scholarly journals Experience Disclosing Mental Health Conditions Among College Students from Different Ethnic Backgrounds

2019 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Shilpa R. Hampole ◽  
Steven H. S. Nguyen ◽  
Erin L. Woodhead

Aim: The current study compared disclosure of mental health problems to staff, faculty, and peers among college students from different ethnic backgrounds. Background: Although there are differences in mental health stigma between college students from different ethnic backgrounds, there is limited research on whether these differences are associated with negative experiences disclosing mental health conditions on campus. Methods: The sample (N = 66) was 71% female; average age was 19.03 years (SD = 1.14). Participants identified as Latino/a (35.4%), Asian American (33.8%), Caucasian (13.8%), or other/mixed ethnicity (16.9%). Results: For disclosure to staff, there was a main effect of ethnicity. Post-hoc analyses found that Latino/a students were significantly more comfortable disclosing mental health problems to staff than Asian American students. There were no significant effects for disclosure to faculty or peers. Conclusions: This preliminary study suggests that universities must optimize outreach and mental health services for different ethnic groups to improve campus experience around mental health conditions.

2021 ◽  
Author(s):  
Prisha Shah ◽  
Jackie Hardy ◽  
Mary Birken ◽  
Una Foye ◽  
Rachel Rowan Olive ◽  
...  

Purpose: We sought to understand how the experiences of people in the UK with pre-existing mental health conditions had developed during the course of the COVID-19 pandemic. Methods: In September-October 2020 we interviewed adults with mental health conditions pre-dating the pandemic whom we had previously interviewed three months earlier. Participants had been recruited through online advertising and voluntary sector community organisations. Interviews were conducted by telephone or video-conference by researchers with lived experience of mental health difficulties and explored changes over time in experiences of participants of the pandemic. Results: We interviewed 44 people, achieving diversity of demographic characteristics and a range of mental health conditions and service use among our sample. Three overarching themes were derived from interviews. The first theme Spectrum of adaptation: to difficulties in access to, or the quality of, statutory mental health services, through developing new personal coping strategies or identifying alternative sources of support. The second theme is Accumulating pressures: from pandemic-related anxieties and sustained disruption to social contact and support, and to mental health treatment. The third theme Feeling overlooked: A sense of people with pre-existing mental health conditions being overlooked during the pandemic by policy-makers at all levels. The latter was compounded for people from ethnic minority communities or with physical health problems. Conclusion: Our study highlights the need to support marginalised groups who are at risk of increased inequalities, and to maintain crucial mental and physical healthcare and social care for people with existing mental health conditions, notwithstanding challenges of the pandemic.


Author(s):  
Ahmed Samei Huda

There is increased risk caused by social difficulties and/or childhood trauma for developing both general medical and mental health conditions, with overlap in similarity of magnitude of some increased risks, although intermediary mechanisms may differ. Social factors are the most important determinants of health status. Reducing social adversity and childhood trauma would improve the physical and mental health of the population. Life events and stresses/hassles are a more specific risk factor for mental health problems. Social factors are often inadequate to explain the nature and severity of people’s mental health problems without taking into account psychobiological factors. Given the greater effect of culture on how mental health conditions are expressed, there is some overlap between psychiatric and general medical diagnostic constructs rather than near total overlap. Mental health conditions do seem associated with greater stigma (some of this seems related to the categorical nature of diagnostic constructs) and also with greater use of coercion than for general medical conditions, but this also occurs for general medical conditions hence the conclusion of some overlap.


10.2196/14825 ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. e14825
Author(s):  
Lay San Too ◽  
Liana Leach ◽  
Peter Butterworth

Background Mental health support and interventions are increasingly delivered on the web, and stepped care systems of mental health services are embracing the notion of a digital gateway through which individuals can have access to information, assessment, and services and can be connected with more intensive services if needed. Although concerns have been raised over whether people with mental health problems are disadvantaged in terms of their access to the internet, there is a lack of representative data on this topic. Objective This study aimed to examine the relationship between mental health and internet access, particularly lack of access because of affordability issues. Methods Data from wave 14 of the Household, Income, and Labour Dynamics in Australia survey were used (n=15,596) in the analyses. Sample weights available in the survey were used to calculate the proportion of those with or without internet access for those with and without mental health problems and more severe long-term mental health conditions. These proportions were also calculated for those with and without internet access due, specifically, to affordability issues. Multinomial logistic regression analyses assessed the relationship between mental health status and internet access/affordability issues, adjusting for a range of covariates. Results Access to the internet was poorer for those with mental health problems (87.8%) than those without mental health problems (92.2%), and the difference was greater when a measure of more severe mental health conditions was used (81.3% vs 92.2%). The regression models showed that even after adjusting for a broad range of covariates, people with mental ill health were significantly more likely to have no internet access because of unaffordability than those without mental ill health (mental health problems: relative risk ratio [RRR] 1.68; 95% CI 1.11-2.53 and severe mental health conditions: RRR 1.92; 95% CI 1.16-3.19). Conclusions As Australia and other nations increasingly deliver mental health services on the web, issues of equity and affordability need to be considered to ensure that those who most need support and assistance are not further disadvantaged.


2016 ◽  
Author(s):  
Alastair G Canaway ◽  
Christopher J Sampson

Background. Interventions and services for people with mental health problems can have broad remits: they are often designed to treat people with a variety of diagnoses. Furthermore, addressing mental health problems can have long term implications for economic, social and health outcomes. This represents a challenge for economic evaluation, where long term trial data can be lacking. In this review we will seek to identify how analysts have sought to tackle this problem. We will review the methods used to extrapolate costs and outcomes for the purpose of economic evaluation, where long term trial data are not available. Methods/design. We will carry out a review of the medical and economic literature evaluating long-term costs and outcomes for mental health interventions and services designed to treat or prevent more than two mental health conditions. We will search the key health economic databases, including: OVID Medline, Embase, Psycinfo, CINAHL, and EconLit. The two authors will independently screen the returned results. Any discrepancies will be resolved by deliberation between the two authors. Key information will be extracted from the papers which successfully pass through the screening process. The findings will be highlighted through a narrative analysis and tabulated data. Discussion. This review will shed light on the existing methods used to model into the future when multiple mental health conditions are considered. The review will discuss the strengths and weakness within current methodologies, highlight existing flaws, and provide guidance for future economic evaluations of interventions targeting multiple mental health conditions.


2021 ◽  
Author(s):  
Cherry Y. Leung ◽  
Sandra J. Weiss

AbstractBackgroundMental health conditions have increased over the past several decades. While there is growing evidence that the gut microbiome affects mental health, there are limited studies focused on children, adolescents, and young adults. This scoping review examined the existing literature and compared findings on the relationships between the gut microbiome with mental health across these younger age groups.MethodsA literature search using PubMed, PsycINFO, and CINAHL was performed, and bibliographies were manually searched. Eighteen articles met eligibility for our scoping review. Findings from each study were evaluated, focusing on bacterial composition and diversity among children/adolescents and young adults.ResultsThere were no studies specifically on the adolescent age group, so data was synthesized comparing the child/adolescent (2 to <18 years of age) and young adult (18-25 years of age) groups. Studies utilized several different methods for gut microbiome analysis and examined various mental health conditions. Findings for both age groups were mostly inconsistent. However, Bifidobacteria seems to be associated with better mental health. Alpha diversity was lower for children/adolescents with ADHD and high stress but higher for young adults with ADHD and Major Depressive Disorder.LimitationsThere were inconsistencies across studies, likely due to differences in mental health problems examined, populations assessed, and research designs or measurements used.ConclusionsFuture research should replicate studies to confirm findings, examine lower taxonomic levels, consider longitudinal designs to assess for directionality, and consider clinical trials to examine the effects of probiotics with the same strains to manage mental health symptoms.


2016 ◽  
Author(s):  
Alastair G Canaway ◽  
Christopher J Sampson

Background. Interventions and services for people with mental health problems can have broad remits: they are often designed to treat people with a variety of diagnoses. Furthermore, addressing mental health problems can have long term implications for economic, social and health outcomes. This represents a challenge for economic evaluation, where long term trial data can be lacking. In this review we will seek to identify how analysts have sought to tackle this problem. We will review the methods used to extrapolate costs and outcomes for the purpose of economic evaluation, where long term trial data are not available. Methods/design. We will carry out a review of the medical and economic literature evaluating long-term costs and outcomes for mental health interventions and services designed to treat or prevent more than two mental health conditions. We will search the key health economic databases, including: OVID Medline, Embase, Psycinfo, CINAHL, and EconLit. The two authors will independently screen the returned results. Any discrepancies will be resolved by deliberation between the two authors. Key information will be extracted from the papers which successfully pass through the screening process. The findings will be highlighted through a narrative analysis and tabulated data. Discussion. This review will shed light on the existing methods used to model into the future when multiple mental health conditions are considered. The review will discuss the strengths and weakness within current methodologies, highlight existing flaws, and provide guidance for future economic evaluations of interventions targeting multiple mental health conditions.


Author(s):  
Rachel Calam ◽  
Anja Wittkowski

Parenthood can be more challenging when a parent experiences serious mental health problems, which can negatively affect family life and children’s emotional, social, and behavioral development. Parental distress and mental health problems increase the risk of mental health problems in children and adolescents. Data suggest that well over half of service users with psychosis or psychiatric disorder are also parents. This chapter focuses on research into mental health difficulties in the perinatal period and parenting with psychosis and with bipolar disorder. To date, promising outcomes have been found for initial trials investigating the delivery of parenting support to parents with serious mental health conditions, particularly bipolar disorder, but empirical work is limited. The chapter identifies priority areas for research to refine approaches to parenting support to best suit different mental health conditions and contexts.


2019 ◽  
Author(s):  
Lay San Too ◽  
Liana Leach ◽  
Peter Butterworth

BACKGROUND Mental health support and interventions are increasingly delivered on the web, and stepped care systems of mental health services are embracing the notion of a digital gateway through which individuals can have access to information, assessment, and services and can be connected with more intensive services if needed. Although concerns have been raised over whether people with mental health problems are disadvantaged in terms of their access to the internet, there is a lack of representative data on this topic. OBJECTIVE This study aimed to examine the relationship between mental health and internet access, particularly lack of access because of affordability issues. METHODS Data from wave 14 of the <i>Household, Income, and Labour Dynamics in Australia</i> survey were used (n=15,596) in the analyses. Sample weights available in the survey were used to calculate the proportion of those with or without internet access for those with and without mental health problems and more severe long-term mental health conditions. These proportions were also calculated for those with and without internet access due, specifically, to affordability issues. Multinomial logistic regression analyses assessed the relationship between mental health status and internet access/affordability issues, adjusting for a range of covariates. RESULTS Access to the internet was poorer for those with mental health problems (87.8%) than those without mental health problems (92.2%), and the difference was greater when a measure of more severe mental health conditions was used (81.3% vs 92.2%). The regression models showed that even after adjusting for a broad range of covariates, people with mental ill health were significantly more likely to have no internet access because of unaffordability than those without mental ill health (mental health problems: relative risk ratio [RRR] 1.68; 95% CI 1.11-2.53 and severe mental health conditions: RRR 1.92; 95% CI 1.16-3.19). CONCLUSIONS As Australia and other nations increasingly deliver mental health services on the web, issues of equity and affordability need to be considered to ensure that those who most need support and assistance are not further disadvantaged.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Heuckendorff ◽  
M N Johansen ◽  
C Overgaard ◽  
S P Johnsen ◽  
K Fonager

Abstract Background Many children, approximately one out of four to five, live in families with parental mental health problems. Knowledge on the impact of other mental health problems than depression or anxiety is sparse as well as the impact of the father. Therefore, we aimed to examine the effect of maternal and paternal mental health on child respiratory illness. Methods A population-based birth cohort study was conducted including all Danish children born from 2000-2012 using the Danish nationwide registers. Two follow-up periods were created: From age 1-2 and age 3-5. Mental health was categorised in three: No mental health problems, minor mental health condition if handled in solely primary healthcare; and moderate-severe if handled in psychiatric healthcare settings. Child respiratory illness was identified by prescribed medication or hospital-based diagnoses. Incidence rate ratios (IRR) were calculated using Poisson regression analysis. Results The analyses included 810,243 children. 26% of the mothers and 17% of the fathers were classified with mental health conditions. Children of parents with mental health conditions were more likely to have respiratory illness (10-12% vs. 7.7%). Adjusted IRRs revealed higher risks for children of mothers with minor (IRR 1.32 (CI95% 1.30-1.34)) and moderate-severe mental health conditions (IRR 1.48 (CI95% 1.44-1.51)). For paternal mental health, the IRRs were 1.14 (CI95% 1.12-1.16) for minor and IRR 1.14 (CI95% 1.11-1.17) for moderate-severe mental health conditions. The IRRs were a little higher for the children aged 1-2 years compared to 3-5-years. Conclusions Children of parents with mental health conditions were at greater risk of respiratory illness. This was evident for the mental health of both parents, most pronounced for the mother. Not only moderate-severe, but also minor mental health conditions increased the risk of respiratory illness.


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