scholarly journals Mental Health of Retired Ex-Combatants

2020 ◽  
pp. 1-3
Author(s):  
Andrey Soloviev ◽  
Elena Ichitovkina ◽  
Andrey Soloviev

Purpose: The purpose of the study is to analyze the structure of mental disorders and social adaptation in retired ex-combatants of the security forces. Methods: 111 retired men, ex-combatants who sought medical care, were examined. There are two groups: I: 56 people with identified mental disorders; II: 55 with pre-nosological mental health disorders. Results: It is shown that the state of mental health of retired ex-combatants is characterized by severe polymorphic mental disorders, especially those expressed in group I (organic, behavioural disorders, substance use, schizophrenia, schizotypic and delusional disorders, affective, neurotic, stress-related, and somatoform disorders, personality and behaviour disorders in adulthood), as well as social maladaptation, associated with the transformation of values, lifestyle and communication, the emergence of difficulties in social and everyday life, the breakdown of social ties and the displacement of pensioners from public life. Conclusion: The article substantiates the need for a comprehensive approach to the rehabilitation of retired ex-combatants with the interaction of all government structures, public associations, medical, psychological and social institutions directly related to the development and implementation of individual rehabilitation routes.

2017 ◽  
Vol 27 (6) ◽  
pp. 552-567 ◽  
Author(s):  
P. de Jonge ◽  
K. J. Wardenaar ◽  
H. R. Hoenders ◽  
S. Evans-Lacko ◽  
V. Kovess-Masfety ◽  
...  

Aims.A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders.Methods.In the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18–100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction.Results.An estimated 3.6% (standard error 0.2%) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6%; standard error 0.3%) than in low- and middle-income countries (2.3%; standard error 0.2%). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6–17.8%). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0% for severe mood disorders, 16.2% for severe anxiety disorders and 22.5% for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3%) and conventional care (75.6%) in persons that received both.Conclusions.CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.


Author(s):  
Olga Yurtsenyuk

Health status of students at higher educational institutions draws attention of specialists in different fields of medicine. Comparison of mental health of different population groups determined that this issue is especially urgent concerning students. Objective of the study was investigation of peculiarities of nonpsychotic mental disorders (NPMD) among students depending on the specialty they learn, the year of studies, and sex. In the period from 2015 to 2017 a comprehensive examination including 1235 students was conducted keeping to the principles of bioethics and deontology. The following methods were applied: clinical, clinical-psychopathologic, clinical-epidemiologic, clinical-anamnestic, experimental-psychological and statistical. The study resulted in the following findings: 317 students out of 1235 of all the examined individuals were diagnosed with NPMD (25.67 %). In a gender aspect NPMD was found among 97 (30.60 %) males and 220 (69.40 %) females. The highest susceptibility to the development of NPMD was found among students on specialties “Pediatrics” and “Medical Psychology” — 48.48 %, and the lowest one — among the students of philosophic-theological faculty — 9.68 %. Firstyear and fifth-year students appeared to be the most susceptible to the development of NPMD. The results obtained should be considered in programming the system of preventive measures in order to timely find and treat the above disorders. Key words: nonpsychotic mental disorders, students, specialties of study, neurotic stress-related and somatoform disorders


2021 ◽  
Vol 5 ◽  
Author(s):  
Nicolas S. Rabain

The author presents a therapeutic approach for contemporary families carried out in an innovative mental health care setting. This approach involves receiving both transgender adolescents and their parents. Initially, the adolescents are brought together in a discussion group. Then, the parents of these adolescents are gathered without their children in order to reflect on family relations and social adaptation and to receive support when needed. Both groups are gathered together a couple of times a year in a multi-family meeting. Using a dynamic based on the principle of free association and the interplay of identifications among participants, the author points out how these groups and multi-family gatherings promote mental health and prevent mental disorders and the disruption of family relations.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Milicevic Kalasic

National Mental Health Policy and Action Plan was adopted in January 2007 by Government of Republic Serbia. Elderly persons were brought in focus as growing population with growing number of elderly with mental disorders and services incapable to face this challenge. Last October, Institute of Gerontology promoted Geriatric Manual, published and distributed in Primary Care Facilities in Belgrade as it was supported by Municipal Secretariat of Health. Psychogeriatric issues took a part in Geriatric Manual with recognition of early detection of psychological disorders in elderly and importance of diagnose acute confusion state in everyday practice. It was just the beginning of education of primary care physicians in Belgrade. There were many meetings in Ministry of Health with aim of spreading this knowledge all around Serbia. Mental Health Department of Institute of Gerontology has ran education in psychogeriatric issues for primary care within Project supported by Municipal Secretariat of Health, Belgrade with main aim of developing network for caring of elderly mentally disturbed people. Very important part of network is within social institutions and in a private sector. On other hand in the same time round table within project was a part of antistigma campaign in primary care facilities and in community. A baseline report on health and social institutions accommodating with special focus on elderly with mental disorders were launched under WHO support.


Author(s):  
Nataliya Maruta ◽  
Tamara Panko ◽  
Galyna Kalenska

213 internally displaced persons were examined, which were divided into 3 groups: 94 people (44.13 %) of the total number examined were included in group I, who did not have any manifestations of mental disorders, 68 people (31.92 %), in whom certain symptoms of mental disorders were identifi ed, made up the II group, and 51 people (23.94 %), included in the III group, who were diagnosed with mental disorders and who received specialized psychiatric care. As a result of the study, it was found that in group II the structure of the psychoemotional state of the examineds was characterized by the presence of separate symptoms that did not reach the level of clinical signifi cance, and in group III the emotional disturbances of the anxiety-depressive spectrum and disorders associated with psychogenic factors predominated. The features of the mental state of internally displaced persons are determined and it is proved that a decrease in the adequacy of the use of coping strategies negatively affects the mental state of internally displaced persons. Key words: internally displaced persons, mental health, adaptation mechanisms


2021 ◽  
pp. 95-112
Author(s):  
Danuta Wasserman ◽  
Kristian Wahlbeck

The full public health impact of mental health is largely unrecognized. The allocation of the burden of disease attributable to mental and behavioural disorders, which is already substantial, will probably increase steadily in the future, due to the transition of the global disease burden towards mental and behavioural disorders. In addition to the demands that mental disorders put on social welfare and health systems, they also cause decreased productivity in the workplace, prolonged disability, and diminished resources within families. Mental disorders are linked to socioeconomic disadvantages and addressing mental health determinants will reduce health inequalities. Stigma of mental disorders is widespread, and it is a barrier for help-seeking behaviours, as well as the development of healthcare services. Modern mental health policies should aim at improving psychosocial health by addressing determinants of mental health in all public policies. Key measures in effective public health suicide prevention programmes comprise improved awareness in the population about mental health promotion and suicide preventive measures, the restriction of access to lethal means of suicide, responsible media coverage of suicide issues, school-based awareness programmes, and improvements in the identification of depression and suicidality by peers, gatekeepers, and health professionals. Modern community-based mental health services, with a diversified service provision, result in better outcomes on a broader scale compared to ‘old school’ hospital-centred mental health service systems. Primary care physicians in collaboration with multidisciplinary teams have a central role in provision of mental health services to the population.


2022 ◽  
Vol 1 (1) ◽  
pp. 21-27
Author(s):  
Neni Sholihat ◽  
Indra Gunawan ◽  
Nia Restiana ◽  
Rosy Rosnawanty ◽  
Saryomo Saryomo

Based on Riskedas data in 2013, the prevalence of mental disorders in Indonesia is about 6% of the population has emotional disorders and 1.7% of serious mental disorders. In West Java the prevalence reaches 1.6%, while in Tasikmalaya City there are 171 sufferers. Mental disorders can be caused by biological, psychological and socio-cultural factors, it can also be caused by inadequate provision of patient care, especially in small towns and villages. Patients with chronic mental disorders need care management that involves various elements in the healing process, such as family, community and caregivers. The role of care giver which is very influential in the patient's healing process, they are in charge of providing emotional support and the necessities of life. The complex problems in patient care caused many of them not to be well cared for. One of the phenomena was found at the Mentari Hati Social Institusion. The caregiver's low educational background, and lack of knowledge in care, are among the factors causing the ineffective treatment provided. For this reason, a mental nursing service management program is needed which is managed in a Community Mental Health Nursing (CMHN) program which aims to empower caregivers by providing consultation and education services, and providing information on mental health principles. The purpose of this community service activity is to improve the care giver's ability to care for mental patients.


Topicality. The importance of modern research related to non-psychotic mental disorders in students of higher education is determined by the need to build a mathematical model that can identify factors that significantly affect the mental health of young people. The aim of the study. Construction of a mathematical model of the influence of various factors on the level of mental health of students with non-psychotic mental disorders. Materials and methods. During 2015-2017, we conducted a continuous comprehensive survey of 1,235 students in compliance with the principles of bioethics and deontology. Applied methods: clinical, clinical-psychopathological, clinical-epidemiological, clinical-anamnestic, experimental-psychological and statistical. The sample did not have significant differences in gender and age, place of residence, form of education. The survey was conducted in the intersessional period. Results. As a result of analysis of variance, we obtained statistically significant results (ANOVA-test) between the category variable "group I" and variables denoting all scales mini mult test: 1. hypochondria (Hs), p <2,2 * 10-16; 2. depression (D), p <2 * 10-16; 3. hysteria (Hy), p <2 * 10-16; 4. psychopathy (Pd), p <2.89 * 10-14; 6. paranoia (Pa), p <2 * 10-16; 7. psychasthenia (Pt), p <2 * 10-16; 8. schizophrenia (Sc), p <7.04 * 10-16; 9. hypotension [mania] (Ma), p <1.95 * 10-10; lie scale (L), p <2.74 * 10-11; probability scale (F), p <4,66 * 10-8; correction scale (K), p <3,6 * 10-13. It is established that for the model of multinomial logistic regression, the purpose of which is to assess the probability of belonging of the respondent to one of the groups (value of the variable "group.I"), significant predictors are marital status, presence of children, family relations, inability to adapt to the environment. quality of sleep, low productivity, increased fatigue, smoking, assessment of their own health, the need to consult a doctor, the level of anxiety, depression, neuroticism. The coefficients of the model determine the magnitude of the change in the logarithm of the chance of being in a group ("complex", "control", "standard") against the ("comparative") group of healthy people, if the value of the predictor increases by one. The prediction accuracy in the general sample was 86.35%, and in the test sample (the main group, which included patients with NPR) - 88.52%. Conclusions. Thus, the test and ANOVA made it possible to identify those variables that are related to the variable "group.I". Such variables are: age, specialty, etc. (a total of 92). The decision tree model, built on the same predictors as the multinomial regression model (schematic drawing), gives an accuracy of 89.95% on the training sample and 87.1% on the test sample.


2003 ◽  
Vol 15 (4) ◽  
pp. 192-198 ◽  
Author(s):  
Harald Baumeister ◽  
Martin Härter

Objective:The present epidemiological study investigates sex- and age-adjusted 4-week, 12-month, and lifetime prevalence rates of somatoform disorders in in-patients with musculoskeletal and cardiovascular diseases in comparison with prevalence rates of these disorders in the general population in Germany.Methods:Prevalence rates were calculated from two samples, one from rehabilitation in-patients with musculoskeletal (n = 187) or cardiovascular (n = 116) diseases, and one from a large sample of the German National Health Interview and Examination Survey – Mental Health Supplement (GHS-MHS; n = 3889). The prevalence rates were based on the M-CIDI, an interview for the assessment of mental disorders.Results:The adjusted prevalence rates of any mental disorder in both clinical samples are higher compared with rates of the general population (e.g. lifetime musculoskeletal, 59.3%; cardiovascular, 56.2%; general population, 47.9%). Prevalence rates of patients with cardiovascular (e.g. 12.2%) and musculoskeletal (21.5%) diseases do not indicate an increased prevalence of somatoform disorders compared with the general population (18.2%).Conclusions:The results confirm that patients with chronic somatic diseases have increased prevalence rates of mental disorders. However, these increased prevalence rates go primarily back to affective and anxiety disorders and not to somatoform disorders. The diagnostic criteria for somatoform disorders and the question algorithm of the M-CIDI are probably responsible for potential underestimation of somatoform disorders in patients with chronic somatic diseases.


2019 ◽  
pp. 33-37
Author(s):  
Vitaly A Sidorenko ◽  
Elena G Ichetovkina ◽  
Andrey G Soloviev

The aim - to develop a model for predicting the formation of borderline mental disorders (BMD) in combatants. The results of an experimental psychological study on the basic scales of the Standardized Multifactorial Method of Personality Research (SMMP) of 643 male combatants were analyzed. All respondents were divided into two groups by level of mental health: Group I - 338 people-healthy employees, Group II gr. - 305 persons, where there is a history of BMD were detected that arose after participating in the fighting. Analysis of premorbid profile of SMMP respondents Group II described an excitable type of personality with straightforwardness, categorical, perseverance, perseverance, lack of flexibility in behavior, with a gradual accumulation of discontent, which is manifested by an explosion of affect and aggression. On the basis of the basic scales of SMMP, the equations of the forecast of formation of BMD at combatants were developed. It is shown that the accuracy of the prediction of the formation of BMD in combatants only on the basis of indicators of SMMP scales is 77.0%, therefore, to improve the accuracy, it is necessary to develop a comprehensive diagnostic model, including psychosocial factors of anamnesis, taking into account the conditions of development and formation of personality. Keywords: Combatants; Borderline mental disorders; Assessment the possibility of prediction; Standardized multi-factor method of personality research


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