scholarly journals Mental Health and Migration in Mesoamerica: a Systematic Review

2018 ◽  
Vol 2 (1) ◽  
pp. 25-36
Author(s):  
Julio Torales ◽  
Iván Barrios ◽  
Israel González
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Country Of Origin ◽  
Post Traumatic Stress ◽  
Fundamental Factor ◽  
Revisión Sistemática ◽  
Salud Mental ◽  
And Migration ◽  
Migratory Process

Introduction: Millions of people live outside their country of origin, they are immigrants, refugees or exiled, each with their own history, their strengths and weaknesses; but they all have something in common: the fact that they must adapt culturally to the place where they now live, and they must be socially accepted in this new group.  Objective: The main goal of this article was to perform a search and systematic review in order to find research in the fields of mental health and migration, providing a global view of the situation in Mesoamerica and showing the risk factors and the protective factors that influence the migratory process. Methodology: We performed a systematic review of the following databases: PubMed/MEDLINE and LILACS. We included publications from the last five years (2012 – 2017), in English and Spanish, if they were published in indexed journals and if the full text version was available. Results: We found that the most frequent mental disorders were related to stress, the distress generated by the separation from family members, the problems faced when crossing the border, and the conditions that motivate the migration. The most common diagnoses where generalized anxiety disorder, major depressive disorder, post-traumatic stress disorder, and substance use disorder. Conclusions: In Mesoamerica, there is a dearth of research exposing with clarity the current situation of migration and mental health and describing the details of the reality in each country. This is important because, besides from the personal features and support networks that these people have, a fundamental factor that determines their mental health in their new country is the country of origin: the living conditions in this country and the motives that force people to migrate. Keywords: Psychological distress; Migrants; Migratory process; Mental health; Mental disorders. RESUMEN Introducción: Millones de personas viven fuera de su país de origen, son inmigrantes, refugiados o exiliados, cada uno con su propia historia, sus fortalezas y debilidades; pero todos tienen algo en común: el hecho que deben adaptarse culturalmente al lugar donde residen y, por supuesto, ser aceptados en este nuevo grupo. Metodología: Se realizó una revisión sistemática en las bases de datos PubMed/MEDLINE, LILACS. Se incluyeron las publicaciones de los últimos cinco años (2012-2017), en español e inglés, disponibles a texto completo y de revistas arbitradas. Resultados: Se encontró que los trastornos mentales más comunes están relacionados con el estrés, la angustia generada por la separación de los familiares, los problemas que enfrentan al cruzar la frontera y las condiciones que motivan la migración. Se destacan los diagnósticos de trastorno de ansiedad generalizada, trastorno depresivo mayor, trastorno de estrés postraumático, uso y abuso de sustancias. Conclusiones: Existe poca investigación en Mesoamérica que exponga claramente la situación actual de la migración y la salud mental y detalle la realidad de cada país. Lo anterior es importante puesto que, además de las características personales y la red de apoyo con que cuenten estas personas, un determinante fundamental lo constituye el país de origen, la realidad que se vive allí y cuáles son los motivos que obligan a las personas a migrar. Palabras clave: Malestar psicológico; Migrantes, Proceso migratorio; Salud mental; Trastornos mentales.

Economic evaluation and costs of telepsychiatry programmes: A systematic review

2020 ◽  
pp. 1357633X2093891 ◽  
Author(s):  
John A Naslund ◽  
Lauren M Mitchell ◽  
Udita Joshi ◽  
Dipal Nagda ◽  
Chunling Lu
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Mental Disorders ◽  
Clinical Care ◽  
Mental Illnesses ◽  
Economic Evaluations ◽  
Schizophrenia Spectrum Disorders ◽  
Post Traumatic Stress

Objective Telepsychiatry involves use of telecommunications technology to deliver psychiatric care and offers promise to reduce costs and increase access to mental health services. This systematic review examined cost reporting of telepsychiatry programmes for mental healthcare. Methods We systematically searched electronic databases for studies reporting costs, including economic evaluations such as cost-effectiveness analyses, or costs of developing telepsychiatry programmes for clinical care of mental disorders. Included studies enrolled participants with mental disorders and involved telepsychiatry for depression, anxiety disorders, serious mental illnesses including schizophrenia spectrum disorders and bipolar disorder, post-traumatic stress disorder, dementia or epilepsy. Results Twenty-six unique studies met inclusion criteria (17,967 participants), with most targeting depression ( n = 7; 27%), general mental disorders and screening ( n = 7; 27%), child mental health ( n = 4; 15%) and geriatric mental health ( n = 4; 15%). Nearly all studies ( n = 25; 96%) compared telepsychiatry programme costs with either standard in-person consultation or usual care, with 15 (60%) reporting that telepsychiatry programmes were less expensive, and 8 (32%) showing telepsychiatry programmes were more expensive. Three studies reported cost-effectiveness analyses, favouring telepsychiatry programmes, but at highly elevated cost-effectiveness thresholds. Few studies reported costs of developing or delivering telepsychiatry programmes. Conclusion Costs of telepsychiatry programmes varied widely, with substantial heterogeneity in how costs were defined and reported. Some programmes cost less than in-person services while others cost more. Therefore, rigorous cost-effectiveness studies following established standards in economic evaluation are needed to inform implementation and sustainability of these programmes in health systems.

scholarly journals ¿Podemos mejorar nuestra salud mental a través de la Danza?: una revisión sistemática (Can we improve mental health dancing?: A systematic review)

Retos ◽  
2015 ◽  
pp. 194-197
Author(s):  
Carmen Padilla Moledo ◽  
Javier Coterón López
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Social Relationships ◽  
Family Relationships ◽  
Energy Levels ◽  
Calidad De Vida ◽  
Revisión Sistemática ◽  
Salud Mental ◽  
Reported Health

El presente artículo aporta una revisión sistemática sobre la posible influencia positiva de la danza sobre la salud mental. La revisión fue realizada entre febrero y mayo de 2013 incluyendo las siguientes bases de datos: MEDLINE, APAPsycNet, SPORTDiscus, y Google Academic. Sobre una base inicial de 1.262 artículos se seleccionaron un total de quince que correspondían con los criterios de inclusión de este trabajo. De estos quince estudios, doce de ellos hallaron que a través de un programa de intervención en danza los sujetos mejoraban los niveles de diferentes indicadores de salud mental tales como: estados de ánimo (depresión, niveles de energía, stress, ansiedad, angustia, preocupación), relaciones sociales y con los padres, autoestima, emociones negativas, bienestar, salud autopercibida, confianza en sí mismo, autoimágen corporal y calidad de vida. Aún a pesar de las limitaciones de los estudios presentados en esta revisión. Creemos que se abre una ventana para la consideración de la danza como estrategia de intervención válida para la mejora de la salud mental. No obstante, se trata de un área poco explorada que necesita un mayor número de estudios.Palabras clave: danza, salud mental.Abstract: this article reports a systematic review of literature published between february and may 2013 about the influence of dance on mental health. As database we use: MEDLINE, APAPsycNet, SPORTDiscus, y Google Academic. Over a possible database of 1.262 papers, a total of fifteen studies were selected (related to inclusion criteria of this study), twelve of them reported that dance improves levels of different indicators of mental health such as: mood (depressión, energy levels, stress, anxiety, distress, concern), social relationships, family relationships, self-esteem, negative affect, wellbeing, self-reported health, confidence, body image and quality of life. Although researches presented show several limitations. We think this review is the beginning for considering dance interventions programmes as an instrument for improving mental health. Anyway is a new area to explore and more research is need.Keywords: dance, mental Elath.

scholarly journals Serious games for mental health: Are they accessible, feasible, and effective? A systematic review and meta-analysis

2020 ◽  
Author(s):  
HM Lau ◽  
JH Smit ◽  
Theresa Fleming ◽  
H Riper
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Serious Games ◽  
Meta Analysis ◽  
Age Groups ◽  
Autism Spectrum ◽  
Post Traumatic Stress ◽  
Cd Rom ◽  
The Impact

© 2017 Lau, Smit, Fleming and Riper. Introduction: The development and use of serious games for mental health disorders are on the rise. Yet, little is known about the impact of these games on clinical mental health symptoms. We conducted a systematic review and meta-analysis of randomized controlled trials that evaluated the effectiveness of serious games on symptoms of mental disorder. Method: We conducted a systematic search in the PubMed, PsycINFO, and Embase databases, using mental health and serious games-related keywords. Ten studies met the inclusion criteria and were included in the review, and nine studies were included in the meta-analysis. Results: All of the serious games were provided via personal computer, mostly on CD-ROM without the need for an internet connection. The studies targeted age groups ranging from 7 to 80 years old. The serious games focused on symptoms of depression (n = 2), post-traumatic stress disorder (n = 2), autism spectrum disorder (n = 2), attention deficit hyperactivity disorder (n = 1), cognitive functioning (n = 2), and alcohol use disorder (n = 1). The studies used goal-oriented (n = 4) and cognitive training games (n = 6). A total of 674 participants were included in the meta-analysis (380 in experimental and 294 in control groups). A meta-analysis of 9 studies comprising 10 comparisons, using a random effects model, showed a moderate effect on improvement of symptoms [g = 0.55 (95% confidence interval 0.28-0.83); P < 0.001], favoring serious games over no intervention controls. Discussion/conclusion: Though the number of comparisons in the meta-analysis was small, these findings suggest that serious gaming interventions may be effective for reducing disorder-related symptoms. More studies are needed in order to attain deeper knowledge of the efficacy for specific mental disorders and the longer term effects of this new type of treatment for mental disorders.

scholarly journals Serious games for mental health: Are they accessible, feasible, and effective? A systematic review and meta-analysis

2020 ◽  
Author(s):  
HM Lau ◽  
JH Smit ◽  
Theresa Fleming ◽  
H Riper
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Serious Games ◽  
Meta Analysis ◽  
Age Groups ◽  
Autism Spectrum ◽  
Post Traumatic Stress ◽  
Cd Rom ◽  
The Impact

© 2017 Lau, Smit, Fleming and Riper. Introduction: The development and use of serious games for mental health disorders are on the rise. Yet, little is known about the impact of these games on clinical mental health symptoms. We conducted a systematic review and meta-analysis of randomized controlled trials that evaluated the effectiveness of serious games on symptoms of mental disorder. Method: We conducted a systematic search in the PubMed, PsycINFO, and Embase databases, using mental health and serious games-related keywords. Ten studies met the inclusion criteria and were included in the review, and nine studies were included in the meta-analysis. Results: All of the serious games were provided via personal computer, mostly on CD-ROM without the need for an internet connection. The studies targeted age groups ranging from 7 to 80 years old. The serious games focused on symptoms of depression (n = 2), post-traumatic stress disorder (n = 2), autism spectrum disorder (n = 2), attention deficit hyperactivity disorder (n = 1), cognitive functioning (n = 2), and alcohol use disorder (n = 1). The studies used goal-oriented (n = 4) and cognitive training games (n = 6). A total of 674 participants were included in the meta-analysis (380 in experimental and 294 in control groups). A meta-analysis of 9 studies comprising 10 comparisons, using a random effects model, showed a moderate effect on improvement of symptoms [g = 0.55 (95% confidence interval 0.28-0.83); P < 0.001], favoring serious games over no intervention controls. Discussion/conclusion: Though the number of comparisons in the meta-analysis was small, these findings suggest that serious gaming interventions may be effective for reducing disorder-related symptoms. More studies are needed in order to attain deeper knowledge of the efficacy for specific mental disorders and the longer term effects of this new type of treatment for mental disorders.

scholarly journals Anxiety Disorders and PTSD in Palestine: A systematic review

2020 ◽  
Author(s):  
Mohammad Mohammad-Zeyad Marie ◽  
Sana Asad Mohammad SaadAdeen ◽  
Maher Mohammad Khalil Battat
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Anxiety Disorders ◽  
Political Violence ◽  
Common Mental Disorders ◽  
Mental Health Policy ◽  
Significant Proportion ◽  
Poor Quality ◽  
Post Traumatic Stress

Abstract Background The WHO reports that anxiety disorders are the most common mental disorders worldwide. Most people who experience such events recover from them, but people with post-traumatic stress disorder (PTSD) continue to be severely depressed and anxious for months or even years following the event. Palestinians are especially at a higher risk for developing anxiety disorders and PTSD due to their chronic exposure to political violence, prolonged displacement, and others as a limited professional, educational, financial opportunities, and mental health services. This paper aims to provide a systematic review of the literature and established studies concerning Anxiety disorders besides PTSD in Palestine.Methods PubMed, Science Direct, Google Scholar was used to search for materials, for the critical analysis of empirical articles, the following aspects were considered: study type, sample, and the key findings. Results Twenty-four studies from Palestine (West Bank and Gaza) were included in this review. Five studies related to children, five related to Adolescent, three related to women, three related to physical diseased and four related to gender and age differences.Results showed that anxiety disorders and PTSD were one of the most common mental disorders in Palestine. Anxiety and PTSD develop from a complex set of risk factors, including genetics, personality, and life events. They are highly associated with poor quality of life and disability. The results indicate that a significant proportion of Palestinian experiencing serious psychological distress especially anxiety and PTSD. Therefore, a mental health policy for Palestinians must deal with several challenges. Distinct barriers including inconsistent availability of medications, absence of multidisciplinary teamwork, insufficient specialists, fragmented mental health system, and occupation need to be addressed.Conclusion As a primary prevention, the occupation should be considered as a main source of the anxiety and other mental health disorders in Palestine. Besides, there is a need to implement mental health care system through the multidisciplinary work and raising awareness regarding prevalent of mental disorders.

scholarly journals Serious games for mental health: Are they accessible, feasible, and effective? A systematic review and meta-analysis

2020 ◽  
Author(s):  
HM Lau ◽  
JH Smit ◽  
Theresa Fleming ◽  
H Riper
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Serious Games ◽  
Meta Analysis ◽  
Age Groups ◽  
Autism Spectrum ◽  
Post Traumatic Stress ◽  
Cd Rom ◽  
The Impact

© 2017 Lau, Smit, Fleming and Riper. Introduction: The development and use of serious games for mental health disorders are on the rise. Yet, little is known about the impact of these games on clinical mental health symptoms. We conducted a systematic review and meta-analysis of randomized controlled trials that evaluated the effectiveness of serious games on symptoms of mental disorder. Method: We conducted a systematic search in the PubMed, PsycINFO, and Embase databases, using mental health and serious games-related keywords. Ten studies met the inclusion criteria and were included in the review, and nine studies were included in the meta-analysis. Results: All of the serious games were provided via personal computer, mostly on CD-ROM without the need for an internet connection. The studies targeted age groups ranging from 7 to 80 years old. The serious games focused on symptoms of depression (n = 2), post-traumatic stress disorder (n = 2), autism spectrum disorder (n = 2), attention deficit hyperactivity disorder (n = 1), cognitive functioning (n = 2), and alcohol use disorder (n = 1). The studies used goal-oriented (n = 4) and cognitive training games (n = 6). A total of 674 participants were included in the meta-analysis (380 in experimental and 294 in control groups). A meta-analysis of 9 studies comprising 10 comparisons, using a random effects model, showed a moderate effect on improvement of symptoms [g = 0.55 (95% confidence interval 0.28-0.83); P < 0.001], favoring serious games over no intervention controls. Discussion/conclusion: Though the number of comparisons in the meta-analysis was small, these findings suggest that serious gaming interventions may be effective for reducing disorder-related symptoms. More studies are needed in order to attain deeper knowledge of the efficacy for specific mental disorders and the longer term effects of this new type of treatment for mental disorders.

scholarly journals The burden of mental disorders and access to mental health and psychosocial support services in Syria and among Syrian refugees in neighboring countries: a systematic review

2019 ◽  
Vol 42 (3) ◽  
pp. e299-e310 ◽  
Author(s):  
M Hendrickx ◽  
A Woodward ◽  
D C Fuhr ◽  
E Sondorp ◽  
B Roberts
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Disorders ◽  
Psychosocial Support ◽  
Descriptive Analysis ◽  
Poor Mental Health ◽  
Cultural Barriers ◽  
Bibliographic Databases ◽  
Syrian Refugees ◽  
Post Traumatic Stress

Abstract Background Exposure to conflict, violence and forced displacement can increase poor mental health among affected populations. Our aim was to examine evidence on the burden of mental disorders and access to and effectiveness of mental health and psychosocial support (MHPSS) services in Syria and among Syrian refugees in neighboring countries. Methods A systematic review was done following systematic review criteria. Twelve bibliographic databases and additional gray literature sources were searched for quantitative and qualitative studies. Descriptive analysis and quality assessment were conducted. Results Twenty-eight eligible studies were identified, of which two were with conflict-affected populations within Syria. Levels of post-traumatic stress disorder ranged from 16 to 84%, depression from 11 to 49%, and anxiety disorder from 49 to 55%. Common risk factors were exposures to trauma and having a personal or family history of mental disorder. Financial and socio-cultural barriers were identified as the main obstacles to accessing MHPSS care. Evaluations of MHPSS services, albeit from predominantly nonrandomised designs, reported positive treatment outcomes. Conclusions The MHPSS burden was high, but with considerable variation between studies. There are key evidence gaps on: MHPSS burden and interventions—particularly for those living within Syria; access and barriers to care; and implementation and evaluation of MHPSS interventions.

scholarly journals Características sociodemográficas de las personas admitidas en un centro hospitalario psiquiátrico alemán: un estudio retrospectivo.

2020 ◽  
pp. 4-10
Author(s):  
Blanca Patricia Silva-Barrera ◽  
Rocio Juliá-Sanchis ◽  
Andrés Montoyo-Guijarro ◽  
Rosa Requena-Morales
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Abuse ◽  
Retrospective Study ◽  
Mental Disorders ◽  
Psychiatric Hospital ◽  
Psychiatric Symptoms ◽  
Clinical History ◽  
Severe Mental Disorders ◽  
Salud Mental

Resumen En los últimos años se han suscitado cambios en la salud mental de las personas, debido a las diversas problemáticas sociodemográficas actuales. Se requiere de la exploración de los acontecimientos que causan síntomas psiquiátricos en las personas con necesidad de ingreso y hospitalización. Es por eso que se realizó este estudio retrospectivo sobre 1.593 historias clínicas del hospital psiquiátrico Main-Kinzig-Kreis Schlüchtern en Alemania durante el período 2000-2014 en pacientes de 18 a 69 años. Se identificó como motivo de ingreso a un 37.16% de personas como pacientes con síntomas agudos, una relación con consumos de sustancias provocadas por adicciones en un 41.62% y el trastorno depresivo en un 28.75%. Se detecta la descompensación de trastornos mentales graves en 27.05%, en donde el 34.71% de los pacientes fueron derivadas desde otros dispositivos asistenciales y el 32.89% decidió ingresar por sí mismo. El perfil del paciente ingresado es de ser hombre entre 41-50 años, casado o con pareja, derivado por recurso asistencial relacionado con la descompensación de un trastorno mental grave. Abstract In recent years, changes have occurred in people&#39;s mental health due to various current socio- demographic issues. The exploration of the events that cause psychiatric symptoms in people who need admission and hospitalization is required. That is why this retrospective study was conducted on 1.593 clinical history from the Main-Kinzig-Kreis Schlüchtern psychiatric hospital in Germany during the period 2000-2014 in patients aged 18 to 69. A total of 37.16% of the patients were identified as having acute symptoms, 41.62% as having substance abuse due to addiction and 28.75% as having a depressive disorder. Decompensation of severe mental disorders was detected in 27.05%, where 34.71% of the patients were referred from other care devices and 32.89% decided to be admitted on their own. The profile of the admitted patient is a man between 41-50 years old, married or with a partner, referred to the psychiatric hospital for health care resources due to a decompensation of some serious mental disorder.

scholarly journals A Culturally Informed Systematic Review of Mental Health Disparities Among Adult Indigenous Men and Women of the USA: What is known?

2019 ◽  
Vol 49 (4) ◽  
pp. 880-898 ◽  
Author(s):  
Kristi Ka’apu ◽  
Catherine E Burnette
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Protective Factors ◽  
Social Workers ◽  
Indigenous Populations ◽  
Post Traumatic Stress ◽  
Quantitative And Qualitative Research ◽  
Holistic Approaches ◽  
The Usa ◽  
Post Traumatic

Abstract Related to a broader context of historical oppression, Indigenous peoples of the USA are overburdened with the mental health challenges that social workers tend to treat, including post-traumatic stress disorder (PTSD), depression, suicide and substance use disorders (SUD). The purpose of this systematic review is to use the Framework of Historical Oppression, Resilience and Transcendence (FHORT) to identify empirical research on risk and protective factors related to mental health and SUD amongst these populations. This systematic review includes peer-reviewed quantitative and qualitative research articles from 1980 to 2017 focusing on the mental health of US Indigenous adults. A total of thirty-eight peer-reviewed empirical articles met inclusion criteria. Results reveal adults within Indigenous populations are at a high risk for mental health outcomes, including PTSD, depression, suicide, SUD and comorbidity across these outcomes. Underlying risk factors across outcomes included historical oppression and loss, family problems and SUD. Protective factors tended to include family and social support and engagement with tribal cultural activities. Significant variability was identified based on gender and geographic regions. Given that protective factors tended to include cultural, familial and community tenets, holistic approaches are the most promising programmes for social workers to work towards.

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