Caregivers' Experiences of Aggressive Persons with Schizophrenia

Background: Understanding the caregivers’ experiences of aggressive persons with mental disorders is very important from the public health point of view. Only a few Indian studies have focused on this. No Indian studies could be found that explored the caregivers’ experiences of aggressive persons with schizophrenia. This study was conducted to explore the same. Methods: A qualitative phenomenological study was conducted in the outpatient and inpatient settings at a tertiary care mental health institute at Bengaluru, Karnataka. Ten participants meeting the eligibility criteria were selected using purposive sampling. Data collection was done by individual, in-depth, face-to-face, semi-structured interviews using topic guide along with subjective observation and field notes. Each interview was audio-recorded, transcribed, translated, and coded. A total of five master themes and 22 subthemes were derived from the codes by using the qualitative research software ATLAS-Ti. Results: The themes derived based on the experiences of caregivers living with their aggressive persons with schizophrenia were the aggressive behaviors of the patients, reasons for the aggression of the patients, dealing with the aggression of the patients, the impact of aggression on the caregivers, and the coping methods of the caregivers. Conclusion: This study explored the experiences of the caregivers living with the aggressive patients. The results show the need for care and support to the caregivers. The themes can guide mental health professionals while developing culture-specific tools and interventions for future research as well as suggest them standard operating procedures for prevention and management of aggressive patients in the psychiatric hospitals.

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Parenting experiences of Chinese mothers living with a mental illness

BMC Psychiatry ◽

10.1186/s12888-021-03581-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lingling Chen ◽

Kitty Vivekananda ◽

Lili Guan ◽

Andrea Reupert

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mental Health Professionals ◽

Health Professionals ◽

Future Research ◽

Parental Mental Illness ◽

Structured Interviews ◽

Western Countries ◽

Chinese Mothers ◽

The Impact

Abstract Background Although the experiences of mothers with mental illness are well researched in Western countries, little is known about the experiences of Chinese mothers. This study aims to explore the experiences of family life and parenting of Chinese mothers, in the context of their mental illness. Methods Fourteen Chinese mothers with mental illness undertook in-depth, semi-structured interviews. Interpretative Phenomenological Analysis was employed to guide the data analysis. Results Seven themes were identified: motherhood as a central identity, the stigma associated with being a mother with mental illness, participants’ perceptions about the impact of mental illness on parenting and their children, experiences of talking to children about mental illness, how having children impacts mothers’ illness and recovery, and support obtained and needed. Similar to Western mothers, Chinese mothers experienced stigma and fluctuating mental illness symptoms which impacted on parenting. Unlike mothers based in Western countries, the mothers interviewed in this study highlighted complicated co-caring relationships with parents-in-law and did not raise child custody concerns. Conclusions Mental health professionals need to have the skills to identify and recognize the mothering role of their clients. Culturally sensitive interventions are required to assist Chinese families where mothers have a mental illness. Future research is required to investigate family experiences of parental mental illness from the perspectives of children, partners, and mental health professionals.

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Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x21000179 ◽

2021 ◽

Vol 14 ◽

Author(s):

Joel Owen ◽

Louise Crouch-Read ◽

Matthew Smith ◽

Paul Fisher

Keyword(s):

Mental Health ◽

Systematic Review ◽

Mental Health Professionals ◽

Health Professionals ◽

Future Research ◽

List Type ◽

Dual Roles ◽

Eligibility Criteria ◽

Psychological Therapies ◽

Current State

Abstract For more than a decade, Improving Access to Psychological Therapies (IAPT) has been training a new workforce of psychological therapists. Despite evidence of stress and burnout both in trainee mental health professionals, and qualified IAPT clinicians, little is known about these topics in IAPT trainees. Consequently, this systematic review sought to establish the current state of the literature regarding stress and burnout in IAPT trainees. Electronic databases were searched to identify all published and available unpublished work relating to the topic. On the basis of pre-established eligibility criteria, eight studies (including six unpublished doctoral theses) were identified and assessed for quality. This review identifies that research into the experience of IAPT trainees is under-developed. Existing evidence tentatively suggests that IAPT trainees may experience levels of stress and burnout that are higher than their qualified peers and among the higher end of healthcare professionals more generally. The experience of fulfilling dual roles as mental health professionals and university students concurrently appears to be a significant source of stress for IAPT trainees. More research regarding the levels and sources of stress and burnout in IAPT trainees is urgently needed to confirm and extend these findings. Recommendations for future research in the area are given. Key learning aims (1) To establish the current state of the literature regarding stress and burnout in IAPT trainees. (2) To raise practitioner, service and education-provider awareness regarding the levels and perceived sources of stress and burnout in IAPT trainees. (3) To make recommendations regarding future research on the topic.

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Mental health professionals’ perceptions on patients control of data sharing

Health Informatics Journal ◽

10.1177/1460458219893845 ◽

2020 ◽

Vol 26 (3) ◽

pp. 2011-2029 ◽

Cited By ~ 1

Author(s):

Julia Ivanova ◽

Adela Grando ◽

Anita Murcko ◽

Michael Saks ◽

Mary Jo Whitfield ◽

...

Keyword(s):

Mental Health ◽

Health Information ◽

Data Sharing ◽

Mental Health Professionals ◽

Health Professionals ◽

Health Care Professionals ◽

Health Data ◽

Structured Interviews ◽

Timely Access ◽

The Impact

Integrated mental and physical care environments require data sharing, but little is known about health professionals’ perceptions of patient-controlled health data sharing. We describe mental health professionals’ views on patient-controlled data sharing using semi-structured interviews and a mixed-method analysis with thematic coding. Health information rights, specifically those of patients and health care professionals, emerged as a key theme. Behavioral health professionals identified patient motivations for non-sharing sensitive mental health records relating to substance use, emergency treatment, and serious mental illness (94%). We explore conflicts between professional need for timely access to health information and patient desire to withhold some data categories. Health professionals’ views on data sharing are integral to the redesign of health data sharing and informed consent. As well, they seek clarity about the impact of patient-controlled sharing on health professionals’ roles and scope of practice.

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Motherhood and Home Quarantine: Exploring the Experiences of Iranian Mothers in Caring for their Children During the COVID-19 Outbreak

Journal of Client-centered Nursing Care ◽

10.32598/jccnc.6.2.33.8 ◽

2020 ◽

Vol 6 (2) ◽

pp. 87-96

Author(s):

Anahita Khodabakhshi-koolaee ◽

◽

Mahsa Aghaei Malekabadi ◽

Keyword(s):

Mental Health Professionals ◽

Phenomenological Study ◽

Phenomenological Approach ◽

Learning Opportunities ◽

Decision Makers ◽

Structured Interviews ◽

Mother Child Relationships ◽

Role Concerns ◽

The Impact ◽

Beliefs And Attitudes

Background: Following the spread of new coronavirus disease (COVID-2019) in Iran, people began a new lifestyle in quarantine to survive the disease. Mother-child relationships were affected by this new lifestyle. This phenomenological study was conducted to explore the experiences of Iranian mothers in caring for their children during COVID-19 outbreak. Methods: This qualitative study was conducted with an interpretive phenomenological approach. The participants were selected using purposive sampling among mothers living in Tehran in 2020. The data were collected through semi-structured interviews. The participants were mothers with 7- to 9-year-old children with the experience of living in quarantine. The collected data were theoretically saturated after 17 interviews. All the interviews were recorded and transcribed, and the resulting data were analyzed using van Manen’s phenomenological approach. Results: Four main themes were extracted from the collected data: the mother’s health and physical concerns, confusion in playing the motherhood role, concerns about educational quality and wasting learning opportunities, and concerns about the impact of financial disputes on children. Conclusion: The experiences of the mothers as the main caregivers in home quarantine were very unique. Understanding the complexities of their experiences, beliefs, and attitudes about motherhood and caring for children in quarantine can provide useful insights for decision-makers, healthcare professionals, and mental health professionals.

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The Impact of Childhood Psychological Maltreatment on Mental Health Outcomes in Adulthood: A Protocol for a Systematic Review and Meta-Analysis

10.21203/rs.3.rs-102460/v1 ◽

2020 ◽

Author(s):

Zhuoni Xiao ◽

Mina Murat Baldwin ◽

Franziska Meinck ◽

Ingrid Obsuth ◽

Aja Louise Murray

Keyword(s):

Mental Health ◽

Systematic Review ◽

Emotional Abuse ◽

Meta Analysis ◽

Psychological Maltreatment ◽

Future Research ◽

Long Term Effects ◽

Post Traumatic Stress ◽

Eligibility Criteria ◽

The Impact

Abstract Background: Research suggests that childhood psychological maltreatment (i.e., emotional abuse and emotional neglect) is associated with mental and physical health problems that persist into adulthood, for example anxiety, depression, post-traumatic stress disorder (PTSD), suicidal ideation, and aggression; however, a systematic review and meta-analysis of the existing literature would help clarify the magnitude and moderators of these associations, and the extent to which they may be affected by publication bias, as well as the methodological strengths and weakness of studies in this area.Method: Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline will be employed to structure the review. Several searches will be carried out via databases including Web of Science, Medline, PubMed, PsycINFO, Applied Social Science Index and Abstract, ERIC and EMBASE. Empirical peer reviewed research articles that fit pre-specified eligibility criteria will be included in the review. This review will include literature written in either English or Chinese. Two independent reviewers will screen and assess studies for inclusion in the review as well as extract the data, with consensus reached through discussion in cases of discrepancy. A third reviewer will be consulted to resolve any discrepancies that cannot be resolved through discussion between the original reviewers. The relevant Newcastle-Ottawa scales will be used for assessing the quality of studies. If a sufficient number of comparable studies are retrieved, a meta-analysis will be conducted using a random effects model. Discussion: This systematic review will provide an understanding of the long-term effects of childhood psychological maltreatment on adult mental health, which adds to previous reviews focusing primarily on the effects of physical and sexual abuse. The results of the review will help inform clinical practice in approaches to treating those with a history of psychological maltreatment in childhood. The gaps and weaknesses in the evidence identified will also inform recommendations for future research.

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Working alliance and its relationship with treatment outcome

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.739 ◽

2016 ◽

Vol 33 (S1) ◽

pp. s277-s277

Author(s):

A. Cardoso ◽

P. Aguiar ◽

M. Byrne ◽

M. Xavier

Keyword(s):

Mental Health ◽

Treatment Outcome ◽

Therapeutic Alliance ◽

Treatment Adherence ◽

Mental Health Professionals ◽

Clinical Skills ◽

Skills Training ◽

Future Research ◽

Convenience Sample ◽

The Impact

IntroductionThe therapeutic alliance might be the most important part of beginning clinical relationship and may have an important impact in treatment adherence. In fact, many studies indicate that the therapeutic alliance is the best predictor of treatment outcome.ObjectivesTo assess clinical skills and attitudes in mental health professionals(MHP).AimsThis study explore the impact of clinical skills and socio-demographic factors related MHP may have on treatment adherence of patients with mental health disorders (MHD).MethodsIn this cross sectional study, we use a convenience sample of MHP working in the mental health departments of three general hospitals in Lisbon great area. Data is being collected through individual interviews. We used a optimism scale (ETOS), Medication Alliance Beliefs Questionnaire (MABQ), and socio-demographic and clinical questionnaire.ResultsA convenience sample composed of sixty-five mental health clinician working in a variety of settings is being collected. We don’t found statistically significant differences between the therapeutic optimism and the socio-demographic and clinical characteristics of MHP. The average values of optimism found in MHP with additional training in skills training it was higher (t test = 1,64). The results demonstrate that the most of clinicians (n = 42; agree 64,6%; strongly agree, n = 19; 29,2%) believe that have the capacity to positively influence outcomes for people with mental disorders.ConclusionThis topic, along with a detailed examination of the relationship between therapeutic alliance and treatment adherence, will be the subject of future research projects.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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The impact of polygamy on women's mental health: a systematic review

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796012000121 ◽

2012 ◽

Vol 22 (1) ◽

pp. 47-62 ◽

Cited By ~ 15

Author(s):

L. D. Shepard

Keyword(s):

Mental Health ◽

Systematic Review ◽

Work Practice ◽

Personal Communication ◽

Social Work Practice ◽

Future Research ◽

Health Issues ◽

Eligibility Criteria ◽

Mental Health Issues ◽

The Impact

Aims.The purpose of this systematic review is to identify and appraise the present state of prevalence research on the mental health of polygynous women, or plural wives, and to summarize its implications for future research and social work practice.Methods.PsycInfo (1967 to November 2011) and Medline (1985 to November 2011) databases, systematic bibliography hand-searches, personal communication with a leading expert, and gray literature searching were applied in a systematic literature search of the prevalence of mental-health issues in polygynous women compared to monogamous women. Twenty-two studies meeting eligibility criteria were identified. Study characteristics, methods and findings were systematically extracted and appraised for quality.Results.The identified studies are of mixed methodological quality, but generally suggest a more significant prevalence of mental-health issues in polygynous women compared to monogamous women. Individual studies report a higher prevalence of somatization, depression, anxiety, hostility, psychoticism and psychiatric disorder in polygynous wives as well as reduced life and marital satisfaction, problematic family functioning and low self-esteem.Conclusions.The current state of the research reveals with moderate confidence, a more significant prevalence of mental-health issues in polygynous women as compared to monogamous women. Implications for practice and research are indicated.

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Experiences of renal healthcare practitioners during the COVID-19 pandemic: a multi-methods approach

BMC Nephrology ◽

10.1186/s12882-021-02500-0 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Clare Mc Keaveney ◽

Joanne Reid ◽

Claire Carswell ◽

Ann Bonner ◽

Ilaria de Barbieri ◽

...

Keyword(s):

Mental Health ◽

Emotional Exhaustion ◽

Online Survey ◽

General Health Questionnaire ◽

Maslach Burnout Inventory ◽

Future Research ◽

Structured Interviews ◽

Health Distress ◽

Mental Health Distress ◽

The Impact

Abstract Background Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. Objective This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. Methods A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). Results The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years’ experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. Conclusions Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.

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Working With Infertile Couples Seeking Assisted Reproduction: An Interpretative Phenomenological Study With Infertility Care Providers

Frontiers in Psychology ◽

10.3389/fpsyg.2020.586873 ◽

2020 ◽

Vol 11 ◽

Author(s):

Federica Facchin ◽

Daniela Leone ◽

Giancarlo Tamanza ◽

Mauro Costa ◽

Patrizia Sulpizio ◽

...

Keyword(s):

Assisted Reproduction ◽

Mental Health Professionals ◽

Subjective Experience ◽

Phenomenological Study ◽

Small Body ◽

Care Providers ◽

Structured Interviews ◽

Difficult Patient ◽

The Impact ◽

Methodological Guidelines

Although most studies investigated the impact of infertility and its treatment on the couple, a small body of evidence suggested that infertility care providers may experience different sources of stress related for instance to excessive workload, the complexity of the technique, and relational difficulties with patients. The current study aimed at providing further insight into the understanding of the subjective experience of infertility care providers by highlighting their feelings and emotions, personal meanings, challenges, and opportunities. Following the methodological guidelines of Interpretative Phenomenological Analysis, we conducted individual semi-structured interviews with 23 members of two different fertility units. Interviews were audiotaped and transcribed verbatim. Textual analysis was then conducted to identify emerging dominant themes and subthemes. Three main themes were extracted: (i) dealing with infertile patients and their specificities, (ii) performing assisted reproductive technology (ART), (iii) being part of a team. These themes related to participants experiencing: (i) difficulties in establishing an empathic connection and communicating with couples, such that women were sometimes perceived as “particular patients” and men as poorly involved in the process; (ii) difficulties in dealing with a complex procedure in which errors are not allowed (as reported by embryologists), with a growing number of women aged > 40 seeking assisted reproduction, despite the risks for their health; (iii) being part of a team as a resource, although the huge amount of time spent together can involve conflicts and organizational problems. These findings suggested that patients’ overpersistence (rather than just dropout) represents an important source of stress for infertility care providers. At the same time, the concept of particular or difficult patient derives from the combination of multiple factors, including providers’ own history and subjective experience. The presence of mental health professionals in fertility units is essential to help providers improve the quality of doctor-patient communication and relieve the stress related to organizational issues and conflicts.

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Mental healthcare clinician engagement with point of care testing; a qualitative study

BMC Psychiatry ◽

10.1186/s12888-021-03067-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Joseph Butler ◽

Simone de Cassan ◽

Phil Turner ◽

Belinda Lennox ◽

Gail Hayward ◽

...

Keyword(s):

Mental Health ◽

Clinical Practice ◽

Mental Health Professionals ◽

Positive Impact ◽

Point Of Care ◽

Mental Healthcare ◽

Successful Implementation ◽

Point Of Care Testing ◽

Structured Interviews ◽

The Impact

Abstract Background Point of Care Testing (POCT) is being increasingly used to augment the delivery of physical health care in a variety of settings, but their use in mental health has been limited. Research into understanding the barriers faced for successful implementation of POCT in these settings is lacking. We aimed to identify factors affecting engagement and implementation of POCT within mental health teams by exploring the attitudes to POCT, and the perceived impact POCT has on the practice of mental healthcare clinicians. Methods Alongside a study evaluating the impact of a point of care device in Community Mental Health Teams (CMHTs), qualitative interviews were carried out with CMHT clinicians using POCT as part of annual physical checks for patients with severe and enduring mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. Results Fifteen clinicians were interviewed across a range of professional backgrounds. Clinicians identified usability of the technology, positive impact on their patient’s experience and improved self-efficacy as drivers for successful implementation of POCT into their clinical practice. Issues with device functioning and the potential for a negative effect on the therapeutic relationship with their patients were identified as barriers. Level of physical heath training was not found to be a barrier by mental health professionals to using POCT. Conclusions Understanding barriers and drivers for engagement is important to allow co-production of POCT and guidelines to facilitate introduction of POCT into routine clinical practice.

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