scholarly journals Mental health issues in pregnant women in Nepal

2015 ◽  
Vol 5 (3) ◽  
pp. 499-501
Author(s):  
Edwin Van Teijlingen ◽  
Padam Simkhada ◽  
Bhimsen Devkota ◽  
Padmadharini Fanning ◽  
Jillian Ireland ◽  
...  

Mental health of pregnant women and new mothers is a growing area of concern in both low- and high-income countries. Maternity services in the UK, for example, have focused more attention on maternal mental health. We recognise that pregnancy, birth and the postnatal period is a time of major psychological and social change for women.

2019 ◽  
Vol 35 (1) ◽  
pp. 132-139 ◽  
Author(s):  
Diane M Crone ◽  
Mustafa Sarkar ◽  
Thomas Curran ◽  
Colin M Baker ◽  
Denise Hill ◽  
...  

Abstract Education programmes in mental health literacy can address stigma and misunderstanding of mental health. This study investigated self-rated differences in knowledge, attitudes and confidence around mental health issues following participation in a bespoke Mental Health First Aid (MHFA) training course for the Armed Forces. The mixed methods approach comprised quantitative surveys and qualitative interviews. A survey, administered immediately post-training (n = 602) and again at 10-months post-attendance (n = 120), asked participants to rate their knowledge, attitudes and confidence around mental health issues pre- and post-training. Quantitative findings revealed a significant increase in knowledge, positive attitudes and confidence from the post-training survey which was sustained at 10-months follow-up.Semi-structured telephone interviews (n = 13) were conducted at follow-up, 6-months post-attendance. Qualitative findings revealed that participation facilitated an ‘ambassador’ type role for participants. This study is the first to have investigated the effect of MHFA in an Armed Forces community. Findings show participants perceived the training to increase knowledge regarding mental health and to enhance confidence and aptitude for identifying and supporting people with mental health problems. Results suggest that such an intervention can provide support for personnel, veterans and their families, regarding mental health in Armed Forces communities.


2015 ◽  
Vol 23 (2) ◽  
pp. 391-404
Author(s):  
Neerosh Mudaly

There is considerable research on the impact of maternal mental health issues on infants’ development. These studies emphasise the importance of early interventions to prevent the development of psychopathology later in life. In many studies infants who are involved in video-recorded studies show an observable distressed reaction. Whilst these studies have made major contributions to the field of child development, a key question that arises is: is it ethically acceptable in research with pre-verbal children for them to experience emotional distress during the research process? This article explores the ethical issues of harm and benefit from the perspective of the child. It aims further to refine discussion and understanding of children’s vulnerability and examines pre-verbal children’s ethical rights in video-recorded observation studies.


2014 ◽  
Vol 54 (8) ◽  
pp. 816-842 ◽  
Author(s):  
Soumyadeep Mukherjee ◽  
Dudith Pierre-Victor ◽  
Raed Bahelah ◽  
Purnima Madhivanan

Author(s):  
Dave Mc Conalogue ◽  
Nicky Maunder ◽  
Angelika Areington ◽  
Katherine Martin ◽  
Vikki Clarke ◽  
...  

ABSTRACT Background Homeless people experience poorer health and shorter life expectancies than the UK average, but their health needs and expectations have received little attention in research. This study aims to understand homeless people’s health perceptions and experiences. Methods Semi-structured interviews took place with 28 homeless people in Gloucestershire. The transcripts were thematically analysed drawing out key themes. Results Homelessness was often rooted in early trauma or an unstable family unit. Participants described poor support on leaving prison, termination of a cohabiting relationship or financial issues as factors precipitating homelessness. There was an expansive and positive understanding of health and its determinants. Mental health issues were common, often linked to traumatic life-events. Substance misuse issues were expressed as a mechanism to manage mental health issues. Participants were frustrated that this co-dependency was not recognized by support services. Participants’ living situation curtailed their ability to make health-enhancing choices, which was compounded by issues accessing mainstream healthcare services. Conclusions Mental health in homeless people must be recognized in the context of substance misuse and early trauma. Dealing with housing and addiction are critical to enable prioritisation of healthy behaviours. Healthcare services should recognize the chaotic nature of homeless people and their competing issues.


2021 ◽  
Author(s):  
Alba X Realpe Rojas ◽  
Nicola Mills ◽  
Lucy Beasant ◽  
Sarah Douglas ◽  
Lorcan Kenny ◽  
...  

The COVID-19 lockdown was a set of nationwide public health restrictions in force on the UK from March 2020 in response to the coronavirus pandemic. Co-occurring anxiety and depression in autistic people placed them at heightened risk of potential adverse mental health due to the lockdown. Furthermore, the impact of current and future public health measures on autistic people’s willingness to take part in autism research was unknown. We carried out in-depth interviews with 31 autistic adults exploring their experiences of the COVID-19 lockdown and how the pandemic may affect future research participation. Transcripts were analysed thematically within a critical realism framework. Participants identified positive aspects of lockdown such as enjoying the lack of social pressures and using their well-developed skills for dealing with uncertainty. Autistic people also shared challenges of adjusting to lockdown, e.g., rapid change in daily routines. While hopeful about the freedom gained from easing restrictions, participants were concerned about the inconsistent communication and application of rules during the transition out of lockdown which may exacerbate already rising mental health issues among autistic people. The participants viewed research participation and engagement with increased relevance during the pandemic and welcomed efforts to conduct research using online methods of communication. The COVID-19 lockdown had a varied effect in the lives and routines of autistic people. However, healthcare providers and researchers need to be mindful of rising mental health issues during the pandemic, especially for people who were already vulnerable. The response to the pandemic may have offered opportunities for innovation in research processes enabling more autistic people to engage with research and making studies more inclusive.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027733 ◽  
Author(s):  
Fernando Lima ◽  
Carrington Shepherd ◽  
Janice Wong ◽  
Melissa O’Donnell ◽  
Rhonda Marriott

ObjectiveThis study examines the scale of maternal mental health related contacts among Australian Aboriginal children over time, and associations with socio-economic characteristics, geographical remoteness and maternal age.DesignA retrospective cohort study of the prevalence of maternal mental health related contacts among Aboriginal children born in Western Australia between 1990 and 2013.SettingPopulation of Western Australia with de-identified linked administrative data from the Western Australian Department of Health.ParticipantsAll Aboriginal children born in Western Australia between 1990 and 2013 and their mothers.Primary outcome measurePrevalence of maternal mental health related contacts among Aboriginal children born between 1990 and 2013. Mental health related contacts were identified using mental health related inpatient hospitalisations and outpatient contacts.ResultsAlmost 30% of cohort children were born to a mother with at least one mental health contact in the 5 years prior to birth, with 15% reported in the year prior to birth and the year post birth. There was a distinct increase in the prevalence of maternal mental health contacts between 1990 and 2013 (4–5% per year, with a peak in 2007). Maternal mental health contacts were associated with living in more disadvantaged areas and major cities, and having a mother aged over 20 years at birth.ConclusionsThe study affirms that mental health issues place a considerable burden on Aboriginal Australia, and suggests that many of the mental health issues that women develop earlier in life are chronic at the time of conception, during pregnancy and at birth. Early intervention and support for women in the earliest stages of family planning are required to alleviate the burden of mental health problems at birth and after birth. There is a clear need for policies on the development of a holistic healthcare model, with a multisector approach, offering culturally appropriate services for Aboriginal people.


2020 ◽  
pp. 113-136
Author(s):  
Steven Threadgold

Chapter Six considers aspects of social change through a Bourdieusian lens. It outlines the autonomous and heteronomous poles of fields, emphasising their affective nature. The chapter uses the examples of subversive innovators and how the importing of illusio from different fields can affect an individual’s disposition to illustrate how change occurs. It then examines recent social changes around the rise of reflexivity, irony, cynicism and anxiety. In a precarious global labour market, where even the well-educated experience forms of insecurity about the future, reflexive and ironic ways of being are becoming normalized, while mental health issues effect an ever-greater proportion of the population. This produces a relation of cruel optimism. If the illusio of specific fields increasingly come under scrutiny as being unachievable, unsustainable or violent, this may open a space for emancipatory social change.


2019 ◽  
Vol 27 (3) ◽  
pp. 351-368
Author(s):  
Lorraine Hansford ◽  
Felicity Thomas ◽  
Katrina Wyatt

This paper examines the impact of increased welfare conditionality on people with mental health issues claiming benefits in the UK. Drawing on data from the DeStress study, this paper explores the lived experience of welfare claimants in low-income communities, and the perspectives of GPs seeking to support them. Particular focus is placed on people’s experience of the Work Capability Assessment, the tool used to determine welfare claimants’ entitlement to sickness benefit, and how the narratives and culture surrounding welfare reform and the actual assessment itself can have a negative impact on mental health and wellbeing.


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