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Mason KA, Xie J. Seesaw Precarity: Journaling Anxious Hope on a Chinese University Campus During Covid-19. Cult Med Psychiatry 2024; 48:66-90. [PMID: 38393649 DOI: 10.1007/s11013-024-09846-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/12/2024] [Indexed: 02/25/2024]
Abstract
In this article, we examine the Covid-19 experiences of a group of Chinese university students studying in the city of Guangzhou. We draw on journal entries that Chinese students submitted to the Pandemic Journaling Project between March and May 2022, along with follow-up responses in July and December 2022, to argue that these students spent most of their undergraduate years living in a state of "seesaw precarity." We define seesaw precarity as a protracted period during which many Chinese were unable to predict from one day to the next whether they would be free to engage in the quotidian activities of everyday life. We trace student reactions and adaptations as they struggled to attend class, buy food, and see friends and family in the midst of unpredictable swings between openness and closedness. The seesaw nature of restrictions spurred considerable anxiety among the students we followed, but also produced an optimistic mindset we refer to as "anxious hope." Participants accepted the necessity of Covid controls and felt it was incumbent upon them as individuals to adjust to this reality. They saw themselves as responsible for actively cultivating a positive mindset. Our findings suggest that the promotion of emotional self-care and anxious hope during the pandemic may have supported the viability of long-term controls as well as the acceptability of their sudden abandonment, while muting the possibility of resistance.
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Affiliation(s)
- Katherine A Mason
- Department of Anthropology and Population Studies and Training Center, Brown University, Box 1921, Providence, RI, 02912, USA.
| | - Jianmei Xie
- School of Foreign Languages, Guangdong Polytechnic Normal University, Guangzhou, China
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Zhang X, Li Y, Xiao Y, Yu C, Pei Y, Cao F. Association of positive childhood experiences with flourishing among children with ADHD: A population-based study in the United States. Prev Med 2024; 179:107824. [PMID: 38159814 DOI: 10.1016/j.ypmed.2023.107824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 12/10/2023] [Accepted: 12/14/2023] [Indexed: 01/03/2024]
Abstract
BACKGROUND Child flourishing includes healthy social and emotional development and an open, engaged approach to learning. However, there remains a significant knowledge gap concerning a minority of children with ADHD who may demonstrate flourishing in one or more areas of functioning. This study investigated the association between positive childhood experiences (PCEs) and flourishing among children with ADHD. METHOD Data were derived from the 2021 National Survey of Children's Health in the United States. The analysis included a final sample of 3727 children with ADHD. Logistic regression, restricted cubic splines, and random forest were used to examine the associations between seven PCEs and flourishing. RESULTS The adjusted odds of flourishing were 72% lower (odds ratio [OR] = 0.28,95% confidence interval [CI] = 0.21, 0.38) among children with PCE scores of 0-2 compared to those with scores of 3-5. In addition, the adjusted odds of flourishing were 2.45 times (95%CI = 2.00, 2.99) greater for children with PCE scores of 6-7 compared to those with scores of 3-5. These associations were consistent regardless of the level of adverse childhood experiences. Having a "connected caregiver" was the PCE most closely related to flourishing (unweighted OR = 3.24, 95%CI = 2.72, 3.89). CONCLUSIONS Our findings revealed a positive association between higher levels of PCEs and greater flourishing among children with ADHD, regardless of the level of childhood adversity they experienced. These results highlight the importance of positive experiences in the lives of children with ADHD, with a specific focus on nurturing supportive relationships within families.
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Affiliation(s)
- Xuan Zhang
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
| | - Yang Li
- School of Nursing, The University of Texas at Austin, Austin, USA
| | - Yiping Xiao
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
| | - Cheng Yu
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
| | - Yifei Pei
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
| | - Fenglin Cao
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China.
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Panter-Brick C. Pathways to resilience and pathways to flourishing: Examining the added-value of multisystem research and intervention in contexts of war and forced displacement. Dev Psychopathol 2023; 35:2214-2225. [PMID: 37766475 DOI: 10.1017/s095457942300113x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/29/2023]
Abstract
This paper examines the added-value that multisystem approaches bring to research and intervention in contexts of war and forced displacement. I highlight what is useful and truly innovative about systems-level work, aware that providing data-related evidence is only part of the story when connecting research to policy and practice. I discuss four types of added-value: these are conceptual, instrumental, capacity-building, and connectivity impacts that, respectively, aim to change current knowledge, improve implementation, build research skills, and strengthen network connectivity. Specifically, systems-based research can help transform the key frames of humanitarian work, fostering the more integrated and distributive models of professional assistance known as resilience and network humanitarianism. I argue that systems-level approaches on resilience and flourishing in war-affected and refugee populations help to articulate new mindsets, methodologies, partnerships, and ways of working relevant for humanitarian research, policy and practice. I focus attention on interdisciplinary, interventionist, prospective, transgenerational, and network-building initiatives. My specific examples cover the family context of mental health and trauma memory in Afghanistan, as well as program evaluation with Syrian refugees in Jordan, connecting stress biology to human experience, and social networks to psychological empowerment. The paper suggests future directions to support more effective and impactful systems-level work in protracted humanitarian crises.
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Affiliation(s)
- Catherine Panter-Brick
- Department of Anthropology, Yale University, New Haven, CT, USA
- Jackson School of Global Affairs, Yale University, New Haven, CT, USA
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De Jesus M, Warnock B, Moumni Z, Sougui ZH, Pourtau L. The impact of social capital and social environmental factors on mental health and flourishing: the experiences of asylum-seekers in France. Confl Health 2023; 17:18. [PMID: 37029423 PMCID: PMC10081295 DOI: 10.1186/s13031-023-00517-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 03/31/2023] [Indexed: 04/09/2023] Open
Abstract
BACKGROUND There is growing interest on how social capital and related social environmental factors impact overall population health and well-being. The nature of asylum-seekers' social environment alters once they migrate to a new context and these changes influence their mental health and well-being. However, there is limited scholarship on how these social environmental factors impact the mental health, well-being, and capacity to flourish of asylum-seekers. METHODS The aim of the study, therefore, was to examine how specific social environmental factors-social networks, social support, and social cohesion at various levels (micro, meso, and macro)-influence the mental health, well-being, and capacity to flourish of asylum-seekers in France. In collaboration with a community-based organization, we used a qualitative research design to conduct 120 semi-structured interviews with asylum-seekers in France. RESULTS The emerging salient themes depicted how the asylum-seekers' usual informal social networks comprised of family and friends had been disrupted since they migrated to France, which impacted their mental health and well-being. Conversely, staying connected with their informal transnational social networks via social media and developing ties with new local informal and formal social networks allowed them to receive different forms of social support, and buffered some of the negative mental health consequences. However, the lack of social cohesion due to a lack of belonging, marginalization, and current harmful migration-related policies impeded asylum-seekers' capacity to flourish. CONCLUSION While social support derived from social networks buffered some negative impacts on mental health and well-being, the overall lack of social cohesion ultimately impeded asylum-seekers' capacity to flourish within their host communities, which was further exacerbated by harmful migration policies of exclusion within France. Introducing more inclusive policies related to the governance of migration and an intersectoral approach that views health in all policies is key to promoting social cohesion and flourishing among asylum-seekers in France.
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Affiliation(s)
- Maria De Jesus
- Collegium de Lyon, Université de Lyon, Lyon, France.
- School of International Service, American University, 4400 Massachusetts Ave, NW, Washington, DC, 20016, USA.
- Center on Health, Risk, and Society, American University, Washington, DC, USA.
| | - Bronwyn Warnock
- School of International Service, American University, 4400 Massachusetts Ave, NW, Washington, DC, 20016, USA
| | - Zoubida Moumni
- Psychologie de la Santé, Université Lumière Lyon 2, 69365, Lyon, France
| | - Zara Hassan Sougui
- Santé Publique, Université Claude Bernard Lyon 1, 69100, Villeurbanne, France
| | - Lionel Pourtau
- Pôle Recherche et Innovation, Habitat et Humanisme, 69300, Caluire et Cuire, France
- LEIRIS, Université Paul Valéry Montpellier 3, 34090, Montpellier, France
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The Evolving Ukrainian Refugee Health Care Crisis - A Platform for the True Meaning of the Physician's and Health Care Professional's Healing Work. J Emerg Med 2023; 64:380-384. [PMID: 36925445 DOI: 10.1016/j.jemermed.2022.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 07/20/2022] [Accepted: 12/13/2022] [Indexed: 03/17/2023]
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Flourishing and health in critical perspective: An invitation to interdisciplinary dialogue. SSM - MENTAL HEALTH 2022. [DOI: 10.1016/j.ssmmh.2021.100045] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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"Rethinking flourishing: Critical insights and qualitative perspectives from the U.S. Midwest". SSM - MENTAL HEALTH 2021; 2:100057. [PMID: 34961852 PMCID: PMC8694651 DOI: 10.1016/j.ssmmh.2021.100057] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 12/03/2021] [Accepted: 12/18/2021] [Indexed: 11/21/2022] Open
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Gabster A, Jhangimal M, Erausquin JT, Suárez JA, Pinzón-Espinosa J, Baird M, Katz J, Beltran-Henríquez D, Cabezas-Talavero G, Henao-Martínez AF, Franco-Paredes C, Agudelo-Higuita NI, Pachar M, González JA, Rodriguez F, Pascale JM. Rapid health evaluation in migrant peoples in transit through Darien, Panama: protocol for a multimethod qualitative and quantitative study. Ther Adv Infect Dis 2021; 8:20499361211066190. [PMID: 34925828 PMCID: PMC8679050 DOI: 10.1177/20499361211066190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/22/2021] [Indexed: 11/15/2022] Open
Abstract
Background: The world is currently unprepared to deal with the drastic increase in global
migration. There is an urgent need to develop programs to protect the
well-being and health of migrant peoples. Increased population movement is
already evident throughout the Americas as exemplified by the rising number
of migrant peoples who pass through the Darien neotropical moist broadleaf
forest along the border region between Panama and Colombia. The transit of
migrant peoples through this area has an increase in the last years. In
2021, an average of 9400 people entered the region per month compared with
2000–3500 people monthly in 2019. Along this trail, there is no access to
health care, food provision, potable water, or housing. To date, much of
what is known about health needs and barriers to health care within this
population is based on journalistic reports and anecdotes. There is a need
for a comprehensive approach to assess the health care needs of migrant
peoples in transit. This study aims to describe demographic characteristics,
mental and physical health status and needs, and experiences of host
communities, and to identify opportunities to improve health care provision
to migrant peoples in transit in Panama. Study design and methods: This multimethod study will include qualitative (n = 70) and
quantitative (n = 520) components. The qualitative
component includes interviews with migrant peoples in transit, national and
international nongovernmental organizations and agencies based in Panama.
The quantitative component is a rapid epidemiological study which includes a
questionnaire and four clinical screenings: mental health, sexual and
reproductive health, general and tropical medicine, and nutrition. Conclusion: This study will contribute to a better understanding of the health status and
needs of migrant peoples in transit through the region. Findings will be
used to allocate resources and provide targeted health care interventions
for migrant peoples in transit through Darien, Panama.
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Affiliation(s)
- Amanda Gabster
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Ave Justo Arosemena, Calle 36 Ciudad de Panamá, Panama City, Panamá
| | - Monica Jhangimal
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panamá
| | | | | | | | | | - Jennifer Katz
- Community Development Network of the Americas, Panama City, Panamá
| | | | | | | | | | | | | | | | - Fátima Rodriguez
- Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panamá
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Cele L, Willen SS, Dhanuka M, Mendenhall E. Ukuphumelela: Flourishing and the pursuit of a good life, and good health, in Soweto, South Africa. SSM - MENTAL HEALTH 2021. [DOI: 10.1016/j.ssmmh.2021.100022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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