The International journal of social psychiatry最新文献

{"title":"A longitudinal study on the effects of social support on self-stigma, psychiatric symptoms, and personal and social functioning in community patients with severe mental illnesses in China.","authors":"Ning Ma, Runzi Chen, Yu Bai, Wufang Zhang, Zecong Chen, Jun Zhou, Yajie Cao, Liping Wen, Xiaobing Chen, Xuhui Zhan, Yunge Fan","doi":"10.1177/00207640241245932","DOIUrl":"https://doi.org/10.1177/00207640241245932","url":null,"abstract":"BACKGROUND\u0000Few studies have examined whether social support contributes to better consequences among chronic patients with severe mental illnesses (SMI) in their community recovery stage and whether self-stigma would be a mechanism through which social support impacts psychiatric symptoms and personal and social functioning.\u0000\u0000\u0000AIMS\u0000This study aimed to examine prospective associations of social support with long-term self-stigma, psychiatric symptoms, and personal and social functioning, and to investigate whether self-stigma would mediate the associations of social support with psychiatric symptoms and personal and social functioning among patients with SMI.\u0000\u0000\u0000METHODS\u0000A total of 312 persons with SMI (schizophrenia and bipolar disorder) in their community recovery stage participated in the study. Social support, self-stigma, psychiatric symptoms, and personal and social functioning were evaluated at baseline. The follow-up assessment was conducted at 6 months with the baseline measures except for social support. Hierarchical linear regression and mediation analysis were performed.\u0000\u0000\u0000RESULTS\u0000The results showed that baseline social support predicted decreases in stigma (β = -.115, p = .029) and psychiatric symptoms (β = -.193, p < .001), and increases in personal and social functioning (β = .134, p = .008) over 6 months, after adjusting for relevant covariates. Stigma at 6 months partially mediated the association between baseline social support and 6-month psychiatric symptoms (indirect effect: β = -.043, CI [-0.074, -0.018]). Stigma and psychiatric symptoms at 6 months together mediated the association between baseline social support and 6-month personal and social functioning (indirect effect: β = .084, 95% CI [0.029, 0.143]).\u0000\u0000\u0000CONCLUSION\u0000It is necessary to provide comprehensive social support services and stigma reduction interventions at the community level to improve the prognosis of SMI.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"18 3","pages":"207640241245932"},"PeriodicalIF":0.0,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140706180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between social inequality perception patterns and depressive symptoms among Chinese adults: A national representative longitudinal study.","authors":"Shouchuang Zhang, Ting Wang, Lanyue Zhang, Yuehui Wei, Weiyan Jian, Jing Guo","doi":"10.1177/00207640241243280","DOIUrl":"https://doi.org/10.1177/00207640241243280","url":null,"abstract":"BACKGROUND\u0000The rising prevalence of depressive symptoms presents a pressing global public health concern, exacerbated by prevailing social inequality.\u0000\u0000\u0000AIM\u0000This study seeks to identify latent profiles of social inequality perception and explore their associations with depressive symptoms.\u0000\u0000\u0000METHODS\u0000Data were obtained from the China Family Panel Studies (CFPS) involving 10,529 residents aged 18 years and above. Latent profile analysis (LPA) was used to identify different patterns of social inequality perception. Multiple linear regression analysis examined the links between these patterns and depressive symptoms.\u0000\u0000\u0000RESULTS\u0000Three distinct patterns of social inequality perception were identified: the disappointed pattern (TDP), the neutral pattern (TNP), and the positive pattern (TPP). Perceived social inequality was significantly associated with short-term and long-term depressive symptoms (β = .51, 95% CI [0.29, 0.72] vs. β = .51, 95% CI [0.27, 0.74]). Increases in social inequality perception patterns were also related to more severe depressive symptoms (β = .55, 95% CI [0.36, 0.74]).\u0000\u0000\u0000CONCLUSIONS\u0000Increasing perceived social inequality is closely linked to elevated depressive symptoms in Chinese adults. This underscores the need for tailored strategies aimed at addressing heightened perceptions of social inequality to reduce the risk of depressive symptoms.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"180 2","pages":"207640241243280"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taking steps towards deinstitutionalizing mental health care within a low and middle-income country: A cross-sectional study of service user needs in the Republic of Moldova","authors":"Jona J Frasch, I. Petrea, J. Chihai, F. Smit, M. Oud, L. Shields-Zeeman","doi":"10.1177/0020764019879951","DOIUrl":"https://doi.org/10.1177/0020764019879951","url":null,"abstract":"Aim: The current research was conducted in the context of an ongoing reform of mental health services in the Republic of Moldova since 2014, where efforts have been devoted to creating community-based mental health services. This article presents a snapshot of the needs of mental health service users in the Republic of Moldova and helps to understand how and with which services their needs can be addressed. Methods: This cross-sectional study compared the levels of needs (CANSAS scale), quality of life (EQ-5D 3L), mental health status (MINI for psychotic disorders) and functioning (WHO-DAS) among mental health service users in the psychiatric hospital in Chisinau, Moldova. All service users resided in districts where community mental health services were being developed. Correlations between quality of life, functioning and unmet need were explored. Results: Of 83 participants, one third had a psychotic or a mood disorder. On average, participants reported needs in 9.41 domains (SD = 4.41), of which 4.29 were unmet (SD = 3.63). Most unmet needs related to intimacy and relation to others. The level of functioning and quality of life were reported. We found strong, negative associations between the number of unmet needs and level of functioning, as well as the quality of life. We also found that higher functioning levels were positively associated with higher quality of life. Conclusion: There were a high number of unmet needs among this inpatient population, particularly social needs and service-related needs. A continuum of inpatient and outpatient care and individual treatment plans can help address the different needs of different patients. Individual treatment plans for patients and the choice of the appropriate treatment for patients could be guided by an assessment of service users’ (unmet) needs of care and level of functioning.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116723537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-patient interaction before and after the substitution of street clothes for uniforms.","authors":"J. Brown, L. S. Goldstein","doi":"10.1097/00006199-197003000-00095","DOIUrl":"https://doi.org/10.1097/00006199-197003000-00095","url":null,"abstract":"","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1970-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122132993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distinguishing delinquents from pseudodelinquents.","authors":"E. Glueck","doi":"10.17763/HAER.36.2.E366714216478625","DOIUrl":"https://doi.org/10.17763/HAER.36.2.E366714216478625","url":null,"abstract":"The author presents two new predictive devices for discriminating between real and apparent pre-delinquents. She presents findings that suggest that the new instruments may be more accurate than the already validated Glueck Social Prediction Table.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"13 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1966-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129049347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Not just an individual journey: social aspects of recovery.","authors":"A. Topor, M. Borg, S. Di Girolamo, L. Davidson","doi":"10.1177/0020764010345062","DOIUrl":"https://doi.org/10.1177/0020764010345062","url":null,"abstract":"BACKGROUND\u0000Recent literature on recovery describes the process as deeply personal and unique to each individual. While there are aspects of recovery that are unique to each individual, this article argues that focusing solely on these overlooks the fact that recovery unfolds within a social and interpersonal context.\u0000\u0000\u0000MATERIALS\u0000Drawing from qualitative data, this article describes aspects of recovery that involve the contributions of others, the social environment and society.\u0000\u0000\u0000DISCUSSION\u0000These aspects of recovery include relationships, adequate material conditions and responsive services and supports.\u0000\u0000\u0000CONCLUSION\u0000The authors consider the implications of these social factors for transforming psychiatric research and theory as well as for recovery-orientated practice.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"200 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124468845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Crisis management in borderline personality disorder.","authors":"R. Borschmann, P. Moran","doi":"10.1177/0020764010106599","DOIUrl":"https://doi.org/10.1177/0020764010106599","url":null,"abstract":"Borderline personality disorder (BPD) is a complex and severe mental disorder which manifests in a pervasive pattern of instability in interpersonal relationships and self-image and marked impulsivity (American Psychiatric Association, 2000). The condition is thought to occur globally with a median prevalence of 0.7% (Coid et al., 2006). While many people with BPD are able to negotiate life successfully, there are others who suffer considerably and place a heavy burden on those around them. For example, studies of clinical populations have shown that patients with BPD typically experience significantly greater impairment in their work, social relationships and leisure compared to patients suffering from major depression (Skodol et al., 2002). People with BPD may engage in a variety of destructive and impulsive behaviours including self-harm and are consequently at increased risk of committing suicide (McGirr et al., 2007). In addition, individuals with BPD are more likely to experience adverse life events and their ability to cope with such events might be impaired by poor problem-solving skills (Salkovskis et al., 1990). Despite widespread acknowledgement of these issues, relatively little research has examined the management of acute crises in this population. Although crises are largely subjective in nature, factors commonly associated with the onset of a crisis include: a clear precipitating event causing acute anxiety and emotional suffering; an acute reduction in motivation and problem-solving ability; and an increase in help-seeking behaviour (Sansone, 2004). The nature of crises in individuals with BPD are frequently related to suicidal or homicidal threats, gestures or actions and, consequently, the issue of hospital admission often warrants consideration. However, there remains a widespread belief among clinicians that the problems of such patients are exacerbated by hospital admission and, consequently, there is often resistance to such admissions. BPD patients can certainly pose considerable problems for inpatient staff in terms of splitting and behavioural regression, disruptive behaviour can be intensified or perpetuated by the hospital setting. It has also been reported that the risk of suicide often increases during the initial phase of inpatient hospitalization, although how much of this can be attributed to the process of admission is unclear (Barbe et al., 2005). Against this, there is evidence that patients with comorbid mental state and personality disorders do not fare well with assertive community treatment (Tyrer & Simmonds, 2003) and under such circumstances, admission may be the safer route. Hospital admission may also serve an important function in terms of communicating to the patient that their distress has been taken seriously. In addition, an admission may provide the patient with some distance from a distressing situation and in doing so may help to contain impulsive behaviour. Some authors argue that admissions to","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133525617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of mental illness: preliminary exploratory research at a cross-cultural outpatient psychiatric clinic.","authors":"S. Ganesan, H. Mok, M. Mckenna","doi":"10.1177/0020764010104286","DOIUrl":"https://doi.org/10.1177/0020764010104286","url":null,"abstract":"UNLABELLED\u0000This descriptive study presented an overview of culturally sensitive mental health services and potential barriers for immigrant Canadians. A semi-structured questionnaire was developed and administered to 173 patients who attended a large cross-cultural psychiatry outpatient clinic in Vancouver, British Columbia, Canada.\u0000\u0000\u0000RESULTS\u0000indicated that only 21% of patients were able to state their diagnosis or were able to describe the symptoms of their diagnosis that met the DSM-IV criteria given by a psychiatrist. Examination of patient ethnicity showed that more South Asian (25%) or Southeast Asian (24%) patients had more diagnoses of anxiety disorder in comparison to other ethnic groups. Refugees characterized mental illness in terms of stress or stress-related factors (30%) in comparison to non-refugees (13%). There was a greater preference in women, when compared to men, to prefer the term 'client' versus 'patient'. These results elucidate the importance of cultural and systemic barriers for immigrant Canadians. The need for appropriate service delivery is discussed.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129444033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The migration of culture-bound syndromes.","authors":"R. Littlewood","doi":"10.1007/978-1-4757-1853-9_112","DOIUrl":"https://doi.org/10.1007/978-1-4757-1853-9_112","url":null,"abstract":"","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132588655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment and comparison of culturally based explanations for mental disorder among Singaporean Chinese youth.","authors":"M. Mathews","doi":"10.1177/0020764010096853","DOIUrl":"https://doi.org/10.1177/0020764010096853","url":null,"abstract":"BACKGROUND\u0000Culture is important to how populations understand the cause of mental disorder, a variable that has implications for treatment-seeking behaviour. Asian populations underutilize professional mental health treatment partly because of their endorsement of supernatural causation models to explain mental disorders, beliefs that stem from their religious backgrounds.\u0000\u0000\u0000AIMS\u0000This study sought to understand the dimensions of explanatory models used by three groups of Singaporean Chinese youth (n = 842)--Christian, Chinese religionist, no religion--and examined their responses to an instrument that combined explanations from psychological and organic perspectives on mental disorder with approaches from Asian and Western religious traditions.\u0000\u0000\u0000RESULTS\u0000Factor analysis revealed five factors. Two were psychological corresponding to the humanistic and cognitive-behavioural perspectives respectively. Another two, which were supernatural in nature, dealt with karmaic beliefs popular among Asian religionists and more classical religious explanations common in monotheistic religions. The remaining factor was deemed a physiological model although it incorporated an item that made it consistent with an Asian organic model.\u0000\u0000\u0000CONCLUSION\u0000While groups differed in their endorsement of supernatural explanations, psychological perspectives had the strongest endorsement among this population. Regression analysis showed that individuals who endorsed supernatural explanations more strongly tended to have no exposure to psychology courses and heightened religiosity.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"793 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113999156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}