A Public Health Framework for Preventing Mental Disorders in the Context of Pandemics

The COVID-19 pandemic has universally threatened the building blocks of mental health, well-being, and quality of life, namely, expectations of safety, connectedness, hope, and individual and societal efficacy. Consequently, unprecedently large numbers of individuals are significantly stressed and many are at risk for relapse of mental health problems, exacerbations of existing mental and behavioral health problems, and new onset clinical problems. Because of the scope of the problem, a population-based public health perspective is needed, which in the context of disasters has well-established theories and prevention approaches. Public health approaches to disasters and pandemics focus on preventing subclinical problems from becoming clinical disorders, in comparison to clinical care approaches that focus on treating established disorders. Fortunately, specialty care clinicians who typically think about assessing and treating established disorders have the training and clinical competencies to deliver prevention-focused interventions. This paper is designed to help specialty care clinicians who use cognitive-behavioral strategies to understand the biopsychosocial impacts and resource deficits associated with COVID-19-related stressors and the public health perspective to address them. We also provide ways clinicians can help people who are suffering from significant stress and resource deficits bounce back and regain functioning. We describe psychological first aid, stress management, repeated ecological assessment, writing about stressors, problem-solving, and behavioral activation approaches to assist individuals at risk for enduring stress-linked problems.     

Relationships,health, and stress: Validation of a relationship sense of coherence measure

Although all romantic relationships experience stress, some thrive when faced with adversity while others are unable to manage the inevitable relationship ups and downs. Rather than seeing stress as a risk factor, this study applied a Salutogenic framework, which posits that stress is a naturally occurring and potentially beneficial part of relationships, to develop a new measure of relationship health and well‐being. In Study 1, we created and tested a self‐report Relationship Sense of Coherence (RSOC) scale. Study 2 demonstrated evidence of convergent reliability for the RSOC. In Study 3, we tested the RSOC in a two‐wave sample of romantically‐involved individuals with a chronic health condition. Guidelines for use and implications for future research are discussed.     

Le processus d’intervention en santé au travail : éclairer les enjeux de l’action par un exercice de formalisation de l’activité

IntroductionThe quality of action in occupational health requires attention to its dynamic, for example analysing the activity of the intervenant consultant: what he manages to do in his activity and the obstacles he encounters.ObjectiveThis article proposes to feed the knowledge on the intervention from a qualitative approach and centered on the intervention process.MethodUsing the case study, the article shows the real of the intervention, its obstacles and the adjustments it imposes. The case studied is in a journal.ResultsThis intervention process shows the effects of variation caused by lack of accession and support from management and the trade unions, the difficulty of passing from knowledge to action.ConclusionThe difficulties have a function of revelation which the evaluation of the effects of an intervention can take into account.     

When the final whistle blows: Social identity pathways support mental health and life satisfaction after retirement from competitive sport

For many athletes, retirement from higher levels of competitive sport poses significant challenges. Research has shown that athletic identity is a key predictor of adjustment trajectories, but the mechanisms through which this affects outcomes are less clear. Added to this, there has been limited research on the role that wider social identities, and the resources they enable, play in adjustment. Addressing both these issues, we examined theoretically derived social identity pathways to retirement adjustment in athletes who had played sport at higher competitive levels and two potential mechanisms, or psychological resources, through which adjustment might be enabled. This was examined in two samples: retired athletes from countries in Western (n = 215) and Eastern (n = 183) regions. Loss of athletic identity, social group memberships (multiple, maintained and new), psychological resources (perceived meaning in life and control), and adjustment (life satisfaction, depression, and perceived physical health) were assessed. In both samples, the loss of athletic identity undermined adjustment by reducing meaning in life and perceived control. Path analysis showed that both maintained and gained social group memberships counteracted the negative effects of athletic identity loss on adjustment. Evidence that these pathways enabled access to psychological resources was found primarily in Chinese athletes, with maintained groups influencing personal control and new groups influencing meaning in life. These findings highlight the importance of social identity processes to retirement from higher levels of competitive sport and the mechanisms through which they can either support or undermine adjustment.     

中国国民心理健康素养的现状与特点

本研究以系统的全国抽样调查方式, 了解我国国民心理健康素养现状。结果显示, 我国成年公众的心理健康素养总体处于中偏低水平; 其发展水平在地域、人口学分布上比较均衡; 在结构上, 公众心理健康素养的发展表现出心理健康维护和促进的素养高于心理疾病应对的素养, 自助的素养高于助人的素养两个特点。调查还发现, 个体心理健康素养中, 知识观念部分个体差异较大, 态度和习惯部分个体差异较小; 在心理健康素养的社会性影响因素方面, 社会经济地位是所考察变量中效应最大的因素, 且其对素养的知识观念方面影响较大, 对素养的态度习惯方面影响较小。调查结果提示, 要充分认识心理健康素养提升任务的艰巨性; 在实践策略上, 宜以提升心理疾病应对的素养作为当前的工作重点和突破口。     

Evidence for Relationships Between Hope,Resilience, and Mental Health Among Youth

Predictive modeling was used to evaluate the associations between hope, resilience, happiness, and mental health in 449 middle and high school students. Model results indicated large effect sizes for middle school (R² = .28) and high school (R² = .36) participants, with hope and resilience tending to predict self‐reported mental health symptoms. These findings and their application to counseling practice are explained.     

Mental Health Identification Practices of Jails: The Unmet Needs of the “Silent” Population

The overrepresentation of individuals with mental illness in the criminal/legal system is well documented. While professional associations urge diversion towards treatment, little is known about the practices these institutions use to identify this population. One understudied space in the criminal/legal continuum is jails. This exploratory study compares two types of mental health identification at jail booking to assess jail‐ and community‐based service outcomes by identification type (N = 2956): (a) staff observation and (b) a standardized screening instrument. Individuals identified through staff observation were significantly more likely to receive jail‐ and community‐based services, even though current symptomology and substance misuse were both significantly higher for individuals identified only by the screening instrument. These findings point to the importance of jails in providing stabilizing services during incarceration, but further, show the impact that identification practices have on individuals as they transition to the community. Community context showed varied rates of jail staff observations of mental illness, showing greater risks for individuals in rural communities. Implications include a need for system‐level changes by instituting evidence‐based identification practices in jails, and improving professional collaboration practices between mental health and criminal/legal practitioners as individuals enter and exit jails.     

Identifying developmental stuttering and associated comorbidities in electronic health records and creating a phenome risk classifier

PurposeThis study aimed to identify cases of developmental stuttering and associated comorbidities in de-identified electronic health records (EHRs) at Vanderbilt University Medical Center, and, in turn, build and test a stuttering prediction model.MethodsA multi-step process including a keyword search of medical notes, a text-mining algorithm, and manual review was employed to identify stuttering cases in the EHR. Confirmed cases were compared to matched controls in a phenotype code (phecode) enrichment analysis to reveal conditions associated with stuttering (i.e., comorbidities). These associated phenotypes were used as proxy variables to phenotypically predict stuttering in subjects within the EHR that were not otherwise identifiable using the multi-step identification process described above.ResultsThe multi-step process resulted in the manually reviewed identification of 1,143 stuttering cases in the EHR. Highly enriched phecodes included codes related to childhood onset fluency disorder, adult-onset fluency disorder, hearing loss, sleep disorders, atopy, a multitude of codes for infections, neurological deficits, and body weight. These phecodes were used as variables to create a phenome risk classifier (PheRC) prediction model to identify additional high likelihood stuttering cases. The PheRC prediction model resulted in a positive predictive value of 83 %.ConclusionsThis study demonstrates the feasibility of using EHRs in the study of stuttering and found phenotypic associations. The creation of the PheRC has the potential to enable future studies of stuttering using existing EHR data, including investigations into the genetic etiology.     

情绪自旋及其心理健康功能

情绪自旋是度量核心情绪个体内可变性的一种非认知性的人格特质。其通常采用经验取样法或日间重构法来对个体核心情绪状态进行每日动态跟踪, 并根据测评周期内的核心情绪空间位置的矢量角度的跨时间标准差来反映个体核心情绪状态的时间波动特性。基于情绪事件理论, 日常负性事件经历及其评估导致了个体情绪自旋的产生, 而动态情绪模型进一步解释了情绪自旋对心理健康功能的阻碍作用。未来应在情绪自旋的心理健康作用机制方面进行深入研究。