Search results for ‘Subject term:"mental health problems"’ Sort:
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La belle indifférence in conversion symptoms and hysteria: systematic review
- Authors:
- STONE Jon, et al
- Journal article citation:
- British Journal of Psychiatry, 188(3), March 2006, pp.204-209.
- Publisher:
- Cambridge University Press
La belle indifférence refers to an apparent lack of concern shown by some patients towards their symptoms. It is often regarded as typical of conversion symptoms/hysteria. This review aims to determine the frequency of la belle indifférence in studies of patients with conversion symptoms/hysteria and to determine whether it discriminates between conversion symptoms and symptoms attributable to organic disease. A systematic review of all studies published since 1965 that have reported rates of la belle indifférence in patients with conversion symptoms and/or patients with organic disease. A total of 11 studies were eligible for inclusion. The median frequency of la belle indifférence was 21% in 356 patients with conversion symptoms, and 29% in 157 patients with organic disease. The available evidence does not support the use of la belle indifférence to discriminate between conversion symptoms and symptoms of organic disease. The quality of the published studies is poor, with a lack of operational definitions and masked ratings. La belle indifférence should be abandoned as a clinical sign until both its definition and its utility have been clarified.
Psychological treatments with children of parents with mental illness: a systematic review
- Authors:
- TAPIAS E., et al
- Journal article citation:
- Child and Youth Care Forum, 50(6), 2021, pp.1107-1130.
- Publisher:
- Springer
Background: Several studies have reported that children of parents with mental illness have 41–70% chance of developing mental health problems. This has encouraged an increase in preventive interventions directed at these children. Objectives: This systematic review aimed to describe preventive psychological interventions addressed to children of parents who are suffering a mental disorder. We identified the aims of these treatments, their approach and components. Sociodemographic characteristics of the subjects and outcomes were examined. Method: Psycinfo and Pubmed were consulted using the PICO process. We included studies in English or Spanish describing a preventive psychological intervention. Results: 16 studies were included. Most studies were focused on promoting resilience and increasing children's understanding of the parent's disorder. Psychoeducation was included in 87,5% of treatments. Family, multifamily and children group interventions were equally used as approach. Conclusions: Psychoeducation emerged as an indispensable component of the interventions. Other frequent components comprised skills training, emotional regulation training, and playful activities. Most therapies were carried out in a group setting. Specifically, a multifamily approach is regarded as the most efficient. Most of the studies yielded significant results. (Edited publisher abstract)
How do people with eating disorders experience the stigma associated with their condition? A mixed-methods systematic review
- Authors:
- O'CONNOR Cliodhna, et al
- Journal article citation:
- Journal of Mental Health, 30(4), 2021, pp.454-469.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Public opinion research shows that eating disorders (EDs) are a major target of stigmatisation. To understand the implications of this stigma, research investigating how stigma is experienced by individuals with EDs is critical. Aim: This paper aims to collate, evaluate and synthesise the extant empirical research illuminating how people with EDs experience the stigma associated with their condition. Method: A systematic mixed-methods literature search was performed. Articles that met a specified set of inclusion criteria underwent a quality assessment and thematic synthesis. Results: Twenty-nine articles were included in the review. Studies were mostly qualitative and of reasonable methodological quality. The literature was characterised by five research themes, illuminating (i) the nature and prevalence of stigma experienced, (ii) stigma in families, (iii) stigma in healthcare contexts, (iv) self-stigmatisation and illness concealment, and (v) stigma resistance. Conclusions: The reviewed research showed that people with EDs have extensive experience of stigma in diverse settings. They report that stigma has negative implications for their psychological wellbeing and likelihood of help-seeking. However, research also shows that people with EDs actively seek to resist and challenge stigma. The review identifies the outstanding gaps and weaknesses in this literature. (Edited publisher abstract)
Psychosocial risk and body dysmorphic disorder: a systematic review
- Authors:
- MALLINGER Gayle, WEILER Austin
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 30(8), 2020, pp.1030-1044.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Body dysmorphic disorder (BDD) is a psychiatric diagnosis characterized by a debilitating preoccupation with perceived appearance defects that are not noticeable to others. The International OCD Foundation estimates nearly 1 in 50 individuals in the United States meet the diagnostic criteria for this disorder; however, despite its prevalence, many social work professionals lack familiarity with this diagnosis. Using PRISMA-P reporting guidelines, this article presents a systematic review of studies examining individual, interpersonal, and environmental risks in the development of BDD. Implications for social work practice and suggestions for further research are discussed. (Edited publisher abstract)
Psychosocial treatment for methamphetamine use and the associated mental health symptoms
- Authors:
- MANN Amrit, WAGSTAFF Chris
- Journal article citation:
- Advances in Dual Diagnosis, 12(3), 2019, pp.132-144.
- Publisher:
- Emerald
Purpose: Methamphetamine users commonly experience induced methamphetamine associated mental health symptoms. Currently, psychosocial treatment is implemented to reduce use; however, to date, the effectiveness of psychosocial treatment in methamphetamine use and the associated mental health symptoms has not been reviewed. The paper aims to discuss this issue. Design/methodology/approach: A systematic literature review was performed by searching databases (PubMed, Embase, Ovid MEDLINE, PsychINFO and CINAHL) and following clear inclusion/exclusion criteria. Findings: In total, 12 studies met the inclusion/exclusion criteria, measuring a variety of psychosocial interventions and measuring a variety of different mental health outcomes. Decreased methamphetamine use was observed in the five studies which recorded this. Research limitations/implications: Most studies in this review were preliminary trials and only three were RCTs. Additionally, methamphetamine use is a particular problem in Japan and is becoming more prevalent in Europe, yet neither primary nor secondary searching identified papers from these regions. Social implications: This review demonstrates that psychosocial treatments can improve symptoms associated with methamphetamine use. Reduction in mental health symptoms has been shown to attract individuals to drug use treatment and thus indirectly reducing methamphetamine use. (Edited publisher abstract)
Does forming implementation intentions help people with mental health problems to achieve goals? A meta-analysis of experimental studies with clinical and analogue samples
- Authors:
- TOLI Agoro, WEBB Thomas L., HARDY Gillian E.
- Journal article citation:
- British Journal of Clinical Psychology, 55(1), 2016, pp.69-90.
- Publisher:
- Wiley
Objective: People struggle to act on the goals that they set themselves, and this gap between intention and action is likely to be exacerbated by mental health problems. Evidence suggests that forming specific if-then plans (or ‘implementation intentions’) can promote goal attainment and a number of studies have applied such techniques in clinical contexts. However, to date, the extent to which planning can help people with mental health problems has not been systematically examined. Method: This review used meta-analysis to investigate the effect of if-then planning on goal attainment among people with a DSM-IV/ICD-10 diagnosis (i.e., clinical samples) or scores above a relevant cut-off on clinical measures (i.e., analogue samples). In total, 29 experimental studies, from 18 records, met the inclusion criteria. Results: Excluding one outlying (very large) effect, forming implementation intentions had a large-sized effect on goal attainment. Implementation intentions proved effective across different mental health problems and goals, and in studies with different methodological approaches. Conclusions: Taken together, the findings suggest that forming implementation intentions can be a useful strategy for helping people with mental health problems to achieve various goals and might be usefully integrated into existing treatment approaches. However, further studies are needed addressing a wider range of mental health problems. (Edited publisher abstract)
Social participation interventions for adults with mental health problems: a review and narrative synthesis
- Authors:
- NEWLIN Meredith, et al
- Journal article citation:
- Social Work Research, 39(3), 2015, pp.167-180.
- Publisher:
- Oxford University Press
People with mental health problems remain a highly socially excluded group despite international efforts to facilitate their inclusion. Enhancing their social participation is an important role for mental health social workers, but there is a lack of evidence-informed interventions to enable workers to achieve this goal. This article fills a gap in knowledge by systematically reviewing evidence of the effectiveness of interventions that aim to enhance the social participation of adults with mental health problems in their wider communities, outside of formal mental health services. A systematic review and modified narrative synthesis methodology was used. Sixteen articles reporting 14 unique interventions met the inclusion criteria, and findings across the studies were categorised by delivery mode and intervention strategy. Positive outcomes were found in asset-based approaches, social skills development, building trusting relationships between workers and service users, and resource finding to enhance community participation. However, only four studies were found to have a low overall risk of bias. The findings of this review suggest further evidence-informed interventions, and robust evaluations, are needed as current evidence is limited to inform mental health social work practice. (Edited publisher abstract)
Permanent supportive housing: assessing the evidence
- Authors:
- ROG Debra J., et al
- Journal article citation:
- Psychiatric Services, 65(3), 2014, pp.287-294.
- Publisher:
- American Psychiatric Association
Objectives: Permanent supportive housing provides safe, stable housing for people with mental and substance use disorders who are homeless or disabled. This article describes permanent supportive housing and reviews research. Methods: Authors reviewed individual studies and literature reviews from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. The authors chose from three levels of evidence (high, moderate, and low) on the basis of benchmarks for the number of studies and quality of their methodology. They also described the evidence of service effectiveness. Results: The level of evidence for permanent supportive housing was graded as moderate. Substantial literature, including seven randomized controlled trials, demonstrated that components of the model reduced homelessness, increased housing tenure, and decreased emergency room visits and hospitalization. Consumers consistently rated this model more positively than other housing models. Methodological flaws limited the ability to draw firm conclusions. Results were stronger for studies that compared permanent supportive housing with treatment as usual or no housing rather than with other models. Conclusions: The moderate level of evidence indicates that permanent supportive housing is promising, but research is needed to clarify the model and determine the most effective elements for various subpopulations. Policy makers should consider including permanent supportive housing as a covered service for individuals with mental and substance use disorders. An evaluation component is needed to continue building its evidence base. (Publisher abstract)
Supported employment: assessing the evidence
- Authors:
- MARSHALL Tina, et al
- Journal article citation:
- Psychiatric Services, 65(1), 2014, pp.16-23.
- Publisher:
- American Psychiatric Association
Objective: Supported employment is a direct service with multiple components designed to help adults with mental disorders or co-occurring mental and substance use disorders choose, acquire, and maintain competitive employment. This article describes supported employment and assesses the evidence base for this service. Methods: Authors reviewed meta-analyses, research reviews, and individual studies from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. Authors chose from three levels of evidence (high, moderate, and low) based on benchmarks for the number of studies and quality of their methodology. They also described the evidence for service effectiveness. Results: The level of research evidence for supported employment was graded as high, based on 12 systematic reviews and 17 randomized controlled trials of the individual placement and support model. Supported employment consistently demonstrated positive outcomes for individuals with mental disorders, including higher rates of competitive employment, fewer days to the first competitive job, more hours and weeks worked, and higher wages. There was also strong evidence supporting the effectiveness of individual elements of the model. Conclusions: Substantial evidence demonstrates the effectiveness of supported employment. Policy makers should consider including it as a covered service. Future research is needed for subgroups such as young adults, older adults, people with primary substance use disorders, and those from various cultural, racial, and ethnic backgrounds. (Publisher abstract)
Seriousness and lethality of attempted suicide: a systematic review
- Authors:
- LIOTTA Marco, MENTO Carmela, SETTINERIC Salvatore
- Journal article citation:
- Aggression and Violent Behavior, 21, 2015, pp.97-109.
- Publisher:
- Elsevier
The concepts of seriousness and lethality of suicide attempts are essential to the assessment of suicide risk and, therefore, to prevent suicidal behaviour. A review of the literature was conducted in order to identify the most important factors that increase the seriousness and potential lethality of attempted suicide. The factors identified were incorporated into four main categories: progression along the suicide continuum; age and gender; mental disorders and method of suicide. Although each category contains independent risk factors for the severity of the suicide attempt, their combination both within and, above all, between them, has emerged as the most important predictor of suicidal behaviour. (Publisher abstract)