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Mental health and addiction service use among United States veterans with liver disease nationally in the Veterans Health Administration 美国退伍军人健康管理局对全国患有肝病的退伍军人的心理健康和成瘾服务的使用
IF 1.4 Q3 Medicine Pub Date : 2021-05-05 DOI: 10.1108/JPMH-07-2020-0088
Lamia Haque, R. Rosenheck
PurposeWhile many studies have shown that liver diseases (LD) can be caused or exacerbated by substance use disorders (SUD), few have examined the proportion of adults with LD and SUD who receive mental health and addiction treatment or correlates of such use.Design/methodology/approachUsing national Fiscal Year (FY) 2012 data from the United States Veterans Health Administration (VHA), the authors studied all 43,246 veterans diagnosed with both LD and SUD in FY 2012 and compared those who received mental health treatment (n = 30,456; 70.4%) to those who did not (n = 12,790; 29.6%).FindingsVeterans who received mental health treatment were less like to be older than 75 years of age, more likely to have served during recent Middle East conflicts (Operation Iraqi Freedom or Operation Enduring Freedom), more likely to have been recently homeless and to have drug dependence as contrasted with alcohol dependence when compared with those who did not receive mental health treatment. Although the majority, 70.4%, received mental health treatment, only 30.6% of the total received specialized addiction treatment, and these veterans were more likely to experience homelessness and have drug dependence diagnoses.Originality/valueThis is the first study as per the authors’ best knowledge that broadly examines mental health and addiction treatment received by veterans with LD and SUD. High rates of mental health treatment in this population likely reflect the integrated nature of the VHA and its emphasis on providing comprehensive services to homeless veterans. Further research is needed to identify barriers to specialized addiction treatment in this population.
虽然许多研究表明,肝脏疾病(LD)可由物质使用障碍(SUD)引起或加重,但很少有研究调查患有LD和SUD的成年人接受心理健康和成瘾治疗的比例或此类使用的相关因素。设计/方法/方法使用美国退伍军人健康管理局(VHA) 2012财年的国家财政年度(FY)数据,作者研究了2012财年诊断为LD和SUD的所有43,246名退伍军人,并比较了接受心理健康治疗的退伍军人(n = 30,456;70.4%),而没有(n = 12,790;29.6%)。研究结果接受心理健康治疗的退伍军人年龄不太可能超过75岁,更有可能在最近的中东冲突中服役(伊拉克自由行动或持久自由行动),更有可能最近无家可归,与没有接受心理健康治疗的退伍军人相比,更有可能有药物依赖而不是酒精依赖。尽管大多数人(70.4%)接受了心理健康治疗,但只有30.6%的人接受了专门的成瘾治疗,这些退伍军人更有可能无家可归,并被诊断为药物依赖。原创性/价值据作者所知,这是第一次广泛研究患有LD和SUD的退伍军人的心理健康和成瘾治疗。这一人群中心理健康治疗的高比率可能反映了退伍军人管理局的综合性质,以及它对为无家可归的退伍军人提供全面服务的重视。需要进一步的研究来确定在这一人群中进行专门成瘾治疗的障碍。
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引用次数: 0
Human rights of people with mental illness diagnosis: perceptions among service users, family members and health professionals in Tunisia 诊断患有精神疾病的人的人权:突尼斯服务使用者、家庭成员和保健专业人员的看法
IF 1.4 Q3 Medicine Pub Date : 2021-04-08 DOI: 10.1108/JPMH-06-2020-0075
M. Rekhis, S. Ouanes, Abir Ben Hamouda, R. Rafrafi
PurposeThis study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff.Design/methodology/approachThe Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention.FindingsDisparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity.Originality/valueThe lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.
目的本研究旨在评估突尼斯主要精神病院服务使用者、家属和工作人员对精神病患者权利的认识。设计/方法/方法《残疾人权利公约》要求缔约国发起并保持运动和人权培训,以促进对精神疾病患者权利的理解,这被视为实现这些权利的主要因素。服务使用者、家庭成员和工作人员通过调查评估了《公约》规定的精神病患者十项权利的重要性。发现三组人对不同权利的认知存在差异。认识程度最高的是免于酷刑或有辱人格的待遇以及有尊严和受尊重地生活的权利,而较低的是参与康复计划、给予同意和行使法律能力的权利。独创性/价值精神疾病患者缺乏意识和对权利的认知不足是他们取得成就的障碍之一。需要进行更多的培训和提高认识。
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引用次数: 0
The impact of ambivalence on recovery from non-suicidal self-injury: considerations for health professionals 矛盾心理对非自杀性自伤康复的影响:对卫生专业人员的考虑
IF 1.4 Q3 Medicine Pub Date : 2021-02-17 DOI: 10.1108/JPMH-07-2020-0093
Nicole Gray, P. Hasking, M. Boyes
PurposeNon-suicidal self-injury (NSSI) is a growing public health concern. Continued NSSI is often associated with negative outcomes, yet the behaviour usually serves a purpose for individuals who self-injure (e.g. emotional relief). As such, individuals who self-injure often experience ambivalence about the behaviour. The purpose of this paper is to highlight the importance of recognising ambivalence as a natural and expected part of the recovery process.Design/methodology/approachThis paper draws on literature regarding NSSI recovery, ambivalence towards stopping the behaviour and challenges for both clients and health professionals.FindingsThis paper argues that ambivalence towards self-injury can be challenging for both clients and health professionals. Clients may feel shame and sense of failure if they experience a setback; health professionals may experience frustration towards clients who continue to self-injure despite treatment.Originality/valueValidation of the clients’ experience can have significant positive outcomes in treatment and help-seeking behaviours. Acknowledgement of client ambivalence during the recovery process will serve to validate clients’ experience and facilitate rapport. Health professionals who accept ambivalence as a natural part of the recovery process may experience less frustration with clients who continue to self-injure.
非自杀性自伤(NSSI)是一个日益受到关注的公共卫生问题。持续的自伤通常与负面结果有关,然而这种行为通常是为自伤者服务的(例如情绪缓解)。因此,自残的人通常会对这种行为产生矛盾心理。本文的目的是强调认识到矛盾心理是恢复过程中自然和预期的一部分的重要性。设计/方法/方法本文借鉴了有关自伤康复的文献,对停止行为的矛盾心理以及客户和卫生专业人员面临的挑战。研究结果本文认为,对自我伤害的矛盾心理对客户和健康专业人员来说都是具有挑战性的。如果客户遇到挫折,他们可能会感到羞耻和失败感;健康专业人员可能会对那些尽管接受了治疗但仍继续自残的客户感到沮丧。原创性/价值性对来访者体验的验证对治疗和求助行为有显著的积极影响。在恢复过程中,承认客户的矛盾心理将有助于验证客户的经验并促进融洽关系。接受矛盾心理作为恢复过程的自然组成部分的健康专业人员可能不会对继续自残的客户感到沮丧。
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引用次数: 11
Resilience, well-being, depression symptoms and concussion levels in equestrian athletes 马术运动员的恢复力、幸福感、抑郁症状和脑震荡水平
IF 1.4 Q3 Medicine Pub Date : 2021-02-11 DOI: 10.1108/JPMH-08-2020-0110
Annika McGivern, S. Shannon, G. Breslin
PurposeThis paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being.Design/methodology/approachIn total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being.FindingsIn total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores.Practical implicationsFindings highlight the need for mental health promotion and support in equestrian sport.Social implicationsResults support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being.Originality/valueThis study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.
目的对马术运动员的抑郁、心理弹性、幸福感、抑郁症状和脑震荡水平进行首次横断面调查,探讨过去的脑震荡发生率是否与抑郁、心理弹性和幸福感相关。设计/方法/方法共有511名来自加拿大、爱尔兰共和国、英国、澳大利亚和美国的参与者参加了一项国际横断面在线调查,评估脑震荡史、抑郁症状、恢复力和幸福感。总的来说,27.1%的运动员出现了重度抑郁症的临床相关症状。国家之间的幸福感和适应力得分存在显著差异。在报告的脑震荡史与高抑郁得分和低幸福感得分之间观察到显著的关系。研究结果强调了在马术运动中促进和支持心理健康的必要性。社会意义研究结果支持先前的研究,表明需要加强马术运动员的心理健康支持。有理由相信,精神疾病仍可能存在于恢复力和健康水平正常的车手身上。原创性/价值本研究调查了一个未被充分研究的运动员群体:马术运动员,并提出了对这一人群的身心健康具有重要意义的发现。
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引用次数: 1
Evaluation of the iHEART mental health education programme on resilience and well-being of UK secondary school adolescents iHEART心理健康教育计划对英国中学生复原力和幸福感的评估
IF 1.4 Q3 Medicine Pub Date : 2021-01-13 DOI: 10.1108/JPMH-03-2020-0019
Thomas Kelley, A. Kessel, R. Collings, Brianna P. Rubenstein, C. Monnickendam, A. Solomon
PurposeThe purpose of this paper is to present the findings of a preliminary study based on a novel structured mental health education programme – Innate Health Education and Resilience Training (iHEART) – in a cohort of secondary school adolescents in the UK.Design/methodology/approachA curriculum-based ten-week programme was delivered by trained facilitators. In total, 205 students enrolled in the study. An additional 64 participants were within an age-matched non-intervention control group. A non-randomised control mixed methodology approach was used. All students, pre- and post-programme, completed a quantitative questionnaire – the Warwick-Edinburgh Mental Well-being Survey. Qualitative measures were used to assess participants’ perceptions of changes in their resilience and mental well-being.FindingsThose who received the intervention showed a small improvement in mental well-being relative to those who did not, with a similar change in resilience. Qualitative findings regarding impulse control and emotional resilience provided positive findings.Originality/valueiHEART may be a promising new intervention offering a step change in mental health education for improving resilience, mental well-being and the ability for participants to navigate psychological challenges.
目的本文的目的是介绍一项基于新型结构化心理健康教育计划——内在健康教育和韧性训练(iHEART)的初步研究结果,该计划在英国的一组中学生中进行。设计/方法/方法一项基于课程的十周计划由受过培训的辅导员提供。总共有205名学生参加了这项研究。另外64名参与者属于年龄匹配的非干预对照组。采用非随机对照混合方法。所有学生,无论是在课程前还是课程后,都完成了一份定量问卷——沃里克-爱丁堡心理健康调查。使用定性测量来评估参与者对其恢复力和心理健康变化的看法。发现接受干预的人与未接受干预的相比,心理健康略有改善,恢复力也有类似的变化。关于冲动控制和情绪弹性的定性研究结果提供了积极的结果。独创性/价值iHEART可能是一种很有前途的新干预措施,为心理健康教育提供了一个阶梯式的改变,以提高参与者的复原力、心理健康和应对心理挑战的能力。
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引用次数: 4
Women’s mental health as a public health priority: a call for action 作为公共卫生优先事项的妇女心理健康:行动呼吁
IF 1.4 Q3 Medicine Pub Date : 2020-12-18 DOI: 10.1108/jpmh-04-2020-0023
Sergio A. Silverio
PurposeThis paper aims to call the public health and mental health communities to action by making women’s mental health a public health priority.Design/methodology/approachThis conceptual paper introduces a “Female Psychology” approach to framing and interpreting mental health narratives and public health discourses. It also draws upon lifecourse research as a way of better understanding mental illness.FindingsThis paper calls for action to prioritise women’s mental health on the public health agenda like has never previously been done before.Research limitations/implicationsNew theoretical bases for research and practice are presented, encouraging the adoption of a “Female Psychology” approach to women’s lifecourses and mental health narratives.Practical implicationsSuggestions for changes to how we view, diagnose and treat women’s mental health are incorporated, ensuring women’s mental health narratives are placed firmly at the centre of their care and support.Social implicationsWomen’s mental health has long been marginalised and dismissed as exaggerated and/or insignificant, and therefore has not had the economic-, personnel- and time-resource allocated to it, which it so desperately requires. This paper aims to tip the imbalance.Originality/valueThis paper, though conceptual, offers “Female Psychology” as both a practical and pragmatic approach to improving women’s mental health research, practice, and care. It is the first of its kind to, so directly, call the public health and mental health communities to prioritise women’s mental health.
目的本文旨在呼吁公共卫生和心理健康社区采取行动,将妇女心理健康作为公共卫生的优先事项。设计/方法论/方法这篇概念性论文介绍了一种“女性心理学”方法来构建和解释心理健康叙事和公共卫生话语。它还利用生命历程研究作为更好地理解精神疾病的一种方式。发现这篇论文呼吁采取行动,将女性心理健康优先列入公共卫生议程,这是前所未有的。研究局限性/含义为研究和实践提供了新的理论基础,鼓励在女性的生活课程和心理健康叙事中采用“女性心理学”方法。实际意义关于改变我们看待、诊断和治疗女性心理健康的方式的建议被纳入其中,确保女性的心理健康叙事被牢牢地放在她们护理和支持的中心。长期以来,妇女的心理健康一直被边缘化,被认为是夸大和/或微不足道的,因此没有分配给它所急需的经济、人员和时间资源。本文旨在扭转这种不平衡。原创性/价值本文虽然是概念性的,但将“女性心理学”作为改进女性心理健康研究、实践和护理的一种实用和务实的方法。它是第一个如此直接地呼吁公共卫生和心理健康社区优先考虑女性心理健康的组织。
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引用次数: 9
Does arts engagement and cultural participation impact depression outcomes in adults: a narrative descriptive systematic review of observational studies 艺术参与和文化参与是否会影响成人抑郁症的结局:观察性研究的叙述描述性系统回顾
IF 1.4 Q3 Medicine Pub Date : 2020-12-18 DOI: 10.1108/jpmh-06-2020-0060
E. Elsden, B. Roe
PurposeThe purpose of this study is to explore whether engaging with arts and culture affect depression in adults. This is because depression is the most common mental health disorder. Diversification of mental health services, initiatives in arts in health and social prescribing are providing emerging evidence of benefits relating to depression outcomes.Design/methodology/approachA systematic review design adhering to the preferred reporting items for systematic reviews and meta-analyses reporting guidelines. MEDLINE®, Embase and American psychology association PsycINFO were searched and six studies were deemed eligible. Data extraction and quality appraisal enabled a narrative descriptive summary comparing study design, characteristics, populations and key results relating arts and cultural engagement to depression outcomes.FindingsThe total number of participants across the studies were 49,197. Three studies reported mean age, 58.78 years (15–99 years). Gender reported by five studies was 52.4% (n = 24,689) female and 47.6% (n = 22,439) male. Five studies found that engaging with arts decreased your odds of having depression.Originality/valueThis systematic review found emerging evidence that arts and cultural engagement benefits a wider population by reducing depression incidence. Establishing and understanding the association between arts engagement and decreasing depression incidence in a population is relevant to health-care providers, the general population and policymakers alike.
目的本研究的目的是探讨参与艺术和文化是否会影响成年人的抑郁症。这是因为抑郁症是最常见的精神健康障碍。心理健康服务的多样化、艺术在健康和社会处方方面的举措正在提供与抑郁症结果有关的益处的新证据。设计/方法学/方法遵循系统评价和荟萃分析报告指南的首选报告项目的系统评价设计。检索了MEDLINE®、Embase和美国心理学协会PsycINFO,认为有6项研究符合条件。数据提取和质量评估可以对研究设计、特征、人群和与艺术和文化参与有关的关键结果进行描述性总结。研究结果:参与研究的总人数为49197人。3项研究报告平均年龄为58.78岁(15-99岁)。5项研究报告的性别为52.4% (n = 24,689)女性和47.6% (n = 22,439)男性。五项研究发现,参与艺术活动可以降低患抑郁症的几率。独创性/价值这一系统综述发现,越来越多的证据表明,参与艺术和文化活动可以减少抑郁症的发病率,从而使更广泛的人群受益。在人群中建立和理解艺术参与与减少抑郁症发病率之间的联系,对卫生保健提供者、一般人群和政策制定者都有意义。
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引用次数: 6
Editorial 社论
IF 1.4 Q3 Medicine Pub Date : 2020-12-10 DOI: 10.1108/jpmh-12-2020-109
N. Quinn, L. Knifton
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引用次数: 0
Mental health literacy of the Lebanese population (MHeLLP): a cross-sectional study 黎巴嫩人口心理健康素养(MHeLLP):一项横断面研究
IF 1.4 Q3 Medicine Pub Date : 2020-12-01 DOI: 10.1108/jpmh-04-2020-0031
R. Taleb, Nayla Kassab, Asmaa Kebbe, Nour Kreidieh
PurposeThis study primarily aims to evaluate the mental health literacy (MHL) of the Lebanese adult population in an attempt to yield results that can help fill the gap in the literature and support the development of new strategies to counter mental health stigma.Design/methodology/approachA cross-sectional survey was composed of the Mental Health Knowledge Schedule and select questions from the Community Attitudes toward the Mentally Ill and MHL Scale. The surveys were collected from a representative population of sample size (n = 386) among the different governorates of Lebanon. The participants, aged 18–65 years and literate, were recruited between July 2018 and September 2018 from supermarkets widely distributed across the country.FindingsThe results showed that the Lebanese population possesses average knowledge and certain stigmatizing attitudes toward mental illnesses. Curricular education and awareness campaigns may help refine the image of mental illness among the population.Originality/valueTo the best of the authors’ knowledge, this paper is one of the first in Lebanon to assess the MHL of its population as a whole. It gives insight into the common misconceptions about mental illness and patterns of the related stigma that are prevalent in the Lebanese society today.
目的本研究主要旨在评估黎巴嫩成年人口的心理健康素养(MHL),试图得出有助于填补文献空白的结果,并支持制定应对心理健康污名化的新策略。设计/方法/方法一项横断面调查由心理健康知识表和从社区对精神疾病的态度和MHL量表中选择问题组成。调查是从黎巴嫩不同省份具有代表性的抽样人口(n=386)中收集的。参与者年龄在18-65岁之间 在2018年7月至2018年9月期间,从全国各地广泛分布的超市招募了年龄为岁、识字的学生。调查结果表明,黎巴嫩人口对精神疾病的知识水平一般,并有一定的污名化态度。课程教育和提高认识运动可能有助于改善人们对精神疾病的印象。原创性/价值据作者所知,这篇论文是黎巴嫩第一篇评估其整体人口MHL的论文之一。它深入了解了当今黎巴嫩社会普遍存在的对精神疾病的常见误解和相关污名模式。
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引用次数: 0
Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care 跨越障碍:南亚妇女在初级保健中获得和接受心理治疗的经历
IF 1.4 Q3 Medicine Pub Date : 2020-11-28 DOI: 10.1108/JPMH-06-2020-0058
Saimah Yasmin-Qureshi
PurposeA number of initiatives have been developed to ensure easy access to mental health services for Black and Asian Minority Ethnic (BAME) communities. Improving Access to Psychological Therapies (IAPT) is a service that delivers first line interventions for South Asian women; however, little is known about what makes IAPT accessible for this population. This paper aims to explore South Asian women’s experiences of accessing psychological therapy and whether therapy within IAPT helps individuals to re-frame their experiences within their own cultural context.Design/methodology/approachA qualitative approach was used. Semi-structured interviews were carried out with South Asian women who accessed an IAPT service. Ten participants took part in the study and interviews were analysed using thematic analysis.FindingsSix themes were identified; access, experience, cultural framework, therapist characteristics, expectations and “sticking with it”. Having a good therapeutic relationship with the therapist was key. While cognitive behavioural therapy (CBT) enabled clients to manage their symptoms, manualised CBT led to a sense of dissatisfaction for some. Clients spoke of having to make a forced choice to either deny their culture or leave their culture at the door to access therapy. Cultural and religious exclusion had a negative impact on therapy particularly for those whose difficulties were related to their cultural or religious context.Practical implicationsCulture and religion continues to be excluded from psychological therapy for South Asian Women. A cultural shift is required from within IAPT services to maintain engagement for this group. Further clinical implications are discussed.Originality/valueWhile the experiences of Black and Asian ethnic minority groups accessing secondary mental health services has been explored, this study explores and highlights the experiences of South Asian Women accessing therapy in primary care, and uniquely identifies the processes that enable women to engage in therapy.
目的制定了一系列举措,以确保黑人和亚洲少数族裔社区容易获得心理健康服务。改善获得心理治疗的机会(IAPT)是一项为南亚妇女提供一线干预措施的服务;然而,对于是什么让这一人群可以使用IAPT,人们知之甚少。本文旨在探讨南亚女性获得心理治疗的经历,以及IAPT中的治疗是否有助于个体在自己的文化背景下重新构建他们的经历。设计/方法/方法采用定性方法。对接受过IAPT服务的南亚妇女进行了半结构化访谈。10名参与者参与了研究,访谈采用主题分析进行分析。研究结果确定了六个主题;获取、经验、文化框架、治疗师特征、期望和“坚持下去”。与治疗师保持良好的治疗关系是关键。虽然认知行为疗法(CBT)使客户能够控制他们的症状,但人为的CBT导致一些人感到不满。客户们说,他们不得不做出一个被迫的选择,要么否认自己的文化,要么把自己的文化拒之门外,接受治疗。文化和宗教排斥对治疗有负面影响,特别是对那些困难与其文化或宗教背景有关的人。文化和宗教仍然被排除在南亚妇女的心理治疗之外。为了保持这一群体的参与,需要从IAPT服务内部进行文化转变。进一步的临床意义讨论。虽然已经探索了黑人和亚洲少数民族群体获得二级精神卫生服务的经验,但本研究探索并强调了南亚妇女在初级保健中获得治疗的经验,并独特地确定了使妇女能够参与治疗的过程。
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引用次数: 1
期刊
Journal of Public Mental Health
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