Hasil untuk "Mental healing"

Celia Laur, Natasha Kithulegoda, Nicola McCleary et al.

Background In Ontario, Canada, province-wide initiatives supporting safer opioid prescribing in primary care include voluntary audit and feedback reports and academic detailing. In this process evaluation, we aimed to determine the fidelity of delivery and receipt of the interventions, the observed change strategies used by physicians, potential mechanisms of action, and how complementary the initiatives can be to each other. Method Semi-structured interviews were conducted with academic detailers and with physicians who received both interventions. Academic detailer interviews were coded using the Behavior Change Technique Taxonomy; physician interviews were coded to the Theoretical Domain Framework. Change strategies were summarized based on academic detailer intentions and physician-reported practice changes. Potential mechanisms of action were identified using the Theories and Techniques Tool and the literature. Patient partners informed the interpretation of results through ongoing group discussions of preliminary findings. Results Interviews were conducted with eight academic detailers and 12 physicians. Change strategies described by academic detailers to support physicians’ opioid prescribing included problem solving , instructions on how to perform the behavior , adding objects to the environment , credible source , shaping knowledge , and social support. Physicians mentioned that academic detailing validated current opioid practices or increased their belief about capabilities and their intentions , mediated by increased skills and the impact of environmental context and resources . Potential mechanisms of action included behavioral regulation , behavioral cueing , and general attitudes/beliefs. On its own, receiving the audit and feedback report did not lead to changes in beliefs about prescribing practices; however, for some physicians, it provided validation and reassurance. Physicians saw unrealized potential for complementarity. Conclusions New interventions are often implemented in a complex ecosystem with other competing interventions. In this study, we show how examining the fidelity of the intervention from initial design through to delivery can identify opportunities for potential optimization.

Khoirun Nidhom, Mohamad Mualim

Mental health problems are an issue that is getting more and more attention in various parts of the world, including in Indonesia. Based on data from the Ministry of Health of the Republic of Indonesia, the prevalence of People with Mental Disorders (ODGJ) continues to increase every year. ODGJ, which includes individuals with severe mental disorders such as schizophrenia, requires not only medical care but also a holistic approach, including spiritual support. Although there are various studies on spiritual therapy, there are almost no studies that examine the implementation of Qur'anic therapy in the context of pesantren-based rehabilitation institutions in Indonesia, especially those that apply the concept of living Qur'an. This study aims to analyze and explain the implementation of Qur'anic verses as spiritual therapy for the recovery of ODGJ at the Daarul Hakim Social Welfare Institution in Sumber Village, Kradenan District, Blora Regency, which is a special Islamic boarding school for ODGJ that receives support from the Indonesian government. The results of the study show that the implementation of Qur'anic verses is realized through several forms of spiritual therapy, such as ruqyah syar'iyyah, recitation of certain surahs, dhikr, and structured religious assistance. These practices not only function as a method of spiritual healing, but also as a means of fostering inner peace, reducing psychological symptoms, and improving the self-control ability of ODGJ students. Thus, the application of Qur'anic verses as spiritual therapy has a significant contribution to the recovery process of ODGJ and is an important foundation to be studied further in the context of socio-religious institutions, filling the research gap related to the integration of Islamic spirituality in pesantren-based mental rehabilitation.

Ana Dumitru, Laura Wijnberg, Caroline E. Brett

ABSTRACT Therapists with lived experience of mental ill health (MIH) bring unique insights and empathy to their practice. However, this dual identity creates significant challenges as they balance personal wellbeing with professional responsibilities. This systematic review explores coping strategies and resilience factors to support therapists with MIH. The review adhered to PRISMA guidelines and included studies using qualitative, quantitative, and mixed‐methods approaches. Eligible studies focused on coping strategies and resilience mechanisms for therapists with MIH. Databases searched included Web of Science, MEDLINE, ASSIA, CINAHL, Embase, and APA PsycINFO, with additional forward and backward citation searches. Data synthesis employed a thematic narrative approach to identify recurring themes. The search and screening process resulted in 14 eligible studies of various designs. Key coping strategies identified were personal therapy, support systems, self‐care practices, and reflective techniques. Personal therapy provided a safe space for therapists to process challenges and enhance their professional empathy. Support systems, including peer networks and nonjudgmental supervision, fostered resilience, although stigma and systemic barriers often reduced their accessibility. Reflective practices, such as journaling and supervision, were essential for promoting self‐awareness and professional growth. Despite these strategies, therapists faced challenges in managing dual identities and navigating workplace stigma. The studies highlighted the professional value of lived experience in enhancing therapeutic relationships, but systemic support and organizational change were often lacking. This review emphasises the importance of systemic and institutional support in fostering resilience for therapists with MIH. Addressing stigma, providing resources for self‐care and supervision, and integrating lived experiences into professional practice are critical. Future research should explore diverse populations and longitudinal perspectives to deepen understanding and inform inclusive practices. Enhancing support for therapists with MIH will ensure their sustained contributions to the mental health field.

J. P. Gonçalves, G. Lucchetti, P. Menezes et al.

Background. Despite the extensive literature assessing associations between religiosity/spirituality and health, few studies have investigated the clinical applicability of this evidence. The purpose of this paper was to assess the impact of religious/spiritual interventions (RSI) through randomized clinical trials (RCTs). Method. A systematic review was performed in the following databases: PubMed, Scopus, Web of Science, PsycINFO, Cochrane Collaboration, Embase and SciELO. Through the use of a Boolean expression, articles were included if they: (i) investigated mental health outcomes; (ii) had a design consistent with RCTs. We excluded protocols involving intercessory prayer or distance healing. The study was conducted in two phases by reading: (1) title and abstracts; (2) full papers and assessing their methodological quality. Then, a meta-analysis was carried out. Results. Through this method, 4751 papers were obtained, of which 23 remained included. The meta-analysis showed significant effects of RSI on anxiety general symptoms (p < 0.001) and in subgroups: meditation (p < 0.001); psychotherapy (p = 0.02); 1 month of follow-up (p < 0.001); and comparison groups with interventions (p < 0.001). Two significant differences were found in depressive symptoms: between 1 and 6 months and comparison groups with interventions (p = 0.05). In general, studies have shown that RSI decreased stress, alcoholism and depression. Conclusions. RCTs on RSI showed additional benefits including reduction of clinical symptoms (mainly anxiety). The diversity of protocols and outcomes associated with a lack of standardization of interventions point to the need for further studies evaluating the use of religiosity/spirituality as a complementary treatment in health care.

Nugraha Mochammad Suva, Fathir Mirza, Azima Tubagus Mulkan

In this essay, I attempt to argue that a positive mental state can improve the quality of health as well as catalyze the healing process of illness through the practice of using air conditioners and opening windows in domestic spaces. To support this argument, I will discuss it in the context of global boiling through the framework of the phenomenon of sick building syndrome, modern architecture, bio/nature-based design, and microclimate. From this essay, I conclude that there is still a need for further research on the wise use of air conditioning to reduce its impact on the surrounding environment and how to create a microclimate in domestic spaces that can improve the quality of health of its users.

Sima Akbariforoud, Fatemeh Shahsavari, Majid Zand Karimi et al.

Objectives Treating and accelerating the healing of oral ulcers caused by various surgeries or injuries have long been important to avoid financial loss and mental harm. Fibroblasts play an important role in wound healing. The current study aimed to produce a suitable synthetic material using cuttlebone and investigate its effect on gum fibroblast cells to help accelerate the healing of oral ulcers.   Methods Chitin powder was extracted from squid bone (cuttlebone) to produce a synthetic material, which was subjected to physicochemical control tests. To make the samples, human gingival fibroblasts were cultured in a suitable medium and divided into four groups, namely chitin, gel, base (without active ingredient), and control groups. The effects of the produced synthetic material on the viability and proliferation of gingival fibroblast cells were investigated using MTT assay for 24, 48, and 120 hours. Data were analyzed using Dunnett's post-hoc test, Tukey's test, and one-way analysis of variance (ANOVA). Results About 1.7 grams of chitin powder was obtained from 5 grams of cuttlebone powder. FTIR was used to identify chitin. A gel containing 1% chitin was selected. The results of MTT assay showed that the formulated gel had no toxicity, and the proliferation in chitin and gel groups increased over time compared to the control and base groups. Conclusion It seems that using cuttlebone chitin to make a suitable gel-based synthetic material can accelerate the healing process of mouth ulcers.

Adhita Putri Ariani, Ike Herdiana

Sekstorsi adalah istilah yang belakangan ini muncul dan berasal dari kata "sex” dan "extortion”. Sekstorsi dapat berupa penyebaran gambar seksual para korban sebagai ancaman untuk mendapatkan uang maupun barang berharga lainnya. Para korban sekstorsi mengalami pengalaman yang buruk sehingga mendatangkan trauma yang memerlukan proses penerimaan diri yang cukup panjang mengenai keadaan yang mereka alami. Tinjauan literatur ini diperoleh dari artikel yang berkaitan dengan permasalahan tersebut dan bertujuan untuk menganalisis proses penerimaan diri para korban sekstorsi pasca kejadian serta menganalisis faktor-faktor yang terlibat dalam proses penerimaan diri para korban. Hasil review dari beberapa literatur menunjukkan bahwa proses penerimaan diri para korban sekstorsi pasca kejadian memiliki beberapa tahapan dimulai dari fase penyangkalan, evaluasi diri, mawas diri dan penerimaan diri. Faktor-faktor yang memengaruhi proses penerimaan diri dibedakan menjadi dua yaitu faktor internal berupa pemahaman diri, kesadaran diri dan kemauan diri untuk mengubah keadaan; serta faktor eksternal, yaitu lingkungan sekitar korban.

Varadharajan Srinivasan, Sumeet Jain, Winston Kwon et al.

The global mental health field seeks to close the “treatment gap” for mental illness in low-and middle-income countries by scaling evidence-based interventions. The evidence base has often bypassed psychosocial interventions by local organizations who do not fit a biomedical approach to evidence building. In India, non-profit mental health organizations are addressing care gaps through novel approaches that emphasize social recovery and inclusion.This study seeks to better understand the nature and dynamic of this innovation by examining what was working well in the practices and processes of three such community mental health care organizations. A comparative case approach was chosen for its strength as an exploratory means for inductive theory building. Three case organizations in Kerala, West Bengal and Uttarakhand states were selected based on their diverse socio-cultural and health systems settings. Qualitative data was collected in 2018–20, to examine their practices and processes using mixed methods and data sources including interviews, focus groups, participant observation and document analysis.Common strategies observed across the three organizations, included engaging community, prioritising beneficiaries, co-opting resources, devolving care, reorganising communication and recovery and integration. These strategies were further categorized into three domains: constructing a sustainable resource base, managing knowledge and redefining meanings. In contrast with conventional problem-solving approaches, these cases used an approach that built on assets and strengths using inclusive governance which enabled coordination of the community health system.This study argues that these organizations incorporate reflexive practice and two-way flows of knowledge to enable them to address complex social determinants of mental health. This has implications for how psychosocial care in CMH is conceptualized. We argue that the ways the organizations respond to the complexities of mental health difficulties contributes to reframing mental health as a social development issue, centering inclusion of people with psychosocial disabilities. Our findings argue against a polarization between biomedical and psychosocial CMH models and illustrate ways of integrating both approaches and their centrality to effective mental health care.

Tatum Sevenoaks, Jean-Paul Fouche, Bulelwa Mtukushe et al.

Background: This study aimed to investigate depression and quality of life longitudinally in caregivers of adolescents with perinatally acquired HIV (PHIV) enrolled in the Cape Town Adolescent Antiretroviral Cohort (CTAAC). Methods: Depression, socioeconomic factors and quality of life were assessed in caregivers (n = 121) at baseline and 36 months follow-up using the Centers for Epidemiological Studies Depression Scale (CESD), the Family Resources Scale (FRS), Family Support Scale (FSS), and the World Health Organization's Quality of Life Scale (WHOQoL). Internalizing and externalizing behaviors in PHIV adolescents were assessed using the Child Behaviour Checklist (CBCL). Qualitative analysis was conducted to highlight key concerns raised by caregivers in caring for PHIV adolescents. Results: CESD was significantly lower at follow-up compared to baseline (p = 0.001), with FRS (p = 0.003) and WHOQoL physical health (p = 0.038) significantly higher at follow-up. Higher CESD scores were predicted by increased CBCL internalizing (baseline: p = 0.002; follow-up: p = 0.021) and externalizing behavior (baseline: p = 0.010; follow-up: p = 0.015) in PHIV adolescents and decreased WHOQoL physical health (baseline: p = 0.001; follow-up: p = 0.016) and WHOQoL overall quality of life (baseline: p = 0.003; follow-up: p = 0.019). Higher WHOQoL Total Score was predicted by lower CESD scores (baseline: p < 0.001; follow-up: p = 0.010) and higher FRS (p < 0.001) and FSS (baseline: p < 0.001; follow-up: p = 0.001). Qualitative analysis indicated that caregivers’ main concerns were PHIV adolescent educational and health problems. Limitations: Self-report measures and small sample size. Conclusion: This study highlights the need for adequate intervention strategies to provide resources and social support to caregivers of PHIV adolescents in order to improve their mental health.

Leonice Fumiko Sato Kurebayashi, Juliana Rizzo Gnatta, Gisele Kuba et al.

RESUMO Objetivo Verificar se a Massagem (técnica Anmá) seguida de repouso ou Reiki auxilia na redução dos níveis de estresse e na melhoria da qualidade de vida de indivíduos atendidos em um ambulatório de práticas integrativas. Método Ensaio clínico controlado randomizado conduzido com 122 indivíduos randomizados em três grupos: G1 – Massagem seguida de repouso, G2 – Massagem seguida de Reiki e G3 – controle (sem intervenção). Os níveis de estresse e Qualidade de Vida foram mensurados por meio dos instrumentos LSS e SF-12v2, os quais foram aplicados antes e após intervenção. Resultados Finalizou-se o estudo com 101 participantes. As Massagens seguidas de repouso (G1) ou de Reiki (G2) se mostraram efetivas na redução dos níveis de estresse e melhoria de qualidade de vida quando comparadas ao Grupo Controle (G3). Os melhores resultados obtidos pelo grupo que recebeu Massagem seguida de Reiki (G2) foram observados no domínio mental de qualidade de vida, enfatizando a abrangência dos efeitos do Reiki sobre os aspectos mentais e psicológicos. Conclusão A Massagem seguida de repouso e a Massagem seguida pela aplicação de Reiki se mostraram efetivas na redução dos níveis de estresse e melhoria de qualidade de vida. Registro Brasileiro de Ensaios Clínicos: RBR-42c8wp.

J. Kaur, Shampa Ghosh, A. K. Sahani et al.

Ora Nakash, Tal Lambez, Michal Cohen et al.

ABSTRACT We explored barriers to seeking mental healthcare, as reported by religious and secular clients in community mental health clinics. We conducted in-depth interviews with 59 clients immediately following their intake session and performed thematic analyses to identify major themes. Respondents across degree of religiosity/faith reported multiple barriers, including client-based and structural barriers. Most commonly, participants reported barriers associated with previous negative experience with mental health services and mental healthcare stigma. Religious clients expressed greater distrust towards healthcare systems and were more concerned about the social stigma associated with seeking treatment. Importantly, different models of treatment and healing emerged among secular and religious participants. Secular clients highlighted the importance of internal processes within the self, while religious clients highlighted the belief in a higher healing entity. Our findings highlight the significance of addressing client expectations in service delivery, attending to referral paths and improving accessibility and availability of affordable services.

Frederikke Jarlby, S. Goosen, I. Derluyn et al.

P. Dudgeon, A. Bray

Lily N. A. Kpobi, L. Swartz

BackgroundIn many low- and middle-income countries, faith healing is used alongside biomedical treatment for many health problems including mental disorders. Further, Christianity in Africa has seen much transformation in recent decades with the growth of charismatic or neo-prophetic churches whose doctrines include healing, miracles and prophecies. As such, many charismatic pastors have been engaged in faith healing for many years. Such faith healers form a significant portion of the mental health workforce in these countries, partly due to the limited number of biomedically trained professionals. In this study, we sought to examine the beliefs of charismatic/neo-Pentecostal faith healers about mental disorders, as well as to examine the treatments that they employed to treat such disorders.MethodsWe interviewed neo-prophetic pastors who undertook faith healing, and examined their work relating to mental disorders. Ten pastors from eight churches in the Greater Accra Region of Ghana were interviewed using semi-structured interviews.ResultsThe data suggest that the pastors’ conceptualization of mental illness was generally limited to psychotic disorders. Their beliefs about causation were predominantly supernatural in nature although they acknowledged that drug misuse and road traffic accidents were also potential causes. The pastors’ expectations of healing also showed different perceptions of illness chronicity. Their diagnostic and treatment methods revolved around using prayer, prayer aids such as oils and holy water, as well as spiritual counselling for patients and their caregivers. However, they were not opposed to referring patients to hospitals when deemed necessary.ConclusionWe discuss the above results with emphasis on their implications for collaboration between biomedical and alternative healing systems in Ghana. In particular, we advocate a mutual understanding of illness perspectives between biomedical practitioners and faith healers as an important component for integrating different health systems in Ghana.

Lily N. A. Kpobi, L. Swartz

Y. Otake

Recently, discussions have considered how mental health and psychosocial support (MHPSS) can build upon local resilience in war-affected settings. To contribute to the knowledge in this field, the paper explored the gap between MHPSS and local communities in terms of perceived mental health problems and healing processes, and how the gap could be filled. Qualitative research was conducted in northern Rwanda with 43 participants between 2015 and 2016. Findings revealed how three particular gaps can isolate MHPSS recipients in their local community. First, whereas MHPSS applies bio-psychological frameworks to post-genocide mental health, community conceptualisations emphasise social aspects of suffering. Second, unlike MHPSS which encourages ‘talking’ about trauma, ‘practicing’ mutual support plays a major role in the community healing process. Third, MHPSS focuses on one part of the community (those who share the same background) and facilitates their healing in intervention groups. However, healing in natural communities continues in everyday life, through mutual support among different people. Despite these gaps, MHPSS recipients can be (re)integrated into the community through sharing suffering narratives and sharing life with other community members. The paper highlights the ways in which MHPSS could inclusively support different social groups in the overall geographical community, allowing members to preserve the existing reciprocity and recover collective life through their own initiatives.

P. Dudgeon, Tom Calma, Tom Brideson et al.

Shantala Hegde

Music is a universal human trait. The healing power of music has been acknowledged in almost all traditions of music. Music therapy is moving from a social-science model focusing on overall health and well-being towards a neuroscience model focusing on specific elements of music and its effect on sensorimotor, language and cognitive functions. The handful of evidence-based music therapy studies on psychiatric conditions have shown promising results. Traditional music, such as Indian classical music, has only recently been evaluated in evidence-based research into music therapy. The need for systematic research in this area is underscored.

L. Goodman, Jennifer E. Fauci, Cris M. Sullivan et al.