scholarly journals Minority status, stigma, prejudice and bullying: growing up in jeopardy

2021 ◽  
Vol 18 (3) ◽  
pp. 53-53
Author(s):  
David Skuse

Stigma and alienation are suffered by many individuals with mental health disorders, in societies around the world. Rejection is all the more common among those who have intellectual disabilities or who are from ethnic minorities. In this issue, three papers consider the suffering experienced by patients with vulnerabilities that militate against their being in receipt of the psychiatric care they assuredly deserve.

Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter

This chapter examines the personal experience of a Therapist with Psychogenic Non-Epileptic Seizures (PNES). As a Therapist in private practice, the Therapist strongly believed that to end the stigma of mental health conditions, she needed to own her own mental health disorders. The Therapist could not sit across from her clients every day and tell them not to be ashamed of their debilitating Anxiety, Depression, or Post-Traumatic Stress Disorder (PTSD) and yet hide her own mental illness from the world. As such, the therapist spoke openly on social media about mental health and her own journey, and the Therapist shared positive messages about the disorders she treated—that is, until the therapist’s own experience crossed over from the garden variety “Anxiety and Depression” that she saw every day into a much less widely known disorder, PNES. Then, the Therapist became less of a Therapist and more of a patient, trying to maintain some sort of sanity and perspective afforded to her from her years of training as a therapist.


10.2196/11591 ◽  
2019 ◽  
Vol 8 (7) ◽  
pp. e11591
Author(s):  
Paul Ritvo ◽  
Zafiris J Daskalakis ◽  
George Tomlinson ◽  
Arun Ravindran ◽  
Renee Linklater ◽  
...  

Background About 70% of all mental health disorders appear before the age of 25 years. When untreated, these disorders can become long-standing and impair multiple life domains. When compared with all Canadian youth (of different ages), individuals aged between 15 and 25 years are significantly more likely to experience mental health disorders, substance dependencies, and risks for suicidal ideation and death by suicide. Progress in the treatment of youth, capitalizing on their online responsivity, can strategically address depressive disorders. Objective We will conduct a randomized controlled trial to compare online mindfulness-oriented cognitive behavioral therapy (CBT-M) combined with standard psychiatric care versus psychiatric care alone in youth diagnosed with major depressive disorder. We will enroll 168 subjects in the age range of 18 to 30 years; 50% of subjects will be from First Nations (FN) backgrounds, whereas the other 50% will be from all other ethnic backgrounds. There will be equal stratification into 2 intervention groups (INT1 and INT2) and 2 wait-list control groups (CTL1 and CTL2) with 42 subjects per group, resulting in an equal number of INT1 and CTL1 of FN background and INT2 and CTL2 of non-FN background. Methods The inclusion criteria are: (1) age 18 to 30 years, FN background or other ethnicity; (2) Beck Depression Inventory (BDI)-II of at least mild severity (BDI-II score ≥14) and no upper limit; (3) Mini-International Neuropsychiatric Interview (MINI)–confirmed psychiatric diagnosis of major depressive disorder; and (4) fluent in English. All patients are diagnosed by a Centre for Addiction and Mental Health psychiatrist, with diagnoses confirmed using the MINI interview. The exclusion criteria are: (1) individuals receiving weekly structured psychotherapy; (2) individuals who meet the Diagnostic and Statistical Manual of Mental Disorders criteria for severe alcohol/substance use disorder in the past 3 months, or who demonstrate clinically significant suicidal ideation defined as imminent intent, or who have attempted suicide in the past 6 months; and (3) individuals with comorbid diagnoses of borderline personality, schizophrenia, bipolar disorder, and/or obsessive compulsive disorder. All subjects are provided standard psychiatric care defined as 1 monthly session that focuses on appropriate medication, with session durations of 15 to 30 min. Experimental subjects receive an additional intervention consisting of the CBT-M online software program (in collaboration with Nex J Health, Inc). Exposure to and interaction with the online workbooks are combined with navigation-coaching delivered by phone and secure text message interactions. Results The outcomes selected, combined with measurement blinding, are key features in assessing whether significant benefits regarding depression and anxiety symptoms occur. Conclusions If results confirm the hypothesis that youth can be effectively treated with online CBT-M, effective services may be widely delivered with less geographic restriction. International Registered Report Identifier (IRRID) PRR1-10.2196/11591


2001 ◽  
Vol 7 (3) ◽  
pp. 332-335
Author(s):  
B. Saraceno

Recognizing the magnitude of the problem of mental health disorders globally, the World Health Organization has made mental health the focus of the year 2001. In this paper three priority areas for action in the Eastern Mediterranean Region are suggested, namely: human rights, mental hospitals and community care, drug abuse, and reconstruction of the health care system in Afghanistan.


Author(s):  
Hamed Seddighi ◽  
Ibrahim Salmani

Introduction: Earthquake occurs in the world every year and Iran is one of the most earthquake-prone countries in the world with the ranking of 15 between 120 countries. Children are the most vulnerable group in disasters and they have a number of negative symptoms after a disaster. Methods: This study used the systematic review method and followed systematic review principles. Mental health, earthquake, psychosocial, PTSD, post-traumatic stress disorder, and stress were the keywords used to search in the Iranian scientific information database (SID), Noor Specialized Magazines (Noormags) and Google Scholar. The language of the search was Farsi and just Farsi articles were included in the review. Results: The result were presented in five sections (Psychosocial interventions, Signs of disorder, Gender, Age, Geographical area). It showed psychosocial interventions of those studied in reviewed papers were effective and there were gender differences in children mental health disorders after earthquakes in Iran. In addition, PTSD group, girls reported all the symptoms of PTSD more than the boys except anger symptoms, but the prevalence of PTSD symptoms in males was higher than in girls. Conclusion: Iranian studies just focused on male and female gender and found that disorders are higher in girls of different ages in childhood. In the age group of 13 to 18 years, the frequency of each disorder was less than that of the seven to twelve-year old group. 


2022 ◽  
Vol 10 (19) ◽  
pp. 16-23
Author(s):  
Rosa Nayheli Villegas Delgadillo ◽  
Salvador Manzur-Valdespino

Introduction: Lifestyles at the college stage involve fundamental changes in human development, which may have an impact on the school performance. The present work consists of a documentary review on the lifestyles of university students Objective: To identify the information that allows the evaluation of the lifestyles that are associated with the school performance of students of health sciences. Methodology: The research was carried out by using the keywords: lifestyles, school performance and students of health sciences, through PubMed and Crossref, in addition to the websites of public institutions, governments or organizations. The results of 20 studies were analyzed, which included a student population that was intervened through questionnaires about their lifestyles in school systems Results: It was found that students have unhealthy habits, 40% of students do not exercise, 90% of students consume junk food and 1 out of 5 students have mental health disorders. All of the above is striking, since being students of health sciences, it would be assumed that they practice healthy lifestyles, however, their knowledge has been little applied. Conclusion: Lifestyles and school performance are a problem that worries students, parents, teachers and authorities, not only in our country but also in other countries of the world.


2019 ◽  
Vol 13 (5) ◽  
pp. 173-181 ◽  
Author(s):  
Ereny Gobrial

Purpose Children and young people with comorbid intellectual disabilities (ID) and autism spectrum disorders (ASD) are more likely to exhibit comorbid mental health disorders (MHD) and other significant behaviours (SB) in addition to the core symptoms of ASD. The purpose of this paper is to identify the prevalence of comorbid MHD and behaviours in children and young people with ID and ASD in Egypt. Design/methodology/approach The Reiss scale for children’s dual diagnosis was administered by parents and teachers of 222 Egyptian children and young people with mild/moderate ID and ASD to screen for MHD and SB. The mean age of children and young people was 12.3 years (SD = 3.64), with 75.6 per cent male. Findings The results revealed that 62.2 per cent of children and young people with ID and ASD had high rates of comorbid MHD and behaviour disorders were shown in 64.4 per cent of the participated children and young people. The results identified anger, anxiety and psychosis being the most frequently diagnosed disorders while crying spells and pica were the most SB. No differences were found between the male and female with ID and ASD in the current study. Research limitations/implications Mental health assessment of children and young people with ID and ASD will help to highlight the needs of these vulnerable children and develop the appropriate services. Originality/value The findings highlight the prevalence of MHD in children and young people with ID and ASD in Egypt. This has implications on the assessment of comorbid disorders and services needed for children with ID and ASD in Egypt.


2020 ◽  
pp. 69
Author(s):  
Deshinta Vibriyanti

The spread of the COVID-19 pandemic around the world not only has physical health impacts but also mental health. One of the effects of a pandemic on mental health that is feelings of anxiety about being exposed to viruses and the uncertainty of conditions during a pandemic. Anxiety needs to be managed properly so that it can still make alertness, but not excessive so that it causes worse mental health disorders. This paper aims to explain how to manage anxiety during a pandemic for the society with a literature study approach. From the perspective of social psychology, this paper concludes that managing anxiety at a proportional level, is the result of repeated perception of situations. The selection of information received during a pandemic is the key to managing anxiety. Next, adapt to the changes that occur so that can through a mentally healthy life in a pandemic.


2020 ◽  
Author(s):  
Paul Ritvo ◽  
Yuliya Knyahnytska ◽  
Meysam Pirbaglou ◽  
Wei Wang ◽  
George Tomlinson ◽  
...  

BACKGROUND Approximately 70% of mental health disorders appear prior to 25 years of age and can become chronic when ineffectively treated. Individuals between 18 and 25 years old are significantly more likely to experience mental health disorders, substance dependencies, and suicidality. Treatment progress, capitalizing on the tendencies of youth to communicate online, can strategically address depressive disorders. OBJECTIVE We performed a randomized controlled trial (RCT) that compared online mindfulness-based cognitive behavioral therapy (CBT-M) combined with standard psychiatric care to standard psychiatric care alone in youth (18-30 years old) diagnosed with major depressive disorder. METHODS Forty-five participants were randomly assigned to CBT-M and standard care (n=22) or to standard psychiatric care alone (n=23). All participants were provided standard psychiatric care (ie, 1 session per month), while participants in the experimental group received an additional intervention consisting of the CBT-M online software program. Interaction with online workbooks was combined with navigation coaching delivered by phone and secure text messaging. RESULTS In a two-level linear mixed-effects model intention-to-treat analysis, significant between-group differences were found for the Beck Depression Inventory-II score (difference –8.54, <i>P</i>=.01), Quick Inventory of Depressive Symptoms score (difference –4.94, <i>P</i>=.001), Beck Anxiety Inventory score (difference –11.29, <i>P</i>&lt;.001), and Brief Pain Inventory score (difference –1.99, <i>P</i>=.03), while marginal differences were found for the Five Facet Mindfulness Questionnaire–Nonjudging subscale (difference –2.68, <i>P</i>=.05). CONCLUSIONS These results confirm that youth depression can be effectively treated with online CBT-M that can be delivered with less geographic restriction. CLINICALTRIAL Clinical Trials.gov NCT03406052; https://www.clinicaltrials.gov/ct2/show/NCT03406052


Author(s):  
Dias A.A.M.R ◽  
Kolamunna K.G.T.D ◽  
Fernando N.I.R ◽  
Pannala U.K

Depression is identified as one of the most common mental health disorders in the world. Depression not only impacts the patient but also their families and relatives. If not properly treated, due to these reasons it leads people to hazardous situations. Nonetheless existing clinical diagnosis tools for monitoring illness trajectory are inadequate. Traditionally, psychiatrists use one to one interaction assessments to diagnose depression levels. However, these clinic- centered services can pose several operational challenges. In order to monitor clinical depressive disorders, patients are required to travel regularly to a clinical center within its limited operating hours. These procedures are highly resource intensive because they require skilled clinician and laboratories. To address these issues, we propose a personal and ubiquitous sensing technologies, such as fitness trackers and smartphones, which can monitor human vitals in an unobtrusive manner.


2021 ◽  
pp. BJGP.2021.0164
Author(s):  
Katrien PM Pouls ◽  
Monique CJ Koks-Leensen ◽  
Mathilde Mastebroek ◽  
Geraline Leusink ◽  
Willem Assendelft

Background: General practitioners (GPs) are increasingly confronted with patients with both intellectual disabilities (ID) and mental health disorders (MHD). Currently, the care provided to these patients is found to be insufficient, putting them at risk of developing more severe MHD. Improving the quality of GP care will improve the whole of mental healthcare for this patient group. Therefore, an overview of the content and quality of care provided to them by the GP might be helpful. Aim: To provide an up-to-date literature overview of the care provided by GPs to patients with ID and MHD, identify knowledge gaps, and inform research, practice, and policy about opportunities to improve care. Design: Scoping review. Method: Pubmed, PsychINFO, Embase, and grey literature were searched for publications concerning patients with ID, MHD, and primary care. Selected publications were analysed qualitatively. Results: One hundred publications met the inclusion criteria. Five overarching themes were identified: GP roles, knowledge and experience, caregiver roles, collaboration, and a standardized approach. The results show GPs’ vital, diverse, and demanding roles in caring for patients with both ID and MHD. GPs experience problems in fulfilling their roles, and gaps are identified regarding effective GP training programmes, applicable guidelines and tools, optimal collaborative mental healthcare, and corresponding payment models. Conclusion: The improvement required in the current quality of GP care to patients with ID and MHD can be achieved by bridging the identified gaps and initiating close collaborations between care professionals, policymakers, and organizational managers.


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