Search results for ‘Subject term:"mental health problems"’ Sort:
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Childhood maltreatment and the structure of common psychiatric disorders
- Authors:
- KEYES Katherine M., et al
- Journal article citation:
- British Journal of Psychiatry, 200(2), February 2012, pp.107-115.
- Publisher:
- Cambridge University Press
Exposure to childhood maltreatment has been shown to increase risk for many psychiatric disorders. This non-specific pattern of risk may mean that childhood maltreatment increases vulnerability to numerous specific psychiatric disorders through diverse, specific mechanisms or that childhood maltreatment engenders a generalised liability to dimensions of psychopathology. The aim of this study was to estimate the associations of childhood maltreatment with underlying dimensions of internalising and externalising psychopathology and with specific disorders. Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative survey of 34,653 US adults. Analysis revealed that the association between childhood maltreatment and psychiatric disorders operates through latent liabilities to experience internalising and externalising psychopathology. Important gender differences emerged with physical abuse associated only with externalising liability in men, and only with internalising liability in women. Neglect was not significantly associated with latent liability levels. The findings indicate that the prevention of maltreatment may have a wide range of benefits in reducing the prevalence of many common mental disorders.
Trauma, gender, and mental health symptoms in individuals with substance use disorders
- Authors:
- KEYSER-MARCUS Lori, et al
- Journal article citation:
- Journal of Interpersonal Violence, 30(1), 2014, pp.3-24.
- Publisher:
- Sage
The relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender were examined in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counselling and five methadone maintenance programmes were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN) in the United States. Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma. (Edited publisher abstract)
Gender differences in psychotic disorders with concurrent substance use
- Authors:
- CATON Carol L. M., et al
- Journal article citation:
- Journal of Dual Diagnosis, 10(4), 2014, pp.177-186.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: The authors conducted a comparative analysis of gender differences in patients with primary psychotic disorders with concurrent substance use and in those with substance-induced psychoses. Methods: A total of 385 individuals admitted to psychiatric emergency departments with early-onset psychosis and recent substance use were interviewed at baseline and at six-month intervals for two years. Using a standardised research diagnostic assessment instrument, the authors classified patients at baseline into primary and substance-induced psychosis groups and analysed the effects of gender on demographic, family, and clinical characteristics at baseline, the interaction of gender and diagnosis, and gender main effects on illness course, adjustment, and service use over the two-year follow-up period. Results: Women had better premorbid adjustment, less misattribution of symptoms, and a later age at onset of regular drug use compared to men. Women, however, showed greater depression and histories of abuse compared to men. Men had greater arrest histories. No interactions between gender and diagnosis were significant. Both genders in the primary and substance-induced psychosis groups showed clinical and functional improvement over the follow-up period despite the overall minimal use of mental health and substance abuse treatment services. Conclusions: Women and men with psychosis and substance use differ on several dimensions. The findings suggest the need for gender-specific treatment programming across both diagnostic groups. (Edited publisher abstract)
Gender differences, mental health and substance mis-use amongst prisoners
- Author:
- CLULEY Emma
- Journal article citation:
- Probation Journal, 60(3), 2013, pp.361-366.
- Publisher:
- Sage
This research analysis is part of the Surveying Prisoner Crime Reduction (SPCR) longitudinal survey of 1435 newly sentenced prisoners in England and Wales in 2005 and 2006. The sample consisted of 1303 male and 132 female prisoners and looks at the mental health and substance mis-use of male and female prisoners. (Publisher abstract)
Comparing male and female juveniles charged with homicide: child maltreatment, substance abuse and crime details
- Author:
- ROE-SEPOWITZ Dominique Eve
- Journal article citation:
- Journal of Interpersonal Violence, 24(4), April 2009, pp.601-617.
- Publisher:
- Sage
This study examines a sample of 136 male and female juveniles charged with attempted homicide or homicide. The purpose of this study is to explore the differences between nondirect file male and female juvenile homicide offenders regarding individual, family, and crime circumstances. Findings suggest that compared to male juvenile offenders, female juvenile homicide offenders have higher rates of reported childhood abuse, more serious substance abuse, and mental health problems including suicidal ideations, depression, anxiety, anger, and irritability. Male juvenile homicide offenders reported higher rates of substance use than their female counterparts but the females had more serious substance abuse problems. Female juveniles were found to more often kill a person known to them and male homicide offenders were found to more often kill a stranger. These findings suggest strongly that male and female juvenile homicide offenders are dissimilar and require unique assessment and treatment.
Comorbid substance use and mental disorders among offending youth
- Authors:
- HUSSEY David L., DRINKARD Allyson M., FLANNERY Daniel L.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.117-138.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examines the offence, substance use, and mental illness characteristics for a subset of adolescent juvenile detainees receiving services through a federally funded system of care initiative in the United States. Findings indicate that 65% of these youth were comorbid for both mental and substance use disorders. Female detainees were at greater risk on almost every measure of mental health impairment and dual substance use and mental disorders. Study results highlight the need for effective, integrated treatment models that can serve youth involved in multiple child-serving systems, and address the challenging constellation of comorbid conditions faced by many juvenile offenders. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The relationship between nonstandard working and mental health in a representative sample of the South Korean population
- Authors:
- KIM Il-Ho, et al
- Journal article citation:
- Social Science and Medicine, 63(3), August 2006, pp.566-574.
- Publisher:
- Elsevier
In light of escalating job insecurity due to increasing numbers of nonstandard workers, this study examined the association between nonstandard employment and mental health among South Korean workers. The authors analyzed a representative weighted sample of 2086 men and 1194 women aged 20–64 years, using data from the 1998 Korean National Health and Nutrition Examination Survey. Nonstandard employment included part-time work, temporary work, and daily work. Mental health was measured with indicators of self-reported depression and suicidal ideation. Based on age-adjusted prevalence of mental health, nonstandard employees were more likely to be mentally ill compared to standard employees. Furthermore, nonstandard work status was associated with poor mental health after adjusting for socioeconomic position (education, occupational class, and income) and health behaviors (smoking, alcohol consumption, and exercise). However, the pattern of the relationship between nonstandard work and mental health differed by gender. Female gender was significantly associated with poor mental health. Although males tended to report more suicidal ideation, this difference was not statistically significant. Considering the increasing prevalence of nonstandard working conditions in South Korea, the results call for more longitudinal research on the mental health effects of nonstandard work.
Psychopathology in substance abusing adolescents: gender comparisons
- Authors:
- DEAS Deborah, ST GERMAINE Katherine, UPADHYAYA Himanshu
- Journal article citation:
- Journal of Substance Use, 11(1), February 2006, pp.1-9.
- Publisher:
- Taylor and Francis
This American study assessed 59 adolescents (34 males and 25 females) presenting for inpatient treatment in a university-based adolescent dual diagnosis program. Subjects were interviewed for psychiatric disorders using the revised Child Schedule for Affective Disorder and Schizophrenia (K-SADS). The Structured Clinical Interview DSM-IV (SCID-R) was used to diagnose substance use disorders. The subjects were primarily Caucasian, ages 12–18. Ninety-four per cent of the sample used tobacco and females were more likely than males to meet criteria for alcohol abuse or dependence. Disruptive disorders were the most prevalent psychiatric diagnoses in both males and females. However, anxiety disorders were more prevalent in females, and social phobia was the most common anxiety disorder. Both groups had experienced physical and/or sexual abuse; however, there was a trend towards higher incidences of females than males having experienced sexual abuse. Significantly more females had a history of suicide attempt. These data suggest that there are some gender differences in co-morbidity that may have treatment implications for this population.
The role of gender in engaging the dually diagnosed in treatment
- Authors:
- WATKINS Katherine E., SHANER Andrew, SULLIVAN Greer
- Journal article citation:
- Community Mental Health Journal, 35(2), April 1999, pp.115-126.
- Publisher:
- Springer
Individuals with both a serious mental illness and substance abuse are particularly difficult to engage in treatment. Given known gender differences in both substance abuse and schizophrenia, this article examines the impact of gender on treatment engagement. Qualitative interviews with ten males and eleven females focused on how the client perceived the engagement process, and what obstacles they faced. While both males and females are difficult to engage, the interviews suggest that they experience the process differently and that they face different obstacles. Discusses the implication for service providers.
Gender specific standards to improve health and wellbeing for women in prison in England
- Authors:
- PEDEN Jo, et al
- Publisher:
- Public Health England
- Publication year:
- 2018
- Pagination:
- 205
- Place of publication:
- London
These standards set out evidence-based good practice in addressing the health and wellbeing needs of women in prison. The document contains six key principles and 122 standards covering 10 topic areas. The ten topic areas are: general, health and wellbeing; mental health, self-harm and suicide; substance misuse; violence and abuse; sexual and reproductive health; pregnancy and families; older women; nutrition and diet; physical activity; and weight management. The standards have been developed from a literature review of current evidence and reviewed through consultation with national and international experts. They are designed to complement existing national and international health standards and guidance for women in prison. The document will be useful for commissioners of services, service providers and all employees who work in the female prisons. It is also relevant for local authorities and community providers who may provide services to women on leaving prison. (Edited publisher abstract)