影响农民工精神健康的社会因素

本项研究运用定量数据从个体的社会经济地位、迁移压力和社会资本三个角度,分析了影响农民工精神健康的社会因素。研究发现：（1）相对社会经济地位对农民工的精神健康产生的影响远大于绝对社会经济地位的影响;（2）农民工群体的迁移过程面临的压力,例如被排斥、不公平待遇等会对他们的精神健康产生较大的消极影响;（3）相较于其他群体,社会资本和精神健康的关系在农民工群体中的表现更为复杂。有的社会资本对精神健康有积极的影响,例如信任和网络密度;而有的社会资本则对精神健康产生消极影响。     

Emotional well-being and mental health of looked after children in England

The national prevalence studies of the mental health of looked after children in Great Britain provide sobering reading. Forty-five per cent of looked after children in England were found to have a diagnosable mental health disorder. In contrast, this is to one in 10 in the general population. Carers estimated that mental health problems were even more widespread. Children with mental health disorders were also more likely to have education, health and social issues. This paper discusses the findings and argues for early intervention along with inter-departmental and interdisciplinary approaches. The recent Child and Adolescent Mental Health Services Review clearly indicates that issues of access to appropriate and timely Child and Adolescent Mental Health Services remain. However, the introduction of evidence-based approaches is encouraging. Young people's views on the services they want and on what is important for emotional well-being and mental health are important considerations.     

Mental Health and Social Justice: Gender, Race and Psychological Consequences of Unfairness

Correspondence to: Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK. Summary It is not immediately obvious how social justice might relateto mental health. Mental health or ill health is, by some, thoughtto be inherent within the individual, whereas social justice,as its name indicates, resides within the realm of the social.However, where we understand social justice as, on the one hand,an issue involving equality and fairness, and on the other ashaving both material and symbolic dimensions it becomes clearthat there is an important link. In particular groups whichsuffer disadvantage and discrimination may be expected to sufferhigher rates of mental ill health. However, the key to understandingthis is by identifying the mechanisms by which this can happen.In order to do this it is necessary that we do not look at mentalhealth (or illness) in an undifferentiated way, since thereare different processes involved for different forms of mentalill health. We shall, therefore, look at this by focusing onthe issue of social justice through two significant relationships:gender and depression, and race and schizophrenia. We shallexamine the mechanisms which link these together, and show howthey are significant psychological consequences of social injusticearising in both material and symbolic form.     

Use of Nondeliberative Practice in Groups for Older Adults with Substance Use and Mental Health Disorder: Group in an Art Gallery

ABSTRACT

This article presents an application of Norma Lang’s nondeliberative theory in groupwork with clients of Community Outreach Programs in Addictions (COPA), a Toronto community-based organization that assists adults age 55 and older who struggle with addictions and mental health. The article illustrates how we challenged concepts of group work which are predominantly discussion-based problem solving or premeditated by hosting a group in a major art gallery with clients considered difficult to serve. What was done is juxtaposed with what might have been done with greater knowledge of nondeliberative theory.     

经济社会地位、年龄与心理健康：一项基于上海的实证研究

本文从社会结构的角度出发,以“2008年中国家庭动态调查（上海卷）”的数据为基础,考察了心理健康在社会各阶层间的分布以及这些分布在年龄组间的变化。结果显示,教育、收入、职业地位、社会地位与心理健康正面相关,而经济困难和不公正待遇则与心理健康负面相关。年龄和心理健康的关系呈现出“∩”型发展趋势;职业类型及教育程度对心理健康的作用在不同年龄组中出现了不同程度的变化。失业者较好的心理状态及青年技术人员较差的心理健康状况则需要做进一步的研究。     

Evidence of Empowerment in Resident Council Groups: An Examination of Two Leadership Models in Assisted Living

Individuals living in long-term care facilities and the professionals working with them are seeking methods to enhance resident choice and self-direction in personal care and internal community planning. This article presents findings from a study examining the incidence of empowerment opportunities in two resident council groups in assisted living facilities; one group used a resident leadership model and the other used an administrative leadership model by residents' choice. Results indicate that even with health and mental health challenges, residents were able to exercise choice in complicated situations under both leadership models, suggesting that resident council groups are a beneficial empowerment strategy.     

Transitions of Youth in Mental Health Residential Care to Less Restrictive Settings: The Role of Strengths and Gender

ABSTRACT

Changes in youth's behavioral/psychosocial functioning has been found to play an important role in the transitions from mental health residential care to less restrictive settings, and this functioning differs significantly by gender. However, there has been little attention paid to the roles played by psychosocial strength and gender in transitions out of residential care. The current study examined gender differences in the role of strengths in transitions to less restrictive settings using data on 675 youth's admission and discharge records collected from Illinois Residential Treatment Outcome System during 2005–2007 (Mean age = 15 years, SD = 2.0; 57.5% = boys). The results of multivariate logistic regression model indicated that positive recreational activities and lack of chronic illness were related to a higher likelihood of transitions to less restrictive settings among girls, while appropriate sexual development, psychological strengths, and strong spiritual/religious strengths were related to the transitions among boys. This study demonstrates the potential importance of youth strengths in the provision of mental health services and suggests a need to develop models of outcomes that take gender into account. Additional research based on multiple informants including youth self-report is needed to understand the role of gender in transitions out of residential care.     

遵从抑或濡染？班级同伴网络视角下的心理健康研究

本文超越了既有研究的个体网络视角,通过使用中国教育追踪调查（CEPS）的两期数据,考察班级同伴网络对学生心理健康的影响及其条件机制。本研究有如下发现：首先,在中国行政班级制度下,班级整体心理健康水平（社会遵从效应）和快乐同伴比例（快乐同伴效应）能够对学生的心理健康产生显著的正向影响,抑郁同伴比例与学生的心理健康呈显著负相关（抑郁同伴效应）;其次,学生更倾向于受到与自己心理健康观念和行为类似的同伴的影响,对于班级相对心理健康状况较差、中等、较好的学生而言,抑郁同伴效应、社会遵从效应和快乐同伴效应分别发挥显著的主导作用;最后,班级同伴网络对集体融入、亲子交流状况不同的学生的心理健康具有差异化的影响,随着集体融入和亲子交流的提高,抑郁同伴效应逐渐减弱,而社会遵从效应和快乐同伴效应逐渐增强。     

“老来得子”幸福吗？--农村地区大龄生子与心理健康分析

从生育行为主体出发、基于子女性别结构,利用2013年中国社会综合调查（ CGSS）数据,分析了大龄生子群体的心理健康状况。初步研究发现,大龄生子群体的心理健康低于非大龄生子群体,“老来得子”忧大于喜;“38岁前仅生女、38岁及以后生子”群体的心理健康低于“38岁前已生子、38岁及以后生子／女”群体。这说明,男孩偏好下的“老来得子”并不必然提高心理健康;生育作为复杂的人口事件,子女数量、子女性别以及生育年龄等均成为心理健康的扰动因素。     

Unemployment and mental health among white‐collar workers – a question of work involvement and financial situation?

We examine whether it is a psychosocial or an economic need for employment that affects mental health among the unemployed. The relevance of both aspects are examined, concentrating on two measures of each dimension. Two perspectives of work involvement – the degree of connection to working life and the perceived employment commitment – and two perspectives on financial situation – economic security and perceived economic concern – have been analysed, using empirical data collected by means of a cross-sectional survey of 1297 unemployed white-collar workers from the public sector in Sweden. The degree of connection to working life was not significantly linked to the mental health of the unemployed, although there was a strong link between the perceived employment commitment and mental health among this group. The stronger the perceived employment commitment, the poorer the state of the person's mental health. Perceived economic concern was also tightly linked to mental health: the greater the economic concern, the poorer the mental health. Economic security also played – at least, partly – a moderate but significant role. The results provide strong support for the existence of both a psychosocial need and an economic need for employment. The analysis demonstrates that it is the perceived assessed measures of work involvement and financial situation that are linked to mental health.     

Reviewing the latest national policies and services for people with severe mental health disorders in government-funded institutions in Vietnam,and policy recommendations for service improvements

The aim of this paper is to provide the international community with a broad and updated picture of key policies and services for people with severe mental health disorders in Vietnam. In particular, the paper (1) reviews the most important national policies governing care for people with mental health disorders, (2) reviews the status of free-of-charge care provided to people with severe mental health disorders in a network of government-funded facilities across the nation and (3) discusses the future policy directions of Vietnam regarding people with mental health disorders.     

Treatment progress of foster care adolescents with severe behavioural problems: Factors conditioning their performance in the residential treatment centres

Behavioural problems are a recurring issue in the child welfare system population. Normative residential centres do not have the characteristics to address the specific needs of these adolescents, so they are usually treated at therapeutic residential centres. In Catalonia (Spain), these cases are treated in intensive educational residential centres (CREIs), a variant of therapeutic residential care (TRC) facilities. This exploratory study seeks to understand the treatment progress of adolescents with severe behavioural problems who were placed in the CREIs, a variant of TRC facilities. Data from 206 cases, the totality of population under treatment in the CREIs, were collected using a questionnaire administered to the treating team. A cross‐sectional design was used, applying quantitative methods to analyse the incidence and interrelation of a series of variables related to the progress of adolescents in the CREIs. Significant differences among profiles by sex, place of origin, criminal offences, substance abuse and mental health disorders were found. Furthermore, adolescents who performed a positive treatment progress according to the professional staff arrived at the CREI at an earlier age and had longer stays than the group with an unremarkable progress. Logistic regression indicated that duration of stay in the centre and runaways predict the adolescents' treatment progress. This treatment is working well with the milder cases; however, it does not tend to be successful for adolescents with greater difficulties. It is recommended that interventions focus on factors that engage the adolescents in their own rehabilitation process, include substance abuse programmes and consider the gender perspective.     

HowParadigms Shape the Stories We Tell: Paradigm Shifts in Gender and Health

The stories we tell about the linkages between gender and health are shaped by the paradigms that guide our inquiries. Paradigms direct our attention away from certain phenomena and toward others. In particular, the dominant paradigms in the study of gender and health have promoted studies of differences, not similarities. Even in the face of strong challenges, many old paradigms persist. Continued reliance on flawed and insensitive paradigms is a major social issue. The aim of this article is to illustrate where we have come from, where we are now, and where we are heading in the study of gender and health. I will do this by tracking changes in the underlying paradigms that have shaped this research area, focusing on the literature in the area of gender and psychosocial factors, especially social-role experiences, and stress-related mental and physical health, to highlight changes that have taken place in these paradigms.     

Caring for mentally disabled people in Scotland

Scotland's mental health agencies face a major challenge with the appearance of Caring for People. The arrival of the community care White Paper has coincided with the appearance of renewed concern over hospital inpatient provision and over the perceived lack of progress in the development of community care. This article examines some of the differences which arise from the construction of community care policy in Scotland and some of the evidence available for assessing the present state of care in the community for the younger mentally disabled. It is found that some 630,000 adults under the age of 65 (or 19% of all adults in this age group) are suffering from some form of mental disability, some 22% of whom are in severe need of care. 93% of this group are located in the community. Problems for carers are created by the presence of significant shortfalls in resources and by the balance of care which exists in Scotland.     

Relationships Among Caregiving,Income, Gender,and Health: A Cross-Sectional Examination of a Representative Sample of Older Americans

Although there is substantial evidence to support the effect of burden on caregivers, few studies have compared caregivers to their noncaregiving counterparts on the basis of health and well-being outcomes. This study examines the relationship between caregiving and health and whether other factors may have stronger influence on well-being measures. Using a nationally representative sample of older adults in the United States (N = 3,005), this study examines relationships between caregiving status, gender, and income, and 9 outcomes (self-rated physical and mental health, time since seeing a doctor, time since most recent pap smear or prostate-specific antigen [PSA] test, depression, loneliness, stress, anxiety), using logistic and linear regression models. Results support that paradoxically, caregiving was associated with increased likelihood of PSA test in male caregivers, although data also indicated higher levels of anxiety and stress, as might be expected. Income was associated with 8 of 9 outcomes, and gender predicted depression, anxiety, stress, and self-rated mental health. The study highlighted the importance of psychosocial stressors, such as income and gender, on the health outcomes of older adults who may be caregiving. Considering complexity of unique experience is necessary to accurately assess vulnerability to poor mental health or health-related outcomes.     

Social Exclusion in Britain 1991—1995

The purpose of this paper is to offer a working definition of social exclusion and to operationalize it in such a way that an initial empirical analysis of social exclusion in Britain today can be undertaken. After a brief review of conceptions of social exclusion and some of the key controversies, we operationalize one definition based on the notion of participation in five types of activity—consumption, savings, production, political and social. Using the British Household Panel Survey, indicators for participation on these dimensions are developed and analysed both cross-sectionally and longitudinally for the period 1991–5. We find strong associations between an individual's participation (or lack of it) on the five different dimensions, and on each dimension over time. However, there is no distinct group of socially excluded individuals: few are excluded on all dimensions in any one year and even fewer experience multiple exclusion for the whole period. The results support the view that treating different dimensions of exclusion separately is preferable to thinking about social exclusion in terms of one homogeneous group.     

Into adulthood: a follow-up study of 718 young people who were placed in out-of-home care during their teens

In this study, national register data were used to analyse long‐term outcomes at age 25 for around 700 Swedish young people placed in out‐of‐home care during their teens. The sample consisted of 70% of all 13‐ to 16‐year olds who entered out‐of‐home care in 1991. Results revealed a dividing line between young people placed in care for behavioural problems and those placed for other reasons. Young woman and men from the first group had – in comparison with peers who did not enter care – very high rates of premature death, serious involvement in crime, hospitalizations for mental‐health problems, teenage parenthood, self‐support problems and low educational attainment. Young people who were placed for other reasons had better outcomes, but still considerably worse than non‐care peers. Young women tended to do better than young men, regardless of reasons for placement. Very high rates of hospitalizations for mental health problems were found among young people placed for behavioural problems. Breakdown of placement was found to be a robust indicator of poor long‐term prognosis.     

Sleep among youths in foster care: Associations with potentially traumatic events,PTSD and mental health

Among maltreated youth in foster care, little is known about frequency of sleep problems and its association to potential traumatic events (PTEs) and mental health. Among youths in foster care, we examined: (1) sleep patterns, difficulties initiating and maintaining sleep (DIMS) and related functional impairment; (2) whether exposure to PTEs, symptoms of post‐traumatic stress disorder (PTSD) and general mental health problems are associated with DIMS and related functional impairment, controlling for age, gender and time in foster care; and (3) whether PTSD and general mental health problems mediate the association between PTEs and DIMS. Foster youths in Norway (n = 299) completed a survey on sleep behaviour, the Child and Adolescent Trauma Screen, and the Strengths and Difficulties Questionnaire. Overall, 53.2% reported DIMS. For 82.1%, these sleep problems had lasted 3 months plus. Increased PTEs, PTSD and general mental health problems were all associated with increased DIMS score. Increased rate of PTEs was associated with decreased sleep duration. PTSD and general mental health problems partially mediated the association between PTEs and DIMS. Youth in foster care are at high risk of sleep problems, related to traumatic experiences and mental health problems. Treatment of PTSD may improve sleep problems among maltreated youth.     

A critical review of mental health and mental health‐related policies in China: More actions required

In China, there are over 170 million people suffering from mental illness. However, there is a lack of a critical review of the policies governing the provision of mental health services. Drawing on the framework of mental health policy developed by the WHO, this article critically examines mental health policies regarding legislation, financing, model of care and delivery, as well as manpower and the training of mental health professionals in China. This analysis raises a number of policy‐related questions concerning the lack of community‐based psychiatric services, inadequate coverage of mental health services in the rural areas, poor standard of education and an insufficient number of trained mental health professionals, and insufficient protection of the human rights of people with mental illness. The article ends by urging the various levels of governments to make a firm commitment to improve mental health care for people with mental illness in China.     

Relations Among Gender Typicality,Peer Relations,and Mental Health During Early Adolescence

The current study examines whether being high in gender typicality is associated with popularity, whether being low in gender typicality is associated with rejection/teasing, and whether teasing due to low gender typicality mediates the association with negative mental health. Middle school children (34 boys and 50 girls) described hypothetical popular and rejected/teased peers, and completed self‐report measures about their own gender typicality, experiences with gender‐based teasing, depressive symptoms, anxiety, self‐esteem, and body image. Participants also completed measures about their peers' gender typicality, popularity, and likeability. Results indicated that popular youth were described as more gender typical than rejected/teased youth. Further, being typical for one's gender significantly predicted being rated as popular by peers, and this relationship was moderated by gender. Finally, low gender typicality predicted more negative mental health outcomes for boys. These relationships were, at times, mediated by experiences with gender‐based teasing, suggesting that negative mental health outcomes may be a result of the social repercussions of being low in gender typicality rather than a direct result of low typicality.