Journal articles: 'Physical and mental challenges'

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Winter, George F. "COVID-19: what are the physical and mental challenges?" British Journal of Midwifery 28, no. 6 (June 2, 2020): 342–43. http://dx.doi.org/10.12968/bjom.2020.28.6.342.

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Zakaria, Ezarina. "WOMEN ENTREPRENEURS WITH PHYSICAL DISABILITIES ECONOMIC EMPOWERMENT: CHALLENGES IN STARTING BUSINESS." International Journal of Psychosocial Rehabilitation 24, no. 4 (February 28, 2020): 4252–67. http://dx.doi.org/10.37200/ijpr/v24i4/pr201533.

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Dursun, Serdar, Timothy G. Dinan, Chris Bushe, and Jogin Thakore. "Challenges in advancing mental and physical health of patients with serious mental illness." Journal of Psychopharmacology 19, no. 6_suppl (November 2005): 3–5. http://dx.doi.org/10.1177/0269881105058969.

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Druss, Benjamin G., and John W. Newcomer. "Challenges and Solutions to Integrating Mental and Physical Health Care." Journal of Clinical Psychiatry 68, no. 04 (April 15, 2007): e09. http://dx.doi.org/10.4088/jcp.0407e09.

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Joo, Jin Hui, and Rheanna Platt. "The promise and challenges of integrating mental and physical health." International Review of Psychiatry 30, no. 6 (November 2, 2018): 155–56. http://dx.doi.org/10.1080/09540261.2019.1574477.

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Woods, Tracy. "Physical health care challenges for consumers of mental health services." Psychiatric Rehabilitation Journal 34, no. 4 (2011): 332–33. http://dx.doi.org/10.2975/34.4.2011.332.333.

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Kane, Michael N., and Robin J. Jacobs. "Assumptions about Frailty and the Tenacity of Ageism among Care Professionals." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 72, no. 3 (September 2018): 190–94. http://dx.doi.org/10.1177/1542305018788527.

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Health, mental health, and pastoral care professionals encourage individuals to care for themselves in order to age successfully. Younger persons who live with long-term physical or mental health challenges are perceived as disabled or health-challenged. When older persons possess long-term physical or psychiatric challenges the older individual is perceived as frail or with deficits. Implications for clinical and pastoral care are considered as a result of perceptions of frailty in an ageist culture.

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Turvey, M. T., and Miguel A. Moreno. "Physical metaphors for the mental lexicon." Mental Lexicon 1, no. 1 (May 5, 2006): 7–33. http://dx.doi.org/10.1075/ml.1.1.04tur.

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A variety of metaphors inspired by contemporary developments and issues in physics are identified as potentially helpful to theory and experiments directed at the mental lexicon. The developments are very much in respect to systems regarded as complex from the perspective of established physical explanation. The issues are primarily those associated with the context dependencies of properties and functions broadly evident in natural systems at both macroscopic and microscopic scales. Ideally, the metaphors may bring new questions, methods, principles, and formalisms to bear on the investigation of the mental lexicon. Minimally, they should enhance appreciation for the scientific challenges posed by the mental lexicon’s diverse structures and functions.

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Costa, Elísio. "208 - DIGITAL SOLUTIONS FOR PHYSICAL AND MENTAL HEALTHY AGEING." International Psychogeriatrics 32, S1 (October 2020): 48–49. http://dx.doi.org/10.1017/s1041610220001982.

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Digital Solutions have recently come into the spotlight to address well-known political, economic and societal challenges raised by the unprecedented phenomenon of population ageing. Most of the digital solutions aim "ageing in place" by allowing old people and their families to manage disease and stay home and independent as far as possible. The Symposia "Digital Solution for Physical and Mental Health Ageing" aims to debate on the application of digital solutions for promoting a physically and mentally healthy ageing, by analysing challenges and good practices and future work in this hectic field. Some technologies and apps in the fields of therapy adherence in dementia, caregivers of people with dementia support; frailty screening and referral and how reuse the biomedical, and finally how to evaluate health multi-national pilots will be addressed.

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Van Woudenberg, Mariel, Jean Shin, Manon Bernard, Catriona Syme, Michal Abrahamowicz, Gabriel Leonard, Michel Perron, et al. "CYP17A1and Blood Pressure Reactivity to Stress in Adolescence." International Journal of Hypertension 2015 (2015): 1–9. http://dx.doi.org/10.1155/2015/734586.

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Adolescents who exhibit exaggerated blood pressure (BP) reactivity to physical and mental challenges are at increased risk of developing hypertension in adulthood. BP at rest and in response to challenges is higher in males than females, beginning in early adolescence.CYP17A1is one of the well-established gene loci of adult hypertension. Here, we investigated whether this gene locus is associated with elevated BP at rest and in response to physical (active standing) and mental (math stress) challenges in adolescence. We studied 496 male and 532 female adolescents (age 12–18 years) who were recruited from a genetic founder population. Our results showed that the variant ofCYP17A1rs10786718 was associated with enhanced BP reactivity to the mental but not physical challenge and in males but not females. In males, BP increase in response to math stress was higher in major versus minor allele homozygotes by 7.6 mm Hg (P=8.3×10-6). Resting BP was not associated with theCYP17A1variant in either sex. These results suggest that, in adolescent males but not females,CYP17A1enhances BP reactivity to mental stress. Whether this effect contributes to the higher prevalence of hypertension in males than females later in life remains to be determined.

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Chandratre, Sonal. "Medical Students and COVID-19: Challenges and Supportive Strategies." Journal of Medical Education and Curricular Development 7 (January 2020): 238212052093505. http://dx.doi.org/10.1177/2382120520935059.

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As coronavirus disease 2019 (COVID-19) pandemic continues to spread across the world, it is also adversely affecting medical student education. In addition, COVID-19 poses several challenges to medical students’ physical and mental health and their professional identity formation. Medical students are experiencing increasing anxiety due to the COVID-19 disruption. Medical students show higher rates of depression, suicidal ideation, and stigmatization around depression and are less likely to seek support. It is therefore important to safeguard their mental health and implement effective strategies to support their educational, physical, mental, and professional well-being.

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Marzukhi, Marlyana Azyyati, Nur Masyitah Ghazali, Oliver Hoon Leh Ling, and Na’asah Nasrudin. "Confronting Mental Disorder in Urban Physical Setting." Environment-Behaviour Proceedings Journal 5, no. 14 (July 1, 2020): 311–16. http://dx.doi.org/10.21834/ebpj.v5i14.2180.

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Mental health issues have many causes, including the changing and unpredictable elements of the urban physical setting. Thus, this research is crucial to understand the mental health challenges of the urban population in Malaysia. Therefore, the objective of this research is to assess the magnitude of mental health outcomes and associated factors of the urban physical setting among the urban population. A study was carried out at two low-cost flats in Lembah Pantai, Kuala Lumpur, with a sample size of 102 respondents. The findings show that there is a correlation between the urban physical environment setting, particularly green spaces with mental disorders (depression, anxiety, and stress). Keywords: urban planning; environment; mental; health. eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI:

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Calkins, Susan D., Jessica M. Dollar, and Laurie Wideman. "Temperamental vulnerability to emotion dysregulation and risk for mental and physical health challenges." Development and Psychopathology 31, no. 3 (May 17, 2019): 957–70. http://dx.doi.org/10.1017/s0954579419000415.

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AbstractEmotion dysregulation characterizes many forms of psychopathology. Patterns of dysregulation occur as a function of a developmental process in which normative and adaptive emotion regulation skills fail to become part of the child's behavioral repertoire due to biological, psychological, and contextual processes and experiences. Here we highlight the processes involved in the dysregulation of temperamental anger and frustration that become core features of externalizing problems and place children at risk for more serious forms of psychopathology. We imbed these processes in a larger self-regulatory framework, and we discuss how they influence mental as well as physical health, using data from our 20-year longitudinal study following a large cohort of children into young adulthood. Recommendations are made for future research involving the integration of biological systems with mental and physical health outcomes.

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Jochelson, Karen. "Smoke-free legislation and mental health units: the challenges ahead." British Journal of Psychiatry 189, no. 6 (December 2006): 479–80. http://dx.doi.org/10.1192/bjp.bp.106.029942.

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SummaryUnder the proposed English Health Act regulations most mental health units will have to be smoke-free, although patients will be able to smoke outside. Implementing the regulations will be challenging but may also be an opportunity for a more holistic approach focusing on the physical and psychological health of patients.

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Krok-Schoen, Jessica L., Janell Pisegna, Elizabeth Arthur, Emily Ridgway, Christian Stephens, and Ashley Elizabeth Rosko. "Healthy lifestyle challenges among older female cancer survivors." Journal of Clinical Oncology 38, no. 29_suppl (October 10, 2020): 156. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.156.

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156 Background: Healthy lifestyles including consuming a healthy diet, being physically active, and maintaining a normal weight can improve prognosis and health-related quality of life (HRQoL) among cancer survivors. The largest proportion of cancer survivors are older adults (≥65 years), yet their lifestyle behaviors are understudied. This study examined the lifestyle behaviors (diet quality, physical activity, maintaining healthy weight) of older female cancer survivors and associations with HRQoL. Methods: Women aged 65 years or older, with all cancer subtypes and stages, who had completed primary cancer treatment (i.e., chemotherapy, surgery, radiation) within the past five years, were eligible to participate. Older female cancer survivors (n = 171) completed one-time surveys to assess HRQoL (RAND-36), unintentional weight loss, body mass index (BMI), diet quality (Diet History Questionnaire II), and physical activity. Demographic information and medical record data were also collected. Diet History Questionnaire II results were converted to Healthy Eating Index (HEI)-2015 scores. Descriptive analyses, correlations, and stepwise linear regressions were utilized. Results: The majority of the sample (median age = 74.50±8.43 years) were white (90%), married (54.7%), breast cancer survivors (67.7%), and completed at least a bachelor’s degree (54.7%). Physical and mental HRQoL of the sample were low; 41.94±10.50 and 48.47±7.18, respectively, out of 100. Physical activity was low; 75.3%, 54.2%, and 68.1% reported no strenuous, moderate, and mild physical activity, respectively. Mean BMI was 27.71±6.24 (overweight), with 64% of the participants being overweight or obese. Mean HEI-2015 scores were 66.54+10.0 out of 100 and below the cutoff score of 80, which represents a “good diet”. Participating in moderate physical activity was associated with higher physical HRQoL (β = 0.42, p = 0.004). Being older (β = 0.27, p = 0.025), white (β = 0.53, p < 0.001), and having higher HEI scores (β = 0.30, p = 0.011) was associated with higher mental HRQoL. Conclusions: Older female cancer survivors reported lifestyle challenges including poor diet quality, low levels of physical activity, and high rates of being overweight or obese, which were associated with HRQoL. Results indicate the need for tailored health interventions for older female cancer survivors regarding their lifestyle behaviors to improve prognosis and HRQoL.

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Blandy, Doug, Ernest Pancsofar, and Tom Mockensturm. "Guidelines for Teaching Art to Children and Youth Experiencing Significant Mental/Physical Challenges." Art Education 41, no. 1 (January 1988): 60. http://dx.doi.org/10.2307/3194135.

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Naslund, J. A., K. A. Aschbrenner, L. A. Marsch, and S. J. Bartels. "The future of mental health care: peer-to-peer support and social media." Epidemiology and Psychiatric Sciences 25, no. 2 (January 8, 2016): 113–22. http://dx.doi.org/10.1017/s2045796015001067.

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Aims:People with serious mental illness are increasingly turning to popular social media, including Facebook, Twitter or YouTube, to share their illness experiences or seek advice from others with similar health conditions. This emerging form of unsolicited communication among self-forming online communities of patients and individuals with diverse health concerns is referred to as peer-to-peer support. We offer a perspective on how online peer-to-peer connections among people with serious mental illness could advance efforts to promote mental and physical wellbeing in this group.Methods:In this commentary, we take the perspective that when an individual with serious mental illness decides to connect with similar others online it represents a critical point in their illness experience. We propose a conceptual model to illustrate how online peer-to-peer connections may afford opportunities for individuals with serious mental illness to challenge stigma, increase consumer activation and access online interventions for mental and physical wellbeing.Results:People with serious mental illness report benefits from interacting with peers online from greater social connectedness, feelings of group belonging and by sharing personal stories and strategies for coping with day-to-day challenges of living with a mental illness. Within online communities, individuals with serious mental illness could challenge stigma through personal empowerment and providing hope. By learning from peers online, these individuals may gain insight about important health care decisions, which could promote mental health care seeking behaviours. These individuals could also access interventions for mental and physical wellbeing delivered through social media that could incorporate mutual support between peers, help promote treatment engagement and reach a wider demographic. Unforeseen risks may include exposure to misleading information, facing hostile or derogatory comments from others, or feeling more uncertain about one's health condition. However, given the evidence to date, the benefits of online peer-to-peer support appear to outweigh the potential risks.Conclusion:Future research must explore these opportunities to support and empower people with serious mental illness through online peer networks while carefully considering potential risks that may arise from online peer-to-peer interactions. Efforts will also need to address methodological challenges in the form of evaluating interventions delivered through social media and collecting objective mental and physical health outcome measures online. A key challenge will be to determine whether skills learned from peers in online networks translate into tangible and meaningful improvements in recovery, employment, or mental and physical wellbeing in the offline world.

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Smith, Erin C., Lisa Holmes, and Frederick M. Burkle. "Exploring the Physical and Mental Health Challenges Associated with Emergency Service Call-Taking and Dispatching: A Review of the Literature." Prehospital and Disaster Medicine 34, no. 6 (October 22, 2019): 619–24. http://dx.doi.org/10.1017/s1049023x19004990.

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AbstractIntroduction:Emergency service (ambulance, police, fire) call-takers and dispatchers are often exposed to duty-related trauma, placing them at increased risk for developing mental health challenges like stress, anxiety, depression, and posttraumatic stress disorder (PTSD). Their unique working environment also puts them at-risk for physical health issues like obesity, headache, backache, and insomnia. Along with the stress associated with being on the receiving end of difficult calls, call-takers and dispatchers also deal with the pressure and demand of following protocol despite dealing with the variability of complex and stressful situations.Methods:A systematic literature review was conducted using the MEDLINE, PubMed, CINAHL, and PsychInfo databases.Results:A total of 25 publications were retrieved by the search strategy. The majority of studies (n = 13; 52%) reported a quantitative methodology, while nine (36%) reported the use of a qualitative research methodology. One study reported a mixed-methods methodology, one reported an evaluability assessment with semi-structured interviews, one reported on a case study, and one was a systematic review with a narrative synthesis.Discussion:Challenges to physical health included: shift-work leading to lack of physical activity, poor nutrition, and obesity; outdated and ergonomically ill-fitted equipment, and physically confining and isolating work spaces leading to physical injuries; inadequate breaks leading to fatigue; and high noise levels and poor lighting being correlated with higher cortisol levels. Challenges to mental health included: being exposed to traumatic calls; working in high-pressure environments with little downtime in between stressful calls; inadequate debriefing after stressful calls; inappropriate training for mental-health-related calls; and being exposed to verbally aggressive callers. Lack of support from leadership was an additional source of stress.Conclusion:Emergency service call-takers and dispatchers experience both physical and mental health challenges as a result of their work, which appears to be related to a range of both operational and support-based issues. Future research should explore the long-term effects of these physical and mental health challenges.

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McDaniel, Susan A. "Challenges to Mental Health Promotion Among Working Women in Canada." Canadian Journal of Community Mental Health 12, no. 1 (April 1, 1993): 201–10. http://dx.doi.org/10.7870/cjcmh-1993-0011.

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Health promotion efforts have concentrated on promoting physical well-being with psychological benefits perhaps most often among men. With greater proportions of women now working, the workplace provides excellent opportunities for health promotion and education for women. Given increasing recognition that stress, multiple roles, and inadequate job rewards result in loss of productivity, absenteeism, illness, addiction, and premature death, it seems time to explore workplace programs of mental health promotion aimed specifically toward women workers. In this paper, current knowledge about the mental health problems experienced by working women is outlined. Some principles on which mental health promotion programs for women in the workplace might build are specified.

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Abbas, Syed Mudasser, and Professor Liu Zhiqiang. "COVID19, mental wellbeing and work engagement." International Journal of Research in Business and Social Science (2147- 4478) 9, no. 4 (July 11, 2020): 356–65. http://dx.doi.org/10.20525/ijrbs.v9i4.760.

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The aim of this study is to explore how COVID-19 influences the mental health of old age employees by posing challenges to psychological resilience thus affecting their work engagement. The data was collected from three countries, China, Pakistan, and the UK, through eighteen semi-structured interviews. Three sub-themes emerged under the core theme of “psychological challenges”: “cognitive challenges”, “physical challenges”, and “behavioral challenges”. Similarly, “individual resilience” and “group resilience” emerged under the core theme of “psychological resilience”. The results showed that the mental health of old age employees without having any medical complications was also affected during the pandemic thus resulting in low work engagement. The data was collected from three countries namely China, Pakistan, and the UK. Furthermore, data were collected through telephonic interviews so some aspects of the study might be left unexplored which can only be possible through face to face interaction. This study, in line with the previous literature, indicate that challenges explored related to COVID-19 can significantly influence the mental wellbeing of aging employees. The study also encourages employers to understand the limitations of aging employees and develop flexible policies that can have a positive impact on work engagement. The study presents a novel approach contributing to the knowledge gap of COVID-19 impact on wellbeing and work engagement of healthy but senescent employees.

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Ziegler, Michael G., and Janice V. Meck. "Physical and Psychological Challenges of Space Travel: An Overview." Psychosomatic Medicine 63, no. 6 (November 2001): 859–61. http://dx.doi.org/10.1097/00006842-200111000-00001.

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Dubbert, Patricia M. "Physical activity and exercise: Recent advances and current challenges." Journal of Consulting and Clinical Psychology 70, no. 3 (2002): 526–36. http://dx.doi.org/10.1037/0022-006x.70.3.526.

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Smith, Erin C., Lisa Holmes, and Frederick M. Burkle. "The Physical and Mental Health Challenges Experienced by 9/11 First Responders and Recovery Workers: A Review of the Literature." Prehospital and Disaster Medicine 34, no. 6 (October 18, 2019): 625–31. http://dx.doi.org/10.1017/s1049023x19004989.

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AbstractIntroduction:In the years following the September 11, 2001 terrorist attacks in New York (USA), otherwise known as 9/11, first responders and recovery workers began experiencing a range of physical and mental health challenges. Publications documenting these provide an important evidence-base identifying exposure-related health challenges associated with environmental exposures from the World Trade Center (WTC) site and describe the key lessons learned regarding both physical and mental health challenges (including symptoms and defined conditions) from the 9/11 disaster response.Methods:A systematic literature review was conducted using the MEDLINE, PubMed, CINAHL, and PsychInfo databases (September 11, 2001 to September 11, 2018) using relevant search terms, truncation symbols, and Boolean combination functions. Publications were limited to journal articles that documented the physical or mental health challenges of 9/11 on first responders or recovery workers.Results:A total of 156 publications were retrieved by the search strategy. The majority (55%) reported a quantitative methodology, while only seven percent reported the use of a qualitative research methodology. Firefighters were the group of responders most frequently reported in the literature (35%), while 37% of publications reported on research that included a mix of first responders and recovery workers. Physical health was the focus of the majority of publications (57%). Among the challenges, respiratory issues were the physical health condition most frequently reported in publications, while posttraumatic stress disorder (PTSD) was the most frequent mental health condition reported on. Publications were published in a broad range of multi-disciplinary journals (n = 75).Discussion:These findings will go some way to filling the current gap in the 9/11 evidence-base regarding the understanding of the long-term health challenges for first responders and recovery workers.

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Upadhyaya, K. D. "Stress Management For Good Physical And Mental Health." Journal of Psychiatrists' Association of Nepal 4, no. 2 (September 29, 2017): 33–35. http://dx.doi.org/10.3126/jpan.v4i2.18321.

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Stress can have a negative impact on just about every part of your body. It can suppress your immune system, cause a heart attack, or stroke, increase your risk of cancer, delay wound healing, promote inflammation, cause you to gain weight, impair your memory, cause depression, exacerbate diabetes and worsen your sexual function. Stress also makes you age faster….Dean Ornish MD : The Spectrum Stress is a physical or emotional reaction / response to any kind of change which may be external, internal or both. External pressure for example can be due to job stress, competition, challenges or frequently changing government policies etc. Internal pressure is mainly due to negative thoughts, fear, and anxiety. There is a individual variation in stress response. Many people have inner strength or resilience to manage day to day stress and cumulative stress well. People who have learned to manage stress also minimize the effect of stress. Those who do not have good inner strength and who have not learned the management of stress suffer a lot because of stress.Whenever there is stress, brain tells the body to release some chemicals so that the body is ready for the fight or flight reaction to deal with immediate danger.

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Anishchenko, Lesya. "Challenges and Potential Solutions of Psychophysiological State Monitoring with Bioradar Technology." Diagnostics 8, no. 4 (October 17, 2018): 73. http://dx.doi.org/10.3390/diagnostics8040073.

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Psychophysiological state monitoring provides a promising way to detect stress and accurately assess wellbeing. The purpose of the present work was to investigate the advantages of utilizing a new unobtrusive multi-transceiver system on the accuracy of remote psychophysiological state monitoring by means of a bioradar technique. The technique was tested in laboratory conditions with the participation of 35 practically healthy volunteers, who were asked to perform arithmetic and physical workload tests imitating different types of stressors. Information about any variation in vital signs, registered by a bioradar with two transceivers, was used to detect mental or physical stress. Processing of the experimental results showed that the designed two-channel bioradar can be used as a simple and relatively easy approach to implement a non-contact method for stress monitoring. However, individual specificity of physiological responses to mental and physical workloads makes the creation of a universal stress-detector classifier that is suitable for people with different levels of stress tolerance a challenging task. For non-athletes, the proposed method allows classification of calm state/mental workload and calm state/physical workload with an accuracy of 89% and 83% , respectively, without the usage of any additional a priori information on the subject.

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Ceñido, Joshua F., C. Freeman, and Shahrzad Bazargan-Hejazi. "Environmental Interventions for Physical and Mental Health: Challenges and Opportunities for Greater Los Angeles." International Journal of Environmental Research and Public Health 16, no. 12 (June 20, 2019): 2180. http://dx.doi.org/10.3390/ijerph16122180.

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The fields of urban planning and public health were conceived under the same pressures and goals at their inception in the 17th and 18th centuries and continue to address the health concerns of an ever-increasing urban population. While the mutual need that both philosophies have for each other becomes more tangible through research and practice, the application of their interrelatedness continues to benefit residents and visitors of mindfully-built environments. In health-conscious Los Angeles, there lacks a comprehensive assessment of health-centered considerations being implemented by those entrusted with the responsibility of shaping our cities. As a greater majority of the world’s population moves into urban settings, built environment interventions play a progressively vital role in addressing physical and mental health concerns. This piece hopes to bring to attention the need for focused and dynamic approaches in addressing health concerns by means of design, planning, and policy, by focusing on the challenges and opportunities faced by the geographic and human resources of the Greater Los Angeles area.

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Berktaş, Nabıle, Mehmet Yanardağ, İlker Yılmaz, Özgen Aras, Ferman Konukman, and Adnan Boyacı. "The effects of inclusion class programmes on physical fitness for children with mental challenges." Developmental Neurorehabilitation 14, no. 6 (December 2011): 389–93. http://dx.doi.org/10.3109/17518423.2011.623141.

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Deakin, Bill, Nicol Ferrier, Richard IG Holt, Helen Millar, David J. Nutt, Gavin Reynolds, Nilesh Samani, and David Taylor. "The physical health challenges in patients with severe mental illness: cardiovascular and metabolic risks." Journal of Psychopharmacology 24, no. 1_suppl (July 27, 2010): 1–8. http://dx.doi.org/10.1177/1359786810374863.

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Sivakumar, Palanimuthu Thangaraju, Shiva Shanker Reddy Mukku, Nilamadhab Kar, Narayana Manjunatha, Vivek Haridas Phutane, Preeti Sinha, Channaveerachari Naveen Kumar, and Suresh Bada Math. "Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers." Indian Journal of Psychological Medicine 42, no. 5_suppl (October 2020): 41S—46S. http://dx.doi.org/10.1177/0253717620958380.

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Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.

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Komer, Leah. "COVID-19 amongst the Pandemic of Medical Student Mental Health." International Journal of Medical Students 8, no. 1 (April 30, 2020): 56–57. http://dx.doi.org/10.5195/ijms.2020.501.

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The medical community has been greatly impacted by the COVID-19 pandemic. As medical students, we face unique challenges and uncertainty during this time. While the world gears up to fight the battle with this physical illness, our battle with mental health should not be forgotten. Medical students are disproportionately affected by mental health issues and psychological distress. This experience piece aims to shed light on these challenges and provoke a discussion around mental health in medical students during these trying times.

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Baur, Baijayanti. "Overcoming Mental Health Challenges during Pandemic: Arguing in favour of Incorporation of Community Mental Health in Undergraduate Medical Curriculum." Journal of Comprehensive Health 9, no. 1 (June 30, 2021): 3–4. http://dx.doi.org/10.53553/jch.v09i01.002.

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The rapid and progressing Covid-19 pandemic is building an upsurge of fear, anxiety and stress globally. Repeated episodes of lock down, physical distancing norms, work from home culture in the new normal scenario, travel restrictions, school shutdown, home isolation and quarantine, bed and oxygen crisis, prolonged hospitalization, post Covid morbidities and deaths, Covid orphans, loss of job, lack of recreation, loneliness and the others cumulatively are contributing to tremendous stress on individual mental health. Though by definition ‘Health’ includes “mental wellbeing” apart from physical and social wellbeing but the mental health issues have largely been pushed into backstage in this current pandemic conundrum.

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Bannigan, Katrina, and Jane Cronin-Davis. "Reflecting on the grand challenges in global mental health." International Journal of Therapy and Rehabilitation 20, no. 5 (May 2, 2013): 226–27. http://dx.doi.org/10.12968/ijtr.2013.20.5.226.

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Shahid, Hina J. "Poverty and health: The challenges for GPs." InnovAiT: Education and inspiration for general practice 11, no. 2 (February 2018): 109–14. http://dx.doi.org/10.1177/1755738017745698.

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Poverty and poor health are closely linked in a complex relationship. The prevalence of poverty in the UK is growing, resulting in widening health inequalities. Poverty affects the social determinants of health on multiple levels, compromising economic stability, education, social and community contact, lifestyle and healthcare access, and the physical environment. It is associated with an increased prevalence of a range of physical and mental health disorders, with some groups particularly sensitive to the health impacts of poverty, including children, pregnant women, the elderly, refugee and asylum seekers, gypsy and travelling communities, and the homeless. GPs have an important role in identifying the health risks associated with poverty and in supporting individuals and families.

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Ransmayr, Gerhard. "Challenges of caregiving to neurological patients." Wiener Medizinische Wochenschrift 171, no. 11-12 (May 5, 2021): 282–88. http://dx.doi.org/10.1007/s10354-021-00844-8.

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SummaryA substantial number of neurological diseases lead to chronic impairment of activities of daily living (ADL) and physical or mental dependence. In Austria, homecare is provided mostly by female family members. Moreover, mainly female personnel, in the majority from southern and eastern European countries, contributes to care. Dependence and need for care vary between neurological diagnoses and accompanying diseases. Caregiver burden (CB) depends on patient- and caregiver-related and external factors, such as integrity of a family network, spatial resources, and socioeconomic factors. Depending on the neurological diagnosis, disease severity, and behavioral impairment and psychiatric symptoms, caregivers (CG) are at a significant risk of mental and somatic health problems because of limitations in personal needs, occupational and social obligations, financial burden, and restricted family life and leisure. Subjective and objective CB needs to be assessed in time and support should be provided on an individual basis. Recently, COVID-19 has caused additional multifactorial distress to dependent patients and informal and professional CG.

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Matias, Thiago Sousa, and Fábio Hech Dominski. "The COVID-19 pandemic challenges physical activity with two emerging paradigms." Revista Brasileira de Atividade Física & Saúde 25 (July 7, 2020): 1–6. http://dx.doi.org/10.12820/rbafs.25e0113.

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We are facing an unprecedented crisis due to the COVID-19, with social distancing measures. These measures have adverse impacts and exercise professionals need to gear efforts to promote active lifestyles. This assay has two purposes: 1) To discuss the role of web–based physical activity interventions during and after the COVID-19 pandemic, debating pros and cons, and offering preliminary guidance; 2) To discuss the role of physical activity on mental health, and proposing strategies to exercise interventions. We suggest a more positive outlook to web–based physical activity as internet can expand the scope of exercise as a self-care tool to health enhancement. The use of the internet as a professional tool to support exercise promotion can become a trend. Professional should weigh up the pros and cons when using such approach. After this pandemic we will cherish the psychological well-being benefits of exercise.

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Mcdonald, J. M. "(A156) Performance Indicators: Technical, Physical and Mental Readiness." Prehospital and Disaster Medicine 26, S1 (May 2011): s44—s45. http://dx.doi.org/10.1017/s1049023x11001543.

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The purpose of this presentation is to report the results from a series of standardized exercises administered to experienced, disaster-emergency-responders on their “operational readiness.” Based on original research with Olympic athletes, these results include: a frontline-perspective of challenges in a disaster; a quantitative definition of “readiness;” and the creation of related performance indicators. A growing body of literature has drawn attention to the significance of mental-readiness skills in attaining peak performance in challenging situations. For example, we know that top-level athletes have particularly well-honed mental-readiness skills and that this fact has often separated those who win a gold medal from those who do not. In recent years, this research has been extended to other occupations, including the field of surgery, policing, and now disaster-emergency-response, and similar results were found. For example, in the study entitled “Gold Medal Policing: Mental Readiness and Performance Excellence” (McDonald, 2006), peak-performing police officers demonstrated excellent technical and physical skills but excelled in mental readiness skills. Traditionally, the focus of most core-competencies has been on the technical and physical skills necessary to perform the duties. Given what we now know about the significance of mental-readiness skills, we can specifically develop and formally recognize these skills. That is, in addition to seeking the technical and physical skills required of a job, particular emphasis is places on refining the mental skills that ultimately makes the difference between satisfactory performance and peak performance. The goal of any field-training, is to produce a competent, independent, functioning frontline-responder. Such a responder will demonstrate concrete, observable “performance indicators.” Current research on peak performers has been integrated into developing comprehensive performance indicators. This outcome can benefit the recruitment, selection, training and evaluation of professions seeking to enter into the unique world of disaster emergency medicine.

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Van Woudenberg, M., M. Abrahamowicz, G. Leonard, M. Perron, L. Richer, S. Veillette, D. Gaudet, T. Paus, and Z. Pausova. "Visceral fat enhances blood pressure reactivity to physical but not mental challenges in male adolescents." Pediatric Obesity 10, no. 5 (September 14, 2015): 395–402. http://dx.doi.org/10.1111/ijpo.12068.

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Dursun, Serdar M., Hiram Joseph Wildgust, Paul Strickland, Guy M. Goodwin, Leslie Citrome, and Mike Lean. "The emerging physical health challenges of antipsychotic associated hyperprolactinaemia in patients with serious mental illness." Journal of Psychopharmacology 22, no. 2_suppl (March 2008): 3–5. http://dx.doi.org/10.1177/0269881107088434.

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Nienhuis, Carl P., and Iris A. Lesser. "The Impact of COVID-19 on Women’s Physical Activity Behavior and Mental Well-Being." International Journal of Environmental Research and Public Health 17, no. 23 (December 4, 2020): 9036. http://dx.doi.org/10.3390/ijerph17239036.

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Background: A global pandemic caused by COVID-19 resulted in restrictions to daily living for Canadians, including social distancing and closure of recreation facilities and provincial parks. Methods: The objective of this study was to assess whether sex differences exist in physical activity and well-being since COVID-19 and to explore how barriers or facilitators to physical activity may explain these differences. Chi-square tests, independent t-tests and one-way ANOVAs were conducted to evaluate data provided by 1098 Canadians—215 men and 871 women. Results: Women were significantly less physically active than men and reported more barriers and fewer facilitators to physical activity and experienced significantly more generalized anxiety than men. Women who were engaged in less physical activity due to COVID-19 reported significantly lower mental health scores, lower social, emotional and psychological well-being, and significantly higher generalized anxiety, while women who engaged in more physical activity had improved mental health scores. Conclusions: Given the challenges that women uniquely face due to restrictions, it is imperative to advocate and provide environmental opportunity and support for physical activity to reduce the mental duress women may be experiencing. Specific physical activity programming that is inclusive of lifestyle physical activity and can engage children is encouraged.

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Cerqueira, Christopher Shneider, Ana Maria Ambrosio, and Claudio Kirner. "Tangible user interface vocabulary to physically enhance space systems engineering tools." Concurrent Engineering 27, no. 4 (September 28, 2019): 305–13. http://dx.doi.org/10.1177/1063293x19875505.

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Tangible user interface brings back physical cognitive artifacts empowered with Internet of Things, and it will be a key instrument in Industry 4.0 to control software. Such artifacts are tangible mental representation of the context of a system being built with software tools. One of the challenges on applying tangible user interface to define an appropriated interaction is the lack of a vocabulary to prepare physical artifacts for being manipulated in digital representation. We present a tangible interaction vocabulary to physically enhance software tools, particularly used in space system concept studies. It is a practical application which indicates opportunities for research and challenges for the development of new products.

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Babury, Mohammed Osman, and Fred Manwarren Hayward. "A Lifetime of Trauma: Mental Health Challenges for Higher Education in a Conflict Environment in Afghanistan." education policy analysis archives 21 (September 15, 2013): 68. http://dx.doi.org/10.14507/epaa.v21n68.2013.

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More than 30 years of war in Afghanistan have resulted in immense policy challenges to address the resulting mental health issues. The purpose of this policy analysis is to examine the potential role of higher education in addressing the pressing mental health problems in Afghanistan’s public universities and higher education institutions as a major policy challenge. We define and spell out the extent and nature of the mental health problems and policy issues involved, putting them in the context of students in a war environment. We discuss efforts by the leadership of the Ministry of Higher Education to respond to the physical damage of war and the resulting mental health crises in a setting of very scarce human and financial resources. We describe a system of higher education battered by years of war yet seeking to rebuild and raise quality even while the fighting continues. The conditions of the higher education system are described, as well as the scope, complexity and nature of mental health problems, and major challenges faced in trying to rebuild both the system and the lives of the higher education community. We spell out the immense challenges faced in rebuilding a system badly devastated by war while dealing with the tremendous human mental health toll experienced by its students, faculty, and staff. We conclude by setting out some possible directions, options and recommendations for responding to the mental health problems while recognizing the difficulties higher education faces in trying to respond to them.

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Kalcev, Goce, Antonio Preti, Germano Orrù, and Mauro Giovanni Carta. "Perinatal Mental Health: One of the Biggest Challenges in Coronavirus Disease-19 Crisis." Open Access Macedonian Journal of Medical Sciences 8, T1 (October 5, 2020): 245–47. http://dx.doi.org/10.3889/oamjms.2020.5058.

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Coronavirus disease (COVID)-19 epidemic is currently conceived as one of the major factors for stress and anxiety for pregnant women around the world. Stress, especially in early pregnancy, is a risk factor for preterm birth. The negative impact of quarantine on mental health in pregnant women should also be taken into account. A large number of benefits of breastfeeding for the mental and physical well-being of both mother and newborn outweigh the potential risks of COVID-19-related transmission and disease. Prenatal and postnatal mental health should be prioritized in facing the current ongoing pandemic.

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Morgan, Vera A., Anna Waterreus, Vaughan Carr, David Castle, Martin Cohen, Carol Harvey, Cherrie Galletly, et al. "Responding to challenges for people with psychotic illness: Updated evidence from the Survey of High Impact Psychosis." Australian & New Zealand Journal of Psychiatry 51, no. 2 (December 5, 2016): 124–40. http://dx.doi.org/10.1177/0004867416679738.

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Objective: The objective is to summarise recent findings from the 2010 Australian Survey of High Impact Psychosis (SHIP) and examine their implications for future policy and planning to improve mental health, physical health and other circumstances of people with a psychotic disorder. Methods: Survey of High Impact Psychosis collected nationally representative data on 1825 people with psychotic illness. Over 60 papers have been published covering key challenges reported by participants: financial problems, loneliness and social isolation, unemployment, poor physical health, uncontrolled symptoms of mental illness, and lack of stable, suitable housing. Findings are summarised under the rubric of participant-ranked top challenges. Results: The main income source for the majority (85%) of participants was a government benefit. Only one-third was employed, and the most appropriate employment services for this group were under-utilised. High rates of loneliness and social isolation impacted mental and physical health. The rate of cardiometabolic disease was well above the general population rate, and associated risk factors were present from a very young age. Childhood abuse (30.6%), adult violent victimisation (16.4%) and alcohol and substance abuse/dependence (lifetime rates of 50.5% and 54.5%, respectively) complicated the clinical profile. Treatment with medication was suboptimal, with physical health conditions undertreated, a high rate of psychotropic polypharmacy and underutilisation of clozapine in chronic persistent psychotic illness. Only 38.6% received evidence-based psychosocial therapies. In the previous year, 27.4% had changed housing and 12.8% had been homeless, on average for 155 days. Conclusion: Money, social engagement and employment are the most important challenges for people with psychotic illness, as well as good physical and mental health. An integrated approach to recovery is needed to optimise service delivery and augment evidence-based clinical practice with measures to improve physical health and social circumstances. Meeting these challenges has the potential to reduce costs to government and society, as well as promote recovery.

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Tiffin, Paul A., and Lewis W. Paton. "Rise of the machines? Machine learning approaches and mental health: opportunities and challenges." British Journal of Psychiatry 213, no. 3 (August 16, 2018): 509–10. http://dx.doi.org/10.1192/bjp.2018.105.

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SummaryMachine learning methods are being increasingly applied to physical healthcare. In this article we describe some of the potential benefits, challenges and limitations of this approach in a mental health context. We provide a number of examples where machine learning could add value beyond conventional statistical modelling.Declaration of interestNone.

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O’Connell, M., M. Costa, A. Gonzalez, G. Damio, K. Ruiz, L. León-Quismondo, and L. Davidson. "Challenges to employment among latino population with severe mental illness." European Psychiatry 33, S1 (March 2016): S401. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1447.

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IntroductionUnemployment is common in persons with severe mental illness (SMI) and more in Latino population. Department of Mental Health and Addiction Services (DMHAS) of Connecticut offers a supported employment (SE) Program to help clients get competitive work in integrated settings with nondisabled workers in the community.ObjectiveCapture perspectives of key informant groups to describe barriers for linking Latinos with SMI to employment and adapt SE Services for subpopulations.MethodFour focus groups were conducted (employment specialists, case managers and peer support counselors/employers/two with clients-one in Spanish and other in English). They were conducted during January-February 2015, 70–90 minutes each one. A question guide was developed for each group. Participants per focus group ranged from 3–10, voluntarily. Two new questionnaires to the baseline pack were developed: challenges to Employment Assessment–provider and client version.ResultsThirty individuals participated. Several barriers to employment were reported. Clients and staff reported criminal record, lack of employment history and lack of motivation. Staff described client hygiene, mental status, physical health, substance abuse and discrimination. Clients, staff and employers reported language barrier for Latinos who don’t speak English. Non-adherence to medication was reported by clients and employers. About Spanish-Speaking Latinos with mental illness, medication, discrimination, previous abuse by employers, inappropriate employment, difficulties of the job interview and computer skills appeared as challenges. English-Speaking Latinos with mental illness identified transport, stability, support, keeping apartment and financial needs.ConclusionsFocus groups can help in knowledge about the diversity of Latino communities to improve SE Services and outcomes for Latinos.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Fisher, James, and Andrew Teodorczuk. "Old age psychiatry and geriatric medicine: Shared challenges, shared solutions?" British Journal of Psychiatry 210, no. 2 (February 2017): 91–93. http://dx.doi.org/10.1192/bjp.bp.116.187369.

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SummaryThe co-occurrence of physical and mental ill health means there is considerable overlap between the patients that geriatric medicine and old age psychiatry serve. In this editorial we detail similarities between the specialisms, highlight the common challenges facing them and argue that closer alignment holds the potential to improve patient care.

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Rose, Susan J., and Thomas P. LeBel. "Confined to Obscurity: Health Challenges of Pregnant Women in Jail." Health & Social Work 45, no. 3 (July 29, 2020): 177–85. http://dx.doi.org/10.1093/hsw/hlaa015.

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Abstract Research about pregnant women in jail is scant. This exploratory study begins to fill this gap by examining the demographics; background characteristics; and self-reported physical health, mental health, and substance use challenges reported by 27 pregnant women incarcerated in a large midwestern county jail. It further reports on the prenatal care before and during their incarceration, plans of these pregnant women for delivery of their child, caring for their infant after their release from jail, and their expectations of paternal or family support post-release. Among the sample, 66.7 percent reported a physical health care problem, 48.2 percent had received mental health treatment, and 18.5 percent had substance use treatment in the previous year, but only 51.9 percent had seen a health care professional before their incarceration. All women expected the father of their child to provide financial support, but only 76.9 percent expected the father to be involved with the child. The authors also discuss implications of the findings for jail health care services and reintegration policy and practice for pregnant women.

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Riggs, Jamie, Melissa McGowan, Andrew Petrosoniak, and Christopher Hicks. "Mental practice as a novel learning strategy for donning and doffing personal protective equipment during the COVID-19 pandemic." CJEM 22, no. 5 (June 24, 2020): 614–16. http://dx.doi.org/10.1017/cem.2020.432.

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ABSTRACTThe coronavirus disease 2019 (COVID-19) pandemic presents challenges to the effective use of personal protective equipment, including equipment shortages, staff unfamiliarity, and physical distancing. Mental practice has been used as an alternative learning strategy in medicine for the development of technical skills. We developed educational materials with the aim of using mental practice to overcome these challenges and increase provider skill and confidence with the use of personal protective equipment. A mental practice script integrating cognitive, kinesthetic, and visual cues with a list of procedural steps was created and iteratively refined. To allow the use of this tool by providers unfamiliar with the principles of mental practice, accompanying explanatory materials were created and disseminated widely through the Free Open Access Medical education (FOAMed) community. By creating easily accessible resources to facilitate effective mental practice, providers may be able to increase their skill and comfort with the procedure while conserving personal protective equipment and respecting physical distancing guidelines.

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Rizkalla, Niveen, Nour K. Mallat, Rahma Arafa, Suher Adi, Laila Soudi, and Steven P. Segal. "“Children Are Not Children Anymore; They Are a Lost Generation”: Adverse Physical and Mental Health Consequences on Syrian Refugee Children." International Journal of Environmental Research and Public Health 17, no. 22 (November 12, 2020): 8378. http://dx.doi.org/10.3390/ijerph17228378.

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This research examines Syrian refugee mothers’ accounts of the physical and mental health of their children being affected by war traumas and displacement challenges. Open-ended audio-recorded interviews were conducted in Arabic with 23 mothers residing in Jordan. Using a narrative approach in the data collection and analysis, five major themes were identified: (1) children were exposed to diverse war traumatic experiences in Syria; (2) the escape journey and refugee camps threatened children’s lives; (3) displacement and family stressors exposed children to poverty, hostility from local peers, educational and recreational challenges, child labor, and domestic violence (these three major themes were considered as trauma related variables); (4) children were not only directly affected physically and mentally by their own traumatic experiences and displacement stressors, but these experiences were mediated and magnified by familial interrelated processes, evidenced in intergenerational transmission of trauma, harsh parenting style, parental control, and parentification; and (5) adverse consequences of both trauma related variables and family processes directly and indirectly traumatized children and adversely impacted their physical and mental health. We examined the themes that emerged from the data in view of three theoretical frameworks and the impact of trauma in the family system on child development. To conclude, humanitarian organizations that provide services and interventions to refugees need to take into account familial processes and not only individual factors affecting refugee children’s physical and mental health. Further implications on policies and trauma research are discussed.

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Roche, Sean. "Physical and mental illnesses: implications of similarities and differences for services and law." International Psychiatry 10, no. 2 (May 2013): 28–30. http://dx.doi.org/10.1192/s1749367600003684.

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It appears self-evident that psychiatry should be classified as a particular specialty within the broader field of medicine. Psychiatrists, being first and foremost doctors, have undertaken an identical basic training to their physician and surgical peers and, as in general medicine and surgery, the biomedical model is a central pillar of psychiatric practice. Within psychiatry, signs and symptoms are elicited, diagnoses made and very often physical interventions (in the form of psychotropic agents) are employed. However, familiar institutional conventions can conceal the fact that psychiatry suffers from greater uncertainty regarding its conceptual foundations than other fields of medicine. In fact, the conceptual challenges arising within psychiatry are reflected in its thriving field of philosophy, and although there exists a dedicated philosophy of medicine, no other specialty is equal to psychiatry's breadth of conceptual debate.

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Journal articles on the topic 'Physical and mental challenges'

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