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Dissertations / Theses on the topic 'Mental Disorder'
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1
Read, R. J. "Professionals' attitudes towards mental disorder." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11185/.
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Whilst differing perspectives can be an asset, they have also been found to lead to conflict and misunderstanding in multidisciplinary practice. Evidence suggests that different mental health disciplines hold differing attitudes towards mental disorder, reflecting differing implicit models held. To contribute to our understanding of this problem the present study investigates psychologists’ concepts of mental disorder, building on a pilot study conducted by Harland et al. with psychiatrists (2009). The Maudsley Attitude Questionnaire was used in an online survey of trainee clinical psychologists (N = 288). Principal components analysis was used to investigate implicit models. It was hypothesised that psychologists’ understandings of mental disorder would differ from psychiatrists'. The findings showed that psychologists endorsed different models for different diagnostic categories of mental disorder. Psychologists favoured the social realist model overall. Principal components reflecting a biological-psychosocial continuum, and scales of cognitive/behavioural and psychodynamic/spiritual model endorsement were revealed. The study concluded that, when compared to the findings of Harland et al. (2009), psychologists appear to make more use of psychosocial and less use of biological factors in their understanding of mental disorder than do psychiatrists. There appear to be fundamental differences in psychologists' and psychiatrists’ implicit models of mental disorder. A greater emphasis on multidisciplinary training initiatives is recommended.
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Ivarsson, Gunnar, and Kenneth Josefsson. "PROTECTIVE FACTORS FOR MENTAL DISORDER." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24207.
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Syftet med denna litteraturstudie är att identifiera och beskriva skyddsfaktorernas effekt för psykisk ohälsa. Teorin om skyddsfaktorer till psykisk ohälsa enligt Cullberg, 2003 användes som teoretisk referensram. Metoden var en litteraturstudie där tio granskade artiklar delades in i teman utifrån teorin om skyddsfaktorer för psykisk ohälsa enligt Cullberg, 2003. Dessa teman var social nätverk, arbete/sysselsättning och sammanhang/mening. Resultatet visade att dessa tre skyddsfaktorer utgår från fundamentala behov hos människan, om dessa inte är uppfyllda löper människan större risk att drabbas av psykisk ohälsa. Alla sjuksköterskor bör känna till och utföra omvårdnadsåtgärder utifrån dessa skyddsfaktorer för psykisk ohälsa då dessa patienter kan påträffas överallt i hela vårdkedjan samt att ha kännedom om patienter som ligger i riskzonen för att utveckla psykisk ohälsa.The aim with this literature review is to identify and describe the effect protective factors has on mental disorders. The theory about protective factors for mental disorders according to Cullberg, 2003 was used as a theoretical frame of reference. The method was a literature review where 10 articles were divided in themes on the basis from the theory of protective factors for mental disorders according to Cullberg, 2003. These themes were social network, employment/occupy and sense of coherence. The results show that the three protective factors are fundamental needs for the individual, if this factors aren’t fulfilled the individual has a greater risk to suffer from mental disorders. All nurses should know and implement caring on the basis of protective factors for mental disorders because this patients could be found everywhere in all health care sectors and have knowledge about patients who are in the risk to develop mental disorders.
3
Lee, Hong. "Biological Functionalism and Mental Disorder." Bowling Green State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1334163116.
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Rall, Edrich. "Cluster analysis of disorders characterized by impulsivity in patients with methamphetamine use disorder." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31204.
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Background
Individuals with methamphetamine use disorder (MUD) frequently present with psychiatric comorbidities with impulsive features. Little research has been conducted on comorbidity with impulsive features in MUD. Therefore, this cross-sectional study aimed to delineate comorbid disorders with impulsivity in adult patients with a primary diagnosis of MUD.
Methods
Participants with lifetime MUD were included. Well established measures screened for comorbid psychiatric disorders with impulsive features. Illness severity was measured by the Yale Brown Obsessive-Compulsive Scale – adapted for drug use. The UPPS-P Impulsive Behavior Scale was used to assess impulsivity levels. A cluster analysis (CA) of lifetime comorbid disorders with impulsive features was performed. Demographic and clinical correlates of each identified cluster were identified.
Results
Sixty five (n = 65) adults with a primary diagnosis of MUD took part in the study. They were predominantly female (44 females; 21 males), with ages ranging between 18 and 44 years (mean = 30 years; SD = 6.53). The CA rendered 4 groups. Cases (n=12) in the “alcohol cluster” presented with AUD as their only impulsive disorder other than MUD. Cases (n=19) in the “healthy cluster” had no comorbidity. Cases (n=15) in the “antisocial cluster” all had comorbid antisocial personality disorder as well as polysubstance use disorders. Cases (n=19) in the “borderline cluster” had borderline personality disorder and polysubstance use disorders. Illness severity (Y-BOCS-du: p=0.03) and impulsivity levels (UPPS-P: p=0.01) differed significantly between the clusters. The “alcohol cluster” had the highest illness severity and the “antisocial cluster reported the highest levels of impulsivity.
Conclusion
The findings of this contribute to the paucity data on impulsivity in MUD and may have implications for treatment. Understanding how these conditions cluster in MUD, and remaining cognizant of the demographic and clinical correlates of each cluster in MUD, could potentially enable clinicians to identify patients who are at higher risk for engaging in risky behaviors rendering them more vulnerable to treatment non-adherence or relapse
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Sherba, R. Thomas. "Associations among Violence Exposure, Mental Disorder, SUD and HIV." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1228442858.
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Livingstone, Alison A. "Neuropsychological outcome following neurosurgery for mental disorder." Thesis, University of Edinburgh, 2003. http://hdl.handle.net/1842/28446.
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Neurosurgery for mental disorder (NMD) continues to exist as one of a range of treatments available to individuals who experience severe and intractable psychiatric illness. Historically, this particular use of ablative neurosurgery has attracted a considerable amount of interest and controversy. Despite modern advances in both technical procedure and understanding of the disorders for which NMD is indicated, the irreversibility of these procedures continues to attract attention from both public and professional groups alike. To date, indisputable evidence regarding the efficacy and frequency of adverse effects has not been established. Therefore, the primary aim of the present study was to investigate the neuropsychological outcome following neurosurgery for mental disorder. In light of previous research, the specific aims were designed to elucidate the impact of such procedures on aspects of both general and executive functioning, through means of clinical and computerised neuropsychological assessments. As such, pre- and post-operative performance scores of an entire population of surgical candidates at a national centre for the provision of NMD were examined. The principle investigation focussed on a group of 22 individuals of mixed diagnostic categories, all of whom had undergone treatment by anterior capsulotomy. Within-subjects comparisons revealed the overall stability of post-operative performance as measured by tests of general cognitive and executive function, at follow-up periods of two weeks, one year, and in a sub-group of individuals, two and a half years post-operatively. A small number of statistically significant improvements and impairments were noted, and along with the general trend of improvement observed at long term follow-up, are discussed in the light of related research.
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Stewart, Robert Charles. "Maternal common mental disorder in Malawi, Africa." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/25898.
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Background: Maternal common mental disorder (CMD), characterised by depression, anxiety and somatic symptoms of distress, is known to be an important health problem in low-and-middle-income countries, but had not been investigated in Malawi, Africa. In preliminary work, we adapted a CMD screening measure and showed that post-partum CMD was common and associated with child stunting. In the research presented here, we expanded the investigation of CMD in Malawi to include pregnant women and mothers of children with severe acute malnutrition (SAM). Using validated measures, we aimed to estimate the prevalence of antenatal CMD/depression and investigate its relationship to social support and intimate partner violence. Secondly, we sought to explore women’s lived experiences of the perinatal period. Finally, we investigated CMD amongst mothers of children admitted with SAM and other life-threatening illness and, in the former, we tested the hypothesis that maternal CMD would be associated with impaired child recovery. Method: In an antenatal clinic-based study, we validated and compared Chichewa and Chiyao versions of the Self Reporting Questionnaire (SRQ) and Edinburgh Postnatal Depression Scale (EPDS) using major depressive episode (MDE) as the criterion diagnosis. We adapted and validated the Multi-dimensional Scale of Perceived Social Support (MSPSS). We measured the prevalence of antenatal MDE and identified associated factors. We conducted focus group discussions with women and enquired about perinatal stressors and supports. We administered the SRQ to mothers of children with SAM during admission to a nutritional rehabilitation unit (NRU) and at 1-month post-discharge, and investigated whether CMD was a risk factor for lower child weight gain at follow-up. In a subsequent study, we compared levels of CMD symptoms between mothers of children admitted to a NRU, a high dependency unit and an oncology ward. Results: We found that the adapted EPDS and SRQ were both valid screening instruments for antenatal CMD/depression. The weighted prevalence of antenatal MDE was 10.7% (95% CI 6.9% - 14.5%). The adapted MSPSS showed adequate test characteristics and differentiated between sources of social support. MDE was associated with lack of support by a significant other; intimate partner violence moderated this association. We found that women in rural Malawi recognised depressive and anxious states in the perinatal period and identified lack of partner support as a key stressor. During admission with a severely malnourished child to a NRU, mothers had very high SRQ scores that greatly reduced post-discharge. There was no association between SRQ score and child weight gain at follow-up. We found no higher level of CMD symptoms amongst mothers of children admitted for treatment of SAM compared with those admitted to other wards. Conclusions: We demonstrated that measures of antenatal CMD and perceived social support can be adapted for use in Malawi. We found that maternal CMD is common and associated with lack of social support, intimate partner violence and child illness. We did not find evidence for a specific association between maternal CMD and child SAM but further prospective studies are required. Our findings suggest that treatment of CMD in mothers in Malawi will require attention to social support and partner behaviour.
8
Gleason, Jennifer Renee. "Mental Disorder: Ameliorating Stigmatization and Reconceptualizing Treatment." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555566426100197.
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Chu, Siu-man. "The role of religion in coping with mental disorder." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B43895256.
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Rhodes, Anne E. "Gender, type of mental disorder and use of outpatient mental health services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0002/NQ41293.pdf.
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Peterson, Kristina Conkright. "The Effect of the Type of Mental Disorder on Mental Health Stigma." TopSCHOLAR®, 2018. https://digitalcommons.wku.edu/theses/2342.
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Mental health stigma is an important topic as it has an influence on the care clients receive, as well as resources allocated by society. Previous research has primarily investigated the topic of stigma associated with schizophrenia and various factors that may influence the endorsement of stigmatizing beliefs. Few studies have investigated whether the type of mental disorder has an influence on the level of stigma. The current study evaluated the difference in the level of stereotypes endorsed across three conditions: schizophrenia, major depressive disorder, and a typical person. Additionally, this study evaluated the reliability of using a global stereotype score obtained from summing the responses of the Attribution Questionnaire (AQ-27). The results of this study showed that there is a significant difference in the level of global stereotype scores across the three conditions and that a global stereotype score from the AQ-27 is reliable.
12
Maden, Tony. "Women, prisons and psychiatry : mental disorder behind bars /." Oxford : Butterworth Heinemann, 1996. http://www.gbv.de/dms/spk/sbb/recht/toc/278772099.pdf.
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Stroud, Julia. "Child homicide and mental disorder : a psychosocial analysis." Thesis, University of Brighton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404063.
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Bradshaw, Hillary. "Defining the nameless : police constructions of mental disorder." Thesis, University of Bath, 1999. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.343768.
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Whitcomb-Smith, Stacy. "The Role of Cognitive Factors in the Development of Seasonal Affective Disorder Episodes." Fogler Library, University of Maine, 2003. http://www.library.umaine.edu/theses/pdf/Whitcomb-SmithS2003.pdf.
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Quiring, Jason Matthew. "Early intervention and major depressive disorder /." view abstract or download file of text, 2002. http://wwwlib.umi.com/cr/uoregon/fullcit?p3055704.
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Thesis (Ph. D.)--University of Oregon, 2002.Typescript. Includes vita and abstract. Includes bibliographical references (leaves 114-123). Also available for download via the World Wide Web; free to University of Oregon users.
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Kosa-Dana, Jovanka. "Personal accounts of the experiences of managing obsessive-compulsive disorder." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2006. https://ro.ecu.edu.au/theses/346.
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The present study investigated the impact of Obsessive-Compulsive Disorder (QCD) on affected participants. The investigation was based on their personal experiences. Six QCD individuals participated in this study which to my knowledge is the first qualitative investigation conveying the meaning of their experiences and the ways they managed the disorder. The research findings showed that for these six individuals, their chronic, incurable disorder usually began in early childhood, developed gradually and caused intense fear, anxiety, loneliness, alienation and isolation. Frequently, they felt different to other children, were bullied, victimized, and commonly developed comorbid depression. It was revealed that one of the managing practices was substance use. In addition, some participants wera affected by a comorbid eating disorder, which differed to classical eating disorders.
18
Chu, Siu-man, and 朱小敏. "The role of religion in coping with mental disorder." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B43895256.
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Thomas, Glen. "Violent men : investigating mental disorder, substance use and PTSD." Thesis, University of Leicester, 2012. http://hdl.handle.net/2381/32508.
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This study considered the relationship between mental disorder, substance use, violence, trauma and posttraumatic stress disorder (PTSD) problems in a sample of male patients within a mental health directorate of a high secure hospital. All patients admitted to the service in the five years prior to March 2010 were considered for the study. A total of fifty-two patients were approached to participate in the study, of which 32 consented, representing 25% of all patients in the service. Multiple methods of assessment incorporating both qualitative and quantitative approaches were used to gather information on mental health, substance misuse, violence, and trauma and posttraumatic stress disorder problems. A full data set was completed for twenty-eight patients and a partial data set for a further four. The sample was found to have a considerable history of poly-drug use, previous contact with psychiatric services, and convictions for serious violence. Differences were found between patients with a paranoid schizophrenia and schizophrenia diagnosis in relation to, types of drugs used and dependency to drugs, with drug preference and sensitivity to drug effects being found to differ between the two groups. A relationship was also found between type, level, frequency and dependency to a number of drugs and frequency and type of violence convictions which differed between diagnostic groups. Likewise, previous psychiatric and custodial history was also found to be associated with substance use and violence convictions. The sample also had an extensive trauma history and while rates of PTSD were low, the prevalence of sub-clinical PTSD symptoms was found to be extensive. PTSD problems were found to be associated with mental health and substance misuse problems, and some instances of violence. These findings suggest that PTSD related difficulties need to be considered when looking at substance misuse in people with a severe mental health diagnosis.
20
Saleh, Tarik A. "Effect of mental disorder on criminal responsibility and punishment." Thesis, University of Glasgow, 1990. http://theses.gla.ac.uk/8602/.
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The problems which exist for a discussion about the relationship between the so-called mentally-disordered offender or accused and the notion of criminal responsibility and punishment are complex. They can not be fully understood without a consideration of the definition of crime, criminal responsibility, and of theories of punishment. Problems are not simply confined to a theoretical level. Accordingly, there is a need to understand the reality of mental disorder as perceived by psychiatrists and lawyers. This thesis, in chapter 1, looks at the concept of crime and attempts to establish a comprehensive definition. This may specify the circumstances in which the mentally disordered person is likely to become involved with the state and thereby be subject to a particular or special relationship with the law. Accordingly, chapter 1 explores the concepts of crime, its elements, and its limitations. Chapter 2 considers the various theories of punishment in order to seek to establish whether there are sufficient reasons to justify the way we deal with mentally disordered persons and whether they are rooted in concepts of fairness and justice. The next chapter explores the notion of mental disorder and examines the medical basis for understanding the condition. It attempts to examine whether the condition is "medical" and indeed whether it is an "illness". The relationship between the medical model and the legal model of mental disorder is studied in addition to the role played by psychiatrists. Chapter 4 examines the lawyer's approach to the mentally disordered person and seeks to determine whether the legal definition of insanity is in any way different from the medical concept of mental disorder and the consequences that flow from the various defences of insanity. Chapter 5 looks at the reality of the interaction between the mentally disordered person and the various institutions with which he comes into contact. Thus, state hospitals, the disposal of mentally disordered offenders or accused persons and the various sentences or restriction orders are examined. The final chapter considers possible areas for reform, and makes certain recommendations, which if implemented might serve to remove some of the difficulties that have been identified. he investigation includes the situation with regard to mental disorder and criminal responsibility in Iraqi criminal law as wel1. The main purpose of this thesis is to find out the appropriate theory of punishment which might be used to resolve the problem with mentally disordered people (both responsible and non-responsible) in respect of the sentencing process in U.K.
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Stoep, Ann Vander. "Transition to adulthood for adolescents with psychiatric disorder /." Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/10944.
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Sambrook, Suzanne. "A cognitive investigation of bipolar affective disorder." Thesis, University of Southampton, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.242667.
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Jonker, Liezl. "Resilience factors in families living with a member with a mental disorder." Thesis, Link to online version, 2006. http://hdl.handle.net/10019/556.
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Nabhan, Inshirah Nimer. "Correlates of Post-Traumatic Stress Disorder and Disorder of Extreme Stress Not Otherwise Specified among Palestinian Child Ex-Detainees." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84259/.
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The objective of this study is to investigate the variations in the type of trauma (post-traumatic stress disorder (PTSD) and disorder of extreme stress not otherwise specified (DESNOS) resulting first from group membership, and second from variations in socioeconomic status, and last, from exposure to physical and psychological methods of interrogation due to imprisonment. I use a diverse sample of 202 child ex-detainees who served sentences in Israeli prisons and were 17 years of age or less at the time of arrest. Various regression techniques were utilized to determine the most parsimonious way to distinguish between the three groups in their trauma responses. The key finding in this study is that child refugee ex-detainees living in refugee camps, in general, did not report PTSD or DESNOS reactions compared to their counterparts. Continuing PTSD and DESNOS symptoms were more prevalent among the group of refugees living outside the camps. However, there is at least one finding that supported what I hypothesized: refugees living in camps were more likely to experience elevated levels of alterations in attention or consciousness (DESNOS2). For refugees in camps, the DESNOS absence tells us that the volatile childhood these children experienced was not associated with severe pathological reactions or heightened sensitization to trauma. In contrast, refugees living outside camps suffer from alterations in self-perception DESNOS4 symptomology, in addition, to elevated levels of complex trauma DESNOS and they qualified for the DESNOS diagnosis more than the other two groups of children. Refugees living outside camps were the only group subjected to interpersonal stressors.
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Bentivegna, Giuseppa. "The effects of inadequate mental health resources on the operation of the mental disorder provisions." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0015/MQ49313.pdf.
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Montesano, Vicki L. "Integrated Dual Disorder Treatment Team Leader Experiences of Implementing the Integrated Dual Disorder Treatment Model: A Grounded Theory." Kent State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=kent1206650295.
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Downs, Jonathan Muir. "Big data approaches to investigating Child Mental Health disorder outcomes." Thesis, King's College London (University of London), 2018. https://kclpure.kcl.ac.uk/portal/en/theses/big-data-approaches-to-investigating-child-mental-health-disorder-outcomes(44b87690-e546-473c-9d7c-31cd60fb3cd8).html.
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Background: In the UK, administrative data resources continue to expand across publically funded youth-orientated health, education and social services. Despite attempts to capture these data in structured formats, which are more accessible for analysis, most health information is stored as free text entry in electronic records. Big data techniques which combine large scale data linkage and automatic information extraction from free text, using Natural Language Processing (NLP), have considerable potential for enhancing the depth of information available from routinely collected public service data. There are a very limited number of published studies which have applied these big data techniques to answer questions relevant to child and adolescent psychiatry. Methods: This thesis examined original and clinically relevant research questions using data from routinely collected electronic health records, enriched by NLP and linkages to external data sources. Five related studies were performed all using data obtained from the SLaM BRC Case Record Information Search (CRIS) extracted using a NLP approaches, with two studies using external linkages with routinely collected national electronic datasets (NHS Hospital Episode Statistics and DfE National Pupil Database, NPD). Results: Using these data resources, I provide empirical support for the hypothesis that neurodevelopmental comorbidities increase children and adolescents’ risk for potentially more harmful treatments, greater treatment complexity and worse clinical outcomes. The NLP methods employed overcame limitations of structured data extraction, providing better assessment of a diverse range of symptom types, severity and related impairments, including suicidal risk, negative symptoms, antipsychotic treatment failure, and self-harm. External data linkages with the NPD enabled population level analyses by nesting clinical samples within their source population. NPD linkage also permitted the inclusion of education performance data, which were not routinely available within electronic health records. Conclusion: The thesis illustrates how the legal, governance and technical challenges were surmountable to enable linkage between NHS and Department for Education public service data. Also, it demonstrated that NLP and data linkages of electronic health records, have a clear role in clinical epidemiological studies of child and adolescent mental health. These tools, combined with the continued digitisation of public service activity, can unlock huge and detailed data resources for population-based analyses. However, current approaches have deficiencies, including limitations in accuracy, construct validity, and restrictions in the data available, providing challenges for future research.
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Morton, Lori Barker. "Somatoform Disorder: Treatment Utilization and Cost by Mental Health Professions." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/2945.
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Somatoform disorder is a prevalent mental health disorder in the United States. This disorder costs the United States one billion dollars annually. Medical providers report somatoform disorder is difficult to treat. Previous studies have shown that Cognitive Behavioral Therapy (CBT) is effective at reducing symptoms of somatoform disorder. Unfortunately, little research has been done on treatment outcomes and cost of somatoform disorder, particularly by profession to reduce health care costs for somatoform patients and providers. Administrative data from CIGNA for 149 somatoform disorder cases were analyzed to determine the cost, number of sessions, dropout rates, and recidivism rates for somatoform disorder. These same variables for somatoform disorder were also analyzed by profession for medical doctors, psychologists, master's nurses, master's social workers, marriage and family therapists, and professional counselors. Descriptive statistics showed that the recidivism rates and number of sessions for somatoform disorder is higher than average. Drop-out rates were consistent with the average. Analyses revealed no significant difference in total cost by profession, but did indicate a significant difference in cost per session for medical doctors. Analyses indicate lower level (M.S.) providers have no significant difference in drop-out rates and recidivism rates compared to higher level (Ph.D.) providers.
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Toscano, Crystal Lynn, and Kanika Aisha Roberts. "MENTAL HEALTH SERVICES FOR MILITARY VETERANS WITH POSTTRAUMATIC STRESS DISORDER." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/24.
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Post-Traumatic Stress Disorder (PTSD) has affected millions of veterans who have served in the United States Military. PTSD causes severe impairments in one's mental health, and is correlated with homelessness, substance abuse, and unemployment. Recently, the United States Department Veterans Affairs has been funded more to improve services of mental health and other health care services. Specifically, this study was interested in exploring the perceptions that veterans have of the quality of services that have been provided for PTSD.
Results indicated that the participants who utilized services felt individual and family therapy services were most helpful in reducing PTSD symptoms. Medication was less helpful suggesting further research on what types of medication are helpful. Participants also reported group therapy and service connected disability financial assistance were not helpful even though a majority of participants did not access it. Research indicates that veterans do not perceive services to be helpful; therefore they do not utilize them.
Additional research can focus on exploring why veterans have not utilized services. Social workers can intervene by educating veterans about PTSD and the services that are provided in addition to other community agencies. Furthermore, social workers can evaluate returning veterans and their perception of the quality of services they have received to further improve services.
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Vivian, Lauraine Margaret Helen. "Psychiatric disorder in Xhosa-speaking men following circumcision." Doctoral thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/11286.
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Includes abstract.Includes bibliographical references.
This interdisciplinary study, within the fields of anthropology and medicine, describes my qualitative research as an anthropologist into the mental illness histories of five young Xhosa-speaking men who, within a year of their circumcision, suffered psychotic breakdowns. The study took place in Valkenberg Hospital for the Mentally Unwell and the surrounding disadvantaged, largely Xhosa-speaking communities in Cape Town, South Africa. Numerous admissions were screened over a two-year period, but only these five men met the study criteria. Their case studies describe how they perceived their circumcision and the stresses that may have contributed to the onset of their psychotic illness.
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Withall, Adrienne Lee. "Cognitive function and recovery in major depressive disorder." Thesis, The University of Sydney, 2006. https://hdl.handle.net/2123/28184.
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The term ‘depression’ is used to refer to conditions ranging from non-clinical low mood to severe clinical conditions often resulting in hospitalization (American Psychiatric Association, 1994). Most people will experience low mood at some time during their lives however Major Depressive Disorder (MDD) is much more severe and very common, being experienced by approximately one in five persons. MDD is also associated with significantly impaired daily function (Andrews, Henderson, & Hall, 2001; Bland, 1997). Depression is also a chronic illness that is predicted to become the second leading cause of world-wide disability by the year 2020, second only to ischaemic heart disease (Lewis &
Araya, 2001).
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Gräsbeck, Anne. "The epidemiology of anxiety and depressive syndromes a prospective, longitudinal study of a geographically defined, total population : the Lundby study /." Lund : Dept. of Psychiatry, Lund University Hospital, 1996. http://books.google.com/books?id=sw9sAAAAMAAJ.
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Taka-Eilola, T. (Tiina). "Mental health problems in the adult offspring of antenatally depressed mothers in the Northern Finland 1966 Birth Cohort:relationship with parental severe mental disorder." Doctoral thesis, Oulun yliopisto, 2019. http://urn.fi/urn:isbn:9789526222455.
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Abstract Maternal depressed mood during pregnancy is common, but studies on the offspring of antenatally depressed mothers, with a long follow-up, are scarce. The aim was to study whether the adult offspring of antenatally depressed mothers are at an elevated risk of psychoses, depression, bipolar disorder, antisocial and borderline personality disorder, and schizotypal and affective traits. Parental severe mental disorder was considered as both a genetic and environmental risk factor for mental disorders. The data are based on the unselected, prospective, population-based Northern Finland 1966 Birth Cohort of 12,058 live-born children. The data were collected beginning from pregnancy and ending mid-adulthood. The mothers were asked about their mood during pregnancy at the antenatal clinic at 24–28 gestational weeks. Of the mothers, 13.9% rated themselves as depressed (11.8%) or very depressed (2.1%) during pregnancy. Parents’ severe, hospital-treated mental disorders, and the cohort members’ mental disorders were identified mainly by using the Finnish Care Register for Health Care. In this study, the adult offspring of antenatally depressed mothers had an increased risk of depression, and the male offspring for antisocial personality disorder, compared to cohort members without antenatally depressed mothers. The offspring with both maternal antenatal depressed mood and parental severe mental disorder had a markedly elevated risk of schizophrenia and depression, compared to cohort members without one or both of the risk factors. This is the first study where the offspring of antenatally depressed mothers were followed till mid-adulthood, also taking into account parental severe mental disorders. Based on the findings, the prevention of and early intervention in antenatal depression, especially in families with severe mental illness, might present an opportunity to reduce the risk of mental disorders in the offspringTiivistelmä Äitien raskausajan masennus on yleistä, mutta pitkiä seurantatutkimuksia raskausaikana masentuneiden äitien lapsista on vähän. Tutkimuksen tavoitteena oli selvittää, onko raskausaikana masentuneiden äitien aikuisilla jälkeläisillä kohonnut riski sairastua skitsofreniaan, masennukseen, kaksisuuntaiseen mielialahäiriöön, epäsosiaaliseen tai epävakaaseen persoonallisuushäiriöön, ja ilmeneekö heillä enemmän skitsotyyppisiä tai affektiivisia piirteitä. Vanhempien vakavien mielenterveydenhäiriöiden katsottiin olevan sekä mahdollisia geneettisiä että ympäristöön liittyviä riskitekijöitä jälkeläisten mielenterveyshäiriöille. Tutkimus perustuu yleisväestöön pohjautuvaan, prospektiiviseen Pohjois-Suomen vuoden 1966 syntymäkohorttiin, johon kuuluu 12 058 elävänä syntynyttä lasta. Kohortin jäseniä on seurattu sikiöajalta keski-ikään, aina 49 ikävuoteen saakka. Äitien raskaudenaikaista mielialaa tiedusteltiin raskausviikoilla 24–28 neuvolassa. 13,9 % äideistä raportoi mielialansa masentuneeksi (11,8 %) tai hyvin masentuneeksi (2.1%) raskausaikana. Vanhempien vakavat mielenterveydenhäiriöt ja kohortin jäsenten mielenterveyshäiriöt selvitettiin pääosin hoitoilmoitusrekisteritiedoista. Tutkimuksessa raskaudenaikana masentuneiden äitien lapsilla havaittiin kohonnut depressioriski sekä kohonnut epäsosiaalisen persoonallisuushäiriön riski miehillä, verrattuna kohortin jäseniin, joiden äitien mieliala ei ollut masentunut raskausaikana. Kohortin jäsenillä, joiden äideillä oli raskausajan masennusta ja toisella vanhemmista vakava mielenterveyshäiriö, oli kohonnut riski sairastua skitsofreniaan ja depressioon, verrattuna heihin, joilla oli vain yksi tai ei kumpaakaan näistä riskitekijöistä. Tämä on ensimmäinen tutkimus, jossa raskausaikana masentuneiden äitien lapsia on seurattu keski-ikään saakka, huomioiden myös vanhempien vakavat mielenterveydenhäiriöt. Tutkimuksen tulosten perusteella äidin raskausajan masennusoireiden varhaisen tunnistamisen ja hoidon voitaisiin ajatella vähentävien jälkeläisten mielenterveysongelmien riskiä, etenkin perheissä, joissa on vakavia mielenterveysongelmia
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Boulard, Nina E. "Quantitative and Qualitative Measures of Activity in Seasonal Affective Disorder." Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/BoulardNE2004.pdf.
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Hodges, Laura M. "Candidate gene analysis of panic disorder." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2008. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3311346.
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Nortje, Gareth. "A systematic review of DTI studies in Bipolar Disorder." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10867.
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Includes bibliographical references.In the last decade, multiple diffusion tensor imaging (DTI) studies have revealed changes in the microstructure of white matter in bipolar disorder. The results are poorly replicated and inconsistent, however, with some authors suggesting a predominance of alterations in fronto-limbic white matter. Preliminary reading of the literature suggests that white matter changes as revealed by DTI may be more widespread throughout the brain. Two extant reviews have each been limited by including all affective disorders or by a methodology which ignores tracts and discards potentially meaningful data. This background in the review includes a detailed exposition of the main DTI techniques and shortcomings. The review aims to determine whether certain white matter tracts are affected preferentially in the brain, as opposed to more diffuse white matter involvement. It also aims to determine if there is an anterior-posterior gradient of abnormalities. This review systematically collates data relating to tract involvement as demonstrated by DTI, as well as data regarding anterior-posterior distribution of abnormalities. Medline and EMBASE databases are searched systematically to select original papers comparing a bipolar group with healthy controls, using DTI, in adults, and reporting at least fractional anisotropy (FA). Subject, scan and analysis characteristics are extracted. Details of affected tracts are collated, as is the y-axis (anterior/posterior) of the most affected ('peak') voxels.
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Selway, Matthew. "Mental disorder in the contemporary American biopic : representation and national identity." Thesis, University of East Anglia, 2016. https://ueaeprints.uea.ac.uk/61877/.
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This thesis considers the representation of mental disorder in the contemporary American biopic from 1999 onwards, focussing upon how such representations of the biographical subject’s experience of mental illness can be read as interrogating many of the central features and ideologies of American national identity. Though long overlooked in academia, a recent surge in scholarly attention has repositioned and illuminated the biographical film (biopic) as a dynamic genre that warrants greater appreciation and investigation. This thesis contributes to current debates and understandings of the genre by critically interrogating the representational strategies and tropes present in depictions of mental disorder in the genre and contextualising these aspects in regards to wider cultural issues. Much like many critiques of the biopic genre, the portrayal of mental disorder in film and media has often been criticised for lacking authenticity or accuracy. Where critics and filmgoers bemoan the biopic’s over-celebratory nature and malleable relationship with history, so too psychiatric professionals and members of the public lament derogatory stereotypes and images of mental disorder that contribute to the perpetuation of stigma. However, this project realises a conscious move away from subjective debates concerning accuracy whilst still engaging with psychiatric research as a means of demonstrating the valuable interdisciplinary overlaps between psychiatry and film studies. Where critical considerations of mental illness representation largely focus upon the impact of film and media on cultural attitudes, the analyses in this thesis instead consider the influence of American culture on film representation. Whilst engaging with key ideas associated with the construction of national identity (primarily gender, race and class) this thesis also includes critical considerations of the portrayal of mental disorder and its intersections with many other socio-culturally significant aspects of American character and identity, including capitalism, sexuality, celebrity, religion and regionality.
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Steel, Zachary Psychiatry Faculty of Medicine UNSW. "Mental disorder amongst people of Vietnamese background: prevalence, trauma and culture." Publisher:University of New South Wales. Psychiatry, 2008. http://handle.unsw.edu.au/1959.4/40888.
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The role that culture and trauma plays in shaping mental health outcomes continues to dominate debate in the field of transcultural and post-conflict mental health. The broad aim of this thesis is to investigate key issues relevant to these two factors in relation to the Vietnamese. A meta-analysis of international epidemiological research indicated that countries of North and South East Asia appear to manifest low rates of mental disorder compared to English-speaking countries. A meta-regression analysis of research undertaken specifically with refugee and conflict-affected populations, confirmed a robust association between torture and general trauma and risk to mental disorder. The thesis then examines data from three population-based mental health surveys: 1,161 Vietnamese-Australian residents in the state of New South Wales; 3,039 Vietnamese resident in the Mekong Delta region of Vietnam; and 7,961 Australian-born persons drawn from a national survey. All surveys applied the Composite International Diagnostic Interview, with the Vietnamese surveys also applying the Phan Vietnamese Psychiatric Rating Scale, an indigenously-derived measure of mental disorder. The ICD-10 classification system yielded lowest rates amongst Vietnamese in the Mekong Delta, intermediate amongst Vietnamese in NSW; and highest rates amongst the Australian-born population. The Phan Vietnamese Psychiatric Rating Scale added a substantial number of cases in both Vietnamese samples. The findings suggest that sole reliance on a western-derived measure of mental disorder may fail to identify a cases of mental disorder across cultures. Trauma remained a substantial risk factor for mental disorder amongst Australian Vietnamese accounting for a substantial portion of the total burden of mental disorder in that population. The implications of these findings in developing a more refined model for understanding the mental health consequences of mass trauma across cultures are discussed.
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Jalava, Jarkko. "Linear common-factor analysis in mental disorder validation, problems and alternatives." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0013/MQ52577.pdf.
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Coughtrey, Anna. "Exploring the fear of contamination : mental contamination in obsessive compulsive disorder." Thesis, University of Reading, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542276.
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Futcher, Charis Catheryn. "Representing the unrepresentable: an exploration of gendered experiences of mental disorder." Thesis, Rhodes University, 2017. http://hdl.handle.net/10962/42957.
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Inspired by personal lived experiences of mental disorder; this thesis attempts to explore the representation of these complex conditions as they are deeply embedded in trauma, guilt, and stigma. The accompanying exhibition, The Inheritance, figures my own tendencies to contain and conceal my disorder, through the assembling of sculptural containers and their disordered contents. The work, presented as something surreal, comments on the complexities of being a woman with a disorder, as well as on the disease I experience in relation to a history of patriarchal ideologies and psychiatric containment that has informed understandings of ‘female madness’. Grounded in my interests in abjection and containment, the artistic processes of trying to express deeply personal experiences of distress allow for the resurfacing of underlying trauma, in regards to the memory of my mother’s struggle with Bipolar disorder and her subsequent estrangement. Instead of catharsis, the exhibition represents an inevitable failure to represent the unrepresentable, an experience inextricably bound to the history of gendered oppression and the repression of subjectivity by dominant powers of belief and control. Through my practice as research, I have ultimately grappled with my reluctance to represent my experience, precisely because the topic of mental disorder, though pervasive, is lived and felt by varying groups of people in different ways. As such, my intention is to avoid a reductive and narrow framing of what mental disorder entails. Similarly, I aim to avoid restrictive and presumptuous definitions of gender – recognizing that, historically, femininity is a contested category that has silenced many individuals who are not white, heterosexual or gender conforming. My literary research has been limited by these norms and silences, in that most texts detailing the historical visual treatment of disordered subjects fail to recognise the possibility of gender categories that transcend the binary masculinity and femininity. With these limitations in mind, my practice has allowed me to reflect upon the distress of generations of people who have been pathologised based on gender.
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Wallengren, Kristin B. "Mental disorder labelling as an extralegal variable in mock jury deliberations." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2004. https://ro.ecu.edu.au/theses/825.
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Previous research has shown that a number of characteristics of trial participants (extralegal variables) can and do influence juror’s judgements. This is of importance as only the legally relevant facts of the case should be considered during a trial. The present study investigates the influence of victim characteristics on the juror decision making process during deliberation and the judgements made about the victim, crime and defendant in a mock jury setting, as well as investigating mock juror gender differences. A representative sample of people eligible for jury duty in Western Australia viewed a video vignette depicting a trial, in which the mental disorder label (no label, schizophrenia, depression, intellectual disability) was varied. Deliberations were videotaped and subject to an analysis in conjunction with pre and post test questionnaire measuring victim characteristics. A 4x2x2 repeated measures ANOVA was used to analyse the data, in addition to the analysis of the deliberations. The qualitative findings suggest that mock jurors invested relatively much time in some mental disorder labels may function as extralegal variables. This inference is supported by the quantitative findings in this study. The mental disorder label assigned to the victim had an impact on mock jurors’ perception of the likeability, reliability and honesty of the victim, the responsibility for the crime and the guilt of the defendant, often interacting with mock juror gender and deliberation. However, no clear pattern of bias against or in favour of any specific victim could be discerned. There was slightly more evidence of a negative bias than a positive bias towards the no label and schizophrenia victims, while the opposite was true for the depression and intellectual disability victims.
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Feisthamel, Kevin Peter. "Differences in Mental Disorder Diagnoses Among Inpatient Clients with Adjustment, Substance-related, and Childhood Disorders According to Race." University of Akron / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=akron1199806781.
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Holland, Sherlina Daishernai. "Opioid Abuse in Rural Communities Among Adolescents With Bipolar Disorder." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7151.
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Abstract
Low population density in rural areas makes it difficult to deliver services to people with mental health problems and nonmedical prescription opioid abuse remains a problem in the United States. The purpose of this cross-sectional study was to determine whether a parent's socioeconomic status affected care opportunities for children 12 to 17 years of age and whether bipolar disorder increased the likelihood of substance abuse in those children. The theory of reasoned action/planned behavior provided the framework for the study. Secondary data from the Interuniversity Consortium for Political and Social Research 36361 data system, specifically the National Survey on Drug Use and Health 2014, were collected that included information about the socioeconomic status of adolescents and their parents. Cross-sectional analysis was used to analyze data. The first research examined the extent to which bipolar disorder influenced opioid abuse in those between the ages of 12 and 17. There was a nonsignificant association between the variables: chi-square probability values (p > 0.05) for mental health difficulties and ever-used pain relievers non-medically. There was a significant association between mental health and emotional difficulties at p < 0.05. The second research question examined whether a parent's socioeconomic status impacted the level of care opportunities for those 12 to 17 years' old in relation to bipolar disorder in rural communities. Using multivariate logistic regression analysis, no significance was found between level-of-care opportunities and a parent's socioeconomic status. The findings of this study have potential to bring about social change by increasing clinician skills related to intervention planning related to opioid abuse in rural communities among adolescents with bipolar disorder.
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Hill, Emma Louise. "A novel decentering and perspective broadening training intervention for major depressive disorder." Thesis, University of Cambridge, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.707975.
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Fowler, Emma. "Supporting someone with an eating disorder : a systematic review of caregiver experiences of eating disorder treatment and a qualitative exploration of burnout management within eating disorder services." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/22830.
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Aims: Eating disorder recovery is often supported by caregivers and mental health professionals. This research portfolio focuses on the experiences of supporting someone with an eating disorder from the perspective of the caregivers and also mental health professionals. The aims of this research portfolio are: Firstly, to systematically review the published qualitative literature relating to the experiences of caregivers supporting someone during eating disorder treatment; and secondly, to investigate the factors which may contribute to burnout, the factors which may protect against burnout and ways of managing work related stress for healthcare professionals who work in an eating disorder service. Method: A systematic review and meta-synthesis of caregiver experiences with eating disorder treatment was conducted. Searches identified 1927 studies of which 12 met the inclusion criteria for the study. Quality assessment revealed a number of strengths and also some limitations of the studies. For the research study ten healthcare professionals were interviewed on their experiences of supporting people with an eating disorder and ways of managing work related stress/burnout in this role. Interpretative Phenomenological Analysis was used to analyse the data. Results: Five major themes were identified from the systematic review: “access to treatment”, “key features of treatment”, “support for the caregiver”, “encounters with health care professionals” and “the future – hopes and fears”. The research study identified seven super-ordinate themes: “Dealing with Client Physical Health Risks”, “Working to Different Goals from the Client”, “Awareness of own Eating Patterns”, “Personal Accomplishment”, “Working Together as a Team”, “Working with Caregivers” and “Ways of Managing Work Related Stress”. Conclusions: The systematic review highlighted a number of clinical implications including the importance to caregivers of early intervention, the provision of practical, tailored information, support for the caregiver, the need for caregivers and professionals to work collaboratively and the importance of instilling hope in caregivers. The research study highlights potential contributors to burnout in eating disorder services as well as positive or protective factors to burnout. It also highlights ways of managing burnout through ensuring a work-life balance, utilising self-care strategies, self-reflection and realising recovery is not 'all or nothing'.
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Hamiter, Amelia. ""It's Not a Real Disorder": Attention Deficit/Hyperactivity Disorder and Paradigms of Childhood Harm." Scholarship @ Claremont, 2016. http://scholarship.claremont.edu/scripps_theses/849.
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Attention Deficit/Hyperactivity Disorder has garnered controversy in the United States since it became a widely diagnosed disorder in American schoolchildren in the 1970s. Both diagnosis and treatment are sites of controversy. Some believe the disorder is a contrivance of parents and teachers who do not want to deal with hardly exceptional childhood difficulties, or a contrivance of pharmaceutical companies taking advantage of such parents and teachers. Others believe that a neurobiological basis for the disorder will eventually be discovered, and thus will legitimize both the diagnosis and the practice of prescribing medication for treatment. I utilize the Science, Technology, and Society approach of actor network theory to show that these multiple understandings of ADHD can coexist, since ADHD is a complex product of external and internal agents. This will demonstrate how cultural shifts and values cause parents, teachers, and doctors to evaluate childhood in a way that frames certain behaviors as harmful. I also evaluate how cultural values of medicalization center issues in the individual rather than in external factors, and assess the values that psychiatric treatment appeals to and whether they primarily serve the needs of children. I conclude that ADHD is a heavily context-dependent disorder, but that that does not delegitimize harmful effect on children who exhibit ADHD-associated behaviors. I also conclude that the current dominant medicalized approach to ADHD is not optimal because it focuses on only a few of the total factors that make ADHD a pathological disorder for children in the contemporary United States.
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Mazibuko, Paslius Sizwe. "The nature and type of mental disorders presenting at Dr George Mukhari hospital ,Psychatry out-patient department, in a twelve month period, January 2006 to December 2006." Thesis, University of Limpopo (Medunsa Campus), 2009. http://hdl.handle.net/10386/263.
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Thesis (M Med(Psychiatry))--University of Limpopo (Medunsa Campus) ,2009.Profiling of mental disorders in tertiary institutions is relatively an understudied subject .The aim of the study was to delineate the types, age and gender distribution of psychiatric disorders in Dr. George Mukhari hospital .This is a tertiary psychiatric unit which caters for mental health care users in Garankuwa , Soshanguve , Mabopane region. The study is retrospective and caters for a period January 2006 to December 2006. Dr George Mukhari being a tertiary institution ,the types of mental disorders seen are the emergency ones i.e. aggressive ,life threatening or complex in nature . Schizophrenia was the most common disorder , affecting more males than females in adults , whereas mental retardation was more common in children affecting more males than females. . This underlay the devastating nature of neuoro-developmental problems in psychiatry. Most of the mental health care users seen were single and un-employed(most on disability grants)
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Smith, Stephanie Lynn. "Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool for Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7750.
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The National Institute of Health has estimated that over 1 million new cancer cases will occur yearly. Posttraumatic stress disorder (PTSD) is commonly associated with near death experiences or traumatic events, such as cancer diagnosis and treatment. There is a lack of knowledge and awareness by healthcare professionals in identifying PTSD in cancer patients. In this population, PTSD symptoms often contribute to anxiety, and there is no standardized protocol being used to screen these individuals for the trauma they are facing or have faced. The purpose of this project was to develop a clinical practice guideline for screening cancer patients for PTSD in a clinic population serving cancer patients. The stress theory developed by Lazarus and Folkman guided this project. The project questions were to identify the most appropriate screening tool for PTSD in cancer patients and recommend a clinical practice guideline to the clinic healthcare providers. Five widely used PTSD screening tools were reviewed. Based on the project question the Clinician Administered PTSD Scale was identified as the most appropriate for this clinic setting and patient population. An expert panel consisting of 3 experienced psychiatric nurse practitioners reviewed the proposed guideline using the AGREE II tool. Using a scale of 1 (strongly disagree) to 7 (strongly agree), the team members agreed with a score of 5 or higher in each domain with the proposed guideline. Utilization of this guideline will promote a positive social change towards mental health awareness and improve the quality of life for these patients and their families.
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Lane, Dymika Machelle. "Utilization of community-based services among families with children with a mental disorder." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3090.
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Families of children with a mental disorder typically have many stressors due to their children's behavioral functioning. These families do not always choose to receive community-based services that are intended to decrease the stressors within the families and prevent the children from being placed out of the families' homes. This study investigated the relationship between clients' functioning during their initial assessment provided by the Victor Community Support Services (VCSS), compared to their functioning when they were discharged from VCSS based on the families utilization of community-based services.