Pub Date : 2018-09-27DOI: 10.33140/ijp/03/03/00005
Research on international adoption has indicated that a majority of children present with a variety of special needs [1, 2]. Researchers often cite the institutional environment as the source of special needs in foreign adopted children [3, 4]. While the current article provides a general overview of developmental delays and deficits in post-institutionalized children, the overriding tenet is a call for better identification of pre- and perinatal risk factors in post-institutionalized children. The Prenatal History “Wild Card”: Inherent Difficulties Accounting for Prenatal and Perinatal Risk Factors in Samples of Post-institutionalized Children Over the past decade and a half, an increasing body of literature pertaining to international adoption has emerged. In 2004 alone, the U.S. Department of State reported more than 20,000 children were adopted from foreign countries [2]. In the United States however, the number of international adoptions have more than doubled since 1992 [5]. While similarities exist between international and domestic adoptions, children adopted from foreign countries present a number of unique issues and challenges [6]. Many of these issues and challenges stem from the fact that internationally-adopted children are very likely to have experienced out-of-home or institutionalized care. Gunnar, Grotevant and Johnson’s survey of internationally adopted children in Minnesota for example, indicated that prior to adoption 72% had experienced multiple transitions [7]. In addition Johnson suggests that roughly the same number of children adopted from foreign countries have a history of institutionalization [6]. There is now considerable evidence linking numerous poor developmental outcomes to children with a history of institutionalization [1; 8]. These findings are not surprising when considering the likelihood of exposure to the many conditions hazardous to physical, cognitive and socio-emotional development institutionalized children may face [2]. It is now well recognized, for example, that many foreign orphanages are understaffed, and institutionalized children will likely experience malnutrition, attachment problems and cognitive delays and deficits [1]. It may be obvious to even the casual observer that poor developmental outcomes are a direct result of early caretaker neglect and insufficient stimulation in the institutionalized setting. However, the general assumption that such outcomes are a direct result of the institutionalized environment is only part of the story. Although the relative contribution of nature and nurture to human development has been argued for centuries, a current review of the literature on post-institutionalized children is overwhelmingly focused on the post-natal (nurture) influences. While it is usually recognized that pre-and-perinatal influences contribute, the recognition is typically based on assumptions and speculation without the support of empirical data. The following sections will highlig
{"title":"Inherent Difficulties Accounting for Prenatal and Perinatal Risk Factors in Samples of Post-institutionalized Children","authors":"","doi":"10.33140/ijp/03/03/00005","DOIUrl":"https://doi.org/10.33140/ijp/03/03/00005","url":null,"abstract":"Research on international adoption has indicated that a majority of children present with a variety of special needs [1, 2]. Researchers often cite the institutional environment as the source of special needs in foreign adopted children [3, 4]. While the current article provides a general overview of developmental delays and deficits in post-institutionalized children, the overriding tenet is a call for better identification of pre- and perinatal risk factors in post-institutionalized children. The Prenatal History “Wild Card”: Inherent Difficulties Accounting for Prenatal and Perinatal Risk Factors in Samples of Post-institutionalized Children Over the past decade and a half, an increasing body of literature pertaining to international adoption has emerged. In 2004 alone, the U.S. Department of State reported more than 20,000 children were adopted from foreign countries [2]. In the United States however, the number of international adoptions have more than doubled since 1992 [5]. While similarities exist between international and domestic adoptions, children adopted from foreign countries present a number of unique issues and challenges [6]. Many of these issues and challenges stem from the fact that internationally-adopted children are very likely to have experienced out-of-home or institutionalized care. Gunnar, Grotevant and Johnson’s survey of internationally adopted children in Minnesota for example, indicated that prior to adoption 72% had experienced multiple transitions [7]. In addition Johnson suggests that roughly the same number of children adopted from foreign countries have a history of institutionalization [6]. There is now considerable evidence linking numerous poor developmental outcomes to children with a history of institutionalization [1; 8]. These findings are not surprising when considering the likelihood of exposure to the many conditions hazardous to physical, cognitive and socio-emotional development institutionalized children may face [2]. It is now well recognized, for example, that many foreign orphanages are understaffed, and institutionalized children will likely experience malnutrition, attachment problems and cognitive delays and deficits [1]. It may be obvious to even the casual observer that poor developmental outcomes are a direct result of early caretaker neglect and insufficient stimulation in the institutionalized setting. However, the general assumption that such outcomes are a direct result of the institutionalized environment is only part of the story. Although the relative contribution of nature and nurture to human development has been argued for centuries, a current review of the literature on post-institutionalized children is overwhelmingly focused on the post-natal (nurture) influences. While it is usually recognized that pre-and-perinatal influences contribute, the recognition is typically based on assumptions and speculation without the support of empirical data. The following sections will highlig","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46083741","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}
Pub Date : 2018-08-25DOI: 10.33140/ijp/03/03/00004
Introduction: Ependymomas are neuroepithelial tumors of variable morphological appearance whose treatment of choice is surgical. They represent 13% of intraspinal tumors and constitute 40% of spinal tumors in adults. In Cuba there are few studies about this pathology, hence the main objective is to evaluate the behavior of intraspinalependymomas in the Neurology and Neurosurgery Institute. Patients and Methods: A retrospective descriptive study of 47 patients operated on with a histological diagnosis of intraspinalependymomas in a period of 22 years was carried out. Results: In the patients studied, 51% started with a radicular syndrome. In ependymomas, the most frequent histology was myxopapillary (34%) and the terminal filum was the location that prevailed (48.9%). A total resection was achieved in 51.1%, postoperative complications were not frequent, being the cerebrospinal fluid fistula (19.1%) the most frequent. Half of the subjects evolved favorably. 40.4% of the intraspinalependymomas studied were from intracranial tumors, and of these 73.7% recurred. Primary spinal tumors did not disseminate in 92.9% of cases. Conclusions: Intraspinalependymomas may be primary of the spine or disseminations / metastases of other locations of the neuraxis. The disseminations do not depend on the degree or histological type. Spinal ependymomas have a high rate of tumor recurrence. The adequate postoperative functional recovery depends on an early diagnosis of intratrachealependymomas and the degree of surgical resection.
{"title":"Intraspinalependymomas and Their Association with Metastasis/ Disseminations in Patients Over a Period of 22 Years","authors":"","doi":"10.33140/ijp/03/03/00004","DOIUrl":"https://doi.org/10.33140/ijp/03/03/00004","url":null,"abstract":"Introduction: Ependymomas are neuroepithelial tumors of variable morphological appearance whose treatment of choice is surgical. They represent 13% of intraspinal tumors and constitute 40% of spinal tumors in adults. In Cuba there are few studies about this pathology, hence the main objective is to evaluate the behavior of intraspinalependymomas in the Neurology and Neurosurgery Institute. Patients and Methods: A retrospective descriptive study of 47 patients operated on with a histological diagnosis of intraspinalependymomas in a period of 22 years was carried out. Results: In the patients studied, 51% started with a radicular syndrome. In ependymomas, the most frequent histology was myxopapillary (34%) and the terminal filum was the location that prevailed (48.9%). A total resection was achieved in 51.1%, postoperative complications were not frequent, being the cerebrospinal fluid fistula (19.1%) the most frequent. Half of the subjects evolved favorably. 40.4% of the intraspinalependymomas studied were from intracranial tumors, and of these 73.7% recurred. Primary spinal tumors did not disseminate in 92.9% of cases. Conclusions: Intraspinalependymomas may be primary of the spine or disseminations / metastases of other locations of the neuraxis. The disseminations do not depend on the degree or histological type. Spinal ependymomas have a high rate of tumor recurrence. The adequate postoperative functional recovery depends on an early diagnosis of intratrachealependymomas and the degree of surgical resection.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44117075","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}
Pub Date : 2018-07-25DOI: 10.33140/ijp/03/03/00003
Background: According to the WHO, worldwide about 800 000 people die by suicide every year - one person every 40 seconds. There is evidence that for each death by suicide, more than 20 other people attempt suicide. Conclusions: The implications of the data indicate that it is very important to have the right support for people with suicidal ideation in place. Contextual-Conceptual Therapy (CCT) can offer this support.
{"title":"Contextual-Conceptual Therapy (CCT)","authors":"","doi":"10.33140/ijp/03/03/00003","DOIUrl":"https://doi.org/10.33140/ijp/03/03/00003","url":null,"abstract":"Background: According to the WHO, worldwide about 800 000 people die by suicide every year - one person every 40 seconds. There is evidence that for each death by suicide, more than 20 other people attempt suicide. Conclusions: The implications of the data indicate that it is very important to have the right support for people with suicidal ideation in place. Contextual-Conceptual Therapy (CCT) can offer this support.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41956977","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}
Pub Date : 2018-07-16DOI: 10.4172/2161-0487-C1-024
ita Chaube
Methodology & Theoretical Orientation: 34 participants who joined an eight week mindfulness course, which was held for the staff in our hospital, finished the Chinese versions of Interpersonal Behavior Survey (IBS), Millon Clinical Multiaxial Inventory III (MCMI-III), and General Self-efficacy Scale before and after the course. MCMI-III was a tool screening for emotional distress and maladjusted traits that might deserve further help and none of personality change was expected.
{"title":"Rohingya crisis and national well-being: An Indian perspective towards humanity and reality","authors":"ita Chaube","doi":"10.4172/2161-0487-C1-024","DOIUrl":"https://doi.org/10.4172/2161-0487-C1-024","url":null,"abstract":"Methodology & Theoretical Orientation: 34 participants who joined an eight week mindfulness course, which was held for the staff in our hospital, finished the Chinese versions of Interpersonal Behavior Survey (IBS), Millon Clinical Multiaxial Inventory III (MCMI-III), and General Self-efficacy Scale before and after the course. MCMI-III was a tool screening for emotional distress and maladjusted traits that might deserve further help and none of personality change was expected.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70445054","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}
Pub Date : 2018-07-14DOI: 10.33140/ijp/03/03/00002
Persistent genital arousal disorder has been identified as a condition of often unprovoked genital arousal and is not well understood. A number of potential causes have been proposed such the pudendal neuralgia. We present a woman with a history of depression who consulted for unwanted genital arousal. The patient experienced a partial improvement with cognitive behavior and antidepressant therapies. Symptoms were disappearing with rehabilitation for pudendal neuralgia. This case illustrates the need to recognize atypical persistent genital arousal, as these patients report unusual symptoms that should alert the physician.
{"title":"Persistent Genital Arousal in a Woman with Pudendal Neuralgia","authors":"","doi":"10.33140/ijp/03/03/00002","DOIUrl":"https://doi.org/10.33140/ijp/03/03/00002","url":null,"abstract":"Persistent genital arousal disorder has been identified as a condition of often unprovoked genital arousal and is not well\u0000understood. A number of potential causes have been proposed such the pudendal neuralgia. We present a woman with a history\u0000of depression who consulted for unwanted genital arousal. The patient experienced a partial improvement with cognitive\u0000behavior and antidepressant therapies. Symptoms were disappearing with rehabilitation for pudendal neuralgia. This case\u0000illustrates the need to recognize atypical persistent genital arousal, as these patients report unusual symptoms that should\u0000alert the physician.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46076032","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}
Pub Date : 2018-07-02DOI: 10.33140/ijp/03/03/00001
This research paper aims to fill a gap in the literature by reporting on the effects of an integrated, targeted, mindful eating program. The program ‘The Dear Body - Loving the Body and Freeing the Mind – based on six mindfulness practices’ (The Dear Body program) is currently offered in Australia and Bali as live-in retreat programs. As Mindfulness becomes more accepted in the West, targeted applications are becoming more common in relation to stress reduction, workplace, medicine and parenting (as common examples). With obesity, stress and depression increasing in most Western cultures, Mindfulness offers a sound and comprehensive process for addressing these issues and generating positive change. This paper makes an important contribution to the exploration of the topic and its effectiveness, providing an important foundation for future research
{"title":"An Integrated Mindfulness Approach to Disordered Eating","authors":"","doi":"10.33140/ijp/03/03/00001","DOIUrl":"https://doi.org/10.33140/ijp/03/03/00001","url":null,"abstract":"This research paper aims to fill a gap in the literature by reporting on the effects of an integrated, targeted, mindful eating program. The program ‘The Dear Body - Loving the Body and Freeing the Mind – based on six mindfulness practices’ (The Dear Body program) is currently offered in Australia and Bali as live-in retreat programs. As Mindfulness becomes more accepted in the West, targeted applications are becoming more common in relation to stress reduction, workplace, medicine and parenting (as common examples). With obesity, stress and depression increasing in most Western cultures, Mindfulness offers a sound and comprehensive process for addressing these issues and generating positive change. This paper makes an important contribution to the exploration of the topic and its effectiveness, providing an important foundation for future research","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44997187","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}
Pub Date : 2018-06-22DOI: 10.33140/ijp/03/02/00004
Agnaldo Garcia
The purpose of this paper was to describe the composition of the friends’ networks, the formation of friendships and the role of friends of students from other Latin American countries in Brazil. A hundred students from 14 countries, including Colombia, Peru, Argentina, Paraguay, Mexico, Venezuela, Ecuador, Honduras, Nicaragua, Chile, Dominican Republic, Bolivia, Costa Rica and Uruguay answered a questionnaire about their friendships. In total, 768 friends were mentioned, 469 of the same nationality of the student, 188 Brazilians and 111 of other nationalities. Compatriots living in their country of origin was the largest group (331), followed by Brazilians living in Brazil (182), compatriots in Brazil (85), and other foreigners in Brazil (80). Most of the students reported friendship with at least one Brazilian in the destination country (73%) and 97% sought to make friends in the destination country, developing friendships with Brazilians (89%), people from other countries (78%) and compatriots in Brazil (63%). The main difficulties in developing friendships with Brazilians were language (37%) and cultural differences (27%). The support received from the friends was recognized by 96% of the students and having friends in the destination country was considered important or very important by 95% of the participants. It can be concluded that these students present a diversified friends’ network in terms of nationality and place of residence. In Brazil, they cited more Brazilian friends than compatriots and other foreigners, indicating that the concept of homophilia is not enough to explain the composition of the friends’ network.
{"title":"Friendships of Latin American Students in Brazil: From Individual Well-Being to an International Community","authors":"Agnaldo Garcia","doi":"10.33140/ijp/03/02/00004","DOIUrl":"https://doi.org/10.33140/ijp/03/02/00004","url":null,"abstract":"The purpose of this paper was to describe the composition of the friends’ networks, the formation of friendships and the role of friends of students from other Latin American countries in Brazil. A hundred students from 14 countries, including Colombia, Peru, Argentina, Paraguay, Mexico, Venezuela, Ecuador, Honduras, Nicaragua, Chile, Dominican Republic, Bolivia, Costa Rica and Uruguay answered a questionnaire about their friendships. In total, 768 friends were mentioned, 469 of the same nationality of the student, 188 Brazilians and 111 of other nationalities. Compatriots living in their country of origin was the largest group (331), followed by Brazilians living in Brazil (182), compatriots in Brazil (85), and other foreigners in Brazil (80). Most of the students reported friendship with at least one Brazilian in the destination country (73%) and 97% sought to make friends in the destination country, developing friendships with Brazilians (89%), people from other countries (78%) and compatriots in Brazil (63%). The main difficulties in developing friendships with Brazilians were language (37%) and cultural differences (27%). The support received from the friends was recognized by 96% of the students and having friends in the destination country was considered important or very important by 95% of the participants. It can be concluded that these students present a diversified friends’ network in terms of nationality and place of residence. In Brazil, they cited more Brazilian friends than compatriots and other foreigners, indicating that the concept of homophilia is not enough to explain the composition of the friends’ network.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45031708","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}
Pub Date : 2018-06-15DOI: 10.33140/ijp/03/02/00003
A. Timothy, Onofa lucky Umukoro, Ighoroje Maroh, R. Gater, O. Adegboyega, A. Daniel, Olaitan Funmi, O. Modupe, Ogunyomi Karmorudeen, Anozie Smith
Introduction: Integration of mental health services into Primary Health Care (PHC) is a proven way of reducing the treatment gap in developing countries. A major constraint to scaling up mental health services in developing countries is scarcity of mental health professionals. A practical solution is to adopt task shifting and task sharing strategies involving Primary Health Care Workers (PHW). One of the major challenges of such integrative services is their long term outcomes and sustainability. The Neuropsychiatric Hospital Aro, Abeokuta, Nigeria embarked on mental health services provision across primary health care facilities in Ogun state six (6) years ago. Objective: This report describes the development, challenges of the programme and presents a post-implementation evaluation after 6 years of its commencement. Methods: Applying a population based expansion of pilot- tested integration model of Aro Primary Care Mental Health Programme (APCMHP) for Ogun State, 80 PHC workers were trained using an adapted mental health Gap Action Programme (mhGAP) intervention guide to assess and treat/refer 5 priority conditions: Psychosis, Depression, Epilepsy, Alcohol and Substance abuse and Other Significant Emotional Complaints (OSEC).There was mental health service provision in 40 designated PHC centers across Ogun state. There was support and supervision of the trained health workers by field supervisors, supplementary training and re-training for skill sustenance, periodic stakeholders meeting with Local Government Service Commission, zonal consultants’ review, financial and other resources commitment by the hospital, monthly programme evaluation and monitoring by the faculty members. We reviewed caseload of patients managed by trained PHC Workers since commencement of the programme in November 2011 till October 2017 (6 years period) using descriptive statistics. Appropriate ethical approval was obtained. Results: During the six-year period (November 2011-October 2017), 2194 cases (average of 366 new cases yearly) were identified and treated by Trained Health Workers (THWs). About 90% of cases were Psychosis and Epilepsy. There was a steady attrition of THWs and at the end of the sixth year only 29% of the THWs remained within the programme. Treatment outcomes were fair as over 50% of patients had ≥ 3 follow-up visits, symptom remission of ≥ 30% and a subjective improvement in Global Ratings. Conclusion: Our project has demonstrated that it is feasible, practicable and cost effective with community acceptance to scale up mental health services at primary care setting in Nigeria using adapted mhGAP-IG document. The need to understand the dynamics and econometrics of sustainable primary mental health services is indicated.
{"title":"Integrating Mental Health into Primary Care Using a Population Based Approach: Six Years Outcome of Aro Primary Care Mental Health Programme for Ogun State, Nigeria","authors":"A. Timothy, Onofa lucky Umukoro, Ighoroje Maroh, R. Gater, O. Adegboyega, A. Daniel, Olaitan Funmi, O. Modupe, Ogunyomi Karmorudeen, Anozie Smith","doi":"10.33140/ijp/03/02/00003","DOIUrl":"https://doi.org/10.33140/ijp/03/02/00003","url":null,"abstract":"Introduction: Integration of mental health services into Primary Health Care (PHC) is a proven way of reducing the treatment gap in developing countries. A major constraint to scaling up mental health services in developing countries is scarcity of mental health professionals. A practical solution is to adopt task shifting and task sharing strategies involving Primary Health Care Workers (PHW). One of the major challenges of such integrative services is their long term outcomes and sustainability. The Neuropsychiatric Hospital Aro, Abeokuta, Nigeria embarked on mental health services provision across primary health care facilities in Ogun state six (6) years ago. Objective: This report describes the development, challenges of the programme and presents a post-implementation evaluation after 6 years of its commencement. Methods: Applying a population based expansion of pilot- tested integration model of Aro Primary Care Mental Health Programme (APCMHP) for Ogun State, 80 PHC workers were trained using an adapted mental health Gap Action Programme (mhGAP) intervention guide to assess and treat/refer 5 priority conditions: Psychosis, Depression, Epilepsy, Alcohol and Substance abuse and Other Significant Emotional Complaints (OSEC).There was mental health service provision in 40 designated PHC centers across Ogun state. There was support and supervision of the trained health workers by field supervisors, supplementary training and re-training for skill sustenance, periodic stakeholders meeting with Local Government Service Commission, zonal consultants’ review, financial and other resources commitment by the hospital, monthly programme evaluation and monitoring by the faculty members. We reviewed caseload of patients managed by trained PHC Workers since commencement of the programme in November 2011 till October 2017 (6 years period) using descriptive statistics. Appropriate ethical approval was obtained. Results: During the six-year period (November 2011-October 2017), 2194 cases (average of 366 new cases yearly) were identified and treated by Trained Health Workers (THWs). About 90% of cases were Psychosis and Epilepsy. There was a steady attrition of THWs and at the end of the sixth year only 29% of the THWs remained within the programme. Treatment outcomes were fair as over 50% of patients had ≥ 3 follow-up visits, symptom remission of ≥ 30% and a subjective improvement in Global Ratings. Conclusion: Our project has demonstrated that it is feasible, practicable and cost effective with community acceptance to scale up mental health services at primary care setting in Nigeria using adapted mhGAP-IG document. The need to understand the dynamics and econometrics of sustainable primary mental health services is indicated.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41539074","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}
Pub Date : 2018-05-28DOI: 10.33140/ijp/03/02/00001
Papatya Karakurt, Rabia Hacıhasanoğlu Aşılar, A. Yıldırım, M. Bilici
Background: As one of the chronic conditions, stroke brings about important problems for the individual, their family and the society. Aim: This research was made in order to determine the effect of training given to stroke patient caregivers on their anxiety and depression levels. Methods: This experimental research with pretest-posttest control group was conducted in Neurology Clinic between July 2011 and July 2012. The experiment group of the research consisted of 31 stroke patient lying for the first time in the clinic and control group consisted of 33 stroke patients who lied in the clinic before and also care givers. The pretest data was collected by the patient and care giver introduction form prepared by the researchers starting from the week the patient was accepted to the clinic, Barthel Index and Hospital Anxiety and Depression Scale. Posttest data was collected by using all scales after discharge of patient (except introduction form). In the evaluation of the data percentage, average, chi-square was used and also t test was used in independent groups. Results: According to research results a significant difference could not be found between anxiety and depression points of experiment and control groups before training (p>0.05). In the evaluation made after the training it was determined that the anxiety and depression points of the caregivers decreased and the decreases were significant (p<0.001). Conclusions: As a result it was determined that the training given to care givers in the experiment group decreased their anxiety and depression levels. We can recommend that nurses participate in educations on the care of patients with stroke, provide education to caregivers and arrange workshops to increase their awareness on this issue.
{"title":"The Effect of Education Given to the Caregivers of Patients with Stroke on Anxiety and Depression: An Example from Eastern Turkey","authors":"Papatya Karakurt, Rabia Hacıhasanoğlu Aşılar, A. Yıldırım, M. Bilici","doi":"10.33140/ijp/03/02/00001","DOIUrl":"https://doi.org/10.33140/ijp/03/02/00001","url":null,"abstract":"Background: As one of the chronic conditions, stroke brings about important problems for the individual, their family and the society. Aim: This research was made in order to determine the effect of training given to stroke patient caregivers on their anxiety and depression levels. Methods: This experimental research with pretest-posttest control group was conducted in Neurology Clinic between July 2011 and July 2012. The experiment group of the research consisted of 31 stroke patient lying for the first time in the clinic and control group consisted of 33 stroke patients who lied in the clinic before and also care givers. The pretest data was collected by the patient and care giver introduction form prepared by the researchers starting from the week the patient was accepted to the clinic, Barthel Index and Hospital Anxiety and Depression Scale. Posttest data was collected by using all scales after discharge of patient (except introduction form). In the evaluation of the data percentage, average, chi-square was used and also t test was used in independent groups. Results: According to research results a significant difference could not be found between anxiety and depression points of experiment and control groups before training (p>0.05). In the evaluation made after the training it was determined that the anxiety and depression points of the caregivers decreased and the decreases were significant (p<0.001). Conclusions: As a result it was determined that the training given to care givers in the experiment group decreased their anxiety and depression levels. We can recommend that nurses participate in educations on the care of patients with stroke, provide education to caregivers and arrange workshops to increase their awareness on this issue.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49482935","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}
Pub Date : 2015-02-09DOI: 10.3726/978-3-653-03596-4/8
Marian Brattman, Aidan Waterstone
The Tusla Research Strategy sets out a long term action plan for active engagement within the context of the Tusla Corporate Plan and a sector wide strategic approach to knowledge about children’s lives.
{"title":"Research Strategy","authors":"Marian Brattman, Aidan Waterstone","doi":"10.3726/978-3-653-03596-4/8","DOIUrl":"https://doi.org/10.3726/978-3-653-03596-4/8","url":null,"abstract":"The Tusla Research Strategy sets out a long term action plan for active engagement within the context of the Tusla Corporate Plan and a sector wide strategic approach to knowledge about children’s lives.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69683207","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}
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