Characterization of a Referral to Psycho-Oncology Liaison Consults in a General Hospital

IntroductionLiaison psychiatry is based on a practice that lies on the interface between psychological, sociological and biological factors of illness. Cancer is a devastating disease. For many patients the occurrence of it is synonymous of chronic, severe or lethal outcome. It is important for health professionals to be aware of the psychological suffering of these patients and promote a proper use of specialized consultations in order to increase and improve adherence to treatment.AimsTo make known the reality of referral to a Psycho-Oncology Liaison consult and its context in literature.MethodsData collection on applications for the 1st request to Psycho-Oncology liaison consults occurred between 2010–2012 in the variables, gender, age, reason for referral, psychiatric history, cancer diagnosis, knowledge of the referral and who does (patient/family/service) and psychiatric diagnosis. Statistical analysis with Microsoft Excel 2010®.ResultsIt was found that there were 83 applications during the three years, 24 men and 59 women. The most prevalent cancer diagnoses were breast cancer (29.89%) and colorectal carcinoma (19.28%). Most patients had knowledge of the request (75.9%). The reason was mostly for Anxiety and Depression (33.73%).ConclusionCancer disease coupled with feelings of loss of autonomy, hopelessness and pain can lead the patient to develop psychopathology of anxious-depressive disorders. This condition may hamper the normal recovery of the patient. The promotion of mental well-being in cancer patients is critical to recovery and leads to a better adherence to treatment, inclusive can influence survival.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Burnout and Moral Injury Among Consultation-Liaison Psychiatry Trainees

Psychodynamic Psychiatry ◽

10.1521/pdps.2021.49.4.543 ◽

2021 ◽

Vol 49 (4) ◽

pp. 543-561

Author(s):

Paulo M. G. Sales ◽

Arslaan Arshed ◽

Camila Cosmo ◽

Paula Li ◽

Michael Garrett ◽

...

Keyword(s):

Job Performance ◽

Well Being ◽

Fellowship Training ◽

Moral Injury ◽

Personal Accomplishment ◽

Liaison Psychiatry ◽

Career Growth ◽

Consultation Liaison Psychiatry ◽

The Individual ◽

Mental Well Being

Burnout and moral injury within medicine have steadily increased over the last decades, especially among those providing care during the COVID-19 pandemic. The term burnout has been used to describe clinician distress and a syndrome of emotional exhaustion, a diminished sense of personal accomplishment, and depersonalization. Burnout has a significant impact on both job performance and patient care. Moral injury occurs when external circumstances interact with a person's cherished beliefs and standards. When the tension between them cannot be reconciled, the felt integrity of the individual is disrupted and the person experiences distress. The consultative aspect in consultation-liaison psychiatry (CLP) presents challenges that may predispose the young clinician to burnout and moral injury, especially during fellowship training. CLP psychiatrists also have a liaison role that could catalyze systemlevel change to enhance the mental well-being of their colleagues. This article reviews clinically relevant psychodynamic aspects of burnout and moral injury during CLP training. In addition, the authors propose strategies to enhance career growth and prevent and address moral injury during training to generate fulfilling professional development.

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No Lockdown for Domestic Violence during COVID-19: A Systematic Review for the Implication of Mental-Well Being

Life and Science ◽

10.37185/lns.1.1.169 ◽

2020 ◽

Vol 1 (supplement) ◽

pp. 6

Author(s):

Saira Javed ◽

Yasir Mehmood

Keyword(s):

Systematic Review ◽

Domestic Violence ◽

Depressive Disorders ◽

Well Being ◽

Online Databases ◽

Implementation Program ◽

The Government ◽

Number Of Publications ◽

Major Factors ◽

Mental Well Being

Since the alarming situation of the COVID-19 pandemic the devastating character in spheres like suicide, domestic violence, mental disorders, anxiety, and depressive disorders are increasing worldwide. Domestic violence against women and girls particularly has intensified. This systematic review paper examines the reasons behind the surge in the domestic violence during COVID 19 and recommends interventional strategy for mental well-being. The online databases Google Scholar, PROQUEST, PubMed, and Science Direct were systematically reviewed for studies focused on domestic violence during COVID 19. The search covered the period till August 2020. A total of 18 publications met the inclusion criteria. The results have shown that the pandemic is one of the major factors for surge in domestic violence. Other causes are economic crisis, forced lockdown, fear of having disease, unemployment, congested houses and limited source of facilities for victims. The most common type of violence in number of publications identified was violence on women whether married, unmarried, working or non-working. It is concluded that mental and physical health practitioners execute the suggested implementation program nationwide to facilitate victims of domestic violence for better well-being. Moreover the government should take strict actions to stop the surge of cases in this regard.

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Icehearts: Sport-based early support program for children at risk

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.2084 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S179-S179

Author(s):

K. Appelqvist-Schmidlechner ◽

J. Wessman ◽

M. Kekkonen

Keyword(s):

Intervention Program ◽

Well Being ◽

Vulnerable Children ◽

Behavioural Difficulties ◽

Strengths And Difficulties ◽

Competing Interest ◽

The Life Course ◽

Mental Well Being

Icehearts program aims to prevent social exclusion, to promote socio-emotional skills and mental well-being and to provide a secure, long-term adult commitment throughout the child's life using team sport as a tool. The program is facilitated by an Icehearts-mentor providing sports activities as well as support at school and home for a period of 12 years starting at age of 7. Currently, the program is reaching about 500 children in 29 Icehearts teams in Finland. The longitudinal study aims at investigating: (1) the psychosocial well-being and (2) the life course of participating children as well as perceived impact, benefits and challenges of the program. The baseline data was gathered in 2015–2016 by questionnaires and interviews among 7 years old program participants (n = 46) and controls at same age not participating in the program (n = 180), their parents, and teachers. The measures included i.e the Strengths and Difficulties Questionnaire (SDQ). According to the SDQ-scores assessed by the teachers, two of third among program participants had behavioural difficulties. One-fourth had used mental health services. The parents of program participants reported need for more support for their parenting. The results showed that the Icehearts program is reaching out a target group in need for help and support. Further, the study provides valuable information about the role of a NGO organisation offering long-term and intensive support with the help of sport-based intervention program targeted at vulnerable children. In the presentation, the program, study design and the baseline results are presented in more detail.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Yoga for children in the new normal – experience sharing

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2020-0404 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Maheshkumar Kuppusamy ◽

Veni Ramaswamy ◽

Poonguzhali Shanmugam ◽

Padmavathi Ramaswamy

Keyword(s):

Mental Health ◽

Physical Health ◽

Health Professionals ◽

Depressive Disorders ◽

Preventive Measures ◽

Scientific Evidence ◽

Well Being ◽

Combat Stress ◽

Scientific Methods ◽

Mental Well Being

Abstract Objectives Covid-19 Pandemic has affected everyone’s mental health. In addition to several preventive measures such as wearing a mask, using sanitizer, measures also need to be taken to prevent anxiety and depressive disorders due to this unexpected crisis situation. Practicing yoga is one of the simple, scientific methods to combat stress and prevent anxiety among children. Methods The scientific evidence and anecdotal experiences on benefits of yoga is described in this paper, highlighting the importance of yoga in nurturing the mental well-being in children. Results Scientifically designed and conducted studies as part of the research programs by health professionals objectively conclude that mental health parameters improve significantly with yoga as an intervention. In addition to mental health, yoga will also improve the physical health and boost immunity among children which will also help in reducing the infection rate in children. Conclusions As a way forward, authors strongly recommend establishing yoga as a curriculum at scale to cover the vast vulnerable population of young children who are the future of the nation.

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Identity, Culture and Psychosis: A Non-systematic Review

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1015 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S626-S627

Author(s):

S. Xavier ◽

A.F. Correia ◽

S. Barbosa ◽

V. Dindo ◽

T. Maia

Keyword(s):

Systematic Review ◽

Cultural Identity ◽

Social Factors ◽

Well Being ◽

Epidemiological Studies ◽

Migration Process ◽

Psychological Suffering ◽

Mental Diseases ◽

Competing Interest ◽

The Relationship

IntroductionGiven the results of multiple epidemiological studies showing a greater incidence of schizophrenia in migrants, especially in second-generation migrants, many researchers tried to investigate which factors could be associated to these findings, in order to have a better understanding of the migration process itself and simultaneously to contribute to improve knowledge about schizophrenia. In line with the research suggesting that social factors are important contributors to psychological suffering and vulnerability to psychosis, several authors pointed cultural identity as a possible mediator between migration and psychosis.ObjectivesTo review different perspectives on the current literature about the relationship between cultural identity and psychosis.MethodsNon-systematic review searching on the database MEDLINE and additional searches through secondary references.ResultsConcepts like identity clarity and identity value attributions are closely related to psychological well-being and may influence vulnerability or resilience to severe mental illness. Simultaneously, these concepts are also regarded as closely linked to social and cultural identity. Feelings of uncertainty between multiple existential positions that may arise for migrants (especially if hierarchical and unequal relationships of power are established) could compromise the sense of meaning and coherence of the self and compromise identity structure, thereby predisposing to psychotic experiences.ConclusionsEven taking into account the heterogeneity of the reviewed articles, there seems to be some consensus regarding the importance of culture on how individuals experience themselves and others and that preservation of a solid and coherent cultural identity may be a crucial aspect to take into account when studying resilience against severe mental diseases.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽

10.1024/1662-9647/a000207 ◽

2019 ◽

Vol 32 (3) ◽

pp. 125-134

Author(s):

Mechthild Niemann-Mirmehdi ◽

Andreas Häusler ◽

Paul Gellert ◽

Johanna Nordheim

Keyword(s):

Quality Of Life ◽

Patient Autonomy ◽

Positive Association ◽

Well Being ◽

Negative Association ◽

Significant Positive Association ◽

Cross Sectional ◽

People With Dementia ◽

Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

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