Gender Role Internalization, Multiple Roles, and Chinese Women's Mental Health

The influence of gender role internalization as a moderator in the relationship between women's multiple roles and psychological distress was investigated. Study 1 identified three components of gender role internalization, which were labeled "Traditional Ideal Person,""Self-sacrifice," and "Competence without Complaint," and found that it did not overlap with existing gender-typed measures among 128 female Chinese university students. The multidimensionality of gender role internalization was confirmed in Study 2 among a sample of 225 women in the paid Hong Kong workforce. As expected, role quality was a better predictor of psychological distress than role quantity. Gender role internalization accounted for significant portions of explained variance even after taking role quality into account. Internalization of Traditional Ideal Person and Competence without Complaint messages exacerbated distress in certain areas when role quality was low. However, internalization of Self-Sacrifice messages mitigated distress for Chinese women with low work quality.     

Mental Health Stereotypes About Gay Men

Three studies were conducted to examine the mental health stereotypes about gay men among college student and therapist trainee samples. Results from Study 1 indicated that (a) college students and therapist trainees endorsed a stereotype of the mental health of gay men that was similar in terms of its content and strength, and (b) the stereotype was consistent with five DSM-IV-TR disorder categories: mood, anxiety, sexual and gender identity, eating, and personality disorders. In Study 2 and 3 we investigated whether homophobia or a tendency to report cultural beliefs could account for the lack of difference between college students and therapist trainees. Results did not support either explanation.     

Gender,Social Roles,and Mental Health: An Epidemiological Perspective

The social roles men and women occupy may account for gender differences in rates of psychiatric disorder. Women are thought to have poorer experiences within any given role (role strain theory), have more conflicts among their different roles (role-configuration theory), or have fewer role opportunities available to them (role accumulation hypothesis) compared to men. These theories are examined in a community sample (n = 4,745, 52% females and 48% males; Caucasian [84.2%], Hispanics [10.0%], African Americans [3.8%], Native American [1.4%], Asian [0.6%], and Pacific Islander [0.1%]). No gender differences in the overall rate of DSM, psychiatric disorders were found; however, differences were found for specific disorders. Although multiple roles were generally found to be associated with lower rates of disorders for both men and women, some role combinations were associated with a higher rate of disorders. The possibility that roles may be associated with both stressors and protective factors is discussed.     

Mental Health Utilization Among Diverse Parenting Young Couples

Mental health issues often become apparent as adolescents emerge into young adulthood. The use of mental health services is low among adolescents and young adults, and use is particularly low among minorities. In this study, we examine mental health utilization among diverse young parenting couples. The sample consisted of 296 couples. We used the social–personal framework to examine personal, family, partner relationship, and environmental predictors for using mental health services. We used the Actor–Partner Interdependence Model to assess actor and partner effects on mental health utilization. We also examined moderator effects for gender and internalizing and externalizing behaviors. We found that being female, being White, higher income, more conduct problems, and less anxious romantic attachment predicted mental health utilization. Significant moderator effects included depression × gender, depression × medical insurance, and stress × Latino. Implications for community mental health practice include conducting mental health assessments during medical visits and systematic mental health follow‐up for individuals and couples with identified mental health and support needs. Future research should include married couples and the spouse’s influence on mental health use and examine relevant parenting factors that may also predict mental health utilization among couples.     

Australian Trans Men: Development,Sexuality, and Mental Health

The aim of the study reported in this article was to gain an understanding of the experiences, developmental trajectories, and mental health status of Australian trans men. Participants were 279 trans men. The majority preferred to identify as “male”; from an early age, they had experienced their gender identity as different from that normatively expected of their natally assigned sex and had undertaken practices so as to facilitate their presentation as male in accordance with their gender identity. A majority reported a diagnosis of depression or anxiety within the last 12 months and attributed suicidal ideation and self‐harm and attempted suicide to personal issues with gender identity. Going through a masculinisation process and coming out reportedly led to improved mental health. The findings highlight the need to educate mental health and health care professionals on trans issues.     

The Perceived Stress Scale: Evaluating Configural, Metric and Scalar Invariance across Mental Health Status and Gender

The Perceived Stress Scale (PSS; Cohen, Kamarck, & Mermelstein, Journal of Health and Social Behavior, 24: 385–396, 1983) and its derivatives are among the most commonly used self-report measures of subjective global stress. Several factorial models of the PSS have been proposed; however, which of these structures reliably measures individuals with mental illness remains unclear. Moreover, despite the detection of gender differences in perceived stress, factorial invariance between genders has not yet been tested with the PSS. Confirmatory factor analysis evaluating six prevailing factorial models of the PSS among a large sample of psychiatric patients and a matched community sample supported a two-factor model. Multiple group analysis established configural, metric and scalar invariance of this model across gender, but only configural invariance across samples differing by mental health status. Implications are that gender differences can be cautiously interpreted as true mean differences rather than artifacts of measurement bias; however, mean perceived stress factor scores should not be compared directly across psychiatric and non-psychiatric samples.     

Contextualizing Acculturation: Gender, Family, and Community Reception Influences on Asian Immigrant Mental Health

This article investigates differences in the mental health among male and female immigrants from an ecological perspective, testing the influences of both individual acculturation domains and social contexts. Data from the first nationally representative psychiatric survey of immigrant Asians in the US is used (N = 1,583). These data demonstrate the importance of understanding acculturation domains (e.g., individual differences in English proficiency, ethnic identity, and time in the US), within the social contexts of family, community, and neighborhood. Results demonstrate that among immigrant Asian women, the association between family conflict and mental health problems is stronger for those with higher ethnic identity; among immigrant Asian men, community reception (e.g., everyday discrimination) was more highly associated with increases in mental health symptoms among those with poor English fluency. Findings suggest that both individual domains of acculturation and social context measures contribute to immigrant mental health, and that it is important to consider these relationships within the context of gender.     

Miscarriage,Religious Participation,and Mental Health

Approximately 15–20 percent of pregnancies result in miscarriage, yet pregnancy loss remains a socially taboo topic and one that has received limited attention in the literature. Utilizing nationally representative longitudinal data from the NLSY97, this study examines the influence of miscarriage on mental health and whether this relationship is moderated by religious participation. Results from this study suggest that miscarriage is associated with lower mental health among women who also experience a live birth. Results also suggest that religious participation moderates the relationship between miscarriage and mental health; religion is more likely to lead to increases in mental health among women who experience a miscarriage than among women who do not experience a miscarriage. Overall, evidence suggests that religion may be an important coping mechanism for women who deal with pregnancy loss.     

Comparing the Impact of Bullying and Sexual Harassment Victimization on the Mental and Physical Health of Adolescents

A sample of 522 middle and high school students from a school district in a northeastern state in the U.S. was used to address two questions about bullying and sexual harassment: Is one more frequent than the other, and are there gender or sexual orientation differences in this regard? And, does one have greater adverse health effects than the other, and, if so, for whom? Bullying occurred more frequently than sexual harassment for both girls and boys but not among sexual minorities. Girls were bullied or harassed as frequently as boys, but sexual minorities experienced higher levels of both. Compared to bullying, sexual harassment had adverse effects on more health outcomes. These adverse effects were especially notable among girls and sexual minorities.     

Mitigating the Mental Health Impact of Marginalization and Discrimination

In honor of the life and work of Aaron T. Beck, this paper describes the application of cognitive therapy to management of marginalization stress among minoritized communities. Collaborative empiricism, cognitive restructuring, and behavioral interventions are highlighted as being particularly useful in a contemporary multicultural approach for the anxiety, depression, stress, and other sequelae of marginalization due to a stigmatized identity. Although primarily illustrated through recent work with transgender and gender diverse adults, the discussion extends to other groups including racial, ethnic, and sexual minorities and immigrants. This work illustrates the power of Dr. Beck’s approach to address the presenting concerns of contemporary clinical work.     

Understanding Islamic Perspective of Mental Health and Psychotherapy

This paper is an attempt to provide foundational information about Islamic perspective of mental health and psychotherapy. It further highlights the historical contribution of Muslim philosophers and physicians to the field of psychotherapy. In the aftermath of the 9/11 and 7/7 tragedies, there has been a growing need to understand the Islamic perspective of mental health and gain insight into the followers of this faith otherwise perceived as ‘mysterious and Far Eastern’. A case example illustrates how counselors/therapists can effectively incorporate religious-cultural aspects of Islam in their work with Muslim clients so that they could work more effectively with their Muslim clients in the post 9/11 climate. Health care professionals must be sensitive to and fully aware of the unique religious traditions, cultural norms and gender sensitive values of their Islamic psychiatric patients so that they could introduce modern therapeutic interventions with less resistance from their clients.     

Substance Abuse,Familial Factors,and Mental Health: Exploring Racial and Ethnic Group Differences Among African American,Caucasian, and Hispanic Juvenile Offenders

The present study examined racial, ethnic, and gender differences in family composition substance abuse, and mental health issues, such as depression and self-esteem among adjudicated juvenile offenders. Results revealed a negative relationship between depression and self-esteem among all ethnicities and family compositions. Caucasians reported greater incidence of substance abuse than did African American and Hispanic youth. Moreover, in reconstituted families, Caucasians had lower self-esteem scores than did other ethnicities. The findings illustrate the complexities of risk to substance use among high-risk populations, particularly as they relate to familial factors and the importance of intensive family therapy among this population.     

Acculturation,Competence, and Mental Health Among South Asian Students in the United States

Among 199 South Asian international students in the United States, higher levels of depressive symptoms were predicted by higher perceived prejudice and lower self‐reported competence in work, personal/social efficacy, and intracultural behaviors. Relationships among the predictors and depressive symptoms differed by gender. Implications for theory, research, and mental health interventions are discussed. Entre 199 estudiantes internacionales Surasiáticos en los Estados Unidos, altos niveles de síntomas depressivos fueron pronosticado por el prejuicio mas percibido y el bajo alto informo de capacidad en el trabajo, en la eficacia personal/social y la funcion intracultural. Las relaciones entre los pronosticadores y los síntomas depressivos diferidos por el género. Las implicaciones para teoría, investigaciones, y las intervenciones mentales de la salud se discuten.     

Mental Health Disparities,Treatment Engagement,and Attrition Among Racial/Ethnic Minorities with Severe Mental Illness: A Review

Mounting evidence indicates that there are mental health disparities in the United States that disadvantage racial/ethnic minorities in medical and mental health settings. Less is known, however, about how these findings apply to a particularly vulnerable population, individuals with severe mental illness (SMI). The aim of this paper is to (1) provide a critical review of the literature on racial/ethnic disparities in mental health care among individuals with SMI; (2) identify factors which may contribute to the observed disparities; and (3) generate recommendations on how best to address these disparities. Specifically, this article provides an in-depth review of sociocultural factors that may contribute to differences in treatment engagement and rates of attrition from treatment among racial/ethnic minorities with SMI who present at medical and mental health facilities. This review is followed by a discussion of specific strategies that may promote engagement in mental health services and therefore reduce racial/ethnic disparities in SMI.     

Mental Health and Personality Functioning of Naval Specialists Working in Extreme Environments

This study aimed to describe the mental health profile of South African Navy specialists working in extreme environments and to investigate the incidence of expressed psychopathology among them. The authors used the Minnesota Multiphasic Personality Inventory (MMPI)-2 to describe major patterns of psychopathology and abnormal personality functioning in a sample of 161 divers and 152 submariners and compared them with a sample of 139 general Navy employees. Navy divers and submariners displayed desirable mental health profiles, although occupational-specific markers of atypical behavior patterns were found, such as slightly elevated scores on the Hypomania scale among divers and on the Responsibility scale among submariners. There was a strong expression of masculine gender role identification among divers and submariners and the general Navy. In the cases in which atypical behavior dynamics occurred, it could be interpreted as adaptive rather than psychopathological in the specific context of the operational environment in which those individuals operated. Practically, this study provides contemporary MMPI-2 profiles and the accompanying occupational-related normative deviations for South African divers and submariners, possibly allowing for more accurate interpretation of profiles from these groups, resulting in enhanced mental health monitoring in these environments.     

Homeless Youths and Young Adults in Los Angeles: Prevalence of Mental Health Problems and the Relationship Between Mental Health and Substance Abuse Disorders

Although understanding of the subsistence patterns, service utilization, and HIV-risk behaviors of homeless youths and young adults is increasing, relatively little is known about the epidemiology of mental health problems in this group or the relationships between mental health problems and substance use. This study measured symptoms of depression, low self-esteem, ADHD, suicidality, self-injurious behavior (SIB), and drug and alcohol use disorder in a sample of homeless youth and young adults living in Hollywood, CA. Results indicated extremely high prevalences of mental health problems, as compared with corresponding rates of mental health problems found among housed youths in previous studies. Prevalence of mental health problems differed by age and ethnicity. African Americans were at lower risk of suicidal thoughts and SIB than were those of other ethnicities. Older respondents and females were at increased risk of depressive symptoms, and younger respondents were at increased risk of SIB. Previous history of sexual abuse and/or assault was associated with increased risk of suicidality and SIB. Risk factors for drug abuse disorder included ethnicity other than African American, homelessness for 1 year or more, suicidality, SIB, depressive symptoms, and low self-esteem. Risk factors for alcohol abuse disorder included male gender, white ethnicity, homelessness for 1 year or more, suicidality, and SIB. Extremely high rates of mental health problems and substance abuse disorders in this sample suggest the need for street-based and nontraditional mental health services targeted toward these youths and young adults.     

Mental Health Matters

Abstract

This article discusses the epistemological biases and therapeutic risks of overly-medicalized and deterministic approaches to women's psychological problems. Constructivist and feminist perspectives are used to illuminate the essentially political enterprise of naming psychological distress, and to argue the necessity of feminist theories of psychotherapy. These too, however, must be critically examined for deterministic assumptions which emphasize pathology or victimization, thereby limiting recognition of women's agency, and capacity for resistance and change. One alternative model is Adler's Individual Psychology. This humanistic approach is neither medicalized nor deterministic, assumes human freedom and pur-posefulness, emphasizes the dialectic interaction of the individual and society, and is philosophically committed to gender equality.     

Revisiting the California Southeast Asian Mental Health Needs Assessment Data: An Examination of Refugee Ethnic and Gender Differences

This study examined the ethnic and gender differences in the levels and predictors of distress among Vietnamese (N = 867), Cambodian (N = 590) and Laotian (N = 723) refugees. The findings showed that for all 3 groups, refugee women reported a significantly higher level of psychological distress than their male counterparts. Although there were similarities in the predictors of distress among refugee women and men, the results also found significant gender differences within and between the different cultural groups. Implications for counseling practice and research are discussed in light of the findings.     

Detrimental Effects of Discrimination on Mental Health in Asian Americans: Counteracting Roles of Religious Involvement

Few studies have examined the role of religious involvement as a potential protective factor in the mental health of Asian Americans. Using the first national sample from the National Latino and Asian American Study (2002–2003), this study explored the direct effect of religious attendance on the diagnosis of generalized anxiety disorder and self-rated mental health in Asian Americans (n = 2,095), above and beyond that of discrimination and acculturation factors. Hierarchical regression models associated (a) gender and discrimination with generalized anxiety disorder, and (b) gender, employment status, English proficiency, and discrimination with self-rated mental health. Including religious attendance added explanatory power to both models, indicating its influence on mental health. There was no interaction between religious attendance and discrimination, suggesting a suppressing rather than stress-buffering effect of religious attendance. These patterns suggest future investigation in the relationship between religious involvement and mental health in relation to subcultural differences among Asian Americans.     

The Impact of Perceived Discrimination on Mental Health Among Chinese Migrant and Left-Behind Children: A Meta-analysis

In China, rural–urban migration is one of major influences on the mental health of migrant and left-behind children. Literature suggests that the perception of discrimination is an important factor that influences the mental health of these children. The present research explores (1) whether migrant children and left-behind children are different in the relationship between the perception of discrimination and mental health, and (2) whether the relationship between the perception of discrimination and mental health of these children is moderated by gender and age. Using a meta-analytic technique, the authors included 26 studies (generating 48 independent samples) with a total sample size of 28,883 participants. Results showed that the perception of discrimination of migrant children was negatively correlated with positive indicators of mental health, and it has a stronger effect than left-behind children; the perception of discrimination of migrant children was positively correlated with negative indicators of mental health, and it has a weaker effect than left-behind children. Additionally, gender moderated the relationship between the perception of discrimination and the positive indicators of mental health among left-behind children, while age moderated such relationship among migrant children.