scholarly journals Psychosocial impacts on the Christchurch Muslim community following the 15 March terrorist attacks: a mixed-methods study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e055413
Author(s):  
Ruqayya C. Sulaiman-Hill ◽  
Richard Porter ◽  
Sandila Tanveer ◽  
Joseph Boden ◽  
Ben Beaglehole ◽  
...  
Keyword(s):  
New Zealand ◽  
Mental Disorders ◽  
Terrorist Attack ◽  
Diagnostic Interview ◽  
Self Report ◽  
Muslim Community ◽  
Target Sample Size ◽  
Increased Risk ◽  
Ethical Approval ◽  
Registration Number

IntroductionOn 15 March 2019, a white supremacist gunman opened fire in two mosques in Christchurch, New Zealand, during Friday prayers, killing 51 people and injuring 40. The event was witnessed by at least 250 survivors and also live streamed on social media, leading to widespread and repeated exposure within the community. It is expected that survivors, families and community members will be at increased risk of developing mental disorders due to the scale and violence of these attacks.This protocol describes the first phase of a proposed longitudinal study to screen and assess the long-term impacts of the terrorist attack on members of the Christchurch Muslim community, to determine clinical need and facilitate access to appropriate interventions and to gain insights into working with such a traumatised, ethnically diverse population. It has been developed in close collaboration with members of that community.Methods and analysisA mixed-method design is described, combining self-report measures with a clinician-administered diagnostic interview. Participants include Christchurch Muslims aged 18 years and over, with a target sample size of n=200. Analyses will determine prevalence of major mental disorders, while regression analyses will model the relationship between pre-event features, trauma exposure and mental disorders. A small number of participants, stratified by exposure type, will also take part in a qualitative interview in English. All study information and self-report measures are provided in translations based on the ethnolinguistic composition of the group and are available in paper and online versions.Ethics and disseminationEthical approval was granted by the New Zealand Health and Disability Ethics Committee 19/NTA/147. All participants provide informed consent, either written or online via REDCap software. The study is registered with the Australian New Zealand Clinical Trials Registry. Findings will be disseminated initially to the impacted community, then by publication in scientific journals, presentations and to government agencies.Trial registration numberACTRN12620000909921.

Does Ethnicity Affect Need for Mental Health Service Among New Zealand Prisoners?

2003 ◽  
Vol 37 (6) ◽  
pp. 728-734 ◽  
Author(s):  
Alexander I. F. Simpson ◽  
Philip M. Brinded ◽  
Nigel Fairley ◽  
Tannis M. Laidlaw ◽  
Fiona Malcolm
Keyword(s):  
Mental Illness ◽  
New Zealand ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Ethnic Groups ◽  
Diagnostic Interview ◽  
Pacific Island ◽  
Treatment Needs ◽  
Female Prisoners ◽  
Male Prisoners

Objective: The National Study on Psychiatric Morbidity in New Zealand Prisons identified undiagnosed mental illness and unmet treatment needs for mentally disordered offenders. As approximately 50% of prisoners are of Maori and 8.3% Pacific Island ethnicity, we analyzed the data to determine if there were any differences in the rates of major mental disorders between ethnic groups. Method: A census of all female prisoners, all remand male prisoners and an 18% random sample of the sentenced male prisoners were interviewed employing the diagnostic interview for mental illness (CIDI-A), screening diagnostic interview for relevant personality disorders (PDQ) and suicide screening questions. Self-identified ethnicity was recorded. Ethnic groups were compared for sociodemographic variables, morbidity for mental disorder, treatment experience and suicidality. Results: The ethnic groups were largely similar in age and current prevalence for mental disorders, although there was some evidence of differing sociodemographic factors, especially younger age among the Maori prisoners. Maori report fewer suicidal thoughts, but acted suicidally at the same rate as non-Maori. Treatment for mental disorder was less common among Maori and Pacific Island prisoners than others, both in prison and in the community. Conclusion: Criminogenic factors present in the developmental histories of prisoners might also increase the risk of mental disorders. Ethnic groups were not different in the rate at which they manifest mental disorders in the face of such factors. Younger prisoners were disproportionately more likely to be of Maori or Pacific Island ethnicity. Both prior to and after entry to prison, services must improve responsiveness to Maori and Pacific Island people.

The Prevalence of Mental Disorders among Clergy in São Paulo, Brazil

1996 ◽  
Vol 24 (4) ◽  
pp. 313-322 ◽  
Author(s):  
Francisco Lotufo-Neto
Keyword(s):  
Mental Disorders ◽  
Religious Orientation ◽  
Depressive Disorders ◽  
Diagnostic Interview ◽  
The Self ◽  
Self Report ◽  
Psychosocial Stressors ◽  
The Church ◽  
Life Inventory ◽  
Psychiatric Screening

To investigate their mental disorders prevalence, the Self-Report Psychiatric Screening Questionnaire (SRQ-20) and the Religious Life Inventory were mailed to 750 religious ministers. From the 207 who answered, 40 were randomly chosen and invited to a diagnostic interview using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and an open interview using the Severity of Psychosocial Stressors Scale (DSM-III-R Axis IV). During the month before the interview, mental disorders prevalence was 12.5%, and 47% received a psychiatric diagnosis when the lifetime period was considered. Their main diagnoses were Depressive Disorders (16.4%), Sleep Disorders (12.9%) and Anxiety Disorders (9.4%). Intrinsic religious orientation was associated with positive mental health, and quest orientation scores were significantly higher in the group with a larger probability of mental disorder symptoms and diagnoses. Financial problems, problems with church members and with other pastors, leadership conflicts, marital difficulties, doctrinal problems in the church, and overwork were the main identified stressors.

scholarly journals Islam in New Zealand – A Mixed Reception: Historical Overview and Contemporary Challenges

2021 ◽  
Vol 39 (1) ◽  
pp. 149-170
Author(s):  
Abdullah Drury ◽  
Douglas Pratt
Keyword(s):  
New Zealand ◽  
Terrorist Attack ◽  
Muslim Community ◽  
The Core ◽  
Muslim Minority ◽  
The Status ◽  
History Of ◽  
The City ◽  
Direct Attachment ◽  
Looking Back

Purpose: This research aims to discuss the history of Islam in New Zealand, together with some of the pressing issues and challenges Muslims have encountered along the way. Looking back at the history of early Muslim settlers and the emergence of Muslim organizations and allied enterprises, it is clear that the Muslim community in New Zealand has had a rather mixed reception in a land that, on the whole, is perceived to be benignly tolerant and accepting. Methodology: The research is based on a critical analysis of the available literature, both contemporary and historical. This paper explores complicated community developments, conversions to Islam, the violence experienced with defacement and destruction of mosques in reaction to overseas events over recent decades, ongoing Islamophobia, and the infamous 2019 terrorist attack on two mosques in the city of Christchurch. Findings: The research highlights the status of the New Zealand Muslim community and the extent and nature of their influence in the country. It constitutes a social hierarchy with a complex past and multiple internal issues. Accordingly, this paper concludes with a brief discussion of the migrant experience of Muslims. It also elucidates the necessity of further research in the future and emphasizes the need to study the culture, faith and history of New Zealand from various angles. Originality: This is illustrated in the direct attachment of the research to the core topic of religion. This is the first academic study to deal directly with both the history of the Muslim minority and contemporary issues such as Islamophobia following the 2019 massacre.

scholarly journals Deconditioning in people living with dementia during the COVID-19 pandemic: qualitative study from the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Claudio Di Lorito ◽  
Tahir Masud ◽  
John Gladman ◽  
Maureen Godfrey ◽  
Marianne Dunlop ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Process Evaluation ◽  
Cognitive Abilities ◽  
Activity Levels ◽  
People With Dementia ◽  
Increased Risk ◽  
Early Dementia ◽  
Ethical Approval ◽  
Registration Number ◽  
Study Participants

Abstract Background Restrictions introduced in response to the COVID-19 pandemic led to increased risk of deconditioning in the general population. No empirical evidence of this effect however has been gathered in people living with dementia. This study aims to identify the causes and effects of COVID-19-related deconditioning in people living with dementia. Methods This is a longitudinal phenomenological qualitative study. Participants living with dementia, their caregivers and therapists involved in the Promoting Activity, Independence and Stability in Early Dementia (PrAISED) process evaluation during the COVID-19 pandemic were qualitatively interviewed at two time points: the baseline 2 months after the national lockdown was imposed in England (i.e., May 2020), the follow up 2 months after the first set (i.e. July 2020). The data were analysed through deductive thematic analysis. Results Twenty-four participants living with dementia, 19 caregivers and 15 therapists took part in the study. Two themes were identified: Causes of deconditioning in people living with dementia during the COVID-19 pandemic and effects of deconditioning in people living with dementia during the COVID-19 pandemic. A self-reinforcing pattern was common, whereby lockdown made the person apathetic, demotivated, socially disengaged, and frailer. This reduced activity levels, which in turn reinforced the effects of deconditioning over time. Without external supporters, most participants lacked the motivation / cognitive abilities to keep active. Provided the proper infrastructure and support, some participants could use tele-rehabilitation to combat deconditioning. Conclusion The added risks and effects of deconditioning on people with dementia require considerable efforts from policy makers and clinicians to ensure that they initiate and maintain physical activity in prolonged periods of social distancing. Delivering rehabilitation in the same way as before the pandemic might not be feasible or sustainable and innovative approaches must be found. Digital support for this population has shown promising results but remains a challenge. Trial registration The PrAISED trial and process evaluation have received ethical approval number 18/YH/0059 from the Bradford/Leeds Ethics Committee. The ISRCTN Registration Number for PrAISED is 15320670.

Twelve-Month and Lifetime Prevalences of Mental Disorders and Treatment Contact Among Pacific People in Te Rau Hinengaro: The New Zealand Mental Health Survey

2006 ◽  
Vol 40 (10) ◽  
pp. 924-934 ◽  
Author(s):  
Siale A. Foliaki ◽  
Jesse Kokaua ◽  
David Schaaf ◽  
Colin Tukuitonga ◽  
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Health Survey ◽  
Diagnostic Interview ◽  
World Health ◽  
Pacific People ◽  
Zealand Population ◽  
Mental Health Survey

Objective: To show the 12 month and lifetime prevalences of mental disorders and 12 month treatment contact of Pacific people in Te Rau Hinengaro: The New Zealand Mental Health Survey. Method: Te Rau Hinengaro: The New Zealand Mental Health Survey, undertaken in 2003 and 2004, was a nationally representative face-to-face household survey of 12 992 New Zealand adults aged 16 years and over including M ori (n = 2457), Pacific people (n = 2236), people of mixed Pacific and M ori ethnicity (n = 138), and ‘Others’ (a composite group of predominantly European descent) (n = 8161). Ethnicity was measured by self-identified ethnicity using the New Zealand 2001 Census of Population and Dwellings question. A fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (CIDI 3.0), was used to measure disorders. The overall response rate was 73.3%. Results: Pacific people have high rates of mental illness: the unadjusted 12 month prevalence for Pacific people was 25.0% compared with 20.7% for the total New Zealand population. There were also higher 12 month prevalences of suicidal ideation (4.5%) and suicide attempts (1.2%). Only 25.0% of Pacific people who had experienced a serious mental disorder had visited any health service for their mental health reason compared with 58.0% of the total New Zealand population. The prevalence of mental disorder was lower among Pacific people born in the Islands than among New Zealand-born Pacific people. Conclusion: Pacific people experience high prevalence of mental disorder and New Zealand-born Pacific people experience significantly higher prevalence than Island-born Pacific people.

scholarly journals Risk of infection associated with intravenous iron preparations: protocol for updating a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e024618 ◽  
Author(s):  
Akshay Shah ◽  
Anita Sugavanam ◽  
Jack Reid ◽  
Antony J Palmer ◽  
Edward Dickson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Intravenous Iron ◽  
Cochrane Collaboration ◽  
Assessment Development ◽  
Evaluation Approach ◽  
Increased Risk ◽  
Ethical Approval ◽  
Registration Number ◽  
Randomised Controlled

IntroductionThe benefits and risk of intravenous iron have been documented in previous systematic reviews and continue to be the subject of randomised controlled trials (RCTs). An ongoing issue that continues to be raised is the relationship between administering iron and developing infection. This is supported by biological plausibility from animal models. We propose an update of a previously published systematic review and meta-analysis with the primary focus being infection.Methods and analysisWe will include RCTs and non-randomised studies (NRS) in this review update. We will search the relevant electronic databases. Two reviewers will independently extract data. Risk of bias for RCTs and NRS will be assessed using the relevant tools recommended by The Cochrane Collaboration. Data extracted from RCTs and NRS will be analysed and reported separately. Pooled data from RCTs will be analysed using a random effects model. We will also conduct subgroup analyses to identify any patient populations that may be at increased risk of developing infection. We will provide a narrative synthesis on the definitions, sources and responsible pathogens for infection in the included studies. Overall quality of evidence on the safety outcomes of mortality and infection will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation approach.Ethics and disseminationThis systematic review will only investigate published studies and therefore ethical approval is not required. The results will be broadly distributed through conference presentations and peer-reviewed publications.Trial registration numberPROSPERO (CRD42018096023).

scholarly journals NHS Health Check programme: a protocol for a realist review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e048937
Author(s):  
Claire Duddy ◽  
Geoff Wong ◽  
E W Gadsby ◽  
Janet Krska ◽  
Vivienne Hibberd
Keyword(s):  
Public Health ◽  
Adult Population ◽  
Realist Review ◽  
Health Check ◽  
Design Strategies ◽  
Cvd Risk ◽  
Increased Risk ◽  
Ethical Approval ◽  
Registration Number ◽  
Nhs Health Check

IntroductionThe NHS Health Check aims to identify individuals at increased risk of cardiovascular diseases (CVDs) among the adult population in England. The Health Check includes calculation of CVD risk and discussion of pharmacological and lifestyle approaches to manage risk, including referral to lifestyle support services. The programme is commissioned by Local Authorities (LAs) and is delivered by a range of different providers in different settings. There is significant variation in activity, with uptake ranging from 25% to 85% in different areas, and clear evidence of variation in implementation and delivery practice.Methods and analysisWe aim to understand how the NHS Health Check programme works in different settings, for different groups, so that we can recommend improvements to maximise intended outcomes. To do so, we will undertake a realist review and a survey of LA public health teams. Our review will follow Pawson’s five iterative stages: (1) locate existing theories, (2) search for evidence, (3) article selection, (4) extract and organise data and (5) synthesise evidence and draw conclusions. Our review will include documents describing local implementation alongside published research studies. We will recruit a stakeholder group (including Public Health England, commissioners and providers of Health Checks, plus members of the public and patients) to advise us throughout. Our survey will be sent to all 152 LAs in England to gather detailed information on programme delivery (including COVID-19-related changes) and available referral services. This will enable us to map delivery across England and relate these data to programme outcomes.Ethics and disseminationEthical approval is not required for this review. For the survey, we have received approval from the University of Kent Research Ethics Committee. Our findings will be used to develop recommendations on tailoring, implementation and design strategies to improve delivery of the NHS Health Check in different settings, for different groups.PROSPERO registration numberCRD42020163822.

scholarly journals The Association between Diet Quality and Anxiety among Young Couples in Shiraz: A Cross-sectional Study

2019 ◽  
Author(s):  
Mahoor Salehi Mobarakeh ◽  
Mohammad Hassan I IEftekhari
Keyword(s):  
Mental Disorders ◽  
Diet Quality ◽  
Cross Sectional Study ◽  
Self Report ◽  
Short Version ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Significant Difference ◽  
The Relationship

Background: Mental disorders impose a significant health and economic burden on both developed and developing countries. The relationship between nutrition and mental disorders has become an important topic of interest in recent years. Therefore, identification of modifiable risk factors for anxiety is a serious and critical research imperative. Thus, this study aimed to evaluate the relationship between the “diet quality index international” (DQI-I) and anxiety as a major subject. Methods: This cross-sectional study was conducted on 194 men and women, who were randomly selected to perform the routine examinations before marriage. In this research, socio-demographic and anthropometric indicators, such a dietary intake1 and mental health were measured. To measure the former, a Food Frequency Questionnaire (FFQ) was applied and to determine the latter,  a short version of the self-report depression, anxiety, and stress scale questionnaire (DASS-21) was used. Results: Univariate and multivariate linear regressions of anxiety and DQI score demonstrated significant association between DQI score and anxiety in all participants. A negative correlation was also seen between DQI score and anxiety in all participants. The anxiety scores reported for males and females did not introduce a significant difference. Adjustments for age, education, income, job, smoking, physical activity, and body mass index did not change the aforementioned associations. Conclusion: In this study, a significant association was observed between diet quality and the risk of mental disorders. The increase in DQI in participants caused a remarkable reduction in their level of anxiety. A healthy diet proved to be inversely associated with anxiety, while unhealthy dietary patterns were associated with increased risk of anxiety.

scholarly journals Mediators and theories of change in psychotherapy with adolescents: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042411
Author(s):  
Svenja Taubner ◽  
Andrea Saliba ◽  
Erkki Heinonen ◽  
Sonja Protić ◽  
Jana Volkert ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Disorders ◽  
Open Science ◽  
Primary Data ◽  
Data Set ◽  
Ethical Approval ◽  
Registration Number ◽  
Theories Of Change ◽  
Meta Analyses ◽  
Prospective Longitudinal

IntroductionApproximately 75% of mental disorders emerge before the age of 25 years but less than half receive appropriate treatment. Little is known about the mechanisms underlying the therapeutic change of adolescents in psychotherapy. The ‘European Network of Individualised Psychotherapy Treatment of Young People with Mental Disorders’, funded by the European Cooperation in Science and Technology, will conduct the first systematic review to summarise the existing knowledge on mediators and theories of change in psychotherapy for adolescents.MethodA systematic review will be conducted, conforming to the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement recommendations. Electronic databases (PubMed and PsycINFO) have been systematically searched on 23 February 2020, for prospective, longitudinal and case-control designs which examine mediators of change. Participants will be adolescents between 10 and 19 years of age who suffer from a mental disorder or psychological difficulties and receive an intervention that aims at preventing, ameliorating and/or treating psychological problems.Ethics and disseminationEthical approval is not required for this systematic review as no primary data will be collected. The results will be published in a peer-reviewed journals and at conference presentations and will be shared with stakeholder groups. The whole data set will be offered to other research groups following recommendations of the open science initiative. Databases with the systematic search will be made openly available following open science initiatives.PROSPERO registration numberCRD42020177535.

Ethnic Comparisons of the 12 Month Prevalence of Mental Disorders and Treatment Contact in Te Rau Hinengaro: The New Zealand Mental Health Survey

2006 ◽  
Vol 40 (10) ◽  
pp. 905-913 ◽  
Author(s):  
Joanne Baxter ◽  
Jesse Kokaua ◽  
J. Elisabeth Wells ◽  
Magnus A. McGee ◽  
Mark A. Oakley Browne
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Disorders ◽  
Sex Education ◽  
Health Survey ◽  
Mental Health Problems ◽  
Diagnostic Interview ◽  
World Health ◽  
Pacific People ◽  
Mental Health Survey

Objective: To compare ethnic groups for the 12 month prevalence of mental disorders and 12 month treatment contact in Te Rau Hinengaro: The New Zealand Mental Health Survey. Method: Te Rau Hinengaro: The New Zealand Mental Health Survey, undertaken in 2003 and 2004, was a nationally representative face-to-face household survey of 12 992 New Zealand adults aged 16 years and over, including M ori (n = 2595), Pacific people (n = 2236) and a composite Other ethnic group (predominantly European) (n = 8161). Ethnicity was measured using the 2001 census ethnicity question. A fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (CIDI 3.0) was used to measure disorder. The overall response rate was 73.3%. Results: The 12 month prevalence of any mental disorder was highest in M ori (29.5%; 26.6, 32.4), followed by Pacific people (24.4%; 21.2, 27.6) and Others (19.3%; 18.0, 20.6). Adjustment for age, sex, education and household income reduced differences: Māori (23.9%; 21.3, 26.4), Pacific (19.2%; 16.4, 22.1) and Other (20.3%; 18.9, 21.6). A similar pattern was seen for serious disorder and most individual disorders or disorder groups. After adjustment, M ori were most different from Pacific people and Others for substance use disorder. Both M ori and Pacific people had a higher prevalence of bipolar disorder than Others. Pacific people had the lowest prevalence of major depressive disorder. Among those with disorder, the proportion with a visit for mental health problems to any service was highest among Others (41.1%; 38.1, 44.1), with M ori (32.5%; 28.3, 36.7) intermediate and Pacific (25.4%, 19.4, 31.4) lowest. Adjustment did not alter ethnic differences in service contact. Conclusion: M ori, and to a lesser extent Pacific people, have a higher prevalence of 12 month mental disorders than Others. Differences are reduced after adjusting for sociodemographic correlates. Relative to need, Pacific people in particular and M ori are less likely than Others to have contact with services (health or non-health), regardless of sociodemographic circumstances.

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