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Article ; Online: Psychometric properties of the Chinese version of the Post-traumatic Maladaptive Beliefs Scale: A brief report.

Fung, Hong Wang / Tse, Helen Wing Yuk / Chau, Anson Kai Chun / Lam, Stanley Kam Ki

2024 Volume 93, Page(s) 103912

MeSH term(s)	Humans ; Psychometrics ; Stress Disorders, Post-Traumatic/diagnosis
Language	English
Publishing date	2024-01-03
Publishing country	Netherlands
Document type	Letter
ZDB-ID	2456678-0
ISSN	1876-2026 ; 1876-2018
ISSN (online)	1876-2026
ISSN	1876-2018
DOI	10.1016/j.ajp.2024.103912
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The effects of a family-focused dyadic psychoeducational intervention for stroke survivors and their family caregivers: A randomised controlled trial.

Mou, Huanyu / Lam, Stanley Kam Ki / Chien, Wai Tong

International journal of nursing studies

2023 Volume 143, Page(s) 104504

Abstract: Background: Stroke can cause a variety of physical and psychosocial disturbances for both survivors and their family caregivers (i.e., stroke dyads). Dyadic psychoeducation appears to be a promising approach for providing knowledge of stroke and self- ... ...

Abstract	Background: Stroke can cause a variety of physical and psychosocial disturbances for both survivors and their family caregivers (i.e., stroke dyads). Dyadic psychoeducation appears to be a promising approach for providing knowledge of stroke and self-care or caregiving skills to improve stroke dyads' health outcomes. Therefore, a family-focused psychoeducation intervention was designed and tested to improve the health outcomes of stroke dyads. Objective: To examine the effects of a family-focused dyadic psychoeducational intervention on the functional and psychosocial outcomes of stroke survivors and family caregivers. Design: A single-blinded, parallel-group randomised controlled trial with repeated-measures design. Settings: Two general hospitals and one rehabilitation facility in Jinan, China. Participants: Stroke survivors and family caregivers (N = 162 dyads). Methods: The dyads were randomly allocated to either psychoeducation or control group with usual care only (N = 81 dyads per group). The intervention included three structured face-to-face education sessions (one hour per session) in hospital pre-discharge and four weekly telephone counselling calls post-discharge. Study outcomes included survivor functioning and caregiver burden (primary outcomes), and other secondary outcomes (i.e., caregiving competence, dyads' coping, depressive and anxiety symptoms, family functioning, and dyadic relationship, as well as survivor healthcare utilisation and caregiving-related injury). Data were collected at baseline (T Results: Participants in the psychoeducation group revealed significantly greater reductions on caregiver burden than the control group at T Conclusions: Our study added values on the benefits of family-focused dyadic psychoeducation to routine stroke rehabilitation and family care. Future research can evaluate its long-term effects for families of stroke survivors with diverse socio-demographic and stroke-related characteristics. Registration: Chinese Clinical Trial Registry (ChiCTR2100042684). Recruitment: March to June 2021.
MeSH term(s)	Humans ; Caregivers/psychology ; Aftercare ; Quality of Life ; Patient Discharge ; Stroke ; Stroke Rehabilitation ; Survivors/psychology
Language	English
Publishing date	2023-04-17
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	80148-3
ISSN	1873-491X ; 0020-7489
ISSN (online)	1873-491X
ISSN	0020-7489
DOI	10.1016/j.ijnurstu.2023.104504
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Article ; Online: Substance abuse among mothers in Taiwan: Investigating its prevalence and testing the trauma model.

Lee, Kunhua / Lam, Stanley Kam Ki / Hung, Suet Lin / Fung, Hong Wang

Asian journal of psychiatry

2023 Volume 90, Page(s) 103805

Abstract: Substance abuse is a serious problem in our society. In particular, household or parental substance abuse could lead to adverse childhood experiences for the affected children. However, little is known about the prevalence of substance abuse among ... ...

Abstract	Substance abuse is a serious problem in our society. In particular, household or parental substance abuse could lead to adverse childhood experiences for the affected children. However, little is known about the prevalence of substance abuse among parents, especially in Asian societies. Moreover, although the trauma model of addiction has significant implications for the prevention and treatment of substance abuse, most evidence comes from Western samples. To address these knowledge gaps, we examined the prevalence of substance abuse in a sample of mothers in Taiwan and tested the trauma model of substance abuse. A total of 867 Taiwanese mothers completed standardized self-report assessments in 2023. The screening results indicated that the 12-month prevalence of drug abuse and alcohol abuse was 12.3% and 7.3%, respectively; 15.5% had either or both drug and alcohol abuse. Most types of trauma exposure were associated with drug abuse severity, while interpersonal stress and dissociative symptoms were associated with alcohol abuse severity, even after controlling for a variety of demographic and health variables as well as general psychopathology (i.e., depressive symptoms). The relatively high prevalence of substance abuse among Taiwanese mothers in our sample is concerning, particularly when compared to the rates reported in other Asian samples. We also provide preliminary cross-cultural evidence supporting the self-medication theory and the trauma model of substance abuse in the Asian context. We discuss the potential importance of addressing trauma and stress to prevent substance abuse and call for follow-up studies.
MeSH term(s)	Female ; Child ; Humans ; Alcoholism/epidemiology ; Prevalence ; Taiwan/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/diagnosis
Language	English
Publishing date	2023-10-18
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2456678-0
ISSN	1876-2026 ; 1876-2018
ISSN (online)	1876-2026
ISSN	1876-2018
DOI	10.1016/j.ajp.2023.103805
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Article ; Online: Trauma, Emotional Regulation, and Coping Styles in Individuals with and without Probable Dissociative Disorders in Hong Kong.

Lam, Stanley Kam Ki / Cheung, Cherry Tin Yan / Chien, Wai Tong / Ross, Colin A / Po, Bonnie Shuk Kwan / Lee, Vincent Wan Ping / Fung, Hong Wang

Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)

2024 , Page(s) 1–19

Abstract: Previous studies showed that dissociation and dissociative disorders (DDs) are prevalent and are associated with considerable individual and social consequences. There are ongoing debates regarding whether dissociation is a response to betrayal trauma ... ...

Abstract	Previous studies showed that dissociation and dissociative disorders (DDs) are prevalent and are associated with considerable individual and social consequences. There are ongoing debates regarding whether dissociation is a response to betrayal trauma across cultures and whether dissociation can be explained by maladaptive coping. Additionally, little is known about the clinical features of individuals with DDs in the Chinese context. This study aimed to investigate the relationship between trauma, emotional regulation, coping, and dissociation. We analyzed baseline data from a randomized controlled trial (
Language	English
Publishing date	2024-03-29
Publishing country	England
Document type	Journal Article
ISSN	1529-9740
ISSN (online)	1529-9740
DOI	10.1080/15299732.2024.2326511
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Article: Reliability and Mental Health Correlates of a Single-Item Measure of Self-Rated Mental Health (SRMH) in the Chinese Context.

Fung, Hong Wang / Lam, Stanley Kam Ki / Chien, Wai Tong / Ling, Henry Wai-Hang / Wu, Zi Yi / Ross, Colin A / Chau, Anson Kai Chun

Healthcare (Basel, Switzerland)

2024 Volume 12, Issue 1

Abstract: The use of single-item measures of self-rated mental health (SRMH) has been increasingly valued in epidemiologic research. However, little is known about the reliability and mental health correlates of SRMH in Chinese populations. This study examined the ...

Abstract	The use of single-item measures of self-rated mental health (SRMH) has been increasingly valued in epidemiologic research. However, little is known about the reliability and mental health correlates of SRMH in Chinese populations. This study examined the reliability and mental health correlates of SRMH in three Chinese samples. We analyzed data collected from two convenience samples of Chinese adults from Hong Kong and/or Taiwan (Sample 1: N = 205; Sample 2: N = 377), and a random sample of Taiwan psychiatric inpatients (Sample 3: N = 100). Our results showed that the single-item measure of SRMH had moderate to good test-retest reliability (intraclass correlation [ICC] = 0.75) in Sample 1 and acceptable reliability between the self-report and interviewer-administered versions (ICC = 0.58) in Sample 3. It had a high positive correlation with self-esteem and a moderately high negative correlation with depression. It also had a consistently negative correlation with borderline personality disorder symptoms and post-traumatic stress disorder symptoms. The SRMH score was also associated with psychiatric service usage. These findings contribute to the body of knowledge regarding the use of a single-item measure of SRMH to assess overall self-perceived mental health in Chinese communities.
Language	English
Publishing date	2024-01-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare12010122
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Article ; Online: A prospective study of nightmare disorder among Chinese adults in Hong Kong: Persistence and mental health outcomes.

Lam, Stanley Kam Ki / Cheung, Cherry Tin Yan / Wang, Edward K S / Ng, Albe Sin Ying / Fung, Hong Wang

Behavioral sleep medicine

2024 , Page(s) 1–10

Abstract: Objectives: Previous studies showed that nightmares are prevalent and are associated with negative health outcomes. However, no empirical data is available demonstrating the extent to which nightmare disorder persists over time. Current literature ... ...

Abstract	Objectives: Previous studies showed that nightmares are prevalent and are associated with negative health outcomes. However, no empirical data is available demonstrating the extent to which nightmare disorder persists over time. Current literature provides a limited understanding of the trajectory and wider mental health outcomes of nightmare disorder. This longitudinal study examined the persistence and mental health outcomes of nightmare disorder. Methods: A total of 230 Hong Kong Chinese adults completed standardized assessments twice with an interval of about 6 months. Results: Over half (66.7%) of the participants with probable nightmare disorder at baseline remained to meet the DSM-5 criteria for the disorder at follow-up. Participants with probable nightmare disorder at baseline were significantly more likely to screen positive for PTSD (82.1% vs 18.3%) ( Conclusions: This study provides first empirical data showing that nightmare disorder could be persistent over time. Nightmare disorder symptoms are associated not only with PTSD symptoms but also with a broader range of mental health issues. This study points to the public health importance of identifying and managing nightmare disorder symptoms in the community. Additionally, the presence of nightmare disorder symptoms may be a helpful indicator for identifying post-traumatic stress.
Language	English
Publishing date	2024-02-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2099743-7
ISSN	1540-2010 ; 1540-2002
ISSN (online)	1540-2010
ISSN	1540-2002
DOI	10.1080/15402002.2024.2318264
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Article ; Online: Hurting myself to cope: Using network analysis to understand the association between perceived stigma and non-suicidal self-injury functions among men who have sex with men in China.

Yuan, Guangzhe Frank / Liu, Caimeng / Li, Xiaoming / Fung, Hong Wang / Wong, Ming Yu Claudia / Lam, Stanley Kam Ki / An, Yuanyuan / Feng, Xueyou

Archives of psychiatric nursing

2024 Volume 48, Page(s) 43–50

Abstract: Prior studies have demonstrated that perceived stigma is robustly associated with risky and life-threatening behaviors, including non-suicidal self-injury (NSSI), among men who have sex with men (MSM). However, studies regarding the relationship between ... ...

Abstract	Prior studies have demonstrated that perceived stigma is robustly associated with risky and life-threatening behaviors, including non-suicidal self-injury (NSSI), among men who have sex with men (MSM). However, studies regarding the relationship between perceived stigma and NSSI are limited. The present study aimed to investigate the network structure of perceived stigma and NSSI functions, along with bridge nodes, to elucidate how they co-exist. A sample of 2610 Chinese MSM (mean age = 23.99, age range: 18-68 years) was recruited from an online survey platform. All participants completed a web-based survey with measures of perceived stigma and NSSI functions. Results indicated that 'negative attitudes towards homosexuality' and 'disappointment in gay son' were identified as the most central nodes in the perceived stigma network, whereas 'seeking attention' and 'influencing others to change' ranked highest on centrality in the NSSI network. Two bridge connections were exhibited within the combined perceived stigma and NSSI network model: 'unwelcoming in public' and 'avoiding unpleasant tasks' from perceived stigma and NSSI communities, respectively. This is among the first studies investigating the co-occurrence between perceived stigma and NSSI from the network approach. Our findings provide an empirically-based perspective on the importance of family- and community-based interventions, with potential clinical implications for reducing NSSI among sexual and gender minority groups.
MeSH term(s)	Male ; Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Homosexuality, Male ; Sexual and Gender Minorities ; Sexual Behavior ; Self-Injurious Behavior ; Emotions
Language	English
Publishing date	2024-01-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	639197-7
ISSN	1532-8228 ; 0883-9417
ISSN (online)	1532-8228
ISSN	0883-9417
DOI	10.1016/j.apnu.2024.01.005
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Article ; Online: A Preliminary Longitudinal Analysis of Symptom Management, Post-traumatic Stress, and Depressive Symptoms in Chinese Adults with Dissociative Symptoms.

Fung, Hong Wang / Hung, Suet Lin / Ling, Henry Wai-Hang / Lee, Vincent Wan Ping / Lam, Stanley Kam Ki

Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)

2023 Volume 25, Issue 1, Page(s) 129–143

Abstract: People with dissociative symptoms are generally poly-symptomatic and require high levels of healthcare resources. Post-traumatic stress disorder (PTSD) and depressive symptoms are two major disabling comorbid symptoms in people with dissociative symptoms. ...

Abstract	People with dissociative symptoms are generally poly-symptomatic and require high levels of healthcare resources. Post-traumatic stress disorder (PTSD) and depressive symptoms are two major disabling comorbid symptoms in people with dissociative symptoms. While the sense of control over symptoms may be associated with PTSD and dissociative symptoms, the interplay among these factors over time remains unexplored. This study examined the predictors of PTSD and depressive symptoms in people with dissociative symptoms. Longitudinal data from 61 participants with dissociative symptoms were analyzed. Participants completed self-report measures of dissociative, depressive, and PTSD symptoms and the sense of control over symptoms two times (T1 & T2) with an interval of over one month. PTSD and depressive symptoms were not transient or time-specific, but they persisted over time in our sample. Hierarchical multiple regression analyses revealed that, after controlling for age, treatment usage and baseline symptom severity, T1 symptom management scores (β = -.264,
MeSH term(s)	Adult ; Humans ; Stress Disorders, Post-Traumatic/epidemiology ; Depression ; Comorbidity ; Dissociative Disorders/diagnosis ; China
Language	English
Publishing date	2023-07-02
Publishing country	England
Document type	Journal Article
ISSN	1529-9740
ISSN (online)	1529-9740
DOI	10.1080/15299732.2023.2231908
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Article ; Online: Persistence and outcomes of ICD-11 complex PTSD in the community: A nine-month longitudinal investigation in Hong Kong.

Po, Bonnie Shuk Kwan / Lam, Stanley Kam Ki / Chen, Yu Jun / Chien, Wai Tong / Wong, Emily Nga Man / Wang, Edward K S / Fung, Hong Wang

Asian journal of psychiatry

2023 Volume 87, Page(s) 103696

MeSH term(s)	Humans ; Stress Disorders, Post-Traumatic/diagnosis ; International Classification of Diseases ; Hong Kong
Language	English
Publishing date	2023-07-08
Publishing country	Netherlands
Document type	Letter
ZDB-ID	2456678-0
ISSN	1876-2026 ; 1876-2018
ISSN (online)	1876-2026
ISSN	1876-2018
DOI	10.1016/j.ajp.2023.103696
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Article ; Online: Association Between Psychotic and Dissociative Symptoms: Further Investigation Using Network Analysis.

Fung, Hong Wang / Wong, Ming Yu Claudia / Moskowitz, Andrew / Chien, Wai Tong / Hung, Suet Lin / Lam, Stanley Kam Ki

Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)

2023 Volume 25, Issue 2, Page(s) 279–296

Abstract: The association and overlap between psychotic and dissociative phenomena have been increasingly recognized. Previous studies found that psychotic symptoms are closely associated with post-traumatic and dissociative symptoms and that these trauma-related ... ...

Abstract	The association and overlap between psychotic and dissociative phenomena have been increasingly recognized. Previous studies found that psychotic symptoms are closely associated with post-traumatic and dissociative symptoms and that these trauma-related phenomena may mediate the relationship between trauma and psychotic symptoms. It remained less explored which specific post-traumatic and dissociative symptom clusters are particularly associated with psychotic symptoms. This cross-sectional study used a data-driven approach (network analysis) to explore the associations among different psychotic and post-traumatic/dissociative symptom clusters in an online convenience predominantly female sample (
MeSH term(s)	Humans ; Female ; Child ; Male ; Stress Disorders, Post-Traumatic/psychology ; Cross-Sectional Studies ; Syndrome ; Psychotic Disorders/psychology ; Dissociative Disorders/psychology
Language	English
Publishing date	2023-12-20
Publishing country	England
Document type	Journal Article
ISSN	1529-9740
ISSN (online)	1529-9740
DOI	10.1080/15299732.2023.2293776
Database	MEDical Literature Analysis and Retrieval System OnLINE

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