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Article
Publication date: 22 November 2023

Marta Isibor and Olivia Sagan

The purpose of this paper is to report on a study into the lived experience of skin picking disorder (SPD) and to explore the psychological impact of the disorder.

Abstract

Purpose

The purpose of this paper is to report on a study into the lived experience of skin picking disorder (SPD) and to explore the psychological impact of the disorder.

Design/methodology/approach

Researchers employed a qualitative phenomenological approach, using Interpretative phenomenological analysis (IPA).

Findings

The study found that the sense of shame, common among participants, led to self-stigma, hiding, concealing and avoidance. Shame of SPD also interplayed with and compounded the shame of loneliness.

Research limitations/implications

Limitations included a lack of a longitudinal component to the work. This is deemed important, as both the SPD and the experience of loneliness can shift over time as circumstances change, and individuals develop strategies for coping or, conversely, experience a worsening of the condition and the shame, loneliness and social isolation it can induce.

Practical implications

This study draws attention to the complex nature of both SPD and loneliness. It highlights how those living with the disorder are reluctant to seek help, resulting in low rates of treatment access and distrust in health providers.

Social implications

As SPD is little understood, it can be erroneously deemed a “choice”; seldom discussed as a condition, it can lead to exclusion and withdrawal. The sense of shame of both appearance and behaviour interplays with and compounds the shame of loneliness and can force the individual into a further cycle of withdrawal and isolation.

Originality/value

While research suggests SPD should be acknowledged as a public health issue, research and literature is still relatively limited, and there are no qualitative phenomenological studies as yet that report on the lived experience of SPD.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 24 January 2022

Maryam Gholamalizadeh, Narjes Ashouri Mirsadeghi, Samira Rastgoo, Saheb Abbas Torki, Fatemeh Bourbour, Naser Kalantari, Hanieh Shafaei, Zohreh Teymoori, Atiyeh Alizadeh, Alireza Mosavi Jarrahi and Saeid Doaei

Deficiencies or imbalances in dietary fat intake may influence on mental and neurological functions of children with autism spectrum disorders (ASD). This study aims to compare…

Abstract

Purpose

Deficiencies or imbalances in dietary fat intake may influence on mental and neurological functions of children with autism spectrum disorders (ASD). This study aims to compare body mass index (BMI) and the amount of fatty acids intake in the autistic patients with the comparison group.

Design/methodology/approach

This case-control was carried out on 200 randomly selected children from 5 to 15 years old (100 autistic patients as the case group and 100 healthy children as the comparison group) in Tehran, Iran. The food frequency questionnaire (FFQ) was used to assess the intake of calorie, macronutrients and different types of dietary fatty acids including saturated fatty acids (SFA), monounsaturated fatty acids (MUFAs), poly unsaturated fatty acids (PUFAs), linoleic acid (LA), α-Linolenic acid (ALA), eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA) and trans fatty acids.

Findings

The autistic patients had higher BMI, birth weight and mother’s BMI compared to the comparison group (All p < 0.01). No significant difference was found in the amount of dietary calorie, protein, carbohydrate and total fat intake between two groups. The risk of ASD was associated with higher intake of MUFAs (OR: 3.18, CI%:1.13–4.56, p = 0.04), PUFAs (OR: 4.12, CI95%: 2.01–6.25, p < 0.01) and LA (OR: 4.76, CI95%: 1.34–14.32, p < 0.01).

Originality/value

The autistic children had higher BMI and higher intake of unsaturated fatty acids except for omega-3 fatty acids. Further longitudinal studies are warranted.

Details

Nutrition & Food Science , vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 1 January 2024

Waleed Sweileh

This paper aims to investigate research activity on barriers for minority and underserved groups to access and use mental health services.

Abstract

Purpose

This paper aims to investigate research activity on barriers for minority and underserved groups to access and use mental health services.

Design/methodology/approach

Using Scopus, relevant articles published from 1993 to 2022 were collected. The final list included 122 articles.

Findings

Research hotspots included cultural and ethnic barriers, obstacles encountered by LGBTQ+ individuals, challenges faced by refugees and immigrants, limited access in rural areas and barriers affecting special populations. The top 10 cited articles focused on language barriers, cultural stigma, gender-specific challenges and systemic obstacles. New research avenues included the role of technology in overcoming barriers to access mental health services.

Practical implications

Policymakers and practitioners can use this knowledge to develop targeted interventions, enhance cultural competence, reduce stigma, improve rural access and provide LGBTQ+-affirming care, ultimately promoting equitable mental health care.

Social implications

This research underscores the importance of addressing mental health service barriers for equity and social justice. Neglecting these disparities can worsen mental health, increase health-care costs, reduce productivity and lead to higher social welfare expenses, perpetuating disadvantages.

Originality/value

This paper's uniqueness lies in its comprehensive analysis of barriers and facilitators to mental health service utilization among minority and underserved groups. It serves as a basis for developing evidence-based strategies to improve service accessibility and enhance the well-being of marginalized communities.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 20 September 2024

Sikini Labastilla, Maria Regina Hechanova, Antover Tuliao, Mariel Rizza C. Tee, Jigette Cyril Zalun and Romeo Canonoy Jr

This study aims to evaluate the delivery of a virtual community-based mental health and substance use program for Filipino drug users during the COVID-19 pandemic.

Abstract

Purpose

This study aims to evaluate the delivery of a virtual community-based mental health and substance use program for Filipino drug users during the COVID-19 pandemic.

Design/methodology/approach

It used a randomized control longitudinal design with data collected prior to the program and every two months for 10 months. The programs focused on building recovery skills, life skills and family modules. Program length ranged from a brief intervention of three sessions to 24 sessions depending on whether clients were low risk, moderate risk or those arrested for drug use.

Findings

Results revealed significant improvements in recovery skills of participants in the treatment group compared to those in the control group. Mental health illness symptoms decreased for both control and treatment groups; however, no differences were found in recovery capital and cravings.

Research limitations/implications

The lack of significant changes in certain variables, such as recovery capital, requires more data to understand the barriers to enable greater recovery. The study was limited to virtual delivery of rehabilitation services conducted during the COVID-19 pandemic. Future studies may wish to compare modalities of online and onsite delivery to enable a comparison of effectiveness.

Practical implications

Results suggest the feasibility of virtual delivery of mental health and substance use treatment implemented by trained paraprofessionals. However, it also highlights the necessity to build the capacity of service providers and address connectivity challenges.

Social implications

Stigma and discrimination prevent people who use drugs from seeking treatment. Virtual delivery of mental health and substance use treatment can provide a platform where people can seek help while maintaining some privacy.

Originality/value

The study provides evidence from under-represented populations – persons who use drugs in the Philippines.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Abstract

Purpose

This study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach.

Design/methodology/approach

The review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD.

Findings

A total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries.

Research limitations/implications

Despite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD.

Practical implications

This paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD.

Social implications

CBT is a psychological intervention that has been recommended by the literature for the treatment of major depressive disorder (MDD). It is a widely recognized and accepted approach that combines cognitive and behavioral techniques to assist individuals overcome their depressive symptoms and improve their overall mental well-being. This would speculate that effectiveness associated with several aspects and combinations of different approaches in CBT interventions and the impact of different delivery models are essential for clinical practice and appropriate selection of the interventional combinations.

Originality/value

This systematic review focuses on the various studies that explore the effectiveness of face-to-face CBT and ICBT in reducing depressive symptoms among patients with major depressive disorder. These studies were conducted in different countries such as Iran, Australia, Pennsylvania and the USA.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Abstract

Purpose

This systematic review (SR) aims to evaluate and summarize the effectiveness of using eye movement desensitization and reprocessing (EMDR) intervention among individuals diagnosed with post-traumatic stress disorder (PTSD), as well as to highlight the standardized EMDR-based interventional protocol.

Design/methodology/approach

This SR is guided according to preferred reporting items for SRs and meta-analyses standards. Several online databases were used in searching for eligible studies in peer-reviewed journals relevant to the study keywords. The included studies were SRs and clinical trials that used EMDR interventions among patients experiencing PTSD symptoms, older than 18 years and were published in English language from 2015 to 2022. Three researchers independently contributed to study selections, data extraction and study evaluations from different aspects, including quality assessment, risk of bias and study synthesis.

Findings

A total of eight published studies met the inclusion criteria and were included in this SR; four articles were randomized controlled trials and four were SR and meta-analysis studies. In all included studies, the EMDR was used as a primary psychotherapy intervention for PTSD symptoms. The results of this extensive and comprehensive review showed that EMDR is an effective psychotherapeutic intervention to reduce and control the severity of symptoms among individuals with PTSD.

Research limitations/implications

It is important to acknowledge several limitations inherent in this study. First and foremost, it is noteworthy to mention that only studies conducted in the English language were included in this review, potentially restricting the overall scope and diversity of the findings. Furthermore, the number of studies incorporated into this review was limited, which may have implications for the comprehensiveness and generalizability of the results. Finally, it is worth noting that certain studies within this review had a relatively small sample size, which could potentially limit the statistical power and precision of the conclusions drawn.

Practical implications

This paper, a review of the literature, gives an overview of EMDR effectiveness, provides baseline information and plays a significant role in decreasing the gap in Jordanian literature regarding using EMDR as the strongest evident psychotherapy approach for PTSD treatment to help psychiatrists, psychologists and psychiatric nurses in the health-care sectors to design comprehensive strategies to enhance and improve the quality of health care and patients’ status.

Social implications

EMDR intervention offers significant alternative treatment opportunities for individuals suffering from PTSD, depression and anxiety. The implementation of EMDR for depression, anxiety and PTSD improves patient outcomes as compared to standard therapeutic modalities in PTSD.

Originality/value

This SR gives an overview and explains strong supportive evidence for the effectiveness of EMDR interventions among individuals with PTSD. Therefore, EMDR therapy could be assumed as one standard treatment option for PTSD, aiming at reducing treatment duration and cost of treatment and restoring the mental well-being and functionality of those suffering from PTSD.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 10 June 2024

Mo’tasem M. Aldaieflih, Rabia H. Haddad and Ayman M. Hamdan-Mansour

This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among…

Abstract

Purpose

This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among hospitalized patients diagnosed with schizophrenia in Jordan.

Design/methodology/approach

This study used a descriptive-explorative design. The study was conducted at two major psychiatric hospitals in Jordan. The targeted sample was 66 patients diagnosed with schizophrenia. Data was collected using a structured format in the period February–April 2024.

Findings

A two-step multiple hierarchical regression analysis was conducted. In the first model, childhood adversity and the severity of positive symptoms were entered. In the second model, sociodemographic variables were entered. The analysis revealed that the first model (F = 5.35, p = 0.007) was statistically significant. The second model (F = 717, p < 0.001) was statistically significant. Furthermore, the analysis revealed that childhood adversity was not a significant predictor for suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. The analysis revealed that childhood adversity was not a significant predictor of suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality.

Research limitations/implications

One limitation of this study is related to the sample and the setting where there were only 66 patients recruited from governmental hospitals within inpatient wards. Thus, the upcoming studies should include more participants from private hospitals and different hospital settings including outpatient and emergency departments.

Practical implications

The research provides empirical insights that positive symptoms, age hospitalization and schizophrenia diagnosis length were significant predictors of suicidality. At the same time, childhood adversity was not a significant predictor of suicidality.

Social implications

The current research contributes to expanding mental health studies. Moreover, this study enlarges the body of knowledge in the academic world and clinical settings. It supports the disciplines of psychology, mental health and social sciences by increasing knowledge of the complicated relationships among childhood adversity, positive symptoms and suicidality.

Originality/value

This paper fulfills an identified need to study childhood adversity with comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health covariates.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 2 February 2023

Nur Zafifa Kamarunzaman

Psychiatric patients’ post-treatment identities are one of the potent indicators reflecting the efficacy of the medical intervention. This study aims to explore how psychiatric…

Abstract

Purpose

Psychiatric patients’ post-treatment identities are one of the potent indicators reflecting the efficacy of the medical intervention. This study aims to explore how psychiatric patients construct their post-treatment social identities through a gender lens.

Design/methodology/approach

This study used a descriptive phenomenological approach, and in-depth interviews were undertaken on 29 informants with experience of psychiatric treatment for at least one year and who are in the remission stage. The lived experience of each informant was scrutinised, which covered how psychiatric post-treatment affects and alters their personal life, work and social relationships. Data collected were then analysed using thematic analysis.

Findings

The result found two mutually reinforced identities, namely, self-empowerment and resilience emerged from their experience with psychiatric post-treatment. Firstly, self-empowerment themes include acceptance of the disorders, meaningful choices, assertiveness and helping others. Such self-empowerment attributes enabled them to negotiate with the doctors during the treatment and also with their family members and partners. Secondly, psychiatric post-treatment allows them to be resilient; their good feeling of being liberated from the symptoms while allowing them to partake in a normal lifestyle. Meanwhile, gender differences were found to have diverse meaning-making that positively impacted their lives, particularly among female informants.

Research limitations/implications

Firstly, the data collection was only made in two states in North Peninsular Malaysia; hence, it would be biased in this sense to generalize to a larger population. At the same time, a prevalent study could be undertaken to view the pervasiveness of mental illness among Malaysians. Secondly, the study did not investigate the social institutions that are linked to the relief of psychiatric patients in the country. Thus, there is a grey area on how at the systemic level aid is given to the patients and the impact of such action.

Practical implications

A rigour campaign on promoting mental health should be undertaken to create an inclusive environment for the patients. This is consistent with the aspiration of deinstitutionalization and the Shared Prosperity Vision 2030 agenda by the Malaysian government. This is a call for an allotment in special education, training, and funding, employment, housing and other aspects that are significant for their livelihood.

Social implications

The findings discovered that their social environment primarily caused the depression suffered by the patients. The remark is particularly true for female informants who had very little control over their lives and bodies. Hence, health professionals should consider practicing cultural and gender-sensitive treatment for these patients. Such treatments are to avoid re-discriminating, or re-victimisation feelings to occur during the treatment.

Originality/value

Patients’ post-treatment social identity construction is seldom reported systematically through a gender lens. This study is one of the early efforts on gender lens that allow one to understand how it influences social structures and institutions, especially in the Malaysian realm.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 24 October 2023

Samuel Frimpong, Riza Yosia Sunindijo, Cynthia Changxin Wang, Elijah Frimpong Boadu, Ayirebi Dansoh and Rasaki Kolawole Fagbenro

Current research on mental health in the construction industry is fragmented, making it difficult to obtain a complete picture of young construction workers’ mental health…

Abstract

Purpose

Current research on mental health in the construction industry is fragmented, making it difficult to obtain a complete picture of young construction workers’ mental health conditions. This situation adversely affects research progress, mental health-care planning and resource allocation. To address this challenge, the purpose of this paper was to identify the themes of mental health conditions among young construction workers and their prevalence by geographical location.

Design/methodology/approach

The scoping review was conducted using meta-aggregation, guided by the CoCoPop (condition [mental health], context [construction industry] and population [construction workers 35 years old and younger]) and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews) frameworks.

Findings

A total of 327 studies were retrieved, and 14 studies published between 1993 and 2022 met the inclusion criteria. The authors identified 13 mental health conditions and categorized them under nine themes. Mood disorders, anxiety disorders and substance-related disorders constituted the most researched themes. Studies predominantly focused on young male workers in the Global North. The prevalence estimates reported in most of the studies were above the respective country’s prevalence.

Originality/value

This review extends previous studies by focusing specifically on the themes of mental health conditions and giving attention to young construction workers whose health needs remain a global priority. The study emphasizes the need to give research attention to lesser-studied aspects of mental health, such as positive mental health. The need to focus on female construction workers and on homogenous sub-groups of young workers is also emphasized. The findings can guide future systematic reviews on the identified thematic areas and help to plan the development of interventions.

Details

Construction Innovation , vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1471-4175

Keywords

Article
Publication date: 10 June 2024

Asimina Tsolakidou, Theodoros Fouskas, George Koulierakis and Angeliki Liarigkovinou

Burnout is defined as the syndrome that causes emotional exhaustion, depersonalisation and reduction in personal achievement, and concerns people-oriented professions. This study…

Abstract

Purpose

Burnout is defined as the syndrome that causes emotional exhaustion, depersonalisation and reduction in personal achievement, and concerns people-oriented professions. This study explores the impact of burnout on the health, social and family life of mental health nurses.

Design/methodology/approach

A qualitative method with face-to-face semi-structured in-depth interviews was implemented with 16 mental health nurses working in Athens, Greece.

Findings

Nursing staff experience emotional exhaustion intensely due to stress since psychiatric patients require constant contact and communication and increased needs that workers have to meet. Regarding the feeling of personal achievement, they evaluated their performance positively and were satisfied with the effectiveness of the care provided. Regarding depersonalisation, the interviewees stated that they do experience it; however, in their majority they express that they do not wish to distance themselves from their duties. Their social and family life is not significantly affected and communication and support from family members is highly rated.

Originality/value

The research has focused on samples of nurses without mentioning their specialisation, while few studies in Greece have focused on the phenomenon in mental health nurses using qualitative research methods. This study aimed to fill this gap in the literature by examining burnout syndrome using a qualitative methodology.

Details

International Journal of Sociology and Social Policy, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0144-333X

Keywords

1 – 10 of 232