Mental health disparities impacting Christian Korean Americans: a qualitative examination of pastors’ perspectives

Mental health disparities impacting Korean Americans are multifaceted. Although encouraging developments have been made in the knowledge of mental health prevalence and professional help-seeking behaviours of Asian Americans, Korean Americans continue to experience many challenges and unique needs that require more ethnic- and culture-specific knowledge. Given the prominent role that religion, particularly Christianity, plays in the Korean American context, we conducted exploratory interviews with 10 Korean American pastors regarding their perspectives on mental health issues impacting the Korean American community. Using consensual qualitative research, we found four salient domains: (a) Barriers to seeking mental health services, (b) Challenges that pastors experience, (c) Pastor’s assessment of church’s current climate in approaches to mental health issues, and (d) What is needed. Implications for research and practice in addressing mental health disparities are discussed.     

Are you ‘woman enough’ to control your leading cause of death?: an ethnographic content analysis of women’s cardiovascular disease and identities in media narratives

The Heart Truth^® campaign was implemented in the United States by the National Heart, Lung, and Blood Institute in 2002 to increase women’s awareness of heart disease and encourage risk reduction of cardiovascular disease. The present study explored representations of women’s cardiovascular disease, the meanings generated, and the implications for identity construction within one prominent corporate media partner of the campaign. The inaugural 2003 October issue of Glamour magazine was the focus of an ethnographic content analysis. Women’s cardiovascular disease was constructed within an overarching theme of a culture of consumerism, with meanings of cardiovascular disease emerging within two subthemes: (a) the oblivious, unknowledgeable, dependent woman at risk and (b) attaining a particular version of a healthy, feminine woman. Women’s identities were constructed as dependent on experts, purchasing fashion and fitness merchandise, and heteronormative roles for health management. These findings extend health psychology research that has called for more critical explorations of media to extend understandings of disease meanings and the implications for identity and women’s health.     

Beyond the Tremors: What Counselors Should Know About the Mental Health Needs of Clients Diagnosed With Parkinson's Disease

Parkinson's disease (PD) is the 2nd most common neurodegenerative disorder, affecting 1% to 4% of people by age 80 (Black, 2011 ). However, co‐occurring psychological disorders, such as depression, anxiety, and apathy, are significantly underdiagnosed. Professional counselors are uniquely qualified to assist clients with these mental health complications of PD.     

Adult Missing Persons: Can an Investigative Framework be Generated Using Behavioural Themes?

There is a limited amount of research in the area of missing persons, especially adults. The aim of this research is to expand on the understanding of missing people, by examining adults' behaviours while missing and determining if distinct behavioural themes exist. Based on previous literature it was hypothesised that three behavioural themes will be present; dysfunctional, escape, and unintentional. Thirty‐six behaviours were coded from 362 missing person police reports and analysed using smallest space analysis (SSA). This produced a spatial representation of the behaviours, showing three distinct behavioural themes. Seventy percent of the adult missing person reports were classified under one dominant theme, 41% were ‘unintentional’, 18% were ‘dysfunctional’, and 11% were ‘escape’. The relationship between a missing person's dominant behavioural theme and their assigned risk level and demographic characteristics were also analysed. A significant association was found between the age, occupational status, whether they had any mental health issues, and the risk level assigned to the missing person; and their dominant behavioural theme. The findings are the first step in the development of a standardised checklist for a missing person investigation. This has implications on how practitioners prioritise missing adults, and interventions to prevent individuals from going missing. Copyright © 2016 John Wiley & Sons, Ltd.     

Early and Late Life Exposure to Trauma and Biopsychosocial Well-Being in Centenarians

Few studies have investigated the proximal versus distal influence of traumatic life events (TLE) on biopsychosocial resources of very old adults. The Developmental Adaptation Model was used to test TLE experienced before and after the age of 60 on outcomes of centenarians’ physical disability, perceived health impairments, depressive symptoms, and social support. Cross-sectional data were collected from 154 community-dwelling centenarians. Results indicated that TLE in the latter half of life were positively associated with health impairments and depressive symptoms. The present results emphasize the importance of a process-oriented approach to resilience that allows flexibility in successful coping across the lifespan.     

Frequency and impact of trauma in older women: A military and nonmilitary sample

Understanding the impact of trauma on late-life functioning in older females is needed in order to provide best care. We explored the impact of trauma on late-life psychological and physical health and functioning among older women (n = 48) who served in the military, or participated in a military lifestyle. Eleven of these women were not veterans, but married to military personnel. Number of traumatic exposures and types of events experienced was associated with increased trauma symptom severity. Trauma symptom severity was associated with decreased physical functioning and increased pain. Increased numbing and avoidance was significantly associated with poorer physical functioning and increased pain. Older women in this study remained at risk of experiencing negative consequences of trauma in terms of increased quantity and severity of trauma symptoms and physical decline and pain. Clinical and research implications are discussed.     

Posttraumatic stress and physical health among adults: The role of coping mechanisms

The purpose of the present study was to examine whether coping mechanisms predict physical health, after controlling for posttraumatic stress disorder (PTSD) symptom clusters in a non-clinical sample of adults. Data were collected from 483 adults through an online survey. Most of the participants (66.7%) reported lifetime exposure to at least one traumatic event. The final sample of this study included 319 trauma-exposed individuals. Results indicated that PTSD symptoms on the avoidance and hyperarousal clusters had significant positive relationships with self-reported physical health symptoms. After controlling for gender and PTSD, denial, behavioral disengagement, and self-blame significantly and positively predicted physical health symptoms.     

An Examination of Disclosure,Mental Health Treatment use,and Posttraumatic Growth Among College Women Who Experienced Sexual Victimization

Few investigations have sought to identify factors associated with posttraumatic growth among survivors of sexual victimization. The present study examined the relationship between posttraumatic growth, disclosure, and mental health treatment use following sexual assault. Undergraduate female psychology students (N = 85), who reported a prior history of sexual victimization, completed measures assessing trauma exposure, posttraumatic growth, disclosure, and mental health treatment use. Results revealed that degree of disclosure of the assault to support sources and mental health treatment use following sexual assault was related to increased posttraumatic growth. Findings have valuable implications for treatment interventions for survivors of sexual trauma.     

群体认同与个体心理健康的关系:调节变量与作用机制

近年来,群体认同与个体心理健康的关系得到了研究者的关注。本研究通过对相关文献的梳理与归纳发现:民族、国家、学校、家庭等不同种类群体的认同,群体认同数量与个体心理健康的关系显著;群体认同与个体心理健康之间的关系受群体认同动机和个体对群体评价的调节,并依赖于自尊、社会支持、控制知觉、归因方式等因素的中介;未来应利用多种方法继续研究群体认同与个体心理健康关系的调节变量与作用机制。     

神经性厌食症的生物-心理-社会模型

厌食症作为一种精神和躯体疾病严重危害个体健康。已有众多研究者从生物-心理-社会整体医学模型角度对厌食症进行了研究。厌食行为受到遗传基因易感性、中枢神经递质活性改变、人格特质、肥胖恐惧感、应激因素、"瘦"文化背景、家庭关系紊乱等的影响。未来应着力探讨神经内分泌与厌食症的因果关系并加强厌食症的预防、干预及治疗。