at-risk young-adult Arabs in Israel.","authors":"Maayan Ravid, Haneen Karram-Elias, Yafit Sulimani-Aidan","doi":"10.1037/ort0000822","DOIUrl":"https://doi.org/10.1037/ort0000822","url":null,"abstract":"<p><p>In this exploratory study, we aimed to investigate the role of minority identity in the experiences of at-risk young-adult Arabs, through the perspectives of professionals throughout Israel who treat them. Earlier studies have suggested that young-adult Arabs may be particularly preoccupied with their self-identity as a minority group, the political circumstances surrounding them, and feelings of discrimination. These aspects may prevent them from exploring options for themselves or pursuing goals. However, the question of how at-risk young-adult Arabs' sense of identity is related to risk has not yet been explored. Thirty-nine social service providers were interviewed in depth regarding their perspectives toward sense of identity as it relates to at-risk young-adult Arabs. The findings showed that Arab identity was repeatedly emphasized as being related to risk, in different ways. Specifically, three profiles of challenges to identity emerged: confused identity, alienated identity, and injured identity. Against this backdrop, we discuss the connections between minority identity coherence, worth, and risk, and propose a minority identity-informed approach to social work in an ethnonational context. Implications for practice include how social workers can provide antioppressive care using a context-informed Freirean approach. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804789","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":"An innovative storytelling intervention to reduce school aggression among schoolchildren with reactive and proactive aggression.","authors":"Annis Lai Chu Fung, May Kwan Wong","doi":"10.1037/ort0000789","DOIUrl":"https://doi.org/10.1037/ort0000789","url":null,"abstract":"<p><p>It is a pioneering study to reduce reactive and proactive aggression in high-risk children aged 6-10 through an innovative intervention through storytelling. The original storytelling group intervention was based on the social information processing model, specifically tailor-made for the distinctive functions and motives of reactive and proactive aggression. Eighty-seven elementary schools in Hong Kong were recruited through open recruitment, and 15 schools were randomly selected. Four thousand eighty-six children (2,292 boys and 1,794 girls) from Grades 1 to 4 completed the screening, and 371 high-risk students (280 boys and 91 girls) with reactive and proactive aggression were recruited based on the inclusion criteria. We conducted a randomized controlled trial with a longitudinal design. Participants were then randomly assigned to the storytelling intervention, placebo, or control group. The group intervention consisted of 10 weekly 1-hr sessions. The participants were assessed at the baseline, after treatment, and 6 months after treatment by self-report and parent report. Longitudinal data were analyzed by linear mixed models. The results demonstrate the effectiveness of the storytelling group intervention in reducing aggression. Compared with the placebo and control, the storytelling intervention further reduced self-reported aggressive behaviors but not parent-reported externalizing and internalizing problems. This storytelling intervention could be adopted in schools and other settings to treat high-risk children with aggressive behaviors without stigmatization. It can positively impact schools and society by reducing bullying and delinquency. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774890","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":"Asian Americans' childhood emotional abuse, emotional neglect, and hazardous alcohol use: Resilience as moderator.","authors":"Naru Kang, Thomas P Le, Cristina M Risco","doi":"10.1037/ort0000811","DOIUrl":"https://doi.org/10.1037/ort0000811","url":null,"abstract":"<p><p>Asian Americans are highly underrepresented in alcohol use research, despite recent studies demonstrating the presence of hazardous alcohol use behaviors and increasing alcohol use rates among Asian Americans. Emotional abuse and emotional neglect serve as important individual factors that may impact hazardous alcohol use. The purpose of this study was thus to investigate (a) the association between childhood emotional trauma and hazardous alcohol use and (b) the role of resilience as a moderator. Asian American participants (<i>N</i> = 279) completed an online remote survey. Our findings revealed that childhood emotional neglect, but not emotional abuse, was significantly and positively associated with hazardous alcohol use. We found that resilience moderated the association between childhood emotional neglect and hazardous alcohol use so that only participants with average or high resilience experienced a significant association between childhood emotional neglect and hazardous alcohol use. The findings indicate that emotional neglect is a specific form of childhood trauma that is significantly associated with hazardous alcohol use, perhaps as a maladaptive coping mechanism. Additionally, marginalized populations that demonstrate resilience may suffer negative health outcomes such as hazardous alcohol use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774892","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":"Self-awareness and nonattachment as internal resources for well-being among lesbian, gay, bisexual, transgender, queer, and other gender and sexually diverse individuals.","authors":"Floria H N Chio, Randolph C H Chan, Winnie W S Mak","doi":"10.1037/ort0000815","DOIUrl":"https://doi.org/10.1037/ort0000815","url":null,"abstract":"<p><p>Previous studies showed inconsistent findings on the association between self-awareness and well-being among lesbian, gay, bisexual, transgender, queer, and other gender and sexually diverse (LGBTQ+) individuals. The present study examined the mediating effects of self-stigma and negative emotional responses to oppression in the relationship between self-awareness and well-being, as well as the protective role of nonattachment on the relationship. A total of 1,050 LGBTQ+ individuals were included in the study. They completed measures of nonattachment, self-awareness, self-stigma, negative emotional responses to oppression, and well-being. Results showed that self-awareness was positively associated with well-being via its effect on reduced self-stigma and negatively associated with well-being via its effect on increased negative emotional responses to oppression. For LGBTQ+ individuals with higher levels of nonattachment, the positive association between self-awareness and negative emotional responses to oppression was nonsignificant, and the negative association between self-awareness and self-stigma was strengthened. The study unravels the underlying psychological mechanisms through which self-awareness showed its positive and negative indirect effects on well-being among LGBTQ+ individuals. The results suggest that nonattachment, together with self-awareness, could be vital internal resources for the well-being of LGBTQ+ individuals. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717725","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":"\"I find value in myself\": Queer Asian American men's self-love and resistance in the face of White supremacy.","authors":"Thomas P Le, Garden Oluwakemi, Anika A Samee, Chi W Yeung, Eddie S K Chong","doi":"10.1037/ort0000812","DOIUrl":"https://doi.org/10.1037/ort0000812","url":null,"abstract":"<p><p>Queer (i.e., gay, bisexual, or another sexual minority identity) Asian American men experience unique challenges and strengths related to their social identities at the intersection of race and sexual orientation. While a sizable body of research has shown how this population faces racism within the broader queer community, there is little research that specifically examines the strengths of this population, including how they cultivate self-love in the face of White supremacy. Thus, the purpose of this study was to examine how queer Asian American men who endorse self-love regardless of what queer white men think of them cultivate that self-love, as well as to understand the benefits of this self-love. Using a qualitative, grounded theory approach with 20 queer Asian American men who endorsed self-love regardless of what queer White men think of them, results indicated the core category of facilitating forces of self-love. Within this overarching category, results highlighted four key categories: location (i.e., predominantly White area, racially diverse area, and transition from one area to another), social support (i.e., processing experiences and challenging the status quo), self-reflection (i.e., journaling, therapy, and increasing critical consciousness/viewing the self-in-context), and active resistance (i.e., externalizing racism, distancing from Whiteness, seeking representation, engaging in activism or advocacy, and cultivating self-worth). This study highlights the specific mechanisms by which queer Asian American men love themselves regardless of queer white men's views of them, posing larger implications for how marginalized groups can resist and thrive in the face of societal oppression. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717720","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":"https://doi.org/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) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-11-14","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":"Is racism like other trauma exposures? Examining the unique mental health effects of racial/ethnic discrimination on posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD).","authors":"Chardée A Galán, Lillian Polanco-Roman, Henry A Willis, Emily N Satinsky, Adrelys Mateo Santana, Chantel T Ebrahimi, Elayne Zhou, Lorraine Y Howard","doi":"10.1037/ort0000807","DOIUrl":"https://doi.org/10.1037/ort0000807","url":null,"abstract":"<p><p>Although scholars have increasingly drawn attention to the potentially traumatic nature of racial/ethnic discrimination, diagnostic systems continue to omit these exposures from trauma definitions. This study contributes to this discussion by examining the co-occurrence of conventional forms of potentially traumatic experiences (PTEs) with in-person and online forms of racism-based potentially traumatic experiences (rPTEs) like racial/ethnic discrimination. Additionally, we investigated the unique association of rPTEs with posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD), accounting for demographics and other PTEs. Participants were (<i>N</i> = 570) 12-to-17-year-old (<i>M</i>_age = 14.53; 51.93% female) ethnoracially minoritized adolescents (54.21% Black; 45.79% Latiné). Youth completed online surveys of PTEs, in-person and online rPTEs, and mental health. Bivariate analyses indicated that youth who reported in-person and online rPTEs were more likely to experience all conventional PTEs. Accounting for demographics and conventional PTEs, in-person and online rPTEs were significantly associated with PTSD (in-person: a<i>OR</i> = 2.60, 95% CI [1.39, 4.86]; online: a<i>OR</i> = 2.74, 95% CI [1.41, 5.34]) and GAD (in-person: a<i>OR</i> = 2.94, 95% CI [1.64, 5.29]; online: a<i>OR</i> = 2.25, 95% CI [1.24, 4.04]) and demonstrated the strongest effect sizes of all trauma exposures. In-person, but not online, rPTEs were linked with an increased risk for MDD (a<i>OR</i> = 4.47, 95% CI [1.77, 11.32]). Overall, rPTEs demonstrated stronger associations with PTSD, MDD, and GAD compared to conventional PTEs. Findings align with racial trauma frameworks proposing that racial/ethnic discrimination is a unique traumatic stressor with distinct mental health impacts on ethnoracially minoritized youth. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607491","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":"Investigating the association between housing mobility and self-reported adolescent suicidality and mental health.","authors":"Sara A Kohlbeck, Terri deRoon-Cassini, Carisa Bergner, Tricia Monroe, Katherine McCoy","doi":"10.1037/ort0000781","DOIUrl":"https://doi.org/10.1037/ort0000781","url":null,"abstract":"<p><p>Suicide continues to be a public health crisis among adolescents in the United States. Suicide prevention requires a comprehensive understanding of the factors that lead to death from suicide. Housing stability is an important social determinant of health, and literature has begun to describe how housing instability can affect mental health, as well as suicidal behavior. The aim of the present study was to assess the relationship between lifetime housing mobility among adolescents and suicidal behavior (both ideation and attempt). This study examines disparities in housing mobility and suicidal behavior to determine whether certain population subgroups are disproportionately impacted. We undertook a cross-sectional study using data from Wisconsin's Youth Risk Behavior Survey administered during the Fall of 2019, which assessed Wisconsin middle and high school students. We find that housing mobility, as measured in the lifetime number of residences, was associated with an increased risk of suicidal ideation and behavior. We also demonstrate disparities by race, disability status, and sexual orientation. Findings from this study can be used to not only drive change to support students at the school or school district level but also to drive policy change at the societal level. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549141","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}