INTERNATIONAL JOURNAL OF MENTAL HEALTH最新文献

{"title":"Increased Prevalence of Metabolic Syndrome in Veterans with PTSD Untreated with Antipsychotic Medications.","authors":"Barton W Palmer, Catherine Shir, Hang Chang, Mallory Mulvaney, Joshua M H Hall, I-Wei Shu, Hua Jin, James B Lohr","doi":"10.1080/00207411.2021.1965398","DOIUrl":"10.1080/00207411.2021.1965398","url":null,"abstract":"<p><p>Post-Traumatic Stress Disorder (PTSD) is not solely a psychiatric disorder; it also includes significant medical morbidity. Although there is evidence of increased risk of metabolic syndrome (MetS) in PTSD, the interpretation of previous studies is confounded by inclusion of people on antipsychotic medications, which independently cause increased MetS. In this study we investigated whether Veterans with PTSD not treated with antipsychotic medications (n=115) demonstrate increased MetS compared to an age-comparable group of people from the U.S. National Health and Nutrition Examination Survey (NHNES; n=1005). Using standardized criteria (abnormal values in 3 out of the 5 domains of obesity, hypertension, high density lipoprotein, triglyceride and fasting glucose concentrations) we compared the prevalence of MetS across groups. Relative to the NHNES group, a significantly higher proportion of the Veteran PTSD group met criteria for MetS (26.9% vs. 41.7%) with a higher proportion of abnormal values in four out of five MetS domains (excepting glucose). Our results suggest that the elevation of MetS associated with PTSD cannot be fully explained by iatrogenic effects of antipsychotic medication. We suggest that extra attention be devoted to the clinical management of metabolic risk factors for morbidity in patients with PTSD.</p>","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"5 ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547317/pdf/nihms-1738798.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The global prevalence of postpartum suicidal ideation, suicide attempts, and suicide mortality: A systematic review and meta-analysis","authors":"S. Amiri, S. Behnezhad","doi":"10.1080/00207411.2021.1959814","DOIUrl":"https://doi.org/10.1080/00207411.2021.1959814","url":null,"abstract":"Abstract Objectives This study aimed to investigate the prevalence of postpartum suicidal ideation, suicide attempts, and suicide mortality in studies conducted in the world based on the meta-analysis method. Method The language of the searched articles was restricted to English, and searching was conducted in two databases until September 2019: Medline and Scopus. Samples and events were extracted from each study. After calculating the overall prevalence, several subgroup analyses were done. Further, the degree of heterogeneity was evaluated. Result Thirty-seven studies were eligible. The pooled prevalence was equal to 11% and Confidence Interval (CI) = 9–12. The prevalence of suicidal ideation was equal to 12% and CI = 11–14. The prevalence of attempted suicide was equal to 4% and CI = 1–7, and the prevalence of suicide mortality was equal to 4% and CI = 4–5. The heterogeneity of the studies was high. Discussion Our results suggest that one out of every 10 women in the postpartum period may report suicidal ideation, suggesting increased risk for suicidal ideation, suicide attempt, and suicide mortality in this population. Specific interventions targeting suicidal risk in the postpartum period are warranted.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"50 1","pages":"311 - 336"},"PeriodicalIF":2.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49461763","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}

{"title":"Mediating effect of stigma on the relationship between mental health literacy and help-seeking attitudes among university students in South Korea","authors":"H. Kim","doi":"10.1080/00207411.2021.1965397","DOIUrl":"https://doi.org/10.1080/00207411.2021.1965397","url":null,"abstract":"Abstract Recent evidence demonstrates that improved mental health literacy and decreased stigma are two essential components to facilitate help-seeking behaviors and early identification of mental disorders. This study aimed at examining whether social and self-stigma mediated the level of mental health literacy on help-seeking attitudes among university students in South Korea. In this cross-sectional survey, 305 students from six universities in South Korea (female: 59%, age: 21.76 ± 3.11) joined the study. The survey included self-report measures of mental health literacy, social stigma, self-stigma, and help-seeking attitudes, as well as socio-demographic measures. Findings revealed that social and self-stigma partially mediated the association between the level of mental health literacy and mental health help-seeking attitudes among South Korean university students. Based on results, the importance of education and campaign to enhance mental health literacy and decrease stigma regarding mental health problems among university students in South Korea was highlighted.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"52 1","pages":"163 - 178"},"PeriodicalIF":2.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41737576","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}

{"title":"Drop out from mental health treatment in the Saudi national mental health survey","authors":"Abdulaziz S. Alangari, S. Knox, K. Innes, A. Kristjansson, S. Wen, L. Bilal, A. Alhabeeb, A. Al‐Subaie, Y. Altwaijri","doi":"10.1080/00207411.2021.1965406","DOIUrl":"https://doi.org/10.1080/00207411.2021.1965406","url":null,"abstract":"Abstract Objectives To evaluate the patterns and potential risk factors associated with mental health treatment dropout in the Saudi National Mental Health Survey (SNMHS). Methods The SNMHS is a face-to-face community-based epidemiological survey in a nationally representative household sample of respondents aged 15–65 in the Kingdom of Saudi Arabia (KSA) (n = 4,004). The sample was limited to those who had received any type of mental health treatment during the past year (n = 168). The distribution of service use and the number of visits were examined. Predictors of treatment dropout were analyzed using logistic regression models. Results Treatment drop out rate was very high overall (42.1%), with dropout occurring early (after 2 visits) in the majority of cases. Participants who were previously married or were diagnosed with a 12-month substance use disorder were significantly more likely than other participants to drop out. Those receiving care from more than three types of providers were significantly less likely than others to terminate treatment prematurely. Conclusions The rate of premature termination of treatment was high and positively associated with previously married status and substance use and inversely related to the number of different providers and number of visits.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"51 1","pages":"61 - 76"},"PeriodicalIF":2.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47096999","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}

{"title":"Barriers and facilitators to mental health care: A systematic review in Pakistan","authors":"F. R. Choudhry, N. Khan, Khadeeja Munawar","doi":"10.1080/00207411.2021.1941563","DOIUrl":"https://doi.org/10.1080/00207411.2021.1941563","url":null,"abstract":"Abstract It is well documented that there is a shortage of mental health care providers, mental health literacy, and underutilization of mental health services in Pakistan. This systematic review aimed to assess the available evidence on factors hindering and/or facilitating access to care among people with mental health issues, health care providers, carers, or any other population group (e.g., students, teachers) in Pakistan. Thirteen published studies of barriers and facilitators in Pakistan were identified through nine electronic databases: Ovid MEDLINE, Ovid Embase, Ovid Emcare, CINAHL plus, Proquest Central, PsycInfo, Scopus, Pubmed, and ScienceDirect. Thematic analysis revealed that factors facilitating access to mental health services were trust in the effectiveness of mental health services and acknowledging the seriousness of the problem. However, factors hindering the access were financial issues/constraints, personal issues/other priorities, stigma, low mental health knowledge, side-effects/dissatisfaction from previous treatments, time and distance constraints, reliance on traditional/religious healers, and lack of social (i.e., family and peers) support/encouragement. Findings suggest the need for reducing barriers to and enhancing facilitators of seeking mental health services. To improve help-seeking, the focus of strategies should be on enhancing mental health literacy, lowering stigma, and increasing trust in mental health services' effectiveness. Implications of rehabilitation What is known about this topic? There is a scarcity of empirical evidence on mental health and its correlates in Pakistan-a developing country and mental health services are restricted to psychiatry departments of teaching hospitals or in privately run clinics. There is a scarcity of psychiatrists in rural areas having 60% population and there is a need for recognizing facilitators and reducing barriers to reasonable mental health care is crucial. What the paper adds: Factors facilitating access to mental health services were trust in the effectiveness of mental health services and acknowledging the seriousness of the problem. Factors hindering the access were financial issues/constraints, personal issues/other priorities, stigma, low mental health knowledge, side-effects/dissatisfaction from previous treatments, time and distance constraints, reliance on traditional/religious healers, and lack of social (i.e., family and peers) support/encouragement. This recognition can help to design adequate programs and policies for people with mental health issues. There is a need to raise public awareness of the importance of seeking mental health services as well as for designing, testing, and executing strategies to reduce self and social stigma related to mental health problems.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"52 1","pages":"124 - 162"},"PeriodicalIF":2.0,"publicationDate":"2021-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00207411.2021.1941563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45218337","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}

{"title":"Prevalence of burnout syndrome and associated factors among health care workers at public hospitals in Addis Ababa, Ethiopia: Results from a cross-sectional study","authors":"Endawok Tamiru Fentie, Sintayehu Daba Wami, Gebisa Guyasa Kabito","doi":"10.1080/00207411.2021.1946904","DOIUrl":"https://doi.org/10.1080/00207411.2021.1946904","url":null,"abstract":"Abstract Background Burnout is a state of emotional, mental, and physical exhaustion affecting a large number of health care workers. In Ethiopia, there is limited evidence about burnout syndrome and work-related determinant factors among health care workers. Therefore, this study aimed to determine the prevalence of burnout syndrome and identify the associated risk factors among public hospitals health care workers in Addis Ababa, Ethiopia, 2019. Methods Institution-based cross-sectional study design was employed from March 10 to May 13, 2019. Stratified random sampling with simple random sampling techniques was used to select participants. The standardized Maslach Burnout Inventory-Human service survey questionnaire was used to collect the data. Five-hundred twenty-five workers completed and valid questionnaire were entered into Epi Info version 7 and exported to SPSS version 20 for further analysis. Logistic regression analysis was used to identify factors associated with burnout syndrome. The significant level was obtained at p-value ≤ 0.05. Result The overall prevalence of burnout syndrome among health care workers in this study was found to be 31.6% (n = 166) (95%CI: 27.8, 36). Moreover, 42% (n = 218) of respondents were highly emotionally exhausted. In addition, 43% (n = 224) and 45% (n = 234) of respondents experienced depersonalization and low personal achievement, respectively. Age (AOR = 0.4, 95%CI: 0.2, 0.9), long night shift work (AOR = 3.36, 95%CI: 1.83, 6.2), job satisfaction (AOR = 2.08 95%CI: 1.3, 3.3), and educational level (AOR = 6.33, 95%CI: 2.3–17.5) were factors significantly associated with burnout syndrome. Conclusion This study shows that a high proportion of health care workers suffer from burnout syndrome. Low education level, long night- and day-shift work, and job dissatisfaction are significant determinant factors of burnout syndrome. Therefore, interventions focusing on shift work management, establishing stress management programs, and improving interpersonal relationships and working conditions to increase job satisfaction among health care workers are essential to reduce the problem.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"50 1","pages":"368 - 380"},"PeriodicalIF":2.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00207411.2021.1946904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44736264","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}

{"title":"Promoting children and adolescents’ mental health, and child and adolescent psychiatry: An editorial","authors":"A. Revet, A. Djelantik, E. Bui","doi":"10.1080/00207411.2021.1954768","DOIUrl":"https://doi.org/10.1080/00207411.2021.1954768","url":null,"abstract":"","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"50 1","pages":"192 - 194"},"PeriodicalIF":2.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43133268","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}

{"title":"The CREATE strategy of rehabilitation and recovery for mental illness in low resource settings: Development processes and evaluation from a proof of concept study in Kenya","authors":"Arlene G. MacDougall, T. Krupa, R. Lysaght, Victoria N Mutiso, R. Casey, M. J. Le Ber, Ruth W. Ruhara, Elizabeth Price, S. Kidd, D. Ndetei","doi":"10.1080/00207411.2021.1926725","DOIUrl":"https://doi.org/10.1080/00207411.2021.1926725","url":null,"abstract":"Abstract A significant burden and treatment gap associated with serious mental illness (SMI) exists in low- and middle-income countries (LMIC). In order to address these issues, a range of community-based rehabilitation models in alignment with the Capabilities Approach is necessary, including opportunities for people with SMI to be rapidly engaged in meaningful work within their communities. This paper outlines the development processes and evaluation of the proof of concept for the Community REcovery Achieved Through Entrepreneurship (CREATE) strategy in Kenya. The CREATE strategy pairs Work Integration Social Enterprises (WISE) with a focused, low-cost, recovery-oriented Psychosocial Rehabilitation (PSR) toolkit within a peer involvement/support model as a means of addressing marginalization and fostering health, wellbeing, and participation of people living with SMI. Qualitative research methods were used to understand the experiences of a range of stakeholders involved in CREATE implementation in Kenya. Three overarching themes explicated the experiences of the various stakeholders involved: (1) experiencing a business like other businesses – yet different; (2) expanding capacities, opportunities, and networks through meaningful work; and (3) promoting knowledge and empowerment through education. Within each theme, there was evidence of the attenuation of central elements of marginalization. The CREATE strategy demonstrated acceptability and a variety of potential positive impacts in a low resource setting in Kenya. Application of the CREATE strategy to other low resource settings within Kenya and other LMIC merits further exploration.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"51 1","pages":"32 - 60"},"PeriodicalIF":2.0,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00207411.2021.1926725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45649609","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}

{"title":"Balancing indications for hospitalization and legal consideration: Moving from problems to solutions: A culturally sensitive debate review in Middle East and Arab world","authors":"Michael Elnemais Fawzy","doi":"10.1080/00207411.2021.1919821","DOIUrl":"https://doi.org/10.1080/00207411.2021.1919821","url":null,"abstract":"Abstract Objective This article is a reflection of 15 years of human rights legislation and advocacy focused on improving the lives of people with mental disorders in the Middle East and the Arab region. It presents the pros and cons of deinstitutionalization taking into account the experience of health systems in other countries. Consideration is given to both: the doctor’s expertise and the patient’s perspective, their values, personal experience and lifestyle choices. The purpose of this article is to advance the integration of people living with mental disorders in the community through the facilitation of an environment that enables them to achieve the maximum degree of functional independence and the highest possible quality of life, preserving their dignity. Materials and methods Relevant databases were searched (Medline, PubMed, and Cochrane library of systemic reviews and clinical trials) with the following Mesh terms: “CRPD,” “chronic psychiatric hospitalization,” “Arab Mental Health systems,” and “Mental health laws.” Recent articles published were prioritized. Conclusion Research in the area of chronic psychiatric hospitalization and its effect on the course and prognosis of mental illness is still scarce, especially in the Arab world. This article aimed to open the door for future discussions studying the pros and cons of the different indications of hospitalization and the legal considerations. The aim is to shed light on best practices for maximizing dignity for every person, promoting functional independence and ensuring the highest possible quality of life.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"50 1","pages":"271 - 284"},"PeriodicalIF":2.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00207411.2021.1919821","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47626035","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}

{"title":"Prevalence and predictors of depression, anxiety, and stress among Jordanian nurses during the coronavirus disease 2019 pandemic","authors":"Rasmieh M. Al-amer, Malakeh. Z. Malak, Ghaida Aburumman, Motasem M. Darwish, M. S. Nassar, Maram Darwish, S. Randall","doi":"10.1080/00207411.2021.1916701","DOIUrl":"https://doi.org/10.1080/00207411.2021.1916701","url":null,"abstract":"Abstract Background COVID-19 is an infectious disease with a wide range of physical and psychological health threats among health care workers, in particular, nurses because they spend a long time caring for their patients. Aims To investigate the prevalence and predictors of depression, anxiety, and stress among Jordanian nurses. Methods This study was conducted among 405 nurses using an online survey from March 3, 2020 to March 24, 2020. The Arabic version of the Depression, Anxiety, and Stress Scale (DASS) was used. Results the findings of this study showed that depression, anxiety, and stress were highly prevalent among nurses (57.8, 42.4, and 50.1%, respectively). Those who had close contact with a coronavirus disease 2019 (COVID-19) patient showed stronger psychological reactions than their counterparts. The full regression models in terms of depression, anxiety, and stress which contained gender, number of children, and dealing with a person with COVID-19 were statistically significant (F (3, 216) = 11.801; p < 0.001), (F (3, 216) = 10.501; p < 0.001), and (F (3, 216) = 11.659; p < 0.001), respectively. Conclusion In the COVID-19 pandemic, the levels of depression, anxiety, and stress are high among Jordanian nursing working in clinical settings. Hence, the mental health status of nurses should be given a priority, with a specific emphasis on those who are in contact with infected patients with COVID-19, female nurses, and those who have children.","PeriodicalId":46170,"journal":{"name":"INTERNATIONAL JOURNAL OF MENTAL HEALTH","volume":"51 1","pages":"152 - 163"},"PeriodicalIF":2.0,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00207411.2021.1916701","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48618759","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}