scholarly journals Stigma-related barriers and facilitators to help seeking for mental health issues in the armed forces: a systematic review and thematic synthesis of qualitative literature

2017 ◽  
Vol 47 (11) ◽  
pp. 1880-1892 ◽  
Author(s):  
S. J. Coleman ◽  
S. A. M. Stevelink ◽  
S. L. Hatch ◽  
J. A. Denny ◽  
N. Greenberg

A recent quantitative review in the area of stigma and help seeking in the armed forces has questioned the association between these factors (Sharp et al. 2015). To date, the contribution of qualitative literature in this area has largely been ignored, despite the value this research brings to the understanding of complex social constructs such as stigma. The aim of the current systematic review of qualitative studies was to identify appropriate literature, assess the quality and synthesize findings across studies regarding evidence of stigma-related barriers and facilitators to help seeking for mental health issues within the armed forces. A multi-database text word search incorporating searches of PsycINFO, MEDLINE, Social Policy and Practice, Social Work Abstracts, EMBASE, ERIC and EBM Review databases between 1980 and April 2015 was conducted. Literature was quality assessed using the Critical Appraisal Skills Programme tool. Thematic synthesis was conducted across the literature. The review identified eight studies with 1012 participants meeting the inclusion criteria. Five overarching themes were identified across the literature: (1) non-disclosure; (2) individual beliefs about mental health; (3) anticipated and personal experience of stigma; (4) career concerns; and (5) factors influencing stigma. The findings from the current systematic review found that unlike inconsistent findings in the quantitative literature, there was substantial evidence of a negative relationship between stigma and help seeking for mental health difficulties within the armed forces. The study advocates for refinement of measures to accurately capture the complexity of stigma and help seeking in future quantitative studies.

2020 ◽  
Vol 11 (1) ◽  
pp. 1729032
Author(s):  
Anthony Nazarov ◽  
Deniz Fikretoglu ◽  
Aihua Liu ◽  
J. Don Richardson ◽  
Megan Thompson

2018 ◽  
Author(s):  
Tyler S. Jones ◽  
Deborah Rupert

Medical student wellbeing is a topic of growing concern. Medical students experience high levels of stress and burnout and are at increased risk for depression and suicidal ideation compared to the general population. Even more concerning, medical students are disproportionately less likely to seek help for their mental health issues. Identifying and preventing these problems early can have lasting positive consequences over the course of a physician’s lifetime. We implemented a wellness program at our medical school in the spring of 2016 with the goals of decreasing burnout and depression, heightening awareness of mental health issues, and encouraging help-seeking behaviors. To analyze the impact of our program, we have implemented a quality assurance survey. Here we report lifestyle factors associated with positive screens for depression from that data and propose institutional initiatives that can be spearheaded by medical students for medical students to impact positive change.


2021 ◽  
Author(s):  
Yi Yang ◽  
Siu Ching Wong ◽  
Ingrid Obsuth ◽  
Aja Murray

Abstract BackgroundResearch into the transdiagnostic processes underlying multiple mental health problems is promising for making clinical practice and interventions more effective and resource-efficient. In this protocol, we describe a systematic review and meta-analysis that will explore time perspective, defined as an individual’s relative investment of attention on past, present, and future, as a possible transdiagnostic factor that may contribute to issues across wide-ranging domains of mental health. MethodsA systematic review and meta-analysis will be conducted to quantify the associations between mental health issue and specific dimensions of time perspective (past, present, future), respectively. The review will include quantitatively measured associations between time perspective and psychological problems published in a peer-reviewed journal from 1st January 1990 up until 1st March 2021, in the English language. Electronic searches will be conducted in Google Scholar, PubMed, MEDLINE, PsycINFO, and Web of Science, and EMBASE and supplemented by expert consultation and inspection of the reference lists of included papers. Screening, quality assessment and data extraction will be conducted by two reviewers independently, and potential conflicts will be resolved through discussion with a third reviewer. Random-effects meta-analysis will be conducted using the metafor package in R statistical software, and quality assessment will employ The Newcastle-Ottawa Quality Assessment Form for Cohort Studies and for Case-Control Studies. The Quality In Prognosis Studies (QUIPS) will be used to evaluate risk of bias. A narrative synthesis will additionally be used to summarize and interpret the results. DiscussionThe present review will provide the first systematic synthesis exploring the associations between time perspective defined as a multidimensional construct and a broad range of mental health issues. This will help evaluate the extent to which time perspective can be considered a key transdiagnostic factor in mental health and thus a key intervention target for the prevention and treatment of multiple mental health issues simultaneously. With a clearer view of the relations between time perspective and various mental health issues based on a robust synthesis, more focused, effective, and efficient interventions may be delivered. Systematic review registrationPROSPERO CRD42021228869


Author(s):  
Victoria Morris ◽  
Hannah S. Scott

This article explores the victimizing experiences of individuals with mental illness using grounded inductive qualitative research methods, by extracting themes from 15 first-hand accounts of living with mental illness delivered on the TED Talks media platform. Emergent themes included (1) victimizing effects of the illness including the effects of medication and the effects of stigma, (2) normalcy, (3) the importance of help-seeking in the process of overcoming obstacles presented by mental health issues, and (4) victimization by others. We conclude that the speakers in our sample, even though they reflect an extraordinary level of functioning, still view themselves as what Becker (1991 [1963]) describes as outsiders, acting as moral entrepreneurs, crusading to normalize madness through a variety of strategies.


2019 ◽  
Vol 35 (1) ◽  
pp. 132-139 ◽  
Author(s):  
Diane M Crone ◽  
Mustafa Sarkar ◽  
Thomas Curran ◽  
Colin M Baker ◽  
Denise Hill ◽  
...  

Abstract Education programmes in mental health literacy can address stigma and misunderstanding of mental health. This study investigated self-rated differences in knowledge, attitudes and confidence around mental health issues following participation in a bespoke Mental Health First Aid (MHFA) training course for the Armed Forces. The mixed methods approach comprised quantitative surveys and qualitative interviews. A survey, administered immediately post-training (n = 602) and again at 10-months post-attendance (n = 120), asked participants to rate their knowledge, attitudes and confidence around mental health issues pre- and post-training. Quantitative findings revealed a significant increase in knowledge, positive attitudes and confidence from the post-training survey which was sustained at 10-months follow-up.Semi-structured telephone interviews (n = 13) were conducted at follow-up, 6-months post-attendance. Qualitative findings revealed that participation facilitated an ‘ambassador’ type role for participants. This study is the first to have investigated the effect of MHFA in an Armed Forces community. Findings show participants perceived the training to increase knowledge regarding mental health and to enhance confidence and aptitude for identifying and supporting people with mental health problems. Results suggest that such an intervention can provide support for personnel, veterans and their families, regarding mental health in Armed Forces communities.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Surapon Nochaiwong ◽  
Chidchanok Ruengorn ◽  
Kednapa Thavorn ◽  
Brian Hutton ◽  
Ratanaporn Awiphan ◽  
...  

AbstractTo provide a contemporary global prevalence of mental health issues among the general population amid the coronavirus disease-2019 (COVID-19) pandemic. We searched electronic databases, preprint databases, grey literature, and unpublished studies from January 1, 2020, to June 16, 2020 (updated on July 11, 2020), with no language restrictions. Observational studies using validated measurement tools and reporting data on mental health issues among the general population were screened to identify all relevant studies. We have included information from 32 different countries and 398,771 participants. The pooled prevalence of mental health issues amid the COVID-19 pandemic varied widely across countries and regions and was higher than previous reports before the COVID-19 outbreak began. The global prevalence estimate was 28.0% for depression; 26.9% for anxiety; 24.1% for post-traumatic stress symptoms; 36.5% for stress; 50.0% for psychological distress; and 27.6% for sleep problems. Data are limited for other aspects of mental health issues. Our findings highlight the disparities between countries in terms of the poverty impacts of COVID-19, preparedness of countries to respond, and economic vulnerabilities that impact the prevalence of mental health problems. Research on the social and economic burden is needed to better manage mental health problems during and after epidemics or pandemics. Systematic review registration: PROSPERO CRD 42020177120.


10.2196/13179 ◽  
2020 ◽  
Vol 8 (8) ◽  
pp. e13179
Author(s):  
Ronelle Jansen ◽  
Marianne Reid

Background Caregivers of adolescents with mental health issues experience challenges that may result in the caregivers having a variety of unmet needs. There is a growing need to support these caregivers. Effective support to strengthen positive caregiving behavior in caregivers may address their challenges. Communication technologies offer novel opportunities to assist these caregivers and may contribute to strengthening caregiver behavior. However, little is known about the use of communication technologies among caregivers of adolescents with mental health issues. Objective The study aimed to answer the question: “What is the best evidence available to strengthen positive behavior of caregivers of adolescents with mental health issues using communication technology.” Methods A systematic review of articles published between January 2007 and August 2018 was conducted. Searches included articles of multiple study designs from EBSCO Host and Scopus platforms with prespecified eligibility criteria. Methodological quality was evaluated using the applicable Critical Appraisal Skills Programme and Joanna Briggs Institute assessment tools. Results The search yielded 1746 articles. Altogether, 5 articles met the eligibility criteria and were included in the review for data synthesis. Data analysis and synthesis identified three thematic conclusions reflecting the types of communication technologies used, caregivers as the target population, and strengthening of positive behavior through determinants of the Integrated Model of Behavior Prediction. Conclusions The review reported the usefulness of communication technology by caregivers. Caregivers also demonstrated improvement in self-efficacy, knowledge, parent-child communication, and parental skills reflecting positive behavior. Although the use of communication technology is expanding as a supportive intervention to address caregivers’ needs, the evidence for usefulness among caregivers of adolescents with mental health issues is still scarce. More research and information related to preferred methods of communication delivery among caregivers of adolescents is still needed.


Mindfulness ◽  
2021 ◽  
Author(s):  
Linda Corbally ◽  
Mick Wilkinson

Abstract Objectives The objective of this systematic review and meta-analysis was to examine controlled trial evidence for the effectiveness of mindfulness-based interventions on stress, anxiety and depression in the perinatal period in women without pre-existing mental health issues. Methods Six databases were searched for studies exploring the effects of mindfulness-based interventions on mental health outcomes of women during the perinatal period. Quality of both controlled trial meeting inclusion criteria were assessed using a tool specifically designed for meta-analyses of mindfulness-based interventions. Effect sizes were extracted for measures of mindfulness, depression, stress and anxiety outcomes. Effects were pooled in separate meta-analyses for all outcomes except anxiety which lacked sufficient studies. Results Twelve studies were analysed. Pooled effects suggest that mindfulness-based interventions cause small but clear increases in mindfulness and reductions in depression in women without pre-existing disorders. Effects of mindfulness-based interventions on other outcomes were unclear and confounded by heterogeneity. Conclusions Available controlled trial evidence suggests that mindfulness-based interventions improve mindfulness and decrease symptoms of depression during pregnancy in women without pre-existing mental health issues and might be a useful approach to prevent or attenuate the development of depression in the perinatal period.


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