scholarly journals Analysis of severity and variability of psychopathology disturbances in structure mental health disorders in long-distance sailors depending on their levels of psychosocial stress

2019 ◽  
Vol 85 (4) ◽  
pp. 69-78
Author(s):  
K.A. Kosenko
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychosocial Stress ◽  
Mental Health Disorders ◽  
Long Distance ◽  
Psychopathological Symptoms ◽  
Symptoms Of Depression ◽  
Health Disorders ◽  
Stress Burden

Using clinical-psychopathological and psychodiagnostic methods, we studied the severity and variability of psychopathological symptoms in the structure of mental health disorders in seafarers, depending on the level of psychosocial stress they experienced, to determine the targets of personalized mental health care measures for this contingent. During 2016–2019, 110 officers of the command staff of the Maritime Merchant Navy (CMN), 90 sailors of the Maritime Merchant Navy (SMN), 70 representatives of the command staff of the Maritime Passenger Fleet (CPF) and 30 privates of the Maritime Passenger Fleet (SPF) were surveyed. All were examined by men, citizens of Ukraine. The study included the use of clinical-psychopathological and psychodiagnostic methods. In the inter-voyage period, the vast majority of long-distance sailors are either mentally healthy (30.9 % CMN, 41.1 % SMN, 42.9 % CPF, 33.3 % SPF), or have some signs of mental maladaptation (52.7 % CMN, 37.7 % SMN, 44.3 % CPF, 40.0 % SPF). Clinically delineated disorders of the neurotic register of the F43 cluster (adaptation disorders) are characterized by 26.7 % SPF, 21.1 % SMN, 16.4 % CMN and 12.8 % CPF. The severity and variability of psychopathological manifestations, in general in the sample, correspond to the neurotic level of response, however, have differences among the examined different groups. The greatest severity of symptoms of depression on the background of high levels of anxiety, hostility and psychosis is inherent in SPF, and the greatest severity of anxiety, phobic anxiety, hostility and somatization is inherent in CMN. The lowest severity of psychopathological symptoms is characteristic of CPF. The severity and variability of psychopathological manifestations is directly associated with the level of stress experienced by the subjects: with increasing stress burden, the severity of the psychopathological response increases. The identified patterns should be taken into account in the development of specific measures of psychotherapy and psychoprophylaxis for this contingent, which is the prospect of this study.

scholarly journals Vocational and Educational Training in Family and Community Nursing as a European Priority: The ENhANCE Erasmus+ Project. Aspects for Mental Health Care

2019 ◽  
Vol 1 (1) ◽  
pp. 67
Author(s):  
Ioanna V. Papathanasiou ◽  
Evangelos C. Fradelos ◽  
Sofia Kastanidou ◽  
Konstantinos Tsaras ◽  
Francesca Pozzi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Nursing Care ◽  
Mental Health Disorders ◽  
Community Mental Health Care ◽  
Educational Training ◽  
Patient Centered ◽  
Essential Condition ◽  
Health Disorders

Concerning community mental health care, current studies’ results have shown many benefits for individuals that are suffering from mental disorders and their families also, of the nursing care that is provided from Family and Community Nurses. According to these results the patient – centered, adequate and continuing nursing care is an essential condition for better health outcomes of chronic mental health disorders, can reduce relapses and hospitalizations, saving significant fund

scholarly journals Mental health care in Kuwait: Toward a community-based decentralized approach

2016 ◽  
Vol 61 (3) ◽  
pp. 329-334 ◽  
Author(s):  
Sevag Kaladchibachi ◽  
Abdulwahab M Al-Dhafiri
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Arab World ◽  
Mental Healthcare ◽  
Mental Health Disorders ◽  
Mental Illnesses ◽  
International Studies ◽  
Cultural Challenges ◽  
Health Disorders

A number of international studies have highlighted the prevalence of mental health disorders, and the combined lifetime incidence of mental illnesses has been estimated to be as high as 30 percent worldwide. Due to geopolitical, economic, cultural, and religious factors, Gulf Cooperation Council (GCC) countries have been recognized as being particularly susceptible to the socioeconomic impact of mental health disorders, and our report examines the current state of mental healthcare policies in the Arab world and discusses the administrative/infrastructural and social/cultural challenges faced in the provision of adequate mental health care in Kuwait.

scholarly journals Principles of mental health care during the COVID-19 pandemic

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Martina Rojnic Kuzman ◽  
Marko Curkovic ◽  
Danuta Wasserman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Professional Associations ◽  
Mental Health Disorders ◽  
Health Problems ◽  
Provision Of Services ◽  
Health Disorders

Abstract We describe the basic principles of mental health care during the COVID-19 pandemic that should be endorsed by the mental health professional associations and incorporated in the health strategies for the management of the COVID-19 pandemic. The main principle is that there should be no substantial differences in the provision of health care for COVID-19 between persons with pre-existing mental health disorders and the ones without previous disorders. Subsequently, the organization of the health care should reflect that as well. These principles should (a) prevent the possible effects of stigmatizing attitudes toward mental health issues, possibly leading to potentially deleterious situations, such as psychiatric patients being treated (even temporarily) separately from other patients, in psychiatric facilities, where the staff is not equipped and trained adequately for the management of COVID-19; (b) highlight the fact that patients with mental health disorders are at greater risk for developing serious complications of COVID-19 infection due to other factors—they often smoke and have comorbidities such as hypertension, diabetes, all associated with higher morbidity and mortality from COVID-19 infection; (c) highlight that measures should be taken to minimize the risk of the spread of infection in psychiatric wards/institutions; (d) provide a general framework for the reorganization of mental health services toward the provision of services for persons in need, including frontline medical workers and patients with COVID-19 without previous mental health problems as well as for persons with pre-existing mental health problems under new circumstances of pandemic.

scholarly journals Occurrence and determinants of parental psychosocial stress and mental health disorders in parents and their children in early childhood: rationale, objectives, and design of the population-based SKKIPPI cohort study

2020 ◽  
Author(s):  
J. Fricke ◽  
M. Bolster ◽  
C. Ludwig-Körner ◽  
L. Kuchinke ◽  
F. Schlensog-Schuster ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Early Childhood ◽  
Cohort Study ◽  
Social Services ◽  
Psychosocial Stress ◽  
Mental Health Disorders ◽  
Population Based ◽  
Health Disorders ◽  
Utilisation Data

Abstract Purpose The postnatal period is a vulnerable time for parents and children but epidemiological and health care utilisation data for Germany on parental mental health during early childhood is scarce. This protocol describes the rationale, aim and study design of a population-based cohort study to assess the occurrence and determinants of psychosocial stress and mental health disorders, as well as the use and cost of health care and social services in early childhood. Methods As part of the collaborative SKKIPPI project, we will contact a random sample of 30,000 infants listed in the residents’ registration offices of three German towns and we expect to include 6,000 mother–child pairs. Both parents are invited to fill out an online screening questionnaire. Mothers with indications of psychosocial stress will be interviewed to assess mental health disorders, regulatory problems of their children, as well as health care and social services utilisation, with a follow-up assessment after 6 months. Results After description of sociodemographic and health data, we will analyse occurrences, patterns, and potential determinants (maternal age, social status, household factors, migration status etc.) of psychosocial stress and mental health disorders in the mothers and their children in early childhood. Conclusions Our study will identify potential risk and protective factors for postnatal mental health and health care utilization of psychosocially burdened families. This will help to improve prevention and treatment strategies to strengthen the parent–child relationship, to reduce persisting vulnerability of children, and to improve health care and social services. Trial registration The study has been registered in the German Clinical Trial Registry on February 8th 2019 (DRKS-ID: DRKS00016653).

Sociodemographic Profile of Psychiatric Inpatients at a Center of Mental Health Care in Brazil

2017 ◽  
Vol 41 (S1) ◽  
pp. S616-S616
Author(s):  
D. Soria ◽  
T.V.C. Vernaglia ◽  
N.R. Santiago ◽  
E.C.F. Ramos ◽  
D.R.D. Leitão ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Care Center ◽  
Univariate Analysis ◽  
Psychiatric Inpatients ◽  
Mental Health Disorders ◽  
Cross Sectional ◽  
Health Care Center ◽  
Health Disorders

BackgroundThe most prevalent disorders between the chronic diseases are the mental health disorders. Almost 650 million of people in the world suffer of some mental health disorders, which cause serious impact on individual abilities, family relationship and social rehabilitation.AimsWe describe and study the sociodemographic characteristics and the diagnosis of a sample of male and female psychiatric inpatients undergoing treatment in a mental health care center in Brazil.MethodsIt is a descriptive cross-sectional study, carried out with 517 psychiatric inpatients from a Brazilian health institution – IMAS Nise da Silveira. Data was collected from January to December 2014 and occurred through consultation of the patients’ hospital notes. Univariate analysis was used for the data collection and analysis.ResultsOur sample was composed by 52.6% (n = 272) of men and 47.4% of women (n = 245); 50.5% were over 40 years old and have a long time of hospitalization. Overall, 64.6% had schizophrenia; 27.2% mood [affect] disorders; 3.7% mental and behavioural disorders due to psychoactive substance use; 1.4% mental retartation; 0.4% personality disorders; 0.2% disorders of psychological development.ConclusionThe profile could advance the mental health care and rehabilitation of these people. Although could improve public policies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Association of Mental Health Disorders With Health Care Spending in the Medicare Population

2020 ◽  
Vol 3 (3) ◽  
pp. e201210
Author(s):  
Jose F. Figueroa ◽  
Jessica Phelan ◽  
E. John Orav ◽  
Vikram Patel ◽  
Ashish K. Jha
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Disorders ◽  
Health Care Spending ◽  
Medicare Population ◽  
Health Disorders

Effectiveness of Prompt Mental Health Care: Preliminary results from a randomized controlled trial

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Knapstad ◽  
L V Lervik ◽  
S M M Saether ◽  
L E Aaroe ◽  
O R F Smith
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Randomized Controlled Trial ◽  
Mental Health Care ◽  
Controlled Trial ◽  
Sensitivity Analyses ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Randomized Controlled

Abstract Background Prompt Mental Health Care (PMHC) service is a Norwegian initiative, adapted from the English ‘Improved Access to Psychological Therapy’ (IAPT), aimed at improving access to primary care treatment for anxiety and depression. Thus far, both PMHC and IAPT have been evaluated by cohort studies only. Albeit yielding promising results, the extent to which these are attributable to the treatment thus remains unsettled. This study investigates the effectiveness of PMHC compared to treatment as usual (TAU) at six months follow-up. Methods Randomized controlled trial with parallel assignment in two PMHC sites from November 2015 to March 2018. Participants were 681 adults (aged ≥18 years) considered for admission to PMHC due to anxiety and/or mild to moderate depression. These were randomly assigned on a 70:30 ratio. Main outcomes were recovery rates and changes in symptoms of depression and anxiety between baseline and follow-up. Primary outcome data were available for 73%/67% in the PMHC/TAU group. Sensitivity analyses based on observed patterns of missingness were conducted. Results A reliable recovery rate of 58.5% was observed in the PMHC group and 31.9% in the TAU group, yielding a between-group effect size (ES) of 0.61 [95% CI 0.37-0.85, p<.001]. The differences in degree of improvement between PMHC and TAU yielded an ES of -0.88 [95% CI -1.23-0.43, p < 0.001] for symptoms of depression and -0.60 [95% CI -0.90-0.30, p < 0.001] for symptoms of anxiety in favour of PMHC. All sensitivity analyses pointed in the same direction with small variations in point estimates. Findings were slightly more robust for depressive than anxiety symptoms. Conclusions The PMHC treatment was substantially more effective than TAU in alleviating symptoms of anxiety and depression. This adaptation of IAPT is considered a viable supplement to existing health services to increase access of effective treatment for adults who suffer from anxiety and mild to moderate depression. Key messages This study is the first to evaluate the effectiveness of an IAPT-like treatment model in terms of a randomized controlled trial. Prompt Mental Health Care was substantially more effective than TAU in alleviating symptoms of depression and anxiety at 6-months follow-up.

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