The Intersection of Childhood Maltreatment and Marriage: Implications for Adult’s Health

2021 ◽  
pp. 0192513X2098450
Author(s):  
Michael Fitzgerald ◽  
Bryan Spuhler ◽  
Cailyn Hamstra
Keyword(s):  
Mental Health ◽  
Life Course ◽  
Physical Health ◽  
Childhood Maltreatment ◽  
Health Problems ◽  
Marital Support ◽  
Physical Health Problems ◽  
The Life Course ◽  
Marital Strain ◽  
Mental And Physical Health

Childhood maltreatment is associated with mental and physical health problems across the life course. Marriages may be a risk factor for continued mental and physical health problems or, alternatively, they could buffer the effects of maltreatment severity on adult health. Using data from the study of Midlife Development in the United States (MIDUS), we evaluated marital support and strain as moderators of child maltreatment and adults’ subjective evaluations of physical and mental health in a sample of 760 married adults using the life course perspective. Results show that the interaction between childhood maltreatment severity and marital strain was associated with poorer physical health and was marginally associated with mental health. Marital support did not significantly interact with childhood maltreatment severity in predicting adult mental or physical health. Results suggest maltreatment and marital strain interact resulting in a greater accumulation of disadvantage leaving adults at risk for health problems.

Social inequalities and mental health

2018 ◽  
pp. 17-24
Author(s):  
Ruth Bell ◽  
Michael Marmot
Keyword(s):  
Mental Health ◽  
Child Development ◽  
Life Course ◽  
Physical Health ◽  
Social Inequalities ◽  
Social Economic ◽  
Developmental Outcomes ◽  
Life Chances ◽  
The Life Course ◽  
Mental And Physical Health

This chapter discusses evidence linking social inequalities, across social, economic, and environmental dimensions to inequalities in mental health. A framework for thinking about the lifetime causes of inequalities in mental health is presented and used to discuss how experiences and conditions affect mental health across the life course. The chapter focuses particularly on factors that affect child development because of the importance of child developmental outcomes for future mental and physical health, and on life chances. Finally, the need for more attention to be focused on addressing the causes of social inequalities in mental health through multiple types of policies and interventions is discussed.

The Lifelong Health Effects of Parenting a Child With Developmental or Mental Health Problems

2018 ◽  
pp. 142-154
Author(s):  
Jieun Song ◽  
Marsha R. Mailick ◽  
Jan S. Greenberg ◽  
Jinkuk Hong
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Later Life ◽  
The United States ◽  
Health Problems ◽  
Physical And Mental Health ◽  
Older Parents ◽  
Physical Health Problems ◽  
Mental And Physical Health

Parenting a child with developmental or mental health problems is a lifelong process with unique challenges and adjustments. Parents of children with these conditions often experience chronic stress and an elevated risk of mental and physical health problems and cognitive decline in later life, although profiles of resilience have been noted. This chapter reviews Midlife in the United States (MIDUS) studies that have examined the lifelong effects of parenting children with developmental or mental health problems. MIDUS research has found that midlife and older parents of children with these conditions have poorer physical and mental health profiles and poorer cognitive functioning in later life than counterparts whose children do not have such conditions, and that mental and physical health disparities increase as parents age. Possible mechanisms underlying these differences have been examined in studies utilizing the multidisciplinary data of MIDUS, which include a variety of psychosocial, cognitive, and biological assessments.

scholarly journals Bibliotherapy in practice: a person-centred approach to using books for mental health and dementia in the community

2020 ◽  
pp. medhum-2020-011898 ◽  
Author(s):  
Liz Brewster ◽  
Sarah McNicol
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Qualitative Research Design ◽  
The North ◽  
Value Judgements ◽  
Physical Health Problems ◽  
The Uk ◽  
Mental And Physical Health

Bibliotherapy is the use of texts to provide support for people with mental and physical health problems. It is widely seen to have beneficial outcomes but there is still disagreement about how best to deliver bibliotherapy in practice. This article explores one method of delivering bibliotherapy which has evolved over the past 20 years in the North of England, the Kirklees approach. Using a multimethod qualitative research design including reflective observations, interviews and document analysis, the article examines how bibliotherapy has been delivered to people with mental health problems and dementia in a volunteer-led scheme. As an inherently flexible and adaptable approach, bibliotherapy in practice in Kirklees is best defined by its ethos, rather than a prescriptive list of its activities, as is the case for many alternative approaches to bibliotherapy. It is an approach to bibliotherapy which is person-centred; avoids value judgements of texts and responses to them; is often co-produced with group participants; is about making a contribution (in a variety of ways); and emphasises social connection. This separates it from other current models of bibliotherapy operating in the UK, and demonstrates how it may be tailored to the requirements of those experiencing diverse mental and physical health conditions. A more responsive form of bibliotherapy, as outlined here, has the potential to provide support across the community.

Determinants of mental and physical health treatment-seeking among military personnel

2019 ◽  
Vol 217 (2) ◽  
pp. 420-426 ◽  
Author(s):  
Thomas W. Britt ◽  
Maurice L. Sipos ◽  
Zachary Klinefelter ◽  
Amy B. Adler
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Treatment ◽  
Health Problems ◽  
Barriers And Facilitators ◽  
Treatment Seeking ◽  
Health Treatment ◽  
Enlisted Personnel ◽  
Physical Health Problems ◽  
Mental And Physical Health

BackgroundAlthough research has documented factors influencing whether military personnel seek treatment for mental health problems, less research has focused on determinants of treatment-seeking for physical health problems.AimsTo explicitly compare the barriers and facilitators of treatment-seeking for mental and physical health problems.MethodUS soldiers (n = 2048) completed a survey with measures of barriers and facilitators of treatment-seeking for mental and physical health problems as well as measures of somatic symptoms and mental health.ResultsThe top barrier for both mental and physical health treatment-seeking was a preference for handling problems oneself. The top facilitators for both symptom types were related to treatment improving quality of life. Differential endorsement of barriers occurred for treatment of mental versus physical health symptoms. In contrast, facilitators were endorsed more for physical than for mental health treatment. While there were few gender differences, officers reported more barriers and facilitators than did enlisted personnel. Screening positive for mental or physical health problems was associated with greater endorsement of both barriers and facilitators for physical and mental health treatment, respectively.ConclusionsThe leading barriers and facilitators for seeking treatment for mental health and physical problems are relatively similar, suggesting that health education should consider decision-making in seeking both mental and physical healthcare. Interventions should be tailored to reduce barriers for officers and improve facilitators for junior enlisted personnel, and address barriers and facilitators for service members screening positive for a mental or physical health problem.

scholarly journals A Faith to Move Mountains? Childhood Abuse, Religious Change, and Mental Health at Midlife

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 461-461
Author(s):  
Laura Upenieks
Keyword(s):  
Mental Health ◽  
Life Course ◽  
Childhood Abuse ◽  
Childhood Maltreatment ◽  
Well Being ◽  
The United States ◽  
Religious Attendance ◽  
Three Dimensions ◽  
Religious Importance ◽  
The Life Course

Abstract Of all the various forms of adversity experienced during childhood, childhood maltreatment (emotional and physical abuse) is shown to have the largest impacts on mental health and well-being. Yet we still have a limited understanding of why some victims of early maltreatment suffer immense mental health consequences later on in the life course, while others are able to cushion the blow of these early insults. Using two waves of data from the National Survey of Midlife Development in the United States (MIDUS), this study considers change in religiosity as a buffer across three dimensions for victims of childhood abuse: religious importance, attendance, and the specific act of seeking comfort through religion. Results suggest that increases in religious comfort during adulthood are positively associated with adult mental health for victims of abuse, while decreases in religious comfort over time were associated with worse mental health. Changes in religious attendance and religious importance were not significant associated with mental health for victims of abuse. Taken together, my results show that the stress-moderating effects of religion for victims of childhood maltreatment are contingent on the stability or increases or decreases in religiosity over the life course, which has been overlooked in previous work.

scholarly journals Mental and Physical Health Problems as Conditions of Ex-Prisoner Re-Entry

2021 ◽  
Vol 18 (14) ◽  
pp. 7642
Author(s):  
Anna Pękala-Wojciechowska ◽  
Andrzej Kacprzak ◽  
Krzysztof Pękala ◽  
Marta Chomczyńska ◽  
Piotr Chomczyński ◽  
...  
Keyword(s):  
Juvenile Offenders ◽  
Physical Health ◽  
Social Stigma ◽  
Prison Population ◽  
Health Problems ◽  
Juvenile Detention ◽  
Detention Centers ◽  
Physical Health Problems ◽  
Group Interviews ◽  
Mental And Physical Health

The article focuses on a less-discussed issue of social marginalization of people leaving penitentiaries, which is the prevalence of multifaceted health problems experienced by people in this category. It includes poor health status, resulting from, among others, poor housing conditions, harmful or risky lifestyle, and lack of access to medical services. Data from the District Inspectorate of the Prison Service in Lodz, Poland on the health conditions of inmates was accessed. These data were supplemented by qualitative research conducted in 21 juvenile detention centers and 8 prisons across the country, conducting direct observations and In-Depth Interviews (IDI). A total of 198 IDIs were conducted with incarcerated (72) and released (30) juvenile offenders, and incarcerated (68) and released (28) adult offenders. These were complemented by IDIs with experts (50) and Focus Group Interviews (FGIs; 8) with male and female inmates in 4 Polish prisons. The study revealed that mental and physical health is a serious obstacle to social reintegration of ex-prisoners. It is rarely addressed by state institutions. There are strong associations between neglect of health issues in the prison population and increasing social exclusion after leaving prison. As Poland has a restrictive penal policy, former prisoners remain a group with social stigma and little support.

scholarly journals The employment and mental health impact of integrated improving access to psychological therapies services: Evidence on secondary health care utilization from a pragmatic trial in three English counties

2021 ◽  
pp. 135581962199749
Author(s):  
Veronica Toffolutti ◽  
David Stuckler ◽  
Martin McKee ◽  
Ineke Wolsey ◽  
Judith Chapman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Physical Health ◽  
Health Problems ◽  
Care Utilization ◽  
Psychological Therapies ◽  
Physical Health Problems ◽  
Secondary Health Care

Objective Patients with a combination of long-term physical health problems can face barriers in obtaining appropriate treatment for co-existing mental health problems. This paper evaluates the impact of integrating the improving access to psychological therapies services (IAPT) model with services addressing physical health problems. We ask whether such services can reduce secondary health care utilization costs and improve the employment prospects of those so affected. Methods We used a stepped-wedge design of two cohorts of a total of 1,096 patients with depression and/or anxiety and comorbid long-term physical health conditions from three counties within the Thames Valley from March to August 2017. Panels were balanced. Difference-in-difference models were employed in an intention-to-treat analysis. Results The new Integrated-IAPT was associated with a decrease of 6.15 (95% CI: −6.84 to −5.45) [4.83 (95% CI: −5.47 to −4.19]) points in the Patient Health Questionnaire-9 [generalized anxiety disorder-7] and £360 (95% CI: –£559 to –£162) in terms of secondary health care utilization costs per person in the first three months of treatment. The Integrated-IAPT was also associated with an 8.44% (95% CI: 1.93% to 14.9%) increased probability that those who were unemployed transitioned to employment. Conclusions Mental health treatment in care model with Integrated-IAPT seems to have significantly reduced secondary health care utilization costs among persons with long-term physical health conditions and increased their probability of employment.

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