Search results for ‘Subject term:"mental health problems"’ Sort:
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A preliminary investigation of the relationship between emotion dysregulation and partner violence perpetration among individuals with PTSD and alcohol dependence
- Authors:
- WATKINS Laura E., SCHUMACHER Julie A., COFFEY Scott F.
- Journal article citation:
- Journal of Aggression Maltreatment and Trauma, 25(3), 2016, pp.305-314.
- Publisher:
- Taylor and Francis
This study examines the link between emotion dysregulation and intimate partner violence (IPV) among 77 individuals with posttraumatic stress disorder (PTSD) and alcohol dependence. Participants were recruited from a residential substance abuse treatment programme as part of the eligibility screening for an institutional review board approved clinical trial examining the efficacy of an exposure-based intervention in individuals dually diagnosed with alcohol dependence and PTSD. Participants reported on PTSD symptoms, alcohol use disorder symptoms, emotion dysregulation, and physical and verbal aggression in their intimate relationships during the past year. Findings demonstrated that difficulties with emotion regulation are associated with physical and verbal IPV perpetration in a clinical sample. Although facets of emotion regulation emerged as significant predictors of IPV in the models, alcohol and PTSD symptom severity did not emerge as predictors of IPV. These findings suggest targeted emotion regulation skills training could benefit substance abusers who engage in IPV and that emotion dysregulation might be an important target for future research aimed at understanding elevated rates of IPV perpetration in mental health samples. (Publisher abstract)
Substance misuse in life and death in a 2-year cohort of suicides
- Authors:
- GALWAY Karen, et al
- Journal article citation:
- British Journal of Psychiatry, 208(3), 2016, pp.292-297.
- Publisher:
- Cambridge University Press
Background: Although substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide. Aims: To examine the relationship between substance misuse and subsequent suicide. Method: Linkage of coroners' reports to primary care records for 403 suicides occurring over 2 years. Results: With alcohol misuse, 67% of the cohort had previously sought help for alcohol problems and 39% were intoxicated at the time of suicide. Regarding misuse of other substances, 54% of the cohort was tested. Almost one in four (38%) tested positive, defined as an excess of drugs over the prescribed therapeutic dosage and/or detection of illicit substances. Those tested were more likely to be young and have a history of drug misuse. Conclusions: A deeper understanding of the relationship between substance misuse and suicide could contribute to prevention initiatives. Furthermore, standardised toxicology screening processes would avoid diminishing the importance of psychosocial factors involved in suicide as a ‘cause of death’. (Publisher abstract)
Childhood sexual abuse and substance abuse: a gender paradox?
- Authors:
- TONMYR Lil, SHIELDS Margot
- Journal article citation:
- Child Abuse and Neglect, 63, 2016, pp.284-294.
- Publisher:
- Elsevier
The authors examine associations between childhood sexual abuse (CSA) and substance abuse, the role of mental health indicators as mediators in these associations and whether or not associations differ by gender. Data are from 14,063 respondents aged 18–76 years from the 2004–2005 Canadian Gender, Alcohol, and Culture: An International Study (GENACIS). Multiple logistic regression models were used to examine associations between CSA and substance abuse variables, controlling for socio-demographic factors. Odds were adjusted by indicators of mental health to assess if these variables mediated associations between CSA and substance abuse. Tests of interactions between sex and CSA were conducted to see if gender differences exist in associations. In 2004/2005, CSA was reported by 14% of women and 5% of men. CSA was associated with heavy drinking, hazardous drinking, and the use of marijuana, other illicit drugs, and off-label drugs. Associations were only very marginally attenuated when controlling for depression and self-perceived emotional/mental health. In all cases previously observed significant associations persisted. Evidence of gender differences in associations between CSA and substance abuse was negligible. Preventing CSA may also reduce substance abuse. (Edited publisher abstract)
Dual dilemma: the impact of living with mental health issues combined with drug and alcohol misuse
- Author:
- TURNING POINT
- Publisher:
- Turning Point
- Publication year:
- 2016
- Pagination:
- 12
- Place of publication:
- London
Short report providing an update on the challenges facing people with mental health problems issues who also misuse drugs and/or alcohol. The report presents key facts and figures which highlight the number of people affected and the cost to services. It also looks at the impact of substance misuse on the symptoms of mental ill health. Despite government initiatives and policy guidance to develop more integrated services for people with substance misuse and mental health problems, it reports that joint commissioning is rare. The report the highlights some of the challenges to effective service delivery are identified, which include: the lack of a joined up approach, failure to diagnosis or recognise need, and lack of access to services. The paper then makes suggestions to improve funding, commissioning and provision of services for people with co-existing needs. These include greater collaboration of services, partnership working between staff, drug and alcohol awareness training for mental health staff, and the need for early intervention and prevention. The report makes recommendations for the government, commissioners and providers and calls for them to work together to improve service provision. (Edited publisher abstract)
Promoting the health and wellbeing of gay, bisexual and other men who have sex with men: PHE action plan 2015-16
- Authors:
- VARNEY Justin, et al
- Publisher:
- Public Health England
- Publication year:
- 2016
- Pagination:
- 17
- Place of publication:
- London
This action plan describes the work that Public Health England is undertaking during 2015-16 to support the public health system to improve the health and wellbeing of gay, bisexual and other men who have sex with men (MSM). MSM constitute an estimated 2.6 per cent of the UK male population and bear a disproportionate burden of ill health. The actions have been grouped under a trio of inequalities: sexual health and HIV, mental health and in the use of alcohol, drugs and tobacco. The plan uses the three domains of public health (health protection, health promotion and quality improvement) to describe the work. Many of the levers to effect change are at a local level and PHE’s primary role is to support local authorities and clinical commissioning groups in their work to improve the health of the population and address inequalities, including those affecting gay, bisexual and other MSM. (Edited publisher abstract)
Spirituality mediates state anxiety but not trait anxiety and depression in alcohol recovery
- Authors:
- ANDO Balint, et al
- Journal article citation:
- Journal of Substance Use, 21(4), 2016, pp.344-348.
- Publisher:
- Taylor and Francis
Background and objectives: Twelve-step based interventions promote the recovery from alcohol dependence, support relapse prevention and are associated with improved mental status indices (e.g. depression). This treatment model largely relies on spiritual experience. The authors tested three different alcohol treatment settings, which differently involve elements of spirituality in order to reveal its possible mediator effect on the level of depressive and anxiety symptoms. Methods: Patients were involved from (1) detoxification (n = 34), (2) long-term – 12-step based – therapeutic community treatment (n = 89), (3) and from Alcoholics Anonymous (AA) groups after at least 3 years of attendance (n = 46). Anxiodepressive symptoms and spirituality/transcendence were compared and the potential mediator role of spirituality was assessed in the levels of depressive and anxiety symptoms. Results: Long-term 12-step based rehabilitation and sustained AA attendance was connected to lower levels of anxiodepressive symptoms and to more pronounced spirituality. The spiritual component of the different treatments played a mediator role in the decrease of state anxiety but this mediation was not detected in the case of depressive symptoms and trait anxiety. Conclusions/Importance: The role of spirituality in the decrease of state anxiety indicates acute beneficial effect. Therefore, long term, regular attendance in AA groups is essential (Edited publisher abstract)
Impact of mid-life symptoms of alcoholism on the health and wellbeing of aging parents of adults with disabilities
- Authors:
- GHOSHA Subharati, et al
- Journal article citation:
- Journal of Gerontological Social Work, 59(1), 2016, pp.56-72.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The study examined the effect of adult children’s disability on parents’ physical health in later life and the extent to which parents’ symptoms of alcoholism in mid-life moderates the link between children’s disability and later life parental health. Analyses are based on data from the Wisconsin Longitudinal Study. The analytic sample included parents of children with developmental disabilities (n = 145) or mental health problems (n = 200) and 2,432 parents of unaffected children. The results showed that the negative health consequences in later life of having a child with a developmental disability were greater for those who showed more symptoms of alcoholism in mid-life. However, symptoms of alcoholism in mid-life did not significantly moderate the impact of an adult child’s mental health problems on parents’ later life physical health. The findings suggest a potential area where gerontological social workers could intervene, given the negative impact of symptoms of alcoholism on the health of ageing parents of children with a disability who may be significantly more susceptible to the negative health impacts of alcohol compared to their younger counterparts. (Edited publisher abstract)
The role of Muslim faith-based programs in transforming the lives of people suffering with mental health and addiction problems
- Authors:
- JOZAGHI Ehsan, ASADULLAH Muhammad, DAHYA Azim
- Journal article citation:
- Journal of Substance Use, 21(6), 2016, pp.587-593.
- Publisher:
- Taylor and Francis
Many countries have trouble addressing the dual problems of mental health and addiction because of their extremely conventional health care models. This is particularly true of the refugees and immigrant populations who are often part of religious minorities. The current study is based on qualitative, in-depth interviews with eight faith-based programme volunteers. NVivo 10 was used to facilitate coding and analysis. The findings underscored the role of a faith-based project in making noticeable contributions that reduce the traditional stigma attached to addictions and mental health problems. This is the first study in Canada to particularly highlight addictions and mental health issues tackled by Muslims within their own community, and we capture the opinion of both practitioners and experts. As such, we build a foundation for future research in the field of substance use, harm reduction, and mental health issues in the Muslim community. (Edited publisher abstract)
Child aware practice in adult social services: a scoping review
- Authors:
- TILBURY Clare, WALSH Peter
- Journal article citation:
- Australian Social Work, 69(3), 2016, pp.260-272.
- Publisher:
- Taylor and Francis
The development of “child aware” practice is about the capacity and capability of adult health and social service providers to identify and respond to the needs of children. A scoping review of the literature considered five adult adversities associated with family stress and reduced parenting capacity: mental illness, alcohol and substance abuse, homelessness, intellectual disability, and domestic violence. Although there are specific needs for children pertaining to particular adversities, there was substantial commonality of potential effects. These included emotional and psychological difficulties, physical and mental health problems, academic difficulties, language delays, peer difficulties, stigma, trauma reactions, loss and grief, instability, and social exclusion. How children react to difficulties in their family depends upon various protective factors, a child's frame of reference, and other dynamics within the family that can offset risks. The findings aim to inform policy, programme development, and practice in adult social services, enhancing their responsiveness to children. (Publisher abstract)
Frequent peer problems in Australian children and adolescents
- Authors:
- DENHAM Renee, et al
- Journal article citation:
- Journal of Aggression Conflict and Peace Research, 8(3), 2016, pp.162-173.
- Publisher:
- Emerald
Purpose: Whilst overt bullying has received considerable attention for its negative impact on the emotional well-being of children and adolescents, peer problems such as excessive teasing and social exclusion have received less consideration. The purpose of this paper is to examine the prevalence, demographic, and clinical correlates of frequent peer problems in children and adolescents who participated in the Australian National Survey of Mental Health and Well-Being. Design/methodology/approach: Participants were a nationally representative sample of 2,107 children (aged 6-12 years), and 1,490 adolescents (aged 13-17 years). Frequent peer problems (excessive teasing or social exclusion) were measured by parental report for children, and self and parental report for adolescents. Associations with a number of mental health problems were examined, including being in the clinical range for internalising and externalising symptoms, having major depressive disorder, attention deficit hyperactivity disorder or conduct disorder, low self-esteem, experiencing suicidal ideation and behaviour, or using marijuana and alcohol. Findings: One in 30 children and one in 20 adolescents experienced frequent peer problems. Parents less commonly identified frequent peer problems than were self-reported by their adolescent children. Frequent peer problems were strongly associated with all mental health problems except alcohol and marijuana use. Originality/value: Frequent peer problems are associated with a greatly increased risk of mental health problems. Identifying those children and adolescents with frequent peer problems provides opportunity for assessment and intervention of emotional and behavioural problems. (Publisher abstract)