Adverse childhood experiences among Latina women and its association with mastery of stress and health     

《Child abuse & neglect》2019

BackgroundAdverse childhood experience (ACE) and intimate partner violence (IPV) have sustained, deleterious effects on physical and mental health. Few studies have examined how to help Latina survivors of ACEs and/or IPV regain control of their health.ObjectiveTo inform interventions for this population, we examined whether mastery of stress and patient activation mediate the relationship between a history of ACE and/or IPV and mental and physical health.Participants and settingWe recruited 235 Latina women (M age = 29.6, SD = 5.75) from primary care clinics.MethodFor this cross-sectional study, we used linear regressions to examine the association between ACEs, history of IPV, and health, and the sobel’s test to determine whether patient activation and mastery of stress mediated the relationships between ACEs, IPV, and health.ResultsMost women reported at least one ACE (61.7%, n = 137) and 22.2% (n = 55) reported a history of IPV. Mastery of stress mediated the relationship between ACE and physical health (b= -3.16 p = .002) and mental health (b= -3.83, p < .001). Mastery of stress also mediated the relationship between history of IPV and physical health (b= -2.62, p = .008) and mental health (b= -2.74, p = .006). Patient activation was not associated with a history of trauma or mental health.ConclusionWhile past experiences of trauma cannot be changed, results from this study suggest that improving an individual’s mastery of stress may be a point of intervention for improving mental and physical health among survivors of ACEs and IPV.  相似文献   

Health care utilization pattern prior to maltreatment among children under five years of age in Taiwan     

《Child abuse & neglect》2019

BackgroundSeveral studies have hypothesized that the pattern of health care utilization among maltreated children differ from others without the experience. However, the conclusions have not been consistent.ObjectiveThe study aims to examine whether the pattern of health care utilization among children 0–5 years old with maltreatment different from their counterparts without maltreatment in Taiwan.Subjects and SettingAll children born in 2007 in Taiwan.MethodThis is a population-based and case-controlled study. Cases are children under five years of ago with maltreatment-related diagnosis in the claims data of the National Health Insurance in Taiwan during the 2007–2013 period. For each case, there were 10 birth date-matched controls. Exposure variables include the number of injury or non-injury-related outpatients, emergency department (ED) visits, and hospitalization. Multivariate models were employed, with adjustment for sex, urbanization level, and comorbidities of children.ResultsOf children born in 2007, 382 had maltreatment-related diagnosis during the age of 0–5. The adjusted odds ratio (aOR) for having two or more ED visits with or without injury-related diagnosis is 3.52 (95% CI 1.75–7.07) and 2.0-0 (95% CI 1.47–2.72), respectively. Children with maltreatment also had significantly higher number of hospitalization without injury-related diagnosis and aOR for those having two more hospitalizations stands at 2.47 (95% CI 1.59–3.83).ConclusionsChildren with maltreatment when 0–5 years old had higher number of ED visits with injury-related diagnosis, as well as hospitalization without injury-related diagnosis. Recognition of the health care utilization is conducive to early identification of children with risk for maltreatment.  相似文献   

Prevalence of family violence and mental health and their relation to peer victimization: A representative study of adolescent students in Southwestern Uganda     

《Child abuse & neglect》2019

BackgroundDespite global efforts to end violence against children in all settings, reports reveal that violence against children is still highly prevalent, especially in low-and middle- income countries. Violence in childhood is associated with a host of negative outcomes, and exposure in one setting can easily spill over to other contexts. For instance, exposure to family violence was not only related to mental health problems but also seems to be a risk factor for peer victimization.ObjectivesThe present study aimed to examine the prevalence of maltreatment within the family and adolescents’ mental health problems and their relation to peer victimization. We also aimed to gain new insights into the perceptions of adolescents concerning maltreatment within their families.MethodsData were collected from April to November 2017 in a representative sample of 702 students from 12 public secondary schools in Southwestern Uganda who responded to self-administered questionnaires.ResultsOverall, 95% of the students experienced at least one type of family violence in the past month. Students (81.3%) had endorsed some level of acceptance of violent discipline as a valid strategy in response to any misbehavior. Maltreatment within the family was related to peer victimization (β = .47) and this relation was mediated by mental health problems (0.002, 95%-CI: 0.001–0.004).ConclusionsThe results indicated a high prevalence of maltreatment within Ugandan families that was associated with peer victimization. This underscores the need to implement interventions aiming to reduce maltreatment and violence in order to protect children from potentially negative consequences.  相似文献   

The mental health and wellbeing of Unaccompanied Refugee Minors (URMs)     

《Child abuse & neglect》2019

BackgroundToday, almost half of all refugees worldwide are children and adolescents, nearly a quarter of whom arrive in Europe as Unaccompanied Refugee Minors (URM). Many URMs have experienced the cumulative stress of being exposed both to the adverse environmental conditions which drive forced migration, and to the traumatic experience of displacement and resettlement. These experiences, coupled with other developmental stressors, may impede their overall development and increase their likelihood of mental health problems. Despite the evident vulnerability of URMs, much controversy currently surrounds the legitimacy of their arrival in host countries and their mental health is given little consideration.ObjectiveThis review synthesises and examines the limited published literature on the impact of traumatic refugee experiences on the mental health and development of URMs.MethodsAcademic databases and other sources were searched using key terms relating to URMs and mental health.ResultsThe findings confirm in large part that being a URM negatively influences mental health development, and that adolescence and being female are particular indicators of increased risk of psychiatric disorders. However, cultural differences in measurement and assessment of mental health are important confounding factors.ConclusionsThe current literature on youth in transit consistently paints a picture of how experiences URMs face can place a great burden on their mental health - clearly depicting an urgent need to consider their mental health within the current climate. The pressing need for improved care based on best practice is discussed.  相似文献   

Effects of different sequences of examples and problems on motivation and learning     

《Contemporary educational psychology》2019

Recent research has shown that example study only (EE) and example-problem pairs (EP) were more effective (i.e., higher test performance) and efficient (i.e., attained with less effort invested in learning and/or test tasks) than problem-example pairs (PE) and problem solving only (PP). We conducted two experiments to investigate how different example and problem-solving sequences would affect motivational (i.e., self-efficacy, perceived competence, and topic interest) and cognitive (i.e., effectiveness and efficiency) aspects of learning. In Experiment 1, 124 technical students learned a mathematical task with the help of EEEE, EPEP, PEPE, or PPPP and then completed a posttest. Students in the EEEE Condition showed higher posttest performance, self-efficacy, and perceived competence, attained with less effort investment, than students in the EPEP and PPPP Condition. Surprisingly, there were no differences between the EPEP and PEPE Condition on any of the outcome measures. We hypothesized that, because the tasks were relevant for technical students, starting with a problem might not have negatively affected their motivation. Therefore, we replicated the experiment with a different sample of 81 teacher training students. Experiment 2 showed an efficiency benefit of EEEE over EPEP, PEPE, and PPPP. However, only EEEE resulted in greater posttest performance, self-efficacy, and perceived competence than PPPP. We again did not find any differences between the EPEP and PEPE Condition. These results suggest that, at least when short training phases are used, studying examples (only) is more preferable than problem solving only for learning. Moreover, this study showed that example study (only) also enhances motivational aspects of learning whereas problem solving only does not positively affect students’ motivation at all.  相似文献   

城市化进程中失地农民心理适应问题论析     

张莉曼  汤夺先 《三门峡职业技术学院学报》2011,10(2):93-97

失地农民进入城市会面临某些心理不适问题,具体表现在居住变化、经济压力、就业不足与保障不力等导致的心理不安、焦虑与抵触失衡心理,以及社会交往产生的封闭自卑心理、城市认同感欠缺与市民意识缺失等。心理不适问题的产生既与城市体制性因素以及城市居民的偏见与歧视有关,也与失地农民自身人力资本不足、农村传统文化的持续影响有关。应该从物质层面做好就业与保障工作、从社会文化层面扭转生活方式与价值观念以及从个体心理层面构建心理调适机制来实现失地农民心理适应。  相似文献   

Antecedents predicting health information seeking: A systematic review and meta-analysis     

《International Journal of Information Management》2020

Numerous reasons regarding why people should seek health information exist, but empirical evidence has indicated that factors that influence health information seeking (HIS) differ according to the context. To make suggestions based on explicit and judicious use of the best available evidence, a meta-analytic review was undertaken. In the present review, 16 electronic databases were searched up to July 2019, empirical results of 71 primary studies that met inclusion criteria were coded, and seven antecedents that commonly affect HIS behavior were examined. We obtained 204 correlation coefficients from 90 independent subsets with a total of 74,171 respondents. The results indicated that self-efficacy (ES_r = 0.254), health literacy (ES_r = 0.222), availability (ES_r = 0.412), credibility (ES_r = 0.308), emotional response (ES_r = 0.090), and subjective norms (ES_r = 0.443) substantially influenced individuals’ HIS, and subjective norms was the most influential factor. Individuals’ behavior usually aligns with the opinions of other critical individuals in their lives, and this phenomenon was observed in the present study of the HIS context. In addition, eight variables were examined as potential moderators (i.e., roles of samples, gender, average age, topic, information channel, type of publication, data collecting method, and sampling method); statistically significant effects on some of the aggregated correlations were noted for all of these variables.  相似文献   

Making sense of three-way conversations: A qualitative study of cross-cultural counseling with refugee men     

《Int J Intercult Relat》2017

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Resilience and psychopathology among victimized youth in residential care     

《Child abuse & neglect》2017

This study examines the role of several resilience resources in the relationship between lifetime victimization and mental health problems among adolescents in care. The sample comprised 127 adolescents (53.% females, aged 12–17 years) from residential care facilities in Catalonia, Spain. The Juvenile Victimization Questionnaire, the Youth Self-Report, and the Adolescent Resilience Questionnaire were used to assess victimization, psychological symptoms, and resilience respectively. Results indicated that poly-victimization was associated with fewer resources, and with an increased risk of mental health problems. Self-resources mediated the relationship between victimization and internalizing and externalizing symptoms; community support mediated the relationship between victimization and internalizing symptoms. Self, school and peer support moderated the relationship between victimization and externalizing symptoms. Adolescents with fewer self-resources and less school support reported more externalizing symptoms, as did those with more peer support. However, poly-victimized youths reported symptoms within the clinical range, regardless of their level of resources. The findings stress the importance of preventing poly-victimization and of empowering poly-victimized adolescents, who appear to present low levels of resources. Researchers and clinicians should continue to study the poly-victimization/psychopathology relationship, and also design interventions and prevention programs which incorporate the most relevant resilience resources.  相似文献   

The Anonymity Effect: The Influence of Anonymity on Perceptions of Sources and Information on Health Websites     

《Journal of Applied Communication Research》2007,35(2):197-214

The study reported here examined the influence of anonymous sources on health websites on the perceptions and attitudes of information seekers. It was hypothesized that, despite the warnings and guidelines established by health organizations, anonymous sources would be perceived to be as credible and influential as sources that were identified. The anonymity effect, drawn from the similarity principle in attribution theory, was forwarded as a theoretical mechanism to explain responses to anonymous sources. The results indicated that anonymous sources were generally perceived by participants to be as credible and influential as identified sources, although the anonymity effect explanation was not supported. The implications of these findings for information seekers and health practitioners are considered.  相似文献