“转换-坚持”对低阶层健康的保护作用及其机制

低社会阶层是不良健康状况最可靠的社会决定因素之一。然而, 很少有人理解为什么同样处于低阶层, 有些个体却能保持良好的健康状况。在大量实证研究的基础上, 研究者们发现“转换-坚持”策略这一心理因素能有效保护处于逆境中的低阶层者的健康, 使其免于受到疾病的侵扰。当个体面临持续或频繁的压力时, “转换-坚持”策略减轻了下丘脑-垂体-肾上腺轴的急性生理激活, 有效抑制了低阶层面临逆境时的生理应激反应, 随着时间的推移, 阻止了致病过程的发展; 同时, 该策略还减少了低阶层者的不良健康行为, 进而对健康起到保护作用。未来研究应在深入探索核心机制基础上开发出有效的干预方案, 为解决我国相对贫困问题中的健康贫困提供新的路径。     

2010~2020中国内地小学生心理健康问题检出率的元分析

我国小学生心理健康问题的检出率莫衷一是, 为整合调查结果并分析其原因, 对2010~2020年来检索到的相关研究进行了元分析。结果显示：(1)小学生心理健康问题的检出率由高到低依次是睡眠问题(25.2%, 95% CI = [0.16, 0.37])、抑郁(14.6%, 95% CI = [0.12, 0.18])、焦虑(12.3%, 95% CI = [0.06, 0.23])、攻击行为(4.1%, 95% CI = [0.02, 0.10])、退缩(3.8%, 95% CI = [0.02, 0.06])、违纪行为(3.7%, 95% CI = [0.02, 0.07])、躯体化(3.6%, 95% CI = [0.02, 0.07])。(2)测量工具、检出标准、检出时间是导致小学生心理健康问题检出率不一致的关键因素。总体而言, 我国小学生除了睡眠问题、抑郁和焦虑检出率偏高外, 整体心理健康状况尚可。未来应开发适合中国小学生的心理健康状况测评工具及检出标准, 为心理健康问题的预防和精准干预提供支持。     

2010~2020中国内地高中生心理健康问题检出率的元分析

我国高中生心理健康问题的检出率亟需关注, 许多研究对此进行了探究, 但结果并不一致。为明确近10年来我国高中生心理健康问题的检出状况及其影响因素, 对检索后获得的252项研究进行了元分析。结果发现: 检出率由高到低依次是抑郁(28.0%)、焦虑(26.3%)、睡眠问题(23.0%)、自我伤害(22.8%)、自杀意念(17.1%)、躯体化(9.8%)、自杀计划(6.9%)、自杀企图(未遂) (2.9%)。我国高中生心理健康问题检出率受出版年代、测量工具、检出标准、检出时间、年级和区域影响。未来应着力编制标准化测评工具、构建心理健康教育长效机制并对高年级、欠发达地区高中生的心理健康问题予以重点关注。     

Sleep interventions for performance,mood and sleep outcomes in athletes: A systematic review and meta-analysis

Sleep is fundamental to sports performance and other health outcomes such as mental wellbeing. This systematic review explored the effects of sleep interventions implemented among athletes on performance, sleep, and mood outcomes. Five databases were searched, returning 5996 records for screening. Of these, 27 articles met the inclusion criteria (16 controlled deigns, 11 uncontrolled; athletes n = 617; male n = 432, female n = 93, non-binary/other n = 0 or not reported n = 92). Narrative synthesis of all studies based on intervention type suggested that sleep hygiene, assisted sleep, and sleep extension interventions may be associated with improved sleep, performance, and mood outcomes. Twelve controlled trials were eligible for quantitative meta-analysis, investigating the effect of sleep interventions on athlete sleep, performance, and negative affect, compared to controls post-intervention. Utilizing random-effects meta-analyses, sleep interventions improved subjective sleep quality (g = 0.62, 95% CI [0.21, 1.02]), reduced sleepiness (g = 0.81, 95% CI [0.32, 1.30]) and decreased negative affect (g = 0.63, 95% CI [0.27, 0.98]), but did not appear to influence subjective sleep duration. No effects were identified for objective sleep measures (e.g., actigraphy), or aerobic/anaerobic performance indices. While sleep interventions may offer some benefit to athletes, caution is warranted given limitations of the extant research relating to small, non-representative studies with methodological concerns.     

Life-Ecology Integrated Security in Building a Global Community of Health for Human Beings

The sudden onslaught of the COVID-19 pandemic brought people the most serious global public health emergency since the end of World War II. Posing a threat to human survival and development, the pandemic has given prominence to global issues concerning life safety and ecological security and triggered studies on their integrated advancement. Only by fully understanding the importance and urgency of the life-ecology integrated security and establishing the new idea, new strategy, new plan, and basic path can we survive deadly emergencies, build a community with a shared future and health for all, and jointly contribute to and share the benefits of a safe, healthy and beautiful world with common prosperity, long-lasting peace and stability of humanity.     

A geography of contaminated sites,mental health and wellbeing: The body,home, environment and state at Australian PFAS sites

Health geographers have long been interested in the connection between place and mental health, proposing that settings influence mental health and vice versa. Research on environmental contamination has tended to focus on the former part of this relationship, examining how the mental health and wellbeing of residents living nearby are affected by the contamination. There has been little investigation of the latter component: how mental health and wellbeing may shape place. This article seeks to explore how the mental health and wellbeing of residents living on or near environmental contamination may be both affected by and reproduced in place. It considers this in a case study of per- and poly-fluoroalkyl substances (PFAS) contamination in New South Wales, Australia, by drawing on interviews with residents. Focus is placed on examining how residents report psychological distress associated with the contamination and how this distress may permeate beyond the contaminated site to become enmeshed in other places at different scales, such as the body, home, local environment, and state. Ultimately, it is proposed that these places reproduce distress on their own and require just as much attention in addressing adverse psychological effects as the physical contamination itself.     

Never Turn Your Back on a Wave

This article reviews the intersections of personal and professional life development for the author. She offers perspective on three important life lessons that have guided her in this rewarding life path. First, be responsible in fulfilling and seeking professional opportunities. Second, be nice—respectful, warm, collegial, collaborative; treat others with the respect you want to receive yourself. Finally, “Never turn your back on a wave”—face the challenges that life presents, forthrightly, with energy and enthusiasm, and enjoy a full and fulfilling career and personal life.     

Subjective perception of health in elderly inpatients

There is evidence that subjective health is an important variable in general health outcomes. It can be an indicator of the individual's overall health status, creating a reliable and valid estimate about health. Quality of life (QoL) assessment can be associated with the individuals' subjective assessment of their own health status. The aim of the present study was to investigate variables associated with subjective perception of health in older inpatients. Ninety elderly inpatients over 60 years old were interviewed. The perception of health assessment (healthy/unhealthy) allocated elders in either of two groups. All the elders answered sociodemographic questions, the WHOQOL-100 and the Beck Depression Inventory (BDI). Comparing the group that considered themselves unhealthy to the other group, the former showed a tendency of worse QoL assessments in five out of six domains investigated. Significant differences were found for the physical and level of independence domains, as well as overall QoL. There was a significant association between health perception and lower intensity of depressive symptoms, as well as better QoL perception in the level of independence domain. This study shows the existence of an association between depressive symptoms and health assessment. It also suggests that the independence dimension is important in the elders' perception of their health status. These findings can help identify cause-effect relations between variables in aging studies involving health indicators and bring new intervention proposals for the elderly.     

Are modern health worries associated with somatosensory amplification,environmental attribution style,and commitment to complementary and alternative medicine?

Relationship among modern health worries (MHWs), somatosensory amplification (SSA), and attributional styles was investigated in a cross-sectional questionnaire study. A total of 99 university students, 104 patients visiting their General Practitioners, and 102 future alternative therapists completed questionnaires assessing MHWs, SSA, negative affect (NA), and psychological, somatic and normalizing (environmental) attribution styles. Significant correlation between SSA and MHWs was found in all three samples. MHWs and psychological attribution style were significantly associated with Complementary and Alternative Medicine (CAM)-orientation in the regression equation even after controlling for SSA, NA, and sociodemographic variables. MHWs were independent from any attribution styles in the student and patient samples, while significant correlations with all three styles were found in the CAM group. Previously described association between MHWs and SSA was replicated in three different samples. The connection between MHWs and CAM preference seems to be independent from SSA, NA or any particular attribution style.     

Sustaining and Expanding Systems of Care to Provide Mental Health Services for Children, Youth and Families Across America

The Substance Abuse and Mental Health Services Administration has been instrumental in supporting the development and implementation of systems of care to provide services to children and youth with serious mental health conditions and their families. Since 1993, 173 grants have been awarded to communities in all 50 states, Puerto Rico, Guam, the District of Columbia, and 21 American Indian/Alaska Native communities. The system of care principles of creating comprehensive, individualized services, family-driven and youth-guided care and cultural and linguistic competence, supported by a well-trained and competent workforce, have been successful in transforming the field of children's mental health and facilitating the integration of child-serving systems. This approach has achieved positive outcomes at the child and family, practice and system levels, and numerous articles have been published using data collected from system of care communities, demonstrating the effectiveness of this framework. This article will describe lessons learned from implementing the system of care approach, and will discuss the importance of expanding and sustaining systems of care across the country.