Academic literature on the topic 'Women Mental health;Case studies'
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Journal articles on the topic "Women Mental health;Case studies"
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Pitts, Claudia G. "Women, Mental Health, and Managed Care." Women & Therapy 22, no. 3 (2000): 27–36. http://dx.doi.org/10.1300/j015v22n03_04.
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Turner, Georgina. "‘Bizarre Sapphic midlife crisis’: (Re)thinking LGBTQ representation, age and mental health." Sexualities 22, no. 7-8 (2018): 997–1016. http://dx.doi.org/10.1177/1363460718794132.
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This article looks at viewers’ responses to the romance between two older women on the BBC medical drama Holby City. In the context of a continuing lack of representation of (older) women-loving women, viewers of all ages describe a transformative experience, with an emphasis on positive mental health outcomes – yet older women also orient to something implicitly problematic about this being the case. This is premised, I suggest, in the foregrounding of youth and adolescence in academic and public discussions of the role of the media in sexual self-realisation. The research demonstrates the need for qualitative case studies capturing LGBTQ portrayals, taking account of the experiences of older viewers, and of network television even in a fragmented and queer(er) digital market.
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Dennerstein, Lorraine. "Mental Health, Work, and Gender." International Journal of Health Services 25, no. 3 (1995): 503–9. http://dx.doi.org/10.2190/qjra-8nmb-kr1r-qh4q.
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Women have significantly higher prevalence rates than men for many mental disorders, particularly affective disorders. Married women are more at risk for mental ill-health than single women or married men. The detrimental effects of marriage on mental health appear to relate to the contexts of role performances and the reduction in opportunities in paid employment. This review examines the influence of women's paid and unpaid domestic work and roles on mental health. Many studies show positive effects of paid employment on mental health, and multiple roles have been found to have beneficial rather than adverse effects on mental health. However, husbands' negative attitudes to women's paid employment, with resultant marital conflict, and husbands' lack of participation in child care may erode these potential beneficial effects.
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Oftadeh-Moghadam, Shakiba, and Paul Gorczynski. "Mental Health Literacy, Help-Seeking, and Mental Health Outcomes in Women Rugby Players." Women in Sport and Physical Activity Journal 30, no. 1 (2022): 1–10. http://dx.doi.org/10.1123/wspaj.2020-0066.
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Within rugby, a plethora of research has focused on male rugby players, with some recent attention being directed to examining their mental health. Such attention has not been evident for their female rugby counterparts. The aims of this study were to ascertain levels of mental health literacy (MHL) and explore demographic differences in United Kingdom semielite rugby players who identified as women, and examine whether MHL is associated with better mental health outcomes and general help-seeking intentions. In total, 208 semielite women rugby players completed an online multisection questionnaire measuring MHL, general help-seeking intentions, distress, and well-being. Overall, most players scored a low rating of well-being; however, those who indicated a previous mental health problem exhibited significantly higher levels of MHL. Players were more likely to display general help-seeking intentions toward an intimate partner or a friend than a health care professional. High levels of distress were reported in 64.4% of players, particularly those who had been previously medically diagnosed with a mental disorder and bisexual rugby players. MHL was significantly, positively correlated with general help-seeking intentions, but not significantly correlated with distress or well-being. This study is the first to examine MHL in women rugby players and suggests that strategies devised by multidisciplinary teams of experts to help promote, engage, and offer tailored mental health support to women rugby players would be beneficial. Further investigations exploring the determinants of, and barriers to, MHL among women rugby players would be worthwhile to better understand and support players throughout their sporting career.
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Santillanes Allande, Nadia Irina. "The relationship between violence and depression in migrant women through their experiences in care services." Salud Colectiva 17 (March 4, 2021): e3054. http://dx.doi.org/10.18294/sc.2021.3054.
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Based on ethnographic work with undocumented immigrant women who developed depressive episodes due to various forms of violence, this article recovers the women’s experience of care in the clinic space of their host country. Through therapeutic itineraries of care, the article focuses on the case studies of two women of Mexican origin in New York City to describe, based on their experience, the communication and the encounter between the doctor and patient; the expectations of migrant women regarding mental health care services; and the explanatory models of depression of both the patients and the treating physicians. This analysis seeks to contribute to the knowledge regarding ways of treating the mental health problems of undocumented women in contexts of violence.
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Chorna, V. V., V. M. Makhniuk, S. S. Khliestova, N. I. Gumeniuk, and H. V. Chaika. "Attitude of health care workers in the field of mental health to their health." Medicni perspektivi (Medical perspectives) 26, no. 2 (2021): 188–96. http://dx.doi.org/10.26641/2307-0404.2021.2.234733.
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The article presents the results of theoretical and experimental studies of the degrees of value-motivational, cognitive, emotional, and behavioral components in health care workers of psychiatric health care facilities concerning their health. The degree of risk and value of the personal hygiene of health care workers is determined. The main components and factors that affect the attitude to personal health are revealed. The awareness of the own emotional and cognitive experiences by the medical staff of psychiatric hospitals regarding the preservation and strengthening of their hygiene is analyzed. According to research on the value-motivational component of the medical staff of psychiatric health care concerning the place of personal health in the hierarchy of values in life, it was found that own health is on the second place – 15.2% males, nursing staff (NS), 15.1% females, are psychiatrists and women NS, 14.8% are men psychiatrists. In case of a deterioration of own health both women (35,6%), and men (35,5%) psychiatrists are engaged in self-treatment, the similar tendency is among NS – women NS – 31,3%, men NS – 31, 5%), in 25.8% of cases female psychiatrists and in 23.1% of men NS do not pay attention to the disease at all, which leads to occupational diseases and chronic diseases. At the same time, occupational diseases among doctors and NS do not exceed 10% of the total number of occupational diseases in Ukraine due to self-medication and early treatment. Therefore, the statistics of occupational diseases of health workers in that field are underestimated compared to the actual ones.
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Castro, L. C., S. Moreira, A. Lopes, and M. Branco. "Anorexia Nervosa and Pregnancy: A Case Report." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70975-7.
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Background:Several studies report that women with a history of eating disorders are at higher risk of pregnancy complications and major adverse perinatal outcomes.Aim:To report a case of anorexia nervosa during pregnancy, in order to underline the impact of eating disorders on pregnancy.Methods:Case study and review of the literature.Results:A 32 year old woman was hospitalized in an obstetric service of a general hospital for high risk pregnancy complications. She maintained a disturbed eating behaviour, with periods of restrictive eating and bulimic-purging episodes. She was underweight, did not reach the recommended weight gain during pregnancy and showed intrauterine growth restriction. The Psychiatry Liasion Unit was asked to follow the case during the obstetric hospitalization.Discussion:Pregnant women with eating disorders have higher risk of pregnancy and neonatal complications. Pregnancy is a privileged opportunity to maximize intervention in eating disorders, since women show higher levels of motivation for therapy. Some cases of anorexia nervosa may warrant special obstetric care to ensure adequate prenatal nutrition and fetal development. Since there are few studies on this topic and they report conflicting results, it is a relevant area for future research.
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Borglin, Gunilla, Johanna Hentzel, and Doris M. Bohman. "Public health care nurses’ views of mothers’ mental health in paediatric healthcare services: a qualitative study." Primary Health Care Research & Development 16, no. 05 (2015): 470–80. http://dx.doi.org/10.1017/s1463423615000055.
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AimTo investigate public health nurses’ perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.BackgroundAlthough maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.MethodsFor this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard’s description of the four-step qualitative content analysis.FindingsThree categories – external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support – were interpreted to reflect the nurses’ perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.ConclusionWe found that public health nurses can have an important role in supporting mothers’ mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers’ transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.
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Miller, Suzanne M. "Case Studies: Profiles of Women Recovering from Drug Addiction." Journal of Drug Education 25, no. 2 (1995): 139–48. http://dx.doi.org/10.2190/pmcl-7xh3-p64a-81cy.
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These case studies profile two women who abused alcohol and other drugs while pregnant and describes their recovery from the addiction. They examine from an ecological framework the women's experience with drug addiction, treatment, and recovery and recounts their situations through each [1]. This research uses in-depth interviews as its data source. Further, these studies contain direct quotes from the women orally sharing their thoughts. Their quotes are not edited or changed by any kind of systems for the purpose of capturing the thoughts of the women.
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Claus, Elizabeth B., Stacey Petruzella, Darryl Carter, and Stanislav Kasl. "Quality of Life for Women Diagnosed With Breast Carcinoma in Situ." Journal of Clinical Oncology 24, no. 30 (2006): 4875–81. http://dx.doi.org/10.1200/jco.2005.05.2290.
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Purpose Limited data exist on long-term quality of life (QOL) for women diagnosed with breast carcinoma in situ (BCIS). Participants and Methods The data are on 795 BCIS participants diagnosed among female residents of Connecticut from September 15, 1994 to March 14, 1998, and 702 controls frequency-matched to the case participants by 5-year age intervals and geography. These women were participants in a large, population-based case/control study and subsequent follow-up study. Telephone interviews at follow-up were used to collect data on QOL at 5 years from initial diagnosis or contact, using the Medical Outcomes Study, Center for Epidemiologic Studies-Depression, and CAGE (Cut down, Annoyed, Guilty, Eye-opener) alcohol consumption scales. QOL outcomes were compared by case/control status and by case treatment group: lumpectomy, lumpectomy with adjuvant radiation therapy, and mastectomy. Results At 5 years after diagnosis, women diagnosed with BCIS report levels of physical, emotional, and mental health functioning similar with those reported in a general healthy female population. Case participants and controls did not differ in reported levels of limitations due to physical health problems, bodily pain, social functioning, or overall physical functioning. Case participants who underwent lumpectomy with radiation reported lower levels of emotional functioning, general health perceptions, vitality, sexual interest, and overall mental health, as well as more depressive symptoms than did control subjects; although, the clinical significance of these statistical differences appears to be limited. Conclusion At 5 years after treatment, women diagnosed with BCIS report good physical and emotional functioning relative to control populations.
Dissertations / Theses on the topic "Women Mental health;Case studies"
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Sveund, Jennifer. "The Experience of Qigong Among Women Cancer Survivors." Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1506194798445608.
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Stein-Mccormick, Carmen Teresa. "Sisters in Arms: A case study of the experiences of women warriors in the United States Military." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3365.
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Presently there are few studies that describe the current experiences of women warriors relative to issues such as sexual hostility, sexual harassment, and other uncommon experiences during their military careers. Very little is known about how being a woman in a male-dominated military may affect women warriors' choices between making the military a career or returning to civilian life. With better understanding of women warriors' military experiences, mental health professionals, educators, and other human services professionals may have a better understanding of the issues that may affect women in the military. To date there are limited studies that have examined the effects of military experiences on the psychological and emotional well-being of women warriors. Whether its effects are positive, negative, contextual, or permanent is not yet known. This study supports the earlier research regarding the needs and unknown needs of women programs and the training of counselors and helping professionals. With the United States Military being one of the largest special populations, and women warriors making up 15% of that population, it is imperative that appropriate training becomes available for counselors, educators, and other helping professionals.
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Heschel, Jessica Rose. "Sexual Satisfaction in Women with Physical Disabilities: Results of an Online Survey." Wright State University Professional Psychology Program / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1309388680.
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Miller, Barbara Elaine. "Women under the influence: Stressors which increase alcohol consumption." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/887.
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Clark, Kimberly. "Women, stress and well-being| Facilitating stress management among middle adulthood-aged women (45-65)." Thesis, Pepperdine University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10181997.
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<p> Literature has widely documented the link between stress and serious physical and mental health consequences (e.g., depression, heart disease, Alzheimer’s Disease, cancer). Women in middle-adulthood face a number of commingling stressors that may exacerbate their existing stress levels and place them as a higher risk of developing stress-related health issues. For example, in middle-adulthood women experience biological/hormonal changes (i.e., menopause, increased cortisol response to stressors), neural changes (i.e., cognitive declines), changes in skin function and appearance (i.e., wrinkles, sagging), as well as assuming multiple challenging roles (i.e., caregiver, employee, spouse). Due to the gravity of the effects of stress, there has been an increased need for a deeper understanding of stressors that women in middle–adulthood face and an increased need to target those specific stressors in an attempt to ameliorate their negative effects. In this context, the research reported here focused on developing a curriculum to conduct a one-day workshop for women in middle-adulthood in order to provide a deeper understanding of the various types of stress (e.g., hormonal/biological, age-related appearance changes, discrimination, gender role strain, multiple roles, cultural expectations, finances, etc.) experienced by women in middle-adulthood and providing culturally congruent stress reduction interventions. The development of the curriculum used to conduct a workshop is targeting women between the ages of 45 and 65 who are experiencing significant levels of stress and who wish to expand their knowledge of stressors and repertoire of stress reduction/management strategies. The curriculum was reviewed by two doctoral level mental health professionals who rated the content, strengths, and weaknesses of the curriculum. Their feedback was incorporated into a compilation of suggestions and future directions for the curriculum.</p>
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Said, Hannah. "Refugee women| The cross cultural impact of war related trauma experienced by Iraqi and Vietnamese women." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1600596.
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<p>The purpose of the study is to conduct research and bring awareness to war related events experienced by female refugees. Refugees from war torn countries arrive to the United States with various forms of trauma—some war related and others not. Trauma experienced by refugees can significantly impact their mental health and overall quality of life. Reliable and valid screenings/interventions, that use quantitative and qualitative methods, have proven to be beneficial. Currently there is limited information regarding the range of war related trauma and health outcomes experienced by female refugees of Middle Eastern (Kurdish) and Asian (Vietnamese) descent. This study examines the difference in migration, employment, education, health insurance, mental health, and personal problems experienced by 60 Vietnamese and 44 Iraqi women. An exploratory, qualitative and quantitative, research design was employed to detect war related, traumatic events. The ultimate aim of the study was to focus on the cross-cultural impact of war related trauma and its mental health and overall effects on female refugees. </p>
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Brown, Amber M. "Utilization of Mental Health Services Amongst African-American Women." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2017. http://digitalcommons.auctr.edu/cauetds/91.
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This thesis examines mental health utilization amongst African-American women. The study specifically investigated the factors that may predict help seeking behaviors: depression, stigma, African acculturation, mistrust, and religious commitment. The study also examined the role demographics has on African-American women utilizing mental health services. The study examined the following demographics, income, age, marital status, and education status. The sample size consisted 40 African American women, with ages ranging from 18 to 65. The results indicated that age and depression may impact African-American women seeking mental health services. The results showed that stigma, African acculturation, mistrust, religious commitment, income, marital status and education have no statistical significance in predicting African-American women utilizing mental health services.
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Vicich, Alexandra Devin. "Therapeutic change for women in collective performance." Thesis, New York University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1549235.
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<p> This phenomenological study describes the therapeutic potential of change for women who come together in collective creative process to perform their stories. The author examines women, aged 30-72, and their experiences of collective performance, spanning 29 years, in response to their life circumstances, emotional health, personal relationships, professional life, and community connections. Roles inside and outside of the group are explored, as are their group and individual processes. Research on women, collectives, applied theatre, and therapeutic theatre is presented. Perspective is gained through the lenses of feminist theory, social constructivism, and psychodramatic role theory. Comparisons are made between applied theatre and drama therapy, and the mutual exclusion of group versus individual, socio-political versus therapy, is questioned. Implications for the use of socio-political community drama in a therapeutic theatre format in drama therapy are formulated.</p>
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Harrison, Eileen Joselyn 1940. "Facilitating disclosure in psychologically abused women." Thesis, The University of Arizona, 1998. http://hdl.handle.net/10150/291796.
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The purpose of this study was to identify from the woman's point of view what factors facilitate or inhibit disclosure of psychological abuse. Physical and psychological symptoms arise from this abuse and women are reluctant to disclose the underlying cause. This is a significant problem for every specialty in the nursing profession. A qualitative study using grounded theory was conducted with four research participants from domestic violence shelters. The results suggest contextual and behavioral factors in the disclosure process and give descriptive supporting data of related concepts. A conceptual model for the disclosure process is proposed.
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Spicer, Rebecca Keeler. "Barriers to Mental Health Treatment Among Chronically Homeless Women: A Phenomenological Inquiry." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4333.
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Homeless women demonstrate higher rates of mental illness than homeless men. The combination of complex life circumstances, stigmas related to mental illness, and homelessness may cause homeless women with mental illnesses to face unique barriers that prevent them from accessing necessary mental health services. The purpose of this phenomenological study was to expand the body of literature on homeless women's experiences with the mental health system and to understand the barriers to treatment services. Guided by Young's critical social theory of gender, this study was designed to develop a better understanding of the support that may be in place to help women overcome service access barriers related to social issues of race, class, sexuality, and gender. Study participants included 10 chronically homeless adult women in the Southeastern United States who were diagnosed with a mental illness. In-person semistructured, open-ended, phenomenological interview questions were used to explore the research questions. Thematic analysis revealed 5 main themes: (a) reasons for homelessness, (b) reasons women stay homeless, (c) mental health experiences and issues, (d) experiences with being homeless, and (e) services and supports. There were 3 subthemes associated with services and supports: (a) the shelter experience, (b) services that are needed, and (c) professionals should know. Understanding women's unique backgrounds and histories may help service providers and policy makers develop ways to make mental health services more accessible to the homeless women who need them.
Books on the topic "Women Mental health;Case studies"
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Ongarelli-Loup, Franca. Faut-il "faire la folle" pour être entendue?: Itinéraires de quelques femmes italiennes vers la psychiatrie. Éditions I.E.S., 1987.
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Saʻdāwī, Nawāl. Femmes égyptiennes: Tradition et modernité /Naoual el Saadaoui ; traduit de l'arabe para Essia Trabelsi et Emma Chettaoui. Des Femmes, 1991.
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1942-, Bernheimer Charles, and Kahane Claire, eds. In Dora's case: Freud--hysteria--feminism. 2nd ed. Columbia University Press, 1990.
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1942-, Bernheimer Charles, and Kahane Claire, eds. In Dora's case: Freud--hysteria--feminism. Virago, 1985.
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Beck, Cheryl Tatano. Postpartum mood and anxiety disorders: Case studies, research, and nursing care. 2nd ed. Association of Women's Health, Obstetric and Neonatal Nurses, 2008.
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Switching time: A doctor's harrowing story of treating a woman with 17 personalities. Three Rivers Press, 2008.
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Trachtenburg, Milton. Stop the merry-go-round: Stories of women who broke the cycle of abusive relationships. Tab Books, 1989.
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Gregory, Rabassa, ed. The ladies' gallery: A memoir of family secrets. Other Press, 2009.
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Blomberg, Wenche. Karoline og vitenskapen: Et psykiatrihistorisk eksempel. Gyldendal Norsk, 1993.
Find full textBook chapters on the topic "Women Mental health;Case studies"
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Gamper, Markus, Julia Seidel, Annett Kupfer, Sylvia Keim-Klärner, and Andreas Klärner. "Gender and Health Inequalities: Social Networks in the Context of Health and Health Behavior." In Social Networks and Health Inequalities. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-97722-1_14.
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AbstractThere are significant differences in morbidity (incidence of disease) and mortality (death rate) between men and women. By puberty, male adolescents are more likely to have health problems. During puberty, girls suffer from chronic and mental illnesses and male adolescents are more likely to suffer from acute and life-threatening diseases. Boys and men have riskier health behavior. The field of research mainly relates to the binarity of the sexes—men and women. Studies on trans and queer persons are rare in this field. Networks have a gender-specific effect on risk behavior. Women provide more and more time-consuming social support, even in case of illness. After widowhood, networks have both negative and positive effects, which are gender-specific.
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Bennewith, Helen, and Eileen Murray. "Forensic mental health." In Dietetic and Nutrition Case Studies. John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781119163411.ch25.
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Fisher, Mike, Clive Newton, and Eric Sainsbury. "Four Case Studies." In Mental Health Social Work Observed. Routledge, 2021. http://dx.doi.org/10.4324/9781003193968-7.
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Ivbijaro, Gabriel, Carlos Augusto de Mendonça Lima, Lucja Kolkiewicz, and Yaccub Enum. "Case Studies." In Primary Care Mental Health in Older People. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10814-4_27.
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Tully, Ruth J. "Mental health and violence." In Case Studies in Forensic Psychology. Routledge, 2019. http://dx.doi.org/10.4324/9780429505720-8.
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Kates, Nick. "Integrating Mental Health Services into Primary Care: The Hamilton FHT Mental Health Program." In Collaborative Medicine Case Studies. Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_7.
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Kessler, Rodger, and Dale Stafford. "Primary Care Is the De Facto Mental Health System." In Collaborative Medicine Case Studies. Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_2.
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Rahill, Stephanie A., and Lauren T. Kaiser. "Providing Services in Mental and Behavioral Health Service." In Case Studies in School Psychology. Routledge, 2021. http://dx.doi.org/10.4324/9781003123828-5.
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L’Abate, Luciano. "Selected Case Studies for Sourcebook Sections." In Sourcebook of Interactive Practice Exercises in Mental Health. Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-1354-8_9.
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Johnston, Lannette. "Alpha-Thalassemia X-Linked Mental Retardation Syndrome." In Clinical Case Studies in Home Health Care. John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118785744.ch32.
Full textConference papers on the topic "Women Mental health;Case studies"
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Pâslaru, Ana-Maria, Ana Fulga, Elena Niculet, Laura Florentina Rebegea, Iuliu Fulga, and Anamaria Ciubara. "SUPRACLAVICULAR AND CERVICAL LYMPH NODE METASTASES HAVING CERVICAL CANCER AS STARTING POINT. CASE PRESENTATION." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.10.
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Introduction: Cervical cancer is the fourth most frequently found cancer among women worldwide. Numerous studies have underlined that persistent infection with human papilloma virus is the most important risk factor, two strains of the same virus – 16 and 18 being responsible for approximately 70% of the cases. Cervical cancer rarely metastasizes in the cervical lymph nodes and this indicates a poor prognosis. Literature data reports an incidence for left supraclavicular M1LYm of 0.1-1.5%. Material and Method: We bring attention to the case of a 44-year-old patient from the rural area who was diagnosed in January 2019 with stage IIIB cervical cancer, represented morphologically by a poorly differentiated squamous cell carcinoma. When admitted, the patient presented clinically with vaginal hemorrhage, intense abdominal and pelvic pain, fatigue, a dynamic, significant weight loss. The physiological personal history revealed nine pregnancies, the first one when she was 16. After pretherapeutic evaluation, the multidisciplinary committee decides performing simultaneous radio-chemotherapy with platinum salts. During the second week of treatment clinical examination revealed left cervical and supraclavicular adenopathy, both documented through imaging evaluation. Lymph node biopsy is done and its histopathological aspect, correlated with the immunohistochemistry profile supports the diagnosis of poorly differentiated squamous cell carcinoma lymph node metastasis. The initial treatment scheme is maintained, the patient being discharged with clinical remission of cervical and supraclavicular lymph node metastasis. Conclusions: The peculiarity of the case is determined by the distant metastases in the left cervical and supraclavicular lymph nodes, a rare finding during treatment, which was associated with a poor prognosis; in this case treatment was done for palliative purposes. Rapid diagnosis is the main factor that conditions the therapeutic results and chances for healing.
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Sapira, Violeta, Mihaiela Lungu, Alexandru Paul Baciu, et al. "FROM DEPRESSION TO HUMAN IMMUNODEFICIENCY VIRUS – A CASE REPORT." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.19.
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Introduction: Human immunodeficiency virus (HIV) infection is often preceded or accompanied by neuropsychiatric symptoms, including depression. This fact has been evaluated in most of the clinical studies to date as associated with HIV infection already diagnosed. Case report: We report a case of a 46-year-old woman patient with no prior diagnosed pathology, suffering from depressive disorder for roughly 6 months, with a progressive evolution under treatment. Blood tests showed a moderate normochromic normocytic anemic syndrome of unspecified origin. Given the fact that depressive syndrome has not improved under treatment, a cerebral computed tomography (CT) scan and a cerebral magnetic resonance imaging (MRI) are decided, revealing an expansive cerebral process which in turn recommends performing stereotactic biopsy, but the family of the patient refuses the procedure. The patient is neurologically evaluated and after considering the cerebral MRI pattern and the presence of anemia, an HIV and syphilis detection test is decided, revealing a positive result for HIV infection. An antiretroviral therapy has been initiated, resulting in favorable clinical and imaging outcomes. Conclusions: Each patient and each case are individual and is to be approached as such. Depression in a progressive evolution under treatment requires imaging evaluation (cerebral CT scan, ideally cerebral MRI).
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Miclutia, Ioana Valentina, Laura Damian, and Ana Cristina Serban. "SEXUAL FUNCTIONING IN SCHIZOPHRENIC AND BIPOLAR FEMALE PATIENTS." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.13.
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Introduction: The issue of sexuality is seldom investigated by psychiatrists in psychotic psychiatric patients, partly due to the frontline distressing psychiatric and behavioural symptoms but also due to hesitancy, haste, reluctance. Even though, the aspects of intimacy, sexual functioning are important and bothering, especially for young patients. These sexual impairments might be attributed to the disease itself but also to the medication. Material and Methods: Two separate studies aim to investigate sexual disorders in female inpatient patients diagnosed with schizophrenia and in different phases of bipolar disorder (depression, manic) in comparison to controls. Therefore, treatment emergent sexual side effects (UKU scale), their relation to psychopathology (PANSS, GAF), quality of life (WHO-QOL Bref), misbelieves (Sexual Dysfunctional beliefs Questionnaire) were explored in chronic female schizophrenic patients and compared to matched controls. For the bipolar group, the depressed, manic women and controls were assessed regarding frequency of sexual intercourse, fantasies, desire, and lubrication orgasm by the Sexual Disorders Interview, Female Sexual Index and psychopathology by BDI, respectively YMRS. Both studies were cross-sectional and collected various demographical and therapeutical data. Results: Schizophrenic patients rendered long histories of the disease and treatments, cumulating also disturbing side effects such as weight gain, amenorrhea, less marital and sexual partners. Low sexual interest, modest initiative, involvement, absent orgasm and sexual conservatorism were common and constant during exacerbations but also in chronicity being in connection rather to negative symptoms and modest functioning. Regarding bipolar women, sexual problems were detected in over 75% of the cases, with less implication and satisfaction during depression, pain, often blaming antidepressants as probable source of dissatisfaction. On the other hand, manic patients display more vivid sexual fantasies and interest, with higher arousal and lubrication, attending sexual satisfaction but being disturbed subjectively by some of these aspects. Although a wide range of sexual disorders might arise after treatment with antipsychotics, antidepressants, mood stabilizers, there could not be clearly ascertained a specific disorder. Discussions: Hyposexuality seems to be a hallmark of schizophrenics even in treatment naïve patients, being more obvious after treatment, in chronicity. The issue of sexuality in bipolar women is rather difficult to assess and compare partly to the heterogeneity of the disorder. Conclusions: Sexual disorders are a special and frequent issue in schizophrenia and bipolar women, displaying a wide range from low frequency, interest, dissatisfaction or even pain and a temporary phase limited exacerbation of sexuality during manic episodes.
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Sumiati, Sumiati, and Evi Nurhidayati. "Relationship Between Family Support and Self- Efficacy among Pregnant Women in Yogyakarta." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.30.
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Background: Maternal mental health problems, most often depression and anxiety, remain a major public health concern during the antenatal and postnatal periods. Some studies reported that high level of self-efficacy in pregnant women might improve maternal prenatal care. This study aimed to investigate the relationship between family support and self- efficacy among pregnant women in Yogyakarta. Subjects and Method: This was a cross-sectional study conducted at Kotagede I Community Health Centre, Yogyakarta from October 2017 to July 2018. A total of 30 primigravida dan multigravida women with the third trimester of gestational age was selected for this study. The dependent variable was self-efficacy of pregnant women. The independent variable was family support. The study subjects were selected by accidental sampling. The primary data were collected using family support and maternal confidence questionnaires. The data were analyzed by chi-square. Results: A total of 93.3% of pregnant women had strong family support. The majority of pregnant women possessed high levels of self-efficacy (90%). Good family support increased the self-efficacy of pregnant women (OR= 113.40; 95% CI= 6.26 to 2054.00; p <0.001). Conclusion: Good family support increases the self-efficacy of pregnant women. Keywords: pregnant women, self-efficacy, family support Correspondence: Sumiati. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ringroad Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: sariatidum@gmail.com. Mobile: +6282134952376. DOI: https://doi.org/10.26911/the7thicph.02.30
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"SUBSTANCE USE AND PSYCHOPATHOLOGY IN THE PSYCHIATRIC CARE UNIT OF THE SOCIAL AFFAIRS SERVICE OF THE UNIVERSITY OF SALAMANCA." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p030v.
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Introduction: University stage imply some changes and challenges that turn it into a crucial and tricky period for mental health and substance use. Material and methods: We present a study based on a sample of 49 people of the university community, 37 women and 12 men, evaluated in a seven months period. The assessment consisted in an interview carried out by a psychiatrist. A database was designed, providing the clinical information obtained from the interview and entry sheets during the first visit. Following descriptive and analytic studies were performed using the hypothesis contrast “Chi-Square” test. The reference statistical significance level was α = 0.05. Aims: To study the impact of substance use in the mental health of our sample in order to implement new prevention and treatment strategies. Results: 53,1% of the sample abuse substances: 30,8% men and 69,2% women (p 0,277). Alcohol is the most used substance in the sample (80,8%), followed by tobacco (57,7%) and cannabis (30,8%). Concerning psychopathology, insomnia (53,8%) is the most frequent symptom (p 0,260); thoughts of death were present in 46,2% of the substance users (p 0,419); while self-harm (p 0,365) and suicidal attempts (p 0,113) were described by the 19,2% of that group of the sample. Eating disorders and psychosis were observed in 23,1% (p 0,560) and 11,5% (p 0,743) respectively. Conclusions: Substance use is a very prevalent practice in our sample. We have observed some clinical symptoms are frequent in this part of the sample and we should pay special attention to their prevention and early treatment, as well as that of the substance use. This way we could minimize and tackle Mental Health problems in our sample.
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Barros, Vinícius Lúcio de, Larissa Gomes Peres Bomfim, Melyssa Alves Souza, Danielle Ginsicke, Mileny Esbravatti Stephano Colovati, and Angelina Zanesco. "Cognitive function and risk factors in the older population: differences between the sexes." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.387.
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Background: Studies have shown a sex difference in the cognitive dysfunction in the elderly where women are more susceptible to Alzheimer’s disease than men. Physical activity (PA) is an important strategy for brain health, but the exact mechanism is unclear. Santos has the largest proportion of the elderly population in São Paulo State (22%), but no studies have whether there are differences between the sexes in cognitive function. Objective: To evaluate the differences between the sexes in the cognitive function of the elderly and which factors are associated with this difference. Methods: Ninety-seven women and sixty-nine men were eligible for the study. Inclusion criteria were >65 years old, no severe cognitive impairment, preserved activities of daily living. Cognitive function and PA were assessed by the mini-mental state examination (MMSE) and Baecke questionnaire. Results: The mean age was 75±7 and 73±7, for women and men, respectively. Both sexes showed a similar MMSE score (26, varying between 14 and 30) that was inversely associated with age. The influence of the schooling status on MMSE was greater in women (r=0.49, p=0.0001) compared to men (r= 0.30, p9. Conclusions: The MMSE score is affected by the aging process similarly between the sexes. The years of schooling have an influence on cognitive function in women that is attenuated by higher PA. Ethical Committee: CAAE 20938619.4.0000.5509. Financial Support: São Paulo Research Foundation.
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"The Prevalence of Depressive and Anxious Symptomatology and Use of Antidepressants Among Breast Cancer Patients :A Cross-Sectional Study ." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/xsxm3127.
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Background: breast cancer is considered as one the most common type among women worldwide and for Jordanian citizens according to Jordan Ministry of health that there was around 1292 (38.4%) new cases of breast cancer reported in 2020, and The diagnosis of breast cancer is usually associated with psychological stress such as Anxiety and depression that is resulting from the diagnosis itself, where if it's was incurable diseases, fear of death, fear of loss, at the end previous studies show that there is a higher prevalence of depressive disorder which is up to two to three times more than the general population. Objective: Our goal in this cross-section study is to find out the prevalence of psychological and depressive disorders correlates to breast cancer (BC) in outpatient and inpatient setting as it was approved that depression is comorbid to cancer that should not be neglected. We also aim to identify risk factors of depression among study participants like cancer stage ( initial or later), income and marital status, and type of intervention chemotherapy or radiation therapy plus their treatment sessions Method: This study was conducted at king Abdullah university hospital in Irbid, King Hussein cancer center (KHCC), and queen Alia Military hospital in Amman, Jordan. More than 400 formed the study sample include inpatient and outpatient setting of breast cancer using in them Depression and anxiety assessment scale. In the inpatient setting The Hospital Anxiety and Depression Scale (HADS) instrument used, which is a 14-question instrument given to patients in a secondary care setting to screen for the presence and severity of depression and anxiety. Also, the beck depression Inventory (BDI) used, which is a self-report rating inventory that measures characteristics, attitudes, and symptoms of depression. In the outpatient setting The PHQ-9 instrument which includes nine questions given to the patient in primary care settings. The anxious symptomatology defined by using the GAD-7 instrument with a total score of 15 and above indicating a case with severe anxious symptomatology. Results: Our study findings demonstrated a higher prevalence of depressive and anxious symptomatology in the inpatient setting and advanced disease stages. In addition, the underutilization of antidepressant therapy was observed. there for we need to consider mental disorder as part of the treatment protocol for breast cancer patient. Keywords: anxiety , antidepressants medications, breast cancer, depression, inpatient, Jordan, outpatient
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Wu, Leyi, Jing Luo, and Huihui Guo. "An interactive design solution for prenatal emotional nursing of pregnant women." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001973.
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With the continuous development of interactive technology, informatization has begun to integrate into people's life[1].Having been neglected in history, postpartum depression reminds us that we need to pay attention to maternal emotional needs and prenatal care[2]. In the current situation, it is worth researching the interactive products for prenatal emotional care. According to the survey, it is not difficult to find that some speech emotion and facial expression recognition technologies in artificial intelligence are developing Which have large potential for extensive use.[3,4]. Therefore, it is necessary and feasible to design prenatal emotional diagnosis tools for pregnant women. This study has designed a product to care for pregnant women by identifying their emotional needs through AI recognition technologies. Appropriate prenatal intervention is conducive to the prevention of postpartum depression[5,6] . The use of artificial intelligence recognition technology can provide an appropriate emotional care plan. This can reduce the difficulty of training medical personnel and the difficulty of relatives caring for pregnant women. Therefore, the risk of postpartum depression can be reduced. QUESTIONCollecting opinions and information from previous studies is an important reference for this study. Therefore, this study needs to solve the following problems.1) How to design an artificial intelligence product that can accurately diagnose the emotion of pregnant women?2) How to integrate AI facial emotion recognition technology?3) How to help nurses and their families take care of users more professionally and easily through the information database?4) How to adapt the emotional care program provided by interactive products to different pregnant women? Methods:the research methods of this study are as follows:1) Observing the working process of artificial midwives and psychologists to find Which part can be assisted by machines[7].2) To understand the emotional needs of pregnant women through interview.3) To brainstorm according to the real data collected before and research findings, and then design interactive products that can practically solve the emotional care problems of pregnant women.4) Through the experiment of AI emotion recognition technologies, the feasibility of emotion recognition is verified. CONCLUSIONS:With the continuous development of artificial intelligence, more and more artificial intelligence products have entered our life [1]. This study is aimed to help pregnant women prevent prenatal and postpartum depression and maintain their health through artificial intelligence interaction technologies. This study is exploring the solution under the help of artificial intelligence after studying the problem that prenatal and postpartum emotion are neglected. This design is still in the conceptual design stage, but it seems only a matter of time before this design is applied in the future[8]. REFERENCES:[1]. Lee H S , Lee J . Applying Artificial Intelligence in Physical Education and Future Perspectives. 2021.[2]. Beck C T . Postpartum depression: it isn't just the blues.[J]. American Journal of Nursing, 2006, 106(5):40-50.[3].Ramakrishnan S , Emary I M M E . Speech emotion recognition approaches in human computer interaction[J]. Telecommunication Systems, 2013, 52(3):OnLine-First.[4]. Samara A , Galway L , Bond R , et al. Affective state detection via facial expression analysis within a human–computer interaction context[J]. Journal of Ambient Intelligence & Humanized Computing, 2017.[5]. Clatworthy J . The effectiveness of antenatal interventions to prevent postnatal depression in high-risk women[J]. Journal of Affective Disorders, 2012, 137(1-3):25-34.[6]. Ju C H , Hye K J , Jae L J . Antenatal Cognitive-behavioral Therapy for Prevention of Postpartum Depression: A Pilot Study[J]. Yonsei Medical Journal, 2008, 49(4):553-.[7]. Fletcher A , Murphy M , Leahy-Warren P . Midwives' experiences of caring for women's emotional and mental well-being during pregnancy[J]. Journal of Clinical Nursing, 2021.[8]. Jin X , Liu C , Xu T , et al. Artificial intelligence biosensors: Challenges and prospects[J]. Biosensors & Bioelectronics, 2020, 165:112412.
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Lee, Yuk Yee Karen, and Kin Yin Li. "THE LANDSCAPE OF ONE BREAST: EMPOWERING BREAST CANCER SURVIVORS THROUGH DEVELOPING A TRANSDISCIPLINARY INTERVENTION FRAMEWORK IN A JIANGMEN BREAST CANCER HOSPITAL IN CHINA." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact003.
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"Breast cancer is a major concern in women’s health in Mainland China. Literatures demonstrates that women with breast cancer (WBC) need to pay much effort into resisting stigma and the impact of treatment side-effects; they suffer from overwhelming consequences due to bodily disfigurement and all these experiences will be unbeneficial for their mental and sexual health. However, related studies in this area are rare in China. The objectives of this study are 1) To understand WBC’s treatment experiences, 2) To understand what kinds of support should be contained in a transdisciplinary intervention framework (TIP) for Chinese WBC through the lens that is sensitive to gender, societal, cultural and practical experience. In this study, the feminist participatory action research (FPAR) approach containing the four cyclical processes of action research was adopted. WBC’s stories were collected through oral history, group materials such as drawings, theme songs, poetry, handicraft, storytelling, and public speech content; research team members and peer counselors were involved in the development of the model. This study revealed that WBC faces difficulties returning to the job market and discrimination, oppression and gender stereotypes are commonly found in the whole treatment process. WBC suffered from structural stigma, public stigma, and self-stigma. The research findings revealed that forming a critical timeline for intervention is essential, including stage 1: Stage of suspected breast cancer (SS), stage 2: Stage of diagnosis (SD), stage 3: Stage of treatment and prognosis (ST), and stage 4: Stage of rehabilitation and integration (SRI). Risk factors for coping with breast cancer are treatment side effects, changes to body image, fear of being stigmatized both in social networks and the job market, and lack of personal care during hospitalization. Protective factors for coping with breast cancer are the support of health professionals, spouses, and peers with the same experience, enhancing coping strategies, and reduction of symptom distress; all these are crucial to enhance resistance when fighting breast cancer. Benefit finding is crucial for WBC to rebuild their self-respect and identity. Collaboration is essential between 1) Health and medical care, 2) Medical social work, 3) Peer counselor network, and 4) self-help organization to form the TIF for quality care. The research findings are crucial for China Health Bureau to develop medical social services through a lens that is sensitive to gender, societal, cultural, and practical experiences of breast cancer survivors and their families."
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Zuanon, Rachel, and Rogério Augusto Bordini. "Virtual Reality-Architecture-Neurosciences: Modeling and Evaluation of Immersive And Homeodynamic Hospital Environments at CAISM-UNICAMP." In LINK 2021. Tuwhera Open Access, 2021. http://dx.doi.org/10.24135/link2021.v2i1.92.
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Studies have shown that the use of virtual reality devices (VR) as exposure therapy resources tend to produce favorable effects on the homeodynamic balance of patients with different diseases. The sensory and sensory-motor stimuli experienced through interaction with such technologies are able to promote, for instance, relief of pain intensity, stress levels reduction and reduced risks of hypertension syndrome in blood pressure tests. Thus, the emerging body of studies about the design, validation and development procedures of such ambiences is extremely fruitful and relevant, especially regarding their consistent contributions to the biological homeostasis of human beings. In this sense, this research aims to model humanized and homeodynamic hospital VR environments for nursing professionals of the Center for Integral Care to Women (CAISM-UNICAMP), capable of reducing their stress levels resulting from physical and mental overload, to which these professionals are daily exposed in the hospital settings, and further increased by the impacts of the COVID-19 pandemic. For this, the study starts from the mapping and identification of design parameters of humanized hospital environments, both through literature systematic review on transdisciplinary cooperation (e.g. between humanized hospital environments, intelligent biointerfaces and virtual reality), and data collected in field research (e.g. collection of architectural data, design, and observation of professionals’ routine and semi-structured interviews with the healthcare team, before and after the experimental protocol application). The design and conception of these virtual environments are based on the cooperation between the fields of Architecture and Cognitive and Behavioral Neurosciences, especially subsidized by the concept of Homeodynamic Environments and Products. In addition, the investigation is also based on literature reviews about the use of VR in healthcare; a set of recommendations for conducting clinical studies using VR; exploration of VR soundscapes to reduce stress levels in hospitalized patients; and guidelines for conducting usability assessments for health-related VR applications for patient treatment, rehabilitation, and medical professional training. The tests and validation of the humanized and homeodynamic ambiences modeled are conducted with the nursing professionals of CAISM-UNICAMP, with the organization of participants in experimental and control groups. Such interventions are also associated and synchronized with the performance of intelligent biointerfaces, in order to collect consistent neuropsychophysiological data, performed during the immersion of the research subjects in the simulated environments. Thus, the results of this research aim to contribute to the reduction of stress levels of CAISM-UNICAMP nursing professionals, both in pandemic and post-pandemic context.
Reports on the topic "Women Mental health;Case studies"
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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepccer236.
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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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Gorina, Marta, Sonia Lorente, Jaume Vives, and Josep-Maria Losilla. Women´s experiences during childbirth: a systematic review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.4.0123.
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Review question / Objective: General aim of this systematic review is to synthesize available evidence on women´s experiences during childbirth in health institutions and formal care settings. Specific objectives are to: 1. Describe women´s experiences during childbirth in institutional health centers. 2. Classify women´s experiences according to the Mother and Baby Friendly Birth Facility (MBFBF) criteria. 3. Describe prevalence of these experiences across different countries and cultures. 4. Determine the impact of childbirth experiences on self-perceived women's health on aspects related to physical, psychological and social domains. Condition being studied: This review will be framed within the context of the Mother and Baby Friendly Birth Facility (MBFBF). Women´s experiences during childbirth will be classified according to the categories defined by the MBFBF. Other actions or experiences, as interventionism or different procedures applied during childbirth, will be also analyzed (Mena-Tudela et al., 2020).
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Owens, Janine, G. Hussein Rassool, Josh Bernstein, Sara Latif, and Basil H. Aboul-Enein. Interventions using the Qur'an to protect and promote mental health: A systematic scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.7.0065.
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Review question / Objective: The aim of the study is to to identify interventions using the Qur'an to support mental health in Muslims. The question is How do interventions use the Qur'an to reduce psychological distress and promote mental health and wellbeing in Muslims? Eligibility criteria: Inclusion criteria: Evidence up to 31/03/22; Intervention studies; RCTs, quasi-experimental, longitudinal, cross-sectional and qualitative studies in English, French, or Arabic; Adults ≥18 years, Pregnant females attaining marriageable age ≥14; Studies focusing on the Qur’an, hadith and/or surah as a primary mental health intervention or Studies focusing on the Qur’an, hadith and/or surah as an additional form of therapy for mental health interventions. Exclusion criteria: Commentaries, narratives, editorial communications, opinion pieces, conference papers, government reports, guidance documents, book reviews, theses and dissertations, systematic, scoping, rapid and literature reviews, case studies; evidence in languages other than English, French or Arabic; Other types of studies focusing on children or adolescents; Studies excluding interventions using the Qur’an, hadith or surah or failing to differentiate between these areas and other interventions; Studies mentioning Qur’an, hadith or surah as an afterthought in the discussion.
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Madu, Laura, Jacqueline Sharp, and Bobby Bellflower. Efficacy of Integrating CBT for Mental Health Care into Substance Abuse Treatment in Patients with Comorbid Disorders of Substance Abuse and Mental Illness. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/con.dnp.2021.0004.
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Abstract: Multiple studies have found that psychiatric disorders, like mood disorders and substance use disorders, are highly comorbid among adults with either disorder. Integrated treatment refers to the treatment of two or more conditions and the use of multiple therapies such as the combination of psychotherapy and pharmacotherapy. Integrated therapy for comorbidity per numerous studies has consistently been superior to the treatment of individual disorders separately. The purpose of this QI project was to identify the effectiveness of Cognitive Behavioral Therapy (CBT) instead of current treatment as usual for treating Substance Use Disorder (SUD) or mental health diagnosis independently. It is a retrospective chart review. The review examines CBT's efficacy for engaging individuals with co-occurring mood and substance u se disorders in treatment by enhancing adherence and preventing disengagement and relapse. Methods: Forty adults aged 26-55 with a DSM-IV diagnosis of a mood disorder of Major Depressive Disorder and/or anxiety and concurrent substance use disorder (at least weekly use in the past month). Participants received 12 sessions of individual integrated CBT treatment delivered with case management over a 12-week period. Results: The intervention was associated with significant improvements in mood disorder, substance use, and coping skills at 4, 8, and 12 weeks post-treatment. Conclusions: These results provide some evidence for the effectiveness of the integrated CBT intervention in individuals with co-occurring disorders. Of note, all psychotherapies are efficacious; however, it would be more advantageous to develop a standardized CBT that identifies variables that facilitate treatment outcomes specifically to comorbid disorders of substance use and mood disorders. It is concluded that there is potentially more to be gained from further studies using randomized controlled designs to determine its efficacy.
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Sultan, Sadiqa, Maryam Kanwer, and Jaffer Mirza. A Multi-layered Minority: Hazara Shia Women in Pakistan. Institute of Development Studies (IDS), 2020. http://dx.doi.org/10.19088/creid.2020.011.
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Shia account for approximately 10–15 per cent of the Muslim population in Pakistan, which has a largely Sunni Muslim population. Anti-Shia violence, led by extremist militant groups, dates to 1979 and has resulted in thousands killed and injured in terrorist attacks over the years. Hazara Shia, who are both an ethnic and a religious minority, make an easy target for extremist groups as they are physically distinctive. The majority live in Quetta, the provincial capital of Balochistan in central Pakistan, where they have become largely ghettoised into two areas as result of ongoing attacks. Studies on the Hazara Shia persecution have mostly focused on the killings of Hazara men and paid little attention to the nature and impact of religious persecution of Shias on Hazara women. Poor Hazara women in particular face multi-layered marginalisation, due to the intersection of their gender, religious-ethnic affiliation and class, and face limited opportunities in education and jobs, restricted mobility, mental and psychological health issues, and gender-based discrimination.
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Bruce, Judith, and Shelley Clark. Including married adolescents in adolescent reproductive health and HIV/AIDS policy. Population Council, 2004. http://dx.doi.org/10.31899/pgy22.1002.
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The majority of sexually active girls aged 15–19 in developing countries are married, and married adolescent girls tend to have higher rates of HIV infection than their sexually active, unmarried peers. Married adolescent girls represent a sizable fraction of adolescents at risk and experience some of the highest rates of HIV prevalence of any group. Nonetheless, married adolescents have been marginal in adolescent HIV/AIDS policies and programs and have not been the central subjects for programs aimed at adult married women. This paper offers a partial explanation for why married adolescents have so often been overlooked, the reasons why marriage might bring elevated risk of HIV, initial analytic tools to assist policymakers in determining how to accord appropriate levels of priority to the marriage process, five brief case studies, and a menu of potential policy interventions and actions to make married adolescents an integral part of reproductive health and HIV-prevention initiatives.
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Sousa, Honorato, Filipe Manuel Clemente, Élvio Rúbio Gouveia, Adam Field, and Hugo Sarmento. Effects of changing the head coach on soccer team’s performance: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.6.0060.
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Review question / Objective: The aim of this systematic review is to analyze the effects of changing the soccer head coach on the overall team’s performance, locomotor demands of players, technical/tactical responses of players, and psychological responses of players. Eligibility criteria: P: Among professional soccer players what is the effect of head-coach replacement; E: Exposure to the change of the head-coach; C: Last weeks of the fired head-coach compared with the first weeks of the new head-coach; O: locomotor performance, sports results, mental health metrics. Inclusion criteria will be: (1) articles written in English; (2) carried out in professional football teams. Studies will be excluded if: (1) written in another language other than the one selected; (2) in the case of theses, books and non-scientific articles.
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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, et al. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepctb40.
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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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The adverse health and social outcomes of sexual coercion: Experiences of young women in developing countries. Population Council, 2004. http://dx.doi.org/10.31899/pgy22.1009.
Full textAbstract:
Although evidence from developing countries is limited, what is available suggests that significant numbers of young women have experienced coercive sex. Studies in diverse settings in Africa, Asia, and Latin America reveal that forced sexual initiation and experiences are not uncommon in all of these settings. Many young victims of abuse fear disclosure as they feel they may be blamed for provoking the incident or stigmatized for having experienced it, and suffer such incidents in silence. Presentations at a meeting held in New Delhi in September 2003 highlighted findings from recent studies that suggest an association between early experiences of sexual violence and a range of adverse physical and mental health and social outcomes. Given that data on the consequences of nonconsensual sex are limited and restricted to a few geographical settings, the scale of the problem and its implications for policies and programs are yet to be established. As noted in this document, presentations at the New Delhi meeting highlighted the need for urgent programmatic action to address young people’s vulnerability to coercive sex and its possible far-reaching consequences.
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Rethinking risk in times of COVID-19. United Nations University - Institute for Environment and Human Security (UNU-EHS), 2022. http://dx.doi.org/10.53324/wskw1341.
Full textAbstract:
The COVID-19 pandemic has been tremendously difficult for many people across the globe. What was initially viewed as a health crisis affected societies to their core, many of which were already grappling with the devastating effects of climate change, as well as other challenges such as political instability and conflict. While each of these crises has its own identifiable causes, the increasingly interconnected nature of our world means that these shocks or hazards and the knock-on effects from them cannot be viewed in isolation. Indeed, the number of record-breaking disasters witnessed over the past years and their cascading effects across sectors and borders have illuminated those interconnections as never before. Similarly, interconnections became very visible whenCOVID-19 started to spread around the globe. The unfolding pandemic prompted a range of policy measures to limit the spread of the virus and avoid health systems becoming overwhelmed. Yet the effects of these measures, including stay-at-ho-me orders and shutdown of public life, while highly important to prevent health system collapse and reduce COVID-19 fatalities, hit the most vulnerable the hardest. Underlying vulnerabilities such as poverty, precarious jobs in the informal economy, lack of access to education and, structural gender biases were exacerbated by the pandemic. This report sheds light on the complexity of risks in a highly interconnected world, and present lessons for risk management. Focusing on COVID-19, it shows how, through the interconnectedness of societies and the underlying vulnerabilities within them, the direct and indirect impacts of the pandemic have revealed the systemic nature of risk. Through a case study approach, it demonstrates how the pandemic triggered a multitude of impacts far beyond the direct health crisis, including joblessness, debt, civil and domestic violence and the derailment of their children’s education, among many others. In many locations, women suffered disproportionately, whether as a result of bias in employment patterns or other pre-existing gender biases in society. Drawing on insights from different case studies across the world, this report also offers lessons from the pandemic for understanding risk more systemically, and presents recommendations for risk management moving forward.