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1.
J Fam Psychol ; 37(5): 592-602, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37213173

RESUMEN

The present study tested whether family home disruptions during the COVID-19 pandemic in the Spring 2020 (Time 1; T1) informed mental health (i.e., posttraumatic stress disorder [PTSD], depressive, and anxiety symptoms) 7 months later in Fall 2020 at T2 and whether family relationship quality moderated relations. Multigroup path analysis models were used to test whether there were significant differences in relations by emerging adults' ethnic-racial backgrounds. Participants were 811 Black, Asian American, Latine, and White emerging adult college students (Mage = 19.95, SD = .33), and the majority (79.6%) who reported their gender identified as cisgender women. Results indicated that across all individuals, T1 family relationship quality moderated relations between T1 family home disruptions and T2 anxiety and depressive symptoms. At lower levels of T1 family relationship quality, family home disruptions predicted greater T2 depressive and anxiety symptoms. At higher levels of T1 family relationship quality, these relations were not significant. Findings highlight that family relationship quality is an important protective factor for diverse emerging adult college students. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
COVID-19 , Salud Mental , Adulto , Humanos , Femenino , Adulto Joven , Pandemias , Estudiantes/psicología , Etnicidad/psicología
2.
BMC Health Serv Res ; 23(1): 374, 2023 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-37076864

RESUMEN

BACKGROUND: The purpose of this study was to validate a scale that can be used by healthcare service professionals, healthcare systems, educators, and researchers to assess health service professionals' social determinants of health (SDOH) competency; with competency defined as their knowledge, awareness-biases, skills, and actual preparedness to address SDOH challenges. METHODS: An Exploratory Factor Analysis (EFA) was conducted with a sample of 220 health service professionals, and 6 factors were identified. A Confirmatory Factor Analysis (CFA) was conducted with 303 health service professionals and the 6-factor solution was supported, with 22 items. RESULTS: The reliability estimates for the 6 factors are as follows: Factor 1, Action Toward Addressing SDOH (a = .85); Factor 2, SDOH Knowledge (a = .94); Factor 3, Negative Attitude toward Addressing SDOH (a = .79); Factor 4, Systemic Accountability (a = .81); Factor 5, School Preparation (a = .86); and Factor 6, Perception of the Cause of SDOH (a = .94). CONCLUSION: The ACN:SDH scale is the first validated measure that can be used to systematically appraise health service professionals' SDOH competency.


Asunto(s)
Personal de Salud , Determinantes Sociales de la Salud , Humanos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
3.
Am Psychol ; 78(2): 227-243, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37011172

RESUMEN

The summer of 2020 marked a shift in public perception of police brutality and racism in the United States. Following the police murder of George Floyd and ensuing social unrest, the appropriate role and function of the police in communities have been a frequent topic of debate. Of particular concern is the intersection of policing and mental health where we see a pattern of police using excessive force disproportionately against persons with disabilities, especially mental health disabilities (Autistic Self Advocacy Network, 2017). The introduction of race only exacerbates this disparity (Saleh et al., 2018). Given the realities of these mental health inequities, the aim of this scoping review is to explore first response models/programs that emphasize a therapeutic intervention as an alternative to policing. Seventeen articles were selected for inclusion in the review, six exploratory or experimental studies and 11 review or discussion articles. Using findings from the review, we offer recommendations to help reimagine this country's approach to emergency response. We urge psychologists and other health care providers to step out of the clinic and engage the community in the development of crisis responses for mental health emergencies that are therapeutic rather than inflammatory, healing rather than harming. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Trastorno Autístico , Racismo , Humanos , Estados Unidos , Salud Mental , Policia
4.
J Racial Ethn Health Disparities ; 10(5): 2093-2103, 2023 10.
Artículo en Inglés | MEDLINE | ID: mdl-36018451

RESUMEN

This study examines the relationship among COVID-19-induced social, economic, and educational inequalities on mental health (i.e., anxiety and depression). This study also examines if levels of self-rated health (SRH) moderate the relationship (i.e., COVID-induced inequalities [CII] and mental health), as well as examines the racial/ethnic group differences among 567 young adults in the mid-Atlantic region. Using a moderation model, results indicate that CII were significantly related to depression (b = .221, t(554) = 4.59, p = .000) and anxiety (b = .140, t(555) = 3.23, p = .001). SRH and race/ethnicity also moderated both relationships. At above-average SRH (i.e., moderator), higher CII were also significantly related to lower anxiety (Asian young adults only) and lower depression (Asian and White young adults only). Overall, SRH and race/ethnicity are important factors in the mental health impact of COVID-19 on young adults.


Asunto(s)
COVID-19 , Etnicidad , Inequidades en Salud , Salud Mental , Humanos , Adulto Joven , Asiático , Escolaridad , Etnicidad/psicología , Blanco
5.
Prof Sch Couns ; 26(1b): 2156759X221105451, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-36118910

RESUMEN

This special issue is on school counselors addressing education, health, wellness, and trauma disparities. The focus is on current and former school counselors' collective experiences to contextualize the impact of the pandemic(s) on the lives and work of school counselors and the disruption to the lives of the students and families served. The collection of nine articles provides a window into the experiences of school counselors during the COVID-19 pandemic.

6.
J Am Coll Health ; 70(1): 74-83, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-32101095

RESUMEN

Objective The psychometric properties of a measure of social determinants of health for college students entitled, The LIFESCREEN-C was developed. Participants: A sample of 226 college students completing an online survey during the 2018-2019 academic year. Methods: Tetrachoric correlations were used to confirm a three factor model. Results: Results found model fit; convergent validity with a measure of general health; and adequate internal reliability. Conclusions: The three model fit included: general social health needs, college student social health needs, and promotive social health factors. Implications for health professionals in college settings concludes.


Asunto(s)
Estudiantes , Humanos , Psicometría/métodos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Universidades
7.
Inform Health Soc Care ; 46(1): 84-99, 2021 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-33406964

RESUMEN

This manuscript explores the depression disease management of Black Americans (N = 50) who post their experiences on YouTube. The narratives garnered five themes: (1) personal and national histories as a barrier to treatment and contributor to depression, (2) utilizing the social network as informal counseling and as the catalyst for formal counseling, (3) long-term undiagnosed depression management and mismanagement, (4) advocating to destigmatize and treat depression, and (5) positive experiences initiating and engaging in treatment. Novel findings include how participants discuss narratives in third person, the importance of the Youtube community, and advocacy to destigmatize and treat depression.


Asunto(s)
Negro o Afroamericano/psicología , Depresión/etnología , Depresión/terapia , Medios de Comunicación Sociales/estadística & datos numéricos , Adolescente , Adulto , Consejo , Depresión/diagnóstico , Femenino , Humanos , Masculino , Narración , Investigación Cualitativa , Estigma Social , Apoyo Social , Adulto Joven
8.
J Behav Health Serv Res ; 46(4): 636-647, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31044323

RESUMEN

Interprofessional clinical collaboration (IPC) is an approach in which healthcare providers from different professions work to collaboratively improve health outcomes for patients. Limited research exists on behavioral health provider's attitudes toward IPC. This qualitative study included 32 participants with results highlighting two major themes: (1) benefits (to the profession and client) and (2) collaboration (collaboration experience and consultation). Finally, a strengths, weaknesses, opportunities, and threats analysis was used to operationalize the findings and develop implications.


Asunto(s)
Actitud del Personal de Salud , Conducta Cooperativa , Personal de Salud/psicología , Relaciones Interprofesionales , Adulto , Femenino , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Relaciones Profesional-Paciente , Investigación Cualitativa , Derivación y Consulta , Adulto Joven
9.
J Assoc Nurses AIDS Care ; 26(2): 139-50, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25283352

RESUMEN

The purpose of this systematic review was to assess the quality of interventions using mobile health (mHealth) technology being developed for and trialed with HIV-infected African American (AA) women. We aimed to assess rigor and to ascertain if these interventions have been expanded to include the broad domain of self-management. After an extensive search using the PRISMA approach and reviewing 450 records (411 published studies and 39 ongoing trials at clinicaltrials.gov), we found little completed research that tested mHealth HIV self-management interventions for AA women. At clinicaltrials.gov, we found several mHealth HIV intervention studies designed for women in general, forecasting a promising future. However, most studies were exploratory in nature and focused on a single narrow outcome, such as medication adherence. Given that cultural adaptation is the key to successfully implementing any effective self-management intervention, culturally relevant, gender-specific mHealth interventions focusing on HIV-infected AA women are warranted for the future.


Asunto(s)
Negro o Afroamericano , Infecciones por VIH/psicología , Autocuidado , Telemedicina , Fármacos Anti-VIH/uso terapéutico , Femenino , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/fisiopatología , Humanos , Cooperación del Paciente
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