Gaetana Affuso, Nicola Picone, Pedro Alexandre Costa, Dario Bacchini, Grazia De Angelis, Concetta Esposito, Marta Evelia Aparicio-García
{"title":"Minority stress and mental health in gay and lesbian youth: A comparative study of Italy and Spain.","authors":"Gaetana Affuso, Nicola Picone, Pedro Alexandre Costa, Dario Bacchini, Grazia De Angelis, Concetta Esposito, Marta Evelia Aparicio-García","doi":"10.1037/ort0000709","DOIUrl":"10.1037/ort0000709","url":null,"abstract":"<p><p>The present study was carried out based on the minority stress model. The purpose was to compare Italian and Spanish gay and lesbian youth on minority stressors and mental health outcomes and test the minority stress model in Italy and Spain. The sample consisted of 490 participants (307 Italians, <i>M</i><sub>age</sub> = 25.30 and 183 Spanish, <i>M</i><sub>age</sub> = 27.57). They completed an online questionnaire measuring everyday discrimination, coming out to family members, coming out to friends/one's social network, internalized sexual stigma, depression, and anxiety. A multivariate analysis of covariance was performed to explore the effect of nationality on all measures. Structural equation modeling was applied to test the direct and indirect (through internalized sexual stigma) effects of stressors on mental health outcomes. The results demonstrate an impact of nationality on three dimensions: Spanish youth presented higher levels of everyday discrimination, while Italian youth had lower levels of both coming out to family members and coming out to friends/one's social network. Further, in both countries, all stressors had both direct and indirect (through internalized sexual stigma) associations with depression and anxiety. These findings have some social implications: studying the effect of nationality can be useful in suggesting changes in political and social macrosystems. Additionally, studying the associations among these variables is helpful for intervening more efficiently, for example, clinically, on the impact of minority stress. (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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163865","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}
Hyun-Jun Kim, Meghan Romanelli, Karen Fredriksen-Goldsen
{"title":"Multidimensional social connectedness of sexual and gender minority midlife and older adults: Findings from the National Health, Aging, and Sexuality/Gender Study (NHAS).","authors":"Hyun-Jun Kim, Meghan Romanelli, Karen Fredriksen-Goldsen","doi":"10.1037/ort0000726","DOIUrl":"10.1037/ort0000726","url":null,"abstract":"<p><p>This article introduces the multidimensional properties of social connectedness among sexual and gender minority (SGM) midlife and older adults and examines the relationship between these properties and general health. Data were analyzed from Aging With Pride: National, Aging, and Sexuality/Gender Study, including 2,450 SGM adults aged 50 and older in the United States. The structure, function, and quality of interpersonal relations as well as community-level activities and engagement were measured through a self-administered survey and an in-person interview. Findings indicated that SGM midlife and older adults, on average, had a large social network with high bridging potential and low density, consisting of more nonrelative family members than immediate family members. They also showed frequent availability of social support, moderate or higher satisfaction with interpersonal relations, and moderate SGM community engagement. Properties of social connectedness differed by gender, sexual identity, and gender identity, with SGM men, sexually diverse women, and transgender people showing distinct challenges in interpersonal relations. All aspects of social connectedness were positively associated with good general health, particularly network diversity, outdoor leisure activity engagement, and access to health-related decision support, controlling for age and chronic conditions. Care receiving and loneliness were negatively associated with good general health. Intervention development can target these factors to promote social and community connectivity and reduce the negative health effects of persistent social stressors. This study underscores the necessity of addressing all facets (i.e., structure, function, and quality) of interpersonal relations encompassing both immediate and chosen family as well as community-level social connectedness. (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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652269","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 impulsiveness and indirect aggression among Arab female adolescents in Israel: The mediating role of affiliation with delinquent peers and moderating role of closeness to parents.","authors":"Lana J Jeries-Loulou","doi":"10.1037/ort0000719","DOIUrl":"10.1037/ort0000719","url":null,"abstract":"<p><p>This study examined the mediating role of affiliation with delinquent peers (ADP) and the moderating role of closeness to parents in the relationship between impulsivity and perpetration of indirect aggression. Arab female adolescents in Israel (aged 12-21; <i>N</i> = 404) completed a self-report questionnaire. The mediation-moderation model was examined after controlling for intersectional factors related to the females' unique social locations in Arab society. The study found that 66.1% of the girls had perpetrated at least one indirect act of aggression at least once during the past month. Moreover, most reported agreement with at least one item that examined their closeness to their father and mother (75.7% and 77%, respectively). The results also showed that the direct effect of impulsivity on perpetration of indirect aggression against others became significant after including the mediation factor (ADP). Finally, for high closeness to parents, the association between impulsivity and ADP was positive and significant, whereas it was insignificant for medium and low closeness. The findings highlight the importance of operationalized as parent-closeness to parents, child communication skills, boundary setting, and monitoring, which may decrease the tendency of adolescents to perpetrate aggression. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038162","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- and collective care as radical acts: A mixed-method study on racism-based traumatic stress among emerging adults.","authors":"Judelysse Gomez, Lauren Reid, Lillian Polanco-Roman, Angela Barney, Clare Peyton, Oluwanifemi Olugbemiga","doi":"10.1037/ort0000705","DOIUrl":"10.1037/ort0000705","url":null,"abstract":"<p><p>Racism has been declared a public health threat. With increased direct and vicarious exposure to racism-based violence through social media, we explored the associations between racism-based events and traumatic stress symptomatology, as well as self- and collective care (inclusive of coping, activism, and ethnic and racial identity) through a mixed-methods approach. A total of 104 racism-based events were reported across 43 Black and/or Latine/x emerging adults in the sample, with a majority endorsing racism-based stress or traumatic stress (i.e., the symptomatology associated with a racism-based event). Individuals who reported higher racism-based traumatic stress symptoms immediately following a racism-based event also reported higher ethnic identity resolution scores. Further, 19%-42% of participants reported racism-based traumatic stress and racism-based stress more recently (respectively), showing that racism-based events may be traumatic stressors with long-term mental health consequences. Participants provided thick descriptions of how they defined and engaged in self- and collective care as wellness and activism and reported engaging in cultural, ancestral, spiritual, and religious practices in an attempt to heal. The findings of this study underscore the importance of radical hope and radical healing for Black and Latine/x communities. (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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172852","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}
Anne Conway, Kenyette Garrett, Portia Granger, Patricia Bamwine, Amelia Gavin
{"title":"Child emotional abuse and adult depressive symptoms in a nationally representative sample of Black females: The moderating role of adolescent sleep duration.","authors":"Anne Conway, Kenyette Garrett, Portia Granger, Patricia Bamwine, Amelia Gavin","doi":"10.1037/ort0000713","DOIUrl":"10.1037/ort0000713","url":null,"abstract":"<p><p>Emotional abuse up to age 18 is associated with depressive symptoms in adulthood, yet few studies have examined these links in Black females. Despite research documenting the moderating role of sleep duration on early adversity and mental health, no studies have examined whether sleep duration during adolescence moderates the relations between emotional abuse up to age 18 and depressive symptoms in adulthood. We examined these relations in 690 Black females from the National Longitudinal Study of Adolescent Health (Add Health)-Public Use. Individuals reported the frequency of emotional abuse up to age 18, hours of sleep during adolescence, and depressive symptoms using the 10-item version of the Center for Epidemiological Studies Depression Scale. Only 55% of adolescents reported sleeping the recommended 8-10 hr per night. Frequent emotional abuse before age 18 years was associated with more adult depressive symptoms for those with shorter, but not longer, sleep duration. Greater attention should be placed on facilitating and promoting sleep health for Black females. (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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833097","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":"Promoting the well-being of sexual and gender minority individuals: Reflecting on the past and future directions.","authors":"Jill D McLeigh,V Gil-Rivas","doi":"10.1037/ort0000772","DOIUrl":"https://doi.org/10.1037/ort0000772","url":null,"abstract":"There is a long history of institutional and interpersonal stigma, violence, and oppression of sexual and gender minority (SGM) individuals in the United States and around the world. Structural and sociocultural factors have served to promote and justify criminalization, discrimination, and violence targeting SGM groups. This commentary provides a brief chronological summary of laws and policies that served to pathologize, oppress, and justify violence and discrimination; the evolution of academic study and understanding; activism aimed at changing laws, questioning pathologizing assumptions and practices, and protecting human rights; current challenges; and recommendations for policy, research, and practice. This commentary pays particular attention to the roles the Global Alliance for Behavioral Health and Social Justice and its journal, American Journal of Orthopsychiatry, have played to advocate for full recognition of the human rights of SGM individuals. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209730","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}
Belle Gavriel-Fried, Noa Vana, Gemma Mestre-Bach, Roser Granero, Fernando Fernández-Aranda, Susana Jiménez-Murcia
{"title":"Differences in gambling disorder recovery capital toolkits in mothers versus childless women.","authors":"Belle Gavriel-Fried, Noa Vana, Gemma Mestre-Bach, Roser Granero, Fernando Fernández-Aranda, Susana Jiménez-Murcia","doi":"10.1037/ort0000699","DOIUrl":"10.1037/ort0000699","url":null,"abstract":"<p><p>This study focused on mothers and childless women in recovery from a gambling disorder (GD) in the context of risk society. Mothers with GD suffer from dual social stigma as gamblers and as women who put their children at risk. Mothers in \"risk society\" tend to recognize that their choices can affect their children's future. The recovery capital (RC) toolkit comprises internal and external resources and barriers enacted in recovery. This longitudinal study: (a) compared the RC toolkits of mothers versus childless women and their effects on these women's dropout and relapse rates; (b) explored the resources and barriers that predict dropout and relapse in each group. Analysis of the clinical data of 211 women with GD (<i>N</i> = 146 mothers) who received cognitive behavioral therapy for 16 weeks in Spain indicated that mothers reported lower levels of education and were from more disadvantaged socioeconomic groups, were older, and developed gambling-related problems in older age. Mothers had significantly lower relapse rates but not lower dropout rates. There were more personal predictors of dropout among childless women, whereas low levels of family support and the absence of gambling debts predicted dropout in the mothers' group. These findings were interpreted by combining the concepts of risk society and recovery capital in action, highlight the differences between resources and barriers in the RC toolkits used by mothers versus childless women and their interplay with the sociocultural contexts of risk society and childfree lifestyles. Therapists and policymakers should consider these differences during recovery. (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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429389","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":"Family member incarceration and loneliness among low-income U.S. veterans.","authors":"Alexander Testa, Jack Tsai","doi":"10.1037/ort0000736","DOIUrl":"10.1037/ort0000736","url":null,"abstract":"<p><p>Exposure to incarceration can have significant ramifications for one's social relationships. However, the study of how the incarceration of a family member influences loneliness, including among specific segments of the population that experience elevated levels of loneliness, such as U.S. military veterans, has gone understudied. This study aimed to examine the relationship between family member incarceration and perceptions of loneliness among a sample of low-income U.S. military veterans. Data are from the National Veteran Homeless and Other Poverty Experiences Study-a national survey of low-income U.S. veterans collected in December 2022 and January 2023. Multiple Poisson is used to assess the relationship between family member incarceration and a loneliness index, and multinomial logistic regression was used to estimate the relationship with specific constructs in the loneliness index. The results indicate that respondents who ever experienced the incarceration of a family member reported significantly more loneliness (incidence risk ratio = 1.189, 95% CI [1.035, 1.366]). Further, analyses of the specific items in the loneliness index revealed that family member incarceration was related to an increased risk of reporting feelings of often lacking companionship (relative risk ratio = 1.598, 95% CI [1.077, 2.370]) and often feeling isolated from others (1.711, 95% CI [1.014, 2.886]). Given the potential adverse consequences of loneliness and family member incarceration for well-being, the results from this study emphasize the need for increased attention and coordinated approaches in addressing feelings of loneliness, developing efforts to mitigate the harms of family member incarceration within the U.S. veteran community. (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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998419","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":"Economic interventions for the prevention of mental health problems: The role of cash transfers.","authors":"Daiane Borges Machado, Flávia Jôse Oliveira Alves, Vikram Patel","doi":"10.1037/ort0000764","DOIUrl":"https://doi.org/10.1037/ort0000764","url":null,"abstract":"<p><p>There is a strong, bidirectional association between social disadvantage and poor mental health. The risk of experiencing mental health problems is particularly enhanced by factors associated with living in poverty. Thus, economic interventions may be effective in reducing the burden of mental health issues in these populations. This article explores the evidence based on one specific type of economic intervention on mental health, that is, supplementing household income through cash transfers. This narrative evidence is supplemented by an in-depth analysis of one of the world's largest national cash transfer programs, the Bolsa Família program, in Brazil. We report that evidence from multiple contexts clearly demonstrates that cash transfers are highly effective in reducing the burden of mental health issues and reducing mental health disparities. We then consider the specific mechanisms through which cash transfers influence mental health. Finally, we discuss the need for these interventions and, referring to the Brazilian case study, explore potential strategies for their implementation at scale and the implications for research and policy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301781","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 The Moderating Role of Emotion Regulation Strategies on Asian American Parents’ Discrimination Experiences and Mental Health During the COVID-19 Pandemic","authors":"","doi":"10.1037/ort0000714.supp","DOIUrl":"https://doi.org/10.1037/ort0000714.supp","url":null,"abstract":"","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002898","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}