The Impact of Quarantine and Physical Distancing Following COVID-19 on Mental Health: Study Protocol of a Multicentric Italian Population Trial

Frontiers in Psychiatry, Journal Year: 2020, Volume and Issue: 11

Published: June 5, 2020

The COVID-19 pandemic and its related containment measures-mainly physical distancing isolation-are having detrimental consequences on the mental health of general population worldwide. In particular, frustration, loneliness, worries about future are common reactions represent well-known risk factors for several disorders, including anxiety, affective, post-traumatic stress disorders. vast majority available studies have been conducted in China, where started. Italy has severely hit by pandemic, socio-cultural context is completely different from Eastern countries. Therefore, there need methodologically rigorous aiming to evaluate impact quarantine measures Italian population. fact, our results will help us develop appropriate interventions managing psychosocial pandemic. "COVID-IT-mental trial" a no-profit, not-funded, national, multicentric, cross-sectional population-based trial which following aims: a) population; b) identify main areas be targeted supportive long-term categories people exposed Data collected through web-platform using validated assessment tools. Participants subdivided into four groups: Group 1-COVID-19 group. This group includes quarantined but not isolated, i.e., those directly contagion nor contact with COVID-19+ individuals; 2-COVID-19+ group, isolated directly/indirectly virus; c) 3-COVID-19 healthcare staff first- second-line professionals; d) 4-COVID-19 health, users services all who had already diagnosed disorder. Mental worldwide prepared yet manage short- It necessary clear picture that this new stressor well-being order disseminate other at-risk groups.

Language: Английский

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Pivotal mental states

Journal of Psychopharmacology, Journal Year: 2020, Volume and Issue: 35(4), P. 319 - 352

Published: Nov. 11, 2020

This paper introduces a new construct, the 'pivotal mental state', which is defined as hyper-plastic state aiding rapid and deep learning that can mediate psychological transformation. We believe this construct bears relevance to broad range of psychiatric phenomena. argue pivotal states serve an important evolutionary function, is, aid transformation when actual or perceived environmental pressures demand this. cite evidence chronic stress neurotic traits are primers for state, whereas acute be trigger. Inspired by research with serotonin 2A receptor agonist psychedelics, we highlight how activity at particular robustly reliably induce states, but capacity inherent property human brain itself. Moreover, hypothesize serotonergic psychedelics hijack system has evolved its need sensed. breadth evidences linking via variety inducers, upregulated (e.g. availability and/or binding receptor) 5-HT release, activate primed state. The model multi-level, specific molecular gateway (increased signaling) inception mind enhanced rate associative potential mediation

Language: Английский

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Recorded Mental Health Recovery Narratives as a Resource for People Affected by Mental Health Problems: Development of the Narrative Experiences Online (NEON) Intervention

JMIR Formative Research, Journal Year: 2021, Volume and Issue: 5(5), P. e24417 - e24417

Published: May 27, 2021

The internet enables sharing of narratives about health concerns on a substantial scale, and some digital have been integrated into interventions. Narratives describing recovery from problems are focus research, including those presented in recorded (eg, invariant) form. No clinical trial has conducted web-based intervention providing access to collection Recorded Recovery (RRNs).This study presents knowledge produced through the development Narrative Experiences Online (NEON) Intervention, incorporating algorithmic recommendation RRNs.Knowledge was gathered integration (KI) activities. KI1 synthesized previous studies produce NEON Impact Model how accessing RRNs produces health-related outcomes. KI2 developed curation principles for Collection consultation with Lived Experience Advisory Panel preliminary collection. KI3 identified harm minimization strategies Intervention International Board Panel. finalized 2 research (RS). In RS1, mental service users (N=40) rated immediate impact randomly validate narrative feedback questions used inform algorithm. RS2, (n=25) were interviewed their response prototype procedures then again after 1 month use. usability acceptability evaluated refinements made.KI1 Model, which identifies moderators (recipient context), mechanisms connection (reflection, comparison, learning, empathy), processes (identification change structure or content internalization observed change), outcomes (helpful unhelpful). 22 principles, mission build large, heterogeneous maximize opportunities connection. seven strategies, warnings, proactive reactive blocking narratives, resources self-management emotional distress. RS1 found variation different participants, indicating that participant-level individual is needed recommender system. order presentation did not predict feedback. RS2 amendments Intervention. Participants accessed multiple times, use reduced over 4-week period, provided 31.8% (105/330) accesses.RRNs can be Evaluating feasible. mixed methods design developing guide its extension other populations, interventions, narrative-based interventions health.

Language: Английский

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Living a Meaningful Life While Struggling with Mental Health: Challenging Aspects Regarding Personal Recovery Encountered in the Mental Health System

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(5), P. 2708 - 2708

Published: March 8, 2021

Based upon academic and clinical experience from Denmark, this article aims to highlight international research-based knowledge concerning challenging aspects about the understanding implementation of recovery-oriented practice. Three key points are located: (a) An integrative biopsychosocial approach considering both personal recovery perspectives is relevant for research (b) Barriers in implementing a include individual systemic challenges. This well documented literature, highlighting need changes. (c) A shift professional control service-user orientation seen as crucial. Examples positive seen, helping health professionals their development practicing skills competences through education formation. Within these perspectives, paradigm one-dimensional biomedical suggested. Instead focusing on rapid stabilisation symptom relief outcome, humanistic building social- person-oriented values fundamental social leading meaningful life.

Language: Английский

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‘It just stops me from living’: A qualitative study of losses experienced by women with self‐reported endometriosis

Journal of Advanced Nursing, Journal Year: 2023, Volume and Issue: 79(10), P. 3888 - 3898

Published: June 21, 2023

Abstract Aims To understand the experience of loss in Australian women with endometriosis. Design A total 532 participants completed an online survey containing three open‐ended questions relating to pelvic pain and activity due Participants were aged between 18 50 years (M = 30.8, SD 7.1) a self‐reported diagnosis An inductive, qualitative approach, template analysis was used identify organize themes. pragmatic feminist perspective interpret findings. Results Three main themes identified: liberty: ‘I'm trapped house’; bodily autonomy: ‘I can barely move/breathe/talk’ connection: ‘It stops me from being social’. Pain emerged as greatest concern for participants, preventing them physical functioning required participate many life's activities. Conclusions The losses endometriosis are wide‐reaching, restricting control choice across multiple life domains. Losses often unacknowledged by loved ones healthcare providers, further impacting physical, emotional mental health participants. Patient or Public Contribution People involved design study, including identifying topics interest.

Language: Английский

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Impact of receiving recorded mental health recovery narratives on quality of life in people experiencing psychosis, people experiencing other mental health problems and for informal carers: Narrative Experiences Online (NEON) study protocol for three randomised controlled trials

Trials, Journal Year: 2020, Volume and Issue: 21(1)

Published: July 20, 2020

Abstract Background Mental health recovery narratives have been defined as first-person lived experience accounts of from mental problems which refer to events or actions over a period time and include elements adversity struggle, also self-defined strengths, successes survival. They are readily available in invariant recorded form, including text, audio video. Previous studies provided evidence that receiving can provide benefits recipients. This protocol describes three pragmatic trials will be conducted by the Narrative Experiences Online (NEON) study using NEON Intervention, web application delivers its users. The aim Trial is understand whether online through Intervention people with psychosis. NEON-O NEON-C evaluate feasibility conducting definitive trial on use experiencing non-psychosis those who care for others respectively. Methods recruit 683 participants at least 100 problems. caring experienced In all trials, randomly allocated into one two arms. arm receive treatment usual plus immediate access 1 year. Control after All complete demographics outcome measures baseline, week, 12 weeks 52 weeks. For Trial, primary measure Manchester Short Assessment Quality Life weeks, secondary CORE-10, Herth Hope Index, Health Confidence Scale Meaning Questionnaire. A cost-effectiveness analysis data collected EQ-5D-5 L Client Service Receipt Inventory. Discussion analyses establish both effectiveness psychosis, hence inform future clinical recommendations this population. registration were prospectively registered ISRCTN. Trial: ISRCTN11152837 . Registered 13 August 2018. ISRCTN76355273 9 January 2020. ISRCTN63197153

Language: Английский

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Post-traumatic growth in psychosis: a systematic review and narrative synthesis

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Dec. 1, 2021

People with psychosis report experiences of highly traumatic events. Positive change or post-traumatic growth (PTG) can occur as a result experiences. Yet there is limited attention on PTG in psychosis, possibly due to the negative impact psychotic symptoms functioning and quality life. The aim this review was identify significant correlates mediators develop conceptual framework synthesising facilitators psychosis.Ten electronic databases were searched seven languages, five journals grey literature English. Quantitative studies eligible if examining correlates, mediators, temporal relationship between one more variables. Qualitative describing arising from psychosis. Findings quantitative papers grouped by analysis method, relationships descriptively reported upon. Narrative synthesis conducted findings qualitative papers.Thirty-seven included. Significant identified. Mediators included meaning life, coping self-efficacy, core beliefs, self-reported recovery. No narrative identified psychosis: Personal identity strength, Receiving support, Opportunities possibilities, Strategies for coping, Perspective shift, Emotional experience, Relationships, giving acronym PROSPER.Individuals be supported grow Clinicians support through provision trauma-informed care that supports positively valued changes. For researchers, provide an evidence-based theoretical conceptualising PTG, which validated longitudinal cohort underpin development new clinical interventions.

Language: Английский

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Vicarious Post-traumatic Growth in Professionals Exposed to Traumatogenic Material: A Systematic Literature Review

Trauma Violence & Abuse, Journal Year: 2022, Volume and Issue: 24(3), P. 1848 - 1866

Published: April 29, 2022

Repeated exposure to traumatogenic material as part of work with traumatised individuals can have detrimental effects on professionals’ well-being. Growing research has explored this phenomenon, known ‘vicarious traumatisation’. Nevertheless, little focused the positive professionals, namely, post-traumatic growth’. This literature review aims identify existing demonstrating mental health experiences growth, along environmental and personal factors that facilitate growth. Eight qualitative seven quantitative articles were identified following a systematic search six electronic databases assessed for their quality using standardised checklists. Qualitative studies Quality Appraisal Checklist Studies (NICE, 2012), Tool Cross-Sectional (Downes et al., 2016). Professionals described changes in way they view themselves, value place relationships appreciation life. Important organisational traits significant predictors Our findings potential inform practical recommendations directions future research.

Language: Английский

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Recovery-Oriented Practices in Community-based Mental Health Services: A Systematic Review

Iranian Journal of Psychiatry, Journal Year: 2023, Volume and Issue: unknown

Published: June 24, 2023

Objective: New initiatives are needed to manage patients with mental health problems in the community. Among core principal ideals of any healthcare system is transition from traditional services community-based practices. The aim this study was assess and recovery-oriented practices interventions for individuals problems. Method: MESH keywords, including “mental recovery”, “rehabilitation”, “aftercare”, “community psychiatry”, service” were searched scientific databases such as Medline, EMBASE, PsychInfo, CINAHL, Cochrane up July 2022. A snowball search also conducted on eligible studies. methodological quality studies determined by Kmet standard criteria. Results: systematic review included 32 studies, all which demonstrated a moderate high promising effect or programs severe illness. These could help find suitable jobs, avoid isolation stigma, improve communication skills, increase awareness problems, foster independence. highlighted pivotal role nurses, artistic sports activities, electronic (E)-mental health, home visits, psychoeducation, special recovery programs. Conclusion: Community-based should be used an effective means normalizing lives psychiatric patients. In essence, cultivating hope empowering these patients, many concerns systems can eradicated.

Language: Английский

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Societal and organisational influences on implementation of mental health peer support work in low-income and high-income settings: a qualitative focus group study

BMJ Open, Journal Year: 2023, Volume and Issue: 13(8), P. e058724 - e058724

Published: Aug. 1, 2023

Objectives Despite the established evidence base for mental health peer support work, widespread implementation remains a challenge. This study aimed to explore societal and organisational influences on of work in low-income high-income settings. Design Study sites conducted two focus groups local languages at each site, using topic guide based conceptual framework describing eight worker (PSW) principles five issues. Transcripts were translated into English an inductive thematic analysis was characterise influences. Setting The took place tertiary three secondary healthcare as part Using Peer Support Developing Empowering Mental Health Services (UPSIDES) study, comprising (Hamburg Ulm, Germany; Be’er Sheva, Israel) (Dar es Salaam, Tanzania; Kampala, Uganda) chosen diversity both region experience work. Participants 12 (including total 86 participants), across Ulm (n=2), Hamburg Dar Salaam Sheva (n=2) Kampala (n=4). Three individual interviews also done Kampala. All participants met inclusion criteria: aged over 18 years; actual or potential PSW clinician hospital/community manager regional/national policy-maker; able give informed consent. Results Six themes relating identified: community staff attitudes, resource availability, culture, role definition, training network. Conclusions is first multicountry attitudes culture support. Addressing community-level discrimination developing recovery orientation systems can contribute effective relationship between stigma about allocation decisions warrants future investigation. Trial registration number ISRCTN26008944 .

Language: Английский

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