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An integrated approach to workplace mental health: an Australian feasibility study 工作场所心理健康的综合办法:澳大利亚可行性研究
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-08-08 DOI: 10.1080/14623730.2014.931070
A. Lamontagne, Tessa Keegel, C. Shann, R. D'Souza
We developed and implemented an integrated workplace mental health promotion intervention combining job stress reduction with a workplace mental health literacy program. The intervention was evaluated using an uncontrolled design, with organizationorganisation-wide census employee surveys of working conditions and mental health literacy pre-intervention, followed by a 1-year action planning and intervention period, then a post-intervention survey. All employees were invited to be surveyed, and all respondents were included in analysis, independent of participation in intervention activities or employment status (44% response rate at baseline, 37% at final). No significant changes were observed in the targeted psychosocial working conditions – job control, job demands, and social support at work. In contrast, significant improvements in some aspects of mental health literacy were observed, particularly in helping behaviours. Acknowledging the limitations of this being an uncontrolled pilot study, our results suggest that it is feasible to integrate job stress and mental health literacy intervention, as well as evidence of sustained improvements in mental health literacy and the need for more intensive and sustained efforts to improve psychosocial working conditions.
我们开发并实施了一项综合的工作场所心理健康促进干预措施,将工作压力减轻与工作场所心理健康扫盲计划相结合。采用非控制设计对干预进行评估,在干预前对组织范围内的员工进行工作条件和心理健康素养调查,随后进行为期1年的行动计划和干预期,然后进行干预后调查。所有员工都被邀请接受调查,所有受访者都被纳入分析,独立于参与干预活动或就业状况(基线时的回复率为44%,最终回复率为37%)。在目标社会心理工作条件——工作控制、工作要求和工作中的社会支持方面,没有观察到明显的变化。相比之下,在心理健康素养的某些方面,特别是在帮助行为方面,观察到显著改善。承认这是一项不受控制的试点研究的局限性,我们的结果表明,将工作压力和心理健康素养干预结合起来是可行的,以及心理健康素养持续改善的证据,以及需要更密集和持续的努力来改善心理社会工作条件。
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引用次数: 16
Small steps: barriers and facilitators to physical health self-management by people living with mental illness 小步骤:精神疾病患者身体健康自我管理的障碍和促进因素
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-08-08 DOI: 10.1080/14623730.2014.931069
Vivien Kemp, C. Fisher, S. Lawn, M. Battersby, M. Isaac
It has been established that people with mental illness experience mortality and morbidity from all the major health conditions at 2–3 times the rate of those without mental illness. One way to overcome this problem is to encourage consumers of mental health services to self-manage their physical health. The purpose of the study was to investigate the facilitators and barriers to physical health self-management by people living with a mental illness. The study was underpinned by a hermeneutic phenomenological framework and utilised focus groups for data collection. A total of 27 participants, who lived in the community, had a diagnosed mental illness and who also had a co-morbid chronic physical health condition were included in one of three focus groups. The collected data were thematically analysed to identify common experiences and difficulties. It was found that participants were well aware of the need to attend to physical health issues. However, a number of factors at the individual, social and system levels impeded their ability to do so. Barriers to self-management included the debilitating nature of mental illness, poor physical health literacy, stigma from medical staff and social isolation, which resulted in a lack of support. Whereas informal peer networks, group participation and where it was offered, the support and encouragement from healthcare professionals facilitated health self-management.
已经确定,患有精神疾病的人在所有主要健康状况下的死亡率和发病率是没有精神疾病的人的2-3倍。克服这一问题的一种方法是鼓励心理健康服务的消费者自我管理他们的身体健康。本研究的目的是调查精神疾病患者身体健康自我管理的促进因素和障碍。该研究以解释学现象学框架为基础,并利用焦点小组进行数据收集。共有27名参与者,他们住在社区,被诊断患有精神疾病,同时患有慢性身体健康状况,被纳入三个焦点小组中的一个。对收集到的数据进行了专题分析,以确定共同的经验和困难。调查发现,与会者非常清楚注意身体健康问题的必要性。但是,个人、社会和制度各级的一些因素阻碍了他们这样做的能力。自我管理的障碍包括精神疾病使人衰弱、身体健康知识贫乏、医务人员的羞辱和社会孤立,这些都导致缺乏支持。非正式的同伴网络、团体参与以及在提供这种网络的情况下,保健专业人员的支持和鼓励促进了健康自我管理。
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引用次数: 14
Childcare providers’ mental health: a systematic review of its prevalence, determinants and relationship to care quality 托儿服务提供者的心理健康:对其患病率、决定因素及其与护理质量关系的系统回顾
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-08-08 DOI: 10.1080/14623730.2014.931067
L. Corr, E. Davis, A. Lamontagne, E. Waters, E. Steele
Childcare providers’ mental health is important for their well-being and its potential impact on turnover and care quality. A systematic review of research (1980–2012) was conducted to investigate the quality and findings of studies on the mental health of centre- and home-based childcare providers. Eighteen articles were identified that examined depression, stress, negative moods or positive mental health. There were risks of bias within most studies (15/18). Qualitative research indicated high provider stress, yet mean scores of perceived stress and depression were low and mental well-being was high. Poor mental health was linked with poor working conditions. Its relationship with care quality was inconclusive; however, higher quality care was consistently related to higher educator mental well-being. This systematic review revealed a limited evidence base largely focused on mental health problems and suggests that sector engagement is essential to advance the mental health of childcare providers.
托儿服务提供者的心理健康对他们的福祉及其对人员流动和护理质量的潜在影响非常重要。对1980-2012年的研究进行了系统回顾,以调查关于中心和家庭托儿服务提供者心理健康的研究的质量和结果。研究人员确定了18篇研究抑郁、压力、消极情绪或积极心理健康的文章。大多数研究存在偏倚风险(15/18)。定性研究表明,提供者压力较高,但感知压力和抑郁的平均得分较低,心理幸福感较高。不良的精神健康状况与恶劣的工作条件有关。其与护理质量的关系尚无定论;然而,高质量的护理始终与高等教育工作者的心理健康有关。这一系统评价揭示了主要集中于心理健康问题的有限证据基础,并表明部门参与对于促进儿童保育提供者的心理健康至关重要。
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引用次数: 28
Relations between mindfulness and mental health outcomes: need fulfillment as a mediator 正念与心理健康结果的关系:需求满足作为中介
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-05-27 DOI: 10.1080/14623730.2014.931066
M. Bice, James W. Ball, A. Ramsey
Links between mindfulness and mental health outcomes have been established, but the explanatory mechanisms responsible for these associations are far less understood. This study examined relationships between mindfulness, need fulfillment and mental health outcomes (negative affect and depressive symptoms). The primary purpose of this paper was to, first, verify the link between mindfulness and mental health outcomes, and second, to better understand and explain why mindfulness is important for mental health outcomes. Specifically, this study sought to examine the potential mediating influence of need fulfillment in the relationship between mindfulness and mental health outcomes. A sample of 399 university students and employees responded to an online survey. Data were collected on personal ratings of trait mindfulness, need fulfillment, negative affect and depressive symptoms. Results indicated a significant positive relationship between mindfulness and need fulfillment, and these variables were negatively associated with poor mental health outcomes (negative affect and depressive symptoms). Further, it was found that need fulfillment partially mediated the relationship between mindfulness and both mental health outcomes. Specific facets of need fulfillment (i.e., belongingness, self-esteem, control, meaningful existence) were also explored individually as potential mediators to determine which facet accounted for the greatest variance in the relationship between mindfulness and mental health outcomes. In doing so, this study helps clarify the relations between mindfulness and mental health outcomes. Results from this study extend the current literature of mindfulness and further inform the implementation of clinical mindfulness techniques and strategies.
正念和心理健康结果之间的联系已经建立,但对这些联系的解释机制却知之甚少。这项研究考察了正念、需求满足和心理健康结果(负面影响和抑郁症状)之间的关系。本文的主要目的是,首先,验证正念和心理健康结果之间的联系,其次,更好地理解和解释为什么正念对心理健康结果很重要。具体来说,本研究试图检验需求满足在正念与心理健康结果之间的关系中的潜在中介影响。399名大学生和员工参与了一项在线调查。数据收集了个人对特质正念、需求满足、负面情绪和抑郁症状的评分。结果表明,正念与需求满足之间存在显著的正相关关系,而这些变量与不良心理健康结果(负面情绪和抑郁症状)呈负相关。此外,我们还发现需求满足在正念与两种心理健康结果之间的关系中起到部分中介作用。需求满足的具体方面(即归属感、自尊、控制、有意义的存在)也被单独探索作为潜在的中介,以确定哪个方面在正念和心理健康结果之间的关系中占最大的差异。在这样做的过程中,这项研究有助于澄清正念和心理健康结果之间的关系。本研究的结果扩展了目前正念的文献,并进一步为临床正念技术和策略的实施提供了信息。
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引用次数: 9
Mental health promotion strategies and their effectiveness in local communities: sociocultural integration and multiple realities perspective 心理健康促进策略及其在地方社区的有效性:社会文化融合和多重现实视角
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-05-27 DOI: 10.1080/14623730.2014.919764
T. Sørensen, R. Kleiner, Andreas Sørensen, Paul Ngo, Nils Boe, J. Nygård
Seven communities took part in a health promotion project. They were investigated in the beginning of the project period, T1, 1991, and followed at T2, 2000 and T3, 2010. We have analyzed change over time in the importance of eight dimensions of community integration, changes in quality of life and changes in community consensus. In addition, process notes, records from group meetings, comments from community leaders, photographs and evaluation by project director were analyzed. We focus on two of the Lofoten communities that functioned well during the project period, but during the follow-up period exhibited contrasting patterns of development. To maintain positive changes over time, a collective leadership has to be developed and also a structure that is flexible with regard to including new people in leadership positions. The building of a bridge and subsequent closing of a school and emigration of resource people made negative contribution to community disintegration.
7个社区参加了健康促进项目。在项目初期(1991年1月1日)对他们进行了调查,并在2000年2月2日和2010年3月3日进行了随访。我们分析了随着时间的推移,社区融合的八个方面的重要性的变化,生活质量的变化和社区共识的变化。此外,还分析了过程记录、小组会议记录、社区领导的评论、照片和项目主任的评估。我们关注的是罗浮敦的两个社区,它们在项目期间运行良好,但在后续阶段表现出截然不同的发展模式。随着时间的推移,为了保持积极的变化,必须发展集体领导,也必须建立一个灵活的结构,在领导职位上包括新人。修建一座桥梁和随后关闭一所学校以及资源人员的移民对社区的解体起了消极的作用。
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引用次数: 0
Training police trainees about ways to manage trauma and loss 培训警察学员如何处理创伤和损失
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-03-15 DOI: 10.1080/14623730.2014.903609
Christiane Manzella, K. Papazoglou
For the second year we were invited to be trainers at a training seminar for senior police educators, held in the German Federal Police University and sponsored by the European Police College, hence, having the opportunity to build on their previous applications. We applied exercises (psychoeducation, mindfulness/awareness, journaling, processing in dyads) that introduced in this training and designed to teach officers how to handle exposure to adversities and minimize potential negative consequences. Police officers expect exposure to potentially traumatic incidents, yet, often suffer deeply because of unresolved trauma related to handling horrific events. Our work aimed to open discussion in order to formulate a standard component in training curricula related to teaching police trainees ways to effectively handle and process trauma.
第二年,我们应邀在德国联邦警察大学举办的由欧洲警察学院赞助的高级警察教育工作者培训研讨会上担任培训师,因此,我们有机会在他们以前的申请的基础上继续学习。我们运用了训练中引入的练习(心理教育、正念/意识、日记、双处理),旨在教警官如何应对逆境,并将潜在的负面后果降到最低。警察希望接触到潜在的创伤事件,然而,由于处理恐怖事件相关的未解决的创伤,他们往往深受其苦。我们的工作旨在展开讨论,以便在培训课程中制定一个标准的组成部分,教警察学员如何有效地处理和处理创伤。
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引用次数: 36
Resiliency and mental health and well-being among lesbian, gay and bisexual people 女同性恋、男同性恋和双性恋者的心理弹性、心理健康和幸福感
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-03-15 DOI: 10.1080/14623730.2014.903621
Pauline Dickinson, Jeffery Adams
Reports concerning the mental well-being of lesbian, gay and bisexual (LGB) people mostly focus on mental health issues, negative events and stress, and very few focus on strategies LGB use to achieve well-being. To address this gap, we report on a qualitative project involving 93 LGB people who completed an online survey. Participants provided accounts of resilience, particularly in relation to the ways in which they were caring for themselves. They were engaged in a wide variety of activities that supported their well-being related to social connections, self-care, interests and hobbies, and professional help. Despite this, we argue that there is a compelling need to ensure a wider mental health promotion focus is adopted to support LGB people lead mentally healthy lives.
关于女同性恋、男同性恋和双性恋(LGB)人群心理健康的报道大多集中在心理健康问题、负面事件和压力上,很少关注LGB使用的实现健康的策略。为了解决这一差距,我们报告了一项涉及93名LGB人的定性项目,他们完成了一项在线调查。参与者提供了韧性的描述,特别是与他们照顾自己的方式有关的描述。他们参与了各种各样的活动,这些活动与社会关系、自我照顾、兴趣爱好和专业帮助有关。尽管如此,我们认为迫切需要确保采用更广泛的心理健康促进重点,以支持LGB人群过上心理健康的生活。
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引用次数: 31
College students' perceived confidence in mental health help-seeking 大学生心理健康求助信心感知
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-03-15 DOI: 10.1080/14623730.2014.892257
Rebecca A. Vidourek, K. King, L. Nabors, A. Lynch, A. Merianos
Limited research exists regarding peer-assisted help-seeking for mental health problems. This study assesses the relationship between stigma and an individual's willingness to help a friend with mental illness. Results indicated that students were somewhat confident they could help a friend experiencing a mental health disorder. Significant differences in confidence were found based on sex, grade, holding stigma-related attitudes and outcome expectations. Findings from this study may be used by mental health professionals working with college students.
关于寻求同伴帮助治疗心理健康问题的研究有限。这项研究评估了耻辱感和个人帮助患有精神疾病的朋友的意愿之间的关系。结果表明,学生们有一定的信心,他们可以帮助患有精神疾病的朋友。在性别、年级、持有耻辱感相关态度和结果预期的基础上,信心存在显著差异。这项研究的结果可能会被大学生心理健康专业人员使用。
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引用次数: 15
The international dissemination of evidence-based parenting interventions: impact on practitioner content and process self-efficacy 循证育儿干预的国际传播:对从业者内容和过程自我效能的影响
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-03-15 DOI: 10.1080/14623730.2014.917896
Suvena Sethi, S. Kerns, M. Sanders, A. Ralph
Implementation of evidence-based parenting programs with parents most in need is important for reducing maladaptive child behavior problems. However, effective implementation is limited by numerous factors including practitioners’ self-efficacy in the delivery of an intervention to a parent, and their lack of confidence in parent consultation skills. This study explores changes in self-efficacy of 5109 practitioners from diverse countries, professional and qualification backgrounds, who received standardized training in the Triple P – Positive Parenting Program between 2007 and 2012. Practitioners were assessed for perceived adequacy of skills and confidence in the delivery of strategies and approaches necessary for the effective delivery of Triple P, pre- and post-training. Results overall confirm that training was associated with significant improvement in both content and process efficacy. While no significant differences in practitioner self-efficacy were found between professional and qualification groups, there were post-training differences between country groups and in practitioners’ sense of competence in consulting with parents about child behavior and appropriate parenting. Implications of these findings are discussed in the context of a growing and diverse health workforce and in developing training protocols that cross different language and regional groups.
在最需要帮助的父母中实施基于证据的育儿计划对于减少儿童适应不良行为问题非常重要。然而,有效的实施受到许多因素的限制,包括从业者在向父母提供干预时的自我效能感,以及他们对父母咨询技巧缺乏信心。本研究探讨了5109名来自不同国家、专业和资格背景的从业者的自我效能感变化,这些从业者在2007年至2012年期间接受了3p -积极育儿计划的标准化培训。评估从业人员在培训前和培训后有效提供3p所需的策略和方法方面的技能和信心的感知充分性。结果总体上证实了培训与内容和过程效率的显著改善有关。虽然从业人员自我效能感在专业组和资格组之间没有显著差异,但在培训后国家组之间以及从业人员与父母就儿童行为和适当养育进行协商的能力感方面存在差异。在不断增长和多样化的卫生人力以及制定跨不同语言和区域群体的培训协议的背景下,讨论了这些发现的含义。
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引用次数: 23
Alcohol consumption by female teenagers: the family as a risk and a protection factor 女性青少年饮酒:家庭作为风险因素和保护因素
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2014-03-15 DOI: 10.1080/14623730.2014.903607
Ana Priscila de Oliveira Benites, D. Schneider
Alcoholic beverage consumption during adolescence is considered as a serious health problem. Moreover, the differences in the past consumption pattern between boys and girls have decreased, which draws attention to the effects of such behavior in female adolescents. Because family can act as both risk and protective factors for the use of alcohol, the objective of this study was to comprehend the family influence on alcohol use among female adolescents. The research is qualitative and it was performed in an exploratory, descriptive and cross-sectional way. Two focus groups were conducted, one in a private school and another in a public one, both in a city in Southern Brazil, in order to discuss the topic with the adolescents. Afterwards, the participants were invited to attend an individual interview, in addition to answering a questionnaire on alcohol use and the Family Support Perception Inventory. In total, the groups consisted of 17 adolescents, from which 12 were interviewed. The data was submitted to thematic content analysis. The results indicated that the participating adolescents had a pattern of social alcohol use similar to their families. Fathers were more prohibitive to their daughters drinking than mothers, who were more permissive. For this sample, clear rules for drinking, family support and emotional closeness with female figures served as protection mechanisms, corroborating data from previous surveys.
青少年饮用酒精饮料被认为是一个严重的健康问题。此外,男孩和女孩之间过去消费模式的差异已经减少,这引起了人们对这种行为对女性青少年的影响的关注。由于家庭可以作为酒精使用的风险因素和保护因素,本研究的目的是了解家庭对女性青少年酒精使用的影响。该研究是定性的,并以探索性,描述性和横断面的方式进行。为了与青少年讨论这个话题,在巴西南部的一个城市进行了两个焦点小组,一个在私立学校,另一个在公立学校。之后,除了回答关于酒精使用的问卷和家庭支持感知量表外,参与者还被邀请参加个人访谈。这些小组总共由17名青少年组成,其中12名接受了采访。这些数据已提交专题内容分析。结果表明,参与研究的青少年与他们的家庭有相似的社交酒精使用模式。父亲比母亲更禁止女儿喝酒,而母亲则更宽容。在这个样本中,明确的饮酒规则、家庭支持和与女性形象的情感亲密是保护机制,证实了之前调查的数据。
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引用次数: 1
期刊
International Journal of Mental Health Promotion
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