城镇化进程中离乡农民心理健康特点调查及心理素质、相对剥夺感的影响机制

为探讨城镇化进程中离乡农民的心理健康特点以及心理素质、相对剥夺感对其的影响,通过量表对1339名城乡居民进行调查。结果发现:离乡与留乡农民在幸福感、拥有生命意义感、感知控制感、心理素质方面显著低于城镇居民,在状态焦虑方面显著高于城镇居民; 离乡农民在抑郁上显著高于城镇居民,在感知控制感上显著高于留乡农民,在心理素质上显著低于留乡农民; 留乡农民在相对剥夺感上显著高于城镇居民; 离乡农民的幸福感、拥有生命意义感、感知控制感态与相对剥夺感呈显著负相关,与心理素质呈显著正相关; 离乡农民的抑郁、状态焦虑与相对剥夺感呈显著正相关,与心理素质呈显著负相关; 离乡农民的相对剥夺感与心理素质之间呈显著负相关。心理素质除了可以直接预测心理健康各项指标,还可以通过相对剥夺感的中介作用,间接预测幸福感、抑郁及状态焦虑。提升心理素质和降低相对剥夺感是离乡农民心理健康服务的重要切入点。     

流动儿童歧视知觉与心理健康水平的关系及其心理机制

为了探讨流动儿童所感受到的歧视对他们心理健康水平的影响, 以及应对方式和自尊在其中所起的作用, 从北京市公立学校和打工子弟学校选取1164名流动儿童、从公立学校选取525名北京儿童、从流动儿童主要来源地的农村选取568名农村儿童作为被试, 采用问卷调查的形式, 测查了流动儿童感受到的歧视、他们的心理健康水平(社交焦虑、孤独感、抑郁)、应对方式和自尊。研究发现: (1) 流动儿童所感受到的社会歧视在学校类型、流动性上存在显著的差异, 打工子弟学校的流动儿童得分显著高于公立学校的, 流动性高的儿童得分显著高于流动性低的, 但在性别上不存在显著差异, 也不存在学校类型与性别和流动性的交互作用; (2) 流动儿童的心理健康水平在性别、学校类型和流动性上存在显著的差异, 女孩、来自公立学校的流动儿童、流动性高的儿童的心理健康水平显著差于与之相对应的被试, 除在社交焦虑和抑郁上存在学校类型和性别的交互作用外, 在孤独感上不存在学校类型和流动性的交互作用; (3) 不同类别儿童在心理健康水平上存在显著差异, 流动儿童在社交焦虑、孤独感上最差; (4) 除消极应对与自尊、积极应对与抑郁相关不显著外, 歧视、心理健康水平、应对方式、自尊两两之间都相关非常显著; (5) 歧视知觉对心理健康水平有显著的直接影响, 也通过应对方式和自尊对心理健康水平产生显著的影响。自尊不仅在歧视知觉与心理健康水平之间起到显著的部分中介作用, 在应对方式和心理健康水平之间也起到了显著的部分中介作用。     

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.

     

流动儿童歧视知觉与心理健康关系的元分析

本研究基于心理健康双因素模型,通过运用元分析技术探讨流动儿童歧视知觉与各项心理健康指标的关系,以及调节变量对二者关系的影响,以期为提升流动儿童心理健康提供有效借鉴。经过文献检索和筛选,共纳入原始文献3篇,含49个独立样本,被试总数达到40351名。根据同质性检验结果,选择随机效应模型分析发现,流动儿童歧视知觉与积极心理健康指标存在中等程度的负相关(r=-0.323,95%CI为[-0.378,-0.266]),与消极心理健康指标存在中等程度的正相关(r = 0.41, 95%CI为[0.36,0.458])。流动儿童歧视知觉测量工具、学龄段对流动儿童歧视知觉与积极心理健康的关系存在显著的调节效应,而对流动儿童歧视知觉与消极心理健康的关系不存在显著的调节效应。同时,元回归分析结果发现,性别对二者的关系不存在显著的调节效应。后续研究应该进一步探索流动儿童歧视知觉与心理健康间的调节变量,结合中国流动儿童心理发展特点, 探索提升流动儿童心理健康水平的新路径。     

Predictors of Diabetes Self‐care,Metabolic Control,and Mental Health in Youth with Type 1 Diabetes

The purpose of this study was to explore the psychosocial predictors of diabetes self‐care (adherence to care regimes), metabolic control (glycated haemoglobin), and mental health among rural‐ and urban‐dwelling youth with type 1 diabetes. One hundred and twenty three adolescents/young adults (aged 13?25 years, mean = 16 years, standard deviation = 3.8 years) with type 1 diabetes, 50 males and 73 females, completed questionnaires reporting on diabetes self‐care, metabolic control, mental health (negative affect, quality of life), risk‐taking behaviours and attitudes, diabetes self‐efficacy, community engagement, and perceived social support. No rural/urban differences were detected on key predictors or outcome variables. Structural equation modelling revealed that high diabetes self‐efficacy, lower risk behaviour, and more conservative attitudes to risk taking predicted better diabetes self‐care, which in turn predicted better metabolic control and mental health. Social support and engagement in community activities did not influence diabetes self‐care. The study has significance because both diabetes self‐efficacy and propensity towards risk behaviour are potential targets for educational and counselling interventions designed to improve diabetes self‐care regimes and resultant metabolic and mental health outcomes.     

苔花盛开如牡丹？农村留守儿童负性生活事件与心理健康的关系

以1368名农村留守儿童为被试,通过问卷调查探讨农村留守儿童的负性生活事件与心理健康的关系,并检验心理韧性、同伴依恋的链式中介作用。结果发现：（1）农村留守儿童负性生活事件与其心理健康呈负相关关系,心理健康在性别、民族、年级和父母外出状况上差异显著;（2）农村留守儿童负性生活事件不仅能直接预测其心理健康,而且还通过同伴依恋、心理韧性发挥链式中介作用。     

苔花盛开如牡丹？农村留守儿童负性生活事件与心理健康的关系

以1368名农村留守儿童为被试,通过问卷调查探讨农村留守儿童的负性生活事件与心理健康的关系,并检验心理韧性、同伴依恋的链式中介作用。结果发现：（1）农村留守儿童负性生活事件与其心理健康呈负相关关系,心理健康在性别、民族、年级和父母外出状况上差异显著;（2）农村留守儿童负性生活事件不仅能直接预测其心理健康,而且还通过同伴依恋、心理韧性发挥链式中介作用。     

Parental Migration and Rural Left-Behind Children’s Mental Health in China: A Meta-Analysis Based on Mental Health Test

Parental migration has been an important predictor of left-behind children’s developmental outcomes. Based on the ecological model of rural left-behind children’s development, we systematically reviewed studies related to rural left-behind children’s mental health in China and investigated left-behind children’s mental health and its influencing factors. Thirty-two studies involving 28,629 participants met the inclusion criteria were included in our meta-analysis to compare mental health of left-behind children and non-left-behind children. Twenty-two studies involving 8,634 participants were included in gender difference meta-analysis. The results indicated that left-behind children report more mental health problems than non-left-behind children, left-behind girls were confronted with higher level of mental health problems than left-behind boys, left-behind children in primary school and junior high school reported more mental health problems than those in senior high school, and self-guardian children have more serious mental health problems than children guarded by grandparents, former generation, and single parent. Implications for future practice were analyzed from family, school, and government perspectives.     

Relations of SARS-related stressors and coping to Chinese college students' psychological adjustment during the 2003 Beijing SARS epidemic

This study examined the main and interactive relations of stressors and coping related to severe acute respiratory syndrome (SARS) with Chinese college students' psychological adjustment (psychological symptoms, perceived general health, and life satisfaction) during the 2003 Beijing SARS epidemic. All the constructs were assessed by self-report in an anonymous survey during the final period of the outbreak. Results showed that the relations of stressors and coping to psychological adjustment varied by domain of adjustment. Regression analyses suggested that the number of stressors and use of avoidant coping strategies positively predicted psychological symptoms. Active coping positively predicted life satisfaction when controlling for stressors. Moreover, all types of coping served as a buffer against the negative impact of stressors on perceived general health. These findings hold implications for university counseling services during times of acute, large-scale stressors. In particular, effective screening procedures should be developed to identify students who experience a large number of stressors and thus are at high risk for developing mental health problems. Intervention efforts that target coping should be adapted to take account of the uncontrollability of stressors and clients' cultural preferences for certain coping strategies. A multidimensional battery of psychological adjustment should be used to monitor clients' psychological adjustment to stressors and evaluate the efficacy of intervention.     

Effect of Poverty on Mental Health of Children in Rural China: The Mediating Role of Social Capital

Underprivileged children are a relatively special vulnerable group in rural China, but the relationship between poverty and children’s mental health has been rarely examined. This study aimed to investigate the effect of poverty on children’s mental health and the mediating role of social capital in their family, peer, school, and community level. Data used in this study were collected in 2015 from a school-based survey of 1314 children in grades 4–9 through a multi-stage cluster random sampling method in Xiushui, a poverty-stricken city in Mainland China. The result of structural equation modeling indicated that poverty elicited a significant predictive effect on children’s negative and positive mental health. Family social capital and peer social capital played intermediary effects between poverty and children’s mental health. However, the mediating effects of school and community social capital are not significant. The implications of these findings on theory, social policy, and social work services were also discussed.

     

歧视知觉与心理健康的关系:基于中国留守儿童的元分析

研究以心理健康双因素模型为视角,运用元分析技术梳理了留守儿童歧视知觉与积极和消极心理健康的关系,并探究了影响其关系的调节变量。通过文献检索与筛选,共27篇中英文文献,56个独立样本纳入元分析,包含被试17146名。结果显示,歧视知觉与积极心理健康指标呈显著的负相关关系(r=-0.298),与消极心理健康指标呈显著的正相关关系(r=0.365)。调节效应分析发现,留守儿童歧视知觉与积极心理健康的关系受到歧视知觉测量工具的影响,与消极心理健康的关系受到歧视知觉测量工具、学龄段以及消极结果类型的影响。同时,元回归分析发现,文献年份对歧视知觉与积极心理健康指标关系的调节效应显著; 性别对歧视知觉与积极和消极心理健康关系的调节作用均不显著。研究结果进一步明确了留守儿童歧视知觉与积极和消极心理健康的关系,为探索提升留守儿童心理社会适应的新路径提供了借鉴。     

Invisible support and adjustment to stress

Although there is abundant evidence that perceived availability of support buffers the effects of stressors on mental health, the relatively meager research on support transactions has failed to show an association between actual receipt of support and adjustment to stressors. The authors examined a possible explanation for this inconsistency, that awareness of receiving support entails an emotional cost and that the most effective support is unnoticed by the recipient. Using data from a daily diary study of support provision and receipt in couples, the authors show that many transactions reported by supporters are not reported by recipients. They also show that these invisible support transactions promote adjustment to a major stressor.     

个体与群体歧视知觉对流动儿童学业倦怠的影响：学业自我妨碍的中介作用和认同整合的调节作用

以363名初中阶段流动儿童为被试,采用问卷法考察学业自我妨碍在流动儿童个体和群体歧视知觉与学业倦怠关系中的中介作用,以及认同整合的调节作用。结果如下：（1）个体和群体歧视知觉正向预测流动儿童学业倦怠;（2）学业自我妨碍在流动儿童个体和群体歧视知觉与学业倦怠关系中起中介作用;（3）认同整合会调节个体歧视知觉、学业自我妨碍对学业倦怠的影响。     

Knowledge and causal attributions for mental disorders in HIV-positive children and adolescents: results from rural and urban Uganda

Increasing availability of antiretroviral treatment (ART) has led HIV to be considered a chronic disease, shifting attention to focus on quality of life including mental wellbeing. We investigated knowledge and causal attributions for mental disorders in HIV-positive children and adolescents in rural and urban Uganda. This qualitative study was nested in an epidemiological mental health study among HIV-positive children and adolescents aged 5–17 years in rural and urban Uganda. In-depth interviews were conducted with caregivers of HIV-positive children (5–11 years) and adolescents (12–17 years) in HIV care. Interviews were audio recorded with permission from participants and written consent and assent sought before study procedures. Thirty eight participants (19 caregivers, 19 children/adolescents) were interviewed. Age range of caregivers was 28–69 years; majority were female (17). Caregivers had little knowledge on mental disorders ;only 3 related the vignette to a mental problem and attributed it to: improper upbringing, violence, poverty and bereavement. Five adolescents identified vignettes as portraying mental disorders caused by: ill-health of parents, bereavement, child abuse, discrimination, HIV and poverty. Caregivers are not knowledgeable about behavioural and emotional challenges in HIV-positive children/adolescents. Mental health literacy programmes at HIV care clinics are essential to enhance treatment-seeking for mental health.     

The Association Between Implicit Racial Bias and Mindfulness in Mental Health Practitioners

The mental health research literature on implicit bias is limited (Boysen, 2009), and little is known about how factors that are associated with self‐perceived multicultural counseling awareness, such as mindfulness, relate to implicit racial bias in practicing mental health professionals. Using a correlational research design, we examined the association between mental health practitioners' implicit bias, self‐perceived multicultural counseling competence, facets of dispositional mindfulness, and mindfulness practices. A total of 137 mental health professionals completed an online questionnaire. Results revealed a negative relationship between the observing component of dispositional mindfulness and the implicit racial preference associating White and “good” words. In addition, results indicated that the frequency of engaging in mindfulness practices negatively predicted implicit racial preference associating White and good. Implications for counselor training, practice, and future research are discussed.     

Mental health attitudes among Middle Eastern/North African individuals in the United States

ABSTRACT

Middle Eastern/North African (MENA) individuals may have heightened risk for developing mental health problems due to unique cultural stressors. However, traditional cultural and religious practices and beliefs socialised within the family environment may reduce the likelihood of seeking mental health services. This qualitative study aimed to better understand the intersection of cultural, religious, and mental health attitudes among MENA individuals. Semi-structured telephone interviews were conducted with MENA adults who had received therapy services (N?=?13) and were analysed for emergent themes. Respondents reported lack of understanding of mental illness within their communities, and prominent levels of perceived and self-stigma. Families and religious practices/beliefs played an important role in responding to mental illness. Results suggest that incorporating psychoeducation and community awareness campaigns alongside religious services may help to reduce barriers to receiving mental health treatment.     

中国留守儿童研究述评

留守儿童是指农村地区因父母双方或单方长期在外打工而被交由父母或长辈、他人来抚养、教育和管理的儿童。通过对留守儿童产生背景,概念界定,心理健康、自我意识、情绪与社会支持、社会行为、人格、学业与校园关系,家庭与生活等方面研究的系统总结,概括了已有研究中在多个学术领域宏观呈现与微观分析的“22N”模式及其存在的问题,提出了在目前干预措施实施不利的情况下,以保护性因素作为突破的新进展。最后从理论研究和实践干预方面提出：留守儿童并不一定是问题儿童,留守儿童之间存在个体差异,他们自身具有发展与成长的心理资源,而且留守儿童研究的纵深趋势与切实可行的干预模式必须是以社会的发展与需求为背景。     

Evaluation of a social skills program based on social learning theory, implemented in a school setting

Using a sample of 647 Canadian children in kindergarten to Grade 3 (325 boys, 322 girls), the present study evaluated the perceived effectiveness of Skillstreaming (McGinnis & Goldstein, 2003), a widely known social skills program implemented to target the development of four skill sets, i.e., listening, following directions, problem-solving, and knowing when to tell. Results indicated significant postprogram improvements in all skills as well as in ratings of overall prosociality obtained from both classroom teachers and mental health staff, with medium to large effect sizes obtained from teachers' and mental health professionals' ratings, respectively. Additional analyses yielded significant but weak moderator effects of grade and preprogram prosocial functioning for teacher ratings but no consistent moderator effects for children's sex or school location (i.e., urban versus rural) regardless of rater.     

Influence of Perceived Racial Discrimination on the Health of Immigrant Children in Canada

Racial discrimination and racism are recognized as determinants of health for adults. Less is understood regarding the influence of discrimination targeted towards parents, the family, or the cultural and children’s health. Data from the New Canadian Children and Youth Study (NCCYS) are used in this paper. The NCCYS is a national, longitudinal study of children whose families settled in urban centers of Canada. We analyzed data from individuals who settled in the metropolitan Vancouver area from six ethnic communities: Mainland China, Hong Kong, the Philippines, Iran, Afghanistan, and the Punjab who were interviewed at two times, approximately 2 years apart. Data were collected on perceived parental, family, and cultural discrimination. Our dependent variable was parent-reported child health status. Over time, perceived parental discrimination and perceived family discrimination decreased; and both forms of discrimination had a positive effect on child health. In contrast, perceived cultural discrimination increased over time and had a negative effect on child health at both times. Different forms of discrimination have different effects on child health. Racial discrimination is complex. Its influence on either increasing family cohesion, and thereby leading to improved health, or increasing stress, thereby leading to poorer health needs to be explored further.