INTERNATIONAL JOURNAL OF MENTAL HEALTH最新文献

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Prevalence and correlates of suicidal ideation in a sample of urban Haiti residents 海地城市居民自杀意念的流行及其相关因素

Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-09-20 DOI: 10.1080/00207411.2023.2255435

Manisha Joshi, Phycien Paul, Caleb Jean-Baptiste, Guitele J. Rahill, Elmondo Odans, Abraham Salinas-Miranda, Joseph Heger, Christopher Rice

AbstractThere is a dearth of scientific knowledge regarding suicidal ideation (SI) and adverse childhood experiences (ACEs) in Haiti. We conducted a community survey with a convenience sample of 673 residents from Haiti’s Cité Soleil (January - June 2021) to address these gaps. Participants answered questions on SI, on ACEs from the ACE international questionnaire (ACE-IQ) section 5 abuse-related items, on adult experiences of non-partner sexual violence, on use of alcohol to manage stress and on trauma responses. Latent Class Analysis identified a five-class-model of poly-victimization ranging from Class 1 (no abuse) to Class 5 (combination of emotional, physical, and sexual abuse). SI prevalence was 65.3%. Women were nearly twice as likely as men to report SI (95% CI = 1.08–2.74). Class 1 comprised 25% of participants. Class 5 members were almost four times more likely to endorse SI than Class 1 members (95% CI = 1.52–9.10). Class 4 members were roughly four times more likely to endorse SI than Class 1 members. (95% CL = 1.83–7.81). Class 3 members were nearly twice as likely to endorse SI as Class 1 members (95% CI = 1.03–3.35). Participant survivors of NPSV were three times more likely to report SI than non-victims (95% CI = 1.61–5.67). Alcohol use to manage stress increased odds of SI by 1.59 (95% CI = 1.01–2.52). Hypervigilance increased the odds of SI by 3.21 (95% CI = 1.84–5.58). Limitations include recall bias, non-generalizability, use of self-reported data, and ACE-IQ’s limitations.Early identification and prevention of SI, ACE, NPSV, alcohol use, and trauma are warranted.Keywords: Haitisuicidal ideationadverse childhood experiencesinterpersonal violencenon-partner sexual violence Disclosure statementNo potential conflict of interest was reported by the author(s)

摘要关于海地自杀意念(SI)和不良童年经历(ace)的科学知识缺乏。我们在2021年1月至6月期间对海地cit Soleil的673名居民进行了一项社区调查，以解决这些差距。与会者回答了以下问题:SI、ACE国际调查问卷(ACE- iq)第5节与虐待有关的ACE、成人遭受非伴侣性暴力的经历、使用酒精来控制压力以及创伤反应。潜在类别分析确定了一个五类多重受害模型，从第一类(无虐待)到第五类(情感、身体和性虐待的结合)。SI患病率为65.3%。女性报告SI的可能性几乎是男性的两倍(95% CI = 1.08-2.74)。1班占参与者的25%。第5类成员支持SI的可能性几乎是第1类成员的4倍(95% CI = 1.52-9.10)。第4类成员支持SI的可能性大约是第1类成员的4倍。(95% cl = 1.83 ~ 7.81)。第三类成员支持SI的可能性几乎是第一类成员的两倍(95% CI = 1.03-3.35)。NPSV幸存者报告SI的可能性是非受害者的三倍(95% CI = 1.61-5.67)。使用酒精来控制压力会使SI的几率增加1.59 (95% CI = 1.01-2.52)。过度警惕使SI的几率增加3.21 (95% CI = 1.84-5.58)。局限性包括回忆偏差、非泛化性、使用自我报告数据和ACE-IQ的局限性。早期识别和预防SI、ACE、NPSV、酒精使用和创伤是必要的。关键词:海地自杀意念童年不良经历人际暴力非伴侣性暴力披露声明作者未报告潜在利益冲突

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引用次数: 0

Effectiveness of a training programme on the knowledge and perception of Attention-Deficit Hyperactivity Disorder among primary school teachers in Kano, Nigeria 尼日利亚卡诺小学教师关于注意缺陷多动障碍的知识和认知培训方案的有效性

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-09-07 DOI: 10.1080/00207411.2023.2253397

Muftau Mohammed, T. Bella-Awusah, Babatunde Adedokun, I. Lagunju, Cornelius Ani

引用次数: 0

A novel mind-body podcast program for military and veteran caregivers 一个新颖的身心播客节目，面向军人和退伍军人护理人员

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-09-04 DOI: 10.1080/00207411.2023.2250938

Eric Bui, Allyson M. Blackburn, Lauren H. Brenner, L. M. Laifer, Elyse R Park, J. Denninger, Thomas J. Spencer, Gregory Fricchione, Louisa Sylvia

引用次数: 0

Depression in the elderly: a call for novel therapeutics 老年人抑郁症:新疗法的呼唤

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-08-10 DOI: 10.1080/00207411.2023.2241750

Soumia Benbrika, Lucie Metivier, Eric Bui

Published in International Journal of Mental Health (Vol. 52, No. 3, 2023)

发表于《国际心理健康杂志》(第52卷，第3期，2023年)

引用次数: 0

Comparing perceived reasons for initiating and maintaining hikikomori (prolonged social withdrawal): Quantitative text analysis 比较开始和维持隐蔽青年(长时间的社会退缩)的感知原因:定量文本分析

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-07-16 DOI: 10.1080/00207411.2023.2234802

Shunsuke Nonaka, Motohiro Sakai

引用次数: 0

Evaluating the acceptability of ATMAN intervention for self-harm in youth in India: A pilot study 评估印度青年自我伤害的ATMAN干预的可接受性:一项试点研究

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-07-03 DOI: 10.1080/00207411.2023.2230041

S. Aggarwal, Michael Berk, N. Shah, Anokhi Shah, D. Kondal, G. Patton, Vikram Patel

引用次数: 0

Cognitive distortions, anxiety, and depression in individuals suffering from PTSD PTSD患者的认知扭曲、焦虑和抑郁

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-06-13 DOI: 10.1080/00207411.2023.2219950

Nawal Ouhmad, Romain Deperrois, W. El Hage, N. Combalbert

引用次数: 0

Access to mental health care in Canada 加拿大获得心理健康护理的机会

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-06-08 DOI: 10.1080/00207411.2023.2218586

Sonya C. Faber, M. Osman, Monnica T. Williams

Abstract There has been ongoing national discourse about barriers to mental health care services in Canada. The purpose of the study is to better understand these barriers, with a focus on Canadians of color. To that end, this study surveyed 1501 adults representative of the general population, collected by the Angus Reid Institute. Over half of the respondents had sought out mental health care and experienced barriers to access. People of color (visible minorities and Indigenous people) had more difficulty accessing care, as did younger adults and those with lower incomes. The most common difficulties were largely structural: long waitlists (62%), financial barriers (58%), lack of resources/professionals in the area (47%), difficulty finding specialists (41%), and difficulty accessing in-person care during the pandemic (34%). Many noted negative experiences with mental health professionals (35%). More English-speaking than French-speaking Canadians reported barriers to care overall. Race/ethnicity was related to difficulties when trying to access mental health care, as many could not find someone of the same group (25% of Black respondents), someone who spoke their preferred language (22% of South Asian respondents), or they had prior negative experiences (50% of Indigenous respondents). We discuss the implications of these findings, including the critical need to increase the supply and diversity of mental health providers across Canada. This study is one of the first to provide quantitative data on the perceived barriers faced by Canadians in accessing mental health care while exploring the role of language, race, and ethnicity as variables that may influence access.

在加拿大，一直有关于精神卫生保健服务障碍的全国性讨论。这项研究的目的是更好地理解这些障碍，重点关注加拿大有色人种。为此，这项研究调查了安格斯·里德研究所收集的1501名具有代表性的成年人。一半以上的答复者曾寻求心理保健，但在获得保健服务方面遇到障碍。有色人种(少数族裔和土著人)更难获得医疗服务，年轻人和收入较低的人也是如此。最常见的困难主要是结构性的:等候名单长(62%)、财务障碍(58%)、该地区缺乏资源/专业人员(47%)、难以找到专家(41%)以及在大流行期间难以获得亲自护理(34%)。许多人提到了心理健康专业人员的负面经历(35%)。总体而言，说英语的加拿大人比说法语的加拿大人报告了护理障碍。种族/族裔与寻求心理保健的困难有关，因为许多人找不到同一群体的人(25%的黑人答复者)，找不到说他们喜欢的语言的人(22%的南亚答复者)，或者他们以前有过负面经历(50%的土著答复者)。我们讨论了这些发现的含义，包括在加拿大增加精神卫生服务提供者的供应和多样性的迫切需要。这项研究首次提供了加拿大人在获得精神卫生保健方面所面临的感知障碍的定量数据，同时探索了语言、种族和民族作为可能影响获得精神卫生保健的变量的作用。

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引用次数: 1

Effectiveness and implementation of psychological interventions for depression in people with non-communicable diseases in South Asia: Systematic review and meta-analysis. 南亚非传染性疾病患者抑郁症心理干预措施的有效性和实施:系统审查和荟萃分析

IF 1.4 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-04-24 eCollection Date: 2023-01-01 DOI: 10.1080/00207411.2023.2202431

Gerardo A Zavala, Hannah Maria Jennings, Saima Afaq, Ashraful Alam, Naveed Ahmed, Faiza Aslam, Aatik Arsh, Karen Coales, David Ekers, Mumtahana Nabi, Anum Naz, Nayeema Shakur, Najma Siddiqi, Judy M Wright, Ian Kellar

We evaluate the effectiveness of psychological interventions for depression in people with NCDs in South Asia and explore the individual, organizational, and policy-level barriers and facilitators for the implementation and scaling up of these interventions. Eight databases (and local web pages) were searched in May 2022. We conducted random effects models to evaluate the pooled effect of psychological interventions on depression in people with NCDs. We extracted the individual, organizational, and policy level barriers and facilitators. We found five randomized control trials, nine qualitative studies, and 35 policy documents that fitted the inclusion criteria. The pooled standardized mean difference in depression comparing psychological interventions with usual care was -2.31 (95% CI, -4.16 to -0.45; p = .015, I² = 96.0%). We found barriers and facilitators to intervention delivery, mental health appears in the policy agenda in Bangladesh and Pakistan. However, there is a lack of policies relating to training in mental health for NCD health providers and a lack of integration of mental health care with NCD care. All of the psychological interventions reported to be effective in treating depression in this population. There are important delivery and policy barriers to the implementation and scaling up of psychological interventions for people with NCDs.

摘要我们评估了南亚非传染性疾病患者抑郁症心理干预的有效性，并探讨了实施和扩大这些干预的个人、组织和政策层面的障碍和促进因素。2022年5月搜索了8个数据库（以及本地网页）。我们进行了随机效应模型来评估心理干预对非传染性疾病患者抑郁症的综合效应。我们提取了个人、组织和政策层面的障碍和促进者。我们发现了5项随机对照试验、9项定性研究和35份符合纳入标准的政策文件。心理干预与常规护理相比，抑郁症的合并标准化平均差为−2.31（95%CI，−4.16至−0.45；p=.015，I2=96.0%）。我们发现干预实施的障碍和促进因素，心理健康出现在孟加拉国和巴基斯坦的政策议程中。然而，缺乏与非传染性疾病医疗服务提供者的心理健康培训有关的政策，也缺乏将心理健康护理与非传染性病护理相结合。据报道，所有的心理干预措施都能有效治疗这一人群的抑郁症。在实施和扩大针对非传染性疾病患者的心理干预方面存在着重要的实施和政策障碍。

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引用次数: 0

Stigmatization as a barrier to accessing mental health services: An editorial 污名化是获得心理健康服务的障碍：一篇社论

IF 2 Q3 PSYCHOLOGY, CLINICAL

INTERNATIONAL JOURNAL OF MENTAL HEALTH

Pub Date : 2023-04-03 DOI: 10.1080/00207411.2023.2206283

Charlotte Hivet, E. Bui

Stigmatization of mental health problems is a major and worldwide concern that may prevent individuals suffering from mental health conditions from accessing the treatment they need. This issue of the International Journal of Mental Health (IJMH) features four papers reporting the impact of stigmatization on access to mental health care, in different regions of the globe. In a first publication, Choudhry et al. (2023) reviewed the barriers to accessing mental health care in Pakistan and found six studies reporting stigma as the main barrier to receiving mental health services. In another study, among N1⁄4 1,720 adult Ukrainians, Jiang et al. (2023) reported that increased religious beliefs were associated with decreased treatment seeking behavior. Further, among the treatment-seeking participants, weaker religious beliefs was associated with seeking alternative mental health treatments (as opposed to conventional treatments). In another study, Subu et al. (2023) reported in a qualitative study examining N1⁄4 25 Indonesian families that stigmatization also prevented patients from accessing conventional mental health care. Taken together, these two papers pointed out that one of the main determinants of stigmatization was cultural background. While it may be difficult (and even not desirable) to target cultural and/or religious beliefs in order to support destigmatization, there may be other ways to decrease perceived stigma and increase access to care among patients with mental health conditions. In a fourth study among N1⁄4 305 South-Korean university students, increased mental health literacy was in fact associated with decreased stigmatization (Kim, 2023), suggesting that targeting mental health literacy may be helpful to decrease self-stigma. In addition, this study also found that mental health literacy might improve treatment-seeking behaviors regardless of perceived stigma. It is important to note that in addition to barriers to mental health care, individuals with mental health conditions also face barriers to accessing non-psychiatric medical care, potentially through increased perceived stigma (Ostrow et al., 2014) and stigmatizing attitudes from health care professionals (Neauport et al., 2012). Clearly, interventions to promote access to mental health care as well as health care in general are needed both in developing and industrialized countries.

对心理健康问题的污名化是世界范围内关注的一个主要问题，可能会阻碍患有心理健康状况的个人获得所需的治疗。本期《国际心理健康杂志》刊登了四篇论文，报道了污名化对全球不同地区获得心理健康护理的影响。在第一份出版物中，Choudhry等人（2023）回顾了巴基斯坦获得心理健康护理的障碍，发现六项研究报告称污名是获得心理健康服务的主要障碍。在另一项研究中，在N1/41720名成年乌克兰人中，姜等人（2023）报告称，宗教信仰的增加与寻求治疗行为的减少有关。此外，在寻求治疗的参与者中，较弱的宗教信仰与寻求替代性心理健康治疗（与传统治疗相反）有关。在另一项研究中，Subu等人（2023）在一项针对N1/425印尼家庭的定性研究中报告称，污名化也阻碍了患者获得传统的心理健康护理。总之，这两篇论文指出，污名化的主要决定因素之一是文化背景。虽然针对文化和/或宗教信仰来支持消除污名化可能很困难（甚至不可取），但可能还有其他方法可以减少心理健康患者的污名感，增加他们获得护理的机会。在第四项针对N1/4305韩国大学生的研究中，心理健康素养的提高实际上与污名化的减少有关（Kim，2023），这表明针对心理健康素养可能有助于减少自我污名化。此外，这项研究还发现，心理健康素养可能会改善寻求治疗的行为，而不受污名的影响。值得注意的是，除了心理健康护理的障碍外，有心理健康状况的个人在获得非精神病医疗护理方面也面临障碍，这可能是由于人们对污名化的感知增加（Ostrow等人，2014）和医疗保健专业人员的污名化态度（Neauport等人，2012）。显然，发展中国家和工业化国家都需要采取干预措施，促进获得心理保健和一般保健服务。

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