Adverse childhood experiences and dissociation among Hong Kong mental health service users

2019 ◽  
Vol 20 (4) ◽  
pp. 457-470 ◽  
Author(s):  
Hong Wang Fung ◽  
Colin A. Ross ◽  
Calvin Kai-Ching Yu ◽  
Edison Ka-Lok Lau
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Service ◽  
Health Service ◽  
Adverse Childhood Experiences ◽  
Service Users ◽  
Childhood Experiences ◽  
Adverse Childhood

scholarly journals Mental health service use among university students with adverse childhood experiences

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Jakovljevic ◽  
B Matejic ◽  
A Medarevic ◽  
S Mladenovic Jankovic ◽  
A Neskovic ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Adverse Childhood Experiences ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Collective Violence ◽  
Childhood Experiences ◽  
Adverse Childhood

Abstract Background Adverse childhood experiences (ACE) are a risk factor for mental health disorders and serious somatic illnesses. There is a need for preventing ACE and using mental health care by youth who experienced them. Aims of this study were to examine which ACE are related to mental health service use and to identify a scope of unrecognized needs for these services among students who had experienced abuse/neglect in childhood. Methods Descriptive cross-sectional study was performed on a sample of 2.381 first-year students from six universities in Serbia in 2014. The survey instrument was a questionnaire developed by WHO and CDC. Thirteen ACE (covering household dysfunctionalities, abuse, neglect, peer and collective violence) and using of mental health services at least once during lifetime were assessed. Data were analyzed by univariate and multivariate logistic regression. Results Compared to respondents without particular ACE, odds (±95% CI) of mental health service use were higher only in those with next adversities: parental divorce, OR = 2,26 (1,53-3,33); suicidal/mentally ill family member, OR = 2,21 (1,42-3,44); witnessing partner violence, OR = 1,51 (1,04-2,18); peer violence, OR = 2,14 (1,51-3,03); collective violence OR = 1,48 (1,05- 2,10). Among respondents who had experienced emotional neglect, 81% have never used professional help. For physical neglect, physical and psychological abuse this percentage was 83%. Conclusions The study highlights ACE associated with mental health service use and shows a significant presence of unrecognized needs for these services. There is need for: determining barriers in this area and formulation of effective health promotion strategies; more consistent application of legislation; conducting screening on child abuse/neglect in families with a higher risk for them. Key messages High share of youth with childhood adversities remains without help of mental health specialists.It opens the issue of barriers on the side of youth as well as on the side of health system and society Considering consequences of adverse childhood experiences, there is need for comprehensive public health interventions in order to increase mental health service use among young people with ACE.

scholarly journals Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?

2018 ◽  
Vol 65 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Ka-Fai Chung ◽  
Samson Tse ◽  
Chit-Tat Lee ◽  
Michael Ming-Cheuk Wong ◽  
Wing-Man Chan
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Baseline Survey ◽  
Service Users ◽  
Cross Sectional ◽  
Over Time

Background: Public expenditure on mental health education has grown exponentially in the past two decades. Does the experience of stigma among people with mental health problems improve over time? Our study aims to compare the levels of perceived stigmatization, rejection experiences and stigma–coping among mental health service users in Hong Kong between 2001 and 2017 using longitudinal and repeated cross-sectional study design. Method: The baseline survey was completed by 193 psychiatric outpatients in 2001. They were traced for re-assessment in 2017. Another sample of 193 outpatients matched in age, gender and psychiatric diagnosis was recruited in 2017 for cross-sectional comparison. Participants completed a 39-item questionnaire on stigma experiences, Beck Depression Inventory and Disability Assessment Schedule at both time points. Results: In total, 109 of 193 participants (56.5%) of the 2001 survey were re-assessed. No significant change in perceived stigmatization, rejection experiences and stigma–coping was found among the 109 participants interviewed in 2001 and 2017. For cross-sectional comparison, significant differences in two perceived stigma items were observed upon Bonferroni correction (chi-square test, p < .005) and remained significant after controlling for confounding factors by regression analysis. Improvements in perceived stigmatization were on marriage and friendship, while viewpoints on trustworthiness, dangerousness, devaluation, avoidance and personal failure remained unchanged, and there was no improvement in rejection experiences and stigma–coping. Conclusion: Positive attitude changes over time are unlikely to occur if there is no targeted intervention on stigma. Our findings highlight that evidence-based antistigma interventions are urgently needed.

Relationship Between Health, Experience of Discrimination, and Social Inclusion Among Mental Health Service Users in Hong Kong

2014 ◽  
Vol 124 (1) ◽  
pp. 127-139 ◽  
Author(s):  
Kara Chan ◽  
Sherrill Evans ◽  
Marcus Yu-Lung Chiu ◽  
Peter J. Huxley ◽  
Yu-Leung Ng
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Service ◽  
Health Service ◽  
Social Inclusion ◽  
Service Users

scholarly journals Exploring the health and service utilisation of general practice patients with a history of adverse childhood experiences (ACEs): an observational study using electronic health records

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036239
Author(s):  
Katie Hardcastle ◽  
Mark A Bellis ◽  
Catherine A Sharp ◽  
Karen Hughes
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Adverse Childhood Experiences ◽  
Mental Health Problems ◽  
Health Problems ◽  
Service Utilisation ◽  
Health Records ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
History Of

ObjectivesTo examine the relationships between adverse childhood experiences (ACEs), chronic health and health service utilisation among a sample of general practice patients.DesignCross-sectional observational study using anonymised data from electronic health records for 763 patients.SettingFour general practices in northwest England and North Wales.Outcome measuresPatient demographic data (age, gender); body mass index; self-reported smoking status; self-reported ACEs; diagnosis of chronic health conditions; current mental health problems; total number of service contacts and repeat medication use in the previous 6 months.ResultsA history of ACEs (experiencing abuse or neglect as a child, and/or growing up in a household characterised by violence, substance use, mental health problems or criminal behaviour) was strongly independently associated with current mental health problems, smoking and chronic obstructive pulmonary disease, showing a dose–response relationship with level of ACE exposure. Medication use and contact were significantly greater among patients with high ACE exposure (≥4 ACEs), compared with those with no ACEs. However, contrary to findings from population studies, health service utilisation was not significantly different for patients with increased ACE exposure (1–3 ACEs) and their ACE-free counterparts.ConclusionsFindings highlight the contribution ACEs make to unequal distributions of risk to health and well-being and patterns of health service use in the UK.

The Protection of Mental Health Service Users' Human Rights in Andalusia (Spain) as part of 1 in 4 Anti-stigma Strategy

2012 ◽  
Author(s):  
Pablo Garcia-Cubillana de la Cruz ◽  
Aguila bono del Trigo ◽  
Vicente Ibanez Rojo ◽  
Evelyn Huizing
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Mental Health Service ◽  
Health Service ◽  
Service Users

scholarly journals Co-creating visual representations of safe spaces with mental health service users using photovoice and zoom

2021 ◽  
pp. 100059
Author(s):  
Julie Dare ◽  
Helen Seiver ◽  
Lesley Andrew ◽  
David Coall ◽  
Shantha Karthigesu ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Visual Representations ◽  
Service Users ◽  
Safe Spaces

scholarly journals Adverse childhood experiences and depression among women in rural Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine LeMasters ◽  
Lisa M. Bates ◽  
Esther O. Chung ◽  
John A. Gallis ◽  
Ashley Hagaman ◽  
...  
Keyword(s):  
Mental Health ◽  
Symptom Severity ◽  
Adverse Childhood Experiences ◽  
Linear Regression Models ◽  
Childhood Experiences ◽  
Link Type ◽  
Rural Pakistan ◽  
Adverse Childhood ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Abstract Background Adverse Childhood Experiences (ACEs) are a common pathway to adult depression. This pathway is particularly important during the perinatal period when women are at an elevated risk for depression. However, this relationship has not been explored in South Asia. This study estimates the association between ACEs and women’s (N = 889) depression at 36 months postpartum in rural Pakistan. Method Data come from the Bachpan Cohort study. To capture ACEs, an adapted version of the ACE-International Questionnaire was used. Women’s depression was measured using both major depressive episodes (MDE) and depressive symptom severity. To assess the relationship between ACEs and depression, log-Poisson models were used for MDE and linear regression models for symptom severity. Results The majority (58%) of women experienced at least one ACE domain, most commonly home violence (38.3%), followed by neglect (20.1%). Women experiencing four or more ACEs had the most pronounced elevation of symptom severity (β = 3.90; 95% CL = 2.13, 5.67) and MDE (PR = 2.43; 95% CL = 1.37, 4.32). Symptom severity (β = 2.88; 95% CL = 1.46, 4.31), and MDE (PR = 2.01; 95% CL = 1.27, 3.18) were greater for those experiencing community violence or family distress (β = 2.04; 95%; CL = 0.83, 3.25) (PR = 1.77; 95% CL = 1.12, 2.79). Conclusions Findings suggest that ACEs are substantively distinct and have unique relationships to depression. They signal a need to address women’s ACEs as part of perinatal mental health interventions and highlight women’s lifelong experiences as important factors to understanding current mental health. Trial registration NCT02111915. Registered 11 April 2014. NCT02658994. Registered 22 January 2016. Both trials were prospectively registered.

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