Public Beliefs About the Helpfulness of Interventions for Depression: Effects on Actions Taken When Experiencing Anxiety and Depression Symptoms

2000 ◽  
Vol 34 (4) ◽  
pp. 619-626 ◽  
Author(s):  
Anthony F. Jorm ◽  
Jo Medway ◽  
Helen Christensen ◽  
Ailsa E. Korten ◽  
Patricia A. Jacomb ◽  
...  

Objective: Previous research has shown that the public have different beliefs to mental health professionals about the helpfulness of interventions for mental disorders. However, it is not known whether the public's beliefs actually influence their behaviour when they develop psychiatric symptoms. Method: A postal survey of 3109 Australian adults was used to assess beliefs about the helpfulness of a broad range of interventions for depression, as well as respondents' current level of anxiety and depression symptoms and any history of treated depression. A follow-up survey of 422 persons who had a high level of symptoms at baseline was conducted 6 months later. These people were asked which interventions they had used to reduce their symptoms. An analysis was carried out to see whether beliefs and other factors at baseline predicted subsequent use of interventions. Results: There were some major discrepancies between the ranking of interventions as likely to be helpful and the ranking of how frequently they were actually used. Interventions involving mental health professionals were often rated as likely to be helpful, but were rarely used in practice. Other simple, cheap and readily available interventions were used the most frequently, but were not the most likely to be rated as helpful. The most consistent predictors across all interventions used were gender, history of treatment, current symptoms and belief in a particular intervention. Of particular interest was the finding that beliefs in the helpfulness of antidepressants predicted their use. However, beliefs were not predictors of use for all interventions. Conclusions: Beliefs about the helpfulness of an intervention did not always predict actual use of that intervention, although beliefs did predict use of antidepressants. Therefore, campaigns that change public beliefs about effective treatments may also influence actual use of treatments. Interventions preferred by professionals are not frequently used at present. Most people with anxiety and depression symptoms rely primarily on simple self-help interventions, the effectiveness of which has been little researched.

2012 ◽  
Vol 33 (1) ◽  
Author(s):  
Elizabeth J. Donaldson

<p>Before LSD became infamous as a psychedelic in the late 1960s, it had an earlier career as a psychotomimetic--a drug which could produce a &ldquo;model psychosis&rdquo; or &ldquo;artificial schizophrenia.&rdquo;&nbsp; This paper focuses on the use of LSD in psychiatry in this often overshadowed period.&nbsp; I examine experiments that use LSD as a prosthetic tool to produce &ldquo;disability immersion&rdquo; experiences of schizophrenia in people without psychiatric symptoms or diagnoses.&nbsp; This use of LSD reversed the traditional way drugs circulate in psychiatry: instead of patients receiving mind-altering medication to ameliorate disabling psychiatric symptoms, mental health professionals took LSD to temporarily disable their normal cognition. Despite the problematic nature of disability immersion experiences in general and the negative valence often attached to mental illness in these accounts, these trips into madness produced, I will argue, positive therapeutic insights, perhaps best illustrated by architect Kiyo Izumi&rsquo;s LSD-inspired design for Yorkton Psychiatric Centre.</p><p>Keywords: schizophrenia, mental illness, psychiatry, disability simulation, LSD</p>


This companion guide for clinicians working with oncology patients outlines clinical management of depression, demoralization and anxiety in a pragmatic format for use in everyday practice. The specific aim is to describe treatments that can be utilized by cancer clinicians and by mental health professionals training in psycho-oncology. The guide is not intended to replace national clinical guidelines and policies but gives a more generic international overview of the important factors and elements that need to be considered when dealing with clinical anxiety and depression in cancer patients at all points on the treatment trajectory. The guide covers assessment methods for clinical anxiety, demoralization and depression, psychopharmacological and psychological treatment methods, along with information on dealing with psychiatric emergencies and self-harm issues. The guide does not offer a comprehensive description of psychotherapy techniques: these can be found in the IPOS Handbook of Psychotherapy in Cancer Care. Policies, service issues, ethical, confidentiality, and communication issues are also covered. The guide is intended as a brief pocketbook manual that can be used for quick reference.


2019 ◽  
pp. 277-292
Author(s):  
Shawn Hersevoort ◽  
Stephen Hurwitz ◽  
Stephen Thornton

Emergency departments (EDs) have seen an increase in patients presenting with psychobehavioral emergencies in the past 20 years. Some of this increase is due to the severe shortage of mental health professionals across the country, and some is due to an increase in the incidence of psychiatric disorders. Patients can present to the ED themselves or can be brought in by emergency medical services or law enforcement under an involuntary hold. The presentations range from intentional ingestions and other suicide attempts to depression, psychosis, and medication interactions. Substance abuse is also common in this population and can exacerbate underlying conditions. Patients who present for other medical complaints and have an underlying history of mental illness are usually taking psychiatric medications that can have drug interactions. It is imperative that a practicing emergency medicine physician be aware of the multitude of drug interactions and side effects.


1992 ◽  
Vol 20 (3) ◽  
pp. 233-238 ◽  
Author(s):  
Steven F. Bucky ◽  
Constance Dalenberg

With only a scant amount of empirical research available, there is little information to guide the clinician in assessing clients who present with a history of MPD or childhood ritual abuse. The authors surveyed 433 mental health professionals in San Diego County, California employing a 50-item questionnaire. Concerns of the investigators included whether (a) large numbers of ritual child abuse allegations are generated by a small number of therapists; (b) reporting of allegations is related to therapist discipline and level of training or licensure; (c) attendance at a MPD or ritual abuse workshop is related to MPD/ritual abuse reporting frequency; and (d) frequency of reporting MPD or ritual abuse reporting is related to workshop attendance or type of license. Results showed no differences across disciplines/licences in frequency of report of MPD diagnosis, ritual abuse patients seen, or the presence of symptom clusters which may be associated with diagnosis of either ritual abuse or MPD. However, the data suggest that a cluster of symptoms considered representative of several linked syndromes may become more tightly tied to a single diagnosis through the mechanism of workshop training.


1987 ◽  
Vol 60 (3_part_2) ◽  
pp. 1159-1165
Author(s):  
D. L. Doughty ◽  
H. G. Schneider

Attribution of blame was examined in three samples differing in education and experience (38 undergraduates, 31 graduate students, 37 MA clinicians). 106 subjects completed the Jackson Incest Blame Scale, which yields four blame factors, situation, victim, society, and offender. The four factor scores were analyzed using 2 (sex) X 3 (education) analysis of variance. Attribution of blame decreased as a function of more education. The blame scores of men were significantly higher than those of women on all factors except offender. The percentage of graduate students and clinicians indicating a history of sexual abuse fell in the upper range of estimates of incidence. Individuals with histories of abuse differed only on their attribution of blame to situational factors.


Author(s):  
L. Ponnuchamy

Psychosocial Rehabilitation (PSR) is a part of psychiatric treatment for persons with chronic mentally illness. In the past two decades, the importance of psychosocial rehabilitation is increasing gradually.  The concept and approaches of PSR have been spreading steadily all over the world.  It is a growing field in the developing countries like India.  The information about history of psychosocial rehabilitation among the mental health professionals is inadequate.  But one could see the route of this, even before our country got independence from British colonial rule.  It is always happy to see pathways of any field or subject how it was evolved and developed.    This is an attempt with available resources to bring out the history to the light.


2000 ◽  
Vol 34 (4) ◽  
pp. 612-618 ◽  
Author(s):  
Anthony F. Jorm ◽  
Jo Medway ◽  
Helen Christensen ◽  
Ailsa E. Korten ◽  
Patricia A. Jacomb ◽  
...  

Objective: To determine whether people's attitudes towards a person who has experienced depression influence them in (i) the types of actions they take to help themselves if they experience common psychiatric symptoms, and (ii) the degree to which their symptoms improve. Method: A postal survey was carried out with 3109 adults to assess attitudes and symptoms of anxiety and depression. Attitudes were assessed by questions on a depressed person's likely long-term outcome in various areas of life and whether the respondents thought the depressed person was likely to experience discrimination. A follow-up survey was carried out 6 months later with 422 persons who had a high level of symptoms at baseline. These individuals were asked about whether they had taken various actions to relieve their symptoms. Results: The attitude measures did not predict use of actions which involved someone else having to know that the person had psychiatric symptoms, nor use of actions which did not. The attitude measures also did not predict change in anxiety and depression symptoms. Conclusions: The attitude measures did not predict patterns of help-seeking or outcome for people with common psychiatric symptoms. However, attitudes towards depression were quite benign and the situation could be different for people with severe mental disorders.


Author(s):  
Nicole Butterfield ◽  
Tim Schultz ◽  
Philippa Rasmussen ◽  
Michael Proeve

Purpose The purpose of this paper is to examine the role of yoga in the management of anxiety and depression, development of mindfulness and self-compassion and implications for mental health care delivery and mental health professionals, with a specific focus on nursing practice. Design/methodology/approach A search of electronic databases Scopus, CINAHL, EMBASE, Medline and Cochrane Library was undertaken. Findings There is growing research evidence supporting the use of yoga as an adjunct or combination therapy for the management of stress, anxiety and depression. Mindfulness has been indicated as a potential mechanism of change but needs further research. Health care professionals may play an important role in supporting consumers to engage in yoga as part of their mental health care. Research limitations/implications Yoga research to date has been limited by methodological weaknesses including wide variation of yoga practices, styles and teaching methods; difficulties in double-blinding, suitable placebo-control; lack of randomised controlled trials and small sample sizes. The literature highlights that more high-quality yoga and mental health research is needed. Practical implications The paper introduces the potential role of yoga for anxiety and depression in the health care system and the role of mental health professionals in implementing and promoting holistic yoga-based therapies. Originality/value This paper proposes a yoga model for mental health and provides insight into a proposed new direction for future mental health care and the role of nursing practice and other mental health professionals.


2011 ◽  
Vol 25 (4) ◽  
pp. 235-239 ◽  
Author(s):  
Robert E. Bartholomew ◽  
M. Chandra Sekaran Muniratnam

The management of episodes of mass psychogenic illness poses a challenge for mental health professionals who have a history of inadvertently exacerbating episodes. This article identifies the two major presentation types (anxiety vs. motor), discusses their significance as a public health issue, and offers guidelines for responding to outbreaks and addressing the media.


Author(s):  
Chavon Niles

This paper will provide a brief history of the institutionalization movement during the nineteenth century in North America, followed by an examination of the reasons behind the deinstitutionalization movement, with the intent of understanding the repercussions of both movements. Suggestions will be presented to assist mental health professionals and the community at large in implementing programs to assists former patients integrate positively into the community.


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