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Journal article

Failure and delay in treatment-seeking across anxiety disorders

Authors:
JOHNSON Emily M., COLES Meredith E.
Journal article citation:
Community Mental Health Journal, 49(6), 2013, pp.668-674.
Publisher:
Springer

Anxiety disorders are a significant mental health problem. Despite the availability of effective treatments most sufferers do not seek help. The current study assesses delays in treatment-seeking, failure to seek treatment, and reasons for delaying treatment for individuals with anxiety disorders. Data were drawn from the Collaborative Psychiatric Epidemiological Surveys including 3,805 participants and analyses focused on treatment-seeking variables. Results indicate that individuals with anxiety disorders are less likely to seek treatment from a professional and more likely to experience delays in obtaining both any treatment, and effective treatment, than individuals with other forms of mental illness (in this case unipolar depression or substance use disorders). Deficits in mental health literacy (knowledge and beliefs about mental illness) were commonly endorsed as reasons for having delayed seeking treatment. The current study highlights the importance of improving knowledge about anxiety disorders to improve treatment-seeking. (Publisher abstract)

Journal article

Researching the mental health status of asylum seekers: reflections and suggestions for practice

Authors:
BERNARDES Dora, WRIGHT John, LIVINGSTONE Andrew G.
Journal article citation:
Diversity and Equality in Health and Care, 9(3), 2012, pp.201-208.
Publisher:
Insight Medical Publishing

This study investigated aspects of the mental health of asylum seekers who had recently arrived in the UK. It used the Post-Migration Living Difficulties Scale, the Generalised Anxiety Disorder-7 Scale, the PTSD Symptom Scale Interview, the Clinical Outcomes Routine Evaluation and in-depth interviews. A total of 29 asylum seekers, 26 of whom were male, representing 13 countries, agreed to take part. Findings revealed that the participants all experienced a feeling of fear and sadness about the uncertainty of their application for asylum, while fear of deportation affected their ability to carry out activities of daily life. Social support was deemed essential in helping them cope with these difficulties. The paper ends with some reflections on the challenges that arose during the investigation, and presents recommendations to help other researchers undertaking similar research.

Journal article

Affective disorders, anxiety disorders and the risk of alcohol dependence and misuse

Authors:
LIANG Wenbin, CHIKRITZHS Tanya
Journal article citation:
British Journal of Psychiatry, 199(3), September 2011, pp.219-224.
Publisher:
Royal College of Psychiatrists

It remains unclear whether affective disorders and anxiety disorders increase the risk of alcohol dependence and alcohol misuse. This retrospective cohort study is based on data collected from the 2007 Australia Mental Health and Well-Being survey. Both Poisson and logistic regression models were used for multivariate analysis. There were 8841 participants in the MHW study of whom 342 had received a diagnosis of alcohol dependence at some time prior to the start of the study; full data was available and analysed for 336. Those with affective and anxiety disorders appeared to be at higher risk of alcohol misuse or dependence. For affective disorders the relative risk of alcohol dependence within five years was 5.46; for anxiety disorders it was 3.33. The authors conclude that common affective disorders and anxiety disorders may increase the risk of alcohol dependence and alcohol misuse among the Australian population.

Journal article

Anxiety and its correlates among older adults accessing aging services

Authors:
RICHARDSON Thomas M., et al
Journal article citation:
International Journal of Geriatric Psychiatry, 26(1), January 2011, pp.31-38.
Publisher:
Wiley-Blackwell

The Aging Services Network (ASN) is a national system of approximately 30,000 local and state agencies providing human services to older adults and caregivers in the United States. In this study, interviews were conducted with 378 clients aged 60 years or older from a New York State-based ASN, as part of an academic-community partnership for studying the mental health needs of community dwelling older adults. The researchers concluded that clinically significant anxiety is common among older adults receiving ageing services care management, and is associated with social, medical, and psychiatric factors. They suggest that effective treatment requires a multidisciplinary approach.

Journal

Journal of Affective Disorders

Publisher:
Elsevier

This journal is concerned with affective disorders in the widest sense: depression, mania, anxiety and panic. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Coverage on Social Care Online from this journal is limited to relevant systematic reviews only.

Journal article

Does a higher educational level protect against anxiety and depression? The HUNT study

Authors:
BJELLAND Ingvar, et al
Journal article citation:
Social Science and Medicine, 66(6), March 2008, pp.1334-1345.
Publisher:
Elsevier

The relationship of education to the experience of anxiety and depression throughout adult life is unclear. The aim of this study was to examine (1) whether higher educational level protects against anxiety and/or depression, (2) whether this protection accumulates or attenuates with age or time, and (3) whether such a relationship appears to be mediated by other variables. In a sample from the Nord-Trøndelag Health Study 1995–1997 (HUNT 2) (N = 50,918) of adults, the cross-sectional associations between educational level and symptom levels of anxiety and depression were examined, stratified by age. The long-term effects of educational level on anxiety/depression were studied in a cohort followed up from HUNT 1 (1984–1986) to HUNT 2 (N = 33,774). Low educational levels were significantly associated with both anxiety and depression. The coefficients decreased with increasing age, except for the age group 65–74 years. In the longitudinal analysis, however, the protective effect of education accumulated somewhat with time. The discrepancy between these two analyses may be due to a cohort effect in the cross-sectional analysis. Among the mediators, somatic health exerted the strongest influence, followed by health behaviors and socio-demographic factors. Higher educational level seems to have a protective effect against anxiety and depression, which accumulates throughout life.

Journal article

Thought field therapy: a former insider's experience

Author:
PIGNOTTI Monica
Journal article citation:
Research on Social Work Practice, 17(3), May 2007, pp.392-407.
Publisher:
Sage

Thought Field Therapy (TFT) is a novel therapy that employs finger tapping on purported acupressure points. Over the past decade, TFT, promoted on the Internet and through testimonials of fast cures, has gained popularity with therapists, including clinical social workers. Although TFT claims to cure a wide variety of psychological and physical problems, there is scant evidence to support such claims. This article provides an account of the authors 7-year experience as a leading practitioner, author, and teacher of TFT and includes the authors initial skepticism, what first interested her, experiences of training to the highest level of TFT (the proprietary Voice Technology) and becoming part of the inner circle of TFT and factors that led to her doubts and ultimate disillusionment with TFT. The pseudoscientific aspects of TFT and how they can impair critical thinking are also discussed.

Journal article Full text available online for free

Smoke-free legislation and mental health units: the challenges ahead

Author:
JOCHELSON Karen
Journal article citation:
British Journal of Psychiatry, 189(6), December 2006, pp.479-480.
Publisher:
Royal College of Psychiatrists

Under the proposed English Health Act regulations most mental health units will have to be smoke-free, although patients will be able to smoke outside. Implementing the regulations will be challenging but may also be an opportunity for a more holistic approach focusing on the physical and psychological health of patients.

Book

The mental health handbook

Author:
POWELL Trevor
Publisher:
Speechmark
Publication year:
2000
Pagination:
186p.
Place of publication:
Bicester
Edition:
Rev. ed.

This edition of the Mental Health Handbook has now been republished with many additions to the original work. It contains an expanded treasury of successful handouts to photocopy covering many areas of mental health rehabilitation: Stress, depression, changing habits and behaviour, anxiety, assertion and caring for others

Book

Going mad?: understanding mental illness

Authors:
CORRY Michael, TUBRIDY Aine
Publisher:
Newleaf
Publication year:
2001
Pagination:
163p.
Place of publication:
Dublin

One of the most alarming experiences has to be losing control over one's thoughts, feelings and behaviour. Everyone knows that if they lose control over the simple things, they are no longer running their lives. The fear of mental illness is not exclusive to high levels of anxiety and panic, although it is the commonest source. There are many symptoms that terrify people simply because they can't be explained - flashbacks to traumatic incidents, panic attacks, inability to concentrate or sleep. Psychological distress has a stigma that physical disease doesn't share. Well meaning suggestions are laced with judgement. Those who can't pull themselves together are thought spineless, lazy or weak. In this climate of achievement, success and money, who wants to employ someone who has had a 'nervous breakdown'? In this book,  the authors chart the course of psychological distress from the minor to the major, clearly documenting what happens and what doesn't. They aim to make mental illness understandable and inseparable from the experience of being human. And the question the attitude and behaviour of the medical profession towards it.

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