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Psychological distress, structural barriers, and health services utilization among U.S. adults: National Health interview survey, 2011–2017 美国成年人的心理困扰、结构性障碍和卫生服务利用:2011-2017年全国健康访谈调查
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-23 DOI: 10.1080/00207411.2022.2123694
Maham M. Chaudhry, J. Banta, K. McCleary, R. Mataya, James M. Banta
Abstract Undertreatment of mental illness is associated with greater acute care and costs and worse mental and physical outcomes. Structural barriers may contribute to worse care. National Health Interview Survey data for 2011–2017 were used to examine associations of psychological distress and nine structural barriers with four health services, guided by the Andersen Behavioral Model of Health Services Utilization. Per the Kessler-6 Scale, United States adults 18–64 years of age (sample size = 172,209, estimated annual population = 189.4 million) were categorized as: no or low psychological distress (NLPD: 79.2%), moderate (MPD: 17.1%), and serious (SPD: 3.7%). Those with MPD and SPD had higher likelihoods of any mental health visit (Adjusted Odds Ratio: 3.53; 8.36, respectively), hospitalization (AOR: 1.16; 1.55), emergency room/department visit (AOR: 1.62; 2.23), and lower likelihood of office visits (AOR: 0.42; 0.64) in the past 12 months compared to NLPD (all p < 0.001). Psychological distress was the largest contributor of explained variation for mental health visits (67%), hospitalization (37%), and ER/ED usage (47%). Adults with SPD and MPD faced structural barriers at higher proportions. For example, reports of “had trouble finding general doctor” were: NLPD (2.2%), MPD (6.0%), and SPD (11.8%). Eight structural barriers were positively associated with ER/ED use and five barriers negatively associated with office visits. Barriers significantly associated with all four outcomes were: “Told health care coverage not accepted” and “Delayed care, couldn’t get appointment soon.” Innovative policy solutions coupled with comparable innovations in care delivery for complex patient populations could ensure equitable access to health services for individuals with psychological distress.
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引用次数: 0
The association between adverse childhood experiences and depression symptoms in older adults in China: An analysis of the China health and retirement study 中国老年人不良童年经历与抑郁症状的相关性:中国健康与退休研究分析
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-23 DOI: 10.1080/00207411.2022.2123696
Mingying Fang, M. Ferro, J. Dubin, M. Oremus
Abstract We used data from the China Health and Retirement Longitudinal Study (CHARLS) to examine the impact of adverse childhood experiences (ACEs) on depression symptoms in Chinese adults aged 60 years or over. A dearth of studies has examined this issue in the Chinese context, which is different from Western contexts owing to China’s post-revolutionary experiences (e.g., famine, Cultural Revolution). CHARLS contained historical information about 14 ACEs, current information about depression symptoms, and a series of individual-level covariates (e.g., age, sex), and community-level covariates, such as population density and aggregate income. In an analysis sample of 1218 participants, three of the 14 ACEs (bullied, felt alone, relationship with mother) were positively associated with depression symptoms (p < 0.05). Our findings closely resembled results from studies undertaken in Western samples. Educational and mental health interventions during childhood might reduce the impact of late-life depression symptoms in Chinese adults.
摘要我们使用来自中国健康与退休纵向研究(CHARLS)的数据来检验不良童年经历(ACE)对60岁中国成年人抑郁症状的影响 年或以上。由于中国革命后的经历(如饥荒、文化大革命),中国与西方的背景不同,因此缺乏在中国背景下研究这一问题的研究。CHARLS包含关于14个ACE的历史信息、关于抑郁症状的当前信息、一系列个人水平的协变量(如年龄、性别)和社区水平的协变,如人口密度和总收入。在1218名参与者的分析样本中,14个ACE中的3个(被欺负、感觉孤独、与母亲的关系)与抑郁症症状呈正相关(p < 0.05)。我们的发现与西方样本研究的结果非常相似。儿童时期的教育和心理健康干预可能会减少中国成年人晚年抑郁症状的影响。
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引用次数: 1
Thriving in three Northwestern Ontario communities 在安大略省西北部的三个社区蓬勃发展
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-14 DOI: 10.1080/00207411.2022.2108987
E. Toombs, C. Mushquash, S. Leon, K. McKenzie
Abstract Disease-based models of health often fail to consider socio-economic models that perpetuate optimal health. The promotion of human thriving, rather than merely surviving, can be achieved by promoting optimal health indicators that facilitate overall wellbeing. Such interventions are those that promote a high quality of life, otherwise conceptualized as a “life worth living,” and can consist of life activities that exist outside of traditional health care intervention. Despite the continuous rise of health outcomes in Canada, it is likely that the cost associated with thriving may reduce the likelihood that optimal health will be achieved by many. Previous studies have generated the cost of thriving calculated for a single individual living in the Greater Toronto Area and have found that the cost of thriving is below the median annual income for this region. In the current study, this framework has been applied to three additional communities in Northwestern Ontario. Results indicated that when costs of thriving in Thunder Bay, Sioux Lookout, and a small remote community were compared, costs of thriving were highest in more rural and remote areas. Given the limited availability of regional data, it was not possible to generate specific total costs for all communities in this review. Overall, health promotion and wellbeing approaches can be diversified by using evidence-based, strength-based health interventions. Such approaches can be offered in conjunction with traditional public health initiatives, to better foster individual-level health (through disease reduction) and wellbeing (such as promoting hope, belonging, meaning, and purpose) within community.
摘要基于疾病的健康模型往往没有考虑到维持最佳健康的社会经济模型。促进人类繁荣,而不仅仅是生存,可以通过促进促进整体福祉的最佳健康指标来实现。这种干预措施是那些促进高质量生活的措施,否则被概念化为“有价值的生活”,并且可以包括传统医疗干预之外的生活活动。尽管加拿大的健康状况持续上升,但与繁荣相关的成本可能会降低许多人实现最佳健康的可能性。先前的研究已经为居住在大多伦多地区的单个个人计算了繁荣的成本,并发现繁荣的成本低于该地区的年收入中位数。在目前的研究中,该框架已应用于安大略省西北部的另外三个社区。结果表明,当比较雷霆湾、苏了望台和一个偏远的小社区的繁荣成本时,更多的农村和偏远地区的繁荣成本最高。鉴于区域数据的可用性有限,不可能在本次审查中为所有社区产生具体的总成本。总的来说,通过使用循证、基于力量的健康干预措施,可以使健康促进和幸福感方法多样化。这种方法可以与传统的公共卫生举措相结合,以更好地促进个人层面的健康(通过减少疾病)和社区内的福祉(例如促进希望、归属感、意义和目标)。
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引用次数: 1
Basic learning functions among young adults coping with schizophrenia 年轻人应对精神分裂症的基本学习功能
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-09 DOI: 10.1080/00207411.2022.2108988
Anat Ben-gal Dahan, D. Koren
Abstract The purpose of the study was to examine specific learning functions among people coping with schizophrenia and the possibility of a relationship between the different aspects of learning function (e.g., reading or writing) and the severity of the mental illness. We hypothesized that (a) the basic learning functions of people with schizophrenia after the first episode of the disease would be low compared with the general population, but (b) there would be broad intra-individual variance in the degree of damage to the different functions, and (c) this intra-individual variance would be associated with the severity of the illness. The sample comprised 38 schizophrenia patients, ages 20–37, who were hospitalized in two psychiatric hospitals in northern Israel. The learning functions were examined using MATAL, a computerized set of standardized tests and questionnaires developed for the diagnosis of learning disabilities among higher education students in Israel. The results supported the first two hypotheses; the learning functions of the participants were significantly lower than the norm in the general population on all tasks and there was variance among individuals regarding the different functions. However, inconsistent with our third hypothesis, no correlation was found between this variance and the severity of the illness. The findings provide initial support for the presence of learning disabilities among patients with schizophrenia. Further research is recommended to better understand this subject and evaluate the need for diagnosis and intervention.
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引用次数: 0
Associations between caregiver stress and child verbal abuse and corporal punishment in Thailand’s impoverished Deep South region during the COVID-19 pandemic 新冠肺炎大流行期间,泰国贫困的深南地区护理人员压力与儿童言语虐待和体罚之间的关联
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-14 DOI: 10.1080/00207411.2022.2098563
R. Jeharsae, Manusmeen Jehnok, Haneefah Jeh-alee, S. Waeteh, N. Nimu, C. Chewae, Malinee Yama, N. Dureh, W. Wichaidit
The objectives of this study are: (1) To describe the levels of parental stress, self-reported child verbal abuse and corporal punishment among caregivers, and;(2) To assess the extent that having moderate or higher levels of parental stress is associated with self-reported child verbal abuse and corporal punishment. We randomly sampled 12 villages and sampled 40 households per village in Thailand’s impoverished Deep South region in June 2020. Study participants included 466 caregivers residing in sampled households. Trained enumerators used the standard ST-5 questionnaire to measure stress level and asked the participants to self-report the study outcomes. We analyzed data using descriptive statistics and multivariate logistic regression analyses. Approximately 19.1% of caregivers reported moderate, high, or severe level of stress. Caregivers with moderate and higher levels of stress were more likely than caregivers with low level of stress to report child verbal abuse (48% vs. 23%, respectively;Adj. OR = 3.11, 95% CI = 1.90, 5.11) and corporal punishment (28% vs. 8%, respectively;Adj. OR = 2.62, 95% CI = 1.36, 5.04). We found associations between caregiver’s stress level and self-reported verbal abuse and corporal punishment of children in the household. However, social desirability, lack of details in the answers, and potential confounding by mental illness co-morbidities were notable limitations of the study. [ FROM AUTHOR] Copyright of International Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
本研究的目的是:(1)描述照顾者中父母压力、自我报告的儿童言语虐待和体罚的程度;(2) 评估中度或更高程度的父母压力与自我报告的儿童言语虐待和体罚的程度。2020年6月,我们在泰国贫困的深南地区随机抽取了12个村庄,每个村庄抽取了40户家庭。研究参与者包括居住在抽样家庭中的466名护理人员。经过培训的普查员使用标准的ST-5问卷来测量压力水平,并要求参与者自我报告研究结果。我们使用描述性统计和多变量逻辑回归分析来分析数据。大约19.1%的护理人员报告有中度、高度或重度压力。中等和较高压力水平的照顾者比低压力水平的护理者更有可能报告儿童言语虐待(分别为48%和23%;调整OR=3.11,95%CI=1.90,5.11)和体罚(分别为28%和8%;调整OR=2.62,95%CI=1.36,5.04)。我们发现照顾者的压力水平与自我报告的言语虐待和体罚之间存在关联惩罚家里的孩子。然而,社会可取性、答案中缺乏细节以及精神疾病合并症的潜在混淆是该研究的显著局限性。[作者]《国际心理健康杂志》版权归Taylor&Francis有限公司所有,未经版权持有人明确书面许可,不得将其内容复制或通过电子邮件发送到多个网站或发布到listserv。但是,用户可以打印、下载或通过电子邮件发送文章供个人使用。这可能会被删节。对复印件的准确性不作任何保证。用户应参考材料的原始发布版本以获取完整信息。(版权适用于所有人。)
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引用次数: 0
Mental health among left-behind children in Vietnam: Role of resilience 越南留守儿童的心理健康:适应能力的作用
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-12 DOI: 10.1080/00207411.2022.2098562
Dat Ba Nguyen, Luot Van Nguyen
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引用次数: 1
Global warming is a mental health issue: An editorial 全球变暖是一个心理健康问题:一篇社论
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-03 DOI: 10.1080/00207411.2022.2105522
Kévin Ghainder, Ségolène Dreyfuss Rusnac, Claudia Schettini, Come Lemière, E. Bui
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引用次数: 1
Grassroots collaborations to address the trauma of suicide: Establishing the first suicide prevention lifeline in the republic of Armenia 基层合作解决自杀创伤:在亚美尼亚共和国建立第一条自杀预防生命线
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-06-14 DOI: 10.1080/00207411.2022.2083392
A. Kalayjian, K. Huang, S. Sabbour, M. Yasin
Abstract As recent suicide statistics reveal, suicide can affect people of all demographics and regions. At an international level, suicide is one of the leading causes of death. Although it is unclear as to why suicide rates are increasing across the globe, proposed reasons include economic instability, the opioid crisis, and a lack of meaning. Therefore, it becomes critical to both educate and provide interventions to people contemplating suicide to help prevent an increase in suicides. The 7-Step Integrative Healing Model and telephone lifelines can serve as useful interventions as well as educational tools on emotional management and psychological care. In this paper, we present a case study of the establishment of a suicide prevention lifeline in Armenia, with emphasis on lessons learned from grassroots partnerships between MeaningfulWorld and the local communities.
摘要正如最近的自杀统计数据所显示的那样,自杀会影响所有人口和地区的人。在国际层面上,自杀是造成死亡的主要原因之一。尽管目前尚不清楚全球自杀率上升的原因,但提出的原因包括经济不稳定、阿片类药物危机和缺乏意义。因此,对打算自杀的人进行教育和干预,以帮助防止自杀人数增加,这一点变得至关重要。七步综合治疗模式和电话生命线可以作为有用的干预措施以及情绪管理和心理护理的教育工具。在本文中,我们介绍了在亚美尼亚建立自杀预防生命线的案例研究,重点是从有意义的世界和当地社区之间的基层伙伴关系中吸取的经验教训。
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引用次数: 1
Anxiety among hospital social workers in Ho Chi Minh City, Vietnam during the COVID-19 pandemic: Suggestions for social work administration 新冠肺炎大流行期间越南胡志明市医院社工的焦虑:对社工管理的建议
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-06-12 DOI: 10.1080/00207411.2022.2084671
Pham Tien Nam, N. Dung, N. Liem, Nguyen Tuan Hung, Tran Song Giang, Vu Thu Trang, Nguyen Thi Mai Lan, Tran Hoang Thi Diem Ngoc, Nguyen Xuan Long, T. Tung, L. T. Hoang, Nguyễn Thị Phượng, Nguyen Thi Thanh Tuyen, Vuong Ngoc Doan Thu, D. Ly, Vu Dung, L. T. Vui
Abstract Little is known about the anxiety of hospital social workers during the COVID-19 pandemic and their response to social work administration in mental health care for hospital social workers. This study investigated anxiety among hospital social workers in Ho Chi Minh City, Vietnam during the COVID-19 pandemic. A cross-sectional study was conducted in August 2021 among 577 hospital social workers. The study results show that 67.0% of hospital social workers experienced normal and mild anxiety levels, 19.5% reported a moderate level of anxiety, and 13.5% had a severe level of anxiety. In the regression models, significant factors related to anxiety levels among hospital social workers were hospital class, gender, type of housemate, and job satisfaction during the COVID-19 pandemic. Suggestions for social work administration are also discussed.
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引用次数: 2
Factors impeding psychiatrists from promoting smoking cessation among people with serious mental illness – A mixed methods study 阻碍精神病医生在患有严重精神疾病的人群中促进戒烟的因素-一项混合方法研究
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-30 DOI: 10.1080/00207411.2022.2079349
J. Kertes, Y. Neumark, L. Grunhaus, Orit Stein-Reisner
Abstract Psychiatrists' beliefs and behaviors regarding smoking cessation promotion among people with serious mental illness (PWSMI) have been cited as a barrier for PWSMI achieving successful abstinence. A mixed methods approach was employed to evaluate beliefs and practices of psychiatrists affiliated with a large HMO in Israel regarding smoking cessation among PWSMI. Fifty psychiatrists (43% response rate) completed a telephone survey and thirty psychiatrists interviewed using a semi-structured questionnaire. Most of the psychiatrists (84%) saw smoking cessation promotion as part of their role, but in-depth interviews revealed that only a third were routinely pro-active, with over half believing that few PWSMI are willing or capable of quitting smoking. Most of the study population felt that an attempt to quit smoking would not adversely affect their patients' mental health status, but many raised concerns regarding the safety of smoking cessation medications (SCM) amongst PWSMI. Factors associated with pro-active practice were knowledge regarding services and SCM, characteristics of patient caseload (proportion low-functioning) and psychiatrist’s smoking behavior. Psychiatrist-targeted interventions highlighting safety of SCM and promoting referral to smoking cessation services are indicated. Offering PWSMI-specific harm reduction as a first step to abstinence may offer psychiatrists an acceptable treatment alternative for the low-functioning patient.
{"title":"Factors impeding psychiatrists from promoting smoking cessation among people with serious mental illness – A mixed methods study","authors":"J. Kertes, Y. Neumark, L. Grunhaus, Orit Stein-Reisner","doi":"10.1080/00207411.2022.2079349","DOIUrl":"https://doi.org/10.1080/00207411.2022.2079349","url":null,"abstract":"Abstract Psychiatrists' beliefs and behaviors regarding smoking cessation promotion among people with serious mental illness (PWSMI) have been cited as a barrier for PWSMI achieving successful abstinence. A mixed methods approach was employed to evaluate beliefs and practices of psychiatrists affiliated with a large HMO in Israel regarding smoking cessation among PWSMI. Fifty psychiatrists (43% response rate) completed a telephone survey and thirty psychiatrists interviewed using a semi-structured questionnaire. Most of the psychiatrists (84%) saw smoking cessation promotion as part of their role, but in-depth interviews revealed that only a third were routinely pro-active, with over half believing that few PWSMI are willing or capable of quitting smoking. Most of the study population felt that an attempt to quit smoking would not adversely affect their patients' mental health status, but many raised concerns regarding the safety of smoking cessation medications (SCM) amongst PWSMI. Factors associated with pro-active practice were knowledge regarding services and SCM, characteristics of patient caseload (proportion low-functioning) and psychiatrist’s smoking behavior. Psychiatrist-targeted interventions highlighting safety of SCM and promoting referral to smoking cessation services are indicated. Offering PWSMI-specific harm reduction as a first step to abstinence may offer psychiatrists an acceptable treatment alternative for the low-functioning patient.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48417220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
INTERNATIONAL JOURNAL OF MENTAL HEALTH
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