Older Adults’ Narratives of Seeking Mental Health Treatment: Making Sense of Mental Health Challenges and “Muddling Through” to Care

2020 ◽  
Vol 30 (10) ◽  
pp. 1517-1528 ◽  
Author(s):  
Kristin Reynolds ◽  
Maria Medved ◽  
Corey S. Mackenzie ◽  
Laura Megan Funk ◽  
Lesley Koven
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Problems ◽  
Meaning Making ◽  
Systems Of Care ◽  
Psychological Treatment ◽  
Emotional Reactions ◽  
System Level ◽  
Health Issues ◽  
Mental Health Issues

Older adults who experience challenges related to mental health are unlikely to seek professional help. The voices of older adults who have navigated through mental health issues and systems of care to arrive at psychological treatment are less well understood. We conducted individual interviews with 15 adults aged 61 to 86 who sought psychological treatment. Interviews were audio-recorded, transcribed, and analyzed using narrative methods. We identified several main storylines that describe the meaning-making and treatment-seeking journeys of older adults: resistance to being labeled with mental health problems (telling stories of resistance, defining mental health issues in mysterious and uncontrollable terms, and experiencing internal role conflict); muddling through the help-seeking process (manifestations of chaos and system-level barriers); and emotional reactions to psychological treatment (hope, fear, and mistrust). Findings add to the literature base in the area of narrative gerontology, and highlight the complex experiences that older adults face when seeking psychological treatment.

scholarly journals Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Stephanie E A Mendez ◽  
Carolyn A Mendez-Luck ◽  
Karen Nylund-Gibson ◽  
Bernardo Ng
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mexican Origin ◽  
Class Analysis ◽  
Health Issues ◽  
Mental Health Issues

Abstract Background and Objectives Providing appropriate and culturally sensitive care to the rapidly growing number of U.S. Latinx older adults with psychiatric conditions presents a major public health challenge. We know little about older Latinx adults’ perceived causes of mental health problems, offering clinicians limited insight to guide successful and culturally congruent treatment. Moreover, there is a paucity of mental health research examining heterogeneity in how Latinx individuals may attribute mental health symptoms. The present study sought to identify how Latinx and non-Latinx older adults attributed the sources of their mental health problems and how these types of attributions differ by ethnicity. Research Design and Methods This study analyzed data collected from a retrospective chart review and survey of 673 adults aged 55–95 years (430 Mexican origin and 244 non-Latinx) from a rural psychiatric outpatient clinic near the California–Mexico border. We conducted stratified latent class analysis (LCA) by race/ethnicity to explore the mental health attribution beliefs of Mexican-origin and non-Latinx clinic patients. Results Different LCA patterns for Mexican-origin Latinx versus non-Latinx groups were found. For non-Latinx adults, there was a class of individuals who attributed their mental health issues to social and financial problems. For Mexican-origin adults, there was a class of individuals who attributed their mental health issues to spiritual and/or supernatural factors, unaffected by acculturation level, depressive symptom severity, and time spent in the United States, but differing by gender. We found within-group heterogeneity: Not all Mexican-origin or non-Latinx older adults were alike in how they conceptualized their mental health. Discussion and Implications Mexican-origin Latinx and non-Latinx older adults attributed their mental health issues to different causes. More Mexican-origin older adults attributed their symptoms to spiritual causes, even after controlling for contextual factors. Further research is needed to determine whether attribution beliefs are affected by specific mental health diagnoses and other cultural factors not measured in this study.

scholarly journals The impact of COVID-19 restriction measures on loneliness among older adults in Austria

2020 ◽  
Author(s):  
Erwin Stolz ◽  
Hannes Mayerl ◽  
Wolfgang Freidl
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Positive Association ◽  
Health Issues ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Social Contacts ◽  
Mental Health Issues ◽  
The Impact ◽  
Opening Phase

Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ’lockdown’ in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (2) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020), and (3) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel). Results We found (1) increased loneliness in 2020 compared with previous years, (2) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness, and (3) that loneliness was higher during ’lockdown’ compared to the subsequent re-opening phase, particularly among those who live alone. Conclusion We provide evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults’ mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, might be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.

Mental health and stigma in Saudi Arabia: a scoping review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nada Alattar ◽  
Anne Felton ◽  
Theodore Stickley
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Cultural Beliefs ◽  
Relevant Literature ◽  
Mental Health Stigma ◽  
Health Issues ◽  
Content Type ◽  
Mental Health Issues

Purpose Stigma associated with mental health problems is widespread in the Kingdom of Saudi Arabia (KSA). Consequently, this may prevent many Saudi people from accessing the mental health-care services and support they need. The purpose of this study is to consider how stigma affects people needing to access mental health services in the KSA. To achieve this aim, this study reviews the knowledge base concerning stigma and mental health in KSA and considers specific further research necessary to increase the knowledge and understanding in this important area. Design/methodology/approach This review examines the relevant literature concerning mental health stigma and related issues in KSA using the Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses frameworks. As a scoping review, it has used a systematic approach in literature searching. The results of the search were then thematically analysed and the themes were then discussed in light of the concepts of stigma and mental health. Findings Stigma around mental health impedes access to care, the nature of care and current clinical practice in the KSA. The voices of those with mental health issues in KSA are almost entirely unrepresented in the literature. Originality/value The review identifies that mental health stigma and cultural beliefs about mental health in KSA may act as barriers to accessing services. The voice of mental health service users in KSA remains largely unheard. If public discussion of mental health issues can increase, people’s experiences of accessing services may be improved.

A brief exploratory synthesis of portrayal of mental health issues in the script and characters of TV series Wallander (Swedish Version)

2016 ◽  
Vol 33 (S1) ◽  
pp. S154-S154
Author(s):  
S. Kumar
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Social Issues ◽  
International Classification Of Diseases ◽  
Industrial Society ◽  
Modern World ◽  
Health Issues ◽  
Swedish Version ◽  
Mental Health Issues ◽  
Individual Character

IntroductionThe modern Swedish crime drama series Wallander by Henning Mankell presents a good portrayal of mental health issues in 21st century post modern world, including the contribution of biological, psychological and social issues in predisposing, perpetuating and maintaining them.AimThe aim of the exploratory synthesis is to study the characters in Wallander focusing on the portrayal of their mental health with a view on formulating biological, psychological and social factors that play a role in their development. Furthermore, mental health is reviewed in first world culture acclimatizing itself to the themes emerging from post-modern globalised world.MethodThe episodes of Wallander (Swedish Version) are reviewed focusing on the characters and the plots for each episode matching them with mental health diagnoses offered in International classification of diseases.DiscussionThe results are collated and a general commentary is offered on the observations and motifs revealed in the portrayal. The focus will be on individual character formulations (both recurring main characters as well other side characters). In addition, there is a commentary on contributing to mental health problems in a post-modern industrial society.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Ecological Counseling as an Integrative Cognitive Complexity Intervention Framework for Students with COVID-19 Pandemic-Caused Mental Health Challenges

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Nanang E. Gunawan ◽  
Tamarine Foreman
Keyword(s):  
Mental Health ◽  
Cognitive Complexity ◽  
Mental Health Problems ◽  
Virtual Learning ◽  
Health Issues ◽  
Mental Health Issues ◽  
Academic Supports ◽  
Mental Health Challenges ◽  
Available Information ◽  
Ecological Counseling

This article aims to present a practical conceptual perspective on ecological counseling as a theoretical framework for counselors' integrative cognitive complexity to work with students who experience mental health challenges caused by the COVID-19 pandemic. The transition of educational activities into virtual learning has caused various challenges for students worldwide that risk their mental health. Indonesia is one of the countries implementing virtual learning for more than a year with various social, technical, and environmental obstacles. Besides the benefit of distanced learning, this online learning model has widely caused mild to severe anxiety among students. Although researchers have investigated the impacts of virtual learning on mental health problems, the intervention strategies to help students with mental health issues remain lack attention. Ecological counseling has been known for its principles of seeing individuals' mental health issues involving a broader milieu that allows counselors to understand clients according to their contextual living systems. This framework offers a culturally sensitive perspective to help counselors withdraw appropriate and best available information for intervention purposes. This article also includes an application illustration of the ecological counseling framework in the Indonesian community as a practical guideline. It is expected that this article provides academic supports for academics to work with students dealing with their mental health challenges during this pandemic adhere to the counselors' integrative cognitive complexity functions.Keywords: ecological counseling, cognitive complexity, COVID-19 mental health, counselors, Indonesia

scholarly journals Attitudes surrounding the disclosure of mental illness

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S288-S289
Author(s):  
Brishti Sengupta ◽  
Pritha Dasgupta
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Online Survey ◽  
Mental Health Problems ◽  
Population Group ◽  
Medical Professionals ◽  
Health Issues ◽  
Mental Health Issues ◽  
Attitude Shift

AimsTo survey the effect of COVID-19 on mental health of both medical professionals and the general population, as well as attitudes surrounding the disclosure of mental illness.MethodAn online survey comprised of two questionnaires, one for medical professionals and one for the general population, were conducted via social media. Both questionnaires asked respondents of the effect of COVID-19 on their mental health, and the former asked respondents about the effect of COVID-19 on their patient group's mental health. The questionnaires went on to ask respondents about their attitudes to mental health disclosure in various scenarios, to varying groups of people. The general population group was also asked how they would react if someone else disclosed their mental illness to them.ResultThe questionnaire for the medical professionals gained 62 respondents and the one for the general population had 122 respondents, with responses from multiple nations. Overall, COVID-19 has affected everyone's mental health to a degree, and all groups had reservations about disclosing their mental health issues to others. The medical professionals were especially reluctant to disclose mental illness to their patients, but were more comfortable when it came to disclosing mental illness to colleagues. The general population, however, was much more reluctant to disclose mental health issues to their colleagues. The general population were, on the whole, willing to listen to and help anyone who came to them with mental health concerns. Both groups surveyed showed reluctance toward disclosure to the wider community.ConclusionCOVID-19 appears to significantly affect not only physical health, but mental health as well. There is at least some degree of stigma surrounding the disclosure of mental health issues. While most would be happy to help anyone who came to them with their mental health problems, there seems to be an attitude shift when people must contend with mental health issues of their own.

scholarly journals Time Perspective as A Common Transdiagnostic Factor of Mental Problems: A Systematic Review and Meta-Analysis Protocol

2021 ◽  
Author(s):  
Yi Yang ◽  
Siu Ching Wong ◽  
Ingrid Obsuth ◽  
Aja Murray
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Quality Assessment ◽  
Time Perspective ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Mental Health Issue ◽  
Health Issues ◽  
Case Control Studies ◽  
Mental Health Issues

Abstract BackgroundResearch into the transdiagnostic processes underlying multiple mental health problems is promising for making clinical practice and interventions more effective and resource-efficient. In this protocol, we describe a systematic review and meta-analysis that will explore time perspective, defined as an individual’s relative investment of attention on past, present, and future, as a possible transdiagnostic factor that may contribute to issues across wide-ranging domains of mental health. MethodsA systematic review and meta-analysis will be conducted to quantify the associations between mental health issue and specific dimensions of time perspective (past, present, future), respectively. The review will include quantitatively measured associations between time perspective and psychological problems published in a peer-reviewed journal from 1st January 1990 up until 1st March 2021, in the English language. Electronic searches will be conducted in Google Scholar, PubMed, MEDLINE, PsycINFO, and Web of Science, and EMBASE and supplemented by expert consultation and inspection of the reference lists of included papers. Screening, quality assessment and data extraction will be conducted by two reviewers independently, and potential conflicts will be resolved through discussion with a third reviewer. Random-effects meta-analysis will be conducted using the metafor package in R statistical software, and quality assessment will employ The Newcastle-Ottawa Quality Assessment Form for Cohort Studies and for Case-Control Studies. The Quality In Prognosis Studies (QUIPS) will be used to evaluate risk of bias. A narrative synthesis will additionally be used to summarize and interpret the results. DiscussionThe present review will provide the first systematic synthesis exploring the associations between time perspective defined as a multidimensional construct and a broad range of mental health issues. This will help evaluate the extent to which time perspective can be considered a key transdiagnostic factor in mental health and thus a key intervention target for the prevention and treatment of multiple mental health issues simultaneously. With a clearer view of the relations between time perspective and various mental health issues based on a robust synthesis, more focused, effective, and efficient interventions may be delivered. Systematic review registrationPROSPERO CRD42021228869

Parenting Styles and Mental Health of Adolescents

2021 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Vijeta Singh ◽  
Taruna Gera ◽  
Rakesh Kumar Behmani
Keyword(s):  
Mental Health ◽  
Parenting Styles ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Later Life ◽  
Childhood And Adolescence ◽  
Developmental Phase ◽  
Health Issues ◽  
Mental Health Issues ◽  
The Impact

Adolescence is a developmental phase marked with a heightened risk of inception of mental health disorders. The neglect in addressing mental health issues during childhood and adolescence could lead to the development of mental health problems in later life. The perspective with which children perceive their parent's parenting influences the children's mental health. Furthermore, the gender of the parent has its impacts on the shaping of a child's personality under the patriarchal society. The present research attempted to investigate the impact of different parenting styles (paternal) on adolescents' mental health. The study sample comprised 150 adolescents of 14-17 years in age from different schools located in the state of Haryana, India. Parenting Authority Questionnaire and General Health Questionnaire (GHQ-28) were used to assess parenting styles and mental health. The present study's findings suggest that adolescents with a permissive parenting style have poor mental health compared with authoritative and authoritarian parenting styles. The study recommends incorporating healthy practices in parenting styles to prevent mental health issues among adolescents.

Formation of emotional stability in patients over 65 years old in the context of COVID-19 pandemic (part 1)

2021 ◽  
pp. 51-60
Author(s):  
Aleksandr Petrovich Krylov
Keyword(s):  
Mental Health ◽  
Social Policy ◽  
Mental Health Problems ◽  
Elderly Person ◽  
Current Situation ◽  
Health Issues ◽  
Emotional Resilience ◽  
Search Terms ◽  
Mental Health Issues ◽  
Psychology Community

To date, when using the following search terms: «65+”, «elderly person», and «emotional resilience» in titles and abstracts (as well as in combination with medical thematic heading terms), the PUBMED, Scopus and EMBASE databases present 4,500 papers devoted to mental health problems of age 65+ associated with complex epidemic situations; at the same time, there is still not enough research aimed at studying mental health issues during the COVID-19 pandemic. The current situation with the COVID-19 pandemic poses many questions for the psychology community regarding how to get out of an epidemic emergency without losing mental health, how to effectively overcome the problems and further improve social policy in relation to people aged 65+ in the post-pandemic period.

Media, Social Media, and the Securitization of Mental Health Problems in Nepal

2021 ◽  
pp. 838-859
Author(s):  
Sudeep Uprety ◽  
Rajesh Ghimire
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Media Coverage ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Issues ◽  
Mainstream Media ◽  
Mental Health Issues ◽  
Securitization Theory ◽  
Journalistic Professionalism

This chapter attempts to unfold the trend and nature of mainstream and social media coverage on mental health issues in Nepal through suicide case of Yama Buddha, a popular musician. Using the securitization theory and concepts of threat construction and threat neutralization, major findings through content analysis and key informant interviews reveal reputed mainstream media following cautious route towards threat neutralization and therefore, maintaining a level of journalistic professionalism. However, especially in the other online media, blogs, and other social media, there were sensationalist words and tone used to attract the audience, triggering various sorts of emotional responses, thereby fulfilling the act of securitization. Major recommendations from this chapter include more awareness and understanding about the nature and type of mental health problems; capacity building of journalists and media professionals to better understand and report on mental health problems; development and proper implementation of media guidelines on reporting mental health issues.

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