How we can enhance treatment adherence? Perspective of patients and clinicians

2016 ◽  
Vol 33 (S1) ◽  
pp. s234-s235
Author(s):  
A. Cardoso ◽  
P. Aguiar ◽  
M. Byrne ◽  
M. Xavier
Keyword(s):  
Mental Health ◽  
Treatment Adherence ◽  
Mental Health Professionals ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Individual Interviews ◽  
Effective Strategies ◽  
Demographic Questionnaire ◽  
Competing Interest

IntroductionNon-adherence to antipsychotic medication is commonly found in mental health disorders (MHD), thus forming a major obstacle to long-term maintenance treatment and contributing to high relapse rates and also can influence the attitudes and beliefs of mental health professionals (MHP).Objectives–assess the beliefs of MHP;–assess perception of illness in patients with MHD.AimsContribute to treatment adherence of patients with MHD, through developing adequate strategies to their needs.MethodsIn this cross-sectional study, we use a convenience sample of patients with MHD attending in the mental health departments of three general hospitals in Lisbon great area. Data is being collected through individual interviews. We have applied clinical and socio-demographic questionnaire and additional measures to assess symptom severity, treatment adherence and attitudes towards medication. For MHP, we used a optimism scale (ETOS), Difficulty Implementing Adherence Strategies (DIAS); Medication Alliance Beliefs Questionnaire (MABQ).ResultsTwo convenience samples were composed by 150 patients with MHD (mean age: 39.7; SD ± 9.8) and 65 MHP (mean age: 37.0; sd 8.3) working in a variety of settings is being collected. From the perspective of patients, the most important reason for adherence is to accept the illness (54,7%, n = 82). 50.8% (n = 33) of MHP believes that if patients are unmotivated for treatment, adherence strategies are unlikely to be effective. 43.1 (n = 28) of MHP agrees that if patients do not accept their illness, any adherence strategies that result.ConclusionWith this study, we expect to gain further knowledge on the factors related patients and MHP that might influence compliance and, therefore, contribute to the development of effective strategies to promote treatment adherence in MHD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals From Stress to Psychopathology: Relationship with Self-Reassurance and Self-Criticism in Czech University Students

2021 ◽  
Author(s):  
Yasuhiro Kotera ◽  
Jaroslava Dosedlova ◽  
Denise Andrzejewski ◽  
Greta Kaluzeviciute ◽  
Makoto Sakai
Keyword(s):  
Mental Health ◽  
University Students ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Transactional Model ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Path Analyses ◽  
As Stress

AbstractPsychological stress has become a major concern, potentially leading to diverse health problems including psychopathology such as depression and anxiety. Transactional Model of Stress and Coping is an established model, conceptualizing stressful experiences via person–environment relationship. This cross-sectional study aimed to explore the pathway from stress to depression/anxiety, with a focus on self-criticism (inadequate-self and hated-self) and self-reassurance (reassured-self) in Czech students who suffered from high prevalence of mental health problems. Convenience sample of 119 undergraduates completed the Depression Anxiety and Stress Scale-21 and the Forms of the Self-Criticizing/Attacking & Self-Reassuring Scale. Correlation and path analyses were conducted. The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were used to aid an accurate and complete report of the study. Depression, anxiety, and stress were positively associated with inadequate-self and hated-self while negatively associated with reassured-self. Both inadequate-self and hated-self partially mediated the stress–depression and stress–anxiety relationships, whereas reassured-self only partially mediated the stress–depression relationship. Inadequate-self had greater impact on the stress–depression/anxiety pathways than hated-self and reassured-self. Findings indicate that clinical treatment may benefit from targeting the feelings of inadequacy to prevent stress progressing to psychopathology. This is particularly relevant as stress levels are rising globally. Our findings offer developments to the Transactional Model, and help practitioners and educators identify solutions to protect mental health of Czech university students.

scholarly journals Attitudes toward concordance in psychiatry: a comparative, cross-sectional study of psychiatric patients and mental health professionals

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Carlos De las Cuevas ◽  
Amado Rivero-Santana ◽  
Lilisbeth Perestelo-Pérez ◽  
Jeanette Pérez-Ramos ◽  
Pedro Serrano-Aguilar
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Mental health of unaccompanied asylum-seeking adolescents previously held in British detention centres

2018 ◽  
Vol 23 (2) ◽  
pp. 238-257 ◽  
Author(s):  
Kimberly A Ehntholt ◽  
David Trickey ◽  
Jean Harris Hendriks ◽  
Hannah Chambers ◽  
Mark Scott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Traumatic Stress ◽  
Stressful Life Events ◽  
Cross Sectional Study ◽  
Self Report ◽  
Additional Stress ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
The Impact

Aim: To investigate whether the mental health of unaccompanied asylum-seeking children (UASC) was negatively affected by having their ages disputed and being detained. Method: Participants within this cross-sectional study were 35 UASC, aged between 13 and 17 when they were detained. Some years later, a team of child mental health professionals interviewed them to assess their current mental health and to determine, as far as possible, the impact that having their age disputed and being detained may have had on their mental health. The Structured Clinical Interview for DSM-IV (SCID-IV), Reactions of Adolescents to Traumatic Stress (RATS), Stressful Life Events (SLE) and Detention Experiences Checklist–UK version (DEC-UK) were administered. Results: The vast majority of UASC reported being negatively affected. Based on diagnostic interviews using the SCID-IV, self-report measures and contemporaneous records, the professionals reported a diagnosis of post-traumatic stress disorder (PTSD) developing in 29% ( n = 10), PTSD exacerbated in 51% ( n = 18), major depressive disorder (MDD) developing in 23% ( n = 8) and MDD exacerbated in 40% ( n = 14). A total of 3 years post-detention, 89% ( n = 31) met diagnostic criteria for psychiatric disorders and reported high PTSD symptoms. Conclusion: There was a high prevalence of psychiatric disorder. The additional stress of age dispute procedures and detention was judged to have been harmful.

Social cognition and bipolar disorder: A preliminary study

2017 ◽  
Vol 41 (S1) ◽  
pp. S426-S426
Author(s):  
F.D.R. Ponte ◽  
T.D.A. Cardoso ◽  
M. Kunz ◽  
A.R. Rosa
Keyword(s):  
Bipolar Disorder ◽  
Social Cognition ◽  
Clinical Outcomes ◽  
Cross Sectional Study ◽  
First Episode ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Preliminary Study ◽  
Competing Interest ◽  
Cognition Impairment

AimTo assess the clinical outcomes associated with social cognition impairment in euthymic patients with bipolar disorder.MethodIt was a cross-sectional study with convenience sample. The diagnose of bipolar disorder was performed by psychiatrist, using DSM-IV criteria, at bipolar disorder program – Hospital de Clinicas de Porto Alegre (Brazil), where the sample was recruited. The social cognition was assessed by psychologists using the Reading the Mind in the Eyes Test.ResultsWe included 46 euthymic BD patients: BD I (n = 39), women (n = 32), age (49.11 ± 13.17), and years of education (10.56 ± 3.80). Patients with social cognition impairment were not different of patients without social cognition impairment regarding socio demographic factors (gender, age, educational level, marital status, and employment status). Patients with social cognitive impairment showed higher rates of BD I patients (P = 0.036) and higher proportion of hospitalization in the first episode (P = 0.033), as compared to patients without social cognition impairment.ConclusionThis is a preliminary study demonstrating that BD patients with social cognition impairment show worse clinical outcomes. Severe BD onset seems to be an important predictor of social cognition impairment. However, more studies are needed investigating social cognition impairment in subjects with bipolar disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Working alliance and its relationship with treatment outcome

2016 ◽  
Vol 33 (S1) ◽  
pp. s277-s277
Author(s):  
A. Cardoso ◽  
P. Aguiar ◽  
M. Byrne ◽  
M. Xavier
Keyword(s):  
Mental Health ◽  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Treatment Adherence ◽  
Mental Health Professionals ◽  
Clinical Skills ◽  
Skills Training ◽  
Future Research ◽  
Convenience Sample ◽  
The Impact

IntroductionThe therapeutic alliance might be the most important part of beginning clinical relationship and may have an important impact in treatment adherence. In fact, many studies indicate that the therapeutic alliance is the best predictor of treatment outcome.ObjectivesTo assess clinical skills and attitudes in mental health professionals(MHP).AimsThis study explore the impact of clinical skills and socio-demographic factors related MHP may have on treatment adherence of patients with mental health disorders (MHD).MethodsIn this cross sectional study, we use a convenience sample of MHP working in the mental health departments of three general hospitals in Lisbon great area. Data is being collected through individual interviews. We used a optimism scale (ETOS), Medication Alliance Beliefs Questionnaire (MABQ), and socio-demographic and clinical questionnaire.ResultsA convenience sample composed of sixty-five mental health clinician working in a variety of settings is being collected. We don’t found statistically significant differences between the therapeutic optimism and the socio-demographic and clinical characteristics of MHP. The average values of optimism found in MHP with additional training in skills training it was higher (t test = 1,64). The results demonstrate that the most of clinicians (n = 42; agree 64,6%; strongly agree, n = 19; 29,2%) believe that have the capacity to positively influence outcomes for people with mental disorders.ConclusionThis topic, along with a detailed examination of the relationship between therapeutic alliance and treatment adherence, will be the subject of future research projects.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Cocaine use and employment

2016 ◽  
Vol 33 (S1) ◽  
pp. S314-S314
Author(s):  
M.R. Raposo ◽  
V. Ivanov ◽  
J.B. Murcia ◽  
M.D. Piqueras ◽  
I. Martínez ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Center ◽  
Employment Status ◽  
Mental Health Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Men And Women ◽  
Cocaine Use ◽  
Employment Situation ◽  
Competing Interest

IntroductionCocaine use is prevalent in mental health consultations in both sexes. However, in men and women there are differences in the frequency of use of substances and on the employment situation.ObjectivesShow the differences for the use of cocaine and employment status of men and women, in a sample of patients followed at the Mental Health Center in Drug Dependency Unit.Material and methodsWe conducted a cross-sectional study and analyze the differences according to sex for cocaine use and the employment situation, in a sample of patients who are undergoing treatment at the Mental Health Center for a year diagnosed with dual pathology.ResultsIn men in active employment status, the percentage of cocaine use is 19.5% and if we compare with women in the same job situation, the percentage of cocaine use is 0%.Men who are unemployed use more cocaine than women in the same job situation. For retirees, the highest percentage of cocaine is found in women.Hundred percent of women use cocaine by sniffing. Men use different ways of cocaine consume.Snorted way 67.7%, 14.9% smoked and snorted, smoked 8% and 2.3% intravenous.ConclusionMen use cocaine more frequently unemployed while women do more it often being retired.The route most used cocaine consume in both sexes is snorted.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Self-harm and suicidal ideation during the COVID-19 outbreak in Lebanon: a preliminary study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ismael Maatouk ◽  
Moubadda Assi ◽  
Rusi Jaspal
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Job Insecurity ◽  
Political Trust ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
Self Harm

PurposeThis cross-sectional study focuses on the social psychological correlates of self-harm and suicidal ideation during the COVID-19 (coronavirus disease 2019) outbreak in Lebanon, which is a country characterized by political and economic instability.Design/methodology/approachA convenience sample of 191 Lebanese individuals completed measures of length of being in lockdown, fear of COVID-19, job insecurity, political trust, self-harm and suicidal ideation. Data were analyzed using independent samples t-tests and multiple regression.FindingsFear of COVID-19 was associated with neither self-harm nor suicidal ideation. Males and people with lower income reported higher suicidal ideation than females and those with higher income, respectively, and religiosity was inversely associated with suicidal ideation. People who reported self-harm generally exhibited lower political trust than those who did not report self-harm.Research limitations/implicationsBeyond the fear of COVID-19, the socioeconomic sequelae of COVID-19 (especially the economic fallout and declining political trust), which are accentuated in already economically and politically unstable societies, may precipitate poor mental health and maladaptive coping strategies in Lebanon. There is a need to ensure adequate access to mental health services to the general population amid the COVID-19 outbreak in Lebanon.Originality/valueThis study provides novel insight into the risk factors for self-harm and suicidal ideation in Lebanon during the COVID-19 pandemic.

scholarly journals Individual placement and support: cross-sectional study of equality of access and outcome for Black, Asian and minority ethnic communities

2021 ◽  
pp. 1-6
Author(s):  
Rachel Perkins ◽  
Rash Patel ◽  
Amelia Willett ◽  
Laura Chisholm ◽  
Miles Rinaldi
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Individual Placement And Support ◽  
Employment Services ◽  
Minority Ethnic ◽  
Individual Placement ◽  
Equality Of Access

Aims and method To explore whether people from Black, Asian and minority ethnic (BAME) communities experience equality of access and outcome in individual placement and support (IPS) employment services. Cross-sectional data were analysed of all people with severe mental health problems who accessed two mature high-fidelity IPS services in London in 2019 (n = 779 people). Results There were no significant differences between the proportions of people who gained employment. The data strongly suggest that people from BAME communities are not differentially disadvantaged in relation to either access to or outcomes of IPS employment services. Clinical implications The challenge for mental health professionals is not to decide who can and who cannot work but, how to support people on their case-loads to access IPS and move forward with life beyond their illness.

scholarly journals Perceptions and knowledge of antipsychotics among mental health professionals and patients

2017 ◽  
Vol 41 (5) ◽  
pp. 254-259 ◽  
Author(s):  
Lindah Cahling ◽  
Anders Berntsson ◽  
Gabriella Bröms ◽  
Lars Öhrmalm
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Antipsychotic Treatment ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Course Of Illness ◽  
Long Acting ◽  
The Individual

Aims and methodTo assess the patients' most influential concerns regarding long-acting injectable antipsychotics (LAIs) and mental health professionals' preconceptions about these concerns. For both groups, to assess the level of knowledge about LAIs. This cross-sectional study used semi-structured interviews of patients with schizophrenia or schizoaffective disorder (n = 164), nurses (n = 43) and physicians (n = 20).ResultsThe mental health professionals overestimated many of the patients' fears of LAIs, and the expressed fears exceeded the actual experiences of patients already on LAIs. Acceptance to switch to LAIs was associated with shorter time from diagnosis. Nurses and patients disclosed limited knowledge of antipsychotics.Clinical implicationsPhysicians and nurses should aim to identify the individual patient's concerns about LAIs in the discussion about choice of antipsychotic treatment early in the course of illness.

Resilient Coping and Social Networks in Old Age

2017 ◽  
Vol 41 (S1) ◽  
pp. S100-S101 ◽  
Author(s):  
F. Daniel ◽  
A. Antunes ◽  
S. Guadalupe ◽  
I. Massano-Cardoso ◽  
H. Vicente
Keyword(s):  
Social Networks ◽  
Old Age ◽  
Basic Education ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Demographic Questionnaire ◽  
Competing Interest ◽  
Personal Social Networks ◽  
Different Levels

IntroductionBoth resilient coping strategies and the structural/functional characteristics of personal social networks are considered important factors when facing adversity and the challenges inherent to the aging process.ObjectivesTo analyze the association between the configurations of ego-centred networks and different levels of resilient coping in a sample of elderly people.MethodsQuantitative, cross-sectional study comparing groups, with 512 participants, mostly women (n = 325; 63.5%), married (n = 264; 51.5%), with 76 years old in average (SD ± 7.6), and with basic education (n = 261; 51%). We used a socio-demographic questionnaire, the IARSP-Elderly (personal social network assessment tool) and the Brief Resilient Coping Scale for data collection.ResultsWe found different levels of resilient coping in our sample: low (50.4%); medium (38,7%); strong (10.9%). These three levels of coping were associated with the composition of ego-centred networks, namely the proportion of friends and colleagues (P < 0.05), different perceived emotional support, reciprocity and satisfaction with the network (P < 0.05), frequency of contacts and relationships’ durability (P < 0.05).ConclusionsHigher levels of coping are associated with a larger proportion of friends in the network, whereas the familistic networks are associated with low coping. Although participants in our study revealed mainly kin comprised networks, these results reflect the relevance of resilient coping in the activation of non-kin relationships in old age.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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