Treatment of Mental or Physical Health Problems in a Combat Zone: Comparisons of Postdeployment Mental Health and Early Separation From Service

2016 ◽  
Vol 29 (2) ◽  
pp. 149-157 ◽  
Author(s):  
Terry L. Conway ◽  
Emily A. Schmied ◽  
Gerald E. Larson ◽  
Michael R. Galarneau ◽  
Paul S. Hammer ◽  
...  
2021 ◽  
pp. 135581962199749
Author(s):  
Veronica Toffolutti ◽  
David Stuckler ◽  
Martin McKee ◽  
Ineke Wolsey ◽  
Judith Chapman ◽  
...  

Objective Patients with a combination of long-term physical health problems can face barriers in obtaining appropriate treatment for co-existing mental health problems. This paper evaluates the impact of integrating the improving access to psychological therapies services (IAPT) model with services addressing physical health problems. We ask whether such services can reduce secondary health care utilization costs and improve the employment prospects of those so affected. Methods We used a stepped-wedge design of two cohorts of a total of 1,096 patients with depression and/or anxiety and comorbid long-term physical health conditions from three counties within the Thames Valley from March to August 2017. Panels were balanced. Difference-in-difference models were employed in an intention-to-treat analysis. Results The new Integrated-IAPT was associated with a decrease of 6.15 (95% CI: −6.84 to −5.45) [4.83 (95% CI: −5.47 to −4.19]) points in the Patient Health Questionnaire-9 [generalized anxiety disorder-7] and £360 (95% CI: –£559 to –£162) in terms of secondary health care utilization costs per person in the first three months of treatment. The Integrated-IAPT was also associated with an 8.44% (95% CI: 1.93% to 14.9%) increased probability that those who were unemployed transitioned to employment. Conclusions Mental health treatment in care model with Integrated-IAPT seems to have significantly reduced secondary health care utilization costs among persons with long-term physical health conditions and increased their probability of employment.


2021 ◽  
Vol 10 (2) ◽  
pp. 104-105
Author(s):  
Avilasha Singh

Mental health has always been stigmatised and overlooked. Since, anxiety and stress are natural responses while facing a threat of new diseases. Hence, this pandemic has shown us the importance of mental health. During this time there have been many triggers that have caused repercussions in people’s mental health. Mental health crisis is on the rise. So, it is important to be able to tackle mental health problems as effectively as physical health problems, not only now but in the future as well, once and for all.


2020 ◽  
Vol 19 (1) ◽  
pp. 40
Author(s):  
Sari Monik Agustin ◽  
Agatha Josephine

Previous research also shows that social media has positive and negative roles related to interpersonal relationships and mental health. The social media used significantly increases social capital and mental well-being, which benefits people with low self-esteem and life satisfaction. Some psychotherapists even use an Instagram platform as their therapeutic medium. This preliminary study frameworks are Stuart Hall’s reception theory, the concept elaborations of social support and online social support, as well as a discussion of the character of social media, Instagram. This paper is based on a qualitative research with data from interviews with 3 female informants on 20-29 years old and gethappy.id account followers. This research succeeded in identifying 2 receptions that emerged from the female group of Instagram account followers gethappy.id. The dominant reader comes from informants who have severe physical health problems and mental health problems related to these physical health problems. Meanwhile, negotiating reader arise from informants who do not have personal physical and mental health problems, but who have a social environment with physical and mental health problems. Another important finding is that the main social support remains family and friends. Social media support is needed when the two main social supports are not present.


2021 ◽  
pp. 0192513X2098450
Author(s):  
Michael Fitzgerald ◽  
Bryan Spuhler ◽  
Cailyn Hamstra

Childhood maltreatment is associated with mental and physical health problems across the life course. Marriages may be a risk factor for continued mental and physical health problems or, alternatively, they could buffer the effects of maltreatment severity on adult health. Using data from the study of Midlife Development in the United States (MIDUS), we evaluated marital support and strain as moderators of child maltreatment and adults’ subjective evaluations of physical and mental health in a sample of 760 married adults using the life course perspective. Results show that the interaction between childhood maltreatment severity and marital strain was associated with poorer physical health and was marginally associated with mental health. Marital support did not significantly interact with childhood maltreatment severity in predicting adult mental or physical health. Results suggest maltreatment and marital strain interact resulting in a greater accumulation of disadvantage leaving adults at risk for health problems.


Author(s):  
Beate Muschalla ◽  
Isabel Kutzner

AbstractThis article published in Gruppe Interaktion Organisation (GIO) reports study results on soft skills and mental work ability in young professionals ready to enter the job market. The so-called soft skills (psychological capacities) are nowadays an entrance ticket into the modern working world. Thus, the question is to which degree young professionals who will soon enter the labor market are fit in their soft skills. Are physical or mental health problems related with deficits in soft skills? Which dimensions of soft skills are impaired?365 young professionals in advanced education from a technical college, who will soon enter the labor market, were investigated via online-questionnaire. Participants were asked to rate their self-perceived capacity level according to Mini-ICF-APP, mental and physical health problems, exam and education-related anxiety, self-efficacy and procrastination.Students with mental health problems had higher exam anxiety, and lower study-related self-efficacy as compared to students without health problems at all, or students with physical health problems. But, procrastination behavior was similarly present among students with mental health problems and students with physical health problems. Students with health problems did not report globally weaker capacity levels. Lower levels of capacities depend on the type of health problem: In students with mental health problems, social soft skills were impaired rather than content-related capacities. Physical health problems do not affect the self-perceived psychological capacities.In conclusion, focusing on specific soft skills in training and work adjustment could be fruitful in addition (or as an alternative) to training of profession-specific expertise.


Author(s):  
Jonathan S. Gooblar ◽  
Sherry A. Beaudreau

Anxiety disorders are among the most prevalent and understudied mental health problems in late life. Specific phobia, social anxiety disorder, and generalized anxiety disorder are the most prevalent anxiety disorders in older adults among the 11 disorders identified by the Diagnostic and Statistical Manual of Mental Disorders (fifth edition). Anxiety disorders lead to significant functional burdens and interface with physical health problems and cognitive impairment, concerns frequently experienced in adults over age 65. Additional contextual factors should be considered when assessing and treating late-life anxiety, including the effects of polypharmacy, other mental health conditions, role changes, and societal attitudes toward aging. The relationship between anxiety and physical health problems in older adults can be causal or contextual, and can involve poorer estimates of subjective health and lower ratings of functioning. These factors present unique challenges to the detection, conceptualization, and treatment of late-life anxiety, including the tendency for older adults to focus on somatic symptoms and the potential for long-term behaviors that can mask distress such as substance use. Researchers are increasingly incorporating a gerodiversity framework to understand the contributions of cultural, individual, and other group differences that may affect the presentation of anxiety symptoms and disorders. Older adults in general are less likely to be treated for anxiety disorders, and intersecting individual and group differences likely further affect how anxiety disorders are perceived by healthcare providers. Cognitive behavioral therapy and its variants have the most empirical support for treatment. Newer evidence lends support to acceptance and commitment therapy and problem-solving therapy, which tend to address some of the contextual factors that may be important in treatment.


Author(s):  
Jieun Song ◽  
Marsha R. Mailick ◽  
Jan S. Greenberg ◽  
Jinkuk Hong

Parenting a child with developmental or mental health problems is a lifelong process with unique challenges and adjustments. Parents of children with these conditions often experience chronic stress and an elevated risk of mental and physical health problems and cognitive decline in later life, although profiles of resilience have been noted. This chapter reviews Midlife in the United States (MIDUS) studies that have examined the lifelong effects of parenting children with developmental or mental health problems. MIDUS research has found that midlife and older parents of children with these conditions have poorer physical and mental health profiles and poorer cognitive functioning in later life than counterparts whose children do not have such conditions, and that mental and physical health disparities increase as parents age. Possible mechanisms underlying these differences have been examined in studies utilizing the multidisciplinary data of MIDUS, which include a variety of psychosocial, cognitive, and biological assessments.


2008 ◽  
Vol 39 (2) ◽  
pp. 301-311 ◽  
Author(s):  
R. D. Goodwin ◽  
A. Sourander ◽  
C. S. Duarte ◽  
S. Niemelä ◽  
P. Multimäki ◽  
...  

BackgroundPrevious studies have documented associations between mental and physical health problems in cross-sectional studies, yet little is known about these relationships over time or the specificity of these associations. The aim of the current study was to examine the relationship between mental health problems in childhood at age 8 years and physical disorders in adulthood at ages 18–23 years.MethodMultiple logistic regression analyses were used to examine the relationship between childhood mental health problems, reported by child, parent and teacher, and physical disorders diagnosed by a physician in early adulthood.ResultsSignificant linkages emerged between childhood mental health problems and obesity, atopic eczema, epilepsy and asthma in early adulthood. Specifically, conduct problems in childhood were associated with a significantly increased likelihood of obesity and atopic eczema; emotional problems were associated with an increased likelihood of epilepsy and asthma; and depression symptoms at age 8 were associated with an increased risk of asthma in early adulthood.ConclusionsOur findings provide the first evidence of an association between mental health problems during childhood and increased risk of specific physical health problems, mainly asthma and obesity, during early adulthood, in a representative sample of males over time. These data suggest that behavioral and emotional problems in childhood may signal vulnerability to chronic physical health problems during early adulthood.


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