Search results for ‘Subject term:"mental health problems"’ Sort:
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Prevalence of mental health disorders in adult minority ethnic populations in England: a systematic review
- Authors:
- REES Rebecca, et al
- Publisher:
- University College London. Institute of Education. EPPI-Centre
- Publication year:
- 2016
- Pagination:
- x, 101
- Place of publication:
- London
A systematic review of the survey literature that has estimated the prevalence of mental health disorders among adults from minority ethnic groups in England. Findings are intended to be used to inform the design of a sampling strategy aimed at boosting the sample of people from minority ethnic groups in the Adult Psychiatric Morbidity Survey. The review has identified a small number of recent surveys able to provide reliable prevalence estimates of various MHDs among certain ethnic groups in England and in the UK more generally. It has found published analyses of these surveys that, taken together, enable the identification of indicative patterns of prevalence between one or more ethnic groups for several MHDs. The report suggests that secondary analyses of the data sets could produce additional prevalence estimates for people in specific ethnic groups. For people in some less common or more recently established minority ethnic groups, existing data sets are likely to be insufficient for identifying the prevalence of mental health disorder with any precision or certainty, and further survey work that boosts sampling for these groups is likely to be required. (Edited publisher abstract)
Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis
- Authors:
- LIVINGSTON James D., BOYD Jennifer E.
- Journal article citation:
- Social Science and Medicine, 71(12), December 2010, pp.2150-2161.
- Publisher:
- Elsevier
This article presents findings from a systematic review and meta-analysis of research exploring the empirical relationship between internalised stigma and a range of sociodemographic, psychosocial, and psychiatric variables for people who live with mental illness. A literature review was conducted on all articles published in English that assessed a statistical relationship between internalised stigma and at least one other variable for adults who live with mental illness. Data from 45 articles were extracted for meta-analyses. None of the sociodemographic variables that were included in the study were strongly correlated with levels of internalised stigma. Findings revealed a negative relationship between internalised stigma and a range of psychosocial variables such as hope, self-esteem, and empowerment. Internalised stigma was positively associated with psychiatric symptom severity and negatively associated with treatment adherence. The review draws attention to the lack of research in this area of study which has inhibited the clinical relevance of findings related to internalised stigma. The study also highlights the need for greater attention on the true nature of the relationship between internalised stigma and other psychosocial variables.
Typology of modifications to peer support work for adults with mental health problems: systematic review
- Authors:
- CHARLES Ashleigh, et al
- Journal article citation:
- British Journal of Psychiatry, 216(6), 2020, pp.301-307.
- Publisher:
- Cambridge University Press
Peer support work roles are being implemented internationally, and increasingly in lower-resource settings. However, there is no framework to inform what types of modifications are needed to address local contextual and cultural aspects. Aims: To conduct a systematic review identifying a typology of modifications to peer support work for adults with mental health problems. Method: the researchers systematically reviewed the peer support literature following PRISMA guidelines for systematic reviews (registered on PROSPERO (International Prospective Register of Systematic Reviews) on 24 July 2018: CRD42018094832). All study designs were eligible and studies were selected according to the stated eligibility criteria and analysed with standardised critical appraisal tools. A narrative synthesis was conducted to identify types of, and rationales for modifications.Results: A total of 15 300 unique studies were identified, from which 39 studies were included with only one from a low-resource setting. Six types of modifications were identified: role expectations; initial training; type of contact; role extension; workplace support for peer support workers; and recruitment. Five rationales for modifications were identified: to provide best possible peer support; to best meet service user needs; to meet organisational needs, to maximise role clarity; and to address socioeconomic issues. Conclusions: Peer support work is modified in both pre-planned and unplanned ways when implemented. Considering each identified modification as a candidate change will lead to a more systematic consideration of whether and how to modify peer support in different settings. Future evaluative research of modifiable versus non-modifiable components of peer support work is needed to understand the modifications needed for implementation among different mental health systems and cultural settings. (Edited publisher abstract)
Prevalence of co‐occurring psychiatric disorders in adults and adolescents with intellectual disability: a systematic review and meta‐analysis
- Authors:
- MAZZA Mario G., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(2), 2020, pp.126-138.
- Publisher:
- Wiley
Background: Subjects with intellectual disability (ID) are vulnerable to experience psychiatric disorders. The present authors performed a systematic review and meta‐analysis to estimate the prevalence of co‐occurring psychiatric disorders, excluding co‐occurring autism spectrum disorders, in subjects with intellectual disability. Method: The present authors performed a random‐effects meta‐analysis of the prevalence of psychiatric disorders in adults and adolescents with intellectual disability. Results: Twenty‐two studies were included. The pooled prevalence of any co‐occurring psychiatric disorders in intellectual disability was 33.6% (95% CI: 25.2%–43.1%) with high heterogeneity but no publication bias. Prevalence was lower in population‐based studies, in studies that used ICD criteria for the psychopathology and in studies with low risk of bias. The prevalence was higher in mild, moderate and severe intellectual disability than in profound intellectual disability. Conclusions: Psychiatric disorders are common in subjects with intellectual disability, and the present authors found that clinical and methodological moderators affect the pooled prevalence. (Edited publisher abstract)
Mental health and the settings of housing support: a systematic review and conceptual model
- Author:
- BURGOYNE Jon
- Journal article citation:
- Housing Care and Support, 17(1), 2014, pp.26-40.
- Publisher:
- Emerald
Purpose: The purpose of this qualitative systematic review is to examine how the nature and quality of housing affect adults receiving support for mental health problems, focusing on the less considered structural aspects of housing. Design/methodology/approach: A systematic search identified relevant research. Data consisting exclusively of service-user testimony was taken from seven studies based in varied types of accommodation in England. A synthesis was carried out using thematic analysis, and a conceptual model developed based on the themes identified from the data. A literature review examines the context, with relevant material drawn from a variety of disciplines and professions. Findings: There were three main determinants of whether housing was a setting that enabled users to benefit from support and enjoy a good quality of life – “autonomy”, “domain”, and “facilitation”. Secondary themes influenced these primary themes, or described respondents’ condition or feelings in relation to their housing situation. The “Tripod Model” illustrates the relationships between these themes. Research limitations/implications: Applying systematic review methods to qualitative material proved contentious and challenging. The model produced is a hypothesis based on limited data and requiring further investigation. Practical implications: The findings suggest that a balance is required to increase the chances of successful and sustainable housing outcomes for service-users. Originality/value: The model enables a holistic understanding of issues affecting service-users, and the interdependent nature of these. It offers a new typology based on a synthesis of data drawn from a spectrum of accommodation, which gives it a breadth a single piece of research could not encompass. (Publisher abstract)
Family relationships in childhood and common psychiatric disorders in later life: systematic review of prospective studies
- Authors:
- WEICH Scott, et al
- Journal article citation:
- British Journal of Psychiatry, 194(5), May 2009, pp.392-398.
- Publisher:
- Cambridge University Press
Most evidence for associations between childhood adversity and adult mental illness is retrospective. To evaluate prospective evidence of associations between poor parent–child relationships and common psychiatric disorders in later life. Systematic review of studies published between 1970 and 2008 including: (a) more than 100 participants; (b) measures of relationships in the home during childhood; (c) at least 10 years between assessment of exposures; and (d) measures of anxiety, depression, suicide, suicidal ideation or post-traumatic stress disorder (PTSD). Analysis was by narrative synthesis. Twenty-three papers were identified reporting data from 16 cohorts. Abusive relationships predicted depression, anxiety and PTSD. Maternal emotional unavailability in early life predicted suicide attempts in adolescence. Results of studies investigating less severe relationship problems were suggestive but not conclusive of causal association, due partly to methodological heterogeneity. Given the prevalence and disabling nature of common psychiatric problems, these studies highlight the need to minimise harm associated with dysfunctional parent–child relationships.
Are computer-based treatment programs effective at reducing symptoms of substance misuse and mental health difficulties within adults? A systematic review
- Authors:
- DUGDALE Stephanie, et al
- Journal article citation:
- Journal of Dual Diagnosis, 15(4), 2019, pp.291-311.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Comorbid substance misuse and mental health difficulties are recognized as a leading contributor to disease burden worldwide. Amid cuts to health care services, computer-based interventions may provide support for patients experiencing these difficulties. The aims of this systematic review were to identify and investigate the efficacy of these computer-based interventions at improving substance misuse and mental health outcomes. Methods: A systematic search was conducted of CINAHL Plus, PsycARTICLES, PsycINFO, Medline, Web of Science, and the Cochrane Library. Gray literature was also searched for relevant papers. Data were extracted from 33 papers, which met eligibility criteria by reporting a computer-based intervention designed to treat substance misuse and mental health in adults. Quality assessments were conducted on these papers. Results: Computer-based interventions generally led to an improvement of substance misuse and mental health outcomes within groups and when compared against waitlist control and psychoeducation. Computer-based interventions were effective at improving dual diagnosis outcomes, and improvements to mental health outcomes specifically were maintained for up to nine months. However, the combined effect of computer-based interventions and therapist support was found to be more effective than the effects of computer-based interventions alone. Conclusions: Many papers were limited by high attrition rates commonly attributed to “digital” interventions. Future research should consider systematically recruiting a range of participants, including those potentially affected by the digital divide, and incorporating methods within research to maintain engagement. This review was also limited by the heterogeneity of the papers reported, many of which differed between targeting dual diagnosis and targeting either substance misuse or mental health respectively, with outcomes investigating other difficulties out of curiosity. (Publisher abstract)
A systematic review to investigate dramatherapy group work with working age adults who have a mental health problem
- Authors:
- BOURNE Jane, ANDERSEN-WARREN Madeline, HACKETT Simon
- Journal article citation:
- Arts in Psychotherapy, 61, 2018, pp.1-9.
- Publisher:
- Elsevier
This study investigated the effects of dramatherapy group work with adults between the ages of 18 and 65 years, who have mental health problems. A systematic review was undertaken using a meta-ethnography to synthesise the existing relevant research. Database searches identified 111 records, from which 12 were included in the review. There was a combined total of n = 194 participants from eleven of the studies; plus one study that did not give exact participant numbers. The included studies were either qualitative or mixed method, with a variety of designs: case studies, interviews, focus groups, observations, questionnaires, evaluations, and use of a variety of measurement tools. There was a range of populations, including: adults with intellectual disabilities, adult offenders, community service users, and in-patients. Participants were from a number of different settings. Overall findings were encouraging and included; improvements in social interaction, improved self- awareness, empowerment and social interaction. No negative effects were reported. (Edited publisher abstract)
Gender differences in the effects of childhood maltreatment on adult depression and anxiety: a systematic review and meta-analysis
- Authors:
- GALLO Erika Alejandra Giraldo, et al
- Journal article citation:
- Child Abuse and Neglect, 79, 2018, pp.107-114.
- Publisher:
- Elsevier
Child maltreatment has well-documented long-term, adverse effects on mental health, but it is not clear whether there are gender differences in these effects. We conducted a systematic review to investigate whether there are gender differences in the effects of maltreatment on adult depression and anxiety. Medline, PsycINFO, Web of Science, and Lilacs were searched for relevant studies published up to May 2016. Eligible studies included population-based studies (with a cohort, case-control or cross-sectional design) which assessed maltreatment during childhood or adolescence (≤18 years) and its association with major depression or generalized anxiety disorder (DSM/ICD diagnostic criteria) in adulthood (>18 years) separately for females and males. Meta-analysis was performed to estimate the association between each exposure and outcome using fixed and random effects models. Pooled odds ratios (OR) were estimated separately for women and men and compared. Five studies of physical and sexual abuse were included in the meta-analyses. These provided twenty-two effects sizes estimates (11 for men, 11 for women) for associations between physical/sexual abuse and depression/anxiety. Exposure to each kind of abuse increased the odds of depression/anxiety. Associations were larger for women than for men, however, these gender differences were not statistically significant. Physical and sexual abuse in childhood/adolescence are risk factors for depression/anxiety in adulthood and the effect could be larger for women; however, currently there is insufficient evidence to definitively identify gender differences in the effects of maltreatment. (Edited publisher abstract)
Visual art and mental health: a systematic review of the subjective wellbeing outcomes of engaging with visual arts for adults ("working-age", 15-64 years) with diagnosed mental health conditions
- Authors:
- TOMLINSON Alan, et al
- Publisher:
- What Works Centre for Wellbeing
- Publication year:
- 2018
- Pagination:
- 66
- Place of publication:
- London
This systematic review examines the subjective wellbeing outcomes for adults with mental health conditions taking part in visual arts. It also examines the processes that have an impact on subjective wellbeing. For the review, searches were conducted on ten electronic databases for research and grey literature. The review is based on the findings of eight research articles and six evaluation reports from UK-based visual arts programmes identified as relevant to the scope of the review. The arts practices featured in the studies included painting, drawing, art appreciation, and more general creative and craft activities. A total of 163 participants from across the four countries of Australia, Sweden, the UK, and the USA were involved in the studies. The review found limited high-quality evidence, though case studies from the UK provided important and consistent findings, corroborated by grey literature on interventions and projects. The evidence identified found that engagement in the visual arts for adults with mental health conditions can reduce reported levels of depression and anxiety; increase self-respect, self-worth and self-esteem; encourage re-engagement with the wider community. It also supports participants a potential renegotiation of identity through practice-based forms of making or doing. Ensure the provision of secure safe-space and non-stigmatising settings for interventions were identified as important factors in implementing interventions. Negative impacts of engaging with arts interventions included stress and pressure felt to complete activities and concerns about the end of an intervention. (Edited publisher abstract)