scholarly journals Mental Healthcare-Seeking Behavior during The Perinatal Period among Rural Women in Bangladesh

2021 ◽  
Author(s):  
Goutam Kumar Dutta ◽  
Bidhan Krishna Sarker ◽  
Helal Uddin Ahamed ◽  
Dipika Shankar Bhattacharyya ◽  
Musfikur Rahman ◽  
...  
Keyword(s):  
Mental Health ◽  
Rural Women ◽  
Mental Healthcare ◽  
Perinatal Period ◽  
Community Level ◽  
Health Issues ◽  
Healthcare Seeking ◽  
Mental Health Issues ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Introduction: Mental health conditions are of rising concern due to their increased contribution to the global burden of disease. Mental health issues are inextricably linked with other sociocultural and health dimensions, especially in the rural areas in developing countries. The complex relationship between mental health issues and sociocultural settings may largely toll upon the healthcare-seeking behavior. Evidence suggests that mental illness affects more than 10% of women and one year after childbirth. So, it urges to document the current status of mental healthcare-seeking behavior during the perinatal period among rural women in Bangladesh to develop a context-specific intervention in the future.Methods: This study was carried out in one sub-district in Bangladesh from April 2017 to June 2018. We conducted 21 In-depth Interviews and seven Focus Group Discussions with different groups of purposively selected participants such as perinatal women, head of the family, community stakeholders, and community level healthcare providers. After collecting the recorded interview and making the verbatim transcription, the data were coded through Atlasti 5.7.a. Data were analyzed thematically to explain the findings.Results: Most of the women with mental disorders at the community level did not seek healthcare during the perinatal period. Women with mental illness also did not know who and where the mental health services are provided. The study found that only one respondent out of twenty-one sought maternal mental healthcare from a gynecologist from a private hospital. In this regard, socio-cultural factors such as social stigma traditional beliefs and practices, social and religious taboos, and social capital also negatively influence healthcare-seeking behaviors. Besides, the community-level service providers were not trained and did not have any guidelines regarding its proper management.Conclusion: The study findings provide us evidence that there is an urgent need to increase the awareness for service users and formulate a guideline for the community-level service provider to manage maternal mental problems during the perinatal period of women in rural Bangladesh.

Geriatric Mental Healthcare Training: A Mini-Fellowship Approach to Interprofessional Assessment and Management of Geriatric Mental Health Issues

2019 ◽  
Vol 27 (7) ◽  
pp. 706-711 ◽  
Author(s):  
LalithKumar K. Solai ◽  
Keerthana Kumar ◽  
Elizabeth Mulvaney ◽  
Daniel Rosen ◽  
Juleen Rodakowski ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Mental Health Issues ◽  
Geriatric Mental Health ◽  
Healthcare Training

scholarly journals Creating a Multisite Perinatal Psychiatry Databank: Purpose and Development

2020 ◽  
Vol 17 (24) ◽  
pp. 9352
Author(s):  
Wid Kattan ◽  
Laura Avigan ◽  
Barbara Hayton ◽  
Jennifer L. Barkin ◽  
Martin St-André ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Information ◽  
Perinatal Period ◽  
Self Report ◽  
Postpartum Women ◽  
Psychosocial Variables ◽  
Health Issues ◽  
Mental Health Issues ◽  
Perinatal Psychiatry ◽  
The Relationship

Mental health issues during the perinatal period are common; up to 29% of pregnant and 15% of postpartum women meet psychiatric diagnostic criteria. Despite its ubiquity, little is known about the longitudinal trajectories of perinatal psychiatric illness. This paper describes a collaboration among six perinatal mental health services in Quebec, Canada, to create an electronic databank that captures longitudinal patient data over the course of the perinatal period. The collaborating sites met to identify research interests and to select a standardized set of variables to be collected during clinical appointments. Procedures were implemented for creating a databank that serves both research and clinical purposes. The resulting databank allows pregnant and postpartum patients to complete self-report questionnaires on medical and psychosocial variables during their intake appointment in conjunction with their clinicians who fill in relevant medical information. All participants are followed until 6 months postpartum. The databank represents an opportunity to examine illness trajectories and to study rare mental disorders and the relationship between biological and psychosocial variables.

scholarly journals The Effect of Mindfulness-Based Interventions on Stress, Depression and Anxiety During the Perinatal Period in Women Without Pre-existing Stress, Depressive or Anxiety Disorders: a Systematic Review and Meta-analysis of Controlled Trials

Mindfulness ◽  
2021 ◽  
Author(s):  
Linda Corbally ◽  
Mick Wilkinson
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Perinatal Period ◽  
Health Issues ◽  
Symptoms Of Depression ◽  
Mental Health Issues ◽  
Meta Analyses ◽  
Trial Evidence

Abstract Objectives The objective of this systematic review and meta-analysis was to examine controlled trial evidence for the effectiveness of mindfulness-based interventions on stress, anxiety and depression in the perinatal period in women without pre-existing mental health issues. Methods Six databases were searched for studies exploring the effects of mindfulness-based interventions on mental health outcomes of women during the perinatal period. Quality of both controlled trial meeting inclusion criteria were assessed using a tool specifically designed for meta-analyses of mindfulness-based interventions. Effect sizes were extracted for measures of mindfulness, depression, stress and anxiety outcomes. Effects were pooled in separate meta-analyses for all outcomes except anxiety which lacked sufficient studies. Results Twelve studies were analysed. Pooled effects suggest that mindfulness-based interventions cause small but clear increases in mindfulness and reductions in depression in women without pre-existing disorders. Effects of mindfulness-based interventions on other outcomes were unclear and confounded by heterogeneity. Conclusions Available controlled trial evidence suggests that mindfulness-based interventions improve mindfulness and decrease symptoms of depression during pregnancy in women without pre-existing mental health issues and might be a useful approach to prevent or attenuate the development of depression in the perinatal period.

Telepsychiatry -another window to escape from poverty (Preprint)

2020 ◽  
Author(s):  
Tanjir Rashid Soron ◽  
Lamia Shams
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
Social Stigma ◽  
Mental Healthcare ◽  
Health Issues ◽  
Socioeconomic Condition ◽  
Mental Health Issues ◽  
Resource Limited

UNSTRUCTURED People living in poverty are in greater risk of developing mental health issues due to its association with various stressors such as decreased productivity, loss of employment, reduced social support, stigma etc. Low socioeconomic status can hinder one’s access to mental health care and can lead him to devastating consequences. Even though Bangladesh has made a significant progress in eradicating poverty, the recent pandemic of COVID-19 has overburdened its resource limited healthcare settings. However, during lockdown a large number of people are experiencing a deterioration in their socioeconomic condition and this can negatively impact their mental health. Like many other developing countries, Bangladesh do not have equitable distribution of mental healthcare facilities in urban and rural areas. Distance to mental health care canter along with social stigma discourage people to get professional help. The psychological sufferings of the people can be mitigated by ensuring remote consultation through telepsychiatry services where the patients can maintain anonymity and escape the social stigma. Moreover, with the recent progress in using mobile phone and related technologies, telepsychiatry services will not only help the patients to reduce their access to service gap in an affordable way but also the mental health professionals will be able to help more patients. Telepsychiatry interventions can contribute to early diagnosis of mental health issues in population and this can reduce the chances of suicide and other morbidities. In resource limited settings, mental healthcare services aided with technology can overcome the barriers to access to care. In an addition to that, the mental well-being of individuals will enable them to lead an economically productive life with active contribution at workplaces.

scholarly journals Australian Mental Health Consumers’ Experiences of Service Engagement and Disengagement: A Descriptive Study

2021 ◽  
Vol 18 (19) ◽  
pp. 10464
Author(s):  
Sharon Lawn ◽  
Christine Kaine ◽  
Jeremy Stevenson ◽  
Janne McMahon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Online Survey ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Health Issues ◽  
Mental Health Issues ◽  
Service Engagement

Mental health issues are a severe global concern with significant personal, social, and economic consequences and costs. This paper reports results of an online survey disseminated across the Australian community investigating why people with mental health issues choose particular mental health services over others, what causes them to disengage from services, and what factors and qualities of services are important to consumers to support their continued engagement or re-engagement with mental health services. The importance of GPs was evident, given their key role in providing mental healthcare, especially to those referred to as “the missing middle”—consumers with mental health issues who fall through the gaps in care in other parts of the healthcare system. The study found that many respondents chose to engage with mental healthcare providers primarily due to accessibility and affordability, but also because of the relational qualities that they displayed as part of delivering care. These qualities fostered consumers’ sense of trust, feeling listened to, and not being stigmatized as part of help seeking and having their mental health needs met. Implications for education and practice are offered.

Barriers to midwives and nurses addressing mental health issues with women during the perinatal period: The Mind Mothers study

2018 ◽  
Vol 27 (9-10) ◽  
pp. 1872-1883 ◽  
Author(s):  
Agnes Higgins ◽  
Carmel Downes ◽  
Mark Monahan ◽  
Ailish Gill ◽  
Stephen A Lamb ◽  
...  
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Health Issues ◽  
Mental Health Issues ◽  
The Mind

scholarly journals Perception of the threat, mental health burden, and healthcare-seeking behavior change among psoriasis patients during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0259852
Author(s):  
Hsien-Yi Chiu ◽  
Nien-Feng Chang Liao ◽  
Yu Lin ◽  
Yu-Huei Huang
Keyword(s):  
Mental Health ◽  
Psychological Impact ◽  
University Hospital ◽  
Perceived Threat ◽  
Behavior Changes ◽  
Psychological Consequences ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior ◽  
Clinic Visits

This study aimed to investigate the perceived threat, mental health outcomes, behavior changes, and associated predictors among psoriasis patients during the COVID-19 pandemic. The COVID-19 has been known to increase the health risks of patients with psoriasis owing to patients’ immune dysregulation, comorbidities, and immunosuppressive drug use. A total of 423 psoriasis patients not infected with COVID-19 was recruited from the Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Chang Gung Memorial Hospital, and China Medical University Hospital from May 2020 to July 2020. A self-administered questionnaire was used to evaluate the perceived threat, mental health, and psychological impact on psoriasis patients using the Perceived COVID-19-Related Risk Scale score for Psoriasis (PCRSP), depression, anxiety, insomnia, and stress-associated symptoms (DAISS) scales, and Impact of Event Scale-Revised (IES-R), respectively. Over 94% of 423 patients with psoriasis perceived threat to be ≥ 1 due to COVID-19; 18% of the patients experienced psychological symptoms more frequently ≥ 1, and 22% perceived psychological impact during the pandemic to be ≥ 1. Multivariable linear regression showed that the higher psoriasis severity and comorbidities were significantly associated with higher PCRSP, DAISS, and IES-R scores. The requirement for a prolonged prescription and canceling or deferring clinic visits for psoriasis treatment among patients are the two most common healthcare-seeking behavior changes during the COVID-19 pandemic. Psoriasis patients who perceived a higher COVID-19 threat were more likely to require a prolonged prescription and have their clinic visits canceled or deferred. Surveillance of the psychological consequences in psoriasis patients due to COVID-19 must be implemented to avoid psychological consequences and inappropriate treatment delays or withdrawal.

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