International Journal of Social Psychiatry最新文献

{"title":"Understanding the current provisions of support for people with an intellectual disabilities and/or autism in crisis: A mixed methods study.","authors":"Samuel Tromans, Ian Summers, Shahbaz Abdullah, Joanne Ledger, Sarah Lennard, Paul Bassett, Remie Colledge, Danielle Bilkey, Chloe Staples, Samuel Edwards, Grahame Carr, Richard Laugharne, Rohit Shankar","doi":"10.1177/00207640241303831","DOIUrl":"https://doi.org/10.1177/00207640241303831","url":null,"abstract":"<p><strong>Background: </strong>There has been significant reduction in inpatient beds for people with intellectual disability and/or autism (PwID/A) in the UK in the last decade following high profile national scandals in specialist psychiatric hospitals. To reduce inappropriate admissions a new strategy (Blue-Light, an emergency multi-disciplinary meeting to prevent admission to hospital) was introduced. However, there is no research on the influence of Blue-Light on crisis management for PwID/A.</p><p><strong>Aim: </strong>To assess Blue-Light's impact on PwID/A's crisis presentations.</p><p><strong>Methods: </strong>Co-produced with experts-by-experience, a mixed methods approach using a 13 question Likert based survey of health and social-care professionals along with semi-structured interviews of carers involved with consecutive Blue-Light patient reviews was undertaken in Cornwall UK (population: 538,000). Patient data was accessed to understand the patient journey. All data analysis was descriptive in nature. Semi-structured interviews were transcribed and thematically analysed using Braun and Clarke's six-step process.</p><p><strong>Results: </strong>Ten patient journeys were examined. Staff interviewed had a good understanding of the Blue-Light process, Blue-Light activation practical challenges and considered Blue-Light reactive. Nearly half wanted ID/A specialist beds recommissioned. A majority wanted improved supervision and standards for third sector providers. Semi-structured interviews of 10 patient-carers identified a lack of consistency from professionals, limited infrastructure provision, the prolongation of crises and a lack of definition of crisis as carers did not feel supported by services.</p><p><strong>Conclusions: </strong>Current crisis support systems are not standardised and often leave carers feeling unsupported in crises. An evidence-based debate of crisis support and the inpatient role for PwID/A is required.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241303831"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of migrant seasonal agricultural worker mothers in earthquakes: A phenomenological study.","authors":"Tuğba Kontaş Azakli, Mükerrem Kabataş Yildiz, Sema Sal","doi":"10.1177/00207640241299351","DOIUrl":"https://doi.org/10.1177/00207640241299351","url":null,"abstract":"<p><strong>Objective: </strong>Seasonal agricultural migration leads to both economic hardship and humanitarian challenges. Individuals involved in this migration face severe poverty and deprivation, with mothers critical participants in agrarian work, being especially vulnerable due to challenging conditions and family responsibilities. This study explores the experiences of migratory seasonal agricultural worker mothers and their children, particularly how the earthquake in Turkey impacted them on February 6, 2023.</p><p><strong>Method: </strong>This descriptive phenomenological study was conducted with seasonal agricultural worker mothers who participated in hazelnut harvest in northern Turkey between August and September 2023. Study data were obtained from 22 mothers who agreed to participate. Data were analyzed using the MAXQDA 2022 qualitative data analysis program.</p><p><strong>Results: </strong>It has been determined that the earthquake affects both mothers and children, creates confusion in mothers, creates fear, anxiety, and insecurity in children, and causes behavioral problems such as insomnia and loss of appetite. It has also been determined that positive changes occur in mothers' parenting practices and strengthen family ties. It has been revealed that mothers derive their psychological resilience from their belief systems and social interactions.</p><p><strong>Conclusions: </strong>It was concluded that earthquake experiences positively and negatively affected migratory seasonal agricultural worker mothers and caused emotional and behavioral problems in children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241299351"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Eating Symptoms in the LGBTQIA+ Population: Do Discrimination and Adverse Conditions Matter?","authors":"Silvia Tempia Valenta, Fabio Porru, Anna Bornioli, Matteo Di Vincenzo, Andrea Fiorillo, Diana De Ronchi, Anna Rita Atti","doi":"10.1177/00207640241300969","DOIUrl":"10.1177/00207640241300969","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) have traditionally been studied among heterosexual cisgender women, but recent research highlights a higher prevalence in LGBTQIA+ individuals.</p><p><strong>Aims: </strong>This study aims (1) to investigate the association between different groups based on gender identity and sexual orientation (GISO) and experiencing eating symptoms, and (2) to explore the extent to which self-perceived discrimination and adverse conditions explain this association.</p><p><strong>Methods: </strong>We administered an online survey to assess eating symptoms using the Eating Disorder Examination Questionnaire (EDE-Q 6.0) and measures of self-perceived discrimination and adverse conditions. Multistep logistic regressions were employed to analyze the associations between GISO and eating symptoms, initially unadjusted, then adjusted for sociodemographic variables, and finally adjusted for self-perceived discrimination and/or adverse conditions.</p><p><strong>Results: </strong>A total of 560 adults aged 30 ± 10.9 years old were included. After adjusting for socio-demographics all groups were more likely to experience eating symptoms compared to heterosexual men, with odds ratios (ORs) of 5.7 [95% CI: 1.3, 24.3] for cisgender heterosexual women, 6.7 [95% CI: 1.5, 29.8] for cisgender non-heterosexual women, and 9.3 [95% CI: 1.8, 47.5] for non-cisgender individuals. After adjusting for self-perceived discrimination and adverse conditions, the associations for women were attenuated, while the associations for non-cisgender individuals were no longer significant.</p><p><strong>Conclusion: </strong>This study (1) confirms that sexual and gender minorities may be at higher risk for EDs, and (2) suggests that discrimination and adverse conditions may contribute to the higher prevalence of eating symptoms in this population. Additional research is needed to investigate these minority stressors as they may represent targets for effective interventions to prevent eating symptoms in the LGBTQIA+ community.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241300969"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persisting unhealthy eating behaviors and the role of dieting in outpatients treated for severe mental illness: Findings from a longitudinal study.","authors":"Florian Hotzy, Erich Seifritz, Stefan Vetter, Sonja Mötteli","doi":"10.1177/00207640241303033","DOIUrl":"https://doi.org/10.1177/00207640241303033","url":null,"abstract":"<p><strong>Background: </strong>Individuals living with severe mental illness (SMI) are at higher risk of being overweight and obese. In addition to medication side effects, poor dietary habits are considered as modifiable factors. However, individuals with SMI face a variety of barriers to healthy eating, and it is still unclear which dietary strategies are best.</p><p><strong>Aims: </strong>The current study aimed to examine the course of dietary habits in dieting and non-dieting patients treated at a psychiatric day clinic.</p><p><strong>Method: </strong>In this longitudinal observational study, symptom severity, dietary habits, and other health-risk behaviors of <i>n</i> = 53 psychiatric outpatients with a primary ICD-10 diagnosis (85% F3 and 15% F2) were assessed at the start of treatment in a psychiatric day clinic and after 3 months using semi-structured interview data and anthropometric measurements.</p><p><strong>Results: </strong>Patients' mental health improved after 3 months of treatment (e.g. lower scores on a modified Global Assessment of Functioning Scale (m-GAF) and on the 9-item Patient Health Questionnaire (PHQ-D)). However, BMI and lifestyle behaviors (e.g. diet quality, physical activity, and smoking) remained unchanged. Fewer depressive symptoms and dieting were even associated with weight gain over the 3 months (+1.7 kg). Compared with non-dieters, dieters had higher levels of neuroticism and ambivalence about eating, were more likely to overeat and were more dissatisfied with their body weight.</p><p><strong>Conclusions: </strong>The group of dieters may benefit from professional support to achieve a healthier lifestyle.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241303033"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of healthcare professionals on cross-sectoral collaboration between mental health centers and municipalities: A qualitative study.","authors":"Kim Jørgensen, Rikke Juhl, Morten Hansen, Birgitte Lerbæk, Jesper Frederiksen, Emma Watson, Merete Bjerrum, Bengt Karlsson","doi":"10.1177/00207640241299387","DOIUrl":"https://doi.org/10.1177/00207640241299387","url":null,"abstract":"<p><strong>Aims: </strong>This paper aims to explore the intricacies of cross-sectoral collaboration in mental health care, focusing on the perspectives of health professionals across various disciplines. It seeks to understand how collaboration can enhance service delivery and patient outcomes while identifying existing challenges.</p><p><strong>Background: </strong>The evolving healthcare landscape emphasizes the importance of integrating services across sectors, particularly in mental health care, to improve continuity and efficiency of care.</p><p><strong>Design: </strong>The study utilizes qualitative methods to investigate health professionals' experiences with cross-sectoral collaboration in mental health services.</p><p><strong>Methods: </strong>Purposive sampling was used to select 21 health professionals for focus group discussions held at a mental health center in Region Zealand, Denmark. Data was collected through these discussions, and content analysis was performed to extract key themes. The data collection took place in 2022.</p><p><strong>Results/findings: </strong>Health professionals recognized the potential benefits of cross-sectoral collaboration, such as enhanced service delivery and improved patient outcomes. However, significant barriers were identified, including bureaucratic obstacles, communication gaps, and insufficient organizational support.</p><p><strong>Conclusion: </strong>Cross-sectoral collaboration in mental health care offers significant advantages, but challenges must be addressed to fully realize its potential. Efforts should focus on policy reforms, organizational support, and fostering interdisciplinary communication to improve care delivery.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241299387"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk and protective factors for suicidal ideation among Saudi adolescents: A network analysis.","authors":"Mogeda El Sayed El Keshky","doi":"10.1177/00207640241277164","DOIUrl":"10.1177/00207640241277164","url":null,"abstract":"<p><strong>Background: </strong>Suicide is among the leading cause of death in adolescence and suicidal ideation is its most critical precursor. Suicidal ideation being a complex phenomenon involving multiple factors, this study aimed to use network analysis to depict the interplay of risk and protective factors for suicidal ideation.</p><p><strong>Methods: </strong>An online survey was conducted with 614 Saudi adolescents (mean age = 16.16, <i>SD</i> = 1.88, range = 12-18, 61% female). Participants completed instruments to assess suicidal ideation, bullying victimization and perpetration, psychache, family cohesion and adaptability, positive parenting, and multidimensional social support. A psychological network analysis was estimated to determine the most central risk and protective factors for suicidal ideation.</p><p><strong>Results: </strong>As per strength and expected influence centrality, the risk factors that were central were psychache and bullying victimization, and the central protective factors were family cohesion and support from significant other. The network analysis showed that other factors directly connected with suicidal ideation were bullying perpetration, family adaptability, positive parenting, support from family, and support from friends.</p><p><strong>Conclusion: </strong>This network study highlights the importance of addressing both risk and protective factors in an attempt to deal with suicidal ideation. The findings suggest that interventions targeting psychological pain, bullying, and family bonds may be crucial in the treatment and prevention of suicidal ideation among adolescents.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1533-1541"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mitigating role of social capital on the association between food insecurity and psychological distress among Chinese adults.","authors":"Xiang Qi, Yaolin Pei, Gen Li, Yuming Liu, Weiming Tang, Brian J Hall, Bei Wu","doi":"10.1177/00207640241277152","DOIUrl":"10.1177/00207640241277152","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity, a pervasive global issue exacerbated by the COVID-19 pandemic, has been linked to adverse mental health outcomes. However, the role of social capital in mitigating this relationship remains understudied, particularly in the Chinese context.</p><p><strong>Aims: </strong>This study investigated the associations between food insecurity and psychological distress (depressive and anxiety symptoms) and examined the potential moderating effects of bonding and bridging social capital among Chinese adults in Shanghai.</p><p><strong>Methods: </strong>This cross-sectional study included 3,220 Chinese adults (mean age: 34.45; 51.5% male) in Shanghai. Food insecurity was assessed using the modified Household Food Insecurity Access Scale, psychological distress was measured using the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and social capital was evaluated using the Revised Personal Social Capital Scale.</p><p><strong>Results: </strong>Multivariable linear regression analyses revealed that food insecurity was significantly positively associated with both depressive (β = 0.449, <i>SE</i> = 0.024) and anxiety symptoms (β = 0.391, <i>SE</i> = 0.022), after adjusting for sociodemographic characteristics, health status, and COVID-19-related factors. Higher levels of bonding and bridging social capital were significantly associated with fewer depressive and anxiety symptoms. Significant interactions (<i>p</i> < .001) between bonding social capital and food insecurity indicated that the associations between food insecurity and psychological distress were less pronounced among adults with higher bonding social capital.</p><p><strong>Conclusions: </strong>These findings highlight the critical role of food insecurity as a risk factor for psychological distress and the importance of bonding social capital in mitigating its impact on mental health. Policies and interventions targeting food insecurity prevention and bonding social capital enhancement may promote better mental health outcomes among Chinese adults.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1542-1551"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of prior contact with community mental health services on first inpatient psychiatric admission for ethnic minorities: Findings from the NOMIAC study.","authors":"Giuseppe Carrà, Francesco Bartoli, Federico Moretti, Oliviero Villa, Paolo Camera, Cristina Crocamo","doi":"10.1177/00207640241267802","DOIUrl":"10.1177/00207640241267802","url":null,"abstract":"<p><strong>Background: </strong>Research has extensively documented inequalities in inpatient psychiatric care provided to people of minoritized ethnic groups. Nonetheless, the role of their previous engagement with community mental health care has been little studied.</p><p><strong>Aims: </strong>We aimed at exploring whether previous clinical care can influence key domains of subsequent psychiatric inpatient care for people of ethnic minorities.</p><p><strong>Methods: </strong>We identified patients with a first hospital admission between 2016 and 2022, from a representative, highly diverse, catchment area of Northern Italy, using electronic health data of the NOMIAC study. We aimed at testing the impact of clinical care prior to admission on indicators of poor inpatient care, as identified by a participatory expert panel, that is, compulsory admission, insufficient length of stay, administration of Long-Acting Antipsychotics (LAI) during the last 7 days before discharge. Multiple regression models, predicted and counterfactual proportions and path analyses from generalized structural equations modeling were used to explore the association between belonging to ethnic minorities and these indicators.</p><p><strong>Results: </strong>Among 1,524 participants, 18% were from minoritized ethnic groups. While these were more likely to experience an involuntary admission, regardless of previous care received, they were offered appropriate length of stay if had previous engagement with community mental health care. Both belonging to ethnic minorities and mental health care prior-to-admission were independently associated with early LAI administration.</p><p><strong>Conclusions: </strong>Several ethnic inequalities in inpatient care continue despite previous community mental health care provided. Future research should examine how these disparities translate into clinical outcomes. Nonetheless, there is the need to actively promote equity, improving the quality of inpatient care of minoritized ethnic groups.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1495-1504"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'<i>Sorry papa, I cannot do it</i>': A focus on high-stakes entrance examinations in India and linkages to suicides among adolescents in India.","authors":"Arif Ali, Prerna Sharma","doi":"10.1177/00207640241270836","DOIUrl":"10.1177/00207640241270836","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1552-1553"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation in patient-sharing network characteristics of health care professionals treating different mental and substance use disorder patient sub-groups in primary care.","authors":"Marko Elovainio, Laura Hietapakka, Mai Gutvilig, Ripsa Niemi, Kaisla Komulainen, Laura Pulkki-Råback, Visa Väisänen, Timo Sinervo, Christian Hakulinen","doi":"10.1177/00207640241270827","DOIUrl":"10.1177/00207640241270827","url":null,"abstract":"<p><strong>Background: </strong>Providing efficient and targeted services for patients with mental health problems requires efficient collaboration and coordination within healthcare providers, but measuring collaboration using traditional methods is challenging.</p><p><strong>Aims: </strong>To explore the patient-sharing networks of professionals taking care of different groups of patients with mental or substance use disorders.</p><p><strong>Method: </strong>We used data that covered adult patients' visits to the primary care service providers of seven municipalities in Finland during year 2021. Data included 8,217 patients (147,430 visits) with mental or substance use disorders who were treated by 1,566 health care professionals. We calculated descriptive network metrics to examine the connectivity of professionals in three different patient groups (patients with substance use disorders, psychotic disorders, and depressive disorders) and compared these characteristics to a network based on all patients. We also analyzed whether patient sharing was associated with the health care professionals' attributes (occupational group, municipality) using Exponential Random Graph Models (ERGM).</p><p><strong>Results: </strong>Diagnosis-specific networks were denser and more connected compared to the all-patients network. Nurses were the most central occupation in all the diagnosis-specific networks and especially in the substance use disorder patients network. When examining all patients, two professionals were more likely to share patients when they belonged to the same occupational group. However, in the network with depressive disorder patients we found the opposite: professionals were more likely to share patients if they were of different occupational groups.</p><p><strong>Conclusions: </strong>Patient-sharing networks within patients with a specific mental or substance use disorders are denser and more connected than networks based on all patients with mental or substance use disorders. In the substance use disorder patients network particularly, nurses were the most central occupation. Multi-professional connections were more likely in depressive disorder networks than in the all-patients network.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1442-1452"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}