Problem-solving appraisal, gender role conflict, help-seeking behavior, and psychological distress among men who are homeless.

Nguyen, Christopher; Liu, William Ming; Hernandez, Jovan; Stinson, Ren

doi:10.1037/a0025523

Cited by 22 publications

(11 citation statements)

References 65 publications

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“…Men who have sex with men (MSM), homeless individuals, and those with a substance use disorder all demonstrate increased levels of psychological distress when compared to other populations (Herrell et al, 1999; Cochran and Mays 2000a; Cochran and Mays 2000b; Sandfort, de Graff, Bijl, and Schnabel, 2001; Slade, Grove, and Burgess 2011; Nguyen, Liu, Hernandez, and Stinson 2012). Psychological distress has been associated with both initiation of and relapse into substance use (Castellani, Wedgeworth, Wootton, & Rugle, 1997; Daughters, Lejuez, Kahler, Strong, & Brown, 2005; Laudet, Becker, & White, 2009; Hassel, Nordfjærn, and Hagen 2013) making improved psychological health an important goal for interventions promoting substance abstinence.…”

Section: Introductionmentioning

confidence: 99%

Contingency management reduces symptoms of psychological and emotional distress among homeless, substance-dependent men who have sex with men

Fletcher

Shoptaw

Peck

et al. 2014

Mental Health and Substance Use

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Background This prospective analysis evaluated the efficacy of a contingency management (CM) intervention to improve the psychological health of non-treatment seeking, homeless, substance-dependent, men who have sex with men in Los Angeles. It was hypothesized that administration of CM would be associated with reductions in participants’ symptoms of psychological and emotional distress. Methods One hundred and thirty-one participants were randomized into either a voucher-based contingency management (CM; n = 64) condition reinforcing substance abstinence and prosocial/health-promoting behaviors, or to a control condition (n = 67). Participants’ symptoms of psychological and emotional distress were assessed at intake and at 12-months post-randomization. Results Participants randomized into the CM intervention exhibited significantly lower levels of psychological distress in all measured symptom domains up to one year post randomization, reductions not evidenced in the control arm. Omnibus tests resultant from seemingly unrelated regression analysis confirmed that CM was significantly associated with reductions in symptoms of psychological and emotional distress, even when controlling for biomarker-confirmed substance use outcomes (χ2(9) = 17.26; p < 0.05). Conclusions Findings demonstrate that a CM intervention reduced symptoms of psychological and emotional distress among a sample of non-treatment seeking, homeless, substance-dependent men who have sex with men.

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Section: Introductionmentioning

confidence: 99%

Contingency management reduces symptoms of psychological and emotional distress among homeless, substance-dependent men who have sex with men

Fletcher

Shoptaw

Peck

et al. 2014

Mental Health and Substance Use

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“…Even under this situation, problem-solving skills could certainly be helpful in locating resources, applying for government assistance, avoiding high-risk situations, and finding employment. Problem-solving in the homeless population has not been studied extensively; however, one study was designed to examine the relationship between help-seeking attitudes, problem-solving appraisal, masculinity, and psychological distress among homeless men living at a transitional shelter (Nguyen, Ming Liu, Hernandez, & Stinson, 2012). It was conducted with 126 homeless men and involved assessment through a problem-solving inventory, along with other measures not directly relevant to problem-solving.…”

mentioning

confidence: 99%

The Acquisition and Usage of the SODAS Problem-Solving Method Among Adults at Risk for Homelessness

Streetman

Crosland

Clark

2016

Research on Social Work Practice

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Individuals experiencing extended homelessness face multifaceted risks in physical health, nutrition, substance use, mental health, continuing unemployment, and incarceration. Some of these adults may benefit from learning a problem-solving decision-making method to assist them in dealing with everyday problems they encounter. This study taught three men with extensive histories of homelessness, but who were currently housed, the SODAS problem-solving decision-making method, and assessed their ability to learn it and guide another adult in the use of the method in simulated role-play problem situations. The acquisition of SODAS from behavioral rehearsal training was evaluated using a multiple-baseline design across participants' role plays during the baseline, and post-training SODAS conditions. After demonstrating their ability to successfully guide another adult through the SODAS process when roleplaying problem situations relevant to this population, the participants were instructed and provided SODAS forms for applying this method to their own every day lives' social and non-social problem situations. Social validity follow-up meetings were conducted weekly with each participant, and assessed the extent to which he reported the use and helpfulness of the SODAS method in addressing everyday life issues. Chapter One: Introduction Homelessness is a concern locally and nationwide, and with the recent economic issues facing our country, it is only becoming more common. Several issues causing the increase include foreclosure rates, declining public assistance, fewer consistent work opportunities, low-wage salaries, and a general increase in poverty nationwide ("Why Are People Homeless," 2009). Homelessness, according to the State of Florida's definition as they modified it in 2009 reads: "Any person who lacks a regular or fixed nighttime residence, including those who live on the street, in shelters, in other places not meant for human habitation, as well as persons living doubled up with family and friends, in motels or campgrounds due to the loss of housing or economic hardship, and who lack adequate alternative accommodations" (Homeless Coalition of Hillsborough County, 2011, p. 1). The homeless are often an extremely underserved population, and their needs are great, with 35% reporting at least one of the following conditions: a mental disorder, physical disability or ailment, or substance abuse addiction (Homeless Coalition of Hillsborough County, 2011). Other studies also make it clear that there are significant portions of the homeless that have substance abuse issues (

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“…However, these traits are sometimes maladaptive and unhealthy. Research has shown that males who do endorse such characteristics do not tend to utilize psychological services and are typically unaware of their own intrapersonal levels of distress or symptoms of ill health (Nguyen, Ming Liu, Hernandez, & Stinson, 2012). It may be important to further examine how gender role socialization and masculinity impact mental health and help-seeking behaviors.…”

Section: Masculinitymentioning

confidence: 99%

“…The process also requires vulnerability. Therefore, mental health services may be disagreeable for some men (Nguyen et al, 2012). Yousaf, Popat, and Hunter (2014) indicated that men endorse more reluctant attitudes towards seeking help for mental health and psychological difficulties.…”

Section: Masculinitymentioning

confidence: 99%

“…There is some empirical evidence demonstrating the impact that conformity to masculine norms has on men's behavior, socialization processes, mental health, and even their help-seeking behaviors (Chu, 2014;Nguyen et al, 2012;O'Neil, 2013;Reidy et al, 2009;Sierra Hernandez et al, 2014;Vogel et al, 2011;Yousaf et al, 2014). Whereas it appears most of these effects can be negative depending upon the rigidity of adherence, much of the literature on self-compassion seems to point to the opposite and provides evidence for the positive benefits of greater levels of self-compassion.…”

Section: Masculinitymentioning

confidence: 99%

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Adherence to Masculine Norms and Perceived Paternal Nurturance as Predictors of SelfCompassion

Craig¹

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Previous researchers have examined the relationship between adherence to masculine norms and self-compassion as well as the impact of parental warmth on self-compassion. However, no study to date has specifically examined how perceptions of paternal nurturance and adherence to masculine norms impact levels of self-compassion in college-aged males. Furthermore, findings regarding the relationship between adherence to traditional gender roles and self-compassion have not been well established. The purpose of the current quantitative study was to ascertain whether greater adherence to traditional United States' masculine norms and levels of perceived paternal nurturance contribute to levels of self-compassion in college-aged males at West Virginia University. Data were collected via self-report measures in order to better understand whether the first two variables predicted levels of self-compassion. A hierarchical multiple regression was used to ascertain whether perceptions of paternal nurturance would explain a significant amount of variance in levels of self-compassion after controlling for adherence to masculine norms. Findings demonstrated that higher levels of adherence to masculine norms predicted lower levels of self-compassion and that higher levels of perceived paternal nurturance predicted lower levels of self-compassion. Overall, the hierarchical regression analysis showed that perceived paternal nurturance did explain a significant amount of variance in levels of selfcompassion while controlling for levels of adherence to masculine norms, though not in the direction initially hypothesized. The implications based upon the results and future directions for study are discussed.

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Problem-solving appraisal, gender role conflict, help-seeking behavior, and psychological distress among men who are homeless.

Cited by 22 publications

References 65 publications

Contingency management reduces symptoms of psychological and emotional distress among homeless, substance-dependent men who have sex with men

Contingency management reduces symptoms of psychological and emotional distress among homeless, substance-dependent men who have sex with men

The Acquisition and Usage of the SODAS Problem-Solving Method Among Adults at Risk for Homelessness

Adherence to Masculine Norms and Perceived Paternal Nurturance as Predictors of SelfCompassion

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