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International Journal of Mental Health Promotion最新文献

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A population-based survey of barriers and enablers to physical activity in people using, and working in a mental health service in Scotland 对苏格兰使用和在精神卫生服务机构工作的人的身体活动障碍和促进因素进行的基于人口的调查
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-05-15 DOI: 10.1080/14623730.2015.1039776
J. Crabb, L. Milne, Lisa Conway, Mark Fulton, Colin Dewar, Beth McHugh, Lynn Speed, Paul Tourish, M. McKinnon
Research into physical activity in people who experience mental disorders has tended to focus on those who have agreed to participate in exercise programmes. For effective health promotion across this population, it is important to understand the barriers and enablers to increasing physical activity in all of those who use mental health services. Qualitative and quantitative data were collected from consecutive service users and all staff in a General Adult Mental Health Service in Scotland. Thematic analysis was undertaken. A total of 127 service users and 186 staff participated. Data saturation was achieved. Staff and service users identified different barriers and enablers towards increasing physical activity rates. Different themes were identified in our population compared with those researched in other studies who had agreed to participate in exercise programmes. Our findings suggest there is a role for education, activity scheduling, motivational interviewing, social skills training and cognitive-behavioural therapy style interventions.
对患有精神障碍的人进行体育活动的研究往往集中在那些同意参加锻炼计划的人身上。为了在这一人群中有效促进健康,重要的是要了解所有使用精神卫生服务的人增加身体活动的障碍和促进因素。定性和定量数据是从苏格兰一家普通成人心理健康服务机构的连续服务使用者和所有工作人员中收集的。进行了专题分析。共有127名业务用户和186名员工参与了调查。数据饱和。工作人员和服务使用者确定了提高身体活动率的不同障碍和促进因素。与其他研究中同意参加锻炼计划的人相比,我们的人群中发现了不同的主题。我们的研究结果表明,教育、活动安排、动机性访谈、社交技能训练和认知行为疗法干预都有一定的作用。
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引用次数: 1
Mental health as perceived by persons with mental disorders – an interpretative phenomenological analysis study 精神障碍患者感知的精神健康——解释性现象学分析研究
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-05-12 DOI: 10.1080/14623730.2015.1039329
N. Mjøsund, M. Eriksson, Irene Norheim, Corey Keyes, G. Espnes, H. F. Vinje
In this interpretative phenomenological analysis study, we explored how persons with mental disorders perceive mental health. Adapting a salutogenic theoretical framework, 12 former inpatients were interviewed. The analysis revealed experiences of mental health as a movement, like walking up and down a staircase. Perceived mental health is expressed both verbally in an everyday language and through body language. Mental health is an aspect of being that is always present and which is nourished by four domains of life: the emotional; physical; social and spiritual domains. Mental health is experienced in everyday life as a sense of energy, and as more or less wellbeing. Exploring persons' meanings of mental health from a subjective perspective can extend the knowledge base that can be used in mental health promotion strategies.
在这项解释性现象学分析研究中,我们探讨了精神障碍患者如何感知心理健康。采用健康生源理论框架,对12名前住院患者进行访谈。分析揭示了心理健康作为一种运动的体验,就像上下楼梯一样。感知到的心理健康既可以用日常语言口头表达,也可以通过肢体语言表达。心理健康是存在的一个方面,它是由四个生活领域滋养的:情感;物理;社会和精神领域。在日常生活中,心理健康是一种能量感,或多或少是一种幸福感。从主观角度探讨人的心理健康意义,可以拓展心理健康促进策略的知识基础。
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引用次数: 20
Museum object handling groups in older adult mental health inpatient care 博物馆物品处理组在老年成人心理健康住院护理中的应用
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-04-24 DOI: 10.1080/14623730.2015.1035520
R. Solway, L. Thompson, P. Camic, H. Chatterjee
Emerging evidence indicates that museum object handling sessions offer short-term benefits to healthcare participants. This study aimed to further understand psychological and social aspects of object handling in mental health inpatients. Older adults (N = 42) from a psychiatric inpatient ward with diagnoses of depression or anxiety took part in a series of object handling group sessions with 5–12 participants per group. Session audio recordings were subjected to thematic analysis. Five main themes were identified: ‘responding to object focused questions’, ‘learning about objects and from each other’, ‘enjoyment, enrichment through touch and privilege’, ‘memories, personal associations and identity’ and ‘imagination and storytelling’. The first four were congruent with literature associated with positive wellbeing and engagement outcomes but the fifth was a new finding for group contexts. Limitations include the relatively small sample and variable week-to-week group attendance. Audio recordings did not provide information on non-verbal communication and how objects were handled. Future studies should control for attendance and examine effects of multiple sessions over time, ideally with video recording. This study offers preliminary support for museum object handling as a group intervention in mental health care with potential to develop therapeutic aspects of the sessions. Findings indicate that object handling is a novel yet effective intervention with potential for conferring additional advantages by conducting sessions in group settings.
新出现的证据表明,博物馆物品处理课程为医疗保健参与者提供了短期好处。本研究旨在进一步了解心理健康住院病人处理物品的心理及社会层面。来自精神科住院病房,诊断为抑郁或焦虑的老年人(N = 42)参加了一系列的物体处理小组会议,每组5-12人。对会议录音进行了专题分析。研究确定了五个主要主题:“回答以物体为中心的问题”、“从物体和彼此身上学习”、“通过接触和特权获得的享受和丰富”、“记忆、个人联系和身份”以及“想象力和讲故事”。前四项研究与积极的幸福感和敬业度结果相关的文献一致,但第五项研究是针对群体背景的新发现。限制包括相对较小的样本和不同的每周小组出勤率。录音没有提供关于非语言交流和如何处理物品的信息。未来的研究应该控制出勤率,并随着时间的推移检查多次会议的效果,最好是录像。本研究为博物馆物品处理作为心理健康护理的群体干预提供了初步支持,并具有发展治疗方面的潜力。研究结果表明,物体处理是一种新颖而有效的干预手段,有可能通过在群体环境中进行会话来赋予额外的优势。
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引用次数: 13
Experiences of graduates of the Mental Health First Aid-USA course 美国心理健康急救课程毕业生的经验
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-04-23 DOI: 10.1080/14623730.2015.1013670
A. Lucksted, Amy Mendenhall, Susan Frauenholtz, Jennifer M. Aakre
Mental health distress is common, yet many people lack mental health literacy and skills to help themselves and others. In this qualitative study, we used semi-structured interviews to ask graduates of Mental Health First Aid (MHFA-USA), a mental health promotion program designed to address such needs, about its impact. Interviewees described gaining knowledge, skills and confidence to help someone in distress, empathy for people with mental illness, and developing a sense of responsibility and permission to try to help when needed. They gave varied examples of using MHFA-USA skills with strangers, acquaintances, coworkers, clients and family members, and to help themselves, in a range of situations. We integrate these results into a tentative change process diagram, and speculate on its effects for people in distress and community norms regarding emotional and psychiatric distress. We then discuss the implications for MHFA-USA outcomes research.
心理健康困扰很常见,但许多人缺乏心理健康知识和技能来帮助自己和他人。在这项定性研究中,我们采用半结构化访谈的方式询问心理健康急救(MHFA-USA)的毕业生,这是一个旨在解决这些需求的心理健康促进项目。受访者描述了他们获得了帮助处于困境中的人的知识、技能和信心,对精神疾病患者的同情,以及在需要时试图提供帮助的责任感和许可。他们给出了在各种情况下使用MHFA-USA技能与陌生人、熟人、同事、客户和家庭成员打交道并帮助自己的各种例子。我们将这些结果整合到一个暂定的变化过程图中,并推测其对处于痛苦中的人以及关于情绪和精神痛苦的社区规范的影响。然后我们讨论MHFA-USA结果研究的意义。
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引用次数: 17
Promoting mental health through multidisciplinary care: Experience of health professionals working in community mental health teams in Ireland 通过多学科护理促进心理健康:在爱尔兰社区心理健康小组工作的卫生专业人员的经验
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-04-01 DOI: 10.1080/14623730.2015.1023660
A. Vitale, P. Mannix-McNamara, V. Cullinan
International mental health policy recommends that community-based mental health care is the optimal service provision marking a distinct departure from institutions. In Ireland, it is envisioned that this care be provided by Community Mental Health Teams (CMHTs), where multidisciplinary health professionals all play a key role in promoting client mental wellbeing. However, recent reports indicate that implementation of the community-based care approach has been less than optimal. This research explored CMHTs' perspectives and experience of community-based care; it also examined their awareness of specific key performance indicators (KPIs) that can monitor their provision of care. A total of 738 health professionals working in 70 CMHTs across the nation were surveyed. The results indicated little multidisciplinary input from CMHTs in the provision of mental health care. In addition, the findings indicated that having clear KPIs did not represent a priority for a large number of respondents.
国际精神卫生政策建议,以社区为基础的精神卫生保健是与机构截然不同的最佳服务提供方式。在爱尔兰,预计这种护理将由社区精神卫生小组(CMHTs)提供,其中多学科卫生专业人员都在促进客户心理健康方面发挥关键作用。然而,最近的报告表明,以社区为基础的护理方法的实施并不理想。本研究探讨了CMHTs对社区护理的看法和经验;它还检查了他们对可监测其提供护理的具体关键绩效指标(kpi)的认识。在全国70个CMHTs工作的738名卫生专业人员接受了调查。结果表明,CMHTs在提供精神卫生保健方面的多学科投入很少。此外,调查结果表明,拥有明确的kpi并不代表大量受访者的优先事项。
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引用次数: 7
Can parenting foster resiliency to mental health problems in at-risk infants? 父母的教养能培养婴儿对心理健康问题的适应能力吗?
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-03-24 DOI: 10.1080/14623730.2015.1023585
Jordana K. Bayer, M. Rozkiewicz
Knowledge is scarce about how to promote mental health in children when they have started life facing various risks. This study investigated whether parents' interactions with their young children can facilitate mental health resiliency after starting life ‘at risk’ in infancy. Data were sourced from a longitudinal population-based study in Victoria, Australia. An ‘at-risk’ infant sample (N = 283) was identified, with difficult temperament, maternal mental health problems, substance misuse, home violence and social isolation (one or more risks). Parenting practices were measured throughout early childhood. The Child Behaviour Checklist assessed resilience at school-entry. Discriminant function analysis differentiated at-risk infants who became resilient versus non-resilient. Findings highlighted parenting interactions with young children characterised by low levels of harsh discipline promoting resiliency over time. A third of babies in the population may face significant stressors. Parents facing early risks could be supported to access evidence-based programs to facilitate young children's mental health.
当儿童在生活中面临各种风险时,如何促进他们的心理健康知识很少。这项研究调查了父母与幼儿的互动是否能在婴儿期开始“危险”的生活后促进心理健康的恢复。数据来源于澳大利亚维多利亚州的一项纵向人口研究。确定了一个“有风险”的婴儿样本(N = 283),这些婴儿气质困难、母亲精神健康问题、药物滥用、家庭暴力和社会孤立(一种或多种风险)。在整个幼儿时期都对父母的做法进行了测量。儿童行为检查表评估入学时的适应力。判别函数分析区分了具有复原力和非复原力的高危婴儿。研究结果强调,随着时间的推移,父母与幼儿的互动以低水平的严厉纪律为特征,促进了他们的弹性。人口中三分之一的婴儿可能面临严重的压力源。可以支持面临早期风险的父母参与以证据为基础的项目,以促进幼儿的心理健康。
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引用次数: 5
Enhancing partner empathy and support in the postnatal period: impact of a communication and empathy resource on sub-optimal communicators 产后增强伴侣共情和支持:沟通和共情资源对次优传播者的影响
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-03-12 DOI: 10.1080/14623730.2015.1010371
S. Matthey, M. Joseph, Tania Trapolini
Postnatal distress in women is often associated with poor partner support or understanding, often as a result of poor couple communication. Previous research showed positive findings for an innovative resource aimed to ameliorate these factors in community couples – ‘The Great Parents' Quiz’ (GPQ). This current study compared the impact of this resource on couples classified as either ‘good communicators’ or ‘sub-optimal communicators’ prior to receiving the GPQ. A between and within research design was used. Parents of infants and toddlers (N = 167) were randomly allocated to either receiving the GPQ or not (Controls). Phone interviews were conducted with the women 2 weeks and 6 weeks after receiving the GPQ, or just at 6 weeks for Control participants. Both good and sub-optimal communicators showed equivalent benefits from receiving the GPQ. Around 81% of sub-optimal communicators reported that one or other of the couple had learnt something new about their partner, and 66% of the women considered that their partner had a better understanding of how she was experiencing motherhood. In total, 28% of sub-optimal communicators reported new supportive behaviour as a result of doing the GPQ, and this tended to be proactive as opposed to couples in the Control condition who reported changes as a result of intolerable stress. Both good and sub-optimal communicators report clinically significant benefits from doing the GPQ, and these benefits are more than those obtained from the usual pamphlets giving advice to couples to ‘talk and listen’ to each other.
女性产后痛苦通常与伴侣缺乏支持或理解有关,通常是由于夫妻沟通不畅。之前的研究表明,一种旨在改善社区夫妻这些因素的创新资源——“伟大父母测验”(GPQ)取得了积极的结果。目前的这项研究比较了在接受GPQ之前,这种资源对“沟通良好”和“沟通不佳”的夫妻的影响。采用了研究间和研究内设计。167名婴幼儿的父母被随机分配接受或不接受GPQ测试(对照组)。在接受GPQ后2周和6周对女性进行电话采访,而对照组的参与者仅在6周进行电话采访。良好和次优的沟通者都从GPQ中获得了同等的好处。大约81%的次优沟通者报告说,夫妻中的一方或另一方对他们的伴侣有了新的了解,66%的女性认为他们的伴侣更好地理解了她是如何经历母亲的。总的来说,28%的次优沟通者报告说,由于做了GPQ,他们有了新的支持行为,这往往是主动的,而对照组的夫妇则报告说,由于无法忍受的压力,他们发生了变化。良好和次优的沟通者都报告说,从临床角度来看,做GPQ有显著的好处,而且这些好处比通常给夫妻“交谈和倾听”建议的小册子所获得的好处要多。
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引用次数: 5
Small steps: physical health promotion for people living with mental illness 小步骤:促进精神疾病患者的身体健康
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-03-12 DOI: 10.1080/14623730.2015.1010370
Vivien Kemp, C. Fisher, S. Lawn, M. Battersby, M. Isaac
Physical health promotion for people with mental illness is vital if the life expectancy of this population group is to be improved. While there is promising evidence of physical health promotion initiatives in the literature in this population group, it is unclear whether these have resulted in long-term gains and actually reduced morbidity and mortality. We aimed to identify which physical health promotion strategies and resources were most likely to resonate with people who have long-term mental health problems and live in the community. We facilitated three focus groups in metropolitan Perth with 27 participants who experienced long-term serious mental health problems for this qualitative study. Participants were clear about which health promotion resources and approaches they did or did not consider would engage them. Participants wanted health messages that were positive, clear and not too wordy. They tended to dislike pamphlets and preferred DVDs. They also preferred to participate in health promotion activities in groups. Participants were aware of the need to engage in health protective behaviours but were often overwhelmed by their mental health problems. Health promotion for this population group ought to capitalise on therapeutic alliances with staff and informal peer networks already established in drop-in centres and clubhouses.
如果要提高这一人群的预期寿命,促进精神疾病患者的身体健康至关重要。虽然在这一人群的文献中有令人鼓舞的身体健康促进举措的证据,但尚不清楚这些举措是否带来了长期收益,并实际上降低了发病率和死亡率。我们的目的是确定哪些身体健康促进策略和资源最有可能与长期精神健康问题和生活在社区中的人产生共鸣。我们在珀斯市区安排了三个焦点小组,其中有27名参与者经历了长期严重的心理健康问题。参与者清楚地知道他们考虑或不考虑哪些健康促进资源和方法会吸引他们。参与者希望健康信息积极、清晰,不要太啰嗦。他们往往不喜欢小册子,更喜欢dvd。他们也更喜欢参加小组健康促进活动。参与者意识到有必要采取保护健康的行为,但往往被自己的精神健康问题搞得不知所措。促进这一人口群体的健康应该利用与工作人员的治疗联盟以及在收容中心和俱乐部已经建立的非正式同伴网络。
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引用次数: 6
Going to work or staying at home? How kindergarten stakeholders perceive determinants of job performance, job presence and work health 去上班还是呆在家里?幼儿园利益相关者如何感知工作绩效、工作存在和工作健康的决定因素
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-02-23 DOI: 10.1080/14623730.2015.1010816
K. Tharaldsen
This article describes kindergarten stakeholders' perspectives on determinants of job performance, job presence and work health. A theoretical model was developed and focus groups and interviews were conducted to obtain the stakeholders' perspectives. Employees from four kindergartens located in different municipalities in the southwest of Norway participated in the focus groups (n = 30). The kindergarten leaders were interviewed (n = 4), as were representatives from the Parents' Working Committees (PWCs) (n = 4). Focus group data were transcribed and analyzed by summative content analyses with the assistance of NVivo software. Interviews with the kindergarten leaders and PWC representatives were transcribed, analyzed and discussed in an expert group and then compared with analysis results from the focus groups. Qualitative analyses indicated that data could be categorized into three main subjects: ‘feedback’, ‘coping and motivation’, and ‘communication’. An ePsychology intervention was developed based on the findings.
本文描述了幼儿园利益相关者对工作绩效、工作存在和工作健康的决定因素的观点。开发了一个理论模型,并进行了焦点小组和访谈,以获得利益相关者的观点。来自挪威西南部不同城市的四所幼儿园的员工参加了焦点小组(n = 30)。访谈幼儿园领导(n = 4)和家长工作委员会(PWCs)代表(n = 4)。利用NVivo软件对焦点小组数据进行转录和总结性内容分析。对幼儿园领导和普华永道代表的访谈进行转录,在专家组中进行分析和讨论,然后与焦点小组的分析结果进行比较。定性分析表明,数据可以分为三个主要主题:“反馈”、“应对和动机”和“沟通”。基于这些发现,心理学干预得以发展。
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引用次数: 0
College students' recommendations for dealing with anxiety disorders 大学生应对焦虑症的建议
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2015-02-19 DOI: 10.1080/14623730.2015.1005969
M. Coles, Shannon L. Coleman, J. Schubert
Despite the availability of efficacious treatments, most Americans afflicted with anxiety disorders will never seek treatment. Patients that do seek help report a lack of knowledge about anxiety disorders and treatment as primary reasons they failed to seek treatment sooner. Anxiety disorders frequently onset in late adolescent/early adulthood. However, there is little information on what young adults know about anxiety disorders. The current study sought to examine college students' recommendations for anxiety disorders. College students (N = 284) were presented with vignettes of individuals experiencing an anxiety disorder or depression and asked to suggest recommendations for these individuals. Rates of help-seeking recommendations varied between anxiety disorders, with the highest rates observed for panic disorder and the lowest rates for generalized anxiety disorder and social phobia. Findings suggest that recommendations to seek professional help for anxiety disorders are not universal even when the significant interference and distress associated with these symptoms are clearly conveyed.
尽管有有效的治疗方法,但大多数患有焦虑症的美国人永远不会寻求治疗。寻求帮助的患者报告说,缺乏对焦虑症和治疗的了解是他们未能尽早寻求治疗的主要原因。焦虑症通常发生在青春期晚期/成年早期。然而,关于年轻人对焦虑症的了解却很少。目前的研究试图检验大学生对焦虑症的建议。研究人员向284名大学生展示了患有焦虑症或抑郁症的个体的图片,并要求他们对这些个体提出建议。寻求帮助建议的比率因焦虑症而异,惊恐障碍的比率最高,而广泛性焦虑症和社交恐惧症的比率最低。研究结果表明,即使清楚地传达了与这些症状相关的显著干扰和痛苦,寻求焦虑症专业帮助的建议也不是普遍的。
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引用次数: 5
期刊
International Journal of Mental Health Promotion
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