scholarly journals The study protocol: Neuroendocrinology and (epi-) genetics of female reproductive transition phase mood disorder - an observational, longitudinal study from pregnancy to postpartum

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alexandra Johann ◽  
Ulrike Ehlert
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Longitudinal Study ◽  
Postpartum Depression ◽  
Family System ◽  
Risk And Resilience ◽  
Pregnancy And Postpartum ◽  
Health Related ◽  
Resilience Factors ◽  
Insight Into

Abstract Background Postpartum depression is considered to be one of the most common health threats during pregnancy and postpartum, affecting not only the woman herself but also the offspring and the whole family system. Evidence for a conclusive etiopathological model with distinct risk and resilience factors is still broadly lacking. Therefore, the aim of the present study is to investigate numerous health-related markers to obtain greater insight into which biopsychosocial profiles render women more vulnerable to PPD or facilitate a healthy transition from pregnancy to postpartum. Methods The observational, longitudinal study aims to include a total of 288 physically healthy women, aged 20–45 years. A multitude of relevant parameters, of an (epi-) genetic, endocrinological, physiological and psychological nature, will be assessed over a period of 5 months, following the participants from the 3rd trimester until three months postpartum. Discussion The ultimate goal of the present study is to ameliorate mental health care during pregnancy and postpartum, by gaining a better understanding of the underlying biopsychosocial mechanisms that women undergo during the transition from pregnancy to postpartum.

Variation in Utilization of Health Care Services for Rural VA Enrollees With Mental Health-Related Diagnoses

2015 ◽  
Vol 31 (3) ◽  
pp. 244-253 ◽  
Author(s):  
Christopher E. Johnson ◽  
Ruth L. Bush ◽  
Jeffrey Harman ◽  
Jane Bolin ◽  
Gina Evans Hudnall ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Services ◽  
Health Related

scholarly journals Cross-Sectional Study of Mental Health Related Knowledge and Attitudes Among Care Assistant Workers in Guangzhou, China

2020 ◽  
Author(s):  
Jie Li ◽  
Xiao-Ling Duan ◽  
Hua-Qing Zhong ◽  
Wen Chen ◽  
Sara Evans‑Lacko ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Linear Regression ◽  
Mental Health Care ◽  
Health Staff ◽  
Care Providers ◽  
Knowledge And Attitudes ◽  
Additional Item ◽  
Health Related

Abstract Background: Care assistant workers (CAWs) are a part of a new pattern of mental health care providers in China and play a significant role in bridging the human resource shortage. CAWs in China mainly include community cadres, community mental health staff and community policemen. The mental health related knowledge and attitudes of CAWs could influence their mental health care delivery. This study aimed to assess the mental health related knowledge and attitudes of CAWs in Guangzhou, China. Methods: In November 2017, a study was conducted among 381 CAWs from four districts of Guangzhou, China. Participants were assessed using the Perceived Devaluation and Discrimination Scale (PDD), the Mental Health Knowledge Schedule (MAKS), and the Mental illness: Clinicians’ Attitudes (MICA). Data were analyzed by descriptive statistics, ANOVA, Bonferroni corrections and multivariable linear regression. Results: The mean scores (standard deviation) of PDD, MAKS and MICA were 36.45 (6.54), 22.72 (2.56), 51.67 (7.88), respectively. Univariate analyses showed that the older CAWs, community policemen and those who were less willing to deliver care had significant higher MICA scores when compared with other staff (P < 0.001). However, participants who disagreed additional item 1（views towards inpatients) and additional item 2 (affiliate stigma) had a significant lower MICA scores when compared with those who agreed (P < 0.001). Multivariable linear regression showed that after controlling some variables, care willingness and PDD total score were significantly positively associated with the MICA total score (all P < 0.05), while attitudes on additional items were significantly negatively associated with the MICA total score (all P < 0.01).Conclusion: These findings suggest negative attitudes towards people with mental disorders among CAWs are common, especially among older staff. Community policemen suggest that they applied stereotypes of ‘violent mentally ill’ people to all people they deal with who have mental disorders. The results also indicate human rights are being paid attention to now, but need to be improved in the future. Strategies to improve attitudes and to reduce stigma and discrimination should be conducted with particular staff groups.

scholarly journals Digital Health Needs of Women With Postpartum Depression: Focus Group Study (Preprint)

2020 ◽  
Author(s):  
Madison E Lackie ◽  
Julia S Parrilla ◽  
Brynn M Lavery ◽  
Andrea L Kennedy ◽  
Deirdre Ryan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Postpartum Depression ◽  
Mental Health Care ◽  
Focus Groups ◽  
Digital Health ◽  
Qualitative Description ◽  
New Mothers ◽  
Focus Group Study ◽  
Psychosocial Skills

BACKGROUND Although approximately 10% of new mothers in Canada develop postpartum depression (PPD), they face many barriers when accessing care. eHealth offers a unique opportunity to provide psychosocial skills and support to new mothers; however, patient populations are not consistently engaged in eHealth development processes. Thus, the diversity of women’s backgrounds and needs are often not reflected in existing tools. OBJECTIVE This study aims to engage women from a variety of backgrounds and locations around British Columbia (BC) who have previously experienced PPD to determine the unmet psychoeducational needs of women with PPD and how a web-enabled platform used to deliver psychosocial skills and education to assist in the management of PPD could fulfill those needs. METHODS Focus groups were conducted in 7 cities across BC with a total of 31 women (mean age 34.5 years, SD 4.9), with each group ranging from 2-7 participants. Focus groups were cofacilitated by the study coordinator and a local service provider in each community using a semistructured guide to discuss participants’ needs, ideas, and opinions as they relate to the use of technology in PPD management. Transcripts were approached inductively using thematic analysis to identify themes and qualitative description to frame what was observed in the data. RESULTS A total of 5 themes were identified: bridging gaps to meet needs; providing validation to combat stigma; nurturing capacity to cope, manage, and/or reach wellness; empowering people to take ownership over their mental health; and offering customization to ensure relevance. Each theme identified a need (eg, combatting stigma) and a way to address that need using a web-enabled intervention (eg, providing validation). At the intersection of these themes was the overarching value of promoting agency for women experiencing PPD. CONCLUSIONS Ultimately, new mothers require accessible mental health care that promotes their agency in mental health care decision making. Our participants believed that a web-enabled intervention could help meet this need. These data will be used to guide the design of such an intervention, with the eventual implementation of this resource as a first-line management option for PPD.

scholarly journals Het contacteren van professionele hulpverleners omwille van sociale of emotionele problemen bij net‐gehuwde en net‐samenwonende koppels : de rol van partner- en relatiekenmerken

2013 ◽  
Vol 3 (8) ◽  
pp. 1-26
Author(s):  
Elien Colman ◽  
Veerle Buffel ◽  
Piet Bracke
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Male Partner ◽  
Health Care Use ◽  
Living Together ◽  
Individual Determinants ◽  
Partner Characteristics ◽  
Health Related ◽  
Mental Health Care Use

Onderzoek naar de determinanten van het gebruik van professionele hulpverlening omwille van sociale en emotionele problemen heeft zich tot nu toe hoofdzakelijk geconcentreerd op het belang van individuele kenmerken.  In deze bijdrage gaan we na of het zorggebruik van net‐gehuwde en net‐samenwonende mannen en vrouwen (N=798 koppels) ook beïnvloed wordt door hun partner, hun relatie (duur, gezondheidsgerelateerde steun en conflict) en het verbreken van een eerdere samenwoonrelatie. We vinden geen directe invloed van intieme relaties bij mannen, maar bij vrouwen vinden we dat diegenen die ooit gescheiden zijn en diegenen die veel conflicten hebben met hun partner een minder goede mentale gezondheid hebben en bijgevolg een grotere kans hebben om een professionele hulpverlener gecontacteerd te hebben. Uit de resultaten blijkt ook dat, los van de behoefte aan hulp, vrouwen minder vaak een professionele hulpverlener contacteren, naargelang ze langer samenwonen met hun partner. Het belang van deze resultaten voor verder onderzoek en het beleid worden besproken. Abstract : Although the literature on determinants of health care use has traditionally been concentrating on individual determinants, the couple can also be considered as an important entity in the study of mental health care use. We examine how the mental health care use of recently cohabiting or newlywed men and women (N=798 couples) is influenced by the mental health care use of their partner, characteristics of their relationship (years living together, health‐related support, conflict) and a broken cohabiting relationship. We find no direct effects of intimate relationships on men’s mental health care use. Among women, results show that those who have ever been separated and those who have more conflicts with their partner have a higher health care use, which can be attributed to their higher need for care. Results also show that the longer women live with their male partner, the less mental health care they consume.

scholarly journals The Acceptability of Text Messaging to Help African American Women Manage Anxiety and Depression: Cross-Sectional Survey Study

10.2196/15801 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e15801 ◽  
Author(s):  
Terika McCall ◽  
Todd A Schwartz ◽  
Saif Khairat
Keyword(s):  
Mental Health ◽  
Health Care ◽  
African American ◽  
Mental Health Care ◽  
African American Women ◽  
Text Messaging ◽  
Anxiety And Depression ◽  
American Women ◽  
To Receive ◽  
Insight Into

Background The rates of mental illness among African American women are comparable with the general population; however, they significantly underutilize mental health services compared with their white counterparts. Previous studies revealed that interventions delivered via text messaging are effective and can be used to increase access to services and resources. More insight into whether or not this modality is acceptable for use to deliver mental health care to help African American women manage anxiety and depression is needed. Objective This exploratory study aimed to gain insight into the acceptability of using text messaging to help African American women manage anxiety and depression. Methods A self-administered Web-based survey was launched in June 2018 and closed in August 2018. Eligible participants were African American women (18 years or older) who reside in the United States. Participants were recruited through convenience sampling (eg, email sent via listservs and social media posts). Respondents were provided an anonymous link to the questionnaire. The survey consisted of 53 questions on the following subjects: sociodemographic characteristics, attitudes toward seeking professional psychological help, mobile phone use, and acceptability of using a mobile phone to receive mental health care. Results The results of this exploratory study (N=101) showed that fewer than half of respondents endorsed the use of text messaging to communicate with a professional to receive help to manage anxiety (49/101, 48.5%) and depression (43/101, 42.6%). Approximately 51.4% (52/101) agreed that having the option to use text messaging to communicate with a professional if they are dealing with anxiety would be helpful. Similarly, 48.5% (49/101) agreed that having the option to use text messaging to communicate with a professional if they are dealing with depression would be helpful. Among participants who agreed that text messaging would be helpful, more than 80% noted being comfortable with its use to receive help for managing anxiety (approximately 86%, 45/52) and depression (approximately 82%, 40/49; highly significant positive association, all P<.001). More than 50% of respondents (56/101, 55.4%) indicated having concerns about using text messaging. No statistically significant associations were found between age and agreement with the use of text messaging to communicate with a professional to receive help for managing anxiety (P=.26) or depression (P=.27). Conclusions The use of text messaging was not highly endorsed by African American women as an acceptable mode of communication with a professional to help them manage anxiety or depression. Concerns around privacy, confidentiality, and the impersonal feel of communicating about sensitive issues via text messages must be addressed for this modality to be a viable option. The findings of this study demonstrated the need for further research into the use of mobile technology to provide this population with more accessible and convenient options for mental health care.

A Longitudinal Study of Offset in the Use of Nonpsychiatric Services Following Specialized Mental Health Care

Medical Care ◽  
1983 ◽  
Vol 21 (11) ◽  
pp. 1099-1110 ◽  
Author(s):  
Janet R. Hankin ◽  
Larry G. Kessler ◽  
Irving D. Goldberg ◽  
Donald M. Steinwachs ◽  
Barbara H. Starfield
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Longitudinal Study ◽  
Mental Health Care ◽  
Specialized Mental Health
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