Mental health in family medicine最新文献

{"title":"Cross Cultural Gender Differences in Social-emotional Competence of Young Children: Comparisons with Brazil, China, South Korea, and the United States","authors":"C. Chen, J. Squires, H. Kay., Xiaoyan Bian, Ching-I. Chen, A. Filgueiras, Huichao Xie, K. Murphy, Jill K. Dolata, J. Landeira-Fernández","doi":"10.25149/1756-8358.1102009","DOIUrl":"https://doi.org/10.25149/1756-8358.1102009","url":null,"abstract":"Background: The current study investigated differences in gender-based expectations across cultures by examining whether items in Ages & Stages Questionnaires: Social-Emotional (ASQ:SE), a social-emotional screening instrument, functioned differently for boys and girls 3 to 66 months old. A total of 74,776 ASQ:SE questionnaires were collected in Brazil, South Korea, China and the United States (U.S.). \u0000Methods: The analyses were conducted using differential item functioning (DIF) by country for each ASQ:SE age interval (i.e., 6, 12, 18, 24, 30, 48, 60 months). \u0000Results: Results showed that eight items with gender DIF were present in two or three countries simultaneously, and 19 items with gender DIF were detected in a single country. \u0000Conclusions: With an equal level of social-emotional competence, girls had higher scores than boys, indicating more problem behaviors on items reflecting internalizing behaviors; and boys had higher scores on items measuring externalizing problem behaviors. Additionally, in all four countries, differences in item functioning associated with gender increased as children grew older. Interpretations of ASQ:SE results should consider that families’ cultural beliefs may have differing effects according to the child’s gender.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89329945","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":"Migraine Cause and Treatment","authors":"Angela A. Stanton","doi":"10.2139/SSRN.2690927","DOIUrl":"https://doi.org/10.2139/SSRN.2690927","url":null,"abstract":"Background: Research shows that migraine brains have hyperactive sensory organs and multiple sensory receptor connections. Hyper activity of these organs needs extra supply of nutrition to support increased electrical activity. Today’s medicines reduce or prevent the functioning of these neurons by blocking essential voltage dependent calcium or sodium channel instead of providing nutrients. We asked: if we provide support for extra electrical activity of migraineurs, would it prevent migraines without the use of medicines?Methods: We reviewed published literature and conducted research over 6 months studying 650 volunteer migraineurs in a migraine-research Facebook group. Participants were screened for migraine types, answered a questionnaire on medical conditions, medicines used, and lifestyle. They were provided instructions on the use of the migraine protocol and were evaluated weekly.Findings: Migraine frequency appears to be exacerbated by carbohydrate-rich and salt- and water-poor diets and may be worsened by medicines that block voltage gated calcium or sodium channels. Stopping these medicines, reducing carbohydrates and increasing saline in electrolytes appears to prevent and/or stop migraines.Conclusions: H2O and Na efflux from cells caused by glucose, electrolyte mineral (Na , Cl-, K ) ratio may be disrupted in carbohydrate heavy diets causing migraines. Changes to diet that include increased salt intake along with reduced carbohydrate intake appears to prevent glucose induced electrolyte changes which then decreases migraine frequency. In the present study, all participants who made these dietary changes were able to eliminate migraine medications and remained migraine free.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90366174","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 Framework of Healthcare Delivery to Stigmatized Populations, Implications for Care in Pregnant Women with Substance Related-related Disorders","authors":"N. Nikoo, M. Nikoo, Curtis Kehler, K. Jang, M. Krausz","doi":"10.25149/1756-8358.1101002","DOIUrl":"https://doi.org/10.25149/1756-8358.1101002","url":null,"abstract":"Background: Policy-making of healthcare delivery to stigmatized populations is one of the most challenging areas in public health ethics. Marginalized people carry societal stigmas as a result of various determinants including their health and social conditions. By creating a framework, which helps to guide decision making towards an ethical provision of optimal healthcare, more trust and solidarity will be built within and among healthcare organizations, and the social support system. Good healthcare planning requires reflection on values because, by far, the defined social determinants of health alone have not been sufficient to provide a continuum of care to vulnerable, stigmatized populations. \u0000Methods and findings: This paper presents an ethical framework for healthcare delivery to stigmatized populations. The framework was developed considering the needs of these populations and validated through a process involving community agencies and stakeholder engagement. Guidelines of ethical conduct for healthcare delivery by health professionals; community agencies providing care to stigmatized populations, and the public health and social support system is proposed. Application of this framework in the healthcare delivery to pregnant women with substance- related disorder is discussed. \u0000Conclusions: Application of this framework can optimize healthcare delivery to the stigmatized. It will require re-evaluation and refinement because the merits and limits will be revealed when applied to different subpopulations of stigmatized people.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90838212","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 Hardest Thing about Professional Reflection in Medical Education is Actually Doing It","authors":"A. S. Wolkenstein, M. E. Wolkenstein","doi":"10.25149/1756-8358.1101004","DOIUrl":"https://doi.org/10.25149/1756-8358.1101004","url":null,"abstract":"While requirements for successful completion of graduate and post-graduate training programs in the physical and psychological sciences have increased, there is seldom any structured time for individuals to become self-aware, to emotionally evaluate, and to reflect on their experiences. Lack of reflective learning can contribute to an under-experienced and therefore a less-than-optimal and non-integrated education for physicians; non-reflective practitioners are, so to speak, “under-practiced.”","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73327322","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":"Family medicine, a much needed partnership towards global health and mindfulness","authors":"N. Nikoo","doi":"10.25149/1756-8358.1101003","DOIUrl":"https://doi.org/10.25149/1756-8358.1101003","url":null,"abstract":"Family Physicians have the key role of being the first and sometimes the only point of contact in a very early stage of mental health deterioration. This positions family physicians as the main point of care in the healthcare system to provide continuum of care from prevention to screening, monitoring, diagnose and treatment of mental health for clients through collaboration with mental healthcare providers.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83731489","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 Relationship between Religious Beliefs and Rate of Depression and Anxiety in the Patients with Cancer in Zahedan (Iran)","authors":"Hashemi Seyed Mehdi, M. Hormozi, M. Mohammadi, Shima Naghizadeh Dehno, A. Azizollah","doi":"10.25149/1756-8358.1101005","DOIUrl":"https://doi.org/10.25149/1756-8358.1101005","url":null,"abstract":"Introduction: Considering the importance of cancer psychological aspects, the present research was done with the aim of studying the relationship between religious beliefs with rate of depression and anxiety in the patients affected by cancer in Zahedan (Iran). \u0000Materials and methods: This descriptive- analytical study was performed on 100 adult patients (>18 years old) who were affected by cancer and referred to the hospital and the related private centers. The Convenience sampling was performed. Two standard DASS-21questionnaires were given to the patients in order to evaluate the rate of their depression; anxiety and religious view standard questionnaire was given them in order to evaluate their religious beliefs. Obtained data were analyzed and investigated using Chi square test and correlation coefficient. \u0000Findings: Among 100 patients, 56 patients were female and 44 patients were male. 23% of the patients were older than 60 years old. 45% were uneducated, 7% elementary educated, 36% guidance school and high school and 12% were under graduated from university. 78% were married, 10% were single and 12% widow. DASS-21 questionnaire indicated rate of depression equal to 36% (24% slight and 12% mean) and rate of anxiety were shown equal to 42% in the under studied patients (14% slight, 18% mean and 10% severe), also rate of depression, anxiety and religious beliefs of the under studied patients were measured separated from the variables of gender, age, education level and marital statue. \u0000Conclusion: Statistical chi-square test indicated that any significant relationship was not obtained between depression and anxiety with the religious beliefs of the patients affected by cancer totally and separated from gender, age, education level and marital status. Also the results revealed that there are not any significant relationship correlatively between depression and anxiety with rate of religious beliefs of the under studied patients except three group such as : female group, 18-60 age group and high school group of education level. Thus , it is advised that the future studies should be done on more sample numbers, more congenial people from viewpoint of demographic using local standard measurement tools proportional to religious and psychological characteristics of Iranian population.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87867691","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":"Effect of Sociological Factors on Targeted Motivation of Students of Secondary Education","authors":"A. Arbabisarjou, Mehdi Sadeghian Sourki","doi":"10.25149/1756-8358.1101001","DOIUrl":"https://doi.org/10.25149/1756-8358.1101001","url":null,"abstract":"Objective: One of the effective factors on educational progress and improvement of learning process of students is targeted motivation. The theory of target or targeted motivation is one of the cognitive and social theories of motivation. The goal of this study is to investigate the effective sociological factorson targeted motivation of male students of secondary education in Shahrekord. \u0000Materials and methods: The research method is of descriptive-analytical type using quantitative method and the statistical society is all the students of secondary education of Shahrekord including 11,567 students. The volume of the sample of research was estimated to be 229 students using Cochran formula and statistical units were selected using cluster-simple random method. The tools to collect data were two questionnaires including the standard questionnaire of targeted motivation of Bouffard and the questionnaire tailored by the researcher to assess the independent variables of the study. The collected data analyzed using one-way variance analysis test and t-student by SPSS 21.00. The face and conceptual validity of the used tools were confirmed. The reliability was also tested using Cronbach's Alpha coefficient. It was 0.82 in the targeted motivation questionnaire and 0.80 another questionnaire tailored by the researcher for assessment. In the theoretical grounds of the current study, targeted motivation theory of Nicholls and Elliot & Deweck were used to explain the results. \u0000Findings: The findings showed that among the seven socio-economic and family factors, the variables of socialization of children, anomia in family, method of raising children, father's level of education and gender were effective on targeted motivation of students. But the socio-economic status variables of provision of family economic welfare and mother's education were not effective on targeted motivation.","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83230075","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":"\"Someone's got to do it\" - Primary care providers (PCPs) describe caring for rural women with mental health problems.","authors":"Maria C Colon-Gonzalez, Jennifer S McCall-Hosenfeld, Carol S Weisman, Marianne M Hillemeier, Amanda N Perry, Cynthia H Chuang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Little is known about how primary care providers (PCPs) approach mental health care for low-income rural women. We developed a qualitative research study to explore the attitudes and practices of PCPs regarding the care of mood and anxiety disorders in rural women.</p><p><strong>Method: </strong>We conducted semi-structured interviews with 19 family physicians, internists, and obstetrician-gynecologists (OBGYNs) in office-based practices in rural central Pennsylvania. Using thematic analysis, investigators developed a coding scheme. Questions focused on 1) screening and diagnosis of mental health conditions, 2) barriers to treatment among rural women, 3) management of mental illnesses in rural women, and 4) ideas to improve care for this population.</p><p><strong>Results: </strong>PCP responses reflected these themes: 1) PCPs identify mental illnesses through several mechanisms including routine screening, indicator-based assessment, and self-identification by the patient; 2) Rural culture and social ecology are significant barriers to women in need of mental healthcare; 3) Mental healthcare resource limitations in rural communities lead PCPs to seek creative solutions to care for rural women with mental illnesses; 4) To improve mental healthcare in rural communities, both social norms and resource limitations must be addressed.</p><p><strong>Conclusion: </strong>Our findings can inform future interventions to improve women's mental healthcare in rural communities. Ideas include promoting generalist education in mental healthcare, and expanding access to consultative networks. In addition, community programs to reduce the stigma of mental illnesses in rural communities may promote healthcare seeking and receptiveness to treatment.</p>","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"10 4","pages":"191-202"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4306261/pdf/nihms618287.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33337200","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":"Bereavement in the elderly: the role of primary care.","authors":"Syahnaz Mohd Hashim, Tan Chai Eng, Noorlaili Tohit, Suzaily Wahab","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bereavement in the elderly is a concern to primary care physicians (PCPs) as it can lead to psychological illness such as depression. Most people are able to come to terms with their grief without any intervention, but some people are not. This case highlights the importance of early recognition of bereavement-related depressive illness in elderly people. PCPs need to optimise support and available resources prior to, and throughout, the bereavement period in order to reduce the family members' burden and suffering. </p>","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"10 3","pages":"159-62"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822663/pdf/MHFM-10-159.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32032644","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":"Research in general practice: a survey of incentives and disincentives for research participation.","authors":"Henry Brodaty,&nbsp;Louisa Hr Gibson,&nbsp;Melissa L Waine,&nbsp;Allan M Shell,&nbsp;Ruth Lilian,&nbsp;Constance Dimity Pond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background Recruitment rates of general practitioners (GPs) to do research vary widely. This may be related to the ability of a study to incorporate incentives for GPs and minimise barriers to participation. Method A convenience sample of 30 GPs, ten each from the Sydney intervention and control groups Ageing in General Practice 'Detection and Management of Dementia' project (GP project) and 10 GPs who had refused participation, were recruited to determine incentives and barriers to participating in research. GPs completed the 11-item 'Meeting the challenges of research in general practice: general practitioner questionnaire' (GP survey) between months 15 and 24 of the GP project, and received brief qualitative interviews from a research GP to clarify responses where possible. Results The most important incentives the 30 GPs gave for participating in the project were a desire to update knowledge (endorsed by 70%), to help patients (70%), and altruism (60%). Lack of time (43%) was the main barrier. GPs also commented on excessive paperwork and an inadequate explanation of research. Conclusions While a desire to update knowledge and help patients as well as altruism were incentives, time burden was the primary barrier and was likely related to extensive paperwork. Future recruitment may be improved by minimising time burden, making studies simpler with online data entry, offering remuneration and using a GP recruiter. </p>","PeriodicalId":89603,"journal":{"name":"Mental health in family medicine","volume":"10 3","pages":"163-73"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822664/pdf/MHFM-10-163.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32032645","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}