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Public mental health and nature: a paradigm shift 公共心理健康与自然:范式转变
IF 1.4 Q3 Medicine Pub Date : 2021-08-04 DOI: 10.1108/jpmh-03-2021-0040
A. Burls, J. Ashton
PurposeDrawing on experience of working in the area of mental health and the environment, key issues are examined, and the theoretical framework is explained, including the benefits to communities and to the local environment of working with nature.Design/methodology/approachThe interview gave an opportunity for development of ideas underlying concepts including the natural health service, green health literacy and changes in behaviour during the pandemic.FindingsThe ways in which people and the environment benefit from interaction with nature are becoming well understood; in a sustainable model, the value of the local environment is appreciated and will benefit from the care of those involved in relevant activities. There is a need for targeted training for health professionals, environment agencies’ staff and the voluntary sectors.Research limitations/implicationsThe economic value of nature as a contributing factor in to mental health is an area for research which could have major influence in policymaking. A meeting of a number of disciplines could further bring together social capital, health economics and ecology.Practical implicationsProjects that are sustainable in every sense are those which are long term, whose value can be measured in environmental and economic terms.Social implicationsWorking models have been developed that involve people on the fringes of society and people with disabilities; they often become the movers in local organisations.Originality/valueThis is an extremely wide-ranging assessment of developments in the relationship between mental health and nature.
目的借鉴心理健康和环境领域的工作经验,研究了关键问题,并解释了理论框架,包括与自然合作对社区和当地环境的好处。设计/方法/方法这次采访提供了一个机会,让我们有机会发展基本概念,包括自然卫生服务、绿色卫生知识和疫情期间行为的变化。发现人们和环境从与自然的互动中受益的方式正在得到很好的理解;在一个可持续的模式中,当地环境的价值会得到重视,并将受益于参与相关活动的人的关心。需要对卫生专业人员、环境机构工作人员和志愿部门进行有针对性的培训。研究局限性/含义自然作为心理健康的一个促成因素的经济价值是一个可能对政策制定产生重大影响的研究领域。多个学科的会议可以进一步将社会资本、健康经济学和生态学结合起来。实际意义上可持续的项目是指那些长期的项目,其价值可以从环境和经济角度来衡量。社会影响已经制定了涉及社会边缘人群和残疾人的工作模式;他们经常成为当地组织的推动者。独创性/价值这是对心理健康与自然关系发展的一项极其广泛的评估。
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引用次数: 2
Current perspectives on public mental health training provision: a scoping review 公共心理健康培训的现状:范围界定综述
IF 1.4 Q3 Medicine Pub Date : 2021-07-31 DOI: 10.1108/jpmh-11-2020-0151
Marta Ortega Vega, C. Attoe, Hannah Iannelli, A. Saunders, S. Cross
PurposePublic mental health training can effectively support well-being at a population level. The application of this type of training is increasingly prevalent, however, training evaluation is currently limited and inconsistent. This paper aims to summarise the characteristics of public mental health training available in England, presents key quality criteria for this training and identifies gaps in training provision.Design/methodology/approachThis paper uses a pragmatic mixed-methods approach including database and Google Searches, focus groups and survey methods. The data analysis included a structured data extraction template for the training availability scoping and thematic analysis of the survey and focus groups.FindingsThis paper identifies a total of 74 training courses targeting workplace employees, young people and the general population. Most courses were delivered face-to-face (54), followed by e-learning (16) and blended modalities (4). This paper derives four core quality principles, focussing on the training approach, key features of training, trainer attributes and evaluation. There were no significant gaps in training provision, although areas for future development included consistency in public mental health terminology, systems and populations requiring additional training and the logistics of training delivery, etc.Originality/valueThe results contribute to the evidence base of interventions that are currently available, supporting the efforts to evaluate the impact of training provision in this area. This paper provides a novel approach to assessing training quality and discuss areas for development and innovation in this field.
目的公共心理健康培训可以有效地支持人群的幸福感。这类培训的应用越来越普遍,然而,培训评估目前有限且不一致。本文旨在总结英国公共心理健康培训的特点,提出该培训的关键质量标准,并确定培训提供方面的差距。设计/方法论/方法本文采用了一种实用的混合方法,包括数据库和谷歌搜索、焦点小组和调查方法。数据分析包括一个结构化的数据提取模板,用于调查和重点小组的培训可用性范围界定和主题分析。发现本文共确定了74个针对职场员工、年轻人和普通人群的培训课程。大多数课程都是面对面授课(54门),其次是电子学习(16门)和混合模式(4门)。本文提出了四个核心质量原则,重点是培训方法、培训的关键特征、培训师属性和评估。尽管未来发展的领域包括公共心理健康术语的一致性、需要额外培训的系统和人群以及培训提供的后勤等,但培训提供方面没有重大差距,支持评估培训在这一领域的影响。本文提供了一种评估培训质量的新方法,并讨论了该领域的发展和创新领域。
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引用次数: 0
Editorial 编辑
IF 1.4 Q3 Medicine Pub Date : 2021-07-21 DOI: 10.1108/jpmh-06-2021-152
J. Ashton, L. Knifton, N. Quinn
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引用次数: 0
Depression and association with diet diversity score among adolescent (14-19) students of Jimma town high school, Jimma, southwest Ethiopia 埃塞俄比亚西南部Jimma镇高中青少年(14-19岁)学生抑郁与饮食多样性评分的关系
IF 1.4 Q3 Medicine Pub Date : 2021-06-07 DOI: 10.1108/JPMH-11-2020-0149
Mekonnen Tsehay, S. Girma, Almaz Mamaru, Mubarek Abera
PurposeDietary patterns are important for the physical and psychological development of adolescents. The purpose of this study is to determine magnitude and severity of depression and its relation with diet diversity score (DDS) among adolescent high school students.Design/methodology/approachA cross-sectional study was conducted among 546 adolescents selected from schools using multistage sampling technique. Dietary intakes were assessed using a 24-h dietary recall, and depression severity and prevalence were assessed by PHQ-9A. A structured questionnaire was used to collect data. Linear regression analysis was used, and unstandardized beta (ß) coefficients with 95% confidence intervals (CI) were computed to determine the association of depression and its severity with dietary diversity score.FindingsIn all, 546 questionnaires were filled completely and consistently making a response rate of 97.3%. The dietary diversity score in 97 (17.8%) of the adolescents were between 1 and 3 (low dietary diversity score) but 259 (47.4%) scored greater than 6 (high dietary diversity score). Chi-square test revealed that with a decrease in DDS from highest to lowest level, the percentage of moderate to severe and severe depression slightly increased (3.4%). In addition, the percentage of moderate to severe and severe depression who consumed meat, fish and milk and dairy products slightly increased (3% and 3.2%). Multivariate adjusted regression analysis demonstrated that dietary diversity score was found to be inversely associated with depression severity and prevalence.Originality/valueIt was found that linear association between diet diversity and depression severity, and prevalence after adjustment for relevant con-founders. The study provided epidemiological evidence of a robust association of dietary pattern with depression symptoms' severity and prevalence in adolescents.
性格模式对青少年的生理和心理发展非常重要。摘要本研究旨在探讨青少年中学生抑郁程度、严重程度及其与饮食多样性评分(DDS)的关系。设计/方法/方法采用多阶段抽样技术,对546名学校青少年进行了横断面研究。采用24小时饮食回忆法评估膳食摄入量,采用PHQ-9A评估抑郁症的严重程度和患病率。采用结构化问卷收集数据。采用线性回归分析,计算具有95%置信区间(CI)的非标准化β (ß)系数,确定抑郁及其严重程度与饮食多样性评分的相关性。共完整、一致填写问卷546份,回复率为97.3%。97名青少年(17.8%)的膳食多样性得分在1 ~ 3分(低膳食多样性得分)之间,259名青少年(47.4%)的膳食多样性得分大于6分(高膳食多样性得分)。卡方检验显示,随着DDS由高到低的降低,中度至重度和重度抑郁的比例略有增加(3.4%)。此外,食用肉类、鱼类、牛奶和奶制品的中度至重度和重度抑郁症患者的比例略有增加(分别为3%和3.2%)。多因素调整回归分析显示,饮食多样性评分与抑郁症严重程度和患病率呈负相关。原创性/价值饮食多样性与抑郁症严重程度及相关因素调整后的患病率呈线性相关。该研究提供了流行病学证据,证明饮食模式与青少年抑郁症状的严重程度和患病率之间存在密切关联。
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引用次数: 0
Exposure to green space and prevention of anxiety and depression among young people in urban settings: a global scoping review 城市环境中年轻人接触绿地与预防焦虑和抑郁:一项全球范围界定综述
IF 1.4 Q3 Medicine Pub Date : 2021-05-28 DOI: 10.1108/JPMH-02-2021-0030
Rebecca Reece, I. Bray, D. Sinnett, R. Hayward, F. Martin
PurposeThere is a mental health crisis, particularly among young people. Despite many young people living in urban settings, reviews about the association between exposure to green or natural environments and mental health tend to focus on either children or adults. The aim of this review is to examine the scope of the global literature for this age group, to inform a systematic review on the role of exposure to green space in preventing anxiety and depression amongst young people aged 14–24 years.Design/methodology/approachSeven databases were searched for quantitative and qualitative sources published from January 2000 to June 2020. This identified 201 sources and their characteristics are described here. Gaps in the literature are also highlighted.FindingsThe number of relevant studies published per year has increased over time. Most studies are set in North America (28%) or Europe (39%). The most common study designs were observational (34%) or experimental (28%). A wide range of exposures and interventions are described.Research limitations/implicationsThis review included literature from predominantly high-income countries and has shown the under-representation of low-middle income countries and lack of ethnic diversity in study populations. It has also highlighted the lack of clinical measures of anxiety and depression as outcomes.Originality/valueThis inter-disciplinary review has contributed to the field by describing the geographic distribution of the literature and the broad range of exposures to green spaces being reported. Unlike previous scoping reviews, this review focused specifically on young people and on measures of anxiety and depression and their pre-cursers.
目的存在着心理健康危机,特别是在年轻人中。尽管许多年轻人生活在城市环境中,但关于接触绿色或自然环境与心理健康之间关系的评论往往集中在儿童或成人身上。本综述的目的是研究这一年龄组的全球文献范围,为14-24岁年轻人接触绿地在预防焦虑和抑郁方面的作用提供系统综述。设计/方法/方法检索了2000年1月至2020年6月发表的7个数据库的定量和定性资料。这里描述了鉴定出的201个源及其特征。文献中的空白也被强调。研究结果随着时间的推移,每年发表的相关研究数量不断增加。大多数研究都在北美(28%)或欧洲(39%)进行。最常见的研究设计是观察性(34%)或实验性(28%)。描述了广泛的暴露和干预措施。研究局限性/意义本综述纳入了主要来自高收入国家的文献,并表明中低收入国家代表性不足,研究人群缺乏种族多样性。它还强调了缺乏将焦虑和抑郁作为结果的临床衡量标准。原创性/价值这一跨学科综述通过描述文献的地理分布和被报道的绿地暴露的广泛范围,对该领域做出了贡献。与以往的范围审查不同,这次审查特别关注年轻人以及焦虑和抑郁的测量方法及其前兆。
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引用次数: 12
Nature engagement for human and nature’s well-being during the Corona pandemic 在冠状病毒大流行期间,为人类和自然的福祉参与自然
IF 1.4 Q3 Medicine Pub Date : 2021-05-28 DOI: 10.1108/JPMH-02-2021-0016
M. Richardson, I. Hamlin
Purpose To explore the associations between noticing nature, nature connectedness, time in nature and human and nature's well-being during the corona pandemic restrictions. Design/methodology/approach Natural England's people and nature survey (PANS) data (n = 4,206) from the UK was used to assess a number of well-being outcomes (loneliness, life satisfaction, worthwhile life and happiness) and pro-nature behaviours as a function of longer-term physical time in nature and psychological connectedness to nature and shorter-term visits and noticing of nature. Findings Longer-term factors of nature connectedness and time in nature were both consistent significant predictors of well-being measures (apart from loneliness) and pro-nature conservation behaviours. Considered alone short-term visits and noticing were again consistent and significant predictors of three well-being measures, but recent visits to nature were not associated with pro-nature conservation behaviours. A combined regression highlighted the importance of a longer-term relationship with nature in all outcomes apart from loneliness but also revealed that even when considered in concert with longer-term factors, currently noticing nature had a role in feeling one's life was worthwhile, pro-nature behaviours and loneliness. Originality/value The closeness of the human-nature relationship and noticing nature have rarely been examined in concert with nature visits. Further, the reciprocal benefits of pro-nature behaviours are often overlooked.
目的探讨在新冠疫情限制期间,注意自然、自然联系、在自然中的时间以及人类和自然的福祉之间的关系。设计/方法/方法Natural England来自英国的人与自然调查(PANS)数据(n=4206)用于评估一些幸福感结果(孤独、生活满意度、有价值的生活和幸福感)和亲自然行为,这些结果是长期在自然中的身体时间、与自然的心理联系以及对自然的短期访问和注意的函数。研究结果自然联系和在大自然中的时间这两个长期因素都是幸福感测量(除了孤独)和支持自然保护行为的一致重要预测因素。单独考虑短期访问和注意再次是三种幸福感测量的一致和重要预测因素,但最近的自然访问与支持自然的保护行为无关。综合回归强调了与自然的长期关系在除孤独之外的所有结果中的重要性,但也表明,即使与长期因素相结合,目前注意到自然在感觉自己的生命有价值、亲自然的行为和孤独方面发挥了作用。独创性/价值人类与自然关系的紧密性和对自然的关注很少与自然探访相结合。此外,亲自然行为的互惠互利往往被忽视。
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引用次数: 11
Assessing the knowledge, perceptions, and mental health impact of COVID-19 among students in Rwanda 评估新冠肺炎对卢旺达学生的知识、认知和心理健康的影响
IF 1.4 Q3 Medicine Pub Date : 2021-05-18 DOI: 10.1108/JPMH-10-2020-0125
H. Obaje, Grace Chinelo Okengwu, Jolly Josiah Kenan, Aimable Uwimana, Andre Ndayambaje, T. Carey, R. Wong
Purpose: This paper aims to assess the knowledge, perceptions and mental health impact of COVID-19 among students in Rwanda. Design/methodology/approach: This paper is a cross-sectional online survey questionnaire. Findings: The mean knowledge score among the 375 respondents was 75.14% (SD ± 19.1), with 195 (55.1%) of the respondents scoring below 80%. Students who believed that COVID-19 education was sufficient were more likely to have lower knowledge levels (OR = 1.84, 95% CI = 1.15;2.94). While most respondents were aware of their vulnerability to the virus, they did not see themselves at risk of becoming infected. The percentage of respondents reported to have some form of mental health issues was 49.7%. The three most important factors in influencing mental health were age, history of mental health issues, and the way news was reported. Education quality was less affected for those who received online schooling (OR = 0.55, 95% CI = 0.33, 0.94). Practical implications: Education about COVID-19 should be strengthened by capitalizing on existing online and offline learning platforms to frequently update new or changing information. Originality/value: This paper was the first study assessing the knowledge, perception and mental health impact of COVID-19 among Rwanda students. © 2021, Emerald Publishing Limited.
目的:本文旨在评估新冠肺炎在卢旺达学生中的知识、认知和心理健康影响。设计/方法/方法:本文是一份横断面的在线调查问卷。调查结果:375名受访者的平均知识得分为75.14%(SD±19.1),其中195名(55.1%)受访者的得分低于80%。认为新冠肺炎教育足够的学生更有可能具有较低的知识水平(OR=1.84,95%CI=1.15;2.94)。虽然大多数受访者意识到自己容易感染病毒,但他们并不认为自己有感染的风险。报告有某种形式的心理健康问题的受访者比例为49.7%。影响心理健康的三个最重要因素是年龄、心理健康问题史和新闻报道方式。接受在线教育的人的教育质量受到的影响较小(OR=0.55,95%CI=0.33,0.94)。实际影响:应利用现有的在线和离线学习平台,经常更新新的或不断变化的信息,加强有关新冠肺炎的教育。原创/价值:这篇论文是第一篇评估新冠肺炎对卢旺达学生的知识、认知和心理健康影响的研究。©2021,翡翠出版有限公司。
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引用次数: 1
Cold water swimming for well-being 冷水游泳有益健康
IF 1.4 Q3 Medicine Pub Date : 2021-05-17 DOI: 10.1108/JPMH-02-2021-0027
B. Oliver
PurposeThe purpose of this paper is to discuss the health and well-being benefits of outdoor, cold water swimming.Design/methodology/approachThis paper describes the personal experience of one cold water swimmer. It also explores some of the research literature suggesting there is evidence of the benefits to the health and well-being of people of all ages.FindingsThe paper explores literature suggesting there is evidence of the benefits of “blue therapy” to the health and well-being of people of all ages.OriginalityThis paper describes the personal experience of one cold water swimmer. However, a growing body of published literature suggests there is value in “blue therapy” informing future social prescribing programmes.
目的本文旨在探讨户外冷水游泳对健康和幸福的益处。设计/方法/方法本文描述了一位冷水游泳运动员的个人经历。它还探讨了一些研究文献,这些文献表明有证据表明这对所有年龄段的人的健康和福祉都有好处。发现这篇论文探讨了一些文献,这些文献表明有证据表明“蓝色疗法”对所有年龄段的人的健康和福祉都有好处。原创性这篇论文描述了一位冷水游泳运动员的个人经历。然而,越来越多的已发表文献表明,“蓝色疗法”为未来的社会处方计划提供信息是有价值的。
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引用次数: 1
Quality of newspaper reporting of suicidal behavior in Maharashtra, India 印度马哈拉施特拉邦报纸自杀行为报道的质量
IF 1.4 Q3 Medicine Pub Date : 2021-05-07 DOI: 10.1108/JPMH-08-2020-0108
R. Ransing, S. Kar, V. Menon, Aman Mhamunkar, Ishwar Patil, S. Arafat
PurposeThis paper aims to evaluate the adherence of media reports of suicide published in vernacular language newspapers against the World Health Organization guidelines.Design/methodology/approachThe authors performed a content analysis of all suicide-related news reports published in the seven most widely circulated vernacular newspapers of Maharashtra. News reports published from April 2020 to May 2020 were included.FindingsAmong the 355 retrieved suicide reports, 39.2% reports were placed at a prominent position of the newspaper, 92.8% mentioned the name of a person, 93.8% mentioned the method of suicide, while 56.0% reported monocausal explanations for suicide. In contrast, 20.8% of news reports acknowledged a link with mental health disorders, while 0.3% news reports provided information about suicide prevention programs, and 0.8% mentioned suicide-related statistics.Originality/valueTo the best of the authors’ knowledge, this is the first study to report content analysis of suicide reports from Maharashtra state, which is one of the most developed states in India and has high rates of youth and farmer suicides.
目的本文旨在评估媒体在白话报纸上发表的自杀报道是否符合世界卫生组织的指导方针。设计/方法/方法作者对马哈拉施特拉邦发行量最大的七家本土报纸上发表的所有自杀相关新闻报道进行了内容分析。包括2020年4月至2020年5月发布的新闻报道。调查结果在检索到的355份自杀报告中,39.2%的报告被放在报纸的显著位置,92.8%的报告提到了人名,93.8%的报告提及了自杀方法,56.0%的报告对自杀做出了单一原因的解释。相比之下,20.8%的新闻报道承认与心理健康障碍有关,0.3%的新闻报道提供了有关自杀预防计划的信息,0.8%的新闻报道提到了自杀相关的统计数据。原创性/价值据作者所知,这是第一项报告马哈拉施特拉邦自杀报告内容分析的研究。马哈拉施特拉邦是印度最发达的邦之一,青年和农民自杀率很高。
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引用次数: 0
Stigma toward individuals with mental illness: validation of the Arabic version of the Attribution Questionnaire in a university student population 对精神疾病患者的羞辱:阿拉伯语版归因问卷在大学生群体中的验证
IF 1.4 Q3 Medicine Pub Date : 2021-05-07 DOI: 10.1108/JPMH-10-2020-0135
B. Saguem, M. Gharmoul, A. Braham, S. B. Nasr, Sang Qin, P. Corrigan
PurposeThis study aims to examine the reliability and validity of the Arabic version of the attribution questionnaire (AQ).Design/methodology/approachThe AQ is designed to assess attitudes, affects and behavioral intentions related to a hypothetical person diagnosed with schizophrenia. The original English version was translated into Literary Arabic. A total of 310 students registered in different universities, with medical and paramedical establishments excluded completed the Arabic version of AQ. Reliability was tested using Cronbach’s alpha coefficients. Structural equation modeling was used to test hypothesized paths. Correlations among exogenous (e.g. responsibility) and endogenous (e.g. help) variables in the path were examined. Fit indicators were then examined for equations that were identified.FindingsThe results revealed that the Arabic version of AQ showed acceptable psychometric properties in the assessment of stigma in the Tunisian population. All factors of this Arabic version showed Cronbach’s alpha values equal to or greater than 0.72. Structural equation models for the responsibility and dangerousness models were mostly supported. The Arabic version of AQ is valid and reliable for the assessment of stigma in Tunisian and Arabic-speaking populations.Practical implicationsThe Arabic version of AQ may be used to promote research on stigma toward people with mental illness in larger and more representative Tunisian and Arabic-speaking populations, which will help to further address the complex and multifaceted phenomenon of stigma toward people with mental illness.Originality/valueThis is the first validated stigma measure in the Tunisian socio-cultural context.
目的本研究旨在检验阿拉伯版归因问卷(AQ)的可靠性和有效性。设计/方法/方法AQ旨在评估与一名被诊断为精神分裂症的假想患者相关的态度、影响和行为意图。英文原版被翻译成文学阿拉伯语。共有310名在不同大学注册的学生(不包括医疗和辅助医疗机构)完成了阿拉伯语版的AQ。使用Cronbachα系数测试可靠性。结构方程建模用于测试假设路径。考察了路径中外源变量(如责任)和内源变量(如帮助)之间的相关性。然后,针对已确定的方程式,对拟合指标进行检查。结果显示,阿拉伯版本的AQ在评估突尼斯人口的污名时显示出可接受的心理测量特性。该阿拉伯语版本的所有因素显示Cronbach的α值等于或大于0.72。主要支持责任的结构方程模型和危险性模型。阿拉伯版本的AQ在评估突尼斯和阿拉伯语人口的污名方面是有效和可靠的。实际含义阿拉伯版本的AQ可用于在更大、更具代表性的突尼斯和阿拉伯语人群中促进对精神疾病患者污名化的研究,这将有助于进一步解决对精神疾病人群污名化这一复杂而多方面的现象。独创性/价值这是突尼斯社会文化背景下第一个经过验证的污名衡量标准。
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引用次数: 1
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Journal of Public Mental Health
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