scholarly journals Public Stigma on Depression Comorbid with Diabetes: A Vignette-Method Study in China

Author(s):  
Patrick Leung ◽  
Robin E. Gearing ◽  
Wanzhen Chen ◽  
Monit Cheung ◽  
Kathryne B. Brewer ◽  
...  

Abstract Background: Depression and diabetes are common illnesses affecting individuals with health challenges and family stress. Research suggested stigma-reduction interventions for families facing health-related stressors. This study examined factors predicting public stigma on depression alone or comorbid with diabetes. Methods: In Shanghai, China, consented respondents to a community-based survey read one of four vignettes varied by depression types and gender of the Vignette Subject (VS). This vignette method measures each respondent’s Individualized Public Stigma score, attitude toward the subject’s family with the Devaluation of Consumer’s Families score, and problem seriousness leading to stress. Results: 125 respondents expressed views on depression or diabetes-associated depression via their answers to a randomly assigned vignette. Results show significant associations with Individualized Public Stigma when entering the regression model with five variables: problem seriousness, knowing someone with a mental health problem, subject’s gender, attitude toward the subject’s family, and depression comorbid with diabetes. Regression statistics showed that a person’s Individualized Public Stigma scores could be predicted by two of these variables: perceived problem seriousness and sympathy toward the affected family. Yet, comorbidity with diabetes was not a significant predictor of stigma. Conclusions: This study concludes that the cultural value toward community support could be an educational means to help the public realize the importance of protecting the families affected by mental health stigma. Applying this theory in action, practitioners must assess how self-stigmatization interfaces with the public perception of the patient's family. In addition, when people have a highly sympathetic attitude toward the patient’s family and perceive the presenting problem as severe, they must be aware of the impact of individualized stigma on the patient. Future research must focus on these cultural perspectives to support early anti-stigma interventions.

2000 ◽  
Vol 151 (1) ◽  
pp. 21-25
Author(s):  
Marcel Hunziker ◽  
Astrid Wallner

The research carried out by the Section of Landscape and Society at the Swiss Federal Institute for Forest, Snow and Landscape Research (WSL) deals with the interaction between landscape and society. To date, the following aspects have been studied: (1) the public perception and opinion of developments in nature, landscape and environment, (2) the public perception and opinion of scientific debate on such developments,and (3) social action as a result of these developments. Striving for detailed understanding of these interactions, the methods used were based on techniques of qualitative social research. One research project examined the impact that model experiments on ecosystems had on public environmental discussion. Future research will concentrate on the following aspects of society-landscape-interaction: (1) to what extent the «needs» of the countryside are being met in areas intended for everyday and recreational use, (2) how decisions taken on a global/national level are being implemented at a local/regional, and (3) cultural and regional variations.


2021 ◽  
pp. e1-e10
Author(s):  
Ellesse-Roselee Akré ◽  
Andrew Anderson ◽  
Kristefer Stojanovski ◽  
Kara W. Chung ◽  
Nicole A. VanKim ◽  
...  

Objectives. To describe disparities in depression, anxiety, and problem drinking by sexual orientation, sexual behavior, and gender identity during the COVID-19 pandemic. Methods. Data were collected May 21 to July 15, 2020, from 3245 adults living in 5 major US metropolitan areas (Atlanta, Georgia; Chicago, Illinois; New Orleans, Louisiana; New York, New York; and Los Angeles, California). Participants were characterized as cisgender straight or LGBTQ+ (i.e., lesbian, gay, bisexual, and transgender people, and men who have sex with men, and women who have sex with women not identifying as lesbian, gay, bisexual, or transgender). Results. Cisgender straight participants had the lowest levels of depression, anxiety, and problem drinking compared with all other sexual orientation, sexual behavior, and gender identity groups, and, in general, LGBTQ+ participants were more likely to report that these health problems were “more than usual” during the COVID-19 pandemic. Conclusions. LGBTQ+ communities experienced worse mental health and problem drinking than their cisgender straight counterparts during the COVID-19 pandemic. Future research should assess the impact of the pandemic on health inequities. Policymakers should consider resources to support LGBTQ+ mental health and substance use prevention in COVID-19 recovery efforts. (Am J Public Health. Published online ahead of print August 19, 2021: e1–e10. https://doi.org/10.2105/AJPH.2021.306394 )


2020 ◽  
Vol 60 (1) ◽  
pp. 17 ◽  
Author(s):  
D. G. Barber ◽  
M. J. Auldist ◽  
A. R. Anstis ◽  
C. K. M. Ho

Dairy feeding systems in Australia and New Zealand have seen an increase in the use of mixed rations to manage variability in climate and market conditions and enable a certain degree of resilience in the operating environment. In this review, resilience was defined as the ability of the farm system to respond to challenges, optimise productivity and profitability for a given set of circumstances, and persist over time. Specific attributes of a dairy system that contribute to resilience were considered as flexibility, consistency, adaptation, sustainability and profitability. A flexible forage base that uses water efficient forage species provides a consistent supply of nutrients from home-grown forages across the year and is a key driver of resilience. Consistent milk production from purchased concentrates adds value to the forage base and will ensure that the system is profitable in the long term. Appropriate investment in infrastructure and careful management of debt has a positive impact on technical and financial efficiency and improves overall economic performance and resilience of the system. Nutrients, feed wastage, cow comfort and welfare were also identified as key areas to focus on for improved sustainability. Future research investigating the interaction between forages and concentrates, and the subsequent milk production response will be important for the future resilience of mixed ration systems. Adaptive management at a tactical and strategic level across several technical areas will further underpin the resilience of a mixed ration dairy system, and minimise the impact of climate and price variability. This will have flow on benefits to animal welfare and resource sustainability, which will have a positive impact of the public perception of these systems within the Australian and New Zealand dairy industries.


2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.


Author(s):  
Dawn M. Szymanski ◽  
Kirsten A. Gonzalez

Many lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons are able to persevere and flourish despite pervasive social stigma and minority stress based on their sexual orientation and gender identity. This chapter reviews the research on LGBTQ resilience that can occur at individual, interpersonal/family, community, and contextual/structural levels. The authors describe qualitative research that has examined pathways to resilience and positive LGBTQ identity. The authors also review quantitative research on LGBTQ resilience via mediator, moderator, and moderated mediation models. Variables are described that have been found to explain or buffer the links between external and internalized minority stressors and mental health outcomes. The authors review the small but growing body of research that has begun to examine the efficacy of therapeutic interventions aimed at promoting LGBTQ resilience. Limitations are discussed and directions for future research are suggested.


Author(s):  
Rosa Town ◽  
Daniel Hayes ◽  
Peter Fonagy ◽  
Emily Stapley

AbstractThere is evidence that young people generally self-manage their mental health using self-care strategies, coping methods and other self-management techniques, which may better meet their needs or be preferable to attending specialist mental health services. LGBTQ+ young people are more likely than their peers to experience a mental health difficulty and may be less likely to draw on specialist support due to fears of discrimination. However, little is known about LGBTQ+ young people’s experiences and perceptions of self-managing their mental health. Using a multimodal qualitative design, 20 LGBTQ+ young people participated in a telephone interview or an online focus group. A semi-structured schedule was employed to address the research questions, which focussed on LGBTQ+ young people’s experiences and perceptions of self-managing their mental health, what they perceived to stop or help them to self-manage and any perceived challenges to self-management specifically relating to being LGBTQ+ . Reflexive thematic analysis yielded three key themes: (1) self-management strategies and process, (2) barriers to self-management and (3) facilitators to self-management. Participants’ most frequently mentioned self-management strategy was ‘speaking to or meeting up with friends or a partner’. Both barriers and facilitators to self-management were identified which participants perceived to relate to LGBTQ+ identity. Social support, LGBTQ+ youth groups and community support were identified as key facilitators to participants’ self-management of their mental health, which merits further investigation in future research. These findings also have important implications for policy and intervention development concerning LGBTQ+ young people’s mental health.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 358-358
Author(s):  
Hyojin Choi ◽  
Kristin Litzelman ◽  
Molly Maher ◽  
Autumn Harnish

Abstract Spouses of cancer survivors are 33% less likely to receive guideline-concordant depression treatment than other married adults. However, depression is only one of many manifestations of psychological distress for caregivers. This exploratory study sought to assess the paths by which caregivers access mental health-related treatment. Using nationally representative data from the Medical Expenditures Panel Survey, we assessed the proportion of caregivers who received a mental health-related prescription or psychotherapy visit across care settings (office based versus outpatient hospital, emergency room, or inpatient visit), provider type (psychiatric, primary care, other specialty, or other), and visit purpose (regular checkup, diagnosis and treatment, follow-up, psychotherapy, other). In addition, we assessed the health condition(s) associated with the treatment. The findings indicate that a plurality of caregivers accessed mental health-related treatment through an office-based visit (90%) with a primary care provider (47%). A minority accessed this care through a psychologist or psychiatrist (11%) or a physician with another specialty (12%) or other provider types. Nearly a third accessed treatment as part of a regular check-up (32%). These patterns did not differ from the general population after controlling for sociodemographic characteristics. Interestingly, mental health-related treatments were associated with a mental health diagnosis in only a minority of caregivers. The findings confirm the importance of regular primary care as a door way to mental healthcare, and highlight the range of potential paths to care. Future research will examine the correlates of accessing care across path types.


2020 ◽  
Author(s):  
Janna Hastings

Mental health presents one of the defining public health challenges of our time. Proponents of different conceptions of what mental illness is wage war for the hearts and minds of patients, practitioners, policy-makers, and the public. Debate and fragmentation around the nature of the entities that feature in the mental health domain divide resources and reduce progress. The way mental health is publicly discussed in the media has tangible effects, in terms of stigma, access to healthcare and resources, and private expectations of recovery. This book explores in detail the sorts of statements that are made about mental health in the media and public reporting of scientific research, grounding them in the wider context of the theoretical frameworks, assumptions and metaphors that they draw from. The author shows how a holistic understanding of the way that different aspects of mental illness are interrelated can be developed from evidence-based interpretation of the latest research findings. She offers some ideas about corrective, integrative approaches to discussing mental health-related matters publicly that may reduce the opposition between conceptualisations while still aiming to reduce stigma, shame and blame. In particular, she emphasises that discourse in the media needs to be anchored to an overview of all the research results across the field and argues that this could be achieved using new technological infrastructures. The author provides an integrative account of what mental health is, together with an improved understanding of the factors driving the persistence of oppositional accounts in the public discourse. The book will be of benefit to researchers, practitioners and students in the domain of mental health.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lyndal Hickey ◽  
Louise Hams ◽  
Lauren Kosta

PurposeThis paper examines the empirical research on police reassurance following a collective trauma event (CTE).Design/methodology/approachUsing a scoping review methodology, this paper sought to establish the extent, range and nature of published literature on policing responses to collective traumatic events, and to identify key features of this form of direct practice. Included papers needed to focus on police responses oeassurance with the public related to events (pre-or post) that could be regarded as collective trauma events by nature or scale. Searches were conducted using the Web of Science, SCOPUS and PsychINFO databases for literature published between January 2000 and December 2019.FindingsFourteen articles met the inclusion criteria. The key themes identified: (1) measuring the impact of reassurance and community policing; (2) community attitudes to policing and social disorder/critical events; (3) police workforce responses to traumatic events; and (4) interventions to support police to respond to their community.Research limitations/implicationsFuture research needs to examine the elements that create a robust organisational infrastructure that can withstand the demands of policing in ordinary and extraordinary times. Fundamental to the studies in this review is the relationship between the police agencies and the community. The nature of this relationship and how it can be strengthened to ameliorate the negative impact of CTEs in communities needs further exploration.Originality/valueThis paper provides important findings that can inform future reassurance policing practice and research.


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