Search results for ‘Subject term:"mental health problems"’ Sort:
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Towards women-sensitive mental health services
- Authors:
- BARNES Marian, et al
- Journal article citation:
- Mental Health Review, 7(1), March 2002, pp.19-21.
- Publisher:
- Pier Professional
Looks at women only mental health services, and draws on existing knowledge and research evidence about women's experiences of mental distress and of the mental health systems.
Is the earlier age at onset of schizophrenia in males a confounded finding?
- Authors:
- JABLENSKY Assen, COLE Steven W.
- Journal article citation:
- British Journal of Psychiatry, 170, March 1997, pp.234-240.
- Publisher:
- Cambridge University Press
The finding of an earlier age at onset of schizophrenia in males compared with females, replicated across a number of studies, appears to be so robust as to support hypotheses about gender differences in the aetiology of the disorder. Explores the possibility that this observed gender effect might reflect other confounding variables. Concludes that the gender difference in the age at onset of schizophrenia is not a robust biological characteristic of the disorder. Failure to control for marital status and pre-morbid personality in male/female comparisons of age at onset may explain a large part of the differences reported previously.
Women and HIV invisible no longer: a national study of women's experiences of HIV
- Author:
- SOPHIA FORUM
- Publisher:
- Terrence Higgins Trust
- Publication year:
- 2018
- Pagination:
- 90
- Place of publication:
- London
This report explores the needs and experiences of women living with and affected by HIV. It is based on a project to make women visible in the HIV response in the UK and was co-produced with women living with and affected by HIV which included a literature review, online surveys of women living with HIV and women concerned about HIV, and a mapping of services available. The report’s findings highlight significant unmet need, in both prevention services and support services that meet women’s needs across intersecting issues such as violence, mental health and immigration. The report calls for greater gender equity in research, funding, data, services and support. Specifically, it calls for researchers to develop a better understanding of the link between violence, gender and HIV in the UK and create better opportunities for women living with HIV to participate in local service design. (Edited publisher abstract)
Use of mental health screening instruments by non-medical helping professionals a needs assessment
- Journal article citation:
- Journal of Interpersonal Violence, 29(11), 2014, pp.2068-2090.
- Publisher:
- Sage
When screening women intimate partner violence (IPV) survivors for mental health concerns, helping professionals must balance the very real concerns that arise with diagnostic labels with the equally real difficulties related to mental health problems. To better understand whether and how mental health screening tools can be more useful in this process, the current study reports findings from an online needs assessment. The nationally representative sample included 325 professionals who work with IPV survivors in United States. Overall, participants have a positive attitude about assessing mental health concerns even though most do not conduct such assessments. From this, the following four areas are highlighted: (a) a need for training, (b) the appropriateness of screening, (c) factors that limit use, and (d) assessment tools. Findings also suggest it may be beneficial to develop instruments and/or protocols that are tailored to the unique needs/experiences of IPV survivors. (Publisher abstract)
Beyond PTSD: mental health consequences of violence against women
- Author:
- MECHANIC Mindy B.
- Journal article citation:
- Journal of Interpersonal Violence, 19(11), 2004, pp.1283-1289.
- Publisher:
- Sage
This article proposes that we move beyond posttraumatic stress disorder (PTSD) in our conceptualization of traumatic stress responses of victimized women exposed to serial forms of unrelenting violence, such as intimate partner violence and stalking. It is argued that the traditional PTSD framework is ill fitting in the context of some forms of violence against women (VAW), and these limits have consequences for developing appropriate interventions for some victimized women. The article further suggests going beyond PTSD by developing a more nuanced understanding of the ways in which PTSD and other mental health symptoms contribute to the vast array of deleterious personal, societal, and economic costs of VAW.
Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care
- Author:
- DURAN Bonnie
- Journal article citation:
- Child Abuse and Neglect, 28(2), February 2004, pp.131-145.
- Publisher:
- Elsevier
The aim was to examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services. A cross-sectional study was conducted among 234 American Indian women, age 18–45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire. Approximately three-quarters of respondents (76.5%; 95% CI=70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR]=3.9; 95% CI=1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR=2.3; 95% CI=1.6, 3.3); mood disorders (PR=2.1; 95% CI=1.4, 3.2); and with two or more disorders (PR=2.3; 95% CI=1.6, 3.4). CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.
Baseline experience with Modified Mini Mental State Exam: The Women's Health Initiative Memory Study (WHIMS)
- Authors:
- RAPP S. R., et al
- Journal article citation:
- Aging and Mental Health, 7(3), May 2003, pp.217-223.
- Publisher:
- Taylor and Francis
The Modified Mini Mental State Exam (3MS) is widely used for screening global cognitive functioning, however little is known about its performance in clinical trials. The authors report the distribution of 3MS scores among women enrolled in the Women's Health Initiative Memory Study (WHIMS) and describe differences in these scores associated with age, education, and ethnicity. The 3MS exams were administered to 7,480 women aged 65-80 who had volunteered for and were eligible for a clinical trial on postmenopausal hormone therapy. General linear models were used to describe demographic differences among scores. Factor analysis was used to characterize the correlational structure of exam subscales. The distribution of 3MS scores at baseline was compressed in WHIMS compared to population-based data. Mean 3MS scores (overall 95.1) tended to decrease with age and increase with education, however these associations varied among ethnic groups ( p < 0.0001) even after adjustment for health, physical disability and occupation attainment. Four factors accounted for 37% of the total variance. Each varied with education and ethnicity; the two most prominent factors also varied with age. Despite relatively narrow distributions in WHIMS, baseline 3MS scores retained associations with age and education. These associations varied among ethnic groups, so that care must be taken in comparing data across populations.
Perinatal mental health: a guide to the Edinburgh Postnatal Depression Scale (EPDS)
- Authors:
- COX John, HOLDEN Jeni
- Publisher:
- Gaskell
- Publication year:
- 2003
- Pagination:
- 125p.,tables.
- Place of publication:
- London
The Edinburgh Postnatal Depression Scale has been developed to assist primary care health professionals to detect mothers suffering from postnatal depression; a distressing disorder more prolonged than the "blues" (which occur in the first week after delivery) but less severe than puerperal psychosis. Previous studies have shown that postnatal depression affects at least 10% of women and that many depressed mothers remain untreated. These mothers may cope with their baby and with household tasks, but their enjoyment of life is seriously affected and it is possible that there are long-term effects on the family. The EPDS was developed at health centers in Livingston and Edinburgh. It consists of ten short statements. The mother underlines which of the four possible responses is closest to how she has been feeling during the past week. Most mothers complete the scale without difficulty in less than 5 minutes. The validation study showed that mothers who scored above threshold 92.3% were likely to be suffering from a depressive illness of varying severity. Nevertheless the EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm the diagnosis. The scale indicates how the mother has felt during the previous week and in doubtful cases it may be usefully repeated after 2 weeks. The scale will not detect mothers with anxiety neuroses, phobias or personality disorder.
Recent stressful life events, sexual revictimization, and their relationship with traumatic stress symptoms among women sexually abused in childhood
- Authors:
- CLASSON Catherine, et al
- Journal article citation:
- Journal of Interpersonal Violence, 17(12), December 2002, pp.1274-1290.
- Publisher:
- Sage
This cross-sectional study examined whether previous life stressors are associated with current traumatic stress symptoms in women who were sexually abused in childhood. Fifty-eight treatment-seeking women, sexually abused in childhood and meeting criteria for current post-traumatic stress disorder (PTSD) in response to their childhood sexual abuse, participated in this study. Participants were administered a structured interview to assess PTSD as well as self-report measures to assess acute stress reactions, other trauma-related symptoms, sexual revictimization as an adult, and recent stressful life events. Recent stressful life events were shown to be associated with PTSD symptoms, acute stress disorder (ASD) symptoms, and other trauma-related symptoms. Sexual revictimization was associated with trauma-related symptoms but not PTSD symptoms or ASD symptoms.