SSM. Mental health最新文献

{"title":"Experiences of a newly developed brief compassion-focused intervention for Trainee mental health professionals – A qualitative study","authors":"Ella Janes ,&nbsp;Chloe Gibbons ,&nbsp;Silan Gyane ,&nbsp;Chris Irons ,&nbsp;Michelle Wilson","doi":"10.1016/j.ssmmh.2023.100288","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100288","url":null,"abstract":"<div><h3>Objectives</h3><p>Informed by the Medical Research Council's process evaluation framework (Moore et al., 2015), this study explored the experiences of a newly developed brief compassion-focused intervention for trainee mental health professionals (tMHPs).</p></div><div><h3>Design</h3><p>A qualitative approach was taken, using semi-structured interviews analysed with thematic analysis (Braun and Clarke, 2006).</p></div><div><h3>Method</h3><p>The intervention was developed and planned in collaboration with key stakeholders. The intervention was piloted by delivering it to tMHPs at course centres in England as part of their core teaching programme. Qualitative methods were employed to explore the experiences of the intervention using in-depth semi-structured interviews (n = 19).</p></div><div><h3>Results</h3><p>Whilst several suggested improvements were recommended by participants, the experience of the intervention was generally good. Participants reported finding the intervention helpful and described positive changes they subsequently noticed in themselves and their work. Factors facilitating engagement with and implementation of the intervention, such as interactive and experiential content, were discussed as improving experience. Conversely, contextual factors, such as multiple demands and levels of support, were most consistently spoken about as preventing participants from being able to make use of the intervention.</p></div><div><h3>Conclusions</h3><p>The brief compassion-focused intervention was largely perceived to be helpful and valuable. However, some aspects of the intervention and the context in which it was delivered were discussed as creating barriers to engagement and implementation, thereby impacting experience. These findings have several clinical implications and highlight areas for further research.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"5 ","pages":"Article 100288"},"PeriodicalIF":0.0,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323001032/pdfft?md5=eed2516d997395ccfa7e1703d1e29721&pid=1-s2.0-S2666560323001032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138738652","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":"Psychological distress and suicidality in psychiatric patients during the COVID-19 pandemic in Norway: A repeated cross-sectional study","authors":"Sneha Ojha ,&nbsp;Suraj Bahadur Thapa","doi":"10.1016/j.ssmmh.2023.100286","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100286","url":null,"abstract":"<div><h3>Background</h3><p>Psychiatric patients are vulnerable to disruptions caused by the Corona Virus Disease 2019 (COVID-19) pandemic. This study aimed to investigate the effects of the pandemic on mental health symptoms and suicidality among these patients during lockdowns.</p></div><div><h3>Methods</h3><p>This repeated cross-sectional study utilized data from “Psychological distress and Coping in Patients in Community Mental Health Centers during COVID-19 pandemic (PsyCo-COVID-19) \" study, conducted in two phases between June–July 2020 and March–April 2021. It included 261 participants from six Community Mental Health Centers (CMHCs) who completed a digital questionnaire, including Norwegian version of Mini International Neuropsychiatric Interview Plus (M.I.N.I. Plus), Hopkins Symptoms Checklist (HSCL-25), Post-traumatic Stress Disorder Checklist (PCL-5).</p></div><div><h3>Results</h3><p>A higher percentage of patients reported PTSD during the second phase of lockdown (47.4%) compared to the first phase of lockdown (33.7%). A third of participants (33.7%) reported high levels of suicidality. Moderate to severe effects of pandemic on mental health were associated with a significantly higher risk of suicide (AOR = 3.12; 95% CI: 1.50, 6.48; p = 0.0001), while having children (AOR = 0.35; 95% CI: 0.16, 0.76; p = 0.008) and being employed (AOR = 0.44; 95% CI: 0.23, 0.84; p = 0.013) were protective factors. Non-Norwegian background was associated with a higher risk of suicide (AOR = 2.59; 95% CI: 1.08, 6.19; p = 0.032).</p></div><div><h3>Conclusion</h3><p>High prevalence of suicidality was found among patients in CMHCs in Norway, with a significant association with self-reported worsening of mental health. PTSD and suicidality increased significantly during the second phase of lockdown, emphasizing the lasting impact of the pandemic on mental health. Targeted interventions and support services are needed for psychiatric patients during times of increased stress and uncertainty. Healthcare providers should be aware of the increased risk of suicide and provide appropriate support and interventions to prevent adverse outcomes.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100286"},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323001019/pdfft?md5=73f0cd8af30a395e2f863717db17961b&pid=1-s2.0-S2666560323001019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138570306","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":"Navigating mental health literacy, symptom beliefs, and depression severity: A commentary on Ahuvia et al., 2023","authors":"Stella Nam ,&nbsp;Saúl Urbina-Johanson","doi":"10.1016/j.ssmmh.2023.100282","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100282","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100282"},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266656032300097X/pdfft?md5=1a8378437a82e8ff3382275b2593e001&pid=1-s2.0-S266656032300097X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138558858","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":"Social support and user engagement with task-shared psychological treatments in the real world: Findings from the PRIME India study","authors":"Veda Sripada","doi":"10.1016/j.ssmmh.2023.100283","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100283","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"5 ","pages":"Article 100283"},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000981/pdfft?md5=8e61c9df80b2ebe1cd457694f267c40b&pid=1-s2.0-S2666560323000981-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138738653","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":"Advancing an individual-community health nexus: Survey, visual, and narrative meanings of mental and physical health for Arab emerging adults","authors":"Delaney J. Glass ,&nbsp;Zainab al-Tameemi ,&nbsp;Stephanie Farquhar","doi":"10.1016/j.ssmmh.2023.100281","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100281","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100281"},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000968/pdfft?md5=7a6a104ddcb2f76c0b4a2ce89cbdf8ea&pid=1-s2.0-S2666560323000968-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138564502","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":"Social relationship expectations, care, and loneliness in later life: Perspectives from Thai and Myanmar adults in northern Thailand","authors":"Samia C. Akhter-Khan ,&nbsp;Nang Myat Pont Aein ,&nbsp;Chanyanut Wongfu ,&nbsp;Matthew Prina ,&nbsp;Khin Myo Wai ,&nbsp;Rosie Mayston ,&nbsp;Sirinan Suwannaporn","doi":"10.1016/j.ssmmh.2023.100279","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100279","url":null,"abstract":"<div><p>Loneliness results from unfulfilled social relationship expectations (SREs). Little research has investigated how SREs vary by culture and context, how loneliness is experienced in rural Southeast Asia, and how loneliness relates to care provision in later life. The current study qualitatively explored the understanding of loneliness, contextual differences in the content, avenues, and obstacles for SREs, and care provided by Myanmar and Thai people living at the border in Chiang Rai. Data were analysed using thematic analysis. Between November and December 2022, 10 focus group discussions were held with 17 migrants from Myanmar and 33 older people from Thailand. Emerging themes from the focus groups shed light on how loneliness differs between cultures and contexts. Loneliness was experienced particularly at night, when people thought about their unmet relationship expectations. Having “nothing to do” and overthinking were closely related to the experience of loneliness, whereas engaging in activities, including caregiving, alleviated loneliness. Compared to Myanmar adults, Thai older adults were more likely to have family members nearby but less likely to share personal problems and feelings of loneliness with others. Fulfilling the SREs of proximity, generativity, and respect was more challenging for Myanmar migrants, who had been unable to return home for years while struggling with financial insecurity.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100279"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000944/pdfft?md5=8a1f9d926fbd0e4e9e7f5a05ccd8c1b8&pid=1-s2.0-S2666560323000944-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557415","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":"Psychosocial support during the COVID-19 pandemic in informal settlements: A Case of Childcare Providers in Nairobi, Kenya","authors":"Ivy Chumo,&nbsp;Blessing Mberu,&nbsp;Hellen Gitau,&nbsp;Ivy Nandongwa,&nbsp;Yohannes Dibaba,&nbsp;Caroline Kabaria","doi":"10.1016/j.ssmmh.2023.100240","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100240","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49904668","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 feasibility of a Community Mental Health Education and Detection (CMED) tool in South Africa.","authors":"Merridy Grant, Arvin Bhana, Tasneem Kathree, Nonkululeko Khuzwayo, André J van Rensburg, Londiwe Mthethwa, Sithabisile Gigaba, Ellen Ntswe, Zamasomi Luvuno, Inge Petersen","doi":"10.1016/j.ssmmh.2023.100188","DOIUrl":"10.1016/j.ssmmh.2023.100188","url":null,"abstract":"<p><strong>Background: </strong>Poor mental health literacy, misinformation about treatment and stigma result in low demand for mental health services in low-and middle-income countries. Community-based interventions that raise mental health awareness and facilitate detection of mental health conditions, are instrumental in increasing demand through strengthened mental health literacy, as well as supply of available mental health services through strengthened detection and linkage to care.</p><p><strong>Objective: </strong>To assess the feasibility of a Community Mental Health Education and Detection Tool (CMED) for use with household members by community health teams in South Africa.</p><p><strong>Methods: </strong>The feasibility of using the CMED in households was assessed using Bowen et al.'s framework which informed the study design, interview tools and analysis. The feasibility study involved four phases: (1) observations of the CMED consultation to evaluate the administration of the tool; (2) semi-structured interviews with household member/s after the CMED was administered to explore experiences of the visit; (3) follow-up interviews of household members referred using the CMED tool to assess uptake of referrals; (4) and weekly focus group discussions with the community health team to explore experiences of using the tool. Framework analysis was used to inform <i>a priori</i> themes and allow inductive themes to emerge from the data.</p><p><strong>Results: </strong>The CMED was found to be acceptable by both community health teams and household members, demand for the tool was evident, implementation, practicality and integration within the existing health system were also indicated.</p><p><strong>Conclusion: </strong>The CMED is perceived as feasible by household members and community health teams, suggesting a 'goodness of fit\" within the existing health system.</p>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"1 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55067857","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":"Social support and user engagement with task-shared psychological treatments in the real world: Findings from the PRIME India study","authors":"Saloni Dev ,&nbsp;John Griffith ,&nbsp;Vikram Patel ,&nbsp;Alisa Lincoln","doi":"10.1016/j.ssmmh.2023.100257","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100257","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49881722","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":"Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders: A qualitative study in Nepal","authors":"Nagendra P. Luitel ,&nbsp;Vibha Neupane ,&nbsp;Bishnu Lamichhane ,&nbsp;Gobinda Prasad Koirala ,&nbsp;Kamal Gautam ,&nbsp;Eliza Karki ,&nbsp;Sandarba Adhikari ,&nbsp;Nicole Votruba ,&nbsp;Mark JD. Jordans ,&nbsp;Brandon A. Kohrt ,&nbsp;Kenneth Carswell ,&nbsp;Graham Thornicroft ,&nbsp;Heidi Lempp","doi":"10.1016/j.ssmmh.2023.100278","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100278","url":null,"abstract":"<div><p>This study assessed perception and experience of trained primary health care workers in using a mobile app-based version of the WHO mental health gap action programme (mhGAP) Intervention Guide in the assessment and management of people with mental health conditions in primary care in Nepal. A qualitative study was conducted with primary healthcare workers who were trained in using the WHO mhGAP mobile application in Jhapa, a district in eastern Nepal. Semi-structured interviews were carried out with 15 healthcare workers (3 females and 12 males) nine months after the training. Interviews were audio recorded, transcribed and translated into English for the thematic qualitative data analysis. Health care workers (HCWs) found the mobile app helpful to verify and confirm their assessment and diagnosis. The other benefits reported by the participants were: bringing uniformity in diagnosis and management of mental health conditions across primary healthcare facilities; reminding the HCWs specific assessment questions; creating awareness on the importance of psychosocial intervention; improving the interaction between patients and service providers; and the importance of follow-up care. Despite these advantages, lack of clarity about report submission modality; lack of electricity or internet connectivity; and low technology literacy among older HCWs were some of the barriers in using the app. The major recommendation made by the HCWs for the guide included revision of the assessment process and system; inclusion of a chat function with supervisors; minimizing the amount of patients’ data to be collected in the app; and addition of conversion and anxiety disorders to the app. This study concludes that the mobile decision support application could be acceptable and feasible in primary care settings if the suggested modifications are incorporated, in addition to addressing other systemic issues facing the primary care-based delivery of mental health services.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100278"},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000932/pdfft?md5=720d7ef6e277b2ff842889db61695ef7&pid=1-s2.0-S2666560323000932-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501901","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}