Mental Health Scenario of Climate Migrant Women among Slum Dwellers in Dhaka City

Climate change is a global challenge which is likely to affect the mankind in substantial ways. Not only climate change is expected to affect physical health, it is also likely to affect mental health. Increased frequency of disasters with climate change can lead to posttraumatic stress disorder, adjustment disorder, and depression. Changes in climate may require population to migrate, which can lead to acculturation stress. It can also lead to increased rates of physical illnesses, which secondarily would be associated with psychological distress. Using a qualitative approach, this research explores the mental health status of migrant women in two urban slum areas in Dhaka city. The purpose of this study is to perform a review of existing secondary data and present mental health scenario of climate migrant women among slum dwellers and amplified gaps in knowledge regarding psychological health care system in Bangladesh. It is found that there is a lack of mental health preparedness and response in majority parts in the country specially the city slum, where aid cannot be reached to the sufferers. The paper concludes with a discussion of what can and should be done to tackle the expected mental health issues consequent to climate change and migration.

Impact of Himalayan Singing Bowls Meditation Session on Mood and Heart Rate Variability – An Observational Study

Introduction Scientific evidence has demonstrated the psychological and physiological benefits of meditation. Sound vibrations also improve emotional wellbeing while enhancing the physiological parameters. There is an opportunity to explore the psychological and physiological benefits of Himalayan Singing Bowls (HSB) sound bath meditation, i.e. meditation assisted with sound vibrations. Aim of the Study The study explored changes in mood and Heart Rate Variability (HRV) parameters after a HSB Sound Bath Meditation on healthy individuals. The primary objectives of the study were to understand if a 40 minute long seated HSB Sound Bath Meditation results in significant improvement (a) in positive affect and negative affect, as measured by Positive And Negative Affect Scale (PANAS) and (b) in physiological parameters, as measured by Heart Rate Variability. The secondary objective of the study was to understand the impact on various moods as measured by Profile Of Mood States (POMS) Survey. Methods The psychological parameters included changes in Positive and Negative Affect (measured on 77 individuals using PANAS) and changes in specific, positive and negative moods (measured on 17 individuals using POMS) before and after the meditation session. The physiological parameters included HRV parameters such as Heart Rate (HR), Stress Index (SI) and Root Mean Square of Standard Deviation (RMSSD) measuring during the entire session on 15 individuals using the EmWave Pro device. HRV data analysis was conducted with Kubios HRV Premium and all the data was analyzed using paired T-Test. Results All the subjects after meditation showed statistically significant improvement in Positive Affect (mood) and a reduction in Negative Affect (mood). The HRV parameters showed a trend demonstrating overall relaxation with a statistically significant reduction in HR, Stress Index and an increase in RMSSD in the last 5 minutes as compared to the first 5 minutes. Consistent with changes in positive, negative mood and HRV, all the participants showed statistically significant reduction in tension, anger, fatigue, depression and confusion. In terms of positive mood, there was a statistically significant improvement in esteem related affect and an increase (but not statistically significant) in vigor. Conclusion The findings demonstrate that seated HSB Sound Bath Meditation session has a positive impact on the mood related measures. The physiological changes measured during the meditation using HRV parameters indicated a consistent reduction in Heart Rate throughout the meditation and a reduction in overall sympathetic tone and an increase in parasympathetic tone. Thus, HSB can be used to improve both psychological and physiological parameters even after one 40 min session. Future work in this area could explore comparison with a control group and a longer study duration consisting of multiple sessions.

Dispositional Mindfulness, Perceived Stress, and Mental Well-Being in the Cancer Survivorship

The present study aims to investigate how dispositional mindfulness affects the mental well-being of cancer patients through the way they perceive stress. A total of 182 moderate and advanced gastrointestinal cancer patients volunteered to complete the Mindful Attention Awareness Scale (MAAS), the Chinese Perceived Stress Scale (CPSS), and the General Health Questionnaire (GHQ). Results showed that perceived stress significantly mediated the relationship between dispositional mindfulness and all dimensions of the mental well-being as captured by the GHQ (i.e. anxiety/depression, social dysfunction, and loss of confidence), and perceived stress was positively correlated with all the dimensions of mental well-being. Results of the Structural Equation Model showed that the model fit the data very well (χ2/df = 1.72，RMSEA = 0.063 (95% CI = 0.014 ~ 0.103), CFI = 0.984, TLI = 0.970, SRMR=0.041). Further analyses showed that dispositional mindfulness predicted all the dimensions of psychological well-being. Specifically, higher levels of dispositional mindfulness predicted reduced subjective perceptions of stress, which in turn predicted lower levels of anxiety/depression, social impairment, and loss of confidence. This study indicated a possible mechanism of intervention focused on improving mindfulness capability. Future work is encouraged to investigate the long-term influence of dispositional mindfulness on perceived stress and psychological well-being in cancer patients with other types of cancer.

Cognitive Mechanism of Emotional Validity Influencing Conflict Control

Conflict control is the ability to choose relevant information and ignore disturbing information in task processing. Previous studies have found that emotions have a certain influence on conflict control, and the research results of positive emotions and negative emotions affect conflict control are inconsistent. This study attempted to explore the effects of different emotional valorization on conflict control, using images of happy, fearful and sad emotional faces to investigate the effects of different emotional valorization and different emotional types on conflict control. The experiment selected 40 participants and used the variable-face Stroop paradigm. The study found that no matter what emotional task, there is a significant conflict effect. The effects of different valency on conflict control are different. All three emotions have a significant effect on conflict control, and positive emotions play a role in promoting conflict control.

Consequences of Repression of Emotion: Physical Health, Mental Health and General Well Being

The widely held belief that emotional and psychological processes affect our physical health, mental health and general well-being are central to a holistic view of the individual, and as such, it is a useful foundational concept in integrative medicine. The purpose of this paper is to review substantial amounts of the latest research and recent findings on this issue to enable us to throw some light on how inhibitory factors to emotional expression and experience can endanger our health, both physically and psychologically including our general wellbeing. In addition, the connection between repression of emotion and certain mental disorders like depression and scientifically proven healthy ways to manage issues bordering on emotion was outlined. The information contained in this paper is just as important to health care providers and also to the patients they deal with

Transformative Psychopharmacology: the Case of 5-Methoxy-N,N-Dimethyltryptamine

Since the 2nd part of last century neo-shamanic rituals using mind-altering extracts from plants or animals have become increasingly popular in Europe and the USA. The first rituals coming to the west were based on drinking a special Amazonian tea, Ayahuasca, based on 2 different plants, with active compounds belonging to the class of the beta-carbolines (harmala alkaloids) and tryptamines. The use of such compounds will be described from the perspective of the transformative psychopharmacology: that part of psychopharmacology studying the use of psychoactive compounds to achieve a new balance, a transformation or healing and sometimes even leading to a cure. Examples of curing are meanwhile well documented, for instance the positive influence on drug abuse and addiction, alcoholism. The importance of the healing aspects of these rituals however are often neglected or overlooked. For users, these are key however. As medicine becomes more and more personalized and postmodern, it will be relevant to understand why patients and healthy people decide to participate in healing rituals based on psycho-active compounds. We will present the pharmacology, the transformative psychopharmacology, the effects and adverse events of 5-methoxy-N, N-dimethyltryptamine (5-MeO-DMT) and its place in postmodern medicine.

Dream theory from the perspective of Islam

Background and Objective: Sleep as a sign of the God wisdom and power, is the agent of stability and tranquility. Sleep has a spiritual dimension. Sincere dreams are the continuation of prophecy and guidance of the God. This study aimed to explain the dream theory from the perspective of Islam. Materials and Methods: This evolutionary study has focused on these questions: “what is the process of dreaming in Islam? Can people control their dreams”? Islamic evidences were taken from the verses and narrations related to the words “soul, sleep, dream and death”, using al-Mu’ayyim, authentic Shi’a commentary books, Bihar al-Anwar, Kofi principles, the Book of Resurrection and life after death. The religious and scientific evidences were analyzed based on the Walker and Event content analysis method. Dream theory was extracted from religious evidence. Results: Based on "revelation epistemology" during sleep, the ‘template of a higher universe’ travels to the unseen world and divine guidance can be provided. People with spiritual health) (owners of the Sound heart) can control the type of their dream, and solve problems by the guidance of God. In the perspective of Islam, there are three types of dreams: sometimes is divine guidance and glory from God, sometimes is sorrow from the devil, and sometimes are conflicts of daily living or past events. Conclusion: Regarding the spiritual aspect of sleep and its deep impact on physical and mental health, it is essential for medical staff to become familiar with dream theory from the perspective of Islam. They should explain to patients and family members the importance and impact of sleep on the acceleration of tissue repair and the treatment of anxiety and depression. To those who are willing to enjoy the divine guidance through the dream, they can teach the Islamic method of dream control.

Dissociative Amnesia – A Challenge to Therapy

The psychiatric disease of dissociative amnesia is described and illustrated with case reports. It is emphasized that dissociative amnesia has a stress or trauma-related etiology and that affected individuals, contrary to the still dominant clinical belief, are frequently more severely and enduringly affected. That means, most of them show severe retrograde amnesia for their biography, usually accompanied by changes in their personality and sometimes also by alterations in other cognitive and emotive domains. As many patients show the phenomenon of “la belle indifference”, their motivation for therapy or treatment of their amnesia is reduced. Patients also seem to a high degree to possess immature, unstable personality features. Nevertheless, a number of quite divergent, though largely not evidence-based, therapeutic approaches exist and are described. They are divided into (a) psychopharmacological and somatic treatments, (b) psychotherapeutic interventions, and (c) neuropsychological rehabilitation. Furthermore, detailed treatment strategies are provided.