American Journal of Orthopsychiatry最新文献

{"title":"From indifference to advocacy: Investigating the effects of interconnectedness and critical reflection on promoting collective action intention within LGBT+ and heterosexual cisgender individuals.","authors":"Karen H L Shen, Ben C L Yu, Luly W L Lai, Winnie W S Mak","doi":"10.1037/ort0000901","DOIUrl":"10.1037/ort0000901","url":null,"abstract":"<p><p>Two studies investigated the roles of interconnectedness and critical reflection in reducing indifference and mobilizing collective action intentions for lesbian, gay, bisexual, and transgender (LGBT+) and other social minoritized groups. Study 1 used a cross-sectional design with 378 heterosexual cisgender participants recruited from Hong Kong. Findings indicated that critical reflection accounted for significant variance in indifference toward LGBT+ and minoritized groups (Δ<i>R</i>² = .07-.18, <i>p</i> < .001) and collective action intentions (Δ<i>R</i>² = .04-.20, <i>p</i> < .001). Interconnectedness also contributed to variance in these outcomes, but to a lesser extent (Δ<i>R</i>² = .02-.05, <i>p</i> < .01). Study 2 employed a 3 (interconnectedness, critical reflection, and control) by 2 (sample types: 111 heterosexual cisgender and 112 LGBT+) experimental design with participants recruited in Hong Kong. In other words, participants were randomly assigned to six experimental conditions to evaluate how different inductions worked on indifference and collective action intentions in sexual and gender diverse samples. Results showed that, among heterosexual cisgender participants, both inductions effectively lowered indifference toward LGBT+ and minoritized groups (<i>p</i> < .001) and enhanced LGBT+ collective action intentions (<i>p</i> = .001-.01). Among LGBT+ participants, while interconnectedness decreased indifferences, it did not significantly increase collective action intentions, suggesting different mechanisms of attitude change and behavioral intention across social groups. These findings highlight the potential of interconnectedness and critical reflection as strategies to mobilize heterosexual cisgender individuals and the LGBT+ community in addressing social injustices. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292019","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":"Online gendered racism's impact on racially/ethnically minoritized women's mental health: Examining perceived safety and critical antioppressive social media literacy as risk and protective factors.","authors":"Brian TaeHyuk Keum, Cathy Zhu, Angela Yang, Lillian Jiwoo Hexter","doi":"10.1037/ort0000912","DOIUrl":"10.1037/ort0000912","url":null,"abstract":"<p><p>Hateful speech and identity-based cyber aggression are rampant in the online sphere. Racially/ethnically minoritized women (REMW), in particular, experience online gendered racism (the compounding effects of racism and sexism online) that can harm their mental health. To better understand the link between online gendered racism and mental health outcomes (depressive symptoms, anxiety, and loneliness), we examined risk and protective factors that may explain the association. Using survey data from 983 REMW (<i>M</i>_age = 32.57, = 10.87; age range = 18-65), we conducted path analysis to test perceived threat to safety as a risk factor, and critical antioppressive consumption of social media (evaluating oppressive messages in the consumption process) and critical antioppressive prosumption of social media (creating and sharing content resisting online hate) as protective factors. Online gendered racism was linked to increased perceived threat to safety, which in turn was associated with more depression, anxiety, and loneliness. Online gendered racism was associated with increased critical antioppressive prosumption of social media, which was linked to less depression, anxiety, and loneliness. The impact of online gendered racism extends beyond the digital space, increasing feelings of danger in offline environments and contributing to poor mental health among REMW. In response, critical antioppressive prosumption of social media allows REMW to feel agentic in resisting online hate and creating counter-narratives for themselves. Compared to critical consumption, prosumption likely functions as a more resistant strategy, transforming energy into actions that combat online gendered racism and empower REMW. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215002","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 maladjustment mechanisms in the relationship between ambiguous loss and depression among North Korean defector women.","authors":"Kyong Ah Kim, Hyein Chang","doi":"10.1037/ort0000908","DOIUrl":"10.1037/ort0000908","url":null,"abstract":"<p><p>North Korean defectors represent a minority group within South Korean society, yet their psychological difficulties have received limited attention compared to other adjustment issues. Many North Korean defectors experience loss and trauma stemming from family separation, often described as \"physical ambiguous loss\" (i.e., physical absence with psychological presence). This study investigates the impact of ambiguous loss on depression among North Korean defector women, focusing on maladaptive psychological mechanisms. A total of 100 North Korean defector women who experienced family separation completed measures of ambiguous loss, avoidance, rumination, tolerance of ambiguity, and depression. Moderated indirect effect analysis revealed that ambiguous loss contributed to higher depression through the indirect effects of avoidance and intrusive rumination. Tolerance of ambiguity significantly moderated the pathway from ambiguous loss to depression. The findings suggest that avoidance and intrusive rumination act as risk factors linking ambiguous loss to depression, with lower tolerance of ambiguity exacerbating these mechanisms. Building on and extending prior work on ambiguous loss among North Korean defectors, this study advances understanding by explaining how ambiguous loss relates to depressive symptoms and identifying potential psychological pathways for prevention and support. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055068","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":"\"A bond as strong as a lock and chain\": Youth of color in low-income communities use photovoice to theorize developmentally nurturing processes of their cross-age mentoring programs.","authors":"Kevin M Miller, Katherine Tyson McCrea, Vincent Sarna, Will Donnelly, Grace Fitzgibbons, Jamie Kessler, Ogechi Onyeka, Chana Matthews, Maryse Richards, Elijah Daniels, Dreyce Denton","doi":"10.1037/ort0000897","DOIUrl":"10.1037/ort0000897","url":null,"abstract":"<p><p>Youth of color experiencing low-income in the United States face multiple human rights violations: overpolicing, community violence, racial discrimination, and insufficient voice in the programs and policies that impact their current and future lives. To accomplish transitional justice, participatory processes are needed that elicit youths' cultural strengths and wisdom about themselves, their social conditions, services they find helpful, and why those services are helpful. This study highlights findings from a photovoice that elicited youths' perspectives about a cross-age mentoring out-of-school-program. Responding to \"What does mentoring mean to you?\" 147 youth took photographs in their communities and wrote narratives about the photographs' meanings. The research team, including youth coresearchers, conducted a thematic and content analysis of the participants' narratives. Youth were highly articulate about the specific program elements that would uplift their peers, and why those elements are impactful. Through qualitative analysis of youths' photographs and narratives, this study reveals the youths' \"folk theories\" about their program's mechanism of action. Youth described mentoring as a nurturing family, friendship, community, care, love, acceptance, trust, communication, and vulnerability. They thoughtfully described culturally relevant \"folk theories\" of how cross-age mentoring fosters children's development, counteracting stressful high-burden contexts. Analyzing youths' metaphors for the nurturing process in cross-age mentoring indicated how much they valued caring for each other, creativity, and supporting positive life trajectories for each other while overcoming poverty and discrimination. When offered opportunities for creative self-expression such as photovoice, youth can be insightful partners in resisting the downward pull of human rights violations and theorize interventions and nurturing processes that develop their resilience. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055028","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":"Mental distress and depression among Israeli young adults in the aftermath of October 7th: The role of resilience and coping.","authors":"Tehila Refaeli, Agat Sold, Stav Shapira","doi":"10.1037/ort0000904","DOIUrl":"10.1037/ort0000904","url":null,"abstract":"<p><p>The October 7, 2023, attack and the subsequent war in Israel constitute a collective trauma that has profoundly impacted young adults, a population vulnerable to mental health challenges. This study examined the impact of war-related risk factors on mental distress and depression among young adults exposed to prolonged threats. We further explored the role of resilience factors (personal resilience, social support, and community resilience) and coping strategies (behavioral and emotional) in mitigating these mental health outcomes. A cross-sectional online survey was conducted from January to March 2024, with 1,121 participants aged 18-30. Data were analyzed using hierarchical multiple regressions. Findings indicated that financial war-related hardships, additional stressful life events, perceived threat, and loss of close ones significantly contributed to mental distress and depression. Personal resilience and social support emerged as protective factors. Behavioral coping strategies were associated with lower distress and depression, whereas emotional coping strategies correlated with higher levels of distress and depression. Resilience factors did not moderate the relationship between war-related risk factors and mental health outcomes. The findings emphasize the critical role of economic stability, personal resilience, and social support as well as behavioral coping strategies in protecting young adults' mental health in times of collective trauma. Interventions should promote adaptive coping strategies and decrease emotional ones to improve mental health outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013522","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":"Associations between discrimination and first-generation college students' belonging and academic well-being.","authors":"Thomas P Le, Nicola Forbes, Elizabeth B Raposa","doi":"10.1037/ort0000914","DOIUrl":"10.1037/ort0000914","url":null,"abstract":"<p><p>First-generation college students (FGCS) make up one third of the college student population but continue to face unfavorable academic outcomes. A powerful yet understudied factor that contributes to FGCS' lower academic and graduation rates is campus discrimination. Importantly, discrimination undermines feelings of belonging on campus and belonging has been found to predict academic performance, motivation, and persistence to graduation. The present study examined whether on-campus discrimination influenced sense of belonging among 276 FGCS sampled during the first few months of the COVID-19 pandemic, and whether decreased sense of belonging, in turn, was associated with two forms of academic well-being (i.e., grade point average, motivation to return to college the fall following the onset of COVID-19). We found that discrimination significantly negatively predicted social belonging and that social belonging mediated the negative relationships between discrimination and grade point average, and discrimination and motivation to return to college in the fall. These findings contribute to a growing body of research on FGCS and highlight how campus discrimination can perpetuate academic inequities. Existing literature often points to deficits among FGCS that contribute to their disparate academic outcomes, however, future research should consider the role in which campus culture directly impacts their well-being and academic trajectories. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960873","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":"Perceived stress, self-esteem, and everyday discrimination: Examining associations of depression.","authors":"Zach W Cooper, Ronald Pitner","doi":"10.1037/ort0000910","DOIUrl":"10.1037/ort0000910","url":null,"abstract":"<p><p>Existing research indicates that discrimination and stress are negatively associated with mental health. However, few studies examine the multiple factors and intricate connections between discrimination and mental health. Our study addressed this gap by examining the cumulative effects of discrimination, stress, self-esteem, anxiety symptoms, and demographic factors on depressive symptoms. Stratified random sampling was used, yielding 227 participants (149 White and 78 Black). Participants completed a survey designed to assess levels of anxiety, depression, perceived stress, self-esteem, experiences of everyday discrimination, and demographic information. A series of t tests were conducted to examine differences in depression, anxiety, stress, self-esteem, and discrimination between racial groups. Moreover, a hierarchical regression analysis was performed to identify factors contributing to variations in depression. Our findings indicated that anxiety, perceived stress, and experiences of everyday discrimination were significantly associated with depression, <i>F</i>(4, 221) = 91.75, <i>p</i> < .001, explaining 63% of the total variance. Furthermore, stress, discrimination, and self-esteem were significantly associated with depressive symptoms. These findings highlight the importance of systematic screening and assessment for contextual factors, such as discrimination and stress, that influence depressive symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960879","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":"Impact of childhood adversity on suicidality among children in the United States: Does race and ethnicity moderate the association?","authors":"Elyse N Llamocca, Amanda J Thompson, Cynthia A Fontanella, Hongsheng Gui","doi":"10.1037/ort0000896","DOIUrl":"10.1037/ort0000896","url":null,"abstract":"<p><p>Because suicide-related outcome risk is higher among individuals experiencing adverse childhood experiences (ACEs), and individuals of minoritized race and ethnicity experience greater ACEs, differences by race and ethnicity in ACE exposure and/or response may help explain racial and ethnic disparities in suicide-related outcomes. We aimed to describe ACE prevalence by race and ethnicity, estimate associations between ACEs and suicidality, and explore moderation by race and ethnicity. Supported by the stress sensitization hypothesis, we hypothesized that associations between ACEs and suicidality would be stronger among non-Hispanic Black and Hispanic children than non-Hispanic White children. We utilized an Adolescent Brain Cognitive Development study subsample (<i>n</i> = 5,469; <i>M</i>_age = 119.3 months [<i>SD</i> = 7.5 months]; Hispanic: 20.8%; non-Hispanic Black: 14.8%; non-Hispanic White: 64.4%). We estimated associations between ACEs (cumulative ACE score and three subdomains: family-centered adversity, interpersonal adversity, and life events) and suicidality (any child-reported suicidal thoughts or behaviors) using generalized linear mixed models and included an interaction term between ACEs and race and ethnicity to examine potential moderation. ACE prevalence differed by race and ethnicity and was highest among non-Hispanic Black children, although household mental illness prevalence was highest among non-Hispanic White children. Cumulative ACE score (<i>OR</i> = 1.17, 95% CI [1.12, 1.23]), family-centered adversity (<i>OR</i> = 1.89, 95% CI [1.54, 2.32]), and interpersonal adversity (<i>OR</i> = 1.62, 95% CI [1.35, 1.94]) were positively associated with suicidality; the associations were not moderated by race and ethnicity. Differential ACE exposure by race and ethnicity may help explain suicide-related disparities. ACE prevention and interventions, particularly among children of minoritized race and ethnicity, are vital. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13011827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between different forms of childhood abuse and subsequent body dysmorphic disorder and complex PTSD symptoms among Israeli women.","authors":"Yael Lahav, Marylene Cloitre, Philip Hyland, Mark Shevlin, Menachem Ben-Ezra, Thanos Karatzias","doi":"10.1037/ort0000905","DOIUrl":"10.1037/ort0000905","url":null,"abstract":"<p><p>Body dysmorphic disorder (BDD) is common in childhood abuse survivors. Nonetheless, the relation between symptoms of BDD, posttraumatic stress disorder (PTSD), and complex PTSD, as well as the effects of different forms of childhood abuse in explaining these symptoms, remains unclear. This study explored (a) BDD scores as a function of childhood abuse; (b) the relationship between symptoms of BDD, PTSD, and disturbances in self-organization (DSO) in childhood abuse survivors; and (c) the effect of levels of different forms of childhood abuse on BDD, PTSD, and DSO symptoms. An online survey was conducted among a convenience sample of 404 Israeli adult women, of whom 53.7% (<i>n</i> = 217) were classified as having a history of childhood abuse. Background variables, BDD symptoms, and the classification and symptoms of PTSD and complex PTSD were assessed online via self-report measures. Results indicated elevated BDD scores in childhood abuse survivors and relationships between symptoms of BDD, PTSD, and DSO in childhood abuse survivors. Levels of emotional abuse served as a trans-diagnostic risk factor for PTSD, DSO, and BDD symptoms, whereas sexual abuse was associated with PTSD symptoms, and physical abuse had no significant effect. The strongest noncausal effect was found for PTSD and DSO symptoms, followed by BDD and DSO symptoms and BDD and PTSD symptoms. The present findings suggest that childhood abuse may be a risk factor for BDD and that trauma-related disorders and BDD are strongly associated in childhood abuse survivors. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936506","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":"Centering justice in the codesign of mindfulness and compassion-based college curricula.","authors":"Caitlin McKimmy, Natalie Avalos, Donna Mejia, Sona Dimidjian","doi":"10.1037/ort0000817","DOIUrl":"10.1037/ort0000817","url":null,"abstract":"<p><p>Colleges and universities are increasingly common contexts in which young people navigate the transition to adulthood. Research suggests that mindfulness and compassion may support undergraduates as they navigate this developmental transition. Embedding learning about mindfulness, compassion, and flourishing into college curricula demonstrates promise in supporting undergraduate wellness and academic outcomes. However, there is a need to generate curricula that are relevant to the lived realities of undergraduates and attentive to relational dimensions of wellness, including social justice and systemic determinants of health. Codesign holds promise as a method to generate such curricula. This study used qualitative methods to examine the codesign of an accredited college-level course that teaches about the interrelationship between mindfulness, compassion, human flourishing, and social justice. Qualitative data that emerged during the codesign process were analyzed to answer the following research questions: (1) How did mindfulness and compassion practice support the codesign process? (2) What design tensions emerged during the adaptation and collaborative design of a social justice-oriented mindfulness and compassion-based course? We found that weaving shared mindfulness and compassion practice into the codesign process supported study participants in working with their emotions, connecting with others, and balancing power. In turn, these skills allowed codesign team to effectively grapple with complex design tensions that arose on the levels of vision, approach, and project tensions as the team sought to fulfill its commitments to individual and collective transformation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":"235-252"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959028","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}