The Role of Rural and Urban Geography and Gender in Community Stigma Around Mental Illness

2020 ◽  
pp. 109019812097496
Author(s):  
Shawnda Schroeder ◽  
Chih Ming Tan ◽  
Brian Urlacher ◽  
Thomasine Heitkamp
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Rural Areas ◽  
Mental Health Disorders ◽  
Mental Illness Stigma ◽  
Stigma Scale ◽  
Rural And Urban ◽  
Health Disorders ◽  
And Gender

Empirical evidence describes the negative outcomes people with mental health disorders experience due to societal stigma. The aim of this study was to examine the role of gender and rural-urban living in perceptions about mental illness. Participants completed the Day’s Mental Illness Stigma Scale, a nationally validated instrument for measuring stigma. Directors of Chambers of Commerce in North Dakota distributed the electronic survey to their members. Additionally, distribution occurred through use of social media and other snowball sampling approaches. Analysis of data gathered from 749 participants occurred through examination of the difference in perceptions based on geography and gender. The zip codes of residence were sorted to distinguish between rural and urban participants. Application of weighting measures ensured closer alignment with the general population characteristics. Findings indicate that for the majority of the seven stigma measures the Day’s Mental Illness Stigma Scale examines, the coefficient of rural–gender interactions was positive and highly significant with higher levels of stigma in rural areas. Females exhibited lower stigma perceptions than males. However, women living in rural areas held higher degrees of stigma compared to urban residing females. Implications of the study include the need to advance mental health literacy campaigns for males and people residing in rural communities. Additional empirical studies that examine the role of geography and gender in understanding stigma toward people with mental health disorders will result in improved treatment outcomes due to increased and focused educational efforts.

Psychosocial and mental health disorders among a population-based, case–control cohort of patients with congenital upper eyelid ptosis

2021 ◽  
pp. bjophthalmol-2021-319276
Author(s):  
Tina M Hendricks ◽  
Gregory J Griepentrog ◽  
David O Hodge ◽  
Brian G Mohney
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Psychosocial Development ◽  
Mental Health Disorders ◽  
Population Based ◽  
Upper Eyelid ◽  
Congenital Ptosis ◽  
Health Disorders ◽  
And Gender ◽  
Upper Eyelid Ptosis

Background/AimRecent studies have demonstrated adverse psychosocial and mental health disorders among children with ocular disorders. The mental health burden of children with simple congenital ptosis, however, is unknown. The purpose of this study was to compare the psychosocial and mental health findings of children with simple congenital ptosis with controls.MethodsThe medical records of all children (<19 years) diagnosed with simple congenital ptosis from 1 January 1965 through 31 December 2004 while residing in Olmsted County, Minnesota were retrospectively reviewed for psychosocial and mental health morbidity. One-to-one randomly selected age-matched and gender-matched controls from the same population were similarly reviewed.Results81 children with ptosis were diagnosed at a mean age of 3.2 years (range, 1 month–16 years), 35 (43.2%) of whom were girls. An adverse psychosocial development was diagnosed in 41 (50.6%) patients with simple congenital ptosis monitored to a mean age of 21.4 years, compared with 26 (32.5%) controls (p=0.02). A mental illness was diagnosed in 31 (38.3%) patients with ptosis compared with 16 (20%) controls (p=0.01). Children with ptosis were 2.5 times more likely than controls to develop a mental illness and 2.1 times more likely to develop a psychosocial maladjustment. Patients with ptosis were also significantly more likely to have more mental health disorders (p=0.02) and a longer duration of psychotropic medication use (p=0.005).ConclusionsChildren diagnosed with simple congenital ptosis in this population had significantly greater psychosocial and mental health morbidity compared with controls. Children with ptosis may benefit from early psychosocial intervention.

scholarly journals Burden of mental health disability in Kerala: A secondary time trend analysis from 2002 to 2018

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Joseph ◽  
H Sankar ◽  
D Nambiar
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Retardation ◽  
Public Sector ◽  
Human Resources ◽  
Mental Health Disorders ◽  
The State ◽  
The Public ◽  
Health Infrastructure ◽  
Health Disorders

Abstract The fourth target of Sustainable Development Goal (SDG) 3 advocates for the promotion of mental health and wellbeing. The Indian state of Kerala is recognized for its gains in health and development but has substantial burden of mental health ailments. Historical analysis is vital to understand the pattern of mental health morbidity. The current study focusses on comparable estimates available from three largescale population-based surveys in India to explore trends in prevalence of mental health disorders over the years and map resources and infrastructure available for mental health care in Kerala. We undertook a secondary analysis of national demographic surveys from 2002 to 2018 which reported information on mental health and availability of health infrastructure and human resources. Data were collated and descriptive analyses were conducted. We compared the national and state level estimates over the years to study the trend in the prevalence of mental health disability. The prevalence of mental retardation and intellectual disability in Kerala increased from 194 per hundred thousand persons in 2002 to 300 per hundred thousand persons in 2018, two times higher to the national average. The prevalence of mental illness increased from 272 per hundred thousand people to 400 per hundred thousand people in sixteen years. The prevalence was higher among males (statistical significance was not indicated) in mental illness and mental retardation. 2018 data showed that the public sector had 0.01 hospitals and 5.53 beds per hundred thousand persons available for mental health treatment. Results showed a substantial increase in mental health illness over the 16-year study period that has affected males and females, as well as all social classes of the state. The current health infrastructure and human resources in the public sector of the state are inadequate to meet the current burden of the problem and to ensure universal access to care for its population. Key messages The trend in prevalence of mental health disorders in the state is increasing across the years. There is a mismatch between the extend of the problem and resources available in public sector.

Addressing Pediatric Developmental and Mental Health in Primary Care Using Tele-Education

2021 ◽  
pp. 000992282110596
Author(s):  
Joyce N. Harrison ◽  
Janna Steinberg ◽  
Anna Maria Louise Wilms Floet ◽  
Nancy Grace ◽  
Deepa Menon ◽  
...  
Keyword(s):  
Mental Health ◽  
Early Childhood ◽  
Mental Health Disorders ◽  
Knowledge Gain ◽  
Atlantic Region ◽  
School Based ◽  
Health Disorders ◽  
Management Changes ◽  
Provision Of Care

This study evaluates the effectiveness of an early childhood tele-education program in preparing community pediatric clinicians to manage developmental and mental health disorders in young children. Community pediatric clinicians from rural, underserved, or school-based health center practices in the mid-Atlantic region participated in a weekly tele-education videoconference. There was a significant knowledge gain evidenced by the percentage of questions answered correctly from pre- to post- didactic exposure ( P < .001). Participants reported an increase in knowledge from pre- ( P < .001) and in confidence from pre- to post- participation ( P < .001). Practice management changes demonstrated an encouraging trend toward managing patients in the Medical Home, as compared with immediately deferring to specialists following participation. This early childhood tele-education videoconferencing program is a promising response to the urgent need to confidently increase the role of pediatricians in the provision of care for childhood developmental and mental health disorders.

The Role of Symptoms in the Recognition of Mental Health Disorders in Primary Care

2003 ◽  
Vol 44 (5) ◽  
pp. 402-406 ◽  
Author(s):  
János Füredi ◽  
Sándor Rózsa ◽  
János Zámbori ◽  
Erika Szádóczky
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Disorders ◽  
Health Disorders

scholarly journals Patient engagement, autonomy, access to mental care services – the case for integrated care in Crete

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Petelos ◽  
M Papadakaki ◽  
C Lionis
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Rural Areas ◽  
Common Ground ◽  
Local Governance ◽  
Mental Health Disorders ◽  
Care Services ◽  
Interdisciplinary Approaches ◽  
Health And Social Care ◽  
Health Disorders

Abstract Access to comprehensive primary care (PC) services is imperative to address the complex biopsychosocial needs of patients with mental illness and their families, while it holds the potential to safeguard mental health and enhance resilience in communities. Integration of mental health and social care services in primary care has not yet been achieved, while access to such services for the mentally ill is still hindered by patient-, provider- and system-oriented barriers. Improving service integration, quality and access requires active engagement of patients and families in the design and planning of services. Interprofessional collaboration, interdisciplinary approaches and sound deliberative processes are only the start of initiating discussions to establish the needs of local communities. Mapping care paths, involving stakeholders and engaging in practice-based research are impeded by the organisation and design of care provision, including siloed processes and semantic ambiguity in establishing common ground. Academic centres ought to act as hubs for bringing together all actors, creating living labs and addressing the needs of people in urban and rural areas. The case study from Crete will focus on the following questions: What actions are needed to improve access of people with mental health disorders to PC services and how could PC mediate effective communication with mental health services?To what extent people with mental health disorders experience violence, abuse or discriminatory behaviour in PC?To what extent PC services recognize and facilitate autonomy, self-determination and inclusion of people with mental health disorders?To what extent stakeholders and PC services engage people with mental health disorders in decision making process and local governance?To what extent educational interventions for PC practitioners could result in the reduction of discriminatory behaviour and safeguard the dignity among people with mental health disorders?

scholarly journals Mental health disorders among students from rural areas three months after returning to school: a cross-sectional study among Polish students (12-13 y.o.)

2022 ◽  
Author(s):  
Piotr Długosz
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Large Scale ◽  
Negative Impact ◽  
Positive Impact ◽  
High Stress ◽  
Mental Health Disorders ◽  
Mental Condition ◽  
Health Disorders ◽  
Returning To School

Abstract: Background: All over the world, the negative impact of the Covid-19 pandemic on children and adolescents’ mental health is observed. The conducted research aims to verify whether returning to schools, to the education inside the classroom in the company of their peers, improved or undermined the students’ mental health. Metods: The study was carried out on a sample of students inhabiting rural areas in a borderland region. The research sample was collected using purposive sampling and consisted of 552 respondents from 7th and 8th grades of primary school. An auditorium questionnaire was used to gather the research material. Results: Three months after returning to school, the students are in a bad mental condition. 61% of the respondents are satisfied with their lives, 52% of the respondents show symptoms of depression measured with the WHO-5 index, whereas 85% of them have average and high stress levels as measured with the PSSC scale. Higher levels of mental disorders was observed among females, the students inhabiting villages and evaluating their financial status as worse. Conclusions: Returning to schools failed to have a positive impact on the students’ mental health. Disorders occurring at a large scale will have a negative influence on the students’ performance and hinder their re-adaptation to school. Educational authorities shall immediately provide the students with support and monitor the situation in the next months.

scholarly journals Psychiatry in post-apartheid Namibia: a troubled legacy

2002 ◽  
Vol 26 (8) ◽  
pp. 310-312 ◽  
Author(s):  
Anthony Feinstein
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Disorders ◽  
Screening Instrument ◽  
Self Report ◽  
Meaningful Context ◽  
Health Disorders ◽  
Guggenheim Foundation

I recently spent 6 months in Namibia as a Fellow of the John Simon Guggenheim Foundation. The purpose of my visit was twofold: the establishment of a database for trauma-related mental health disorders and the development of a validated, self-report screening instrument for mental illness. In the process, I was able to meet with Namibian colleagues and visit a number of health care centres in the country. This article will focus on my impressions of psychiatry in Namibia that were formed during my visit. A brief summary of Namibian history, in particular the country's relations with neighbouring South Africa, will help place my observations in a more meaningful context.

scholarly journals Parental Mental Health in Childhood as a Risk Factor for Anxiety and Depression among People Seeking Help for Tinnitus and Hyperacusis

2019 ◽  
Vol 30 (09) ◽  
pp. 772-780 ◽  
Author(s):  
Hashir Aazh ◽  
Ali A. Danesh ◽  
Brian C. J. Moore
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Risk Factor ◽  
Mental Health Disorders ◽  
Anxiety And Depression ◽  
Future Research ◽  
Parental Mental Illness ◽  
Parental Mental Health ◽  
Health Disorders ◽  
The Relationship

AbstractParental mental illness is a risk factor for mental health disorders in the offspring. However, the relationship between parental illness in childhood and mental health disorders in adulthood among patients with tinnitus and/or hyperacusis is not known.The aim was to explore the relationship between parental mental health in childhood and anxiety and depression for patients experiencing tinnitus and/or hyperacusis.This was a retrospective cross-sectional study with a correlational design.Two hundred eighty-seven consecutive patients who attended a Tinnitus and Hyperacusis Therapy Specialist Clinic in the United Kingdom were included. Their average age was 52.5 years.The association was explored between anxiety and depression measured via the Generalized Anxiety Disorder questionnaire (GAD-7) and the Patient Health questionnaire (PHQ-9) and responses to the question “While you were growing up during the first 18 years of life did your parent(s) have depression or mental illness?”Thirty-nine percent of patients (111/287) responded “yes” to the question about their parents’ mental health, which is about double the incidence in the general population. Regression analysis showed that parental mental illness significantly increased the risk of anxiety and depression, with unadjusted odds ratios (ORs) of 2.7 (95% confidence interval [CI]: 1.5–4.9, p = 0.001) for the PHQ-9 and 2.6 (95% CI: 1.4–4.8, p = 0.002) for the GAD-7. However, when the models were adjusted for the effects of age, gender, tinnitus handicap as measured via the Tinnitus Handicap Inventory, hyperacusis handicap as measured via the Hyperacusis questionnaire, uncomfortable loudness levels, GAD-7 scores (for the depression model only), and PHQ-9 scores (for the anxiety model only), parental mental health was only significantly associated with depression, with an OR of 2.7 (95% CI: 1.08–6.7, p = 0.033).Audiologists offering tinnitus and hyperacusis rehabilitation should screen patients for parental mental illness in childhood, especially for those with comorbid depression, and make onward referral to appropriate mental health services when needed. Future research should analyze the breadth and type of adverse childhood experiences among patients with tinnitus and hyperacusis and their relationship with mental problems and treatment efficacy.

scholarly journals The Microbiota-Gut-Brain Axis in Mental Health and Medication Response: Parsing Directionality and Causality

2021 ◽  
Vol 24 (3) ◽  
pp. 216-220
Author(s):  
Thomaz F S Bastiaanssen ◽  
John F Cryan
Keyword(s):  
Mental Health ◽  
Side Effects ◽  
Anxiety Disorders ◽  
Psychotropic Drugs ◽  
Gut Microbiome ◽  
Alpha Diversity ◽  
Mental Health Disorders ◽  
Longitudinal Cohort ◽  
Health Disorders

Abstract There is increasing evidence for the role of the microbiome in various mental health disorders. Moreover, there has been a growing understanding of the importance of the microbiome in mediating both the efficacy and side effects of various medications, including psychotropics. In this issue, Tomizawa and colleagues report on the effect of psychotropic drugs on the gut microbiome of 40 patients with depression and/or anxiety disorders. In their longitudinal cohort, the authors find that antipsychotics, but not anxiolytics, decrease microbiome alpha diversity. They further find that antipsychotics dosage was negatively correlated with alpha diversity in these patients. The health consequences of these microbiome alterations remain to be fully understood. In this commentary, we will discuss such findings through the lens of several recent studies on the microbiota-gut-brain axis. We also use the paper as a backdrop to discuss directionality and, by extension, causality in relation to microbiota-gut-brain-brain signaling.

Sign in / Sign up

Export Citation Format

Share Document