Condemning Self, Condemning Other: Blame and Mental Health in Women Suffering Stillbirth

2013 ◽  
Vol 35 (4) ◽  
pp. 342-359 ◽  
Author(s):  
Joanne Cacciatore ◽  
J. Frøen ◽  
Michael Killian
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Mental Health Counselors ◽  
Self Blame ◽  
Hopkins Symptom Checklist ◽  
Born Child ◽  
Abuse During Pregnancy ◽  
Other Blame

Every year around the globe there are more than two million stillbirths, yet stillbirth is generally treated as a non-event, considered less impactful than the death of a live-born child. In up to 60 percent of third-trimester stillbirths, the causes of death were attributed to maternal conditions or were "undetermined." As a result, mothers blame themselves or specific others. This analysis set out to determine how the attitudes of 2,232 bereaved mothers predict their mental health outcomes measuring depressive and anxious symptoms with the Hopkins Symptom Checklist (HSCL). Of the women sampled, 24.6% reported blaming themselves, and 42.3% reported elevated HSCL mean scores. Self-blame in particular is correlated with symptoms of anxiety and depression. Multivariate analyses predicting elevated HSCL scores demonstrated the importance of time after death, level of education, and reported abuse during pregnancy in the models, as did self-blame and blaming others. Controlling for other demographic and pregnancy-related variables, self-blame was the strongest predictor of poor mental health outcomes. Implications for mental health counselors are discussed.

scholarly journals Individual- and Relationship-Level Factors Related to Better Mental Health Outcomes following Child Abuse: Results from a Nationally Representative Canadian Sample

2016 ◽  
Vol 61 (12) ◽  
pp. 776-788 ◽  
Author(s):  
Tracie O. Afifi ◽  
Harriet L. MacMillan ◽  
Tamara Taillieu ◽  
Sarah Turner ◽  
Kristene Cheung ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Abuse ◽  
Health Outcomes ◽  
Well Being ◽  
Canadian Community Health Survey ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Abuse History ◽  
Good Mental Health ◽  
Nationally Representative

Objective: Child abuse can have devastating mental health consequences. Fortunately, not all individuals exposed to child abuse will suffer from poor mental health. Understanding what factors are related to good mental health following child abuse can provide evidence to inform prevention of impairment. Our objectives were to 1) describe the prevalence of good, moderate, and poor mental health among respondents with and without a child abuse history; 2) examine the relationships between child abuse and good, moderate, and poor mental health outcomes; 3) examine the relationships between individual- and relationship-level factors and better mental health outcomes; and 4) determine if individual- and relationship-level factors moderate the relationship between child abuse and mental health. Method: Data were from the nationally representative 2012 Canadian Community Health Survey: Mental Health ( n = 23,395; household response rate = 79.8%; 18 years and older). Good, moderate, and poor mental health was assessed using current functioning and well-being, past-year mental disorders, and past-year suicidal ideation. Results: Only 56.3% of respondents with a child abuse history report good mental health compared to 72.4% of those without a child abuse history. Individual- and relationship-level factors associated with better mental health included higher education and income, physical activity, good coping skills to handle problems and daily demands, and supportive relationships that foster attachment, guidance, reliable alliance, social integration, and reassurance of worth. Conclusions: This study identifies several individual- and relationship-level factors that could be targeted for intervention strategies aimed at improving mental health outcomes following child abuse.

scholarly journals Social services Interventions and the Mental Health and Mortality of care leavers: a population based data linkage study in Northern Ireland and Finland

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Aideen Maguire ◽  
Anne Kouvonen ◽  
Dermot O'Reilly ◽  
Hanna Remes ◽  
Joonas Pitkänen ◽  
...  
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Health Outcomes ◽  
Social Services ◽  
Psychiatric Hospital ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Care Intervention ◽  
Increased Risk ◽  
Self Harm

BackgroundResearch has highlighted the poor mental health of looked after children compared to those never in care. However, little is known on what becomes of these children and their mental health trajectories after they leave the care of social services. In addition, previous studies are limited in their ability to differentiate between type of social care intervention received; kinship care, foster care or residential care. AimTo utilise nationwide social services data from two countries (Northern Ireland (NI) and Finland), with similar populations but different intervention policies, linked to a range of demographic and health datasets to examine the mental health outcomes of young adults in the years following leaving care. MethodsData from both countries on children born 1991-2000 were linked to social services data, hospital admissions, prescribed medication data and death records. Mental health outcomes were defined after the age of 18years (when statutory care provision ends) examined by care intervention and included admissions to psychiatric hospital, for self-harm and death by suicide. ResultsThe gender split in care in Finland is reflective of the population but more males are in care in NI. Initial results from Finnish data suggest those exposed to care in childhood have an increased risk of self-harm, psychiatric hospital admission and suicide after the age of 18years compared to those never in care. After adjusting for gender, age of entry to care and deprivation at birth those exposed to any care intervention had 3 times the risk of suicide (HR=3.06, 95% CI 1.18,7.98). Risk increased with duration in care but was equivalent across care intervention types. Analysis on the NI data is underway. ConclusionFull results will be available December 2019 and will explore which care pathways are most associated with poor mental health outcomes informing discussion around intervention opportunities and policy.

scholarly journals Sibling Bullying: A Prospective Longitudinal Study of Associations with Positive and Negative Mental Health during Adolescence

2021 ◽  
Author(s):  
Umar Toseeb ◽  
Dieter Wolke
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Early Adolescence ◽  
Developmental Trajectories ◽  
Late Adolescence ◽  
Population Based ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Prospective Longitudinal Study ◽  
Prospective Longitudinal

AbstractSibling bullying is associated with poor mental health outcomes, but the relevance of specific bullying roles remains unclear. Data from a population-based study (n = 17,157, 48% female) focusing on early (11 years), middle (14 years), and late (17 years) adolescence were analyzed. Associations between sibling bullying roles in early adolescence and positive and negative mental health outcomes in late adolescence were investigated. Generally, bullying, irrespective of role, was associated with poorer mental health outcomes in late adolescence. As the frequency of bullying victimization increased between early and middle adolescence so did the severity of mental health outcomes in late adolescence. The developmental trajectories of externalizing problems were influenced by bullying in early adolescence. Sibling bullying, irrespective of role, is associated with poor mental health outcomes.

scholarly journals Association between psychological distress trajectories from adolescence to midlife and mental health during the pandemic: Evidence from two British birth cohorts

2021 ◽  
Author(s):  
Vanessa Moulton ◽  
Alice Sullivan ◽  
Praveetha Patalay ◽  
Emla Fitzsimons ◽  
Morag Henderson ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Health Outcomes ◽  
Latent Variable ◽  
Age Of Onset ◽  
Secondary Analysis ◽  
Poisson Model ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Birth Cohorts

Abstract Background Some studies suggest worsening mental health in the early stages of the pandemic, for individuals with pre-existing mental health conditions the evidence is mixed. We examined whether different life-course trajectories of psychological distress from adolescence to midlife were associated with psychological distress, lower life satisfaction and feelings of loneliness at different stages during the pandemic. Methods This study is a secondary analysis of two nationally representative British Birth cohorts, the National Child Development Study (1958) and 1970 British Cohort Study, from birth to later mid-life. We used latent variable mixture models to identify pre-pandemic longitudinal trajectories of psychological distress and a modified poisson model with robust standard errors to estimate associations with mental health outcomes during the pandemic from May 2020 to March 2021. Findings Our analysis identified five distinct pre-pandemic trajectories of psychological distress in both cohorts. All trajectories with prior symptoms of psychological distress were associated with a greater relative risk of mental health outcomes during the pandemic. This was the case irrespective of age of onset, severity, longevity and proximal occurrence. Those who had experienced more than one prior episode of high psychological distress, and more recent occurrences, faced the greatest risk of poor mental health during the pandemic. Interpretation Whilst any prior episode of poor mental health put individuals at greater risk of severe mental health symptoms, those with chronic and more recent occurrence are likely to require greater mental health support.

scholarly journals Mental health outcomes among front and second line health workers associated with the COVID-19 pandemic in Italy

2020 ◽  
Author(s):  
Rodolfo Rossi ◽  
Valentina Socci ◽  
Francesca Pacitti ◽  
Giorgio Di Lorenzo ◽  
Antinisca Di Marco ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Perceived Stress ◽  
Health Workers ◽  
Severe Depression ◽  
Female Gender ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Post Traumatic Stress ◽  
Associated Risk Factors

AbstractIn this study, we report on mental health outcomes among health workers (HWs) involved with the COVID-19 pandemic in Italy.Data on mental health on 1379 HWs were collected between March 27th and March 31th 2020 using an on-line questionnaire spread throughout social networks, using a snowball technique along with sponsored social network advertisement. Key mental health outcomes were Post-Traumatic Stress Disorder symptoms (PTSD), severe depression, anxiety, insomnia and perceived stress.PTSD symptoms, severe depression, anxiety and insomnia, and high perceived stress were endorsed respectively by 681 (49.38%), 341 (24.73%), 273 (19.80%), 114 (8.27%) and 302 (21.90%) respondents. Regression analysis show that younger age, female gender, being a front-line HWs, having a colleague deceased, hospitalised or in quarantine were associated with poor mental health outcomes.This is the first report on mental health outcomes and associated risk factors among HWs associated with the COVID-19 pandemic in Italy, confirming a substantial proportion of health workers involved with the COVID-19 pandemic having mental health issues, in particular young women, first-line HWs.

Mental Health Supports and Young People Transitioning from Out-of-home Care in Victoria

2015 ◽  
Vol 41 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Adina Rahamim ◽  
Philip Mendes
Keyword(s):  
Mental Health ◽  
Young People ◽  
Home Care ◽  
Health Outcomes ◽  
Childhood Abuse ◽  
Service Providers ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Out Of Home Care ◽  
The Impact

Young people transitioning from out-of-home care (OHC) are a vulnerable group. One particular manifestation of disadvantage is poor mental health outcomes which may reflect both the traumatic effects of childhood abuse, and a lack of support on leaving care. This article presents the findings of a small qualitative study undertaken in Victoria which explored the views of OHC and mental health service providers regarding the mental health support needs of care leavers. The findings are consistent with existing research results internationally in highlighting a number of key factors that influence mental health outcomes including the impact of pre-care, in-care and transition from care experiences.

Associations between negative life experiences and the mental health of trans and gender diverse young people in Australia: findings from Trans Pathways

2019 ◽  
Vol 50 (5) ◽  
pp. 808-817 ◽  
Author(s):  
Penelope Strauss ◽  
Angus Cook ◽  
Sam Winter ◽  
Vanessa Watson ◽  
Dani Wright Toussaint ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Health Outcomes ◽  
Life Experiences ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Negative Experiences ◽  
Gender Diverse ◽  
And Gender ◽  
Negative Life Experiences

AbstractBackgroundTrans and gender diverse (TGD) young people worldwide experience high rates of poor mental health; however, these rates were unknown in Australia. In addition, how negative life events affect the mental health of TGD young people has been largely unexplored.MethodsThis paper reports on novel mental health findings of Trans Pathways, the largest study ever conducted in Australia with trans (transgender) and gender diverse young people (N = 859; aged 14–25 years). The study was an anonymous online cross-sectional survey undertaken in 2016. Logistic and linear regression models were used to test associations between mental health outcomes and negative life experiences.ResultsTGD young people in Australia experience high levels of mental distress, including self-harming (79.7%), suicidal thoughts (82.4%), and attempting suicide (48.1%). Three in four participants had been diagnosed with depression and/or anxiety (74.6% and 72.2%, respectively). Many TGD young people had been exposed to negative experiences such as peer rejection (89.0%), precarious accommodation (22.0%), bullying (74.0%), and discrimination (68.9%). Most poor mental health outcomes were associated with negative experiences. The strongest associations were found for precarious accommodation and issues within educational settings. For example, participants with a prior suicide attempt were almost six times more likely to have experienced issues with accommodation, including homelessness.ConclusionsThe current results highlight the urgent need for better mental health care and provide insight into areas for targeted mental health interventions. These findings are pertinent for clinicians working with trans young people and wider society.

Survivors of Homicide: Mental Health Outcomes, Social Support, and Service Use Among a Community-Based Sample

2015 ◽  
Vol 30 (5) ◽  
pp. 870-883 ◽  
Author(s):  
Alyssa A. Rheingold ◽  
Joah L. Williams
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Outcomes ◽  
Service Use ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Symptom Presentation ◽  
Community Based ◽  
Major Depressive ◽  
Significant Symptom

This study aims to explore rates of bereavement-related mental health outcomes and diagnostic comorbidity along with the associations between mental health outcomes, perceived social support, knowledge of services, and service use among a diverse sample of 47 survivors 2 years postloss. Findings are consistent with prior studies in that homicide is associated with an overlapping of significant symptom presentation of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and complicated grief (CG). Lack of grief-specific social support was demonstrated to be associated with PTSD and MDD but not with CG. Although a significant number of survivors reported poor mental health outcomes, a limited number were using services.

scholarly journals A three-wave network analysis of COVID-19's impact on schizotypal traits, paranoia and mental health through loneliness

2021 ◽  
Author(s):  
Keri Ka-Yee Wong ◽  
Wang yi ◽  
Gianluca Esposito ◽  
Adrian Raine
Keyword(s):  
Mental Health ◽  
Network Analysis ◽  
Health Outcomes ◽  
Peer Review Process ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Mental Wellbeing ◽  
Long Run ◽  
The Uk ◽  
Anxiety Depression

**This manuscript has been submitted for publication and is likely to be edited as part of the peer-review process. Correspondence regarding this paper should be addressed to Keri Ka-Yee Wong, [email protected].**Background. The 2019 coronavirus (COVID-19) pandemic has impacted people’s mental wellbeing. Studies to date have examined the prevalence of mental health symptoms (anxiety, depression, loneliness), yet fewer longitudinal studies have compared across background factors and other psychological variables to identify vulnerable sub-groups. This study tests to what extent higher levels of psychotic-like experiences – indexed by schizotypal traits and paranoia – are associated with various mental health variables 6- and 12-months since April 2020.Methods. Over 2,300 adult volunteers (18-89 years, female=74.9%) with access to the study link online were recruited from the UK, USA, Greece, and Italy. Self-reported levels of schizotypy, paranoia, anxiety, depression, aggression, loneliness, and stress from three timepoints (17 April to 13 July 2020, N1 =1,599; 17 October to 31 January 2021, N2 =774; and 17 April to 31 July 2021, N3 =586) were mapped using network analysis and compared across time and background variables (sex, age, income, country). Results. Schizotypal traits and paranoia were positively associated with poorer mental health through loneliness, with no effect of age, sex, income levels, countries, and timepoints. Loneliness was the most influential variable across all networks, despite overall reductions in levels of loneliness, schizotypy, paranoia, and aggression during the easing of lockdown. Individuals with higher levels of schizotypal traits/paranoia reported poorer mental health outcomes than individuals in the low-trait groups.Conclusion. Schizotypal traits and paranoia are associated with poor mental health outcomes through self-perceived loneliness, suggesting that increasing social/community cohesion may improve individuals’ mental wellbeing in the long run.

Sign in / Sign up

Export Citation Format

Share Document