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A rapid review to determine the suicide risk of separated men and the effectiveness of targeted suicide prevention interventions. 快速回顾以确定分居男性的自杀风险和有针对性的自杀预防干预措施的有效性。
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-09-15 DOI: 10.1080/18387357.2021.1977666
K. King, K. Krysińska, Angela Nicholas
ABSTRACT Objective: This rapid review aimed to understand the rates of suicidal ideation and behaviours in men who are separated from intimate relationships, the co-occurrence of risk factors, and the effectiveness of suicide prevention interventions for them in order to inform future suicide prevention efforts. Method: The review method followed a streamlined systematic review process which facilitates an expedited review of the evidence related to the review questions. We searched three academic databases (Cochrane, Medline and PsycINFO) for peer-reviewed articles published between 2010 and 2019 in English using keywords related to men who are separated from an intimate relationship; suicidal thoughts, attempts and deaths; suicide rates; and suicide prevention interventions. Results: Four systematic reviews and 22 papers featuring primary studies were included in the review relating to suicide rates and risk. No papers were identified relating to the effectiveness of suicide prevention interventions for this group. The evidence base was rated as good. The findings suggest that men who are separated from an intimate relationship are at higher risk of suicide. Discussion: The review identified an increased risk of suicide among men who are separated, but no evidence about the effectiveness of suicide prevention interventions for them. More work is needed to unpack the interplay between personal and sociodemographic factors and the risk of suicide for separated men in order to inform suicide prevention efforts with these men.
摘要目的:本研究旨在了解与亲密关系分离的男性自杀意念和行为的发生率、危险因素的共现情况,以及自杀预防干预措施的有效性,为未来的自杀预防工作提供依据。方法:审查方法遵循一个简化的系统审查过程,便于对审查问题相关的证据进行快速审查。我们检索了三个学术数据库(Cochrane、Medline和PsycINFO),检索了2010年至2019年期间发表的同行评议的英文文章,关键词是与亲密关系分离的男性;自杀念头、企图和死亡;自杀率;自杀预防干预。结果:四篇系统综述和22篇主要研究论文纳入了与自杀率和风险相关的综述。没有关于自杀预防干预对这一群体有效性的论文被确认。证据基础被评为良好。研究结果表明,与亲密关系分离的男性自杀的风险更高。讨论:该综述确定了分居男性的自杀风险增加,但没有证据表明自杀预防干预对他们有效。需要更多的工作来揭示个人和社会人口因素与分居男性自杀风险之间的相互作用,以便为这些男性的自杀预防工作提供信息。
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引用次数: 2
Job satisfaction and burnout among peer support specialists: the contributions of supervisory mentorship, recovery-oriented workplaces, and role clarity 同伴支持专家的工作满意度和倦怠:监督指导、康复导向工作场所和角色清晰度的贡献
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-09-15 DOI: 10.1080/18387357.2021.1977667
Kristen M. Abraham, Paige Erickson, M. Sata, Samantha Lewis
ABSTRACT Objective This study evaluated whether supervisory mentorship contributed to peer support specialists’ job satisfaction and burnout via pathways of role clarity and psychological empowerment after accounting for effects of demographic and workplace characteristics. The study also evaluated whether the recovery-orientation of the workplace contributed to peers’ job satisfaction and burnout. Method Peer support specialists from the United States (N = 117) completed an online questionnaire containing established self-report measures and questions about demographic and workplace characteristics. Results Multiple regression analysis indicated the included variables accounted for 61.9% of variance (p < .001) in job satisfaction and that mentoring from supervisors and a recovery-oriented workplace significantly (ps < .05) predicted job satisfaction. In a second multiple regression analysis, included variables accounted for 28.7% of variance (p < .01) in emotional exhaustion (the emotional component of burnout), where role clarity significantly (p < .05) predicted less emotional exhaustion. Mediation analyses of the cross-sectional data did not support the hypothesis that aspects of the supervisory relationship contributed to job satisfaction and burnout through role clarity and psychological empowerment. Discussion Mentoring from supervisors and the recovery-orientation of the workplace contribute to peers’ job satisfaction after accounting for factors, including role clarity and supervisory working alliance. Improving supervisors’ mentoring skills and adopting a recovery-orientation in mental health settings may bolster peers’ job satisfaction. Increasing peers’ role clarity may reduce burnout. Longitudinal research is needed to clarify associations between factors that may facilitate role clarity and mitigate burnout among peers.
摘要目的本研究在考虑人口统计学和工作场所特征的影响后,通过角色明晰和心理授权的途径,评估监督指导是否对同伴支持专家的工作满意度和职业倦怠有影响。研究还评估了工作场所的恢复导向是否对同伴的工作满意度和倦怠有影响。方法来自美国的同行支持专家(N = 117)完成了一份在线调查问卷,其中包含已建立的自我报告措施以及人口统计和工作场所特征问题。结果多元回归分析显示,被纳入变量对工作满意度的方差占61.9% (p < 0.001),主管指导和以恢复为导向的工作场所对工作满意度有显著影响(p < 0.05)。在第二次多元回归分析中,包括变量在情绪衰竭(倦怠的情绪成分)中占28.7%的方差(p < 0.01),其中角色清晰显著(p < 0.05)预测更少的情绪衰竭。横断面数据的中介分析不支持管理关系的各个方面通过角色明晰和心理授权对工作满意度和职业倦怠有贡献的假设。在考虑了角色明晰和主管工作联盟等因素后,主管指导和工作场所的恢复导向对同伴的工作满意度有促进作用。提高导师的指导技能和在心理健康环境中采取康复导向可以提高同伴的工作满意度。提高同事的角色清晰度可能会减少倦怠。需要进行纵向研究,以澄清可能促进角色清晰和减轻同伴倦怠的因素之间的联系。
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引用次数: 14
Championing our peer reviewers during the pandemic 在大流行期间支持我们的同行审稿人
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-09-02 DOI: 10.1080/18387357.2021.1985298
A. Reupert
For Editors, or at least for me, the peer review process can be instructive, helpful and stimulating, but also at times frustrating (I have one paper where I requested 23 reviewers before two reviewers accepted the invitation to review). It can be challenging to find appropriate reviewers and ensure they deliver timely, fair and constructive reports that serve to make the paper stronger, and hopefully not crush the authors’ spirits (too much), even if it is eventually a ‘reject’. Over the course of the pandemic, I have seen an increase in the number of submissions during the pandemic. Others have also commented on the unprecedented volume of research conducted during this time and the subsequent number of papers submitted to journals (Bauchner, Fontanarosa, & Golub, 2020). However, the quality of some COVID-related papers is at times questionable and where the tendency to deliver quick research has come at the expense of rigorous research. For example, of the total number of COVID-related papers submitted to Advances in Mental Health, 70% were rejected without going to review, with others still in review (and so possibly rejected in the long term). This is unfortunate because now more than ever it is critical that we offer timely, evidence-based articles that can be used to influence clinical practice and policy. Simultaneously, I have found it significantly more challenging to find reviewers during the pandemic, and I am not sure why, given the increase in publications. You would hope that as authors submit (and sometimes publish) more, they would review more, though I acknowledge that one does not necessarily follow the other. It could be that the pandemic has created a new field of research in which many do not feel confident to review. Additionally, recent trends suggest that the pandemic has impacted researchers differently, along gendered lines. As a result of stay-at-home orders and increased caring responsibilities, many academic women have struggled to research, resulting in a decreased number of publications by women, even though the proportion of research published by men has increased (Allen et al., 2021). Others have shown that men and women review papers differently (König & Ropers, 2021) but how the pandemic may have impacted peer reviewers along gender lines (including agreeing to review) is not clear. Research might be conducted to examine the proportionate number of women/male reviewers before and during the pandemic to explore this further. Notwithstanding these issues, this editorial serves to champion the many reviewers we call on for Advances in Mental Health, and especially during the pandemic. The peer review process is not without its critics, who point out that the process can result in publication delays and may not always identify errors, fraud or authors’ unethical behaviour. Peer reviewers can also be biased (either consciously or not) towards certain authors (on the basis of their gender, country or first language),
对编辑们来说,或者至少对我来说,同行评议过程可能是有益的、有益的、令人兴奋的,但有时也会令人沮丧(我有一篇论文,我邀请了23位评议人,最后才有两位评议人接受了邀请)。找到合适的审稿人,并确保他们提供及时、公平和建设性的报告,使论文更有说服力,并且希望不要摧毁作者的精神(太多),这可能是一项挑战,即使它最终被“拒绝”。在大流行期间,我看到大流行期间提交的材料数量有所增加。其他人也评论了在此期间进行的前所未有的研究数量以及随后提交给期刊的论文数量(Bauchner, Fontanarosa, & Golub, 2020)。然而,一些与新冠病毒有关的论文的质量有时存在问题,而且提供快速研究的趋势是以牺牲严谨研究为代价的。例如,在提交给《精神卫生进展》的与covid相关的论文总数中,70%的论文没有经过审查就被拒绝了,其他论文仍在审查中(因此可能长期被拒绝)。这是不幸的,因为现在比以往任何时候都更重要的是,我们提供及时的、基于证据的文章,可以用来影响临床实践和政策。与此同时,我发现在大流行期间寻找审稿人要困难得多,鉴于出版物的增加,我不确定原因。你可能希望,随着作者提交的文章(有时是发表的文章)越来越多,他们的评论也会越来越多,尽管我承认,两者之间并不一定是相互依存的。可能是大流行创造了一个新的研究领域,许多人没有信心对其进行审查。此外,最近的趋势表明,大流行对研究人员的影响是不同的,按性别划分。由于呆在家里的命令和照顾责任的增加,许多学术女性很难进行研究,导致女性发表的论文数量减少,尽管男性发表的研究比例有所增加(Allen et al., 2021)。其他研究表明,男性和女性审查论文的方式不同(König & Ropers, 2021),但目前尚不清楚大流行如何影响按性别区分的同行审稿人(包括同意审查)。可以开展研究,在大流行之前和期间检查女性/男性审稿人的比例,以进一步探讨这一点。尽管存在这些问题,这篇社论还是为我们呼吁的许多审稿人提供支持,以促进精神卫生方面的进展,特别是在大流行期间。同行评议过程并非没有批评者,他们指出,这一过程可能导致出版延迟,而且可能并不总能发现错误、欺诈或作者的不道德行为。同行审稿人也可能对某些作者(基于他们的性别、国家或第一语言)、主题材料或方法方法(Walker & Rocha da Silva, 2015)有偏见(有意或无意)。一些审稿人认为这个过程是推动他们自己研究的机会,例如,要求作者引用审稿人自己的论文。评审过程可能会阻碍创新,因为它会拒绝那些提出替代方法或方法的论文,这些方法或方法与公认的或主流实践不同。然而,
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引用次数: 1
Longitudinal relations between needs satisfaction and physical activity among psychiatric patients with dual diagnoses 双重诊断精神病人需求满足与体力活动的纵向关系
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-07-14 DOI: 10.1080/18387357.2021.1949360
Marte Bentzen, Anders Farholm, A. Ivarsson, M. Sørensen
ABSTRACT Objectives Studies including people with severe mental illness (SMI) have reported beneficial effects from physical activity (PA) on psychiatric symptoms, quality of life, and global functioning. However, it is important to be regularly physically active to obtain these effects. Using the motivational lens of self-determination theory, the aim of the current study was to explore the dynamic interplay between satisfaction of psychological needs (autonomy, competence, relatedness) in PA and the patients’ weekly PA level. Methods The study had a longitudinal design, following 10 in-patients with dual diagnoses (SMI and addiction) over 12 weeks at a psychiatric ward offering physical activity as part of treatment. Data were collected 14 times with a questionnaire measuring psychological need satisfaction, while an accelerometer was used to objectively count steps to reflect participants average PA-level each week. To analyse the week-to-week relationships between the basic psychological needs and PA-level, the Bayesian dynamic p-technique analysis was used to explore both cross-sectional-, autoregressive- as well as cross-lagged effects between the constructs. Results The results indicated credible and strong positive autoregressive effects for all three psychological needs as well as for PA-level, and positive credible cross-sectional associations between all three psychological needs and PA-level. However, the cross-lagged effects were small and not credible for all three psychological needs in relation to PA-level. Conclusions In total, these results support the established positive relation between basic psychological need satisfaction and PA-level yet failed in finding any predictive effects between need satisfaction and PA-level.
包括重度精神疾病(SMI)患者在内的研究报告了身体活动(PA)对精神症状、生活质量和整体功能的有益影响。然而,重要的是要有规律的身体活动来获得这些效果。本研究运用自我决定理论的动机视角,探讨心理需求满意度(自主性、能力、亲缘性)与患者每周心理需求水平之间的动态相互作用。方法:本研究采用纵向设计,对10名双重诊断(重度精神分裂症和成瘾)的住院患者进行了为期12周的跟踪调查,这些患者在精神科病房接受了体育锻炼作为治疗的一部分。采用心理需求满意度问卷收集14次数据,采用加速度计客观计数步数,反映参与者每周平均pa水平。为了分析基本心理需求与pa水平之间的周与周关系,本研究采用贝叶斯动态p-技术分析,探讨了构式之间的横截面效应、自回归效应和交叉滞后效应。结果三种心理需求和pa水平均存在显著的正自回归效应,且三种心理需求与pa水平呈显著的正相关。然而,与pa水平相关的三种心理需求的交叉滞后效应较小且不可信。结论总体而言,本研究结果支持基本心理需求满意度与pa水平之间的正相关关系,但未发现需求满意度与pa水平之间存在预测效应。
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引用次数: 1
Suicide prevention gatekeeper training for those supporting refugees and asylum seekers: perspectives of participants 为支持难民和寻求庇护者提供自杀预防看门人培训:参与者的观点
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-07-07 DOI: 10.1080/18387357.2021.1948799
M. Posselt, M. Loughhead, Monika Ferguson, Heather McIntyre, M. Kenny, N. Procter
ABSTRACT This research explored participants’ experience and perceptions of a two-day suicide prevention education programme, and any impact that it has had on them and their work with refugees and asylum seekers since. At approximately six months post-training (May to September 2018), semi-structured telephone interviews were conducted with 15 participants. The interviews were audio-recorded, transcribed, and thematically analysed. Thematic analysis of the data identified two overarching themes and five subthemes. The two overarching themes were: (1) Changes to the individual and their practice; and (2) The culture and context of the work. Participants described a range of impacts that the training had on them and their workplace, in both personal and professional domains. The study findings suggest that equipping workers with skills and knowledge in culturally tailored and evidence-based suicide prevention can lead to an increased sense of hope, optimism, confidence, and agency and reportedly enabled workers to more readily intervene when presented with clients directly or indirectly communicating suicidal ideation. Findings support existing literature regarding gatekeeper training effectiveness. However, given the unique context of asylum seeker and refugee suicide, they also extend our understanding of the impact of bespoke or tailored approaches to gatekeeper training.
本研究探讨了参与者对为期两天的自杀预防教育计划的体验和看法,以及该计划对他们和他们在难民和寻求庇护者方面的工作产生的影响。在培训后大约六个月(2018年5月至9月),对15名参与者进行了半结构化的电话采访。访谈录音、文字记录和主题分析。对数据的专题分析确定了两个总体主题和五个次级主题。两个主要的主题是:(1)个人及其实践的变化;(2)工作的文化和背景。参与者描述了培训对他们及其工作场所的一系列影响,包括个人和专业领域。研究结果表明,为员工提供文化定制和循证自杀预防方面的技能和知识,可以增加希望、乐观、自信和能动性,据报道,当客户直接或间接地传达自杀意念时,员工可以更容易地进行干预。研究结果支持关于看门人培训有效性的现有文献。然而,鉴于寻求庇护者和难民自杀的独特背景,它们也扩展了我们对定制或量身定制方法对看门人培训的影响的理解。
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引用次数: 3
Self-help tool: risk management and improving mental wellbeing of New Zealand adolescents 自助工具:风险管理和改善新西兰青少年的心理健康
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-06-20 DOI: 10.1080/18387357.2021.1942100
Dallas Frederikson, M. Shepherd, Ben Te Maro, S. Hetrick
ABSTRACT Objective This study aimed to understand the experience of school staff managing students who engage in self-harm and the role of a digital self-help tool in enhancing the mental well-being of adolescents in New Zealand. Method Semi-structured interviews with six members of staff across two high schools in South Canterbury, New Zealand, were conducted to gain feedback on their experience of responding to adolescents who are engaging in or have ideation of self-harm. Results Using thematic analysis, four themes were highlighted from the data; causes of self-harm, agencies, confidentiality and use of digital tools. This study emphasises the influence of predisposing factors and identifies current barriers for adolescents seeking help. This study identified how a digital self-help tool could eliminate some of the help-seeking barriers that prevent adolescents from seeking mental health support. Discussion The results of the study indicate that a self-help app could be beneficial for adolescents as a means of accessing help for psychological issues. Recommendations for the app include ensuring it is discreet and confidential and that it suggests alternate behaviours for the young person to engage in as a replacement for self-harming behaviour.
摘要目的本研究旨在了解新西兰学校工作人员管理自残学生的经验,以及数字自助工具在提高青少年心理健康方面的作用。方法对新西兰南坎特伯雷两所高中的六名教师进行半结构化访谈,以获得他们对正在从事或有自残想法的青少年的反应经验。结果通过主题分析,从数据中突出了四个主题;自残的原因,机构,保密性和数字工具的使用。这项研究强调了诱发因素的影响,并确定了目前青少年寻求帮助的障碍。这项研究确定了数字自助工具如何消除一些阻碍青少年寻求心理健康支持的求助障碍。研究结果表明,自助应用程序作为一种获取心理问题帮助的手段,可能对青少年有益。对这款应用的建议包括确保它是谨慎和保密的,并为年轻人提供替代行为,以取代自残行为。
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引用次数: 1
Key stakeholders’ recommendations for improving Australian news media reporting of people with severe mental illness, violence and crime 主要利益相关者关于改善澳大利亚新闻媒体对严重精神疾病、暴力和犯罪患者的报道的建议
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-06-16 DOI: 10.1080/18387357.2021.1942101
Anna M. Ross, A. Morgan, A. Wake, A. Jorm, N. Reavley
ABSTRACT Objective Media portrayals of severe mental illness, including schizophrenia, psychosis and bipolar disorders, are often negative or prominently linked to violence or crime and consequently have a negative influence on public attitudes and behaviours. This study aimed to determine key stakeholders’ recommendations for improving news reporting of severe mental illness in the context of violence and crime. Method Semi-structured interviews were conducted with Australian key stakeholders including people with lived experience of severe mental illness (n = 12), news media professionals (n = 12) and mental health professionals (n = 8) with expertise in media reporting of mental illness. Data were analysed thematically. Results Recommendations for improving news reports of violence and crime were consistent with existing guidance for reporting on mental illness more generally. This covered inclusion of positive stories of the lived experience of severe mental illness, avoiding undue prominence of severe mental illness, and discussing underlying broader social issues. The importance of improving media professionals’ understanding of mental illnesses such as schizophrenia, psychosis and bipolar disorder was emphasised. Additional supports and resources were acknowledged as being necessary to facilitate change to media portrayals. Incentives for improving media portrayals barriers and enablers were also discussed. Discussion These findings indicate that it would be useful and feasible to implement guidelines for media reporting on severe mental illness that provide specific and detailed guidance for reporting on violence and crime. Feedback from participants has already informed the development of these guidelines, and the findings of this study will inform their implementation to help ensure widespread dissemination and uptake.
媒体对严重精神疾病的描述,包括精神分裂症、精神病和双相情感障碍,往往是负面的或与暴力或犯罪显著相关,从而对公众的态度和行为产生负面影响。本研究旨在确定主要利益攸关方对在暴力和犯罪背景下改善严重精神疾病新闻报道的建议。方法对澳大利亚的主要利益相关者进行半结构化访谈,包括有严重精神疾病生活经历的人(n = 12)、新闻媒体专业人员(n = 12)和具有精神疾病媒体报道专业知识的精神卫生专业人员(n = 8)。数据按主题进行分析。结果改进暴力和犯罪新闻报道的建议与更普遍地报道精神疾病的现行指导是一致的。这包括收录严重精神疾病生活经历的积极故事,避免过分突出严重精神疾病,并讨论潜在的更广泛的社会问题。会议强调了提高媒体专业人员对精神分裂症、精神病和双相情感障碍等精神疾病的理解的重要性。会议确认需要额外的支持和资源,以促进改变媒体的描述。还讨论了改善媒体描述、障碍和促成因素的激励措施。这些调查结果表明,为媒体报道严重精神疾病提供具体和详细的指导,为报道暴力和犯罪提供指导,将是有用和可行的。参与者的反馈已经为这些准则的制定提供了信息,这项研究的结果将为这些准则的实施提供信息,以帮助确保广泛传播和吸收。
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引用次数: 6
Determinants of employee mental health in the South African public service: the role of organizational citizenship behaviours and workplace social support 南非公共服务部门雇员心理健康的决定因素:组织公民行为和工作场所社会支持的作用
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-06-08 DOI: 10.1080/18387357.2021.1938153
M. Mathibe, W. Chinyamurindi
ABSTRACT Objective The paper explores the mediating effect of workplace social support on the relationship between organizational citizenship behaviour and employee mental health amongst public service employees in South Africa. Methods A survey approach was utilized amongst a sample of 289 conveniently selected public service employees in the Eastern Cape Province of South Africa. Results The results confirm that a direct relationship exists between organizational citizenship behaviour and employee mental health. Further, the association is made significant only through the mediation effect of workplace social support. Discussion The study focuses on the importance of intra-organizational behaviours such as organizational citizenship in promoting employee mental health aspects. Such a focus becomes essential, especially when the South African public service is noted to be in a state of flux and often affects employee work behaviours, including their health. The findings heighten focus on the importance of developing behaviours such as those that promote organizational citizenship coupled with efforts related to workplace social support. In essence, by serving others within the workplace and the entire organization, employees contribute to their mental health. The findings are a valuable precursor to interventions that assist not only the organization but also employees. Video Abstract Read the transcript Watch the video on Vimeo © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
摘要目的探讨工作场所社会支持在南非公共服务部门员工组织公民行为与员工心理健康关系中的中介作用。方法在南非东开普省方便选择的289名公共服务雇员中采用调查方法。结果组织公民行为与员工心理健康之间存在直接关系。此外,仅通过工作场所社会支持的中介作用,该关联才显着。本研究的重点是组织内行为,如组织公民在促进员工心理健康方面的重要性。这种重点变得至关重要,特别是在南非公共服务处于变动状态并经常影响雇员的工作行为,包括他们的健康的情况下。研究结果强调了发展行为的重要性,比如那些促进组织公民意识的行为,以及与工作场所社会支持相关的努力。从本质上讲,通过在工作场所和整个组织中为他人服务,员工为自己的心理健康做出了贡献。这些发现是一个有价值的先兆,可以帮助组织和员工进行干预。视频摘要阅读文本观看视频在Vimeo©2021作者(s)。由Informa UK Limited出版,以Taylor & Francis Group的名义进行交易
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引用次数: 8
Mental wellbeing and psychological distress in the UK during the COVID-19 pandemic: a comparison across time COVID-19大流行期间英国的心理健康和心理困扰:跨时间的比较
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-05-27 DOI: 10.1080/18387357.2022.2039072
James Knowles, Nicola S. Gray, A. John, Christopher O’Connor, J. Pink, Nicola J. Simkiss, R. Snowden
ABSTRACT Objective This study aimed to assess the trajectory of wellbeing and psychological distress in a UK sample by comparing data taken from the first and second UK lockdowns. Method Wellbeing (indexed via the Warwick-Edinburgh Mental Wellbeing Scale) and psychological distress (indexed via the K10) were measured in two surveys in large online samples from Wales, UK. The first survey (n = 12,989) took place 11–16 weeks into the first UK lockdown and the second survey (n = 10,428) took place 4–11 weeks into the second UK lockdown. Results Levels of wellbeing were lower in the second survey compared to the first survey, which were already low compared to pre-pandemic data (2019). Clinically significant levels of psychological distress were found in 40.4% of participants in the second survey, representing a 9.8% increase in prevalence from the first survey. Poorer mental health was found in women, younger adults, and those from deprived areas. The greatest reduction in mental health was found in the youngest age group (16-24 years old). Discussion The COVID-19 pandemic and the measures taken to curb its spread continue to negatively impact the wellbeing of the UK population.
摘要目的本研究旨在通过比较英国第一次和第二次封锁期间的数据,评估英国样本的幸福感和心理困扰的轨迹。方法对来自英国威尔士的大型在线样本进行两项调查,测量幸福感(通过沃里克-爱丁堡心理健康量表索引)和心理困扰(通过K10索引)。第一次调查(n = 12,989)在英国第一次封锁后11-16周进行,第二次调查(n = 10,428)在英国第二次封锁后4-11周进行。与第一次调查相比,第二次调查的幸福感水平较低,而与大流行前(2019年)的数据相比,第二次调查的幸福感水平已经很低。在第二次调查中,40.4%的参与者存在临床显著程度的心理困扰,比第一次调查的患病率增加了9.8%。女性、年轻人和贫困地区的人心理健康状况较差。最年轻年龄组(16-24岁)的心理健康状况下降幅度最大。2019冠状病毒病大流行以及为遏制其传播所采取的措施继续对英国人民的福祉产生负面影响。
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引用次数: 3
What is recovery? Views of psychologists in private practice 什么是恢复?心理学家在私人执业中的观点
IF 1.4 Q3 PSYCHIATRY Pub Date : 2021-05-08 DOI: 10.1080/18387357.2021.1924067
Phillip Tchernegovski, Ridhima Malhotra, S. Stewart
ABSTRACT Objective Personal recovery is a concept that emphasises an individual’s unique process of achieving a meaningful and fulfilling life, even if mental illness symptoms are ongoing. This is in contrast to clinical perspectives that focus on reducing or eliminating symptoms. The aim of this study was to examine private practice psychologists’ perceptions of recovery in the context of mental illness. Method Semi-structured interviews were completed with eight psychologists who worked in private practice in Victoria, Australia. Analysis was conducted with Interpretative Phenomenological Analysis. Results Six of the eight participants were not familiar with frameworks of recovery. Instead, their views had largely been shaped by interactions with clients. There was a view that clients undertake a unique journey towards greater functioning and reflective awareness. Symptom reduction was also considered part of this journey. The therapeutic relationship with clients was viewed as crucial to recovery. Discussion Efforts are needed to educate mental health practitioners working in private practice about recovery. Mechanisms to achieve this could be the inclusion of recovery frameworks in pre-registration courses, directing recovery-focused training and resources towards the private practice sector and establishing explicit links between recovery and commonly employed therapeutic interventions.
【摘要】【目的】个人康复是一个概念,强调个人实现有意义和充实生活的独特过程,即使精神疾病症状持续存在。这与注重减轻或消除症状的临床观点相反。本研究的目的是检验私人执业心理学家在精神疾病背景下对康复的看法。方法对8名在澳大利亚维多利亚州私人诊所工作的心理学家进行半结构化访谈。分析采用解释性现象学分析。结果8名参与者中有6名不熟悉康复框架。相反,他们的观点在很大程度上是通过与客户的互动形成的。有一种观点认为,客户进行了一次独特的旅程,以实现更大的功能和反思意识。减轻症状也被认为是这一过程的一部分。与来访者的治疗关系被视为康复的关键。需要努力教育在私人诊所工作的心理健康从业人员关于康复的知识。实现这一目标的机制可以是在注册前课程中纳入康复框架,将康复培训和资源导向私人执业部门,并在康复和常用的治疗干预措施之间建立明确的联系。
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引用次数: 2
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Advances in Mental Health
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