Ana J. Bridges, H. Pacl, D. Gomez, Aubrey R. Dueweke
{"title":"Beliefs about Causes of Mental Illness Predict Provider Referrals to Behavioral Health","authors":"Ana J. Bridges, H. Pacl, D. Gomez, Aubrey R. Dueweke","doi":"10.5455/JBH.20180612104817","DOIUrl":"https://doi.org/10.5455/JBH.20180612104817","url":null,"abstract":"Background: Many patients with behavioral health concerns seek services for their problems from primary care providers (PCPs) rather than specialty mental health services. This study investigated whether referrals by PCPs to integrated behavioral health specialists could be predicted by PCPs stigmatizing attitudes towards mental illness, blaming of patients for their problems, and beliefs about the causes of mental illness. Method: Participants were all PCPs (N = 22) from three integrated primary care clinics, all part of the same Federally Qualified Health Center. PCPs completed a brief packet of questionnaires. Referral rates (percentage of unique patients seen in the prior three months who were referred to integrated behavioral health specialists) were extracted from electronic medical records. Results: PCPs showed moderate blame and low stigma towards patients with mental illness. PCPs reported mental illnesses were most strongly caused by environmental and biological factors, compared to psychological factors. Approximately 16% of patients seen by PCPs were referred to behavioral health specialists. Blame and stigma were not related to referral rates, but greater endorsement of biological causes was related to lower referral rates. Conclusions: Educating PCPs into the psychosocial determinants of behavioral health problems might increase willingness to refer patients to integrated care specialists.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"7 1","pages":"164-167"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809716","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":"A study of attitude towards medication and medical help-seeking among medical and pharmacy students.","authors":"D. Ram, Najla Eiman","doi":"10.5455/JBH.20170509094104","DOIUrl":"https://doi.org/10.5455/JBH.20170509094104","url":null,"abstract":"Background: Attitude towards medication and medical help-seeking varies among students and has a bearing on keeping optimum health. There is a paucity of studies examining these variables among medical and pharmacy students. Aims: To know the attitude towards medication and medical help-seeking and its relationship in medical and pharmacy students. Materials and Methods: Three hundred and six students (Pharmacy =162, Medical =144) were assessed with socio-demographic and clinical proforma, Hogan Drug Attitude Inventory, and the action/intention sub-scale of Attitudes toward medical help-seeking scale. Results: Mean score on DAI score and ATMHSS were 14.02 and 26.29 respectively. Pharmacy group had statistically significantly lower score (MU=1.012, Z=-2.012, p=.044) on DAI. There was a statistically significant group difference between poor & partial drug attitude (MU=6570.500, Z=-2.425, p=.015), and poor & good drug attitude (MU=1532.000, Z=-2.686, p=.007) on the score of ATMHSS. Conclusion: Pharmacy students tend to have negative attitude towards medication use as compared to medical students. There is negative association between poor attitude towards medication and medical help seeking.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"7 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809077","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}
K. King, Joseph S Frank, Rebecca A. Vidourek, A. Merianos
{"title":"Social Determinants of Alcohol Use and Heaving Episodic Drinking Among Hispanic Young Adults","authors":"K. King, Joseph S Frank, Rebecca A. Vidourek, A. Merianos","doi":"10.5455/jbh.20170517075038","DOIUrl":"https://doi.org/10.5455/jbh.20170517075038","url":null,"abstract":"Background: Although there are numerous preventive measures in the literature, a vast percentage of Hispanic young adults continue to engage in alcohol use and heavy episodic drinking. The purpose of the study was to examine social determinants of recent alcohol use and heavy episodic drinking among Hispanic young adults 18-25 years of age. Methods: In 2016, a secondary analysis (N = 3,452) was performed of 2012 National Survey on Drug Use and Health data. A series of logistic regression analyses were performed to determine whether recent alcohol use and heavy episodic drinking differed based on sex, education level, family income, employment status, location of residence (type of metro area), self-reported health status, first use of alcohol before age 21, first use of tobacco before age 21 and first use of marijuana before age 21. Results: Regarding alcohol use, 51.8% of Hispanic young adults reported that they had consumed alcohol in the past month and 35.0% reported that they had engaged in heavy episodic drinking. Hispanic young adults at highest risk for recent alcohol use were male, had some college or more, had high family income, were employed, lived in a large metropolitan area, had excellent/very good health status, and had early initiation of substance use. Those at highest risk for heavy episodic drinking were male, were employed, and had early initiation of substance use. Discussion: The present study found that a sizeable percentage of Hispanic young adults are involved in recent alcohol use and heavy episodic drinking. Since Hispanic young adults are disproportionately at risk for substance use and scarce resources are available to effectively address the needs of this population, further interventions are warranted. Findings may aid prevention scientists in developing, implementing and evaluating alcohol use programs for this population.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"7 1","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809091","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":"Utilization patterns of substance abuse and mental health resources at an urban VA Hospital","authors":"C. Tannis, Sritha Rajupet","doi":"10.5455/JBH.20180706050351","DOIUrl":"https://doi.org/10.5455/JBH.20180706050351","url":null,"abstract":"Background: Over 10% of the 610,000 homeless persons in the United States are veterans. Homelessness is associated with more substance abuse and mental health diagnoses, and higher hospitalization rates. We assessed the mental health (MH) and substance abuse (SA) burden and use of outpatient MH and SA resources in a homeless veteran population. Methods: Electronic medical record data were obtained on all homeless PACT team (HPACT) and non-homeless patients during fiscal years 2016 &2017. MH and SA prevalence, and related outpatient resource use were compared in three sub-populations: HPACT patients, non-HPACT patients with a homelessness ICD-10 code, and non-homeless PACT patients. Chi-square analyses and t-testing were performed to identify between-group differences during fiscal year 2018. Results: HPACT and homeless, non-HPACT patients had higher MH and SA disorder prevalence, and MH/SA comorbidity in both years (p","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"160 1","pages":"155-163"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809726","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. Abrantes, Madhavi K. Reddy, Samantha G. Farris, B. Greenberg, C. Spofford, N. McLaughlin
{"title":"Exercise Preferences and Perceived Benefits and Barriers of Physical Activity among US Veterans with PTSD","authors":"A. Abrantes, Madhavi K. Reddy, Samantha G. Farris, B. Greenberg, C. Spofford, N. McLaughlin","doi":"10.5455/JBH.20170508111344","DOIUrl":"https://doi.org/10.5455/JBH.20170508111344","url":null,"abstract":"Objective: Veterans are at an increased risk for Posttraumatic Stress Disorder (PTSD) and are less likely to respond to traditional PTSD treatments. Exercise has not been extensively studied in veterans, but there is increasing evidence that exercise interventions can be implemented as an adjunctive treatment for the management of PTSD. The purpose of this study was to determine levels of physical activity, perceived barriers to exercise, and specific exercise preferences among veterans with PTSD. Method: Ninety-seven veterans (83% male, mean age of 56.6 years) currently receiving PTSD treatment completed a brief survey of their current exercise practices and preferences. Results: Approximately half (47.4%) of veterans reported exercising regularly during the last 3 months, and 32% of veterans reported no physical activity at all. The majority of inactive veterans expressed interest in initiating an exercise program. Perceived barriers to exercise included: not having enough energy, feeling unmotivated, not having anyone to exercise with, not enough spare time, being overweight, and not being able to keep up. Inactive veterans reported the following exercise preferences: exercising with friends, exercising at the VA hospital, and exercising with structured/supervised help. Conclusions: Findings suggest that while veterans with PTSD are not engaging in optimal levels of physical activity, they are interested in initiating an exercise program. In addition, the identified barriers and specific exercise preferences may help inform the development of effective, adjunctive physical activity programs for veterans with PTSD.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"6 1","pages":"111-119"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809029","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":"Examining the Moderating Effects of Executive function on Transtheoretical Model Utilization to Predict Physical Activity","authors":"Chelsea Joyner, P. Loprinzi","doi":"10.5455/jbh.20170220062250","DOIUrl":"https://doi.org/10.5455/jbh.20170220062250","url":null,"abstract":"Introduction: The purpose of this study was to examine the association of each of the transtheoretical model (TTM) constructs on physical activity, with considerations by executive function levels, which has yet to be evaluated in the literature. This is a noteworthy investigation as this may help determine whether the utility of the TTM is contingent upon an individual’s level of executive function. Methods: Data were collected from 200 University students (mean age: 21.6 years; 63% female). TTM constructs were assessed via a validated TTM survey. To assess executive function, the Parametric Go/No-Go computer task was utilized. Results: Physical activity was assessed using the international physical activity questionnaire. The only TTM construct associated with meeting activity guidelines was behavioral processes (odds ratio: 1.13; 95% confidence interval: 1.06-1.20; P < 0.001). Further, there were no interaction effects of executive function and any of the TTM constructs on moderate-to-vigorous physical activity (all P > 0.05). Conclusion: Greater use of behavioral processes of change was associated with higher levels of activity, and executive function did not moderate this association. Utilization of the TTM framework may have utility among young adults irrespective of their executive function level.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809218","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}
B. Jenkins, Clifton Addison, Monique S. White, Frances Henderson, Dorothy McGill, Donna Antoine-Lavigne, Marinelle Payton
{"title":"Exploring Barriers and Access to Physical Activity in a Mississippi African American Community: A Qualitative Study","authors":"B. Jenkins, Clifton Addison, Monique S. White, Frances Henderson, Dorothy McGill, Donna Antoine-Lavigne, Marinelle Payton","doi":"10.5455/JBH.20170923095427","DOIUrl":"https://doi.org/10.5455/JBH.20170923095427","url":null,"abstract":"This study was designed to examine access, participation, and barriers to physical activity in a Mississippi African American community to understand factors that affect physical activity practices in this community.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"7 1","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70809295","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}
O. A. Olaoye, Barakat Oduola, Tunde Alonge, A. I. Emechete
{"title":"Attitude towards, contact with people with disabilities and knowledge of disability among health science undergraduates in a Nigerian university","authors":"O. A. Olaoye, Barakat Oduola, Tunde Alonge, A. I. Emechete","doi":"10.5455/JBH.20170401112757","DOIUrl":"https://doi.org/10.5455/JBH.20170401112757","url":null,"abstract":"Background: This study assessed health sciences undergraduates attitude towards and contact with people with disability (PWDs), knowledge of disability as well as their association with each of gender, ethnicity, level and program of study. Methods: Using a stratified random sampling technique, 267 undergraduates of the College of Health Sciences, Obafemi Awolowo University, Ile-Ife, responded to this cross sectional survey yielding a response rate of 89%. A structured self-administered questionnaire on attitude towards, contact with PWDs and knowledge of disability was used to assess attitude, contact and knowledge of the respondents. Procedure was explained to respondents who consented for this study and data were subsequently obtained. Data were analyzed using descriptive statistics and inferential statistics at p˂ 0.05. Results: Sixty-two point nine percent of the respondents had positive attitude towards PWDs with the majority being females (68.9%), students of Igbo ethnicity (89.7%), fourth year students (86.1%) and nursing students (70.5%). Over 70% had good knowledge of disability however, the majority (91.4%) had little or no contact with PWDs. Knowledge of disability was significantly associated with respondents ethnicity (X2= 30.0; p= 0.04), level of study (X2= 53.4; p= 0.01) and contacts with PWDs (X2= 144.1; p= 0.04). Also, there was a relationship between the attitude towards PWDs and knowledge of disability of respondents (r= 0.184; p= 0.00). Conclusion: The authors therefore concluded that Nigerian health sciences undergraduates have positive attitude towards PWDs, good knowledge of disability but low contact with PWDs.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"6 1","pages":"129-135"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70808885","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":"Demographic trends in ADHD diagnosis in U.S. children using NHANES data between 2004 and 2012","authors":"D. Zamil, Xin Wang, A. Vadhariya, Hua Chen","doi":"10.5455/jbh.20170418105540","DOIUrl":"https://doi.org/10.5455/jbh.20170418105540","url":null,"abstract":"Background: Attention Deficit Hyperactivity Disorder (ADHD) is the most common mental disorder in the pediatric population and affects education, finances, and medication. ADHD diagnostic criteria and resultant prevalence rates are also of special interest to the global psychiatric community. ADHD diagnosis rates and the corresponding demographic distributions through different years are thus an issue of great public health concern and debate. The objective of this study is to characterize changes in the demographic distribution of ADHD diagnosis from 2004 to 2012 in the United States. Methods: ADHD diagnosis data was extracted from the National Health and Nutrition Examination Survey (NHANES) Summary Health Statistics for U.S. Children, a source of nationally representative data on children in the United States. The ADHD cases were identified based on ICD9-CM diagnosis codes. Chi square tests were used to investigate differences in ADHD diagnosis rates by demographic characteristics (age, race, and gender) within each year and simple linear regression was applied to determine the extent of change over time. Results: The ADHD diagnosis rate was higher among males, Whites, and school aged children and adolescents (vs. preschoolers aged 3-4) in each year examined. The total number of ADHD cases as well as all demographic groups with the exception of African Americans and preschoolers aged 3-4 exhibited an increasing trend between 2004 and 2012 Conclusions: ADHD diagnosis among youth showed a significant increase in the U.S. between 2004 and 2012. Notable increases and group differences were also observed among demographic subgroups. These findings indicate a need for future research in reasons for such group differences as well as treatment differences.","PeriodicalId":90204,"journal":{"name":"Journal of behavioral health","volume":"6 1","pages":"136-142"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70808949","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}