{"title":"Schizophrenic Patients’ Poor Perception in Personal Hygiene","authors":"Y. Hsu, Wei Lin, H. Kuo","doi":"10.25149/1756-8358.1301006","DOIUrl":"https://doi.org/10.25149/1756-8358.1301006","url":null,"abstract":"Schizophrenia is a chronic and debilitating neuropsychiatric disorder, characterized by heterogeneous symptoms, including positive symptoms (e.g., delusions, hallucinations, and disorganized thoughts) and negative symptoms (e.g., flattened affect, poverty of speech, and social withdrawal) [1]. Patients with Schizophrenia typically have poor grooming and self-care skills, which affect their social relationships and their chances of successful incorporation into their communities [2,3]. The characteristics of a negative syndrome in schizophrenic patients are blunted or restricted affect, poverty of speech, loss of drive, social and emotional withdrawal, and apathy. These are what are known as primary negative symptoms, and are a direct manifestation of the pathologic process. Poor grooming and impaired social relationships are secondary negative symptoms [4]. Personal hygiene is an important part of a cleansing process, and is the basis for establishing healthy relationships with family members and friends.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86178714","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":"Efficacy of GLOW™ on Alleviating Symptoms of Inattention, Hyperactivity/Impulsivity, Depression and Sexual Dysfunction; A Preliminary Study","authors":"M. Castellanos","doi":"10.25149/1756-8358.1301009","DOIUrl":"https://doi.org/10.25149/1756-8358.1301009","url":null,"abstract":"Mental disorders are the leading cause of disability as measured by Years Lived with Disability; however, 40.5% of this burden is attributable to major depression [1]. Recent estimates of the prevalence of major depression indicate that 16.6% of adults in the US have been depressed at some point in their lifetime [2]. Symptoms of major depression include low mood, changes in appetite, sleep, or energy, and feelings of guilt or worthlessness [3]. Current medical treatments for major depression primarily involve synthetic antidepressants (e.g., monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and selective serotonin reuptake inhibitors (SSRIs)) and psychological interventions (e.g., cognitive behavioral therapy, interpersonal therapy) [3,4]. However, psychological interventions may not be available for patients in need [4], and antidepressants may not effectively treat all depressed patients, with non-response rates of up to 50% [5]. Additionally, adverse effects, such as weight gain, insomnia, headache, anxiety and sexual dysfunction, occur frequently with antidepressant medication [6-8].","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85154987","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":"Emotional Core Thera-An Exciting New Psychology Approach","authors":"R. Moylan","doi":"10.25149/1756-8358.1301008","DOIUrl":"https://doi.org/10.25149/1756-8358.1301008","url":null,"abstract":"I am happy to share an important discovery in the field of psychology with the with the Mental Health in Family Medicine Journal. Direct scientific proof is now available which demonstrates that Emotional Core Therapy is the most effective psychological model available worldwide for mental health and medical professionals. Why? Only the Emotional Core Therapy Flowchart and model can identify and treat the root cause of stress that psychiatrists and psychotherapists and their patients face emotionally. Scientific proof can be done with the naked eye so any person can learn and apply the eight-step flowchart to their own situational stress and see for themselves how this revolutionary new model can help reduce psychological pain. Typically, people try and process 20 to 30 or more stressful events through the flowchart to demonstrate scientific evidence of effectiveness. Since each person perceives stress uniquely, it is important that when trying the model, you look for repeated results of effectiveness.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79974485","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 Role of the Medical Health Humanities in the Study of Mental Health in Family Medicine","authors":"D. J. Hume, B. Müller","doi":"10.25149/1756-8358.1202002","DOIUrl":"https://doi.org/10.25149/1756-8358.1202002","url":null,"abstract":"While biomedical journals and medical school curricula have adopted some of the principles of the medical health humanities [1], numerous empirical texts continue to negate the social, political, cultural and economic forces which shape individual choices in the daily lived context. The principles of family medicine furthermore dictate that patient-centered healthcare and the impact of medical treatments permeate beyond the clinical sphere and act as forces upon domestic, familial, occupational and community-based settings. Historically, the patient’s mental health status and psychosocial wellbeing, in particular, have been neglected in the clinical interview and as being implicated in the aetiology, pathogenesis and chronicity of both communicable disease, and non-communicable diseases of lifestyle.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87158913","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":"Ethical Dilemmas, Needs and Unmet Needs in European Psychiatry â A Survey Made by the European Psychiatric Association (EPA)","authors":"Rutz Wolfgang, Kastrup Marianne","doi":"10.25149/1756-8358.1202006","DOIUrl":"https://doi.org/10.25149/1756-8358.1202006","url":null,"abstract":"During the present decade matters of ethics have been increasingly the focus of European National Psychiatric Associations and on the agenda of the European Psychiatric Association (EPA). Discussions in the association’s ethical committee have scrutinized the problems and elucidated the range of ethical dilemmas. A questionnaire sent by the Committee in 2011 to the National European Psychiatric Associations has given a panorama of the ethical problems in European Psychiatry and shown their diversity and even communalities. This overview has been presented at different meetings of the EPA and has recently been reviewed, updated and additionally commented by all committed European national associations. Hereby, new problems in European psychiatry have emerged or became again underlined e.g. the demand on psychiatry’s ethical involvement in end of life issues as well as the consequences of financing routines in times of resource limitations and changed prioritizations within medical care and mental health support systems implied by an ever more predominant market economy. Other re-emerged problems are questions and problems in contact with private sectors of users’ organizations, care providers or pharmaceutical industries and the need and strategies for multidisciplinary involvement in psychiatric education and research support. In this article these newly emerged ethical challenges will be elucidated and some positions of national psychiatric associations and their recently updated priorities regarding ethical challenges will be reviewed. Activities and structures regarding a continuous ethical sensitization as well as needs of a sustainable ethical agenda in European psychiatry are addressed.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83455021","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":"Brain Disorders: Correlation between Cognitive Impairment and Complex Combination","authors":"F. E. Sosso, S. Raouafi","doi":"10.25149/1756-8358.1202010","DOIUrl":"https://doi.org/10.25149/1756-8358.1202010","url":null,"abstract":"Introduction: Most of neurodegenerative diseases have cognitive impairment as early signs or consequence of the evolution of these diseases. Early detection appears unavoidable if, clinicians and researchers expect to win this war. \u0000Methods: Demographic and clinical data, well-being, drugs usage associated with cognitive impairments, gender, level of education, family history disorders, memory deficiency and cognitive disorders were collected. Mc Nair score was calculated using the short version with 15 items. \u0000Results: Simultaneous combination of complex medical history associated with family's medical disease with cognitive problems, exhibited a specific profile of subject at risk of future brain disorders. \u0000Discussion: Monitoring the mental state contributes both to prevention and; monitoring initial symptoms of cognitive decline will decrease considerably memory complaints and prevent the onset of neurodegenerative diseases. We also strongly state early detection of cognitive impairment will delay dementia and associated illness.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86336014","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":"Implementation of the Consultation-liaison Model in Quebec and its Impact on Primary Care Providers","authors":"M. Fleury, G. Grenier, D. Robitaille","doi":"10.25149/1756-8358.1202012","DOIUrl":"https://doi.org/10.25149/1756-8358.1202012","url":null,"abstract":"Background: With increasing resource scarcity in specialized mental healthcare, collaborative care models have been advanced in order to strengthen primary mental healthcare. The consultation-liaison model was introduced in conjunction with sweeping reform of the Quebec (Canada) healthcare system. Respondent-psychiatrists were hired to provide consultation and support to both general practitioners (GP) working in medical clinics and primary care MH teams. This study evaluates the impact of respondent-psychiatrists on the capacity of GPs and primary care teams to diagnose and treat MH disorders, and identifies barriers and facilitators to their deployment within the consultation-liaison model. \u0000Methods: Eleven local networks provided the setting. Data collection included structured questionnaires completed by 29 respondent-psychiatrists and 33 managers, and semi-structured interviews with 102 network stakeholders. Mixed methods were employed, triangulating data from questionnaires, interviews and network-related documents. \u0000Results: Respondent-psychiatrists collaborated more effectively with MH primary care teams than with GPs. Barriers to implementation of respondent-psychiatrists were identified, including poor comprehension of the model, inadequate provincial coordination, resistance from psychiatrists and GPs, lack of financial incentives for GPs, little knowledge of GP and patient needs in primary care, and physical distance between GPs and respondent-psychiatrists. \u0000Conclusion: Although respondent-psychiatrists positively impacted MH primary care teams, the consultation-liaison model as implemented did not fully meet needs among GPs who treat most MH problems. Implementation called for better model indicators and provincial-level coordination. A more comprehensive model of collaborative care including integrated MH teams and psychosocial care managers might optimize the use of GPs in primary mental healthcare.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80403481","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}
A. Shehadeh, G. Loots, J. Vanderfaeillie, I. Derluyn
{"title":"The impact of men’s detention on the psychological wellbeing of Palestinian women.","authors":"A. Shehadeh, G. Loots, J. Vanderfaeillie, I. Derluyn","doi":"10.25149/1756-8358.1202007","DOIUrl":"https://doi.org/10.25149/1756-8358.1202007","url":null,"abstract":"Detention has a main impact on the health and psychological wellbeing of those leaving behind, in particular the partners. Little is known however on the impact of detention of men on their spouses when the imprisonment happens in situations of protracted armed conflict. This study therefore aims at investigating the consequences of the detention of men onto the health of their spouse living in the Palestinian Occupied Territories. A random sample of 360 Palestinian women compared the health of spouses of men who had been imprisoned for different periods of time with a group of women whose husbands had not been imprisoned. All participants completed self-report questionnaires on posttraumatic stress disorders symptoms (UCLA PTSD Index) and general health problems (General Health Questionnaire 28). Detention of men puts their spouses clearly at risk to develop several health problems, even more for older women and for those without children. The time the man was imprisoned had a various impact onto their wives’ health. These findings call for important supporting interventions for this highly vulnerable group.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"39 1","pages":"200-204"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79367299","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}
L. Cambioli, A. G. Maremmani, S. Bacciardi, N. Nikoo, Sindi Addorisio, Nicole D. Gehring, J. Somers, J. Frankish, M. Vogel, K. Jang, M. Krausz
{"title":"Are Substance use and Mental Illness Associated to an Earlier Onset of Homelessness","authors":"L. Cambioli, A. G. Maremmani, S. Bacciardi, N. Nikoo, Sindi Addorisio, Nicole D. Gehring, J. Somers, J. Frankish, M. Vogel, K. Jang, M. Krausz","doi":"10.25149/1756-8358.1202008","DOIUrl":"https://doi.org/10.25149/1756-8358.1202008","url":null,"abstract":"Purpose: Substance use and complex concurrent mental disorders are highly common among the homeless, contributing to a higher burden of disease and mortality. Are they associated to an earlier loss of housing? \u0000Methods: Participants of the Vancouver arm of the At Home/Chez Soi study suffering from at least one psychiatric illness (n=490) were included in this cross-sectional analysis. Alcohol and substance use patterns were assessed at baseline using the highly validated Mini questionnaire. Age of first homelessness was a self-reported measure. To investigate the independent association between these variables, a linear regression model was created. \u0000Results: Sixty percent of the participants had a diagnosis of psychoactive substance use disorder. Thirty-two percent an alcohol abuse and dependence disorder at baseline. While all participants had one mental disorder, over ninety percent had from two to eight diagnoses. According to our model, each additional psychiatric diagnosis was associated to an earlier onset of homelessness by 0.86 years and each category of drug used by 0.51 years. \u0000Conclusions: The number of psychiatric comorbidities and abused substances were found to be associated to earlier onset of homelessness. These findings provide information on the path into homelessness, general health conditions and social marginalization, helping the researchers understand how to better face this challenge. The data suggest an increased need for proactive integration of homeless individuals suffering from psychiatric disorders.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"139 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76082420","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":"Assessment of Depression and Disability in Lung Cancer Patients in a Nigerian De-Addiction Unit","authors":"Lasebikan Victor Olufolahan, O. Adeyemi","doi":"10.25149/1756-8358.1202001","DOIUrl":"https://doi.org/10.25149/1756-8358.1202001","url":null,"abstract":"Introduction: Depression and lung cancers both independently result in disability. Depression has been documented to worsen the quality of life in patients with lung cancers and this co-morbidity could result in more disability. The relationship between depression, lung cancer and disability has only been explored in high income countries and there could be cross-cultural variation in low and middle income countries. There is a lack of data on this relationship in Nigeria. \u0000Objectives: The objectives of this study were to determine the prevalence of depression and disability in patients with lung cancer in a teaching hospital. \u0000Method: Eighty patients with lung cancer aged 35 to 80 years, attending a tobacco-cessation program were matched by age and gender with 80 patients without lung cancer attending the study center for simple ailments. Depression was assessed using the Mini International Neuropsychiatry Interview (MINI), information on lung cancer was by self-report corroborated by physician written medical report, while the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), was used to assess disability. All analyses were carried out using SPSS version 16.0. \u0000Results: Fifty one percent of patients with lung cancer had depression compared to 6.3% in the matched control. Among patients with lung cancer, disability was significantly associated with depression after controlling for smoking OR = 9.1, 95% CI (2.5-28.5), and stage of lung cancer OR = 2.1, 95% CI (1-13-9.42). \u0000Conclusion: There is a critical need to screen for and manage depression in lung cancer patients in order to reduce disability.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81470364","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}