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American Journal of Orthopsychiatry

Nev Jones, Cherise Rosen, Shirley Helm, Sheila O'Neill, Larry Davidson, Mona Shattell
Whereas a growing literature has sought to understand challenges involved in the dissemination and implementation of specific evidence-based practices (EBP), few studies have centered on the perspectives of front-line community providers regarding best practices, clinical ideals and barriers to quality improvement for clients with psychosis. The goal of this project was to lay a foundation for future work aimed at improving the overall quality and impact of the multifaceted services typically provided to adults with psychosis served by the public mental health system...
July 16, 2018: American Journal of Orthopsychiatry
Kristin N Anderson, Chandra L Bautista, Debra A Hope
Premature termination is a pervasive barrier to effective implementation of outpatient psychotherapy that frequently results in poorer outcomes for clients as well as poor resource allocation for clients, therapists, and society. Despite its high prevalence and cost, premature termination remains poorly understood, especially from the clients' perspective. The current study addressed some gaps in the literature using a national online survey design that permitted investigation of a broad range of potential predictors of premature termination...
July 16, 2018: American Journal of Orthopsychiatry
Sonya Gabrielian, Elizabeth Bromley, Alison B Hamilton, Van T Vu, Adrian Alexandrino, Ella Koosis, Alexander S Young
Few interventions train homeless consumers in housing-related independent living skills. To inform the development of such interventions for the Department of Veterans Affairs' Supported Housing consumers with serious mental illness, we examined these consumers' problem-solving skills and deficits. We performed semistructured interviews and cognitive tests with 20 consumers who retained housing for ≥1 year ("stayers") and 20 consumers who lost housing in <1 year ("exiters"). Salient types of problems were identified in the qualitative data; we categorized problem-solving approaches by complexity level and identified differences in problem-solving complexity by consumers' housing outcomes...
July 16, 2018: American Journal of Orthopsychiatry
Tova Band-Winterstein, Offer E Edelstein, Yaacov G Bachner
Depression is the most frequent negative health outcome among informal caregivers. The aims of the current study were (a) to assess the level of depression, (b) to explore associations among care recipients' characteristics, caregivers' characteristics, situational factors, and depression among Ultra-Orthodox Jewish (UOJ) caregivers. A total of 112 (44 men and 68 women) UOJ primary caregivers of frail older adults were interviewed face-to-face in their homes, using valid and reliable measures. Participants reported a notable depressive symptomatology...
July 16, 2018: American Journal of Orthopsychiatry
Lee SmithBattle
Housing has received little attention in the research on teen mothers. A qualitative longitudinal study presented a unique opportunity to examine how teen mothers house their families over time. The study began in 1988 and has followed teen mothers and family members for 7 waves over 28 years. The 7th wave began in 2016. The specific aims of this substudy were to describe the housing trajectories of teen mothers over 28 years and to explore how their housing trajectories were shaped by family resources, housing programs, and discrimination...
July 16, 2018: American Journal of Orthopsychiatry
Rebecca Y M Cheung, Winnie W S Mak, Pui Shan Tsang, Joseph T F Lau
The present study examined the effects of psychiatric label (thought and perceptual dysregulation vs. schizophrenia), symptom manifestation (positive vs. negative symptoms), and gender (male vs. female) of a vignette character with psychosis on the general public's cognitive attributions, affective reactions, and behavioral responses. A 2 × 2 × 2 vignette-based telephone survey was conducted based on 533 Chinese adults from 18 to 60 years of age. Hierarchical regression analysis revealed that compared with the label of thought and perceptual dysregulation, the public accorded the label of schizophrenia with greater levels of intentionality and controllability...
June 28, 2018: American Journal of Orthopsychiatry
Kent Pekel, Eugene C Roehlkepartain, Amy K Syvertsen, Peter C Scales, Theresa K Sullivan, Jenna Sethi
Comments on an article by Megan M. Julian & Junlei Li (see record 2012-10324-001). Junlei Li and Megan Julian argued that a major and under appreciated factor in the success and failure of interventions intended to improve the lives of children and youth at risk is the degree to which those interventions promote what the authors called developmental relationships . They asserted that "developmental interventions produce desirable outcomes if and only if such interventions enhanced developmental relationships"...
June 21, 2018: American Journal of Orthopsychiatry
Tessa K Kritikos, Ellen R DeVoe, Benjamin Emmert-Aronson
Couples form the foundation of military families. However, on average, couples become significantly less satisfied with their relationships and marriages across the deployment cycle. Reduced satisfaction places partners at risk for psychological distress and family problems. The present study examines the effects of a family based reintegration program aimed at enhancing reflective functioning in recently deployed service members and their home-front partners on relationship satisfaction. Results reveal that most dyads report being satisfied in their relationship at baseline...
June 21, 2018: American Journal of Orthopsychiatry
Sara L Buckingham, M Cecilia Suarez-Pedraza
The wellbeing of Latinx immigrants in the United States varies widely. Immigrants' changes and maintenance of their cultures, a process known as acculturation, has been postulated to explain differences in wellbeing. However, the mechanisms by which acculturation impacts wellbeing are not fully understood. This study sought to understand the relation between acculturation and wellbeing through a person-environment fit lens, with the hypothesis that the better immigrants can acculturate in ways they prefer (e...
June 14, 2018: American Journal of Orthopsychiatry
Kevin Ka Shing Chan, Chun Bun Lam
The present study examined the associations of familial expressed emotion (EE) with clinical and personal recovery among patients with psychiatric disorders, as well as the potential mechanisms underlying these associations. Guided by the content-process theory of self-stigma, we hypothesized that EE would be negatively associated with clinical and personal recovery and that these associations would be mediated by self-stigma content and process. A total of 311 patients with psychiatric disorders completed questionnaires on their perceptions of EE, self-stigma, and recovery...
May 24, 2018: American Journal of Orthopsychiatry
Yu-Te Huang, Lin Fang
Sexual minorities of color in North America are frequently defined as a "double minority" group. Intersectionality theory has inspired investigations into how different forms of marginalization intersect to shape the lives of people with multiple minority statuses. In this constructivist grounded theory study, 18 Chinese immigrant gay men between 18 and 28 years of age participated in a semistructured individual interview to narrate their lived experiences in relation to their intersectional identities...
May 24, 2018: American Journal of Orthopsychiatry
Angela Fedi, Terri Mannarini, Anne Brodsky, Alessia Rochira, Sara Buckingham, Lindsay Emery, Surbhi Godsay, Jill Scheibler, Anna Miglietta, Silvia Gattino
This study explores the bidirectional and interactional process of acculturation from the perspectives of immigrants and receiving community members (RCMs). Our aim was to understand the experiences and interactions of different ethno-cultural groups and their impact on the functioning and dynamics of multicultural communities. We conducted a cross-national, cross-cultural study of acculturation processes, using interviews collected across two countries (Italy: urban regions of Torino and Lecce; U.S.: Baltimore/Washington corridor) and three distinct groups of immigrants-Moroccans and Albanians in Italy and Latin Americans in the United States-and RCMs in Italy and the United States...
May 24, 2018: American Journal of Orthopsychiatry
Yolanda Sánchez-Sandoval, Sandra Melero
Although adoptive families have been shown to provide a protective context for human development, some adopted children and adolescents are at increased risk for psychological adjustment problems. On the other hand, little is known about psychological adjustment of young adult adoptees. The aim of this study is to analyze the mental health and legal substance consumption (tobacco and alcohol) of young adults (n = 134) who were domestically adopted by Spanish families. Young adults showed significantly worse scores on the Symptom Check-List-90-R (Derogatis, 1975) and also more substance use than did the Spanish general population, but fewer difficulties than did the clinical population...
May 24, 2018: American Journal of Orthopsychiatry
Michelle R Munson, Sarah Carter Narendorf, Shelly Ben-David, Andrea Cole
Research has shown that how people think about their health (or illnesses) shapes their help-seeking behavior. In this mixed-methods study, we employed a simultaneous concurrent design to explore the perceptions of mental illness among an understudied population: marginalized young adults. Participants were 60 young adults (ages 18-25) who had experienced mood disorders and used multiple public systems of care during their childhoods. Semistructured interviews were conducted to understand participants' illness and treatment experiences during the transition to adulthood...
May 24, 2018: American Journal of Orthopsychiatry
Wahiba Abu-Ras, Zulema E Suárez, Soleman Abu-Bader
This study examined the perceived impact of religious discrimination and Islamophobia on Muslim Americans' well-being during the 2016 United States presidential election campaign. Data were collected from a national sample of 1,130 Muslim Americans. Perceived religious discrimination (PRD) was measured using the Perceived Religious Discrimination Scale. Results of canonical correlation analysis showed that perceived Islamophobia was associated with safety (β = .45, p < .001), level of stress (β = -.25, p < ...
April 9, 2018: American Journal of Orthopsychiatry
Patricia Stoddard-Dare, LeaAnne DeRigne, Linda Quinn, Christopher Mallett
Nearly a third of all U.S. workers, primarily lower-paid employees, do not have paid sick leave benefits, prompting some lawmakers to consider mandating paid sick leave for all U.S. employees so workers can access timely health care without lost wages. A representative sample of 19,537 workers in current paid employment was examined, searching for the association between access to paid sick leave benefits and receipt of six different welfare and welfare-related services. After controlling for relevant demographic, work, income, and medical/health care variables, results of the logistic models indicate that, among working adults age 18-64, those without paid sick leave are 1...
February 22, 2018: American Journal of Orthopsychiatry
P Priscilla Lui
The acculturation gap-distress theory postulates that parent-offspring acculturation mismatch precipitates greater intergenerational conflict in immigrant families, which in turn increases the risk for psychological problems among offspring. Whereas cross-sectional studies have shown support for these theory-informed relations, comparatively little is known about whether acculturation mismatch negatively affects psychological functioning, or whether offspring's psychological problems precipitate greater perceived acculturation mismatch via intergenerational cultural conflict...
February 19, 2018: American Journal of Orthopsychiatry
Yafit Sulimani-Aidan, Eran Melkman, Chan M Hellman
Hope has long been viewed as important to individuals attempting to overcome obstacles. Overall hope is the combination of one's appraisal of capability and determination to achieve goals (Agency) and identifying viable routes to reach them (Pathway) (Snyder, 1994). The main goal of this study was to examine the incremental contribution of mentoring to hope among youth on the verge of leaving care above and beyond related personal characteristics and placement history. The sample included 148 adolescents in residential care in Israel who had adult mentors (ages 16-19)...
February 19, 2018: American Journal of Orthopsychiatry
Pratyusha Tummala-Narra, Zhushan Li, Janet Chang, Eun Jeong Yang, Jing Jiang, Michael Sagherian, Jenny Phan, Alyssa Alfonso
Guided by an integrative contextual framework of immigrant youth development (García Coll & Marks, 2012), this study investigated the potential role of developmental (e.g., ethnic identity) and contextual factors (e.g., perceived discrimination, stereotyping) in mental health outcomes and help-seeking attitudes, and variations across gender and nativity among Asian American college students. Online surveys assessing perceived subtle and blatant racism, ethnic identity, the internalization of the model minority stereotype, depressive symptoms, anxiety symptoms, and attitudes toward seeking help from mental health professionals were administered to Asian American college student participants (n = 465) from diverse ethnic backgrounds and geographic regions in the United States...
February 1, 2018: American Journal of Orthopsychiatry
Min Ah Kim, Jong Hyock Park, Hyeon Jin Park, Jaehee Yi, Eunmi Ahn, So Young Kim, Dong Wook Shin, Meerim Park, Yeon-Jung Lim, Eun Sil Park, Kyung Duk Park, Jun Sung Hong
Adolescents who reenter school after treatment for cancer may face certain challenges, such as social exclusion by their peers and difficulties in cognitive functioning, due to the cancer treatment and its psychosocial sequelae. Such challenges may have an impact on their mental health. This cross-sectional study examined the impact of peer exclusion-victimization and cognitive functioning on depression among adolescent survivors of childhood cancer. A total of 175 adolescent survivors of childhood cancer between the ages of 13 and 19 years completed a self-reported questionnaire...
January 25, 2018: American Journal of Orthopsychiatry
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