A qualitative study on the use of mobile-based intervention for perinatal depression among perinatal mothers in rural Bihar, India

2020 ◽  
pp. 002076402096600
Author(s):  
Uttara Seshu ◽  
Homam A Khan ◽  
Manish Bhardwaj ◽  
C Sangeetha ◽  
G Aarthi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mobile Phone ◽  
Perinatal Depression ◽  
Interactive Voice Response ◽  
Peer Group ◽  
Group Discussion ◽  
Health Issues ◽  
Psychiatric Illnesses ◽  
Anxiety Depression ◽  
Depth Interviews

Background: Perinatal depression (PND) is one of the most common psychiatric illnesses in women, with a prevalence around 22% in India. Leveraging mobile-based technologies could help in the prevention and treatment of perinatal depression even in remote places. Understanding the experiences and barriers of using such technology interventions by perinatal mothers could help in the better design and in delivery of these interventions. We aimed to study the experiences of the perinatal women using a mobile phone-based intervention, Interactive Voice Response System (IVRS), for the prevention and management of perinatal depression in a rural district of Bihar, India. Materials and methods: A total of 12 in-depth interviews (IDIs) and one focus group discussion (FGD) with eight participants were conducted with perinatal mothers using the mobile-based IVRS to explore the experiences and perspectives of women receiving mobile phone-based interventions for the treatment of PND. Thematic analysis was done to identify major themes. Results: Five major themes emerged from the study around accessibility, usability, community participation, cost and preference to either intervention. Women found the mobile-based intervention useful as it made them feel lighter. They considered mental health as a health issue and wanted help to address their problems. They became familiar with terms like anxiety, depression, helplessness and burden and bean using them in their conversations. The patients used therapeutic strategies such as breathing, coping and relaxation. They even agreed to take up sessions for their peer group. Conclusion: Women in rural Bihar seemed satisfied with the technology-based intervention. It has made mental health issues more visible and acceptable even in the rural hinterlands of Bihar.

‘Fansens’ are waving through a window: Exploring the Dear Evan Hansen fan phenomenon

2020 ◽  
Vol 8 (2) ◽  
pp. 201-220 ◽  
Author(s):  
Jarrod Walczer ◽  
Derek E. Baird
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Social Anxiety ◽  
Online Support ◽  
Health Issues ◽  
Fan Communities ◽  
Mental Health Issues ◽  
Digital Methods ◽  
New Perspective ◽  
Anxiety Depression

Dear Evan Hansen (DEH) is a social media-centric musical that has been widely celebrated by a show-specific online fan community, known as ‘Fansens’, on Instagram and Tumblr, having won the Tony Award for Best Musical in 2017. The growth of this fandom, on these platforms, is unique as Fansens have adopted plot points and thematic elements from the musical relating to how social media affects social anxiety, depression and suicide to create fan art and fanfictions that, in turn, result in a community of care on social media where fans can discuss their own encounters with social anxiety, teen suicide and cyberbullying. Though most Fansens would not have been able to see the musical performed on Broadway or live in-person, their fanfictions, personal posts and fan art reflect and refract the difficulties that young people have with mental health, social anxiety and suicide. Using both digital methods and post-structuralist textual analysis, this article analyses numerous fan cultural artefacts collected from DEH-specific hash-tagged posts on Tumblr and Instagram. In doing so, this article provides a new perspective on the role that fan communities, their artefacts, their use of digital medi, and their fan activist and upstanding techniques can play in providing avenues of self-care and modelling positive online support for those dealing with mental health issues.

scholarly journals The Role of Religiosity to Address the Mental Health Crisis of Students: A Study on Three Parameters (Anxiety, Depression, and Stress)

2021 ◽  
Vol 29 (4) ◽  
Author(s):  
Rohmah Najihah Misran ◽  
Jamilah Hanum Abdul Khaiyom ◽  
Zul Azlin Razali
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Psychological Health ◽  
Protective Factor ◽  
Anxiety And Depression ◽  
Health Issues ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Anxiety Depression

Religiosity is a construct that has interesting implications in the mental health issues of youths. This study examines the role of religiosity on anxiety, depression, and stress using 148 Muslim students studying Islamic studies at undergraduate provision in an Islamic University as sample. Results indicated that the level of religiosity among the participants ranged from moderately religious to highly religious. The mean levels of anxiety, depression, and stress among the participants were moderate, and a significant number of students suffered from severe psychological distress. Female students were reported to experience significantly slightly more stress than male students. Furthermore, the relationship between religiosity, anxiety, and depression was significantly negative but not stressful. Further analysis found that religiosity serves as a protective factor for depression. Meanwhile, some religiosity components (i.e., avoidance of sinful acts and frequent conduct of recommended acts) were found to be a significant protective factor against anxiety and depression, respectively. Thus, in retrospect, mental health and religion appear to converge on managing psychological distress. As so to speak, this is a vital point in the emerging mental health services in which the incorporation of religious components into clinical practice may show good promising results in aiding the recovery process of psychological health issues. Likewise, embedding religiosity in one’s life, or being religiously minded, reflected in daily life manifestation, is linked with better mental health outcomes.

scholarly journals Mental health implications of COVID-19 pandemic and its response in India

2020 ◽  
pp. 002076402095076 ◽  
Author(s):  
Adrija Roy ◽  
Arvind Kumar Singh ◽  
Shree Mishra ◽  
Aravinda Chinnadurai ◽  
Arun Mitra ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Media ◽  
Mental Health Care ◽  
Intervention Strategies ◽  
Health Issues ◽  
Mental Health Issues ◽  
The Government ◽  
Novel Coronavirus ◽  
Anxiety Depression

Introduction: Mental health concerns and treatment usually take a backseat when the limited resources are geared for pandemic containment. In this global humanitarian crisis of the COVID-19 pandemic, mental health issues have been reported from all over the world. Objectives: In this study, we attempt to review the prevailing mental health issues during the COVID-19 pandemic through global experiences, and reactive strategies established in mental health care with special reference to the Indian context. By performing a rapid synthesis of available evidence, we aim to propose a conceptual and recommendation framework for mental health issues during the COVID-19 pandemic. Methods: A search of the PubMed electronic database and google scholar were undertaken using the search terms ‘novel coronavirus’, ‘COVID-19’, ‘nCoV’, SARS-CoV-2, ‘mental health’, ‘psychiatry’, ‘psychology’, ‘anxiety’, ‘depression’ and ‘stress’ in various permutations and combinations. Published journals, magazines and newspaper articles, official webpages and independent websites of various institutions and non-government organizations, verified social media portals were compiled. Results: The major mental health issues reported were stress, anxiety, depression, insomnia, denial, anger and fear. Children and older people, frontline workers, people with existing mental health illnesses were among the vulnerable in this context. COVID-19 related suicides have also been increasingly common. Globally, measures have been taken to address mental health issues through the use of guidelines and intervention strategies. The role of social media has also been immense in this context. State-specific intervention strategies, telepsychiatry consultations, toll free number specific for psychological and behavioral issues have been issued by the Government of India. Conclusion: Keeping a positive approach, developing vulnerable-group-specific need-based interventions with proper risk communication strategies and keeping at par with the evolving epidemiology of COVID-19 would be instrumental in guiding the planning and prioritization of mental health care resources to serve the most vulnerable.

scholarly journals RELATIONSHIP BETWEEN ANOREXIA NERVOSA (DESIRE FOR THINNESS) AND MENTAL HEALTH AMONG JUNIOR COLLEGE STUDENTS

2021 ◽  
Vol 9 (09) ◽  
pp. 01-04
Author(s):  
Khan Zeenat Muzaffar ◽  
Keyword(s):  
Mental Health ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Standardized Test ◽  
Junior College ◽  
Health Issues ◽  
Intense Fear ◽  
Junior College Students ◽  
Anxiety Depression ◽  
Distorted Body Image

Anorexia nervosa, a type of eating disorder is commonly seen in teenagers. An intense fear of gaining weight and distorted body image compels the teenagers to go on diet, which is resulting in eating less and skipping the meal and ultimately making the teenagers more prone to stress,anxiety,depression and other mental health issues. The study was taken with an intention to find the association of anorexia and mental health. A sample of 913 adolescents from junior college were selected as sample and a standardized test was administered. The findings showed that there is a positive correlation between eating disorder and mental health among adolescents.

scholarly journals Clergy Perceptions of Mental Illness and Confronting Stigma in Congregations

Religions ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1110
Author(s):  
Anthony David Campbell
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
African American ◽  
Mental Health Counseling ◽  
Mental Health Stigma ◽  
Health Issues ◽  
Health Counseling ◽  
Mental Health Issues ◽  
Depth Interviews ◽  
Special Case

Mental illness and stigma are key concerns in congregations and represent a key threat to community health. Clergies are considered influential in how congregants think about and respond to mental health issues, especially in African American congregations. In-depth interviews with 32 African American and White clergies were conducted to understand their unique perspectives on mental health and how they interact with their congregations based on those perspectives. Findings include six themes related to mental health stigma, namely, holistic definitions of health; African Americans and different conceptions of mental health (only reported by African American clergies); code words and language; depression as a special case; perceptions of mental health counseling and treatment; and clergy strategies for addressing mental health stigma. The clergies in this study recognized their influence on ideas related to mental health in their congregations, and most expressed active efforts toward discussing mental health and reducing stigma.

scholarly journals What could we learn from SARS when facing the mental health issues related to the COVID-19 outbreak? A nationwide cohort study in Taiwan

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Nian-Sheng Tzeng ◽  
Chi-Hsiang Chung ◽  
Chuan-Chia Chang ◽  
Hsin-An Chang ◽  
Yu-Chen Kao ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Disorders ◽  
Psychiatric Disorders ◽  
Stress Disorder ◽  
Control Group ◽  
Research Database ◽  
Health Issues ◽  
Mental Health Issues ◽  
Increased Risk ◽  
Anxiety Depression

Abstract There were several studies about the psychiatric and mental health issues related to the severe adult respiratory syndrome (SARS) outbreak in 2003, however, the association between SARS and the overall risk of psychiatric disorders and suicides has, as yet, to be studied in Taiwan. The aim of this study is to examine as to whether SARS is associated with the risk of psychiatric disorders and suicide. A total of 285 patients with SARS and 2850 controls without SARS (1:10) matched for sex, age, insurance premium, comorbidities, residential regions, level of medical care, and index date were selected between February 25 and June 15, 2003 from the Inpatient Database Taiwan’s National Health Insurance Research Database. During the 12-year follow-up, in which 79 in the SARS cohort and 340 in the control group developed psychiatric disorders or suicide (4047.41 vs. 1535.32 per 100,000 person-years). Fine and Gray’s survival analysis revealed that the SARS cohort was associated with an increased risk of psychiatric disorders and suicide, and the adjusted subdistribution HR (sHR) was 2.805 (95% CI: 2.182–3.605, p < 0.001) for psychiatric disorders and suicide. The SARS cohort was associated with anxiety, depression, sleep disorders, posttraumatic stress disorder/acute stress disorder (PTSD/ASD), and suicide. The sensitivity analysis revealed that the SARS group was associated with anxiety, depression, sleep disorders, PTSD/ASD, and suicide after the individuals with a diagnosis of psychiatric disorders and suicide were excluded within the first year, and with anxiety, depression, and sleep disorders, while those in the first five years were excluded. In conclusion, SARS was associated with the increased risk of psychiatric disorders and suicide.

scholarly journals Counterintuitive findings from a qualitative study of mental health in English women’s prisons

2016 ◽  
Vol 12 (4) ◽  
pp. 216-229 ◽  
Author(s):  
Laura S. Caulfield
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Issues ◽  
Content Type ◽  
Women's Prisons ◽  
Large Numbers ◽  
Women In Prison ◽  
Experiences Of Women ◽  
Depth Interviews

Purpose Large numbers of women in prison report significant emotional and mental health problems, and there is evidence to suggest that the prison environment may exacerbate the incidence and severity of these issues (Armour, 2012). However, there has been limited exploration of the extent to which women’s mental health problems exist prior to incarceration, whether symptoms first occur in incarceration, and how incarceration affects this. The paper aims to discuss these issues. Design/methodology/approach In-depth interviews were conducted with 43 women incarcerated in three English prisons and a thematic analysis of the data was conducted. Review of official prison records provided a form of data triangulation. Findings Analysis of the data revealed that while many women who experienced mental health issues in prison had experienced these issues in the past, a number of women reported first experiencing mental health and emotional problems only after entering prison. Although these problems often recede, this demonstrates the significant impact that entering prison can have upon the mental health of women. Unusually, the data highlighted many positive experiences of support within prison. However, there was some lack of consistency in the treatment and support offered to women. Originality/value The data presented here are in many ways more positive than previous research and – as opposed to much of the existing literature that simply states the prevalence women’s issues in prison – provides insight into the lived experiences of women in prison. This paper documents how prison can present an opportunity for women to engage with treatment, but there is a need for a clearer understanding of women’s needs and consistent and appropriate support.

“We are children like others”: Pathways to mental health and healing for children born of genocidal rape in Rwanda

2019 ◽  
Vol 56 (3) ◽  
pp. 510-528 ◽  
Author(s):  
Sarilee Kahn ◽  
Myriam Denov
Keyword(s):  
Mental Health ◽  
Peer Group ◽  
Social Bonds ◽  
The Other ◽  
Collective Trauma ◽  
Psychological Consequences ◽  
Cohort Group ◽  
Health And Healing ◽  
Depth Interviews ◽  
Formal Recognition

Despite the well-documented prevalence of rape as a strategy of war, little is known about the specific psychological consequences to children born of conflict-related sexual violence. The results of data analysis of 7 focus groups and 60 in-depth interviews with children born of genocidal rape in Rwanda indicated that they are carrying the trauma of their own stigmatization and marginalization, are burdened with their mothers' trauma, and, we conclude, symbolize unresolved collective trauma for the society. Analysis also reveals that healing for these young adults requires interpersonal and intrapersonal compassion and acceptance, a meaningful connection with a peer group, societal recognition, and empowerment to help contribute to and transform their lives and societies. Each of these pathways to healing—intrapersonal, interpersonal, and social—is contingent upon the other, and none can be considered in isolation. To support this largely invisible population striving to fulfill their potential, opportunities need to be created for self-acceptance and acceptance by mothers, families, and communities; sharing and building emotional and social bonds with their cohort group; formal recognition; official social rituals to validate their experiences and those of the mother–child dyad in the context of culture and community; and for socioeconomic opportunities to enable them to fully participate in building the future of Rwanda.

JPMA-2019-07-887 The mental health issues of eunuchs in the context of social exclusion

2020 ◽  
pp. 1-18
Author(s):  
Syeda Farhana Kazmi ◽  
Rubina Bibi ◽  
Tahir Pervaiz ◽  
Rabia Bashir ◽  
Admin
Keyword(s):  
Mental Health ◽  
Social Exclusion ◽  
Social Acceptance ◽  
Mental Health Problems ◽  
Daily Life ◽  
Group Discussion ◽  
Social Rights ◽  
Health Issues ◽  
Target Groups ◽  
Healthy Life

Abstract Objective: To study the mental health problems in eunuchs, the neglected segment that has been facing social exclusion and exploitation on behalf of social layers of the society. Method: The study was conducted from Jan 2017 to April 2017and adopted a qualitative approach by engaging eight eunuchs’ group purposefully through focused group discussion to unearth the issues related to eunuchs in Hazara Division, The participants were properly informed about the purpose of the study and their consent was conferred. The discussion was recorded in local language and their views have been transcribed and analyzed by comparative statements for drawing results through coding of the target groups. Results: The severe kind of economic and social pressures of poverty and social neglect resulted depression, anxiety and suicidal tendencies are found among this group, affecting overall mental health among such neglected gender group, due to the fact that eunuchs have not been provided with basic social rights. In addition, there is no love and care provided by the kin and relatives resulting in the eunuchs facing psychological complications in daily life. Conclusion: As an outcome, the eunuchs face psychological complications in daily life. The condition necessitates encouragement and social acceptance of eunuch for a normal and healthy life in the society. Furthermore socio-psychosocial aid through regular counselling for creation of hope for leading a normal life. Keywords: Mental health, Social exclusion, Psychological distress.

scholarly journals Epigenetics in Psychiatry

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Nupur Mahatme ◽  
◽  
Manoj Shettar ◽  
Anil Kakunje ◽  
Nupur Mahatme ◽  
...  
Keyword(s):  
Gene Expression ◽  
Mental Health ◽  
Dna Methylation ◽  
Cell Function ◽  
Mental Illnesses ◽  
Clinical Settings ◽  
Psychiatric Illnesses ◽  
Initial Stage ◽  
Work Done ◽  
Anxiety Depression

Epigenetics is defined as the changes in gene expression that lead to predictable, stable and possibly heritable alterations in cell function that are not due to changes in DNA sequence. It is of major relevance in psychiatry since environmental factors like stress or substance abuse, significant contribute in causing psychiatric pathologies like depression, anxiety, depression, etc. Epigenetics research in psychiatry would give an opportunity to extend the outlook and approach towards psychiatric pathologies. Hence timely interventions would be sought for. This would also allow gaining access to ‘brain tissue’ from live patients with mental illness and predicting occurrence of or vulnerability to psychiatric illnesses by evaluation of biomarkers, thus preventing, reversing or atleast curbing the progress at an initial stage. There are evidences of work done in the field of epigenetics both in pre-clinical as well as clinical settings. It is remarkable to see how the DNA methylation at various sites can result in alteration of the mental health of an individual and also how this can affect as early as during the first week of life. This is an exciting frontier in psychiatry, providing long sought biomarkers for predicting complex and devastating human behaviours as well as mental illnesses.

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