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Article
Publication date: 19 March 2018

Sirry Alang

The purpose of this paper is to identify symptoms that constitute a shared cultural model of depression among African Americans and to compare these accounts with criteria for…

Abstract

Purpose

The purpose of this paper is to identify symptoms that constitute a shared cultural model of depression among African Americans and to compare these accounts with criteria for major depressive disorder (MDD) in the 5th edition of the Diagnostic Statistical Manual of mental disorders (DSM-V).

Design/methodology/approach

Data were collected in a disproportionately Black urban neighborhood in the USA and analyzed using cultural consensus analysis (CCA). In total, 34 African Americans participated in a free-listing exercise to elicit common indicators of depression in the same community. Another 40 key informants completed a survey to rate how common each indicator was in the same community. Factor analysis was performed, factor loadings were used to weight the responses of each informant in the survey and then aggregated to determine the most significant indicators or components of the shared model depression.

Findings

Indicators of depression included classic symptoms in the DSM-V such as sadness and lack of motivation. However, other indicators that are inconsistent with symptoms of MDD in the DSM-V such as paranoia and rage were common and constituted a shared model of depression in the sample.

Research limitations/implications

Some symptoms common among African Americans that are not in the DSM-V or on research instruments developed based on the DSM could be overlooked in epidemiological surveys and in clinical assessments of depression.

Practical implications

The provision of mental health care might benefit from a better understanding of how contextual factors shape expressions of distress among African Americans.

Originality/value

This study identify culturally salient symptoms of depression among African Americans independent of clinically defined criteria.

Details

Journal of Public Mental Health, vol. 17 no. 1
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 1 December 2008

Hugh Middleton

Consideration is given to the extent to which the DSM and ICD approach to psychiatric case definition and treatment supports clinical activity. Their validity as a way of defining…

Abstract

Consideration is given to the extent to which the DSM and ICD approach to psychiatric case definition and treatment supports clinical activity. Their validity as a way of defining ‘mental illness’ is found wanting and they do not, in themselves, usefully guide treatment. These conclusions are set in a critical realist approach to ‘mental illness’, which draws attention to the legitimacy of several differing perspectives, each reflecting their own sets of interests and allegiances. DSM‐V and ICD‐11 are due to be published in 2012 and 2014 respectively, and their architects are called upon to be clear about which of these constituencies they are representing.

Details

Mental Health Review Journal, vol. 13 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 11 October 2021

Tolulope Adeniji and Adetoyeje Y. Oyeyemi

This study aims at translating and adapting a common and widely used proxy rated cognitive screening tool – Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE…

Abstract

Purpose

This study aims at translating and adapting a common and widely used proxy rated cognitive screening tool – Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) into Hausa language and also to evaluate the instrument’s psychometric properties.

Design/methodology/approach

IQCODE was translated and adapted using a qualitative process involving experts and the adapted version was then evaluated against a gold standard (Diagnostic and Statistical Manual of Mental Disorder V criteria for neurocognitive disorders) with older adults subjects (N = 100), while its reliability (internal consistency) was also evaluated. Descriptive statistics of mean and frequencies, and inferential statistic of receiver operating curve analysis and Cronbach’s alpha coefficient were used for data analysis at an alpha level set at 0.05.

Findings

The Hausa IQCODE has a sensitivity value of 73.3%, specificity value of 71.8% and optimal cut-off values of between 3.2 and 3.3. For his adapted instrument the area under the Curve (AUC) curve is 0.79 (95% CI: 0.663–0.919; std. err: 0.066; P = 0.000), and Cronbach’s alpha value of 0.819 was obtained indicating that the adapted instrument has good internal consistency.

Research limitations/implications

The adapted IQCODE is a valid and reliable proxy based cognitive screening tool for the older adult Hausa speakers in Maiduguri. However, clinician and researcher might want to consider different optimal cut-off points when using this tool to screen or to monitor cognitive changes among older adults.

Originality/value

This research paper translated and adapted Hausa IQCODE into Hausa language. And it gives information on the validity and reliability of the adapted tool alongside with new optimal cut-off for cognitive screening by proxy among older adult patients in Nigeria.

Details

The Journal of Mental Health Training, Education and Practice, vol. 17 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 7 June 2019

Paula Robinson, Emma Griffith and Chris Gillmore

Studies show that experiences of repeated or complex trauma are very common in patients with severe mental health problems. Unfortunately, many professionals do not routinely ask…

Abstract

Purpose

Studies show that experiences of repeated or complex trauma are very common in patients with severe mental health problems. Unfortunately, many professionals do not routinely ask about abuse, due to concerns about how to ask and respond. There is also a need for frontline staff to be trained in trauma-informed care. The purpose of this paper is to identify the needs of inpatient staff and developed a tailor-made training package.

Design/methodology/approach

A training programme was developed from focus-group discussion and delivered to the team. Questionnaires were administered pre-, post-training and at three-month follow-up, to assess changes in knowledge, confidence and worries in the assessment and treatment of complex trauma.

Findings

There was an increase in self-reported staff confidence (p=0.001) and knowledge (p=0.028) about working with complex trauma and their worries decreased (p=0.026) between pre- and post-training.

Practical implications

In order to sustain the benefits of training for longer, recommendations were made to the service for on-going training, supervision and evaluation.

Originality/value

Given the recent interest in complex trauma within the literature (Diagnostic and Statistical Manual of Mental Disorders – Fifth Version (DSM-V); International Statistical Classification of Diseases – 11th Version (ICD-11)), the piloting and development of complex trauma training packages is timely. To the author’s knowledge, this is the first published account of complex trauma training for inpatient staff. This paper offers clinical and research implications to services who may want to develop as trauma-informed services within the NHS.

Details

Mental Health Review Journal, vol. 24 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 30 November 2022

Ensiyeh Jenabi, Niloofar Rabiei, Mahdieh Seyedi, Mohammad Rezaei, Ali Reza Soltanian, Saeid Bashirian and Amir Mohammad Salehi

This study aims to investigate the psychometric properties of the social communication questionnaire (SCQ) in Iran by identifying children with autism spectrum disorder (ASD) who…

Abstract

Purpose

This study aims to investigate the psychometric properties of the social communication questionnaire (SCQ) in Iran by identifying children with autism spectrum disorder (ASD) who had Persian-speaking parents.

Design/methodology/approach

A case–control study was performed from June to August 2021 in Hamadan, Iran. The case group consisted of children who were examined by clinicians who used a coding scheme based on the DSM-V criteria for ASD by a psychiatrist. The control group consisted of non-ASD children who were asked to participate in the study. This study conducted the reliability, content and face validity to evaluate the psychometric properties of the tool. In the first step, Kaiser–Meyer–Olkin and Bartlett’s test were used to determine sampling adequacy and appropriateness of correlation matrix. In the second step, the exploratory factor analysis approach was used. The method of extracting the factors is done by using the varimax rotation method and selecting the number of factors using an eigenvalue and scree plot. Statistical analysis was performed using Software Package for Social Sciences 21 with the statistical significance set at level less than 0.05.

Findings

The quantitative content validity analysis revealed that the mean of content validity ratio and content validity index were 0.92 and 0.91, respectively. Mean score ± standard deviation in the two groups of ASD and control were 14.23 ± 3.84 and 7.83 ± 4.80, respectively. With cut-off point >12.5, sensitivity, specificity and misclassification error values were 73.33%, 80.0% and 23%, respectively.

Research limitations/implications

The results showed that the internal consistency of the SCQ is desirable. Also, the internal consistency of its five subscales was obtained between 0.700 and 0.87. The findings showed that SCQ questionnaire is highly reliable in reciprocal social interaction (Factor 1) and the total score, while other factors were relatively reliable.

Originality/value

To the best of the authors’ knowledge, this is the first paper on psychometric properties of SCQ in ASD children in Iran.

Details

Advances in Autism, vol. 9 no. 2
Type: Research Article
ISSN: 2056-3868

Keywords

Open Access
Article
Publication date: 24 February 2015

Ramadan Halimi, Emond Dragoti, Hidajete Halimi, Nazife Sylejmani-Hulaj and Sevdie Jashari-Ramadani

We aimed to assess, in socio-cultural context, the level of hatred and revenge in war veterans with post-traumatic stress disorder (PTSD). The sampling frame consisted of 215…

Abstract

We aimed to assess, in socio-cultural context, the level of hatred and revenge in war veterans with post-traumatic stress disorder (PTSD). The sampling frame consisted of 215 Kosova War veterans, randomly selected. The Harvard Trauma Questionnaire was used to assess the prevalence of PTSD and Manchester Short Assessment of Life was used to assess social satisfactions. The participants were asked to declare the strength of feelings of hatred and revenge in the four preceding weeks by using four items scale: not at all, a little bit/sometimes, a lot and extremely. Willingness for action of veterans was assessed using three item scale: yes, no or maybe. A probability level of 0.05 was adopted to be considered as statistically significant for differences among groups. DSM-IV-TR criteria for PTSD (very similar to DSM-V) were met by 52.6% of veterans; the data have confirmed existence of thoughts and fantasies of revenge against opposing forces by 42.8% veterans; at the same level 42.8% manifested feelings of hatred. Fantasies of taking revenge a lot was recorded by 19.5% and extremely by 1.4% of veterans, while hateful thoughts at level a lot were likely expressed by 22.3% and extreme by 2.8% of veterans. It is important to note that 84.7% were confident to act based on their beliefs. Social-economic and cultural factors have played major role in the understanding of psychological problems of traumatized individuals with a direct impact on their ability to function socially. This study has confirmed the urgent need for the establishment of psychological rehabilitation programs as well as programs for the social and economic rehabilitation of War Veterans.

Details

Mental Illness, vol. 7 no. 1
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 6 April 2023

Philippe Grégoire, Melanie Rose Dixon, Isabelle Giroux, Christian Jacques, Annie Goulet, James Eaves and Serge Sévigny

Online investment platforms offer an environment that may lead some traders into excessive behaviors akin to gambling. Over the last decade, gambling behaviors associated with the…

Abstract

Purpose

Online investment platforms offer an environment that may lead some traders into excessive behaviors akin to gambling. Over the last decade, gambling behaviors associated with the stock market have attracted the attention of many researchers but the literature on the subject remains scarce. This study aims to present the results of live interviews with a sample (N = 100) of retail investors trading online, and contrasts trading habits with gambling behaviors.

Design/methodology/approach

Participants are divided in three groups according to their score on an adapted version of the Problem Gambling Severity Index (referred to as the PGSI-Trading), and their trading habits and behaviors are compared.

Findings

The authors find that traders with higher PGSI-Trading scores are more likely to display gambling-related behaviors such as trading within a short timeframe, being motivated by making money quickly and experiencing high sensations when trading.

Research limitations/implications

The sample is small but the authors proceeded this way in order to gather some qualitative data that would be helpful to clinicians in the Province of Quebec. The questionnaire used to classify traders at risk of being gamblers (PGSI-Trading) has not been validated.

Practical implications

The findings of this study will be helpful to clinicians who hwork with patients suffering from excessive online stock trading habits.

Social implications

Clinicians observe an increasing number of patients who consult with excessive stock trading habits. This study has brought new information allowing clinicians to better understand how gambling manifests itself on the stock market.

Originality/value

To the authors’ knowledge, this study is the first to investigate the trading habits of individuals classified in terms of their score on an adapted PGSI questionnaire.

Details

Review of Behavioral Finance, vol. 16 no. 2
Type: Research Article
ISSN: 1940-5979

Keywords

Article
Publication date: 6 June 2022

Gonzalo Lorenzo, Alba Gilabert Cerdá, Alejandro Lorenzo-Lledó and Asunción Lledó

More and more diversity is present in our classrooms. As teachers, we must be able to respond to the different levels of learning presented by our students. Therefore, it is…

Abstract

Purpose

More and more diversity is present in our classrooms. As teachers, we must be able to respond to the different levels of learning presented by our students. Therefore, it is necessary to use the new emerging technologies as elements of response. Thus, the purpose of this paper is to develop a systematic and thematic review of the application of augmented reality (AR) in the learning of autistic students in the educational setting during the period 1996–2020 using the Web of Science and Scopus databases.

Design/methodology/approach

For this purpose, one of the bibliometric techniques called systematic and thematic review has been used. This technique is supported by the preferred reporting items for systematic reviews methodology, and it uses a quantitative and qualitative approach. The thematic analysis will be carried out on 28 documents based on a series of indicators, including sample size, hardware devices, way of storing the information and findings obtained in the research.

Findings

The results of the work indicate that the average size of the sample is three participants, and that the most worked area has been social skills using tablets. In addition, bookmarks are often used as an element of information storage in AR.

Originality/value

The main contribution of this work focuses on the establishment of a series of thematic variables that will serve for the later development of an action protocol for the creation of AR activities for autistic students.

Details

Journal of Enabling Technologies, vol. 16 no. 2
Type: Research Article
ISSN: 2398-6263

Keywords

Open Access
Article
Publication date: 2 September 2014

John E. Berg

Some patients with severe mental disorders are refractory to psychotherapeutic or psychopharmacological interventions. We present a patient who at the age of 19 developed several…

123

Abstract

Some patients with severe mental disorders are refractory to psychotherapeutic or psychopharmacological interventions. We present a patient who at the age of 19 developed several schizophrenia - suspect symptoms. Soon inexplicable general seizures where observed. He was treated with antipsychotics, but had two bouts of malignant neuroleptic syndrome. Electroconvulsive therapy (ECT) gave some symptom relief and he continued on maintenance ECT for years with weekly intervals. Interruption of this treatment pattern rapidly increased symptom load. After seven years a lorazepam provocation test was performed as he had a new relapse after 3 weeks without ECT. In the ensuing hours his aggressiveness and nonsense speaking rapidly diminished. Kahlbaums observation of seizures as part of a catatonia was not understood in this case. The publication of the new DSM-V diagnosis of catatonia may hopefully reduce the probability of treating a patient for schizophrenia for years without access to a more targeted medication and ECT plan.

Details

Mental Illness, vol. 6 no. 2
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 2 December 2019

Shannon Wagner and Romana Pasca

The purpose of this paper is to examine the contribution of work to self-reported mental health symptoms in fire service members.

Abstract

Purpose

The purpose of this paper is to examine the contribution of work to self-reported mental health symptoms in fire service members.

Design/methodology/approach

In 2004, the first wave of this data collection was completed with all members of a fire department in a small northern center in British Columbia. The members completed a series of questionnaires measuring mental health, personality and satisfaction. Since 2004, all recruit members entering the department have also completed the same set of questionnaires shortly after hiring. Subsequently, in 2016–2017, the full sample, including recruit members, were invited to complete the Wave 2 data collection cycle, which included a set of questionnaires very similar to that collected in Wave 1.

Findings

The recruit sample reported significantly fewer mental health symptoms, as compared to career firefighters, at Time 1 (prior to workplace exposure). However, at Time 2 (after workplace exposure), no difference between the groups was evident.

Research limitations/implications

It is possible that recruit firefighters reported more positive mental health because of social desirability bias upon beginning a new job.

Practical implications

These results suggest that service as a firefighter could potentially have an impact on mental health and efforts should be made to mitigate this impact.

Originality/value

To the authors’ knowledge, the current research is the first study that has followed recruit firefighters longitudinally in an effort to prospectively evaluate the impact of workplace exposure on mental health.

Details

International Journal of Emergency Services, vol. 9 no. 2
Type: Research Article
ISSN: 2047-0894

Keywords

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