The relationship between research publications in two leading geriatric psychiatry journals and elderly population size, socio-economic status and markers of mental health care

Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.

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ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

European Psychiatry ◽

10.1016/s0924-9338(11)73499-x ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1795-1795

Author(s):

D. Bhugra

Keyword(s):

Mental Health ◽

Cultural Identity ◽

Economic Status ◽

Psychiatric Morbidity ◽

Economic Factors ◽

Socio Economic Status ◽

Level Of Economic Development ◽

Migration Experiences ◽

The Impact ◽

The Relationship

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

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New Horizons for Mental Health Care in the Elderly Population

CNS Spectrums ◽

10.1017/s1092852900008683 ◽

2002 ◽

Vol 7 (10) ◽

pp. 702-702

Author(s):

Mark D. Miller

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Elderly Population ◽

The Elderly ◽

New Horizons

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The Role of Virtue Ethics in Psychiatric Nursing

Nursing Ethics ◽

10.1177/096973309600300303 ◽

1996 ◽

Vol 3 (3) ◽

pp. 202-211 ◽

Cited By ~ 18

Author(s):

Kim Lützén ◽

António Barbosa da Silva

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Virtue Ethics ◽

Applied Ethics ◽

Psychiatric Nursing ◽

Empirical Reality ◽

Rule Based ◽

The Relationship

The main purpose of this article is to discuss the place of the ethics of virtues and char acter in nursing and health care in general, and in psychiatric nursing in particular. To attain this goal, the relationship between the ethics of duty (i.e. rule based ethics) and the ethics of virtue and character will be clarified in order to defend our main hypothe sis that these two types of ethics should complement each other, since both are necessary but neither by itself is sufficient for nursing. This means that any applied ethics, as in nursing, should consider the importance of the agent's moral character. To support our arguments, we shall use cases from the empirical reality of psychiatric and mental health care.

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