Hasil untuk "Mental healing"

H. Crichton-Miller

Richa Tripathi, Preeti Deedwania, Anil Koparkar

Background: Female sexual dysfunction (FSD) is a highly prevalent health problem but is often paid less attention, moreso in developing countries. There are many factors responsible for dysfunction such as disturbed sleep and mental health problems. However, it is largely understudied. Aims and objective: The aim of the present study was to observe the relationship between sleep and sexual functioning and to observe the relationship between mental health problems (depression and anxiety), sleep and sexual functioning. Method: A cross-sectional study was conducted in a tertiary health care center in India. Seventy adult female patients who were visiting Department of OBGY, OPD for any ailment, were sexually active and consenting for the study were included. The participants were evaluated on sleep, sexual activity, depression and anxiety by Pittsburgh Sleep Quality Index, Female sexual functioning index (FSFI), Beck’s depression inventory and Beck’s anxiety inventory, respectively. Result: The mean age of the sample was 33.5 (SD 6.2) years. Only 4% of the participants (n = 3) reported moderate to severe depression. Thirty percent of the participants (n = 21) reported mild anxiety symptoms. The median sleep latency of the participants was 42 (10,180) minutes. The mean subjective total sleep time was 356.6 (SD 60.3) minutes. 27.1% of the participants (n = 19) reported Global PSQI scores >5 suggesting sleep disturbance. Ten percent of the participants (n = 7) reported mild to moderate sexual dysfunction, 55.7% of the participants reported mild sexual dysfunction. A significant positive correlation was observed between hours of sleep and sexual satisfaction. Conclusion: A healthy sleep is necessary for good sexual functioning. The sexual functioning is also affected by mental health problems such as depression and anxiety in females.

Fariha Rahman, Oyomoare L. Osazuwa-Peters, Clare Meernik et al.

Background: Ovarian cancer (OC) patients have an increased risk for a mental health illness (MHI) after their cancer diagnosis, but limited research exists on whether this risk differs by race/ethnicity. Hence, we used SEER-Medicare data to evaluate racial/ethnic differences in MHI incidence among OC patients aged 65+. Methods: Non-Hispanic (NH) Black, NH White, and Hispanic women diagnosed with OC in 2008–2015 without a mental health history 12 months prior to their cancer diagnosis were identified from SEER-Medicare. Cox proportional hazards regression evaluated new MHI incidence in the first five years post diagnosis and the differences by race/ethnicity. Hazard ratios (HR) and 95% confidence intervals (CI) adjusted for demographic/clinical covariates and healthcare access (HCA) dimensions. Results: We identified 5441 OC patients, including 364 NH Black (6.7%), 4982 NH White (91.6%), and 95 Hispanic (1.7%) patients. About 41% of NH White, 33.3% of NH Black, and 37.2% of Hispanic OC patients were diagnosed with MHI during the follow-up period between 2008 and 2016. In the fully adjusted model, NH Black OC patients were less likely to be diagnosed with any MHI (aHR: 0.67, 95% CI: 0.54, 0.82), depression (aHR: 0.66, 95% CI: 0.51, 0.86), and anxiety disorder (aHR: 0.64, 95% CI: 0.49, 0.84), while Hispanic OC patients were less likely to be diagnosed with anxiety disorder (aHR: 0.56, 95% CI: 0.33, 0.95) compared to NH White OC patients. Discussion: NH Black OC patients are less likely to receive a clinical MHI diagnosis compared to NH White OC patients. Further studies on racial differences in MHI incidence after OC diagnosis in primary cohorts are needed to better estimate population-level prevalence less vulnerable to exposure misclassification and to account for patient-level factors impacting MHI.

Kate Burrows, Miraj U. Desai, Dicky C. Pelupessy et al.

Fitri Nurcahya, Ike Herdiana

Maraknya kasus perceraian yang terjadi di Indonesia tidak hanya memberikan dampak pada kehidupan orang tua, namun juga pada perkembangan anak. Dampak perceraian yang dirasakan harus diperhatikan, khususnya ketika anak memasuki usia dewasa awal dan menjalin hubungan romantis. Penelitian ini memiliki tujuan untuk mengetahui hubungan antara sikap terhadap perceraian dengan komitmen hubungan romantis pada wanita dewasa awal yang orang tuanya bercerai. Penelitian ini melibatkan 199 wanita dewasa awal dengan orang tua bercerai, serta pernah atau sedang menjalin hubungan romantis (pacaran). Data dikumpulkan menggunakan attitudes toward divorce scale oleh Kinnard & Gerrard dan item–item dari skala komitmen berpacaran oleh Prasetyaningtyas. Teknik korelasi Spearman's rho digunakan untuk melakukan analisis data. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara sikap terhadap perceraian dengan komitmen hubungan romantis pada wanita dewasa awal yang orang tuanya bercerai (p=0.000; r=0.324).

Rasha Alkholy, Karina Lovell, Penny Bee et al.

Background: Despite their high prevalence and negative consequences, anxiety disorders in older adults remain underdiagnosed and undertreated, creating an ‘anxiety treatment gap’. To address this treatment gap, it is essential to identify barriers and enablers to help-seeking behavior among this population. Methods: This mixed-methods systematic review used Andersen's Model and Leventhal's’ Common Sense Model (CSM) in a “best-fit” framework synthesis to explore barriers and enablers to help-seeking behavior for mental health reasons among older adults with anxiety. Results: A comprehensive search of six databases, last updated on 6 April 2022, led to the inclusion of thirteen records published 2011–2022. Quantitative data were synthesised using Andersen's Model, summarised using vote counting based on direction of effect, and focused mainly on factors at the individual level. Qualitative synthesis generated an extended conceptual model which includes a priori themes derived from Andersen's Model and Leventhal's CSM and new themes identified via inductive analysis. The role of individual need factors on help-seeking behavior was corroborated by both quantitative and qualitative evidence. The overarching theme is ‘coherence’ as a multilevel concept. Limitations: It was not possible to aggregate effect estimates extracted from quantitative records. The internal validity of the review is affected by scant evidence, quality of the qualitative records and lack of triangulation of evidence. Conclusions: There is no one model that can depict the complexity of help-seeking behavior among older adults with anxiety. A better understanding of the role of need factors and the multi-level concept of ‘coherence’ on help-seeking behavior is required.

Rajshekhar J Brahmbhatt

Priyaranjan Nandi, “One for Joy”: A Unique Exploration of Extramarital Intimacy . Xpress Publishing, 2021 (1st Edition), 200 pp., ₹225. ISBN: 978-1-63850-297-5.

Y. Baheretibeb, D. Wondimagegn, S. Law

Background Religious and traditional healers remain the main providers of mental healthcare in much of Africa. Collaboration between biomedical and traditional treatment modalities is an underutilised approach, with potential to scale up mental healthcare. Aims To report the process and feasibility of establishing a collaboration between religious healers and psychiatrists in Addis Ababa, Ethiopia. To gain insight into the collaboration through studies of patient demographics, help-seeking patterns, nature of illness and receptivity of the project. Method This case study describes the process and challenges in establishing a collaborative psychiatric clinic for patients who are simultaneously receiving treatment with holy water, including an examination of basic clinical records of 1888 patients over a 7-year period. Results The collaboration is feasible and has been successfully implemented for 8 years. A majority (54%) of the clinic's patients were seeing biomedical services for the first time. Patients were brought in largely by families (54%); 26% were referred directly by priest healers. Most patients had severe mental illness, including schizophrenia (40%), substance misuse (24%) and mood disorders (30%). A vast majority (92.2%) of patients reported comfort in receiving treatment with holy water and prayers simultaneously with medication, and 73.6% believed their illness was caused by evil spirit possession. Conclusions A cross-system collaborative model is a feasible and potentially valuable model to address biomedical resource limitations. Provider collaboration and mutual learning are ultimately beneficial to patients with severe mental illness. Open-minded acceptance of cultural benefits and strengths of traditional healing is a prerequisite. Further study on outcomes and implementation are warranted.

P. Carruthers, Peter K. Smith

Angela M. Wright, Stuart J. Lee, Daniel Rylatt et al.

Background: The most significant risk factor for suicide is a previous suicide attempt. For individuals who present to hospital, accessing aftercare is essential to ameliorate this risk, but frequently discharge occurs without adequate follow-up. To improve post-suicidal aftercare, a hybrid team (Alfred Hope) was developed offering three-months of psychosocial and clinical assertive outreach support. This study aimed to measure change in distress, suicidal ideation and coping beliefs and experience of care. Methods: For 92 consumers, initial and end-of-contact measures were collected: Suicidal Ideation Attributes Scale (suicidal ideation), Patient Health Questionnaire-4 (distress), Outcome Rating Scale (wellbeing), State Hope Scale (current hopeful thinking) and Coping Self-Efficacy Scale (coping ability beliefs). Qualitative responses regarding experience of care were also collected. Results: At initial contact, 79% of consumers reported at least moderate distress, 78% suicidal ideation suggesting high risk of suicidal behaviour and 83% impaired wellbeing. Large effects were observed for reduced suicidal ideation and distress and improved wellbeing, coping self-efficacy and hopeful thinking (all p<.001) and emergency department presentations reduced significantly (p<.001). Qualities of staff, what was received, and outcome of engagement were themes summarising what consumers reported was helpful. Limitations: Uncontrolled longitudinal study and not all consumers completed end-of-contact measures. Conclusion: Operation of a clinical/non-clinical assertive post-suicidal outreach team is feasible, highly valued and supported improvement for most consumers. With some participants displaying persistent high suicide risk, clinical and psychosocial expertise is needed alongside being collaborative and respectfully persistent to address stressors and build coping ability to better overcome future adversity.

Romany H. Gabra, Omnya S. Ebrahim, Doaa M. M. Osman et al.

Mental illness is associated with misunderstanding and unfavorable attitude worldwide. The belief in its spiritual nature made traditional healers the main service consultants for mentally ill patients. The present study is a cross-sectional study conducted among 425 main family caregivers of mentally ill patients at Assiut University Hospital. The objective of the study was to assess the caregivers’ knowledge and attitude towards mental illness as well as their health-seeking behavior for their mentally ill relatives. The studied caregivers had low scores of knowledge and attitude towards mental illness. Age of the caregivers, their education, and the type of first consulted care and aggressive behavior of the mentally ill relatives were the significant predictors of caregivers’ knowledge and attitude towards mental illness. The majority of caregivers (80.2%) sought advice for the first time from traditional healers. Traditional healers referred only 16.4% of caregivers’ mentally ill relatives to psychiatric care. The studied caregivers had poor knowledge and a negative attitude towards mental illness. Traditional healers were the main consulted care. So, increasing awareness of mental illness is highly recommended.

Ana Paula Amorim Moreira, Márglory Fraga de Carvalho, Roberto Carlos Lyra da Silva et al.

Abstract Objective: To identify the scientific evidence on the frequency of handling errors of conventional and smart pump infusions in intravenous insulin therapy in intensive care units. Method: A systematic review with meta-analysis conducted in the Virtual Health Library, MEDLINE via PubMed, Scopus and Web of Science databases. Articles were assessed regarding the level of evidence by applying the Oxford Center for Evidence-Based Medicine Evidence Scale. Results: Twelve (12) publications were selected which met the eligibility criteria. The programming error rate using the conventional infusion pump ranged from 10% to 40.1%, and the smart pump technology error rate ranged from 0.3 to 14%. The meta-analysis of two studies favored the smart pump in reducing the relative risk of programming errors by 51%. Conclusion: Based on selected articles, the smart pump reduces the risk of programming errors.

Koustuv Saha, Ingmar Weber, M. Choudhury

Student deaths on college campuses, whether brought about by a suicide or an uncontrollable incident, have serious repercussions for the mental wellbeing of students. Consequently, many campus administrators implement post-crisis intervention measures to promote student-centric mental health support. Information about these measures, which we refer to as "counseling recommendations", are often shared via electronic channels, including social media. However, the current ability to assess the effects of these recommendations on post-crisis psychological states is limited. We propose a causal analysis framework to examine the effects of these counseling recommendations after student deaths. We leverage a dataset from 174 Reddit campus communities and ~400M posts of ~350K users. Then we employ statistical modeling and natural language analysis to quantify the psychosocial shifts in behavioral, cognitive, and affective expression of grief in individuals who are "exposed" to (comment on) the counseling recommendations, compared to that in a matched control cohort. Drawing on crisis and psychology research, we find that the exposed individuals show greater grief, psycholinguistic, and social expressiveness, providing evidence of a healing response to crisis and thereby positive psychological effects of the counseling recommendations. We discuss the implications of our work in supporting post-crisis rehabilitation and intervention efforts on college campuses.

J. Davidson, S. Zisook, Brittany Kirby et al.

M. Younis, R. Lafta, Saba Dhiaa

Background: Due to lack of education and awareness, faith healing has become a popular way of treating psychiatric patients. Objective: To ascertain the role of faith healers in the treatment of psychiatric illnesses by exploring the percentage of patients attending those healers. Methods: A semi-structured questionnaire was applied through a direct face-to-face interview with the patients and their companions; it inquired whether the patient has ever visited faith healers, the method of treatment the patients were subjected to, and their opinion about the benefit they got regarding improvement in their condition. Results: Among the total 482 cases; 279 (57%) reported going to faith healers (FHs) at any time before, during, or after a psychiatric consultation. Of those, 84.6% reported visiting FHs less than 10 times, while 15.4% went 10 times or more; 36.9% still believe that the treatment of FHs is accepted or even good (21.5%), while 30.9% realized that it is useless, and 10.7% think it is bad. No association was found between going to FHs and patient age or gender, while there was a significant association with marital status (p < 0.02) and with education (p < 0.001). Patients with schizophrenia/psychosis or bipolar disorders visited FHs significantly more often than those with other diagnoses. Conclusion: Faith healing is prevalent in Iraq and FHs may overwhelm the role of psychiatrists in treating mental illnesses. Sincere efforts are needed to help build public awareness and to improve accessibility and utilization of mental health services for this vulnerable group.

A. S. Van der Watt, G. Nortje, Lola Kola et al.

Anja Loizaga-Velder, R. Verres

Rikke Rousing, K. L. Hansen, M. Andersen et al.

Ludmila de Oliveira Ruela, Denise Hollanda Iunes, Denismar Alves Nogueira et al.

RESUMO Objetivo: Avaliar a efetividade da acupuntura auricular na dor de pacientes oncológicos em tratamento quimioterápico e possíveis alterações no consumo de analgésicos após a aplicação da intervenção. Método: Ensaio clínico randomizado com portadores de câncer que apresentavam queixa de dor maior ou igual a quatro na Escala Numérica da Dor. Foram criados dois grupos paralelos, um Experimental, o qual recebeu a aplicação da acupuntura auricular em pontos do equilíbrio energético e em pontos indicados para o tratamento da dor, e um Placebo, em que foram aplicados pontos placebos fixos. Ambos os grupos receberam a aplicação de agulhas semipermanentes em oito sessões. Resultados: Participaram 31 portadores de câncer. Depois das oito sessões de acupuntura auricular, houve diferença significativa entre os grupos na redução da intensidade da dor (p < 0,001) e no consumo das medicações (p < 0,05). Conclusão: A acupuntura auricular foi efetiva na redução da dor de pacientes em tratamento quimioterápico. Registro Brasileiro de Ensaios Clínicos: RBR-6k3rqh.

S. Raposo, C. Mackenzie, C. Henriksen et al.