Amit Yaniv-Rosenfeld, Elizaveta Savchenko, Amir Elalouf, Uri Nitzan
{"title":"Socio-demographic predictors of the time interval between successive hospitalizations among patients with borderline personality disorder.","authors":"Amit Yaniv-Rosenfeld, Elizaveta Savchenko, Amir Elalouf, Uri Nitzan","doi":"10.1080/09638237.2024.2408236","DOIUrl":"https://doi.org/10.1080/09638237.2024.2408236","url":null,"abstract":"<p><p><b>Background:</b> Borderline personality disorder (BPD) affects 0.7 to 2.7% of the adult population and higher rates are reported in inpatient care. Hospitalizations of BPD patients are a complex and controversial challenge for mental health professionals. Recurrent hospitalizations are common and it is essential to identify risk factors that characterize patients who benefit from their hospitalization and those who return to the ward shortly after discharge. <b>Aim:</b> To investigate the potential link between BPD patients' socio-demographic factors and the expected time interval between their successive hospitalizations. <b>Methods:</b> A retrospective analysis of 1051 hospitalization records from 174 BPD patients. Through univariate, bivariate, and multivariate analyses, we investigated the possible relationship between patients' primary socio-demographic factors and the time between their successive hospitalizations. <b>Results:</b> Patients' age, marital status, and living arrangement were found to be statistically connected with the time interval between successive hospitalizations. Specifically, being older, married and/or patients to live with one's spouse/partner seem to be linked with a longer time interval between successive hospitalizations compared to patients who are young, single/divorced and/or those who live with their parents. <b>Conclusions:</b> The expected time interval between successive hospitalization of BPD patients can be partly explained by their socio-demographic characteristics.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.9,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337104","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}
Rachael Frost, Sayem Uddin, Silvy Mathew, Verity Thomas, Adriana Salame, Sukvinder Kaur Bhamra, Juan Carlos Bazo-Alvarez, Cini Bhanu, Michael Heinrich, Kate Walters
{"title":"What over the counter (OTC) products have been evaluated for anxiety in adults aged 18-60? A scoping review.","authors":"Rachael Frost, Sayem Uddin, Silvy Mathew, Verity Thomas, Adriana Salame, Sukvinder Kaur Bhamra, Juan Carlos Bazo-Alvarez, Cini Bhanu, Michael Heinrich, Kate Walters","doi":"10.1080/09638237.2024.2408231","DOIUrl":"https://doi.org/10.1080/09638237.2024.2408231","url":null,"abstract":"<p><strong>Background: </strong>Anxiety symptoms and disorders are common in the UK. Whilst waiting for, or alongside, treatments such as anxiolytics or psychological therapies, people often self-manage anxiety symptoms with products purchased over-the-counter (OTC), such as herbal medicines or dietary supplements. However, the evidence for these products is often presented across different reviews and is not easy for patients or healthcare professionals to compare and understand.</p><p><strong>Aims: </strong>To determine the nature and size of the evidence base available for these products.</p><p><strong>Methods: </strong>A scoping review. CENTRAL, MEDLINE, EMBASE, PsycInfo, and AMED (inception-Dec 2022) were searched for RCTs assessing OTC products in people aged 18-60 with symptoms or a diagnosis of anxiety.</p><p><strong>Results: </strong>In total 69 papers assessing a range of products were found, which mostly focussed on kava, lavender, saffron, probiotics, Galphimia glauca and valerian. Studies used varying dosages. Compared to herbal medicine studies, there were much fewer dietary supplement studies and homeopathic remedy studies, despite some of use of these by the general public.</p><p><strong>Conclusion: </strong>Future research needs to investigate commonly used but less evaluated products (e.g. chamomile, St John's Wort) and to evaluate products against or alongside conventional treatments to better reflect patient decision making.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-21"},"PeriodicalIF":2.9,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337105","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}
María M Hurtado, Amelia Villena, Casta Quemada, José Miguel Morales-Asencio
{"title":"Personal relationships during and after an initial psychotic episode. First-person experiences.","authors":"María M Hurtado, Amelia Villena, Casta Quemada, José Miguel Morales-Asencio","doi":"10.1080/09638237.2024.2408245","DOIUrl":"https://doi.org/10.1080/09638237.2024.2408245","url":null,"abstract":"<p><strong>Background: </strong>Psychosis is often associated with loneliness, the absence of a confidant and a perceived lack of social support. In addition, the social isolation and solitude experienced can aggravate internalised stigma, depressive symptoms and/or suicidal tendencies, and worsen the course of the disorder.</p><p><strong>Aim: </strong>This study explores the experiences and perceptions of persons with psychosis concerning how their interpersonal relationships have evolved from the earliest symptoms of the disorder to its subsequent clinical stabilisation.</p><p><strong>Method: </strong>A qualitative content analysis was performed of the findings from five focus groups and six in-depth interviews (36 participants).</p><p><strong>Results: </strong>In the prodrome and initial symptoms stage, five themes were coded: social withdrawal, loss of friends, loss of personal skills, communication difficulties and breakdown of life project. During the recovery phase, four themes were coded: family support, partner support, loneliness and the desire for more close relationships. Finally, during the clinical stabilisation phase, three themes were coded: the recovery of interpersonal relationships, including with peers; reconstruction of the life project and increased interpersonal sensitivity.</p><p><strong>Conclusions: </strong>These findings highlight the impact that psychosis can have on social life and show that recovery is also related to the development of maeningful interpersonal relationships.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.9,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337089","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":"Experience of choice of treatment for adults with depression: a systematic review and meta-synthesis of qualitative research.","authors":"Odette Megnin-Viggars,Katriona O'Donoghue,Stephen Pilling,Carolyn Chew-Graham","doi":"10.1080/09638237.2024.2390369","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390369","url":null,"abstract":"BACKGROUNDTreatment choices for depression are preference-sensitive (no \"single best option\"). However, factors or attributes that can enhance or inhibit patient choice have not been fully explored.AIMSTo synthesize the qualitative literature on facilitators and barriers to treatment choice, from the perspective of people with depression and healthcare practitioners.METHODSA systematic literature search identified eligible qualitative studies (Protocol registration no. CRD42019151352). Findings from 56 studies were meta-synthesized using a thematic analysis approach.RESULTSOverarching facilitators to treatment choice that resonated with both patients and healthcare practitioners included: a trusting and respectful patient-practitioner relationship; information and guidance tailored to the individual and their preferred level of involvement in the decision-making process; eliciting and incorporating patient preferences and individual needs in order to find the best patient-treatment match. Prominent barriers to treatment choice that emerged were: limited time available to explore treatment options; inadequate mental health training, knowledge, skills, and experience; lack of psychological treatment services and waiting times; inflexibility of services.CONCLUSIONSBy focusing on the factors identified, practitioners can facilitate patient participation in decision-making, which has the potential to improve engagement with treatment and outcomes for adults with depression.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":"15 1","pages":"1-18"},"PeriodicalIF":3.3,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260296","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}
Stijn B Peeters, Merel Hilgersom, Frédérique C W van Krugten, Beatriz Olaya, Josep M Haro, Christina M van der Feltz-Cornelis, Leona Hakkaart-van Roijen
{"title":"Economic evaluations of eHealth interventions targeting mental health problems in the workplace: a systematic review.","authors":"Stijn B Peeters, Merel Hilgersom, Frédérique C W van Krugten, Beatriz Olaya, Josep M Haro, Christina M van der Feltz-Cornelis, Leona Hakkaart-van Roijen","doi":"10.1080/09638237.2024.2390371","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390371","url":null,"abstract":"<p><strong>Background: </strong>Work-related mental health problems impose significant economic and personal burdens. eHealth interventions may offer low-cost, practical solutions, but guidance on their cost-effectiveness in workplace mental health is limited.</p><p><strong>Objective: </strong>The objective of this study was to systematically review economic evaluations of workplace eHealth interventions for mental health, offering insights into methodologies and cost-effectiveness outcomes.</p><p><strong>Methods: </strong>Adhering to PRISMA guidelines, searches were conducted in Embase, MEDLINE, Web of Science, Google Scholar, Cochrane library, PsycInfo and EconLit databases in May 2022, selecting peer-reviewed papers that performed economic evaluations on workplace eHealth interventions for adult mental health. Quality was assessed using the Drummond checklist.</p><p><strong>Results: </strong>From 3213 references, eight met the inclusion criteria. These studies varied in economic perspective, types of economic analysis type, primary outcome measures, intervention focus (e.g. stress, alcohol, insomnia & return-to-work) and direct non-medical costs. Five eHealth interventions were found to be cost-effective and/or have a positive return on investment, with seven studies rated as high quality according to the Drummond checklist.</p><p><strong>Conclusions: </strong>The study outcomes unveiled the potential cost-effectiveness of eHealth interventions targeting mental health issues, particularly these focusing on workplace stress. However, generalization is challenging due to variations in the methodologies across studies.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-16"},"PeriodicalIF":2.9,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009735","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":"Evaluating interventions that have improved access to community mental health care for Black men: A systematic review.","authors":"Daniel W Stockwell, Moïse Roche, Jo Billings","doi":"10.1080/09638237.2024.2390381","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390381","url":null,"abstract":"<p><strong>Background: </strong>Black men are one of the most disadvantaged groups when accessing mental health services in the UK. There is extensive guidance from qualitative research on how to bring equity, but it is unclear how this evidence is being implemented.</p><p><strong>Aim: </strong>To systematically review interventions that help Black men access timely and appropriate mental health care and to explore their nature and effectiveness.</p><p><strong>Method: </strong>We registered on PROSPERO (CRD42022345323). We searched electronic databases up to September 2023 for studies with at least 50% of Black male participants receiving an intervention to improve access to mental health support in community settings. We conducted a narrative synthesis of eligible studies.</p><p><strong>Results: </strong>Five studies met our inclusion criteria. An important characteristic was discussing thoughts and feelings through peer support, leading to a normalization of experiences.</p><p><strong>Conclusions: </strong>There is a paucity of research into interventions that support Black men accessing community mental health support. Proactively testing interventions, not just seeking qualitative feedback, is required. Evidence-based strategies to support recruitment of Black men into research is necessary. Commissioners could consider evidence typically seen as less robust to mitigate against an underlying racial bias within research and stimulate the growth of an evidence base.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.9,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009736","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":"Trust, entrusting and the role of trustworthiness for adult survivors of child sexual abuse.","authors":"Susanna Alyce, Daniel Taggart, Jackie Turton","doi":"10.1080/09638237.2024.2390366","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390366","url":null,"abstract":"<p><strong>Background: </strong>Survivors of Child Sexual Abuse (CSA) are reported to have difficulties in trusting. Yet no previous study investigating CSA survivors' subjective experiences of trust exists and there is a paucity of clinical research into constructs and definitions of \"trust.\"</p><p><strong>Aims: </strong>To use a phenomenological lens to investigate CSA survivors' descriptions of trust relationships and trustworthy others by privileging their subjective experience. To better understand how trust can be built within therapeutic relationships.</p><p><strong>Methods: </strong>A qualitative methodology using Interpretative Phenomenological Analysis was conducted within the survivor-research paradigm. The researcher was a person with lived experience of CSA who co-produced the study with CSA survivor advisors and co-constructed interviews with 17 adult CSA survivors.</p><p><strong>Results: </strong>Findings present a \"Survivor Trust Enactment Model\" that delineates the process of building/repairing relational trust and advancing \"transactional trust.\" Trust is portrayed as nuanced and formed across and according to context, including the demarcation of generalised and relational trust. The findings emphasise that trustees' trustworthiness is key to building trust which challenges assumptions that survivors are deficient in trust.</p><p><strong>Conclusion: </strong>The foregrounding of subjective trust experiences challenges diagnostic and clinical views on trust deficiency in adult CSA survivors. The study develops clinical constructs of trust, considers implications for clinical practice, and indicates areas for further research into trust dynamics in therapeutic relationships.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001088","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}
Ellen Berghmans, Nicole Vliegen, Marianne Destoop, Patrick Luyten
{"title":"Engagement strategies in an assertive outreach context: a mixed-methods systematic review.","authors":"Ellen Berghmans, Nicole Vliegen, Marianne Destoop, Patrick Luyten","doi":"10.1080/09638237.2024.2390363","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390363","url":null,"abstract":"<p><strong>Background: </strong>Assertive outreach (AO) is a systematic approach to engage vulnerable patients with serious mental illness.</p><p><strong>Aims: </strong>This review aims to provide a comprehensive analysis of engagement strategies in relation to principles of the AO model to clarify effective components of AO, better understand engagement in an AO context, and consider encompassing change mechanisms.</p><p><strong>Methods: </strong>A systematic mixed-methods review was completed from 1806 to December 2022 (no pre-registration). Articles meeting the inclusion criteria were rated for methodological quality using the JBI scales and thematic synthesis using a meta-aggregative approach. Reporting was according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement.</p><p><strong>Results: </strong>Eighteen articles met the inclusion criteria. The literature was defined by three main themes: definition and perspectives of engagement; key principles of AO in relation to engagement; and additional principles and strategies enhancing engagement.</p><p><strong>Conclusion: </strong>Despite the heterogeneity in defining engagement, the relationship between AO professionals and patients emerged as crucial in the process of engagement. Subsequently, the four key principles of AO emerged as central to promoting engagement. Finally, we identified a number of additional principles that are considered crucial in the engagement process in AO. The review concludes with recommendations for future research and the implementation of AO in routine clinical care.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001087","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}
Reshin Maharaj, Dorothy Ndwiga, Muhammad Chutiyami
{"title":"Mental health and wellbeing of international students in Australia: a systematic review.","authors":"Reshin Maharaj, Dorothy Ndwiga, Muhammad Chutiyami","doi":"10.1080/09638237.2024.2390393","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390393","url":null,"abstract":"<p><strong>Background: </strong>Concerns have been raised that international students are at high risk of poor mental health and wellbeing.</p><p><strong>Aims: </strong>The aim of this study was to systematically review the literature on the mental health and wellbeing of international students in Australia.</p><p><strong>Methods: </strong>A literature search was conducted using CINAHL, MEDLINE, PsycINFO, and Academic Search Complete using EBSCOhost interface for articles published from 2000. A pre-determined set of eligibility criteria was used to screen articles and eligible articles were quality appraised using the Mixed Methods Appraisal Tool. Due to considerable heterogeneity, the data was narratively analysed, considering the statistical significance and the text narratives. Nineteen studies (N = 19) met the inclusion criteria.</p><p><strong>Results: </strong>Mental health issues experienced by international students included anxiety (2.4-43%, N = 5), depression (3.6-38.3%, N = 6), psychological stress/distress (31.6-54%, N = 9) and gambling problems (3.3-50.7%, N = 3). Factors affecting student wellbeing included loneliness/isolation (60-65%, N = 4), work/financial difficulties (15.4-95%, N = 4) and discrimination/safety concerns (9-50%, N = 3). Other factors affecting students included cross-cultural transition experiences, language difficulties, social interaction, university belonging, technology difficulties, self-harm, use of counselling services and mental health literacy.</p><p><strong>Conclusion: </strong>International students in Australia experience various issues affecting their mental health and wellbeing. More effort needs to be made to better support students.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-19"},"PeriodicalIF":2.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989197","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}
Brenda Happell, Alycia Jacob, Trentham Furness, Alisa Stimson, Jackie Curtis, Andrew Watkins, Chris Platania-Phung, Brett Scholz, Robert Stanton
{"title":"Nurse-led physical health interventions for people with mental illness: an integrative review of international literature.","authors":"Brenda Happell, Alycia Jacob, Trentham Furness, Alisa Stimson, Jackie Curtis, Andrew Watkins, Chris Platania-Phung, Brett Scholz, Robert Stanton","doi":"10.1080/09638237.2024.2390364","DOIUrl":"https://doi.org/10.1080/09638237.2024.2390364","url":null,"abstract":"<p><strong>Background: </strong>People experiencing mental illness receive physical healthcare from nurses in a variety of settings including acute inpatient, secure extended care, forensic, and community services. While nurse-led clinical practice addressing sub-optimal consumer physical health is salient, a detailed understanding and description of the contribution by nurses to physical health interventions in people experiencing mental illness is not clearly articulated in the literature.</p><p><strong>Aims: </strong>The aim of this integrative review is to describe the state of knowledge on nurse-led physical health intervention for consumers, focusing on nursing roles, nursing assessment, and intervention settings.</p><p><strong>Methods: </strong>A systematic search of six databases using Medical Subject Headings from 2001 and 2022 inclusive was conducted. The Mixed Methods Appraisal Tool (MMAT) was utilised for quality appraisal.</p><p><strong>Results: </strong>Seventy-four studies were identified as \"nurse-led\". Interventions were most common among community settings (<i>n</i> = 34, 46%). Nurses performed varied roles, often concurrently, including the collection of 341 physical health outcomes, and multiple roles with 225 distinct nursing actions identified across the included studies. A nurse as lead author was common among the included studies (<i>n</i> = 46, 62%). However, nurses were not always recognised for their efforts or contributions in authorship.</p><p><strong>Conclusions: </strong>There is potential gap in role recognition that should be considered when designing and reporting nurse-led physical health interventions.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-23"},"PeriodicalIF":2.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989198","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}