“East West, Home’s Best”: Feminist Politics of Sue Townsend in Bazaar and Rummage

This paper discusses the social reasons for agoraphobia as a psychological disorder as observed in the women characters of British playwright Sue Townsend’s issue-based play Bazaar and Rummage (1982). The depiction of three agoraphobic women in a context characterised by patriarchal dominion constitutes the core of Townsend’s play. Although their problematic condition is presented rather comically, from their accounts, it seems apt to argue that societal oppression is the reason for their longlasting seclusion and constant fear of the outside world. The play offers a rummage sale as an opportunity for women to step outside and conquer their fear. Accordingly, in terms of presenting the psychological condition of women characters and associating the possible solution to their problem with a market occasion, Townsend’s play illustrates an example of feminist criticism. In this study, the play’s analysis is based on the 1980s context dominated by Thatcher politics, and Townsend’s portrayal of agoraphobia is discussed as a criticism of her society in which patriarchal hegemony plays a central role in women’s forced confinement.

The Use of Digital Phenotyping in Mental Health Services: Opportunities, Ethical and Legal Issues

The widespread use of smartphones, mobile devices, wearable technology, and the increase in time online has provided the opportunity to collect data about users continuously. Several sectors such as health, economy, and entertainment have benefitted from the digital traces left by users due to the tight interactions on digital platforms. Today, it is likely to determine and predict users' moods, behavioral patterns, habits, and personality traits with the use of digital traces that are processed using artificial intelligence techniques. Such use of digital data offers new opportunities for mental health services. Today with this method, it is possible to obtain simultaneous data on the course of the psychological disorder and create a complete and more holistic picture of the disorder by accessing data that can not be obtained from self-report assessment techniques. This new approach, which is called digital phenotyping, can improve the objectivity in diagnosis. Studies have proven digital phenotyping’s potential to determine disorders' recurrence risk and make psychometric predictions. The studies have indicated the promising future of digital phenotyping in mental health services since the initial discussions by Jain et al. in 2015. It is reported that digital phenotyping can be used to diagnose and follow certain mental health disorders such as depression, anxiety, and schizophrenia at an early stage. However, ethical concerns such as privacy, autonomy, data security, and data confidentiality are among the critical issues surrounding the use of digital phenotyping. This paper includes essential information about the digital phenotyping method, discussions about the practical, legal and ethical concerns regarding the use of digital phenotyping in mental health services, and suggestions for future research. Keywords: Digital phenotyping, mental health, smartphone, digital data, mental health services

Split Sciences: The Legal Accountability of Patients With Dissociative Identity Disorder

The thriller “Split” by M. Night Shyamalan showed a glimpse into the multiple personalities of the antagonist in the film. While many elements were added for intense suspense, the existence of such a disorder was factual. Dissociative Identity Disorder is defined by the American Psychiatric Association as a “psychological illness with 2 or more distinct identities, each accompanied by changes in behavior, memory, and thinking” (American Psychiatric Association). In a legal setting, the actions of the patients with DID have numerous ramifications. This paper aims to illustrate how the accountability of DID patients during a crime should be assessed. To find out how DID patients could be held accountable, we analyzed the disorder by researching the transformations in the brain, identified its origins, and explored the consequences in a judicial milieu. After conducting this research, we identified the solution that could be seamlessly embedded into our current society and benefit the patient as well as the courts. Through the analysis of the psychological disorder with a social lens, we evaluated that the jury and the public should be made more aware of the disorder and the court should not automatically assume innocence based on just the Insanity Defense. This plan is the best course of action for patients and the court systems and also aims to adapt societal thought to be more aware of DID’s difficulties.

An Explainable Intelligence Driven Query Prioritization Using Balanced Decision Tree Approach for Multi-Level Psychological Disorders Assessment

Human emotions affect psychological health to a great level. Positive emotions relate to health improvement; whereas negative emotions may aggravate psychological disorders such as anxiety, stress, and depression. Although there exist several computational methods to predict psychological disorders, most of them provide a black-box view of uncertainty. This research involves developing a novel predictive model for multi class psychological risk recognition with an accurate explainable interface. Standard questionnaires are utilized as data set and a new approach called a Q-Prioritization is employed to drop insignificant questions from the data set. Moreover, a novel balanced decision tree method based on repetitive oversampling is applied for the training and testing of the model. Predictive nature along with its contributing factors are interpreted with three techniques such as permuted feature importance, contrastive explanation, and counterfactual method, which together form a reasoning engine. The prediction outcome generated an impressive performance with an aggregated accuracy of 98.25%. The mean precision, recall, and F-score metric recorded were 0.98, 0.977, and 0.979, respectively. Also, it was noted that without applying Q-Prioritization, the accuracy significantly drops to 90.25%. The error rate observed with our model was only 0.026. The proposed multi-level psychological disorder predictive model can successfully serve as an assistive deployment for medical experts in the effective treatment of mental health.

A Systematic Review of Persistent Symptoms and Residual Abnormal Functioning following Acute COVID-19: Ongoing Symptomatic Phase vs. Post-COVID-19 Syndrome

Objective: To compare the two phases of long COVID, namely ongoing symptomatic COVID-19 (OSC; signs and symptoms from 4 to 12 weeks from initial infection) and post-COVID-19 syndrome (PCS; signs and symptoms beyond 12 weeks) with respect to symptomatology, abnormal functioning, psychological burden, and quality of life. Design: Systematic review. Data Sources: Electronic search of EMBASE, MEDLINE, ProQuest Coronavirus Research Database, LitCOVID, and Google Scholar between January and April 2021, and manual search for relevant citations from review articles. Eligibility Criteria: Cross-sectional studies, cohort studies, randomised control trials, and case-control studies with participant data concerning long COVID symptomatology or abnormal functioning. Data Extraction: Studies were screened and assessed for risk of bias by two independent reviewers, with conflicts resolved with a third reviewer. The AXIS tool was utilised to appraise the quality of the evidence. Data were extracted and collated using a data extraction tool in Microsoft Excel. Results: Of the 1145 studies screened, 39 were included, all describing adult cohorts with long COVID and sample sizes ranging from 32 to 1733. Studies included data pertaining to symptomatology, pulmonary functioning, chest imaging, cognitive functioning, psychological disorder, and/or quality of life. Fatigue presented as the most prevalent symptom during both OSC and PCS at 43% and 44%, respectively. Sleep disorder (36%; 33%), dyspnoea (31%; 40%), and cough (26%; 22%) followed in prevalence. Abnormal spirometry (FEV1 < 80% predicted) was observed in 15% and 11%, and abnormal chest imaging was observed in 34% and 28%, respectively. Cognitive impairments were also evident (20%; 15%), as well as anxiety (28%; 34%) and depression (25%; 32%). Decreased quality of life was reported by 40% in those with OSC and 57% with PCS. Conclusions: The prevalence of OSC and PCS were highly variable. Reported symptoms covered a wide range of body systems, with a general overlap in frequencies between the two phases. However, abnormalities in lung function and imaging seemed to be more common in OSC, whilst anxiety, depression, and poor quality of life seemed more frequent in PCS. In general, the quality of the evidence was moderate and further research is needed to understand longitudinal symptomatology trajectories in long COVID. Systematic Review Registration: Registered with PROSPERO with ID #CRD42021247846.

Keberfungsian Keluarga Dalam Merawat Anggota Keluarga Dengan Skizofrenia: Literature Review

Schizophrenia is a confusing and disabling clinical syndrome. Mental illness and madness are popular stigmas that describe the psychological disorder of schizophrenia. The distance between the patients and society, in general, causes the stigma. In schizophrenia, there are or two symptoms, namely positive symptoms and negative symptoms. Positive symptoms include anything over the normal range. Negative symptoms include various behavioral deficits such as flat affect, asociality, and apathy. To analyze functions of the family in caring for family members with schizophrenia and characteristics of the families in a literature review. This research was a literature review research. The articles were from online databases, namely Google Scholar and PubMed. Five articles matched the research inclusion criteria. The analysis of the articles used the Hawker instrument. Among six dimensions of the family functioning from the five articles that have been reviewed in the literature, only the role dimension was stated to be a healthy dimension. The other five dimensions were declared unhealthy in the family functioning. The characteristics of family members obtained from the five articles are gender, marital status, education level. The most common gender is male. Most of the respondents are married. Most respondents are junior high school graduates. Based on the results, it can be concluded that family functioning is declared unhealthy. Only the role dimension is declared healthy in the functioning of the family. The other dimensions are declared unhealthy in the functioning of the family.Keywords: Family functioning, Family, Schizophrenia. AbstrakSkizofrenia salah satu sindrom klinis yang membingungkan dan melumpuhkan. Penyakit mental dan kegilaan stigma popular yang menggambarkan gangguan psikologis skizofrenia. Gejala dari skizofrenia yang jauh dari masyarakat pada umumnya menyebabkan stigma tersebut. Pada orang dengan gangguan skizofrenia terdapat atau dibagi menjadi dua gejala yaitu gejala positif dan gejala negatif. Gejala positif meliputi sesuatu yang berlebihan dari rentang normal dan gejala negatif meliputi berbagai deficit perilaku seperti afek datar, asosialitas dan sikap apatis. Menganalisis gambaran keberfungsian keluarga dalam merawat anggota keluarga dengan skizofrenia dan karakteristik keluarga dengan anggota keluarga skizofreniasecara literatur review. Penelitian ini adalah penelitian literature review. Hasil pencarian artikel dari database online yaitu gogle scholar dan Pubmed yang didapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Analisa telaah kritis terhadap 5 artikel menggunakan instrumen Hawker. Darikeenamdimensi dalam keberfungsian keluarga dari kelima artikel yang telah di literature review hanya dalam dimensi peran dinyatakan sehat dalam keberfungsian keluarga. Kelima dimensi lainnya dinyatakan tidak sehat dalam keberfungsian keluarga. Karakteristik anggota keluarga yang didapatkan dari 5 artikel yaitu jenis kelamin, status pernikahan, tingkat pendidikan. Jenis kelamin paling banyak yaitu laki-laki. Responden paling banyak responden berstatus sudah menikah. Responden paling banyak yaitu berpendidikan akhir SMP. Gambaran keberfungsian keluarga dalam merawat anggota keluarga dengan skizofrenia, berdasarkan dari hasil pembahasan dapat disimpulkan bahwa keberfungsian keluarga dinyatakan tidaksehat hasil literature review pada fungsi umum ke-5 artikel dinyatakan tidak sehat dalam keberfungsian keluarga, namun jika dilihat dari setiap dimensi dalam keberfungsian keluarga hanya pada dimensi peran yang dinyatakan sehat dalam keberfungsian keluarga, pada dimensi lainnya dinyatakan tidak sehat dalam keberfungsian keluarga.Kata kunci: Keberfungsian keluarga, Keluarga, Skizofrenia

Healthy Moms and Babies Preventive Psychological Intervention Application: A Study Protocol

Depression is the most common psychological disorder during the perinatal period, and its negative effects extend to mothers, babies, their family and society. Scientific evidence points to the urgency of designing preventive interventions and concludes that the gestational period is the most appropriate time to implement these interventions. However, many pregnant women do not seek professional help due to a lack of knowledge about the importance of mental health, its impact, and the available intervention options, as well as a lack of time and financial resources. E-health interventions can be an efficient, cost-effective, and accessible resource for preventing postpartum depression that can circumvent the barriers that pregnant women face. This randomized clinical trial will examine the efficacy of Healthy Moms and Babies, an app aimed at preventing postpartum depressive symptomatology. The second objective of this study is to analyze the effectiveness of the tool in preventing anxious symptomatology. The primary outcome measure is the difference in the mean score between the intervention and control groups on the Patient Health Questionnaire-9 (PHQ-9) at the end of the intervention and at 3 and 6 months postpartum. The secondary outcome will be determined by using the Generalized Anxiety Disorder Screener (GAD-7) at the same time points. The research findings can be used to determine pregnant women’s use of the e-health application for the prevention of postpartum depression, whether the Healthy Moms and Babies intervention app is an effective and useful resource, and what modifications will need to be made to the tool in future updates.

The Influences of COVID-19 on Patients With Chronic Kidney Disease: A Multicenter Cross-Sectional Study

Background: The outbreak of coronavirus disease 2019 (COVID-19) has attracted global attention. During the lockdown period of COVID-19, follow-up of many patients with chronic disease had been interrupted, which brought severe challenges to better management of their disease. This study aimed at exploring the change of illness, daily life, and psychological responses during the COVID-19 pandemic among chronic kidney disease (CKD) patients.Methods: A total of 612 patients were enrolled in this study; 282 patients were categorized into the CKD stage 1–2 group and 330 patients were categorized into the CKD stage 3–5 group. Among two groups, 168 (27.5%) and 177 (28.9%) patients were female with a median age of 42 and 45, respectively. The study was conducted by collecting the questionnaires in five nephrology centers. The questionnaire consisted of assessment of anxiety by using the Self-Rating Anxiety Scale and the influences of COVID-19, which included basic demographic data, the influences of COVID-19 on illness and daily life, as well as the patients' psychological responses during the epidemic.Results: A total of 612 patients were included and divided into two groups according to eGFR. Ninety-six patients (34%) in the CKD stage 1–2 group and 141 patients (42.7%) in the CKD stage 3–5 group had reduced their follow-up frequency (p = 0.031). More patients with CKD stages 1–2 consulted online (25.9%), p = 0.005. Besides, patients in the CKD stage 3–5 group tended to be more anxious about follow-up (p = 0.002), fearful of being infected with COVID-19 (p = 0.009), and more likely to feel symptoms getting worse (p = 0.006). The standard scores of SAS were 48.58 ± 7.082 and 51.19 ± 5.944 in the CKD stage 1–2 group and the CKD stage 3–5 group, respectively (p &lt; 0.001). There were significant differences in the severity of anxiety (p = 0.004).Conclusion: COVID-19 had a greater impact on patients with CKD stages 3–5 than those with stages 1–2 in terms of illness, daily life, and psychological disorder. Patients with CKD stages 3–5 were more anxious during the COVID-19 pandemic.

Influence of Internet Language Violence on Young Students’ Mental Health and Intervention Countermeasures

With the development of the Internet, it has increasingly become an indispensable product in people’s lives, but many problems have arisen with it. Internet language violence is one of them. At present, the main Internet users in my country are young people, and online language violence brings extremely serious psychological problems to young students. In order to understand the current mental health of young students and the impact of online language violence on them, this article investigates the students in the city’s no. 1 middle school, filters the data through decision tree analysis, and judges online language through the psychological symptoms self-rating scale. The mental health symptom self-rating scale has the characteristics of large capacity, abundant symptoms, and more accurate description of the subject’s conscious symptoms. It contains a wide range of psychiatric symptoms, from feelings, emotions, thinking, consciousness, and behavior to life habits, interpersonal relationships, eating, and sleeping, and it uses 10 factors to reflect the psychological symptoms in 10 aspects. It has good distinguishing ability for people with psychological symptoms (that is, they may be on the edge of psychological disorder or mental disorder). The chi-square statistical method is used to analyze the basic characteristics of different youth groups of verbal violence. For the research content, the school surveys all schools and adopts questionnaire surveys and case studies to analyze the factors that influence youths’ attribution of online violence behaviors and make recommendations. The impact of violence on young students will be analyzed later through psychological intervention. The results of the study found that online language violence caused serious harm to young people’s psychology and caused students’ depression, anxiety, and other mental illnesses. Active psychological interventions can effectively alleviate students’ mental health. The improvement of students’ mental health is the most obvious. The score improved by nearly 10%.

Psychological Well-Being of Malaysian University Students during COVID-19 Pandemic: Do Religiosity and Religious Coping Matter?

The COVID-19 pandemic and the restrictions imposed that changed the teaching and learning activities may add a psychological impact to the existing academic stress faced by university students. Past studies have associated low levels of psychological disorder with high religiosity and positive religious coping (RC). This study aimed to determine the level of psychological disorder among university students in Malaysia during the COVID-19 pandemic and measure their association with religiosity and religious coping (RC). An online cross-sectional survey was conducted between March and June 2020 involving 450 students. The survey instruments consisted of sociodemographic proforma, Duke University Religious Index (DUREL) for religiosity, Brief RCOPE Scale for RC and General Health Questionnaire-12 (GHQ-12) for psychological disorder; 36% of the participants experienced psychological disorder. Younger age, being a Muslim, living in the Green/Yellow zone and higher negative RC were significantly associated with psychological disorder. Higher positive RC was found to be protective against psychological disorder. However, the level of religiosity had no significant association with psychological disorder. In conclusion, the level of psychological disorder among university students has been high during the pandemic. Measures and interventions focusing on positive RC and reducing negative RC are recommended to improve the psychological well-being.