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Diagnostic overshadowing of mental health conditions in UK health care 英国医疗保健在诊断方面对精神疾病的忽视
IF 1.2 Q3 Nursing Pub Date : 2024-05-24 DOI: 10.1108/mhsi-04-2024-0060
Zoe Jane Hale
PurposeDiagnostic overshadowing (DO) may be contributing to the worsening physical health outcomes for people diagnosed with mental health (MH) conditions. DO is a phenomenon researched worldwide, but there has been no systematic review of the evidence for its prevalence in UK health care. This paper aims to add to this body of knowledge, expanding the understanding of what factors are contributing to the poor physical well-being of people with diagnosed MH conditions.Design/methodology/approachA systematic search of three databases was conducted and after evaluation, three studies were selected for the review.FindingsDO was found to have a high prevalence with structural, staffing and patient issues identified through a thematic analysis. Contemporary evidence shows themes identified are still impacting UK health care. Collaborative working across mental and physical health teams, thorough and lengthy assessments, and improved education for physical health care staff have been cited as mitigating factors to this practice.Originality/valueTo the best of the author’s knowledge, this paper is the first review of the evidence for diagnostic overshadowing taking place in UK health care.
目的诊断性阴影(DO)可能是导致被诊断出患有精神健康(MH)疾病的人身体健康状况不佳的原因之一。全世界都在研究这种现象,但尚未对其在英国医疗保健中的流行程度进行系统性的证据审查。本文旨在补充这方面的知识,扩大人们对哪些因素导致已确诊精神疾病患者身体健康状况不佳的认识。研究结果通过主题分析发现,精神疾病患者在结构、人员配备和患者问题上的患病率很高。当代证据表明,所确定的主题仍然影响着英国的医疗保健。据作者所知,本文是对英国医疗保健中发生的诊断遮盖现象的首次证据综述。
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引用次数: 0
Unemployment during the COVID-19 pandemic: mental health, quality of life and labour market outcome in Nigeria COVID-19 大流行期间的失业问题:尼日利亚的心理健康、生活质量和劳动力市场结果
IF 1.2 Q3 Nursing Pub Date : 2024-05-13 DOI: 10.1108/mhsi-01-2024-0007
Lucyann Chikaodinaka Akunna, Uche Osakede, Olayinka Adenikinju
PurposeThe purpose of this paper is to examine the effect of unemployment during the COVID-19 pandemic on mental health, quality of life and the labour market outcome across North and Southern Nigeria.Design/methodology/approachData was obtained from staff laid off in selected tertiary institutions in North East and South West Nigeria using a self-administered questionnaire with a total sample size of 185. Findings are shown using the heteroscedastic linear regression and descriptive statistics.FindingsThe results showed a significant negative effect of unemployment during the pandemic on mental health and quality of life. Less than half of those laid off are reabsorbed into the labour market with the majority in the South than the Northern region and most are in self-employment.Practical implicationsThe coronavirus pandemic negatively affected the human race, with a huge socio-economic impact linked to health and well-being. This reality calls for attention to the role it played on mental health and the quality of life as well as how it has influenced the labour market. Labour empowerment during a pandemic is key to cushion the effect of pandemics on health and the labour market. This can be in the form of skill empowerment and increased access to funds for business start-ups to enable self-employment that typifies the labour market after a pandemic. This in turn will reduce mental health challenges and low quality of life associated with pandemics.Originality/valueTo the best of the authors’ knowledge, this research is the first in the literature that provides empirical evidence of the effect of unemployment during the pandemic on well-being captured using mental health and the quality of life in Nigeria. Findings on labour market outcomes due to the pandemic and across regions in Nigeria are also scarce in the literature.
本文旨在研究 COVID-19 大流行期间的失业对尼日利亚北部和南部的心理健康、生活质量和劳动力市场结果的影响。数据来自尼日利亚东北部和西南部选定高等院校的下岗人员,采用自填式问卷调查,总样本量为 185 份。结果表明,大流行病期间的失业对心理健康和生活质量有显著的负面影响。不到一半的下岗人员被重新吸纳到劳动力市场,其中南方地区的下岗人员多于北方地区的下岗人员,大多数人从事自营职业。这一现实要求我们关注它对心理健康和生活质量的影响,以及对劳动力市场的影响。在大流行病期间增强劳动力的能力是减轻大流行病对健康和劳动力市场影响的关键。其形式可以是增强技能和增加获得创业资金的机会,以实现自营职业,这也是大流行病后劳动力市场的典型特征。原创性/价值 据作者所知,这项研究是文献中首次提供实证证据,证明尼日利亚大流行期间失业对心理健康和生活质量的影响。关于大流行病造成的劳动力市场结果以及尼日利亚各地区劳动力市场结果的研究结果在文献中也很少见。
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引用次数: 0
Dimensions of living with emetophobia 患呕吐恐惧症的生活层面
IF 1.2 Q3 Nursing Pub Date : 2024-05-13 DOI: 10.1108/mhsi-04-2024-0055
Hannah Jane Kerry, Russelll Gurbutt
PurposeThis paper aims to present an examination of selected literature about the lived experiences of those with emetophobia. Its intention is to inform further empirical enquiry and subsequent approaches to treatment and care aimed at inclusive support for sufferers. To that end, it is important to bring the sufferers’ narrative into public and professional domains.Design/methodology/approachA systematic search of multiple databases using the search engine Discover@bolton and grey literature was undertaken to obtain evidence about the lived experiences of people with emetophobia. The search terms used were “emetophobia” and combinations of associated topic phrases using Boolean operators (AND / OR): “Emetophobia” OR “fear of vomiting” OR “fear of being sick”, Emetophobia AND “lived experiences” and finally Emetophobia OR “fear of vomiting” OR “fear of being sick” AND “lived experiences”. Eight papers were included in the review and five items of grey literature.FindingsSeveral themes were identified in this literature including fear, escape and avoidance, other influences, consequences and medicalisation. The findings reveal that the experiences of those with emetophobia are subsumed beneath a focus on diagnosis and treatment. When it comes to understanding the actual lived experience of a person with emetophobia, the evidence presents the reader with what treatment may work and how they might respond to it, but largely omits the voice of the individual with emetophobia. This signals a need to undertake enquiry to bring this to the fore and so inform ways of greater inclusive practice for the public and professionals alike.Research limitations/implicationsThe evidence reviewed in this paper can be noted for the limited discussion about the individual’s lived experience of emetophobia. Gaining insight into this would contribute to raising awareness in a wider public arena and inform carers and healthcare professionals’ understanding. It would also display the importance of an individual context and health journey.Practical implicationsKnowing this can inform approaches to helping an individual either to live with the phobia and manage its impact on daily living (positive rather than maladaptive coping mechanisms) or to overcome it with or without adjunct medical treatment (if this is possible).Social implicationsKnowing based on contemporary empirical enquiry will inform policy and guideline development. Whatever course is taken, it must contribute to steps being taken towards achieving a better quality of life for individual sufferers. The findings of this paper likewise inform the need for further study into the individual lived experience of emetophobia.Originality/valueThis paper is original in having identified a need to bring empirical evidence of the lived experience of sufferers with emetophobia into the public and professional domain.
目的 本文旨在对有关恐吐症患者生活经历的部分文献进行研究。其目的是为进一步的实证调查以及随后的治疗和护理方法提供信息,以便为患者提供包容性的支持。为此,将患者的叙述带入公共和专业领域是非常重要的。设计/方法学/方法使用搜索引擎Discover@bolton对多个数据库和灰色文献进行了系统搜索,以获取有关恐吐症患者生活经历的证据。使用的搜索关键词是 "恐吐症 "以及使用布尔运算符(AND / OR)的相关主题短语组合:呕吐恐惧症 "或 "呕吐恐惧 "或 "生病恐惧"、"呕吐恐惧症 "和 "生活经历",最后是 "呕吐恐惧症 "或 "呕吐恐惧 "或 "生病恐惧 "和 "生活经历"。研究结果在这些文献中发现了几个主题,包括恐惧、逃避和回避、其他影响、后果和医疗化。研究结果表明,那些患有呕吐恐惧症的人的经历被归结为诊断和治疗。当涉及到了解恐吐症患者的实际生活经历时,这些证据向读者展示了哪些治疗方法可能有效,以及他们可能如何应对,但在很大程度上忽略了恐吐症患者的声音。这预示着我们有必要开展调查,将这一点凸显出来,从而为公众和专业人士提供更具包容性的实践方法。研究局限性/影响本文所回顾的证据中,关于恐吐症患者个人生活经历的讨论非常有限。对这一问题的深入研究将有助于提高更广泛的公众意识,并为护理人员和医疗保健专业人员的理解提供信息。社会影响基于当代实证调查的了解将为政策和指南的制定提供参考。无论采取何种方法,都必须有助于采取措施提高患者的生活质量。本文的研究结果同样表明,有必要对恐吐症患者的个人生活经历进行进一步研究。
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引用次数: 0
A life through the looking glass: the development of a qualitative method, International Digital Collaborative Autoethnographical Psychobiography (IDCAP) 透过玻璃看人生:定性方法的发展,国际数字协作自传体心理传记(IDCAP)
IF 1.2 Q3 Nursing Pub Date : 2024-05-02 DOI: 10.1108/mhsi-04-2024-0050
Patrick Hopkinson, Mats Niklasson
PurposeThis paper aims to introduce International Digital Collaborative Autoethnographical Psychobiography (IDCAP).Design/methodology/approachThis paper describes how IDCAP was developed to answer research questions about what it takes and what it means to recover from mental illness. During its development, IDCAP combined the diverse and intersectional experiences, knowledge and interests of an Anglo-Swedish research team with what could be found in different publications concerning the experiences and the mental illnesses of the musicians Syd Barrett, Peter Green and Brian Wilson.FindingsIDCAP combines features of autoethnography and psychobiography to offer a novel qualitative research method.Research limitations/implicationsWhilst IDCAP was created to focus on recovery from mental illness and musicians, it can be applied to other areas of research. It shares the same limitations as autoethnography and psychobiography, although some of the features of IDCAP may go some way to mitigate against these.Practical implicationsIDCAP is a novel research method that is offered to other researchers to develop and enhance further through application.Social implicationsIDCAP is a collaborative research method that encourages the involvement of a wide range of researchers from different countries and cultures. It can be used to give voice to marginalised groups and to counter discrimination and prejudice. Recovery from mental illness is a topic of great personal and social value.Originality/valueIDCAP is a novel research method that, to the best of the authors’ knowledge, has not been explicitly used before.
本文旨在介绍国际数字协作自传体心理自传(IDCAP)。设计/方法/途径本文介绍了 IDCAP 是如何开发的,以回答关于从精神疾病中康复需要什么和意味着什么的研究问题。在开发过程中,IDCAP 将一个英国-瑞典研究团队的各种交叉经验、知识和兴趣与不同出版物中有关音乐家 Syd Barrett、Peter Green 和 Brian Wilson 的经历和精神疾病的内容相结合。社会影响IDCAP 是一种合作研究方法,鼓励来自不同国家和文化的研究人员广泛参与。它可以用来为边缘群体发声,反对歧视和偏见。精神疾病的康复是一个具有重大个人和社会价值的课题。原创性/价值IDCAP 是一种新颖的研究方法,据作者所知,以前从未明确使用过这种方法。
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引用次数: 0
Investigating mental health and well-being among MBA students during campus placement season in India 调查印度校园招聘季 MBA 学生的心理健康和幸福感
IF 1.2 Q3 Nursing Pub Date : 2024-05-01 DOI: 10.1108/mhsi-12-2023-0136
Mohammed Laeequddin, Kareem Abdul Waheed, Vinita Sahay
PurposeThis paper aims to identify the factors that influence students' mental health, particularly in the context of MBA students passing through an emotional phase of the placement season.Design/methodology/approachA conceptual model through literature has been proposed. To test the proposed model of this study, a survey was conducted among the students of three MBA institutes of national reputation in India. The study's hypotheses were investigated using partial least squares-structural equations modeling and analysis of variance. To corroborate the findings of the survey data, a qualitative study in the form of open-ended interviews with five students was conducted.FindingsThe study revealed that female students, non-engineering graduates and students from non-family business backgrounds undergo stress, anxiety and depression higher than their classmates. Cumulative grade point average and bank loans do not significantly affect students' stress, anxiety and depression during the placement season. It was found that the increase in the levels of mindfulness scores led to a significant negative impact on stress, anxiety and depression among the students.Originality/valueThere is a gap in the literature that addresses the mental health of MBA students during campus job placements and the role of mindfulness in mitigating stress, anxiety and depression in these students. This research attempts to fill these research gaps.
目的 本文旨在确定影响学生心理健康的因素,尤其是在 MBA 学生经历就业季这一情绪化阶段的背景下。设计/方法/途径 通过文献提出了一个概念模型。为了检验本研究提出的模型,对印度三所全国知名 MBA 学院的学生进行了调查。使用偏最小二乘法-结构方程模型和方差分析对研究假设进行了调查。研究结果表明,女生、非工程专业毕业生和非家族企业背景的学生承受的压力、焦虑和抑郁高于他们的同学。累计平均学分绩点和银行贷款对学生在就业季的压力、焦虑和抑郁情绪影响不大。研究发现,正念得分水平的提高对学生的压力、焦虑和抑郁有明显的负面影响。 原创性/价值目前,关于 MBA 学生在校园就业安置期间的心理健康以及正念在减轻这些学生的压力、焦虑和抑郁方面的作用的文献尚属空白。本研究试图填补这些研究空白。
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引用次数: 0
The effectiveness of using cognitive behavioral therapy and internet-based cognitive behavioral therapy interventions on relapse prevention and severity of symptoms among patients diagnosed with major depressive disorder: a systematic review of randomized controlled trials 使用认知行为疗法和基于互联网的认知行为疗法干预对预防重度抑郁症复发和减轻重度抑郁症患者症状的效果:随机对照试验的系统回顾
IF 1.2 Q3 Nursing Pub Date : 2024-04-24 DOI: 10.1108/mhsi-03-2024-0045
Rabia Haddad, Bushra Kh. Alhusamiah, Razan H. Haddad, Mo’tasem M. Aldaieflih, Khalid Yaseen, Younis H. Abuhashish, Ayman M. Hamdan-Mansour, Jafar A. Alshraideh
PurposeThis study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach.Design/methodology/approachThe review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD.FindingsA total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries.Research limitations/implicationsDespite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD.Practical implicationsThis paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD.Social implicationsCBT is
目的本研究旨在评估和总结认知行为疗法(CBT)和基于互联网的CBT(ICBT)干预对重度抑郁障碍(MDD)患者的复发预防和症状严重程度的有效性。CBT 是治疗重度抑郁症最常用、最受推崇的干预方法之一,而 ICBT 则是一种新颖有效的建议方法。研究结果共有八项研究符合纳入标准并被纳入本系统综述。本系统综述共纳入了八项符合纳入标准的研究,并进行了 RCT 研究,以评估 CBT 和 ICBT 对 MDD 患者复发预防和症状严重程度的有效性。研究发现,在控制抑郁症状、降低 MDD 患者的复发率和再入院率方面,CBT 是一种证据确凿的有效心理疗法。ICBT 对 MDDS 患者在重度抑郁发作期间的抑郁症状有较大改善。ICBT项目在不同国家的参与者中具有良好的可接受性和满意度。研究局限性/启示尽管本系统综述得出了重要的研究结果,但仍应承认存在一定的局限性。首先,需要注意的是,本综述中包含的所有研究均以英语进行,这可能会限制研究结果在非英语国家人群中的推广。其次,纳入本系统综述的研究数量相对有限,这可能导致分析范围较窄。最后,在所选研究中,有几项研究的样本量较小,这可能会影响从本综述中得出的总体结论的精确性和可靠性。作者建议,在精神科工作的护士应该对 MDD 患者使用 CBT 干预方法。本文通过文献综述概述了 CBT 和 ICBT 干预方法,以减轻抑郁症状的严重程度,预防患者复发和再次住院,并表明 CBT 干预方法对预防 MDD 患者复发有效。此外,在降低重度抑郁症患者的抑郁症状严重程度和预防抑郁症复发方面,目前仍没有应用 CBT 干预的标准化方案。要证实本综述的研究结果,还需要进一步的研究。社会影响CBT是文献推荐用于治疗重度抑郁障碍(MDD)的一种心理干预方法。它是一种广受认可和接受的方法,结合了认知和行为技术,可帮助患者克服抑郁症状,改善其整体精神状况。这将推测,CBT 干预中不同方法的多个方面和组合的有效性,以及不同实施模式的影响,对于临床实践和适当选择干预组合至关重要。这些研究在伊朗、澳大利亚、宾夕法尼亚州和美国等不同国家进行。
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引用次数: 0
Prevalence of postpartum depression and its predictors among nursing mothers in selected hospitals in Nsukka, Nigeria: a cross-sectional survey 尼日利亚恩苏卡选定医院中哺乳期母亲产后抑郁症的患病率及其预测因素:横断面调查
IF 1.2 Q3 Nursing Pub Date : 2024-04-23 DOI: 10.1108/mhsi-12-2023-0138
C. Anosike, Rita Chinenye Osefo, Nnanyelugo Ogechukwu Isiogugu, Emmanuel Chijiekwu Nwachukwu, Ugonna Kyrian Agu, Jonathan Chimaobi Nwaji, Mario-Ephraim Afam Ogbu
PurposeThis study aims to determine the prevalence and predictors of postpartum depression (PPD) among nursing mothers in Nsukka, Nigeria.Design/methodology/approachThis study was a descriptive cross-sectional survey among nursing mothers in three hospitals in Nsukka, Nigeria. Data was collected using a self-administered Edinburgh Postpartum Depression Scale (EPDS) and sociodemographic form. The data obtained were analyzed using descriptive statistics, chi-square test and binary logistic regression.FindingsA total of 270 nursing mothers participated in this survey, giving a response rate of 94.4%. The prevalence of PPD among the study group was 20.0%. However, women who did not have complications during childbirth were about two times (AOR = 0.417, 95% CI = 0.204, 0.852, P = 0.016) less likely to develop symptoms of PPD than women who experienced birth complications. In addition, women who had poor relationships with their partners have approximately seven times (AOR = 6.994, 95% CI = 1.110, 44.059, P = 0.038) higher odds of developing PPD compared with those women who had excellent relationships with their partners.Research limitations/implicationsThe sample size was small, hence, might limit the generalizability of its findings beyond the study group. Health-care practitioners should provide appropriate interventions to women at a higher risk of developing PPD on the need to maintain a healthy and supportive relationship with their partners.Originality/valueThis study provides unique insight into PPD among nursing mothers and its determinants from a different regional, socioeconomic, societal expectations, social support system, access to health care and cultural context.
本研究旨在确定尼日利亚恩苏卡市哺乳期母亲产后抑郁症(PPD)的患病率和预测因素。设计/方法/方法本研究是一项描述性横断面调查,调查对象是尼日利亚恩苏卡市三家医院的哺乳期母亲。数据收集采用自编爱丁堡产后抑郁量表(EPDS)和社会人口学表格。调查结果显示,共有 270 名哺乳期母亲参与了此次调查,回复率为 94.4%。研究组中 PPD 的发病率为 20.0%。然而,与出现分娩并发症的妇女相比,分娩时未出现并发症的妇女出现 PPD 症状的几率要低约两倍(AOR = 0.417,95% CI = 0.204,0.852,P = 0.016)。此外,与伴侣关系不融洽的女性相比,与伴侣关系融洽的女性出现 PPD 的几率要高出约七倍(AOR = 6.994,95% CI = 1.110,44.059,P = 0.038)。医疗保健从业人员应向罹患 PPD 风险较高的妇女提供适当的干预措施,使其认识到与伴侣保持健康和相互支持的关系的必要性。原创性/价值本研究从不同的地区、社会经济、社会期望、社会支持系统、医疗保健和文化背景出发,对哺乳期母亲的 PPD 及其决定因素提供了独特的见解。
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引用次数: 0
Navigating the labyrinth of social exclusion: a bibliometric review 穿越社会排斥的迷宫:文献计量学回顾
IF 1.2 Q3 Nursing Pub Date : 2024-04-17 DOI: 10.1108/mhsi-02-2024-0025
Farsha Farahana Ahmad Izhan, Aidi Ahmi, Nor Azairiah Fatimah Othman, Muhammad Majid
PurposeThis study aims to provide a comprehensive bibliometric analysis of social exclusion research, examining its evolution and identifying emerging trends and influential contributions in the field.Design/methodology/approachUsing bibliometric and thematic analysis of 3,041 Scopus database documents, the study uses tools like VOSviewer for network analysis and Biblioshiny for trend analysis, focusing on publication patterns, author contributions and thematic clusters.FindingsThe findings reveal significant growth in social exclusion research since 1979, highlighting key contributions from diverse academic fields. Notable trends include the rise of digital exclusion and environmental justice themes. The study identifies leading authors, institutions and countries contributing to this field, along with highly cited documents that have shaped the discourse on social exclusion.Research limitations/implicationsThe study acknowledges its reliance on Scopus data and suggests incorporating other databases for future research. It highlights the need to explore emerging topics and address literature gaps.Originality/valueThis paper presents a unique bibliometric perspective on social exclusion research, underscoring its interdisciplinary nature and evolving focus. The study’s comprehensive approach offers valuable insights into the field’s trajectory, contributing to a deeper understanding of social exclusion phenomena.
目的本研究旨在对社会排斥研究进行全面的文献计量分析,研究其演变过程,并确定该领域的新兴趋势和有影响力的贡献。研究使用 VOSviewer 等工具进行网络分析,使用 Biblioshiny 等工具进行趋势分析,重点关注出版模式、作者贡献和主题集群。值得注意的趋势包括数字排斥和环境正义主题的兴起。该研究确定了在这一领域做出贡献的主要作者、机构和国家,以及影响社会排斥讨论的高被引文献。研究局限性/影响该研究承认其对 Scopus 数据的依赖性,并建议在未来的研究中纳入其他数据库。本文以独特的文献计量学视角审视社会排斥研究,强调了社会排斥研究的跨学科性质和不断变化的研究重点。研究采用的综合方法为了解该领域的发展轨迹提供了宝贵的见解,有助于加深对社会排斥现象的理解。
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引用次数: 0
Necessity the mother of (RE) invention: using positive autoethnography for trauma and loss 必要性是(RE)发明之母:利用积极的自我民族志治疗创伤和损失
IF 1.2 Q3 Nursing Pub Date : 2024-04-16 DOI: 10.1108/mhsi-02-2024-0031
Matt Broadway-Horner
PurposeThe purpose of this study is to investigate the use of positive autoethnography for the consequences of conversion therapy. Life after conversion therapy is, for many, a life-changing episode, especially when combined with disfellowship. In recent years, positive autoethnography has grown substantially. The work of Tedeschi and Calhoun (2004), from the school of positive psychology, focuses on posttraumatic growth following a traumatic event or series of events.Design/methodology/approachQualitative approach of positive autoethnography.FindingsThis innovative case study highlights personal struggles with grief, depression and suicidal ideation. In addition, the time elapsed has enabled a process to juggle with alternative ideas moving forward in salvaging a form of identity.Research limitations/implicationsTreatment as usual psychological therapies (TAUPT) provide many unhelpful triggers due to the same jargon used in both conversion therapy and TAUPT. Away from TAUPT, this writing exercise may help as a stand-alone post-conversion recovery process.Practical implicationsThe post-conversion recovery process will offer much-needed help with only a few face-to-face meetings to aid the posttraumatic growth writing exercise.Social implicationsThe suicide rates for sexual minority conversion therapy victims are eight times higher than those of other sexual minority groups and isolation levels. A single point of entry pathway for conversion therapy survivors is needed.Originality/valueTo the best of the author’s knowledge, the first of its kind to apply positive autoethnography using the model as a framework to understand the post-conversion therapy experience, looks for growth in five areas: relating to others, new possibilities, personal strength, spiritual change and appreciation of life.
本研究的目的是调查积极自述法在转化疗法后果中的应用。对许多人来说,接受转化疗法后的生活是改变人生的一段插曲,尤其是在与解除教友关系相结合的情况下。近年来,积极的自我民族志有了长足的发展。Tedeschi 和 Calhoun(2004 年)的作品来自积极心理学流派,重点关注创伤事件或一系列事件之后的创伤后成长。此外,随着时间的推移,研究人员也在不断尝试新的想法,以挽救自己的身份。研究局限性/影响通常的心理疗法(TAUPT)由于在转换疗法和TAUPT中使用了相同的术语,因此提供了许多无益的触发因素。社会影响性少数群体转换疗法受害者的自杀率比其他性少数群体的自杀率和隔离水平高八倍。原创性/价值据作者所知,这是第一本以积极的自述模式为框架来理解转换治疗后经历的同类著作,它从五个方面寻找成长:与他人的关系、新的可能性、个人力量、精神变化和对生活的理解。
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引用次数: 0
Providing peer support on a men’s mental health ward: a service user narrative 在男性心理健康病房提供同伴支持:服务使用者的叙述
IF 1.2 Q3 Nursing Pub Date : 2024-04-11 DOI: 10.1108/mhsi-03-2024-0036
Ben Gray, Matthew Sisto
PurposeThe purpose of this study is to describe peer support work in a men’s mental health unit from a lived experience and service user’s perspective. The intertwining of process (a lived experience perspective) and subject (the therapeutic value of peer support) leads to greater knowledge and insight into peer support for people with mental health problems.Design/methodology/approachThis service user narrative draws on the extracts from a reflective journal of interactions and conversations with people with mental health problems as well as feedback from service users and staff about the value of peer support. These methods allow a first-person, service user’s, reflective and narrative account of peer support work.FindingsPeer support work, particularly hearing voices sessions, are found to be highly therapeutic and worthwhile. They promote insight and create feelings of safety and hope in what can sometimes be a frightening and hostile ward environment. Peer support provides emotional and practical support. Sharing stories and experiences of mental illness with people leads to trust, feelings of being valued, heard and accepted as well as better experiences of care and being seen as a person first. Due to their shared experiences, peer support workers are able to befriend people with mental health problems on the ward. Peer support work bridges the gap and vacuum of care between people with mental health problems and staff. It compensates for understaffing to provide more holistic and person-centred care and support.Originality/valueLived experience/ service user perspectives and narratives on peer support are rare, particularly in a hospital setting. This article provides a rich, perhaps overlooked and hidden narrative on the nature of peer support work. People with mental health problems, like Ben, are often excluded from society, health and social care, education, employment and research. This narrative opens up a pathway to understanding peer support from a service user perspective.
本研究的目的是从生活经验和服务使用者的角度来描述男性心理健康机构中的同伴支持工作。将过程(生活经验视角)和主题(同伴互助的治疗价值)交织在一起,可以加深对心理健康问题患者同伴互助工作的了解和认识。研究结果发现,同伴支持工作,尤其是聆听声音环节,具有很强的治疗作用和价值。在有时令人恐惧和充满敌意的病房环境中,同伴支持工作能促进洞察力,并营造安全感和希望。同伴互助提供情感和实际支持。与他人分享精神疾病的故事和经历,会让人产生信任感,感到自己被重视、被倾听、被接 受,并获得更好的护理体验,首先被看作是一个人。由于有着共同的经历,同伴互助工作者能够与病房里有心理健康问题的人成为朋友。同伴互助工作在有心理健康问题的人和工作人员之间架起了一座桥梁,填补了护理真空。原创性/价值关于同伴互助的生活经验/服务使用者观点和叙述并不多见,尤其是在医院环境中。这篇文章就同伴支持工作的性质提供了丰富的、也许被忽视和隐藏的叙述。像本这样有心理健康问题的人往往被排斥在社会、医疗和社会关怀、教育、就业和研究之外。这段叙述为我们从服务使用者的角度理解同伴支持开辟了一条道路。
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Mental Health and Social Inclusion
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