scholarly journals The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (7) ◽  
pp. e100153 ◽  
Author(s):  
Angela Sweeney ◽  
Sarah Fahmy ◽  
Fiona Nolan ◽  
Nicola Morant ◽  
Zoe Fox ◽  
...  
2017 ◽  
Vol 42 ◽  
pp. 95-102 ◽  
Author(s):  
T. Taylor Salisbury ◽  
H. Killaspy ◽  
M. King

AbstractBackgroundThe process of deinstitutionalization (community-based care) has been shown to be associated with better quality of life for those with longer-term mental health problems compared to long stay hospitals. This project aimed to investigate the relationship between national progress towards deinstitutionalization and (1) quality of longer-term mental health care (2) service users’ ratings of that care in nine European countries.MethodsQuality of care was assessed in 193 longer-term hospital- and community-based facilities in Bulgaria, Germany, Greece, Italy, the Netherlands, Poland, Portugal, Spain and the UK. Data on users’ ratings of care were collected from 1579 users of these services. Country level variables were compiled from publicly available data. Multilevel models were fit to assess associations with quality of care and service user experiences of care.ResultsSignificant positive associations were found between deinstitutionalization and (1) five of seven quality of care domains; and (2) service user autonomy. A 10% increase in expenditure was associated with projected clinically important improvements in quality of care.ConclusionsGreater deinstitutionalization of mental health mental health services is associated with higher quality of care and better service user autonomy.


2021 ◽  
Vol 1 (3) ◽  
pp. 47-56
Author(s):  
Masayo Matsuzaki ◽  
Hiroko Matsumoto ◽  
Mie Shiraishi ◽  
Risa Kobayashi ◽  
Sachi Watanabe ◽  
...  

Background: The rate of predominant breastfeeding was 51.3% at 1 month postpartum, even though 93.4% of Japanese mothers expressed a desire to predominantly breastfeed during pregnancy. A wide range of historical, socioeconomic, cultural, and individual factors, as well as mental health, affect breastfeeding practices. However, the relationship between breastfeeding and mental health—depressive symptoms—has been controversial. Purpose: The aim of this study was to identify factors relationship including mental health and the feeding methods adopted by mothers at 1 month postpartum in Japan. Methods: A cross-sectional study was conducted at 2 Tokyo area hospitals between July and October 2014. We recruited a total of 560 eligible women. The participants included 392 women without severe illnesses or low birth weight babies at 1 month postpartum. The feeding methods were “mainly breastfeeding” (exclusively or mostly breastfeeding) and “mixed feeding and formula only”. Depressive symptoms as a mental health were assessed using the Edinburgh Postnatal Depression Scale (EPDS). Multiple logistic regression analysis clarified the factors associated with mainly breastfeeding. Results: The mean (SD) age for the categories of mainly breastfeeding and mixed feeding and formula only was 33.0 (5.1) and 33.9 (5.5) years, respectively (p = 0.085). Women who were mainly breastfeeding at 1 month postpartum were more likely to be multiparous (adjusted odds ratio [AOR]: 1.80, CI:1.11 - 2.94), had EPDS score < 9 (AOR:1.87, CI:1.09 – 3.20), and had been desirous of breastfeeding from their pregnancy (AOR: 7.73, CI: 4.68 – 12.74). Conclusion: Our results suggested that healthcare providers should focus on the relationship between feeding methods and new mothers’ mental health. Further research must identify effective care strategies for women who desire to breastfeed exclusively.


2020 ◽  
Author(s):  
Frederike Katharina Lemmel ◽  
Rebecca Jones ◽  
Sonia Johnson ◽  
Anita Jolly ◽  
Miriam Miller ◽  
...  

Abstract Background. Mental well-being is an essential concept in research and public health as it is recognised as an indicator of population mental health and quality of life. Previous studies have provided evidence that general self-efficacy is positively related to mental well-being. The aim of this study is to examine whether higher help-seeking self-efficacy and higher psychological well-being self-efficacy respectively, are associated with increased mental well-being.Methods. In this cross-sectional study 1795 adults from the general English population were recruited from a market research panel to fill out an online questionnaire between 24th September 2018 and 05th October 2018. Two simple linear regression analyses were used to investigate the relationship between each of help-seeking self-efficacy and psychological well-being self- efficacy as exposure variables and mental well-being as the outcome. Multiple imputation by chained equations was used to handle missing data.Results. No evidence was found for an association between either help-seeking self-efficacy or psychological well-being self-efficacy and mental well-being.Conclusions. These findings do not provide evidence that improving help-seeking or psychological well-being self-efficacy could lead to improving well-being. Methodological limitations, such as unmeasured confounders might be responsible for the lack of evidence in this study. Having a mental health condition is a potential negative confounder that might not have been measured adequately.


2017 ◽  
Vol 25 (5) ◽  
pp. 665-673 ◽  
Author(s):  
Dorota Żołnierczyk-Zreda ◽  
Anna Jędryka-Góral ◽  
Joanna Bugajska ◽  
Sylwia Bedyńska ◽  
Marek Brzosko ◽  
...  

To evaluate the relationship between work, mental health, physical health, and fatigue in patients with rheumatoid arthritis, the data of 282 participants were drawn from baseline. The results of structural equation modeling showed that among rheumatoid arthritis patients, those who were engaged in occupational activity had lower levels of fatigue compared to those who did not work and that this relationship was mediated by better mental health, not by physical health.


2019 ◽  
Author(s):  
Shiva Havizari ◽  
Solmaz Ghanbari Homayi ◽  
Ommlbanin Eyvazzadeh ◽  
Mojgan Mirghafourvand

Abstract Background: Childbirth experience is a major outcome of labor, which is always associated with some potential psychological advantages or damages. Given the significant impact of childbirth on maternal role and on physical and mental health of mothers, this study aimed to investigate the relationship of childbirth experience with postpartum maternal functioning and mental health of women.Methods: This cross-sectional study was carried out on 483 mothers with vaginal childbirth, 4-16 weeks after delivery in health centers of Tabriz-Iran, 2018. The cluster random sampling method was used. The socio-demographic characteristics questionnaire, Questionnaire for Assessing the Childbirth Experience (QACE), Mental Health Inventory (MHI), and Barkin Index of Maternal Functioning (BIMF) were completed through interviews and the obtained data were analyzed using independent t-test, one-way ANOVA, Pearson’s correlation test, and the General Linear Model (GLM). Results: The mean score of childbirth experience was 1.6 (0.4) within the score range of 1-4. The mean score of mental health was 79.1 (15.0) out of 18-108 and maternal functioning was 97.4 (13.0) out of 0-120. Based on the correlation coefficients, there were significant correlations between the total score of mental health and maternal functioning and all its subdomains with childbirth experience (P<0.001), also based on GLM results, maternal functioning was significantly correlated with childbirth experience (P<0.001), receiving help for infant care (P<0.001) and the adequacy of family income (P=0.006). Mental health was significantly correlated with childbirth experience (P<0.001), complete life-satisfaction (P<0.001), and receiving help for infant care (P=0.025). Conclusion: The results showed significant relationships between childbirth experience with maternal functioning, mental health and all their subdomains. Considering these relationships, it seems that supportive care services offered by health care providers can improve mothers’ birth experiences and consequently lead to improved postpartum maternal functioning and mental health.


BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Zhizhong Wang ◽  
Faten Al Zaben ◽  
Harold G. Koenig ◽  
Yuanlin Ding

Background Moral injury has been found to be prevalent among healthcare professionals during the COVID-19 public health crisis. Aims The present study examines the relationship between spirituality, moral injury, and mental health among physicians and nurses in mainland China during the COVID-19 pandemic. Method An online cross-sectional study was conducted involving 3006 physicians and nurses in mainland China, where the COVID-19 pandemic has caused high rates of hospital admission and death. The Moral Injury Symptoms Scale-Health Professional was administered, along with measures of mental health and spirituality. Hierarchical linear regression modelling was used to examine the mediating and moderating role of moral injury in the relationship between spirituality and mental health. Results Spirituality was positively correlated with moral injury (β = 2.41, P < 0.01), depressive symptoms (β = 0.74, P < 0.01) and anxiety symptoms (β = 0.65, P < 0.01) after controlling sociodemographic variables. Moral injury significantly mediated the relationship between spirituality and both depression and anxiety, explaining 60% (0.46/0.76) of the total association between spirituality and depression and 58% (0.38/0.65) of the association with anxiety. No moderating effect of moral injury was found on the spirituality–mental health relationship. Conclusions Although they were the findings of a cross-sectional study, these results suggest that concern over transgressing moral values during the pandemic may have been a driving factor for negative mental health symptoms among Chinese health professionals for whom spirituality was somewhat important. Future longitudinal studies are needed to determine the causal nature of these relationships.


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