Refugees, resettlement experiences and mental health: a systematic review of case studies

ABSTRACT Objective In 2017 the number of refugees around the world reached 25.4 million. These people make up one of the most vulnerable populations globally. This study aims to understand the strategies refugees used to cope with the impact on their mental health by the difficult pre- and post-resettlement circumstances they encountered. Methods A systematic review of articles reporting case studies concerning adult refugees’ experiences in the hosting country. The electronic databases searched were: PubMed, The Cochrane Library, PsycINFO, Embase, Scopus and Web of Science. Eligible manuscripts were examined through a narrative synthesis. Results Twenty-two articles fitted the inclusion criteria and four main themes were highlighted: reasons for fleeing; the impact of negative experiences on mental health; supportive experiences and coping strategies; and experiences of mental health treatment. Conclusions Refugees present a significant impact on mental health due to pre- and post-migration experiences. The approach offered to this group and reported as the most effective to deal with such an impact was the multidimensional approach that, besides caring for the psychic aspects, contemplated the cultural context of each one, assisted in housing, employment, financial aid, support with learning the new language and social activities.

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Excess weight and dyslipidemia and their complications during pregnancy: a systematic review

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042016000200002 ◽

2016 ◽

Vol 16 (2) ◽

pp. 93-101 ◽

Cited By ~ 2

Author(s):

Iramar Baptistella do Nascimento ◽

Willian Barbosa Sales ◽

Raquel Fleig ◽

Grazielle Dutra da Silva ◽

Jean Carl Silva

Keyword(s):

Systematic Review ◽

Key Words ◽

Excess Weight ◽

Cochrane Library ◽

Obstetric Outcomes ◽

Lipid Disorders ◽

Key Words Lipids ◽

The Cochrane Library ◽

The Impact ◽

In Pregnancy

Abstract Objectives: to identify bibliographically disorders related to excess weight, dyslipidemia and their complication during pregnancy and in the fetus and newborn. Methods: a systematic review including observational and interventional studies and reviews, based on MEDLINE, LILACS, Embase and the Cochrane Library between 2000 and 2015. The key-words "lipids, pregnancy, obesity and newborn" were used to establish a selective stage for inclusion/exclusion of titles, repeated studies, key-words, abstracts, methodological incompatibility and correlation with objectives. Results: 58 studies were selected, of which 36 (62%) addressed prevention and the risk in pregnancy of excess weight and lipid disorders and 19 (32.7%) suggestions and/or consequences for the fetus and newborn. Conclusions: excess weight and lipidemic disorders in pregnancy are causes for concern in scientific studies, posing risks both for the mother and the newborn. Higher prevalence of caesarian and pre-eclampsia were the two most noteworthy complications for gestational outcomes. In short, the impact on care of maternal habits and excess weight during pregnancy is highly significant, owing to the different degrees of complication in obstetric outcomes and their influence on the clinical characteristics of the newborn.

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Housing Insecurities and Homelessness Among Children and Unaccompanied Youth in Rural Appalachian Communities

Handbook of Research on Leadership and Advocacy for Children and Families in Rural Poverty - Advances in Human Services and Public Health ◽

10.4018/978-1-7998-2787-0.ch002 ◽

2020 ◽

pp. 23-45

Author(s):

Sara Bender ◽

Imelda N. Bratton

Keyword(s):

Mental Health ◽

Mental Health Treatment ◽

Cultural Context ◽

Homeless Children ◽

Health Treatment ◽

Profound Impact ◽

Appalachian Culture ◽

Unaccompanied Youth ◽

The Impact ◽

Unique Context

Homelessness may have a profound impact on a child's physical, socio-emotional, and/or cognitive development. Cultural context may further exacerbate the impact of such circumstances. Past literature confirms that the Appalachian culture is distinct from mainstream America, suggesting that various interventions, including mental health treatment, may not be received similarly or have the same impact as they would in other communities. This chapter addresses how to support children and unaccompanied youth facing homelessness or housing insecurity within rural Appalachian communities. Existing research addresses the developmental consequences of homelessness; however, there is limited literature dedicated to understanding how the unique context of the Appalachian culture may affect these conditions. The aim of this chapter is to provide educators, counselors, and similar professionals with an overview regarding how to best support homeless children and unaccompanied youth within Appalachian communities.

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Mapping of modifiable barriers and facilitators of medication adherence in bipolar disorder to the Theoretical Domains Framework: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2018-026980 ◽

2019 ◽

Vol 9 (2) ◽

pp. e026980 ◽

Cited By ~ 1

Author(s):

Asta Ratna Prajapati ◽

Alexandra Lelia Dima ◽

Allan B Clark ◽

Claire Gant ◽

Chris Gibbons ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Bipolar Disorder ◽

Medication Adherence ◽

Mental Health Treatment ◽

Theoretical Domains Framework ◽

Barriers And Facilitators ◽

Primary Data ◽

Cochrane Library ◽

Long Term Treatment

IntroductionPeople with bipolar disorder require long-term treatment but it is estimated that 40% of these people do not adhere to prescribed medication regimens. Non-adherence increases the risk of relapse, hospitalisation and suicide. Some evidence syntheses report barriers to mental health treatment adherence but rarely delineate between modifiable and non-modifiable barriers. They also fail to distinguish between the patients’ perspective and that of other stakeholders such as clinicians despite of their different understanding and priorities about adherence. Facilitators of adherence, which are also important for informing adherence intervention design, are also lacking from syntheses and few syntheses focus on medications for bipolar disorder.This systematic review aims to identify modifiable barriers and facilitators (determinants) of medication adherence in bipolar disorder. We also plan to report determinants of medication adherence from perspectives of patients, carers, healthcare professionals and other third parties. A unique feature of this systematic review in the context of mental health is the use of the Theoretical Domains Framework (TDF) to organise the literature identified determinants of medication adherence.Methods and analysisThe protocol adheres to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols and ENhancing Transparency in REporting the synthesis of Qualitative research (ENTREQ) guidelines. This review will include both qualitative and quantitative primary studies exploring determinants of medication adherence in bipolar disorder. We will search the following databases using a preplanned strategy: CINAHL, Cochrane Library (CENTRAL), Embase, LiLACS, Medline, PsychINFO, PubMed without date restrictions. We will report the quality of included studies. We will use framework synthesis using the TDF as an a priori ‘framework’. We will map the literature identified modifiable determinants to the domains of TDF.Ethics and disseminationEthical approval is not required as primary data will not be collected. The results will be disseminated through a peer-reviewed publication.PROSPERO registration numberCRD42018096306.

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Effective Interventions to Promote the Mental Health of Caregivers of Patients with Breast Cancer - A Systematic Review

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/354 ◽

2021 ◽

Vol 10 (22) ◽

pp. 1715-1722

Author(s):

Seyedeh Zeynab Hossein Nezhad ◽

Forouzan Elyasi ◽

Noraddin Mousavinasab ◽

Elahe Samami ◽

Zohreh Shahhosseini

Keyword(s):

Breast Cancer ◽

Mental Health ◽

Systematic Review ◽

Scientific Information ◽

Cochrane Library ◽

Psychological Dimension ◽

Effective Interventions ◽

Jadad Scale ◽

The Impact

Breast cancer is one of the most important health problems in Iran and the world, which accounts for about one third of all gynaecological cancers and is the second most common cancer after lung cancer and the most common cause of cancer mortality among women. Considering the extent of the impact of breast cancer in all physical, psychological, and social dimensions on the patient and her caregivers, the purpose of this study is to review the effective interventions in promoting the mental health of breast cancer caregivers. A systematic review study with a comprehensive search of Internet sites, Google Scholar, Cochrane Library, Elsevier, Springer, Science Direct, Web of Science, PubMed, Scopus and Iranian databases such as Scientific Information Database (SID) and Magiran was conducted using the keywords intervention, promotion, mental health, caregivers, and breast cancer. A total of 28,188 related articles without year limit and 8 articles were obtained manually. Then, out of these articles, 27,964 articles were excluded due to duplication, 119 articles due to non - relevance, 94 articles were in the screening stage of abstracts and 13 articles in the full text review stage, and finally, the quality of 6 experimental and semi - experimental clinical trial studies was evaluated using Jadad scale. Interventions in effective studies in promoting mental health of caregivers of patients with breast cancer include education, support package, psychosocial intervention, and motivational interview. The results of studies showed that all interventions improved the quality of life, reduced the burden of care and positive changes in the psychological dimension of caregivers. Also, four studies based on Jadad scale were of good quality. According to the results of the present study, which is based on the effect of all interventions on positive changes in the psychological dimension of caregivers' lives, and due to the fact that the number of studies in this field was limited and out of 6 studies, 4 studies were of good quality, it seems more and better studies are needed in order to access stronger evidence to implement effective interventions in promoting the mental health of caregivers of breast cancer patients. KEY WORDS Interventions, Promotion, Mental Health, Caregivers, Breast Cancer

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Data visualization in chronic neurological and mental health condition self-management: a systematic review of user perspectives (Preprint)

10.2196/preprints.25249 ◽

2020 ◽

Author(s):

Ashley Polhemus ◽

Jan Novak ◽

Shazmin Majid ◽

Sara Simblett ◽

Stuart Bruce ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Data Visualization ◽

User Preferences ◽

Health Conditions ◽

Cochrane Library ◽

Mental Health Conditions ◽

Visualization Design ◽

The Impact ◽

Data Visualizations

BACKGROUND Remote measurement technology (RMT) such as mobile health devices and applications, are increasingly used by those living with chronic neurological and mental health conditions. RMT enables real-world data collection and regular feedback, providing users with insights about their own conditions. Data visualizations are an integral part of RMT, though little is known about visualization design preferences from the perspectives of those living with chronic conditions. OBJECTIVE Explore the experiences and preferences of individuals with chronic neurological and mental health conditions on data visualizations derived from RMT to manage health. METHODS In this systematic review, we searched peer-reviewed literature and conference proceedings (PubMed, IEEE Xplore, EMBASE, Web of Science, ACM Computer-Human Interface proceedings, and the Cochrane Library) for original articles published between January 2007 and February 2020 that reported perspectives on data visualization of people living with chronic neurological and mental health conditions. Two reviewers independently screened each abstract and full-text article, with disagreements resolved through discussion. Studies were critically appraised and extracted data underwent thematic synthesis. RESULTS We identified 28 eligible publications from 24 studies representing 11 conditions. Coded data coalesced into four themes: desire for data visualization, the impact of visualizations on condition management, visualizations as data reporting tools, and visualization design considerations. Data visualizations were viewed an integral part of users’ experiences with RMT, impacting satisfaction and engagement. However, user preferences were diverse and often conflicting, both between and within conditions. CONCLUSIONS When used effectively, data visualizations are valuable, engaging components of RMT. They can provide structure and insight, allowing individuals to manage their own health more effectively. However, visualizations are not “one-size-fits-all,” and it is important to engage with potential user during visualization design to understand when, how, and with whom the visualizations will be used to manage health.

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Currently prescribed drugs in the UK that could upregulate or downregulate ACE2 in COVID-19 disease: a systematic review

BMJ Open ◽

10.1136/bmjopen-2020-040644 ◽

2020 ◽

Vol 10 (9) ◽

pp. e040644

Author(s):

Hajira Dambha-Miller ◽

Ali Albasri ◽

Sam Hodgson ◽

Christopher R Wilcox ◽

Shareen Khan ◽

...

Keyword(s):

Systematic Review ◽

Web Of Science ◽

Angiotensin Receptor Blockers ◽

Risk Of Bias ◽

Cochrane Library ◽

Channel Blockers ◽

Human Lungs ◽

The Uk ◽

The Cochrane Library ◽

The Impact

ObjectiveTo review evidence on routinely prescribed drugs in the UK that could upregulate or downregulate ACE2 and potentially affect COVID-19 disease.DesignSystematic review.Data sourceMEDLINE, EMBASE, CINAHL, the Cochrane Library and Web of Science.Study selectionAny design with animal or human models examining a currently prescribed UK drug compared with a control, placebo or sham group, and reporting an effect on ACE2 level, activity or gene expression.Data extraction and synthesisMEDLINE, EMBASE, CINAHL, the Cochrane Library, Web of Science and OpenGrey from inception to 1 April 2020. Methodological quality was assessed using the SYstematic Review Centre for Laboratory animal Experimentation (SYRCLE) risk-of-bias tool for animal studies and Cochrane risk-of-bias tool for human studies.ResultsWe screened 3360 titles and included 112 studies with 21 different drug classes identified as influencing ACE2 activity. Ten studies were in humans and one hundred and two were in animal models None examined ACE2 in human lungs. The most frequently examined drugs were angiotensin receptor blockers (ARBs) (n=55) and ACE inhibitors (ACE-I) (n=22). More studies reported upregulation than downregulation with ACE-I (n=22), ARBs (n=55), insulin (n=8), thiazolidinedione (n=7) aldosterone agonists (n=3), statins (n=5), oestrogens (n=5) calcium channel blockers (n=3) glucagon-like peptide 1 (GLP-1) agonists (n=2) and Non-steroidal anti-inflammatory drugs (NSAIDs) (n=2).ConclusionsThere is an abundance of the academic literature and media reports on the potential of drugs that could attenuate or exacerbate COVID-19 disease. This is leading to trials of repurposed drugs and uncertainty among patients and clinicians concerning continuation or cessation of prescribed medications. Our review indicates that the impact of currently prescribed drugs on ACE2 has been poorly studied in vivo, particularly in human lungs where the SARS-CoV-2 virus appears to enact its pathogenic effects. We found no convincing evidence to justify starting or stopping currently prescribed drugs to influence outcomes of COVID-19 disease.

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Improved couple satisfaction and communication with marriage and relationship programs: are there gender differences?—a systematic review and meta-analysis

Systematic Reviews ◽

10.1186/s13643-021-01719-0 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Zeinab Javadivala ◽

Hamid Allahverdipour ◽

Mohammad Asghari Jafarabadi ◽

Somaye Azimi ◽

Neda Gilani ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Gender Differences ◽

Mental Health Professionals ◽

Systematic Reviews ◽

Meta Analysis ◽

Medium Effect ◽

Cochrane Library ◽

Relationship Communication ◽

The Impact

Abstract Background The aspects of marriage and relationship and their effect on couples’ satisfaction are essential and critical aspects to be explored in this globalized and contemporary world. Since there are no reported meta-analysis and systematic reviews conducted in the last two decades in this area, we aimed to investigate the effect of marriage and relationship programs (MRP) on couples’ relationship satisfaction (CRS) and couples’ relationship communication (CRC) and also to determine the gender differences if any. Method In this systematic review and meta-analysis, the randomized clinical trials (RCTs) published between 2000 and July 26, 2019, were retrieved from several online electronic databases such as Medline, Embase, ProQuest, and Cochrane Library. Inclusion and exclusion criteria were developed using the PICO (Population, Intervention, Comparison, Outcome) framework of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The mean differences (MDs) and 95% confidence intervals (CIs) were calculated. The reported summary statistics were calculated as random effects models based on the heterogeneity between the studies model. Funnel plots and the Egger regression test was used to confirm the presence of any publication bias. Results Of the total 12 intervention studies included, five (5) are education/communication skills programs, three (3) enrichment programs, and four (4) therapy programs. The impact of these programs was investigated on CRS and CRC. Therapy programs had a larger effect than other programs (pooled MD: 0.53 (95% CI = 0.35 to 0.71, I2 = 71.5% p = 0.0001) and had a larger effect size on wives (pooled MD: 0.53 (95% CI 0.25 to 0.80, I2 = 74.1% p = 0.0001) than husbands RS (pooled MD: 0.26 (95% CI 0.25 to 0.76, I2 = 72.4% p = 0.0001). In RC (relationship communication) area, the Enhancement programs showed the small to large effect on CRC (pooled MD: 1.31 (95% CI = 0.13 to 2.50, I2 = 94.7% p = 0.0001)) and educational programs showed small to medium effect (pooled MD: 0.32 (95% CI = 0.13 to 0.50, I2 = 74.5% p = 0.0001) on women and no effect on men. Conclusion Due to the high effect of the therapy programs on CRS and enhancement program on CRC in the current meta-analysis, the priority of their utilizations in interventions, especially by psychologists and mental health professionals, should be emphasized. Therefore, mental health planning in communities to develop MRP and care for couples’ health should be given special attention to men’s health. Due to the high heterogeneity of the results and with scanty literature in this specific domain, we are uncertain about their actual effect. However, well-designed RCTs with a larger sample size would be beneficial in closely examining the effect of MRPs on CRS and CRC.

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Weight Gain Associated with COVID-19 Lockdown in Children and Adolescents: A Systematic Review and Meta-Analysis

Nutrients ◽

10.3390/nu13103668 ◽

2021 ◽

Vol 13 (10) ◽

pp. 3668

Author(s):

Tu-Hsuan Chang ◽

Yu-Chin Chen ◽

Wei-Yu Chen ◽

Chun-Yu Chen ◽

Wei-Yun Hsu ◽

...

Keyword(s):

Systematic Review ◽

Body Weight ◽

Weight Gain ◽

Children And Adolescents ◽

Body Weight Gain ◽

Meta Analysis ◽

School Age Children ◽

Cochrane Library ◽

The Cochrane Library ◽

The Impact

Background: Lockdown is an effective nonpharmaceutical intervention to reduce coronavirus disease 2019 (COVID-19) transmission, but it restricts daily activity. We aimed to investigate the impact of lockdown on pediatric body weight and body mass index (BMI). Methods: The systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. Four online databases (EMBASE, Medline, the Cochrane Library and CINAHL) were searched. Results: The pooled results showed that lockdown was associated with significant body weight gain (MD 2.67, 95% CI 2.12–3.23; p < 0.00001). The BMI of children with comorbidities or obesity did not change significantly. The BMI of general population was significantly higher during lockdown than before the pandemic (MD 0.94, 95% CI 0.32–1.56; p = 0.003). However, heterogeneity was high (I2 = 84%). Among changes in weight classification, increases in the rates of obesity (OR 1.23, 95% CI 1.10–1.37; p = 0.0002) and overweight (OR 1.17, 95% CI 1.06–1.29; p = 0.001) were reported. Conclusions: Our meta-analysis showed significant increases in body weight and BMI during lockdown among school-age children and adolescents. The prevalence of obesity and overweight also increased. The COVID-19 pandemic worsened the burden of childhood obesity.

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Breastfeeding in Cystic Fibrosis: A Systematic Review on Prevalence and Potential Benefits

Nutrients ◽

10.3390/nu13093263 ◽

2021 ◽

Vol 13 (9) ◽

pp. 3263

Author(s):

Carla Colombo ◽

Gianfranco Alicandro ◽

Valeria Daccò ◽

Alessandra Consales ◽

Fabio Mosca ◽

...

Keyword(s):

Systematic Review ◽

Cystic Fibrosis ◽

Retrospective Cohort ◽

Cochrane Library ◽

Healthy Population ◽

Retrospective Cohort Studies ◽

Normative Standard ◽

Measure Of Association ◽

The Cochrane Library ◽

The Impact

Breastfeeding (BF) is considered the normative standard of feeding for all infants. However, the impact of BF in patients with cystic fibrosis (CF) is not completely defined. Therefore, we conducted a systematic review to evaluate BF prevalence in the CF population and its impact on anthropometric and pulmonary outcomes. We searched MEDLINE, Embase and the Cochrane Library for original articles published in English up to 4 December 2020 that report the prevalence of BF and/or any measure of association between BF and anthropometric or pulmonary outcomes. Nine observational studies were identified (six retrospective cohort studies, one prospective cohort study, one survey and one case–control study within a retrospective cohort). The BF rate in CF patients is lower than that of the healthy population (approximately 50–60% of infants were breastfed at any time). The benefits in anthropometric outcomes of BF for >2 months in this at-risk population are unclear. A few relatively small studies suggest a potential benefit of BF in reducing lung infections, although data are inconsistent. The currently available data are insufficient to draw definite conclusions on the benefits of exclusive BF in anthropometric and pulmonary outcomes in CF. Clinical trials evaluating well-defined BF promotion interventions are needed.

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Currently prescribed drugs in the UK that could up or downregulate ACE2 in COVID-19 disease: A systematic review

10.1101/2020.05.19.20106856 ◽

2020 ◽

Cited By ~ 1

Author(s):

Hajira Dambha-Miller ◽

Ali Albasri ◽

Sam Hodgson ◽

Christopher R Wilcox ◽

Shareen Khan ◽

...

Keyword(s):

Systematic Review ◽

Angiotensin Converting Enzyme ◽

Web Of Science ◽

Risk Of Bias ◽

Cochrane Library ◽

Converting Enzyme ◽

Human Lungs ◽

The Uk ◽

The Cochrane Library ◽

The Impact

Objective: To review evidence on routinely prescribed drugs in the UK that could up or downregulate Angiotensin Converting Enzyme 2 (ACE2) and potentially affect COVID-19 disease Design: Systematic review Data source: MEDLINE, EMBASE, CINAHL, the Cochrane Library and Web of Science Study selection: Any design with animal or human models examining a currently prescribed UK drug compared to a control, placebo or sham group, and reporting an effect on ACE2 level, activity or gene expression. Data extraction and synthesis: MEDLINE, EMBASE, CINAHL, the Cochrane Library, Web of Science and OpenGrey from inception to 1st April 2020. Methodological quality was assessed using the SYRCLE's risk of bias tool for animal studies and Cochrane risk of bias tool for human studies. Results: We screened 3,360 titles and included 112 studies with 21 different drug classes identified as influencing ACE2 activity. Ten studies were in humans and 102 were in animal models None examined ACE2 in human lungs. The most frequently examined drugs were Angiotensin Receptor Blockers (ARBs) (n= 55) and Angiotensin-Converting Enzyme- Inhibitors (ACE-I) (n= 22). More studies reported upregulation than downregulation with ACE-I (n=22), ARBs (n=55), insulin (n=8), thiazolidinedione (n=7) aldosterone agonists (n=3), statins (n=5), oestrogens (n=5) calcium channel-blockers (n=3) GLP-1 agonists (n=2) and NSAIDs (n=2). Conclusions: There is an abundance of academic literature and media reports on the potential of drugs that could attenuate or exacerbate COVID-19 disease. This is leading to trials of repurposed drugs and uncertainty amongst patients and clinicians concerning continuation or cessation of prescribed medications. Our review indicates that the impact of currently prescribed drugs on ACE2 has been poorly studied in-vivo, particularly in human lungs where the SARS-CoV-2 virus appears to enact its pathogenic effects. We found no convincing evidence to justify starting or stopping currently prescribed drugs to influence outcomes of COVID-19 disease.

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