Dissertations / Theses on the topic 'Promote mental health and wellbeing'
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1
Thieme, Anja. "Designing technology to promote mental health and wellbeing." Thesis, University of Newcastle upon Tyne, 2015. http://hdl.handle.net/10443/2864.
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Mental health and wellbeing are fundamental to our quality of life, enabling us to be resilient against everyday stresses, work productively, to have fulfilling relationships, and experience life as meaningful. While HCI research has recently begun to address important challenges in the treatment of mental illness, approaches to promote and protect mental wellbeing, as positive emotional, psychological and social health, have received far less attention. Besides, the design space for technology innovation for people with severe mental health problems and as hospital inpatients is largely under-explored. The research presented in this thesis investigates how technology can promote the mental health and wellbeing of a group of women, living in the medium secure services of a forensic hospital in the UK. These women present a difficult to treat group due to the complexity of their mental health problems, extremely challenging behaviours, and a mild-tomoderate Learning Disability. Following an Experience-centred Design (ECD) approach in this context, the thesis describes how I worked collaboratively with hospital staff to gain a rich understanding of the women, their treatment regime, and constraints of their secure care; my approach to sensitively engaging this vulnerable group of women into a co-creative process to personalise their technology, and to carefully build up a relationship with them; and how the design of the technology builds upon qualities of creativity, physicality and personal significance for promoting engagement in mental health and wellbeing enhancing activities. In response to the design context I introduce the concept of the Spheres of Wellbeing, a set of three artefacts designed to collectively offer opportunities for engagements that are stimulating, enjoyable and personally meaningful; contribute to the formation of a positive sense of self; assist in tolerating emotional distress; and help familiarise the women with therapeutic concepts of mindfulness. Furthermore, in presenting the findings of a real-world deployment and evaluative study of the Spheres, this thesis contributes to current discourse in HCI on how empathy can be enabled with vulnerable populations, and provides rich insights into the complexities and challenges of conducting design-led research within hospital settings.
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Oates, Jennifer. "Mental health and subjective wellbeing in UK mental health nurses." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/15973/.
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This study explores the subjective wellbeing and subjective experience of mental health problems in UK mental health nurses using a mixed methods approach. It aimed to understand the relationships between mental health nurses' own mental health and their subjective wellbeing, and to explore the ways in which mental health nurses managed their own mental health and wellbeing and how they negotiated for and use their experiences both within and outside of their work. The mixed methods design had two phases. In phase one an online survey was sent to mental health nurses via their national professional bodies, the Royal College of Nursing and the Mental Health Nurses Association. The survey comprised three measures of subjective wellbeing, questions about personal and familial mental health history and questions about the impact of these experiences on mental health nursing work. 237 survey responses were included in the final statistical analysis. In the second phase 27 semi structured interviews were undertaken with a purposive sample of survey respondents who had both subjective experience of mental health problems and high subjective wellbeing. A major finding of the study was that mental health nurses critically appraised their experience of delivering and receiving mental health care from the expert perspectives of both being a nurse and having their own experience of mental ill health. Personal experience of mental illness was found to influence nursing practice in a number of ways: first, through overt disclosure and negotiation of professional boundaries; second, through the ‘use of the self as a tool’, the emotional labour of nursing; third, through the formation and development of professional nursing identity. This was in the context of a broader canvas of life experiences which participants considered to influence the development of their nursing identity, the use of self and self disclosure in their work. Mental health nurses in this study had a relatively low subjective wellbeing. Low subjective wellbeing was associated with having current mental health problems, and with having past experience of mental health problem. Personal experience of living with someone with mental health problems was associated with relatively higher subjective wellbeing. This study has implications for occupational health and human resources policy within healthcare organisations. The findings suggest that mental health nurses who present to primary care or occupational health services should be offered care and treatment commensurate with their expertise and experience. Employers’ ‘staff happiness strategies’ and occupational health promotion activities should address work life balance and what nurses could do outside of their work to be well, as well as addressing the effects that team and management changes have on staff wellbeing.
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Nickerson, Angela Marissa Psychology Faculty of Science UNSW. "Mental health and wellbeing of Mandaean refugees." Awarded By:University of New South Wales. Psychology, 2009. http://handle.unsw.edu.au/1959.4/44529.
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This program of research investigated the mental health of Mandaean refugees living in Sydney, Australia (N=315). Participants evidenced high rates of psychological disorders including posttraumatic stress disorder (PTSD, 23%), depression (34%), anger attacks (58%), complicated grief (10%) and impaired mental health-related functioning (42%). Participants also reported high levels of exposure to traumatic events, and experiencing multiple resettlement stressors. It was found that intrusive fear regarding traumatic events that may be experienced by family members remaining in Iraq contributed to PTSD, depression and mental health-related disability over and above the effects of past trauma and post-migration living difficulties. In addition, fear for family predicted frequency of anger attacks beyond the contribution of past trauma, living difficulties and PTSD. Fear of cultural extinction emerged as a salient concern for the Mandaean community, with path analyses revealing it was directly predicted by symptoms of PTSD. The effects of change in visa status on the mental health of Mandaean refugees who had also taken part in a previous survey were explored. Participants who had attained permanent residency status after previously holding Temporary Protection Visas (TPVs) evidenced greater reductions in psychological distress than those who had consistently held permanent residency. Results suggested that that temporary protection may have exerted negative effects on mental health by creating high levels of post-migration living difficulties. Analyses modelling pathways from trauma and loss to other mental health outcomes at both the individual and family levels indicated that grief played a key role in the mental health of the Mandaean community, and that the refugee experience has implications for family mental health and functioning. This thesis represents an attempt to extend knowledge regarding factors that influence refugee mental health, and common psychological outcomes, by examining the relationship between circumstances of ongoing threat to the individual and the collective, family-level processes, and psychological difficulties including PTSD, depression, grief, anger and mental health-related disability. These findings have implications for government policies and service providers working with refugee groups.
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Barns, Rebecca. "Distress, wellbeing and mindfulness amongst mental health professionals." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/18300/.
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Research has indicated that levels of distress and wellbeing amongst qualified and trainee mental health professions are poor. This thesis sought to explore the factors that may contribute to distress as well as increase understanding about how mental health professionals can be supported. A meta-analysis was conducted on 15 studies to assess the effect of mindfulness-based interventions on reducing distress and improving wellbeing and mindfulness amongst mental health professionals. Further, traditional mindfulness-based interventions were compared with adapted versions with regards to changes in distress and mindfulness. The relationship between variation in number of intervention hours and distress and mindfulness was also assessed. Mindfulness-based interventions had positive effects on all outcomes. Intervention type (traditional or adapted) and variation in intervention hours did not relate to distress or mindfulness. Methodological limitations are considered. Recommendations for clinical practice and future research are considered. The empirical chapter reports the findings from a longitudinal within-subjects study with 259 trainee therapists (‘Trainee Clinical Psychologists’, ‘High Intensity, Improving Access to Psychological Therapies’ (IAPT) trainees and ‘Psychological Wellbeing Practitioners’ trainees) in the United Kingdom. The study assessed whether attachment orientation (anxious and avoidant), coping approach (suppressive and reactive) and/or mindfulness related to distress over time. Additionally, the study examined whether coping approach and/or mindfulness mediated the relationship between attachment orientation and distress over time. All variables were related to each other. In the mediation analysis, only reactive coping mediated the attachment-distress relationship. Limitations of the research are discussed. Further, clinical implications are explored along with future research recommendations.
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Morriss, L. "Accomplishing social work identity in interprofessional mental health teams following the implementation of the Mental Health Act 2007." Thesis, University of Salford, 2014. http://usir.salford.ac.uk/30876/.
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The main objective of the thesis was to explore how social work Approved Mental Health Professionals accomplished social work identity when seconded to Mental Health Trusts. The project has examined the identity work that the social workers engaged in as they located themselves within interprofessional interagency community mental health teams. Insights from ethnomethodology and conversation analysis have been used to examine the interview data. Following Wieder (1974), the findings chapters are presented in two parts. In the first part, the focus is on the interviews as a resource and thus there is a more traditional reporting of what the social workers talked about in the interviews. Throughout the interviews, the social workers were concerned to delineate what was ‘real’ social work. Real social work was depicted as involving autonomous work in the community with mental health service users; this is the ‘authentic realm of social work’ (Pithouse 1998 p.21). Social work identity was portrayed as intrinsic to the self with congruence between personal and professional identity and values. However, the social workers struggled to define social work. Instead of having a clearly defined role, social work was depicted as intangible; as being without clear margins and boundaries, filling in the gaps left by other professions. Notions of ‘dirty work’ (Hughes 1948) and the implications of being seconded to a Health Trust are also discussed. The analytic focus shifts in the second part to the interview as a topic, specifically to how social work identity was accomplished within the interview as interaction. Matters such as being a member, the part played by the use of humour in the interviews, and the interaction as a research interview are explored. Finally, there is an examination of how social work identity was accomplished through the telling of atrocity stories.
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O'Connell, Christine. "Integrating physical and psychological wellbeing in child health." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15004/.
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Research shows that the integration of physical and mental healthcare in paediatric settings is beneficial in terms of clinical and cost effectiveness (Kahana, Drotar, & Frazier, 2008; Douglas & Benson 2008, Griffin & Christie, 2008). Due to the high rates of mental health problems within this population, several studies have shown that referral to paediatric psychology should be increased (e.g. Wagner & Smith, 2007). However, there are few studies investigating factors influencing healthcare professionals’ referral behaviour. The current study used theory of planned behaviour (Ajzen, 1988; 1991) to develop a questionnaire which explores factors influencing the referral of children and families to paediatric psychology. Psychometric properties of the questionnaire were examined. Findings indicate that the questionnaire holds good reliability and validity and that the main constructs of theory of planned behaviour are useful in predicting intention to refer to paediatric psychology. Specific beliefs about referral were also shown to influence intention to refer. Findings that individual referrer factors such as attitudes and beliefs can impact healthcare professionals’ referral behaviour indicates that multidisciplinary interventions and inter-professional education relating to the psychological aspects of illness are required. Recommendations for future research are discussed.
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Clatworthy, J. "Gardening and wellbeing." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11182/.
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Section A is a literature review, exploring the psychological theories behind gardening-based mental health interventions and providing an overview of the current evidence to support their use. It builds on the last comprehensive review conducted in 2003, finding that the evidence-base has developed considerably over the past decade but that there is still a need for higher quality research in this field. Section B considers the value of gardening in promoting wellbeing in a non-clinical sample. A qualitative study is presented in which six suburban allotment-holders completed in-depth interviews about their allotment gardening and its perceived impact on their wellbeing. Transcripts were subjected to Interpretative Phenomenological Analysis (IPA). Seven main themes emerged from the data: fundamental importance of food, protection and safety, feeling connected, esteem, pleasure of being in nature, development and values. Parallels were drawn between these themes and Maslow’s hierarchy of needs. While each participant talked to some extent about all of the themes, a different theme was dominant for each individual, suggesting that allotments are flexible environments that may enable people to meet their individual needs, in order to enhance wellbeing. Implications for clinical and community psychology are discussed.
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Holland, Mark Ashley. "Street drugs, alcohol and mental health : what helps?" Thesis, University of Salford, 2009. http://usir.salford.ac.uk/18988/.
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The use of street drugs and/or alcohol combined with mental health problems is referred to as dual diagnosis within mental health and substance misuse services. The aim of this research study was two-fold. Firstly, to discover what people considered helpful in terms of support or intervention that could then be developed into information materials. And secondly, to develop an explanatory theory that added to the subjects’ wider understanding. A grounded theory methodology was employed to elicit the personal experiences of participants which in turn would ensure that the production of information materials and the development of theory remain rooted in the data. Twenty-six unstructured conversational interviews and 9 focus groups were conducted. Two carers, 6 practitioners and 18 service users were interviewed. The focus group participants were all service users, just under half of whom participated in interviews also, the remainder were new to the study; all took place in mental health and substance misuse treatment settings. In total 41 people, 34 of whom were service users, participated. Including repeat participants, 51 separate voices or contributions were made. Data incidents and happenings (n = 977) were analysed using open, axial and selective coding procedures overlaid by constant comparison. Twelve categories sharing properties and dimensions relating to helpful advice, intervention or behaviour emerged. The theme of helpfulness was a key concept and emerged as the major category subsequently entitled Help. The theory related to help developed. It challenged dual diagnosis convention by identifying people with a dual diagnosis as positively seeking, for themselves or others, recovery or alleviation of substance or mental health related problems. They did this from within a harm reduction or damage limitation paradigm. The examples of help related incidents (from which the help theory emerged) were collated and formed the content of dual diagnosis information materials.
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Butler, Lucy. "Caregiver wellbeing in psychosis services." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15029/.
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The study aimed to examine the relationship between wellbeing, burden, distress and third-wave factors, including self-compassion and psychological flexibility, in caregivers of people with psychosis. The study secondly aimed to trial a new brief group intervention, combining Acceptance and Commitment Therapy (ACT) and Compassion-focused Therapy (CFT) for this population. Twenty-nine participants were assessed at baseline on primary measures of wellbeing, distress, psychological flexibility and self-compassion. Secondary factors including burden and mindfulness were also collected. Correlation analyses were used. Fourteen participants completed the group in intervention and follow-up measures, and pre-post investigations were employed. Lower levels of psychological flexibility and self-compassion were related to lower levels of wellbeing and higher levels of burden and distress. There was a potential mediating effect of psychological flexibility on the relationship between self-compassion and wellbeing. The group intervention was acceptable to caregivers, and there were significant positive changes in self-compassion, distress, burden and mindfulness. The study adds to the existing data regarding wellbeing and burden in caregivers of people with psychosis. This study provides new insights into the factors of self-compassion and psychological flexibility within this population. The ACT with Compassion intervention is a promising, brief intervention which would benefit from further application and evaluation.
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Kaushal, Aradhna. "Mental health and wellbeing : associations with religion across the lifecourse." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10059297/.
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Previous research studies have reported benefits of religious practices and beliefs for a range of health outcomes, including mental health and wellbeing. However, most of the research on religion and health is cross-sectional and based on populations from the USA. Therefore, there is a need for evidence from populations outside the USA to assess the external generalisability of these associations. This thesis investigated longitudinal associations between religiosity, and the outcomes of mental health and wellbeing, using data from the Medical Research Council (MRC) National Survey for Health and Development (NSHD). This unique longitudinal data set following the participants from birth was used to investigate 1) the patterns and trends of religiosity across the life course 2) whether religiosity is associated with mental health and wellbeing 3) the role of psychological, social and lifestyle factors on religiosity, and mental health and wellbeing, and 4) whether religiosity moderates the impact of stressful life events on mental health and wellbeing. Associations were tested using regression models, auto-regressive cross-lagged models and interaction terms. A general decline in religious attendance and beliefs across the life course was observed and frequent religious attendance was associated with higher wellbeing scores. Evidence for bi-directional associations between religiosity and mental health was found, but not for wellbeing. Analysis of psychological, social factors and lifestyle factors identified agreeableness, mastery and social support as important factors in associations between religiosity, and mental health and wellbeing. Some aspects of religious beliefs and practices were found to moderate the association between stressful life events, and mental health and wellbeing. There is limited evidence of direct benefits of religiosity for mental health and wellbeing. However, it is possible that religiosity is used as a coping mechanism in response to stressful life events and to some extent buffers their deleterious impact on mental health and wellbeing.
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Bless, Stephanie Marcia. "Physical Activity in Nature and Children's Mental Health." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/506.
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The aim of this study was to determine if there is a relationship between children's physical activity and wellbeing, and if that relationship is enhanced by physical activity in nature. This study was a non-experimental retrospective multi-informant data review conducted at an outpatient pediatric psychiatric clinic in the Northeast. The theoretical framework used to guide this study was the Health Promotion Model, suggesting Advanced Practice Nursing investigate the relationship between health promoting behaviors and personal factors that support mental wellness in children and protect against mental illness. Data collected included age, sex, and exercise and wellbeing subsections of the Vermont Child Health and Behavior Questionnaire (VHBQ): Parent Reports and Self-reports for 11-21 year olds. Data from three sample groups were analyzed: parent participants (n=178, 61% male, 38% female), child participants (n=78, 51% male, 49% female), and parent-child pairs with sex determined by child (n-25, 60% male, 40% female). Physical activity was calculated using a metric for participation in sports.
Two sample t tests were used to analyze children's response to the question "do you participate in sports regularly?" in relation to wellbeing scores. Pearson's correlation coefficient was used to investigate correlations between 1) parent reports of their children's physical activity and wellbeing, 2) children's self-reports of physical activity and wellbeing, 3) parent reports of their children's physical and children's self-reports of physical activity, and 4) parent reports of their children's wellbeing and children's self-reports of wellbeing.
Statistically significant results included positive correlations between parent reports of their children's physical activity and wellbeing item, "his/her living conditions are excellent" (r=.34, p=<0.001 for overall, r=.25, p=.002 for indoor, and r=.28, p=<0.001 for outdoor). Positive weak correlations were found between parent reports of their children's physical activity and scores on the VHBQ 10-point Worst Life/Best Life bar (r=.19, p=0.02 for overall and r=.17, p=.04 outdoor). Additionally, results showed significant strong positive correlations for all physical activities between parent reports of children's participation and children's self-report of participation (r=0.83, p=<0.001 for overall, r=0.85, p=<0.001 for indoor, and r=.67, p=0.02 for outdoor). However, only a single wellbeing item, "Compared with...most peer, [child] is less happy than they are", demonstrated statistically significant positive correlation (r=.48, p=0.03) when parent reports and self-reports of wellbeing were compared.
These results underscore the need for further research. Among professions, Advanced Practice Nurses may be best equipped to fully understand the lifestyle factors that promote children's mental health. Moreover, because of their background, training and employment settings, Advanced Practice Nurses could play an important role not only in initiating well-being research studies, but also in using the resultant information to develop educational resources and policy.
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Silvester, Nicola Jane. "Mental health and wellbeing : the views of people who are deaf." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/4947/.
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Deaf individuals have higher prevalence of mental health problems but are under-represented within mental health services. Despite emerging specialist provisions, utilisation remains poor. Yet little research has considered why this is. Therefore, a literature review and an empirical paper aimed to explore deaf people's mental health service experiences and highlight factors associated with help seeking behaviour. A systematic literature search was completed identifying nineteen studies for review. Themes emerged around deaf clients' mental health service experiences, covering accessibility, experiences of professional, and communication. Similarly, themes promoting help seeking covered integrated specialist services, signing professionals and alternative communication. The review highlighted that literature exploring deaf people's views towards mental health service experiences were lacking alongside communication breakdown being a central theme. 186 deaf children (aged 11-19) from UK specialist schools, covering two schooling dimensions (Oral-Deaf and Total Communication), were surveyed across various constructs mapped against the Health Belief Model. A thirteen percent variance in children's help-seeking intentions was explained by model variables, with outcome expectancy and self-efficacy being key to help-seeking intentions. Specific preferences for deaf/signing professionals and specialist services were unfounded. Help-seeking intentions were positively skewed given the specialist environment and easy access to mental health provision provided in these settings.
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Del, Villar Katrine. "Capacity, voluntariness and mental illness: Using mental health advance directives to promote autonomy." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/206025/8/Katrine_Del%20Villar_Thesis.pdf.
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This thesis conducts a comparative study of how advance directives for treatment for mental illness are regulated in Australia. It considers whether the legal prerequisites for making a mental health advance directive – capacity and voluntariness – are effective in promoting autonomy in decision-making by people with mental illness. It concludes that they are overly focussed on rationality and external controlling factors, and proposes reform of the current legal framework to also recognise the impact of internal controlling factors (such as delusional false beliefs, serious mood distortions and disorders of valuation) on decision-making.
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Lyke, Claire. "Wellbeing and expression with youth dancing Hip Hop in an urban multiethnic neighborhood." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=123000.
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Situated in a Canadian multiethnic urban neighbourhood, this exploratory study examines the experiences of youth dancing Hip Hop. Critical and performance ethnographic research was conducted at a drop-in Hip Hop class at a community centre using participant observation and dyadic interviews. Asking youth to reflect on their experience in dance class lead to insights into the role of dance classes in their lives. Findings are presented here in two articles. The first article addresses how youth used the concept of fun to describe their subjective wellbeing. The centre created an environment that made it possible for youth to find taking on challenges and taking risks fun. It did this by empowering the youth, fostering learning and supporting youth building relationships. The second article examines how personal and collective expression were intertwined in Hip Hop dancing at the centre. Spending time and sweat acquiring knowledge and respect for Hip Hop culture through the music, dance vocabulary gave youth the capacity to combine self expression and expression of Hip Hop culture.Cette étude exploratoire, située dans un arrondissement canadien multiethnique, examine des expériences des jeunes danseurs de hip-hop. J'ai mené cette recherche performative dans un cours de danse hip-hop à un centre communautaire en utilisant des entrevues en dyade et l'observation participante. Les résultats sont présentés en deux articles. Le premier article examine comment des jeunes ont utilisé le concept de 's'amuser' ou 'fun' pour expliquer leur bien-être subjectif. Le centre a établi un environnement ou des jeunes ont trouvé que des défis et des risques étaient amusants. Le deuxième article se concentre sur l'expression au niveau personnel et collectif, qui était entremêlé l'un avec l'autre.
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White, Rhiannon Lee. "Relationships between domain-specific physical activity and mental health, mental wellbeing, and mental-ill health: Understanding the role of self-determined motivation." Thesis, Australian Catholic University, 2016. https://acuresearchbank.acu.edu.au/download/3b3733a183529dd37e9471180d1031a9ca44e002ccaaeee0b4c13ecee1626910/3405938/White_2016_Domaine_specific_physical_activity_and_mental.pdf.
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Mental ill-health is the leading cause of disability worldwide due to the high prevalence of mental health disorders and the reduced quality of life that accompanies a diagnosis. Alarmingly, many mental health disorders first originate during adolescence, causing a particularly high prevalence amongst young people. Abundant evidence demonstrates that physical activity benefits adults’ and adolescents’ mental health and wellbeing. However, little is known about the specific circumstances under which physical activity optimally promotes mental wellbeing. Without such understanding it is impossible to optimally promote mental health and prevent mental ill-health through physically active behaviours. Limited evidence suggests that leisure-time physical activity is more beneficial to mental health and wellbeing than physical activity during other life domains. It has been suggested that leisure-time physical activity may be a more self-determined behaviour compared to physical activity during other domains, and that this higher quality motivation may explain why leisure-time physical activity is more strongly associated with improved wellbeing. However, the role motivation plays in the relationship between domain-specific physical activity and mental health has not yet been examined.
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Webber, Jo. "Allotment gardening, connectedness to nature and wellbeing." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12481/.
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The potential for green interventions to promote mental wellbeing and reduce mental distress is increasingly being recognised (Mind, 2007). Preliminary evidence suggests that allotment gardening activities may have a significant effect on mental wellbeing, but a paucity of research, particularly in non-clinical populations, has been highlighted (Partridge, 2010). A cross-sectional online survey of 171 allotment gardeners was conducted. Measures of subjective wellbeing (quality of life), eudaimonic wellbeing, connectedness to nature and preference for solitude were administered. Qualitative data were also collected through open-ended questions. Allotment gardeners’ scores on measures of environmental quality of life and eudaimonic wellbeing were significantly higher than those reported in the literature, but social quality of life was lower in allotment gardeners. Regression analysis showed that time spent on the allotment during summer predicted eudaimonic wellbeing. This relationship was fully mediated by feelings of connectedness to nature. A relationship was observed between spending time on the allotment and preference for solitude. Four main themes emerged from the qualitative data: allotments provided a space of one’s own, meaningful activity, increased feelings of connectedness, and improved physical and mental health. The results suggest that allotment gardening is associated with increased eudaimonic wellbeing, but not subjective wellbeing (also referred to as hedonic wellbeing). Furthermore, a mechanism through which allotment gardening enhances wellbeing is suggested: increased connectedness to nature. Limitations of the current study and clinical and research implications are discussed.
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Yip, Sau-kuen, and 葉秀娟. "Mother-infant intervention to promote maternal mental health after preterm birth." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48339477.
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Compared to term infants, it is known that preterm infants have relatively poor regulation and are less able to handle stimulation, which only allows limited time of alertness favorable for productive social interaction. Parents that are less knowledgeable in this would often feel distressed when they try to interact with their babies. Also, non-optimal parent-infant interaction may further stress the preterm infants. So, intervention that seeks to handle this problem is needed. Mother-infant intervention is a strategy that teaches mothers or parents to respond appropriately to infants’ cues and when to stop handling. This intervention helps to achieve optimal parent-infant interaction. Evidence in the current literature has suggested that early mother-infant intervention in Neonatal Intensive Care Unit is effective in promoting maternal mental health after preterm delivery. Therefore, the proposed innovation attempts to use mother-infant intervention to reduce depressive symptoms and parenting stress of these mothers.
The implementation potential of the mother-infant intervention was explored. It was found that the intervention is highly transferable and feasible to be applied in the hospital settings of Hong Kong with Chinese women. The benefits of implementing the proposed innovation also far outweigh the cost. An evidence-based practice guideline was then developed. Thorough communication plan, implementation plan and pilot study plan will be launched. The whole program will last for 24 months including stages from obtaining approval, planning, carrying out pilot study, launching the actual implementation, to conducting data collection and program evaluation.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Sharrocks, Louise. "School staff perceptions of well-being and experience of an intervention to promote mental well-being." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/school-staff-perceptions-of-wellbeing-and-experience-of-an-intervention-to-promote-mental-wellbeing(1d196198-4ded-4aaf-b082-b3568777a294).html.
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Educational Psychologists (EPs) spend much of their time working with school staff to solve problems. Staff often report perceptions of high levels of stress, overwork and lack of time to plan and implement changes indicating frequent experience of poor mental well-being. There has been a recent increase in awareness of promoting the well-being of children and young people, however, little attention appears to have been focused as yet upon the school staff who will promote and support this agenda.Research in schools has tended to focus on teachers rather than including all staff. There is a preponderance of research clarifying contributors to teachers’ stress and, to a lesser extent describing interventions in schools. However, little research has focused on school staff understanding and value of well-being and about perceptions of interventions carried out in schools. This study aimed to obtain a greater understanding of the perceptions of school staff about well-being, the value they placed upon it and the experience and perceived impact of taking part in a study aiming to promote staff well-being. An 8 week intervention was carried out in a primary school with weekly sessions of a project which was known as ‘Chill and Chat’. Data was gathered via questionnaires completed before and after the project and 3 focus groups held before, during and after the project. Data was analysed using thematic analysis.It was found that well-being was seen as important, however, colleagues with poor mental well-being were ‘pathologised’. ‘Learning’ to cope and maintain positive well-being was perceived as a responsibility of the staff member. Staff perceived the informality of provision to support their well-being as important and valued the time to develop better relationships with colleagues rather than ‘working relationships’ and also feeling valued and cared for. Staff reported perceptions of greater efficacy in the classroom, increased job satisfaction and feeling calmer in the classroom. The most significant limitation of the study was the continuation of provision to support staff mental well-being which requires commitment and understanding from school senior management teams and local authority members regarding the impact that increased well being can have on teaching and learning and a shift of thought towards focusing on positive well-being promotion rather than managing poor well-being.There are implications for EP practice and research in helping school staff reflect on their well-being and actions that they can take as a team to promote well-being in school. EPs can also be instrumental in disseminating research findings highlighting the impact of staff mental well being on teaching and learning.
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Vanderbloemen, Laura. "Smoking during pregnancy and child mental health and wellbeing : evidence, policy and practice." Thesis, University of York, 2013. http://etheses.whiterose.ac.uk/5656/.
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Aim: The aim of this thesis was to further understand the link between maternal smoking during pregnancy and mental health outcomes among children. The thesis comprises (a) a longitudinal epidemiological analysis of smoking during pregnancy and child mental health outcomes using cohort data for UK children from before birth to 7 years of age (b) an exploration of what policy documents, official guidance and qualitative studies tell us about how the epidemiological risks of smoking in pregnancy are reflected in public policy and discourse. Methods: Existing epidemiological evidence was reviewed prior to the quantitative analyses. The data analysed are from the Millennium Cohort Study. Data for 13,161 mothers and children, analysed longitudinally, were used to link exposure to maternal smoking during pregnancy to child mental health outcomes (hyperactivity and aggressive behaviour) at 3, 5 and 7 years of age. Additionally a review of official and lay health guidance in two countries (United Kingdom and United States) was conducted to ascertain the extent to which the potential link between maternal smoking during pregnancy and increased risk of child mental health problems is reflected in ante-natal care policy and practice in these countries. Similarly, a review of qualitative studies was conducted to ascertain the extent to which the risk of child mental health problems is reflected in women's perceptions of the risks of smoking during pregnancy. Results: During the past 10 years high-quality studies (and studies of lower quality) have consistently observed an association between prenatal smoking exposure and child mental health problems, though a few well designed recent studies have provided conflicting findings, and further disentangling of exposure and potential confounding factors is needed. Prenatal smoking, socioeconomic position, genetics, family environment, parental mental health and other chemical and environmental exposures, including other endocrine disrupting chemicals, should be explored together, and in more depth, to understand the associations that have been observed between maternal smoking during pregnancy and child mental health during the past 20 years. The original and significant contribution of this thesis is a confirmation of the link between smoking in pregnancy and the development of disruptive behaviour problems in children in a large population-based sample from the United Kingdom. In terms of policy and discourse, ante-natal care packets could be modified to include information about these risks for pregnant women. Conclusions: Child mental health, prenatal smoking and the economic well- being of families are interlinked–so policies aimed at helping pregnant women to quit smoking, as well as those to help them out of disadvantage are likely to have positive effects on both the exposure (prenatal smoking) and the outcome (child mental health).
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Suresh, Mini. "The physical work environment and employee perceived health and wellbeing." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101579/20/Mini%20Suresh%20Thesis.pdf.
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This thesis investigated the impact of the physical work environment on health and wellbeing as perceived by employees. Utilising a mixed method approach the research developed a new model of environmental satisfaction that highlighted the central role of occupational wellbeing and its relationship to employee perceived performance and productivity. Employees perceived health and wellbeing to be optimal when they were able to use the physical environment to conduct their work activities effectively, have supportive spaces for social interaction including natural outdoor areas for recreation and relaxation, and were able to move about and set informal fitness routines.
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Murphy, Neil Anthony. "The influence of media representations on mental health practitioners." Thesis, Manchester Metropolitan University, 2015. http://e-space.mmu.ac.uk/582934/.
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The debates related to the representation of the mentally ill in the media have been wide ranging over the last 20 years. Emergent representations have often been stigmatizing, claiming that the mentally ill are violent and dangerous. This study used an emergent methodological design to explore what the current representations of the mentally ill were and identify a case study from the available representations. It then examined the influence that the case study had on the thoughts and practice of experienced mental health practitioners. The study involved 8 practitioners and identified thoughts influenced by reading the case study and an academic article. Practitioner’s thoughts were captured over 3 separate interviews and by practitioners providing written reflections. At the last interview, practitioners were asked to provide comments as to what the experience of taking part in the study had meant to them. Generic themes related to risk, blame and professionalism all emerged. The study also found that practitioners were able to reflect on the influence that the material had on them, finding that only after discussing the reflections in the interviews that they became aware of some of their defensive thoughts and actions. The outcome of the study is that the media continue to present a negative representation of the mentally ill and mental health care, and that practitioner’s thoughts and actions are influenced by the media representation.
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Elliott, Nalishebo Kay Gaskell. "The health and wellbeing of female street sex workers." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19510.
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Previous research on female street sex workers (FSSWs) has primarily concentrated on the stigmatisation of women's involvement in the sex industry particularly with reference to the spread of HIV/AIDS. The response of the criminal justice system to the regulation of the illegal aspects of women's engagement in street sex work has also been criticised. However, the impact of street sex work on the health and wellbeing of these women requires further research. The aim of this study was to explore the perceptions and needs of female street sex workers in relation to their own health and wellbeing. The study used a qualitative mixed methods approach that included analysis of three sets of data: visual data, secondary data and primary data. There were 10 FSSWs recruited for the primary data sample. The epistemological position underpinning this study is social constructivism and a feminist paradigm has informed the conduct of the research process and data analysis. The theoretical application of Bourdieu's framework of habitus, capital and field has provided the lens through which to explore the socially constructed experiences of FSSWs health and wellbeing. Findings from this study revealed that FSSWs experienced poor physical, mental and social health and wellbeing. They faced limited life choices and often felt discriminated against by the agencies and institutions that should have offered support. The women spoke of their personal histories especially traumatic life events in childhood consisting of sexual abuse, neglect, loss, rejection as well as intimate partner violence in adult life. The loss of their children to social services, housing difficulties and addiction to alcohol and crack cocaine were also significant in contributing to social exclusion and their multiple positions of vulnerability. This study contributes to the body of work on women's health and wellbeing. In particular, it adds to our understanding of the lived experiences of women involved in street sex work. A key public health priority should be the development of policies and systems to provide quality services to support the health, safety and wellbeing of FSSWs.
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Phillips, Chelsea. "Encountering the Sacred Temenos| Somatically Integrating Cumulative Trauma and Discovering Wellbeing Within." Thesis, Pacifica Graduate Institute, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10259259.
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This paper explores trauma as a continuum and how various forms of trauma can be treated with mindfulness and somatic psychotherapy modalities. Ten modalities are discussed through hermeneutic, heuristic, and intuitive inquiry research methods: mindful breathing; mindfulness-based stress reduction (MBSR); emotional freedom techniques (EFT) and energy psychology; eye movement desensitization and reprocessing (EMDR) and attachment focused EMDR; Hakomi mindfulness-centered psychotherapy; sensorimotor psychotherapy; somatic experiencing; acupuncture, Soma Neuromuscular Integration® bodywork, and authentic movement. Unique to this thesis is the approach to somatically releasing trauma using an acronym framework created by the author, conceptualized as Safety, Trust, Acceptance, Belonging, Love, Earth, and Ecopsychology (STABLE©). Adding a depth psychotherapy perspective, the myth of Inanna is offered as an allegory to enrich the practice of co-regulating patients as they work through their trauma narratives. Recognizing nature as an essential component to healing the wounds of the soul adds an ecopsychological and wilderness therapy perspective.
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Anjadini, Shilla Fathi. "More than Stigma : Improving Wellbeing for People in Developing Countries." Thesis, Linnéuniversitetet, Institutionen för design (DE), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-104743.
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This project puts the focus on promoting the importance of bringing attention to mental health in developing countries. It aims to connect people with mental disorders with the help needed to improve their wellbeing. Through the methodology of design thinking and theories of wellbeing and inclusive design, a design proposal is developed. With the situation of COVID-19, people’s wellbeing has become an important issue that needs to be addressed. Apart from physical health, mental health also plays a big role in bridging people into their optimum state of wellbeing. However, the decreasing number of available mental health services has made it difficult for the people to get the help needed, especially in developing countries such as Indonesia, where it had already been limited prior to the pandemic. The primary reason being how mental health is stigmatised, which hinders people from getting the help they need to improve wellbeing. The proposed service design, Discover the Stigma, shows a tool developed alongside stakeholders that enables people in Indonesia to get connected with the help needed and to understand, maintain, and/or improve their wellbeing. It is intended that the tool would provide comfort for people who feel stigmatised within the society and for society to understand them better.
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Fisher, Olivia J. "Predictors of the two continua of mental wellbeing and mental illness: A multi-theory, intergenerational analysis." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/127550/1/Olivia_Fisher_Thesis.pdf.
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By investigating risk and protective factors from multiple psychological theories in combination, this innovative research found a sense of belonging and accomplishment to be the strongest predictors of higher mental wellbeing and lower depression and anxiety symptoms, with substantial differences between generations. The family study identified that parent's own sense of belonging predicted lower depression and anxiety symptoms and higher mental wellbeing in their children. Belonging and accomplishment were found to mediate the relationship between other predictors and mental wellbeing, depression and anxiety symptoms. These findings have substantial implications for clinical practice, health promotion and mental illness prevention practice.
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Johnson, Rebecca E. "Practicalities of public health practice and evaluation : the case of mental wellbeing in Coventry." Thesis, University of Warwick, 2013. http://wrap.warwick.ac.uk/61708/.
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There are gaps in the UK knowledge base for understanding the implementation and evaluation of public health interventions which aim to improve the mental health and wellbeing of participants. In this thesis I examine the measurement of mental wellbeing and the implementation of health improvement interventions in a community setting and investigate the practicalities of their evaluation using a measure of mental wellbeing -- WEMWBS. Methods: Using a mixed methods approach I collected and analysed i) three cross sectional surveys of Coventry residents, ii) quasi-experimental before and after outcome evaluations of three CHIP projects, and iii) undertook semi-structured interviews with CHIP stakeholders. Data were integrated using a matrix technique. Results: A total of 8188 individuals (~40% response rate) completed valid survey questionnaires in 2010-2012, while 590 individuals (~88% response rate) completed valid before-after mental wellbeing outcome evaluations in 2011 and 2012 from three CHIP projects. Fifteen one-on-one interviews were completed. I found that health and lifestyle variables ‘sleep quality’ ‘physical activity’ and ‘fruit and vegetable consumption’ showed the strongest and most consistent patterns of association with levels of mental wellbeing measured using WEMWBS. CHIP projects demonstrated associations between the intervention and increases in mental wellbeing, some of which were both statistically significant and clinically meaningful. Some were sustained at three months. Interview findings showed that the difference between the plans and the observed implementation practices resulted in some of the projects struggling to cope with the evolving and changing needs of the programme, for example moving from outputs to outcomes, introducing mental wellbeing and changing concepts of health, and the work required to achieve partnership with the local authority). The effect on programme level outcomes and outcome measurement of these struggles was a reduction in the number and quality of valid evaluation returns from some of the projects in the programme and reduced staff capacity to deliver project objectives. The introduction of mental wellbeing as an outcome measure created a momentum of change for understanding complex health interventions and outcomes among stakeholders; it assisted those delivering the CHIP programme to understand the underlying health improvement rationale for their programme better. Through integrating quantitative datasets I provided a benchmark from which to make comparisons between population estimates of WEMWBS and observed evaluation findings. Integrating quantitative evaluation process challenges and qualitative insights from stakeholder interviews allowed for complex issues to be ‘untangled’. Interrelated mechanisms affected facilitators and barriers of programme planning, implementation, evaluation and sustainability. Integrating my quantitative and qualitative findings highlighted some clear health benefits from the projects but also highlighted a lack of congruence between the documented linear, unidirectional and unrealistic operational planning which I found in CHIP at a programme level, compared to practical implementation on the ground, which was nonlinear, complex and dynamic. Conclusion: Iterative, transitional stages of programme development could benefit implementation processes and potentially health outcomes, including mental wellbeing, in future public health practice. Further research in this area should explore the extent to which complex, collective, and adaptive operational planning can result in more successful public health improvement programmes.
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Burdett, Howard. "The mental health and social wellbeing of UK ex-service personnel : the resettlement process." Thesis, King's College London (University of London), 2014. https://kclpure.kcl.ac.uk/portal/en/theses/the-mental-health-and-social-wellbeing-of-uk-exservice-personnel(aecf42ef-03bb-4aa5-9084-c19d831aeb90).html.
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The King’s Centre for Military Health Research has collected data on a cohort of approximately 10,000 UK Service personnel from 2003-2008, some of whom (n = 2,253) have left the military over the period in which data collection has occurred. This thesis focuses on those individuals previously in regular (i.e. full-time) service who have left the Armed Forces. At the point of leaving, personnel undertake a number of activities intended to facilitate their transition into civilian life and employment; this is termed "resettlement". Concern is often raised about the ex-Service community’s mental health, homelessness, re-entry into the civilian workforce, and general reintegration into civilian society. Working with this cohort data, this thesis investigated the demographics of Service personnel undertaking resettlement; their transition outcomes in terms of mental health, employment, housing situation, social network, and other markers of social exclusion; the relationships between these outcomes; and the effects of resettlement. Primarily, this thesis shows that resettlement provision has an effect on transition as a result of two relationships – it is associated with higher likelihood of employment, and independently with better mental health. Through these relationships, resettlement has indirect effects on every other domain of transition. Additionally, I have demonstrated that unsuccessful transition is related to pre-enlistment adversity, and lacking a long-term partner. Military factors play relatively little role in post-Service outcomes, although the method by which the individual leaves Service can affect their transition; those who leave in an abrupt, unplanned manner (including those with medical discharges) are more at risk. Outcomes improve with time after the individual has left service. Overall, this thesis shows that ex-Service personnel do not generally have difficulty transitioning to civilian life, and this transition is facilitated by undertaking resettlement. Nonetheless, some groups are at greater risk of poor transition outcomes.
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Collier, E. H. "A biographical narrative study exploring mental ill health through the life course." Thesis, University of Salford, 2012. http://usir.salford.ac.uk/32510/.
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This thesis is about people with mental health problems who happen to be older, rather than older people with mental health problems. Health policy that has focused on older people as a category has maintained a narrow focus on recognising depression and dementia, with older people being excluded from mental health policy aimed at adults of working age. This has resulted in age discriminatory practices, but in addition, the unique needs of people who have lived long term with mental ill health into later life have been ignored. Older people have been often conceptualised as consumers of care rather than citizens with aspirations and research about long term experience of mental ill health and recovery commonly excludes older people. This study aimed to redress this marginalisation and lack of knowledge by exploring the experience of long term mental ill health to older age from a strengths perspective congruent with recovery principles. The study is based on a social constructionist epistemology and narrative inquiry methodology. The research questions were: 1) How does living with long term mental ill health affect achievement and 2) How does long term mental ill health affect life in the present? People who were aged over 50 and who had at least 20 years duration of mental ill health that started before the age of 45 were included. Seven people were recruited though posters placed in GP surgeries, leisure centres and libraries and contacts through mental health services. Four women and three men between the ages of 52 and 76 participated. The study develops the curriculum vitae as a research tool, a method unique in mental health research, in order to root the enquiry within participant relevancies and perspectives to ensure that this previously unheard voice is captured. This tool is congruent with a biographical method that informs the development of two personalised interviews and enables the implementation of this method within a recovery (strengths) frame of reference. The resulting individual narratives were interpreted with reference to the principles of over reading and life course theory. A collective text was also developed which discusses the key findings. The novel approach taken in this research study resulted in an original contribution to current knowledge which provides evidence that can be used to challenge beliefs about people who have lived a lifetime with mental ill health. The study revealed a lifelong process where participants returned to their early life in making sense of their experiences. Long term mental ill health appeared to create an environment whereby participants maximised their chances of success by avoiding stress which has a myriad of personally relevant causes. This appeared to be achieved by keeping silent, which, whilst self-protective, nevertheless potentially exacerbated their stress further and resulted in further stressful consequences. In later life the changed sociocultural and personal environment became part of an autobiographical reasoning that sustained self-theory. This created a situation whereby the participants felt better but also worse at the same time, where personal growth co-existed alongside stress burnout but was coupled with a renewed sense of hope in later life. The implications for health and social care are discussed in relation to policy, practice, research and education in the context of age equality, recovery and long term conditions. Recommendations include: to focus on extensive durations of mental ill health as a special characteristic, to review the of use stress assessments and trauma histories in practice and research, for practitioners to establish the hopes and aspirations of older people who come into contact with services and for researchers to examine the presence of hope in older people with long term mental health problems.
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Griffing, Gene A. "Creativity and religious orientation : an interactional study of psychological wellbeing." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1233199.
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Past research has shown that both creativity and religious orientation are related to psychological wellbeing. There has also been some support for the idea that a relationship exists between creativity and religiosity. The present study sought to determine whether the interaction between creativity and religious orientation would be a significant predictor of psychological wellbeing. Psychological wellbeing, in the current study, was defined as the linear composite of life satisfaction, meaning in life, and purpose in life. The independent variables were measured using the Religious Orientation Scale, the Religious Orientation Scale Revised, and the Torrance Tests of Creative Thinking. Dependent variables were assessed via the Satisfaction with Life Scale, the Scales of Psychological Wellbeing Short Forms, and the Life Attitude Profile Revised. Questionnaires were administered to 291 college students at a mid-western university. Individuals were identified as being either high or low in creativity and as either intrinsic or extrinsic with respect to their religious orientation. A final participant sample participant sample of 120 participants was retained for analysis and a two by two factorial MANOVA was performed to determine if creativity and religious orientation would interact. While the results of the study suggested that creativity and religious orientation were both significant predictors of psychological wellbeing, the interaction of these variables was not found to be a significant predictor of psychological wellbeing. The independent factor of creativity was found to be a significant predictor beyond the .05 level for psychological wellbeing, satisfaction with life, purpose in life, and meaning in life. Similarly, religious orientation as an independent factor was found to be a significant predictor beyond the .05 level for psychological wellbeing, purpose in life, and having meaning in life. While this data is consistent with the current literature, religious orientation was not a significant predictor of life satisfaction. It was postulated that the lack of interaction may have been attributed to low variability in test scores, developmental characteristics of the sample, and/or the more precise psychometric properties of the instruments used in the current study. Recommendations for future research were suggested.Department of Counseling Psychology and Guidance Services
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McLellan, Cathy. "Wellbeing and burnout in mental health service providers : (i) Relationships with quality of care; (ii) The domains influencing wellbeing in practitioner psychologists." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/115312/.
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This thesis investigated wellbeing and burnout in mental health settings. Paper one reports a systematic review of literature pertaining to staff wellbeing and/ or burnout in mental health services, and the relationship this has with quality of care from the perspective of both staff and users of services. Overall the studies reported relationships between staff burnout, and to a lesser extent, wellbeing, on the quality of care provided to service users. Paper two reports an empirical study of the perceived domains that influence the wellbeing of practitioners working in psychological roles. The empirical paper adopted a qualitative methodology. Practitioners cited four key themes that they perceived to have an impact on their subjective wellbeing, and one further theme regarding what can be done to improve staff wellbeing. Paper three provides a critical review of the work undertaken in part one and part two of the thesis. This section considers the relative strengths and limitations of both papers and provides suggestions for both clinical implications and areas for future research. This paper provides an opportunity for the author to reflect on their experience in completing both papers.
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Gudina, Abdi Tefera. "MATERNAL PERCEIVED SOCIAL SUPPORT, MENTAL HEALTH OUTCOMES, AND CHILD WELLBEING: THE CASE OF UNWED MOTHERS." Kent State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=kent1595963602473981.
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Baker, Matthew James. "An investigation to identify factors that promote and demote mental health in schools." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/4848/.
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This study explored the use of MacDonald and O’Hara’s Ten Element Map as an audit tool to elicit the views of staff and pupils with regard to what they felt promoted and demoted their mental health. It was used with fourteen schools and 361 staff members and 219 pupils were involved in the research. Staff members and focus groups of pupils were asked to consider each element of the map, with regards to the factors that promoted and demoted their mental health in school and comments were analysed using thematic analysis. Top promotion themes for staff included the staffroom, visual appearance, receiving positive feedback, support from colleagues and informal opportunities to socialise. In comparison, the top demotion themes were; a lack of space, a lack of appreciation or praise, feeling undervalued, time pressures, workload, poor toilet facilities and a lack of communication. For pupils key promotion themes included; specific areas within the school site, rewards, the use of reward systems and praise. They also identified the importance of talking to members of staff, staff providing support as well as socialising through clubs and school related events. Conversely, the key demotion themes were the toilets and peers being unkind.
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Lewis, Eliza Grug. "A mixed methods study of mental health and wellbeing in different UK undergraduate student populations." Thesis, Royal Veterinary College (University of London), 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.701656.
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Mcphie, Jamie. "The accidental death of Mr Happy : a post-qualitative rhizoanalysis of mental health and wellbeing." Thesis, University of Cumbria, 2016. http://insight.cumbria.ac.uk/id/eprint/3333/.
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There is a growing body of evidence indicating that anxiety, stress and mental ill-health are becoming more prevalent in modern Western societies. At the same time, climate change and mass extinction have now taken root in a period of the earth’s history that has been labelled, ‘the Anthropocene’ and/or ‘Capitalocene’. Some academics have related these various issues to a ‘crisis of perception’ and a general nature-culture perceptual misalignment. This thesis/play is a deconstruction and (re)construction of human-environment conceptions in relation to mental health and wellbeing. More precisely, it is an attempt to map ‘the spread mind’ in ‘environ(mental) health’ (Mcphie, 2014a). (Intra-)Act 1 is an exploration of the performativity of particular Euclidean concepts as well as post-Enlightenment environmental and psychotherapeutic paradigms, with a particular emphasis on those that purport an innate connection with nature. The act also (re)views models that measure mental health as an objectified or subjectified essence within an anthropocentrically idealised self. By taking this approach, I highlight the distinct move in Western culture from an ontology of immanence to one of transcendence. (Intra-)Act 2 invites you to think with a post-qualitative collaborative action (re)search, using psychogeography and rhizoanalysis to map the temporal assemblages of six people-environments (a multiplicity), each with a specific diagnosed mental health concern, in order to explore how mental health and wellbeing is a distributed process. (Intra-)Act 3 and the assemblages present the rhizoanalyses in the form of (re)presentational experimentation including, Brechtian playwriting and assemblages of mental health. By thinking with a troika of emerging contemporary process-relational ontologies, I propose an alternative post-psychotherapeutic pathway for how we might conceive of mental health and wellbeing. This attempt emphasises the intra-relational co-production of material agency and is (re)presented in this study as a process distributed of the environment. This is not a conclusion.
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Chan, Yuen-yan, and 陳遠欣. "Job satisfaction, stress and mental wellbeing of health care workers in a regional public hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422502.
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Introduction: Amongst all public servants in Hong Kong, health care workers are one of the groups suffering from highest working pressure. They have long working hours and may have overnight shift duties, including Sundays or even public holidays. This may lead to poor job satisfaction, psychological stress and the recent high resignation rate in public hospitals.
The aim of this study is to assess the prevalence of the psychological stress, psychological symptoms and job satisfaction of health care workers, the association between stress, psychological symptoms and job satisfaction; and also the factors associated with job satisfaction in a regional hospital in Hong Kong.
Method: Health care workers in a large regional hospital of Hong Kong were surveyed by means of a questionnaire assessing basic demographic data, questions of the General Health Questionnaire (GHQ-12), Perceived Stress Scale (PSS), Warr-Cook and Wall job satisfaction scale (JSS). Four groups of health care workers (doctors, nurses, allied health workers and supporting staffs) were surveyed. Summary of descriptive statistics were calculated for each group to compare the prevalence of job dissatisfaction, perceived stress, and psychological symptoms. Two-stage analysis will be used. The first stage analysis will use ANOVA test to access the association between job satisfaction and different variables. The second stage analysis will use multivariate regression model to further assess the coefficient correlation of significant factors drawn from ANOVA test with job satisfaction.
Results:
There were 674 eligible questionnaires. About half (47%) of the health care workers reported having perceived stress and a third (33.8%) psychological symptoms.
Doctors reported the (76.8%, 95% C.I = 69.43%, 84.17%) highest level of job satisfaction amongst all the health care workers surveyed. Among staff reporting a GHQ score equal to or more than three, supportive staff had significantly higher prevalence (38.7%, 95% C.I.=27.96%, 49.44%) and doctors the lowest prevalence (28.1%, 95% C.I.= 15.11%, 41.09%) of psychological symptom but proportions were compatible with their counterparts in other countries. The mean score for GHQ-12 was 2.41+/- S.D. 3.28.
The overall mean perceived stress score was 18.14 with SD +/- 5.0. There was no significant difference when different subgroups were compared. The mean PSS scores of all subgroups were lower than their counterparts in other counties but were quite similar to the mean PSS reported during SARS period. Sixty eight percent of all health care workers surveyed were satisfied with their job (respondents indicating “moderately satisfied”, “very satisfied” and “extremely satisfied” on their overall job satisfaction). Values equal to or above 5 reflect being satisfied. The mean value for Job satisfaction was 4.58 +/-S.D. 1.21. The factors including shift duty, perceived stress, and psychological symptoms were negative correlated with job satisfaction. Factors such as clinical work, doctor and secondary school level were positive correlate with job satisfaction.
Conclusion:
Prevalence of perceived stress and psychological symptoms among health care workers were high when compared with the general population (14-17.6% for perceived stress and 28.1% for psychological symptom), but not as high as expected. In contrast to popular belief, doctors had the lowest perceived stress level, lowest prevalence of psychological symptom and the highest job satisfaction among different groups of health care workers. This may be related to higher income, social status and, education background that might help to protect them from depression and anxiety.
Supportive staffs, who felt neglected by management, were found to have the highest prevalence of psychological symptom and higher stress levels. Nurses got highest prevalence of perceived stress. More attentions and resources should be devoted to these groups to cope with their psychological needs and stress.published_or_final_version
Public Health
Master
Master of Public Health
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Sano, Akane. "Measuring college students' sleep, stress, mental health and wellbeing with wearable sensors and mobile phones." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/106066.
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Thesis: Ph. D., Massachusetts Institute of Technology, School of Architecture and Planning, Program in Media Arts and Sciences, 2016.Cataloged from PDF version of thesis.
Includes bibliographical references (pages 165-182).
This thesis carries out a series of studies and develops a methodology and tools to measure and analyze ambulatory physiological, behavioral and social data from wearable sensors and mobile phones with trait data such as personality, for learning about behaviors and traits that impact human health and wellbeing. This thesis also validates the methodology and tools on a selected subset of the questions that can be answered by the data collected. First, I conducted a study to characterize wrist electrodermal activity (EDA) patterns with concurrent polysomnography and conventional palm EDA measurement. I developed a tool to analyze the EDA data quantitatively and found that wrist EDA peaks occur during Non REM2 and 3 sleep. Then, with multi-modal wearable sensor data, I conducted several studies showing how multi-modal wearable sensors can improve characterization of sleep/wake states over motion-sensing alone, and predict sleep-related memory consolidation. We found that wrist-EDA helps discriminate when there is improved sleep-related memory consolidation. Next, with colleagues at MIT and Brigham and Women's hospital, I designed and carried out the first four semesters of the "SNAPSHOT study", which measured over 100,000 hours of multi-sensor and smartphone use data from 168 college students, recruited together with their social groups. Each student contributed intensive multi-modal ambulatory data (physiological, behavioral, environmental, and social) for 30 days. Each student also filled out standardized questionnaires on mental health, personality, stress, social interactions, sleep and GPA, and provided a measure of dim light melatonin, enabling circadian phase to be measured. To investigate the value of the data, I examined a subset of the large set of questions that these new data enable us to answer: I examined the associations between sleep regularity and sleep duration on academic performance, physical/mental health, perceived stress and wellbeing-related measures using coarsened exact matching to control covariates. Our data showed that sleep irregularity was statistically significantly more associated with bad health, reported in the morning, and with worse mental health than sleep duration. I also identified features useful for recognition of monthly reported perceived stress (high vs low): daily activities, personality, sleep, physiology, social interactions, phone usage, and mobility.
by Akane Sano.
Ph. D.
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Hollocks, Matthew. "Mental health comorbidities in adults with Autism Spectrum Disorder : prevalence rates and the role of adverse life events and parental mental health and wellbeing." Thesis, University of East Anglia, 2018. https://ueaeprints.uea.ac.uk/69044/.
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Introduction: Adults with autism spectrum disorders (ASD) are at heightened risk for several comorbid mental health conditions. However, the prevalence of common co-occurring difficulties such as anxiety and depression and associated risk factors are poorly understood. Aim: The aim of this thesis was to both quantify the prevalence of anxiety and depression in adults with ASD and to investigate how internalising (anxiety and depression) and externalising (conduct problems) symptoms in adulthood are related longitudinally to symptoms in childhood, quantifying any additional impact of exposure to adverse life events and poor parental mental health. Method: The prevalence of anxiety and depression was estimated by conducting a systematic review and meta-analysis consisting of 36 studies, including 30 studies measuring anxiety (n=26,070) and 29 measuring depression (n=26,117). The empirical study included 115 young adults with ASD who were assessed at three time-points (at 12,15 and 23 years of age) on measures of internalizing and externalizing symptoms. Structural Equation Modelling was used to investigate the impact of adverse life events and parental mental health on internalizing and externalizing symptoms. Results: The estimated current and lifetime prevalence for anxiety and depression in adults with ASD was 27% and 42%, and 23% and 37%, respectively. Results of the empirical study indicated that internalizing and externalizing symptoms in young adults with ASD are significantly related to exposure to adverse life events and mental health symptoms in childhood and adolescence. Additionally, poor parental mental health and wellbeing was found to predict a higher frequency of externalising problems but did not moderate the impact of adverse life events. Discussion: The results of this thesis suggest that anxiety and depression are highly prevalent in adults with ASD and that symptom severity in childhood and adolescence, exposure to life events and poorer parent mental health are all independent predictors of symptom severity.
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Giouvanaki, Asimina. "Nature’s Impact on Mental and Physical Wellbeing : A study of the mental and physical health in Greek Immigrants to Sweden." Thesis, Högskolan i Gävle, Avdelningen för humaniora, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36458.
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In the past Man coinhabited harmoniously with nature only to have the balance disturbed with the advent of the Industrial Revolution replacing the green habitat with urban concrete settlements Consequently, the characteristics of the contemporary city pose a set of serious threat to man’s physical and mental health. Crowdedness, lack of apt infrastructure, pollution, noise pollution and rise in temperature are all contributing factors to the Man’s demised health and detachment from previous amicable coexistence with nature. For the past 30 years, extensive research has been conducted studying the correlation between man and nature, and nature’s impact on man’s health. The theory of “Biophilia,” by Edward, O. Wilson, Rachel and Stephen Kaplan’s “Attention Restorative Theory,” and Roger Ulrich’s “Stress Reduction Theory,” have been innovating and contributing towards gaining more understanding of the importance of a green environment in man’s everyday life. As a corollary the above-mentioned theories gave rise to the following quantitative study conducted over a 4-month period, including 81 respondents, in Spring 2020, focusing on whether a natural green environment in Sweden had impacted the mental and physical health in Greek immigrants to Sweden. The findings suggest that comparing the respondents’ life in Greece and respectively in Sweden there was indeed an improvement in the mood and health of the sample groups taking into consideration: how healthy they are, how healthy they feel, how happy they feel in relation to work, time spent in Sweden, marital status and of course the parameters that focus on the part of the natural environment at home and in their neighbourhood in Sweden. There seem to have been a statistically significant improvement in their health compared to when they lived in Greece but there is insufficient evidence to support that some of the parameters examined are responsible for this. Happiness on the other hand seem to possess a statistical important role due to their marital status among others along with the green surrounding environment having an impact on their mental well-being but not their physical health. Therefore, a more sustainable green environment seems to have impacted the overall psychological and physical state of the respondents, but further extensive research is recommended to investigate in depths others factors i.e., psychosomatics, environmental psychology along with nature related theories and studies.
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Zunino, De Ward Leonor. "Innu Minuinniuin: Understanding Ways of Achieving Wellbeing Among the Labrador Innu." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42594.
Full textAbstract:
The Labrador Innu lived for millennia in the Quebec-Labrador Peninsula as nomadic hunters. Commencing in the 1950s, successive policies imposed on the Innu by federal and provincial governments brought significant disruptions to their traditional way of life. Today, the Labrador Innu are settled in the communities of Sheshatshiu and Natuashish in the province of Newfoundland and Labrador, Canada. They have maintained their language and culture, anchored in their understanding of territory and their relationship with their ancestral land, and have increasingly asserted their self-determination, including in research.
The Innu articulated a Healing Strategy in 2014 after extensive community consultations. The Strategy states that a contemporary return to culture would provide healing to individuals and communities. Healing is important due to the social suffering experienced through sudden forced settlement and schooling in a non-Innu system. These abrupt changes altered the social fabric that had sustained Innu society for millennia.
As part of the Strategy, the Innu decided to undertake a study to articulate their concept of wellbeing (minuinniuin) and their process of healing. Wellbeing and healing are intrinsic concepts for Innu; however, these concepts need to be uncovered for health and service providers, and policy makers. Having lived in Labrador and worked for the Innu, I was invited to be part of this community-initiated research. The Grand Chief of the Innu Nation directed that the research involve Innu researchers and utilize Innu ways-of-knowing and knowledge as fully as possible. Innu knowledge, like all Indigenous knowledges, is specific to the place where Innu live and to their experiences. Indigenous concepts of health and wellbeing, connections to land, and cultural identity are wholistically connected and culture-specific.
The main objective of this dissertation is to articulate the Labrador Innu understanding of wellbeing and their distinctive process of healing. This qualitative study involves interviews and focus groups with 39 participants older than 16 years of age.
This is a dissertation by articles. It consists of a general introduction to Indigenous health inequities, a literature review, a description of the methods, and the results as three separate manuscripts. It concludes with a summary of findings and implications.
The first manuscript focuses on the process of developing an Innu framework for health research involving a partnership between Innu and non-Innu researchers. An Innu community-based participatory research (CBPR) framework for health research is proposed where Innu knowledge is foundational to the study. The framework is based on the metaphor of Innu and non-Innu canoeing together in one canoe. Within the space that joins all researchers, Indigenous knowledges are uncovered. This CBPR framework is used in the following two manuscripts.
The second manuscript describes the contemporary process of healing of the Labrador Innu. Healing practices have been developed to deal with the historical and contemporary effects of colonialism and Innu people consider them effective. Healing is grounded in self-determination, culture, and non-reliance on bio-medicine. Five stages of healing are described: being “under the blanket”; finding spiritual strength; extending hands out; finding strength and power; and helping others. The findings highlighted the enablement of healing through spiritualities, support from Elders, return to culture, and resistance to negative stereotypes.
The third manuscript aims to understand Innu views of wellbeing, and the influence of the land on health and wellbeing. Findings highlight that the experience of being on the land with family and community, learning cultural knowledge, and enacting Innu identity play a major role in enhancing wellbeing. For the Innu, the land sustains wellbeing by emplacing knowledge systems and cultural identity.
The work presented in this dissertation contributes to the literature on Labrador Innu population health by highlighting that access to and experience of land build up health and wellbeing by providing and facilitating togetherness, fostering a relationship to all living beings, and enacting culture and a positive Innu identity. The findings add new knowledge to Indigenous health studies literature, particularly Innu health studies – holding promise for reducing health inequities. Implications for research, practice, and policy are also addressed.
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Aboaja, Anne Marie. "Mental health and spirituality of female prisoners in a women's prison in Chile." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/31221.
Full textAbstract:
Background: The mental health of prisoners is of growing global health importance as prison populations increase exponentially. Though additional risks of mental disorder and poor mental wellbeing of prisoners are now better understood, women, especially those in low and middle income countries, and in regions outside North America and Europe are underrepresented in prison mental health studies. There is strong evidence of associations between religion and spirituality (RS) and mental health in the general population in North America and Europe. This thesis aims to measure and explain any associations between RS and depression and mental wellbeing among female prisoners in Chile. Methods: An explanatory sequential mixed methods approach comprised an initial quantitative study linked to a subsequent qualitative study. In the quantitative phase, 94 randomly sampled female prisoners in Chile participated in a pooled two-stage cross-sectional survey which collected data on background, mental health and RS variables. Mental wellbeing was measured using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Self-report depression data were collected and 40 prisoners were also administered the Mini International Neuropsychiatric Interview (MINI). RS variables included: affiliation, personal importance, involvement (frequency of attending services), benefits and beliefs. The design of the qualitative phase was informed by quantitative study findings. Six prisoners who had participated in the cross-sectional survey attended one of two focus groups. Individual in-depth interviews were conducted with 3 prison chaplains and 2 health professionals from the prison health centre. Topic guides for focus groups and interviews were used to facilitate discussions on the mental health and RS of female prisoners and to elicit views on selected findings from the quantitative study. Logistical regression techniques were used to statistically test the hypothesis of no association between RS and depression and mental wellbeing. Audio-recorded qualitative data were transcribed in Spanish and analysed thematically in English. Results: Of the 94 women, 11 (11.7%) reported a current professional diagnosis of depression, while major depression was confirmed in 13 (32.5%) of the 40 women assessed using the MINI. The women had a median WEMWBS score of 55 (IQR 43-61) out of 70. Religiosity was high among the sample with 86 (91.5%) women affiliated to mainstream Christianity and 69 (73.4%) who considered RS to be personally very important. In a sample of 40 women, frequency of attendance at RS services was significantly higher in prison than during the year prior to incarceration (Wilcoxon Sign Ranks Test Z=3.1; p < 0.002). No significant associations were found between depression and mental wellbeing, and the key RS variables. However, 61 (89.7%) women believed there was a connection between their mental health and spirituality. The qualitative data revealed differences within and between participant groups in understandings of mental health and RS terminology and concepts. Themes emerged around the prison determinants of mental health and the mental health effects of the female gender. Prisoners identified RS variables that influenced mental health which had not been measured in the survey. Explanations were found for the divergent survey results of the association between RS and mental health. The data showed how RS shapes prisoners' help-seeking behaviour and attitudes to mental health care. Conclusion: The association between RS and mental health among prisoners in Chile remains unclear but may differ from established patterns reported in non-prisoner populations. This a challenging area of study with an additional layer of complexity present in prison populations where there are high levels of religiosity and spirituality. Larger studies are needed to confirm the quantitative findings, while qualitative findings should lead to raised awareness of RS in the development of prison mental health strategies in accordance with the needs of a given population.
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Keith, S. A. "Exploring the personal and systemic factors impacting on wellbeing and effective working in mental health professionals." Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3026395/.
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Bracewell, Anna Marie. "Role, responsibility and relationships : perceptions among primary school staff of promoting emotional wellbeing and mental health." Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/10020640/.
Full textAbstract:
The recent focus on the role of schools in promoting pupils' emotional wellbeing and mental health has been addressed through government legislation and initiatives such as Every Child Matters (DfES, 2003a), Social and Emotional Aspects of Learning (DfES, 2005a, 2007) and the Healthy Schools Programme (DCSF/DoH, 2007). However, the precise nature of the responsibility is generally unclear. This study explored how teachers and teaching assistants in mainstream primary schools understand the terms 'emotional wellbeing' and 'mental health', their perceptions of their role and responsibility, and how they link their relationships with pupils to promoting wellbeing. The responses of teachers and teaching assistants were also compared. Using a mixed methods approach, consisting of semi-structured interviews (N = 20) and questionnaires (N = 40), and employing thematic and statistical analysis techniques, conclusions were reached. Staff appear to have broad conceptualisations of emotional wellbeing and mental health, with pupils' emotional states and interactions with others viewed as especially relevant. Participants' colleagues were strongly linked to their roles, in practical and psychological terms, and most people believed that good relationships between staff and pupils were important. The idea of 'talk' in promoting wellbeing was salient. TAs reflected on relationships in more nuanced ways than teachers and viewed these as a central part of their role. Constraints linked to time and differing responsibilities appear relevant to understanding this difference.
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Markowski, Kelly Lorraine. "Identity, Networks, and Mental Health: The Relationship between Structures and Meaning on Distress and Subjective Wellbeing." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1555942428443257.
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Maclean, Kirsten. "ACT at work : feasibility study of an acceptance based intervention to promote mental health well-being and work engagement in mental health service staff." Thesis, University of Glasgow, 2013. http://theses.gla.ac.uk/4630/.
Full textAbstract:
Background: Acceptance and Commitment Therapy (ACT) aids individuals to accept difficult experiences that may be beyond their control and commit to behaviour that is consistent with their values. Previous research highlights that ACT interventions can: improve mental health, reduce worker stress and engender effective learning and performance. Work engagement has been defined as having an energetic and effective connection to work activity. As yet, no studies have investigated whether ACT interventions lead to improvements in work engagement. Aim: To investigate the feasibility of using ACT at Work Training (ACTw) to improve mental well-being and foster work engagement in staff working in mental health services. Method: A prospective, non-randomised, cohort controlled, repeated measures design was utilised. The parameters of this feasibility trial were formulated around the PICO (population, intervention, control, outcome) framework. 25 staff were recruited to take part in ACTw. 20 staff were recruited separately to a control group. The control group did not receive any input. ACTw was implemented over three sessions. The Utrecht Work Engagement Scale, General Health Questionnaire, Michigan Job Satisfaction Scale and Hospital Anxiety and Depression Scale were administered as outcome measures, while the Acceptance and Action Questionnaire - measuring psychological flexibility - and the Valuing Questionnaire - measuring value based living - were administered as therapy-specific measures. Following the completion of baseline assessments, measures were conducted 6 and 10 weeks post-baseline. Results: Despite initial recruitment problems, ACTw and control group participants were successfully recruited. Positive feedback from those who completed ACTw, suggested the intervention was acceptable. However, a third of ACTw participants missed training sessions, which was related to work and personal stress factors. The lack of significant differences between ACTw and control participants’ in scores on outcome and therapy-specific measures across the time points does not provide support for treatment signal changes in these measures. However, the lack of significant differences in outcome measures may be due to the low number of individuals presenting with high stress and low work engagement levels. For the group as a whole, changes in stress, anxiety, depression and work engagement were significantly correlated with changes in therapy-specific measures i.e. measures of psychological flexibility and value based living. Conclusions: Results of this study highlight factors that will help inform a larger trial of ACTw for health professional staff. Suggestions for future implementation include considering a larger sample and catchment area, staff stress level, potential barriers to participation and implementation of change at an organisation level.
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Le, Thao. "Person-centered training to promote quality of care to skilled nursing facility residents affected by dementia| A grant proposal." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10024098.
Full textAbstract:
Individuals diagnosed with dementia make up the majority of the population in skilled nursing facilities (SNFs). Certified Nursing Assistants (CNAs) are the primary caretakers of older adults living in SNFs. The purpose of this grant project was to write a proposal for funding to provide Person-Centered Care (PCC) training to help CNAs enhance their skills to better enhance the quality of life of older adults living with dementia in SNFs.
The goal of PCC training is to help CNAs better understand the signs and symptoms of Alzheimer’s and dementia, improve communication skills, and provide strategies to manage the behavioral and psychological symptoms of dementia. Previous research on PCC has found it to be effective in improving the quality of care of older adults who are affected by dementia and who are living in nursing homes.
Actual submission or funding of the grant was not required for the successful completion of this project.
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Buchanan, Denise. "Exploring the potential of classroom learning for adults with mental health problems : perceptions of transformation and wellbeing." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10054162/.
Full textAbstract:
In the United Kingdom, although one in four adults reported experiencing mental health difficulties in one year, only a quarter of them received treatment for their condition BMA (2017). Moreover, this group of adults have been underrepresented in fulltime employment and education. This thesis argues that facilitating Further Education (FE) opportunities for adults with mental health problems, may assist in promoting their well-being and a pathway towards a different future. A narrative study was carried out involving 15 adults with mental health problems, who were attending classes in an FE College. Specifically, participants were asked during extensive one-to-one interviews, about their recent experiences of classroom learning and their narratives were analysed in relation to well-being and transformative learning theory. Participants reported numerous benefits arising from their learning which they felt had positively influenced their sense of well-being and which for some, included transformative changes. This thesis makes an original contribution to knowledge as it highlights that for adults with mental health problems, formal learning does have the potential to contribute positively to their lives. Furthermore, it suggests that unless certain wider societal factors are sufficiently addressed, the potential for these benefits to be fully realised, will be severely hindered. The thesis also extends the theory of transformative learning theory and highlights the value of bridging the divide between health and education when working with adults with mental health problems. Straddling these two disciplines in this study, has led to new understandings in relation to the best way to support adults with mental health problems in an FE setting. It has additionally led to identifying how best to interview vulnerable learners in a meaningful, safe and ethical way within an educational setting. The implications for policy and practice because of this work are outlined.
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Trindall, Melissa. "Perinatal maternal mental health predicts early infant temperament: Findings from the Mercy Pregnancy and Wellbeing Study (MPEWS)." Thesis, Trindall, Melissa (2019) Perinatal maternal mental health predicts early infant temperament: Findings from the Mercy Pregnancy and Wellbeing Study (MPEWS). Masters by Coursework thesis, Murdoch University, 2019. https://researchrepository.murdoch.edu.au/id/eprint/60835/.
Full textAbstract:
While there is a well-established relationship between maternal mental health and infant temperament, few studies have been able to differentiate the unique contribution of exposures occurring in pregnancy from those occurring postnatally. This study draws on data from a prospective longitudinal cohort study conducted in Melbourne, Australia. The Mercy Pregnancy and Emotional Wellbeing Study (MPEWS) is a cohort of 282 participants with measures of maternal depression and anxiety obtained in the first and third trimester, and 6 months postpartum using the EPDS and STAI. Mothers also assessed their infants at 6 months using the Short Temperament Scale for Infants. Regression analysis assessed the contribution of pre and postnatal maternal mental health on infant temperament outcomes indicative of difficulties in emotional and behavioural regulation while controlling for a number of covariates. Results showed withdrawn temperament was predicted by all pre and postnatal measures of maternal depression and anxiety. Postnatal depression symptoms were found to uniquely predict the presence of regulation difficulties and uncooperative temperament, while low birth weight was also identified as a risk factor for regulatory difficulties. Irritable infant temperament was predicted by both pre and postnatal depression and anxiety symptoms, with maternal education mediating this relationship. No associations were found between maternal mental health and reactive temperament, despite a significant negative relationship found with maternal education and income. These results may be attributed to both prenatal biological mechanisms including fetal programming and postnatal factors such as the rearing environment. Future research should aim to build on these findings using a multimethod approach to further understand the mechanisms involved in temperament development for the purpose of designing targeted interventions.
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Serobatse, Mosidi Belinda. "Interventions to promote psychitric patients' compliance to mental health treatment : a systematic review / Mosidi Belinda Serobatse." Thesis, North-West University, 2012. http://hdl.handle.net/10394/8487.
Full textAbstract:
Non-compliance to treatment remains one of the greatest challenges in mental health care services, and knowledge about how to improve this is still a problem. The aim of this study is to critically synthesize the best available evidence regarding interventions to promote psychiatric patients’ compliance to mental health treatment. This study aims to provide the clinical practitioner with accessible information on interventions to promote psychiatric patients’ compliance to mental health treatment. Systematic review was chosen as a design method to identify primary studies that answer the following research question: What is the current evidence on interventions to promote psychiatric patients’ compliance to mental health treatment?
Selected electronic databases that were accessible were thoroughly searched: SA-Nexus (NRF), ProQuest, EBSCOhost Platform, ScienceDirect, Web of Knowledge, Cochrane Library, Sabinet and Google Advanced Scholar were searched for primary studies that were published from 2001 to 2011. Primary studies in any language with an abstract in English were included in the search results. The following key words were used in the search: intervention, mental health treatment, psychiatric treatment, compliance, adherence, psychiatric patients, mental health care user and combinations thereof. Pre-determined inclusion and exclusion criteria were applied during the selection of studies. Sixteen studies (n = 16) were included for critical appraisal of methodology and quality using standard instruments from the Critical Appraisal Skills Program (CASP), the (JHNEBP) John Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool and the American Dietetic Association’s (ADA) Evidence Analysis manual. Finally only fourteen studies (n = 14) were identified as evidence that answers the literature review question appropriately.
Evidence extraction, analysis and synthesis were conducted by means of the evidence class rating and grading of strength prescribed in ADA’s manual (ADA, 2008:62). The research was evaluated, a conclusion was given, limitations were identified and recommendations were formulated for nursing practice, education and research. Study findings indicated several interventions that can improve patients’ compliance in mental health treatment. Adherence therapy and motivational interviewing techniques during in-hospital stay improved the compliance of psychiatric patients. The use of Meds-help Pharmacy-based Intervention and Treatment Adherence Therapy Program for all Healthcare Professionals improved compliance to treatment for severely mentally ill. A Treatment Initiation and Participation Program and the use of Management Flow Sheet Interventions for Depressed Patients in Out-Patient Settings improved overall compliance of depressed patients in out-patient settings. Community mental health nurses trained in Medication Management improved psychiatric patients’ compliance to treatment at the community health care centres. Antipsychotic medication combined with therapeutic antipsychotic psycho-social interventions improved compliance of treatment for early-staged schizophrenia patients in out-patient settings. The use of Risperidone injections during the provision of home care and the long-acting injectable antipsychotic and atypical antipsychotic treatment used for schizophrenic patients served to improve compliance of mental health treatment in out-patient settings for schizophrenic patients. It is thus recommended that nurses should be exposed to clinical training regarding treatment compliance interventions of mental health care users during formal nursing education to enhance the mental health care practice and stimulate more innovative research on treatment compliance on the clinical field.Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2012
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Suresh, Mini. "Mapping interior environment and integrated health systems research using the psychoneuroimmunological (PNI) model." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/16414/1/Mini_Suresh_Thesis.pdf.
Full textAbstract:
This study maps research concerning person environment interrelationships with
health and wellbeing outcomes. The purpose of this study is to provide insights into
the inter-relationship between the built environment (BE) and human health and
wellbeing as it is conveyed in research literature. It particularly focuses on literature
that connects built environment, emotions, feelings, mind and body. This thesis
therefore provides a review of relevant literature on the physical environment, with a
focus on person environment (PE) relationship that may influence the person's
psychological and physiological systems consequently affecting health and
wellbeing. Specifically, psychoneuroimmunology (PNI) is used to identify
dimensions of the BE which are significant for this study.
The understanding of PE interrelationships to health outcomes is achieved by
undertaking a transdisciplinary outlook. To conceptualise the 'person' as a whole and
the workings of the mind and human system PNI has been recognised as a main
platform. PNI is the study of mind-body relationships (Evans, et al, 2000), providing
a scientific framework which captures the understanding of the inter-relationship of
the mind to the neuroendocrine systems and the immune systems with the aim of
understanding the influence of the mind on eliciting as well as preventing illnesses.
The work was motivated by the need for better understanding of the human
interaction/transaction in an interior environment and their consequences on health.
An exploration of literature from both the environmental and health fields provided a
knowledge base upon which to develop an understanding of the interrelationship.
Research has demonstrated a link between the BE and wellbeing, however, this is
limited in its application and/or scope. For example, over the past years there has
been an increasing amount of research showing the possible influence of the
environment in reducing stress (Sommer & Oslen, 1980; Kaplan, 1983; O'Neill,
1991; Wapner & Demick, 2000; Parsons & Tassinary, 2002, Frumkin, 2006). In
addition, there is growing evidence that indicates there is a relationship between BE
and health including the psychological and physiological systems, in healthcare
environments (Ulrich & Zimring, 2004). However, while there is ample research in
the areas of environmental stressors and other determinants of the environment in contributing to health, less research has been undertaken in studying the impact of
the environment on health (Evans& McCoy, 1998). The potential of the environment
in contributing to the mental wellbeing of a person and how this could affect the
physical health therefore needs further investigation (Solomon, 1996).
The methodology followed was Coopers (1998) 'research synthesis' and the tool to
sort the domains and PE interrelationships was adapted from White's (1989) 'space
adjacency analysis'. The scope of this study was limited to explorations of literature
that inquired into PE relationships that fit into the primarily established 'integrative
systems model'; a parameter that enabled categorisation of the literature into the
areas that related to the PNI framework.
The findings illustrate that the person is interrelated to the environment in several
ways and can be interpreted and explained in terms of various dimensions such as
the psychological, physical, social, and spatial dimensions. Furthermore,
empirical research indicates that the environment impacts on a person's health and
wellbeing through psychological and physiological systems. PNI
acknowledges the interrelationship of the mind and body systems contributing to an
integrative systems model of human health and wellbeing.
As an outcome, the study has produced an analysis method and a navigation map of
the various literature domains related to PE interrelationships in terms of health and
wellbeing. This has been facilitated by the development of, a 'PE integrative systems
model'. Apart from demonstrating the need for transdisciplinary research and
contributing to research methodology, the study also adds to the current design
knowledge base providing BE professionals and creators with a better understanding
of the health outcomes from PE interrelationships.
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Suresh, Mini. "Mapping interior environment and integrated health systems research using the psychoneuroimmunological (PNI) model." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16414/.
Full textAbstract:
This study maps research concerning person environment interrelationships with health and wellbeing outcomes. The purpose of this study is to provide insights into the inter-relationship between the built environment (BE) and human health and wellbeing as it is conveyed in research literature. It particularly focuses on literature that connects built environment, emotions, feelings, mind and body. This thesis therefore provides a review of relevant literature on the physical environment, with a focus on person environment (PE) relationship that may influence the person's psychological and physiological systems consequently affecting health and wellbeing. Specifically, psychoneuroimmunology (PNI) is used to identify dimensions of the BE which are significant for this study. The understanding of PE interrelationships to health outcomes is achieved by undertaking a transdisciplinary outlook. To conceptualise the 'person' as a whole and the workings of the mind and human system PNI has been recognised as a main platform. PNI is the study of mind-body relationships (Evans, et al, 2000), providing a scientific framework which captures the understanding of the inter-relationship of the mind to the neuroendocrine systems and the immune systems with the aim of understanding the influence of the mind on eliciting as well as preventing illnesses. The work was motivated by the need for better understanding of the human interaction/transaction in an interior environment and their consequences on health. An exploration of literature from both the environmental and health fields provided a knowledge base upon which to develop an understanding of the interrelationship. Research has demonstrated a link between the BE and wellbeing, however, this is limited in its application and/or scope. For example, over the past years there has been an increasing amount of research showing the possible influence of the environment in reducing stress (Sommer & Oslen, 1980; Kaplan, 1983; O'Neill, 1991; Wapner & Demick, 2000; Parsons & Tassinary, 2002, Frumkin, 2006). In addition, there is growing evidence that indicates there is a relationship between BE and health including the psychological and physiological systems, in healthcare environments (Ulrich & Zimring, 2004). However, while there is ample research in the areas of environmental stressors and other determinants of the environment in contributing to health, less research has been undertaken in studying the impact of the environment on health (Evans& McCoy, 1998). The potential of the environment in contributing to the mental wellbeing of a person and how this could affect the physical health therefore needs further investigation (Solomon, 1996). The methodology followed was Coopers (1998) 'research synthesis' and the tool to sort the domains and PE interrelationships was adapted from White's (1989) 'space adjacency analysis'. The scope of this study was limited to explorations of literature that inquired into PE relationships that fit into the primarily established 'integrative systems model'; a parameter that enabled categorisation of the literature into the areas that related to the PNI framework. The findings illustrate that the person is interrelated to the environment in several ways and can be interpreted and explained in terms of various dimensions such as the psychological, physical, social, and spatial dimensions. Furthermore, empirical research indicates that the environment impacts on a person's health and wellbeing through psychological and physiological systems. PNI acknowledges the interrelationship of the mind and body systems contributing to an integrative systems model of human health and wellbeing. As an outcome, the study has produced an analysis method and a navigation map of the various literature domains related to PE interrelationships in terms of health and wellbeing. This has been facilitated by the development of, a 'PE integrative systems model'. Apart from demonstrating the need for transdisciplinary research and contributing to research methodology, the study also adds to the current design knowledge base providing BE professionals and creators with a better understanding of the health outcomes from PE interrelationships.