Journal articles on the topic 'Women Mental health;Case studies'
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Pitts, Claudia G. "Women, Mental Health, and Managed Care." Women & Therapy 22, no. 3 (February 2, 2000): 27–36. http://dx.doi.org/10.1300/j015v22n03_04.
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Turner, Georgina. "‘Bizarre Sapphic midlife crisis’: (Re)thinking LGBTQ representation, age and mental health." Sexualities 22, no. 7-8 (November 12, 2018): 997–1016. http://dx.doi.org/10.1177/1363460718794132.
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This article looks at viewers’ responses to the romance between two older women on the BBC medical drama Holby City. In the context of a continuing lack of representation of (older) women-loving women, viewers of all ages describe a transformative experience, with an emphasis on positive mental health outcomes – yet older women also orient to something implicitly problematic about this being the case. This is premised, I suggest, in the foregrounding of youth and adolescence in academic and public discussions of the role of the media in sexual self-realisation. The research demonstrates the need for qualitative case studies capturing LGBTQ portrayals, taking account of the experiences of older viewers, and of network television even in a fragmented and queer(er) digital market.
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Dennerstein, Lorraine. "Mental Health, Work, and Gender." International Journal of Health Services 25, no. 3 (July 1995): 503–9. http://dx.doi.org/10.2190/qjra-8nmb-kr1r-qh4q.
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Women have significantly higher prevalence rates than men for many mental disorders, particularly affective disorders. Married women are more at risk for mental ill-health than single women or married men. The detrimental effects of marriage on mental health appear to relate to the contexts of role performances and the reduction in opportunities in paid employment. This review examines the influence of women's paid and unpaid domestic work and roles on mental health. Many studies show positive effects of paid employment on mental health, and multiple roles have been found to have beneficial rather than adverse effects on mental health. However, husbands' negative attitudes to women's paid employment, with resultant marital conflict, and husbands' lack of participation in child care may erode these potential beneficial effects.
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Oftadeh-Moghadam, Shakiba, and Paul Gorczynski. "Mental Health Literacy, Help-Seeking, and Mental Health Outcomes in Women Rugby Players." Women in Sport and Physical Activity Journal 30, no. 1 (April 1, 2022): 1–10. http://dx.doi.org/10.1123/wspaj.2020-0066.
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Within rugby, a plethora of research has focused on male rugby players, with some recent attention being directed to examining their mental health. Such attention has not been evident for their female rugby counterparts. The aims of this study were to ascertain levels of mental health literacy (MHL) and explore demographic differences in United Kingdom semielite rugby players who identified as women, and examine whether MHL is associated with better mental health outcomes and general help-seeking intentions. In total, 208 semielite women rugby players completed an online multisection questionnaire measuring MHL, general help-seeking intentions, distress, and well-being. Overall, most players scored a low rating of well-being; however, those who indicated a previous mental health problem exhibited significantly higher levels of MHL. Players were more likely to display general help-seeking intentions toward an intimate partner or a friend than a health care professional. High levels of distress were reported in 64.4% of players, particularly those who had been previously medically diagnosed with a mental disorder and bisexual rugby players. MHL was significantly, positively correlated with general help-seeking intentions, but not significantly correlated with distress or well-being. This study is the first to examine MHL in women rugby players and suggests that strategies devised by multidisciplinary teams of experts to help promote, engage, and offer tailored mental health support to women rugby players would be beneficial. Further investigations exploring the determinants of, and barriers to, MHL among women rugby players would be worthwhile to better understand and support players throughout their sporting career.
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Santillanes Allande, Nadia Irina. "The relationship between violence and depression in migrant women through their experiences in care services." Salud Colectiva 17 (March 4, 2021): e3054. http://dx.doi.org/10.18294/sc.2021.3054.
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Based on ethnographic work with undocumented immigrant women who developed depressive episodes due to various forms of violence, this article recovers the women’s experience of care in the clinic space of their host country. Through therapeutic itineraries of care, the article focuses on the case studies of two women of Mexican origin in New York City to describe, based on their experience, the communication and the encounter between the doctor and patient; the expectations of migrant women regarding mental health care services; and the explanatory models of depression of both the patients and the treating physicians. This analysis seeks to contribute to the knowledge regarding ways of treating the mental health problems of undocumented women in contexts of violence.
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Chorna, V. V., V. M. Makhniuk, S. S. Khliestova, N. I. Gumeniuk, and H. V. Chaika. "Attitude of health care workers in the field of mental health to their health." Medicni perspektivi (Medical perspectives) 26, no. 2 (June 18, 2021): 188–96. http://dx.doi.org/10.26641/2307-0404.2021.2.234733.
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The article presents the results of theoretical and experimental studies of the degrees of value-motivational, cognitive, emotional, and behavioral components in health care workers of psychiatric health care facilities concerning their health. The degree of risk and value of the personal hygiene of health care workers is determined. The main components and factors that affect the attitude to personal health are revealed. The awareness of the own emotional and cognitive experiences by the medical staff of psychiatric hospitals regarding the preservation and strengthening of their hygiene is analyzed. According to research on the value-motivational component of the medical staff of psychiatric health care concerning the place of personal health in the hierarchy of values in life, it was found that own health is on the second place – 15.2% males, nursing staff (NS), 15.1% females, are psychiatrists and women NS, 14.8% are men psychiatrists. In case of a deterioration of own health both women (35,6%), and men (35,5%) psychiatrists are engaged in self-treatment, the similar tendency is among NS – women NS – 31,3%, men NS – 31, 5%), in 25.8% of cases female psychiatrists and in 23.1% of men NS do not pay attention to the disease at all, which leads to occupational diseases and chronic diseases. At the same time, occupational diseases among doctors and NS do not exceed 10% of the total number of occupational diseases in Ukraine due to self-medication and early treatment. Therefore, the statistics of occupational diseases of health workers in that field are underestimated compared to the actual ones.
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Castro, L. C., S. Moreira, A. Lopes, and M. Branco. "Anorexia Nervosa and Pregnancy: A Case Report." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70975-7.
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Background:Several studies report that women with a history of eating disorders are at higher risk of pregnancy complications and major adverse perinatal outcomes.Aim:To report a case of anorexia nervosa during pregnancy, in order to underline the impact of eating disorders on pregnancy.Methods:Case study and review of the literature.Results:A 32 year old woman was hospitalized in an obstetric service of a general hospital for high risk pregnancy complications. She maintained a disturbed eating behaviour, with periods of restrictive eating and bulimic-purging episodes. She was underweight, did not reach the recommended weight gain during pregnancy and showed intrauterine growth restriction. The Psychiatry Liasion Unit was asked to follow the case during the obstetric hospitalization.Discussion:Pregnant women with eating disorders have higher risk of pregnancy and neonatal complications. Pregnancy is a privileged opportunity to maximize intervention in eating disorders, since women show higher levels of motivation for therapy. Some cases of anorexia nervosa may warrant special obstetric care to ensure adequate prenatal nutrition and fetal development. Since there are few studies on this topic and they report conflicting results, it is a relevant area for future research.
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Borglin, Gunilla, Johanna Hentzel, and Doris M. Bohman. "Public health care nurses’ views of mothers’ mental health in paediatric healthcare services: a qualitative study." Primary Health Care Research & Development 16, no. 05 (February 16, 2015): 470–80. http://dx.doi.org/10.1017/s1463423615000055.
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AimTo investigate public health nurses’ perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.BackgroundAlthough maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.MethodsFor this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard’s description of the four-step qualitative content analysis.FindingsThree categories – external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support – were interpreted to reflect the nurses’ perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.ConclusionWe found that public health nurses can have an important role in supporting mothers’ mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers’ transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.
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Miller, Suzanne M. "Case Studies: Profiles of Women Recovering from Drug Addiction." Journal of Drug Education 25, no. 2 (June 1995): 139–48. http://dx.doi.org/10.2190/pmcl-7xh3-p64a-81cy.
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These case studies profile two women who abused alcohol and other drugs while pregnant and describes their recovery from the addiction. They examine from an ecological framework the women's experience with drug addiction, treatment, and recovery and recounts their situations through each [1]. This research uses in-depth interviews as its data source. Further, these studies contain direct quotes from the women orally sharing their thoughts. Their quotes are not edited or changed by any kind of systems for the purpose of capturing the thoughts of the women.
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Claus, Elizabeth B., Stacey Petruzella, Darryl Carter, and Stanislav Kasl. "Quality of Life for Women Diagnosed With Breast Carcinoma in Situ." Journal of Clinical Oncology 24, no. 30 (October 20, 2006): 4875–81. http://dx.doi.org/10.1200/jco.2005.05.2290.
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Purpose Limited data exist on long-term quality of life (QOL) for women diagnosed with breast carcinoma in situ (BCIS). Participants and Methods The data are on 795 BCIS participants diagnosed among female residents of Connecticut from September 15, 1994 to March 14, 1998, and 702 controls frequency-matched to the case participants by 5-year age intervals and geography. These women were participants in a large, population-based case/control study and subsequent follow-up study. Telephone interviews at follow-up were used to collect data on QOL at 5 years from initial diagnosis or contact, using the Medical Outcomes Study, Center for Epidemiologic Studies-Depression, and CAGE (Cut down, Annoyed, Guilty, Eye-opener) alcohol consumption scales. QOL outcomes were compared by case/control status and by case treatment group: lumpectomy, lumpectomy with adjuvant radiation therapy, and mastectomy. Results At 5 years after diagnosis, women diagnosed with BCIS report levels of physical, emotional, and mental health functioning similar with those reported in a general healthy female population. Case participants and controls did not differ in reported levels of limitations due to physical health problems, bodily pain, social functioning, or overall physical functioning. Case participants who underwent lumpectomy with radiation reported lower levels of emotional functioning, general health perceptions, vitality, sexual interest, and overall mental health, as well as more depressive symptoms than did control subjects; although, the clinical significance of these statistical differences appears to be limited. Conclusion At 5 years after treatment, women diagnosed with BCIS report good physical and emotional functioning relative to control populations.
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Sambrook Smith, Megan, Vanessa Lawrence, Euan Sadler, and Abigail Easter. "Barriers to accessing mental health services for women with perinatal mental illness: systematic review and meta-synthesis of qualitative studies in the UK." BMJ Open 9, no. 1 (January 2019): e024803. http://dx.doi.org/10.1136/bmjopen-2018-024803.
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ObjectiveLack of access to mental health services during the perinatal period is a significant public health concern in the UK. Barriers to accessing services may occur at multiple points in the care pathway. However, no previous reviews have investigated multilevel system barriers or how they might interact to prevent women from accessing services. This review examines women, their family members’ and healthcare providers’ perspectives of barriers to accessing mental health services for women with perinatal mental illness in the UK.DesignA systematic review and meta-synthesis of qualitative studies.Data sourcesQualitative studies, published between January 2007 and September 2018, were identified in MEDLINE, PsycINFO, EMBASE and CINAHL electronic databases, handsearching of reference lists and citation tracking of included studies. Papers eligible for inclusion were conducted in the UK, used qualitative methods and were focused on women, family or healthcare providers working with/or at risk of perinatal mental health conditions. Quality assessment was conducted using the Critical Appraisal Skills Programme for qualitative studies.ResultsOf 9882 papers identified, 35 studies met the inclusion criteria. Reporting of emergent themes was informed by an existing multilevel conceptual model. Barriers to accessing mental health services for women with perinatal mental illness were identified at four levels: Individual (eg, stigma, poor awareness), organisational (eg, resource inadequacies, service fragmentation), sociocultural (eg, language/cultural barriers) and structural (eg, unclear policy) levels.ConclusionsComplex, interlinking, multilevel barriers to accessing mental health services for women with perinatal mental illness exist. To improve access to mental healthcare for women with perinatal mental illness multilevel strategies are recommended which address individual, organisational, sociocultural and structural-level barriers at different stages of the care pathway.PROSPERO registration numberCRD42017060389.
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Lagha, M., G. Hamdi, N. Dhaouadi, S. Chebli, and R. Ridha. "Pregnancy and dysfunctional anxiety in women recovered from Covid-19." European Psychiatry 65, S1 (June 2022): S504—S505. http://dx.doi.org/10.1192/j.eurpsy.2022.1283.
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Introduction Studies have shown an increasing prevalence of mental health issues in the general population during the COVID-19 pandemic. Among them, pregnant women are a specific population at particular mental risk. Objectives The objectives of our study were to assess dysfunctional anxiety in women recovered from COVID-19 and to identify the impact of pregnancy on coronavirus-related dysfunctional anxiety. Methods This was a cross-sectional case-control study. The women in the case group have been infected with Sars-Cov 2, with a benign or pauci-symptomatic clinical form, and cured for one to two months at the time of the study without any post-COVID complications. Women included in the control group have not been infected with Sars-Cov 2 .Anxiety was assessed by the Coronavirus Anxiety Scale (CAS). Results In total, we recruited 30 women in the case group and 30 women in the control group.The average age of the case group was 35.8 ±6.8 years versus an average age of 35.3 ± 6.33 years in the control group. In each group, four women were pregnant (13.3%). Nearly one-third of the patients in the case group had a CAS score indicating dysfunctional anxiety probably related to coronavirus (33.3%), with a significant difference with the control group (p=0.026). In the case group, pregnancy was a risk factor for dysfunctional anxiety with p=0.036, OR=19.46 and CI95% = [1.21-314.00]. Conclusions COVID-19 has a negative impact on perinatal mental health. Specific support for pregnant women is recommanded during the COVID-19 pandemic. Disclosure No significant relationships.
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López Rodrigo, M. V., A. Osca Oliver, M. Palomo Monge, and M. Pérez Fominaya. "“Could she be a good mother?. The stigma of mental illness in motherhood. A case report." European Psychiatry 65, S1 (June 2022): S564. http://dx.doi.org/10.1192/j.eurpsy.2022.1444.
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Introduction Approximately 15% of pregnant women suffer from a mental illness, however only half of them accept psychopharmacological treatment. One of the reasons for refusing treatment is the stigma attached to it.An important part of functional recovery is defining identity. This identity is multifactorial and is defined by several variables, one of them being gender.Several studies on motherhood in women with mental illness define the importance of a mothering identity, providing meaning and values. We present the case of a 39-year-old woman, mother of a two-year-old child, undergoing follow-up at a psychiatric clinic for recurrent depressive episodes and a history of two suicide attempts ten years ago. Currently stable in treatment with escitalopram 10 mg and lorazepam 1 mg if necessary.The woman refers the desire to abandon treatment after realizing that she is pregnant again. Therapeutic accompaniment is decided. The social worker from the obstetric service communicates with the psychiatric service to question the woman’s ability to care for a child with her psychiatric history. Objectives Determine the stigma of mental illness, including among healthcare workers. Methods The woman makes her decision with full judgment. The patient is accompanied during pregnancy without incident, with clinical stability. Results After delivery, the patient decides to resume psychopharmacological treatment. Conclusions Having a mental illness does not determine a woman’s ability to be a mother. As long as it is agreed with the psychiatrist, patients have the right to make decisions about their treatment. Disclosure No significant relationships.
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Ashkzari, M. Khademi, S. Piryaei, N. Brojerdian, and E. Khademi Ashkezari. "The relationship between job satisfaction with marital satisfaction and mental health: The specific case of female employees." European Psychiatry 41, S1 (April 2017): S737. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1353.
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IntroductionAs a component of personal characteristics, mental health has always been associated with marital satisfaction. Mental disorders associated with depression and anxiety are common in the workplace. Many studies have found a close link between job satisfaction and these two factors.ObjectivesThe present study investigated the relationship of the level of job satisfaction, with mental health indicators and marital satisfaction in women.AimsThis study aimed to explain the relationships of job satisfaction (as an organizational key factor) with mental health and marital satisfaction of women at the workplace considering the practical implications for promoting mental health.MethodsTo achieve the goal of research, a sample of 100 married women who worked at least for 5 years were selected by randomized sampling method in an organizational setting in Iran. Enrich Marital Inventory, Brayfield and Rothe's job satisfaction scale, and General Health Questionnaire were used for data gathering. Data was analyzed by utilizing hierarchical regression.ResultsFindings indicated that most respondents were satisfied with their jobs. In general, subjects with more severe psychological distress and lower level of marital satisfaction reported lower levels of job satisfaction.ConclusionsFactors related to organizational attitudes such as job satisfaction were especially important in overall mental health and severity of psychological distress. Improving job attitudes is a key factor for promoting marital satisfaction and mental health in women.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Séguin, Lise, and Bilkis Vissandjee. "Les différences liées à la spécificité des genres dans la prise en charge d'un proche fragilisé." Canadian Journal on Aging / La Revue canadienne du vieillissement 22, no. 1 (2003): 109–25. http://dx.doi.org/10.1017/s0714980800003779.
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ABSTRACTThe goal of this study is to describe gender-specific care situations based on interviews and case studies with key caregivers. Eight main themes emerged; namely, the action of taking a certain degree of additional responsibility, the perception of the process of illness, the care received from the formal and informal networks, the effects of assuming care on the male or female caregiver's social life, the quality of care given, the caregiver's own health, the costs associated with caregiving and the survival strategies adopted by male and female caregivers. Recommendations were proposed by interviewees and the findings point to the conclusion that changes to the health and social services network have affected women and men informal caregivers. Women enjoyed limited informal support, and it would appear that informal caregiving has consequences that affect the health, mental well-being, social life, and economic autonomy of women. These case studies will contribute to a systematic gender-based analysis during the development of programs and policies directed towards formal and informal caregivers.
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Stapleton, Jennifer A., Steven Taylor, and Gordon J. G. Asmundson. "Efficacy of Various Treatments for PTSD in Battered Women: Case Studies." Journal of Cognitive Psychotherapy 21, no. 1 (March 2007): 91–102. http://dx.doi.org/10.1891/088983907780493287.
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Spousal abuse and other forms of domestic violence can lead to posttraumatic stress disorder (PTSD). Little is known about how to best treat this form of PTSD. The current case series, based on data collected as part of a larger clinical trial, was designed to evaluate the effectiveness of exposure therapy, Eye Movement Desensitization and Reprocessing (EMDR), or relaxation therapy. Three woman with battered-spouse-related PTSD were assigned to one of these treatments. The patient receiving exposure responded well to treatment and no longer met the criteria for PTSD at post-treatment or at 3-month follow-up. The battered women in the other two conditions continued to meet the criteria for PTSD at post-treatment and at follow-up. The patterns of treatment response were similar to those experienced by individuals with other forms of PTSD (N = 42) examined in the larger trial. The results of these case studies encourage further studies of exposure therapy for battered-spouse-related PTSD.
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Lagha, M., G. Hamdi, N. Dhaouadi, S. Chebli, and R. Ridha. "Sexuality in women recovered from COVID-19." European Psychiatry 65, S1 (June 2022): S306. http://dx.doi.org/10.1192/j.eurpsy.2022.781.
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Introduction While several studies have assessed the impact of the COVID-19 pandemic on sexuality and sexual behavior in the general population, very few studies have assessed sexuality after Sars-Cov 2 infection. Objectives The objective of our study were to assess sexuality in women recovered from COVID-19 and to compare it to healthy controls. Methods This is a cross-sectional case-control study. We randomly recruited women, from April 1st to 30th, 2021.The women in the case group have been infected with Sars-Cov 2, with a benign or pauci-symptomatic clinical form, and cured for one to two months at the time of the study without any post-COVID complications. Women included in the control group have not been infected with Sars-Cov 2. Sexuality was assessed by the Female Sexual Function Index (FSFI). Results In total, we recruited 30 women in the case group and 30 women in the control group.The average age of the case group was 35.8 ±6.8 years versus an average age of 35.3 ± 6.33 years in the control group. The majority of coronavirus infections were symptomatic (83.3% (n=25)). An FSFI score <26.55 and corresponding to impaired sexual function was found in 63.33% of women in the case group (n=19), versus 53.33% of women in the control group (n=16) with a significant difference between the two groups (p=0.009) Conclusions COVID-19 is significantly associated with sexual dysfunction, even in mild or pauci-symptomatic clinical forms. Disclosure No significant relationships.
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Chang, Bei-Hung, Katherine M. Skinner, and Ulrike Boehmer. "Religion and Mental Health among Women Veterans with Sexual Assault Experience." International Journal of Psychiatry in Medicine 31, no. 1 (March 2001): 77–95. http://dx.doi.org/10.2190/0nqa-yaj9-w0am-yb3p.
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Objective: Religion has been shown to have a positive impact on well-being and to play an important role in coping with stressful life events. However, the buffering effect of religiosity on mental health, after a particularly stressful life event such as sexual assault, has not been studied. In this study we examined the buffering effect of religion on mental health and depression for women who report experiencing sexual assault while in the military. Method: The sample includes a nationally representative sample of 3,543 women veterans who use VA ambulatory care. Two dimensions of religiosity were used: organizational (frequency of religious service attendance) and subjective (the extent religious beliefs are a source of strength/comfort). Mental health was measured by the mental component summary (MCS) from the SF36 and depressive symptoms were measured by the Center for Epidemiologic Studies-Depression (CES-D) scale. Results: Women veterans who reported experiencing sexual assault while in the military had lower mental health scores and higher levels of depression. Linear regression analysis indicated that these negative impacts diminished with increased frequency of religious service attendance, supporting the buffering effect of organizational religiosity on mental health and depression. Although the buffering effect of subjective religiosity was not evident, subjective religiosity was shown to be positively associated with better mental health in both groups of women with and without sexual assault experience in the military. Conclusions: Frequent religious service attendance buffers the negative impacts of sexual assault on mental health and depression of women veterans. The potential of integrating religiosity in designing interventions is discussed.
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González-Rodríguez, Alexandre, Mary V. Seeman, Armand Guàrdia, Mentxu Natividad, Marta Marín, Javier Labad, and José Antonio Monreal. "Gynecological Health Concerns in Women with Schizophrenia and Related Disorders: A Narrative Review of Recent Studies." Women 2, no. 1 (January 4, 2022): 1–14. http://dx.doi.org/10.3390/women2010001.
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Sex and age are important factors influencing physical and mental health in schizophrenia. Our goal was to review the recent literature for associations between gynecological conditions and psychotic illness and to propose integrated strategies for their management in order to improve overall health outcomes in women. We addressed the following questions: What are the prevalence and risk factors of gynecological disorders in women with schizophrenia or delusional disorder (DD)? What are the rates of uptake of gynecological cancer screening and mortality in this population? What role does menopause play? We found an increased incidence of breast cancer in women with schizophrenia. Other gynecological comorbidities were less frequent, but the field has been understudied. Low rates of breast and cervical cancer screening characterize women with schizophrenia. Menopause, because of endocrine changes, aging effects, and resultant comorbidity is associated with high rates of aggressive breast cancer in this population. Uterine and ovarian cancers have been less investigated. Psychosocial determinants of health play an important role in cancer survival. The findings lead to the recommendation that primary care, psychiatry, gynecology, oncology, and endocrinology collaborate in early case finding, in research into etiological links, and in improvement of prevention and treatment.
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Rani, Akanksha, Raj Chethan, Trichy Janaki, Sojan Antony, and Ammapattian Thirumoorthy. "Women With Severe Mental Illness and Marital Rape." Partner Abuse 13, no. 1 (January 1, 2022): 1–19. http://dx.doi.org/10.1891/pa-2021-0014.
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Marital rape has been socially and culturally normalized within marriage. It becomes a subtle form of violence against women with severe mental illness who cannot negotiate on sexual matters with their partner. This study aims to critically analyze empirical studies to see how women with severe mental illness can be at risk of being sexually abused by their intimate partner, its impact on their life, what protects them from abuse, historical framework, the role of mental health professionals, need of research on marital rape of men and a way forward. Mental health professionals need to consider all these factors and provide community-coordinated care and support.
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Kim, Y. R., and J. Treasure. "Childhood Risk Factors in Korean Women with Anorexia Nervosa: Two Sets of Case-control Studies with Retrospective Comparisons." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70982-4.
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Objective:The aim of this study was to investigate the characteristics of the risk factors for anorexia nervosa (AN) in East Asian subjects.Method:Two sets of case-control comparisons were conducted, in which 33 women with lifetime AN from Seoul, S. Korea, were compared with 42 women with lifetime AN from the UK and also with 90 Korean healthy controls in terms of their childhood risk factors. A questionnaire designed to conduct retrospective assessments of the childhood risk factors was administered to all participants.Results:There were no overall differences in the childhood risk factors between the Korean and British women with AN. The Korean AN patients were more likely to report premorbid anxiety, perfectionism and emotional undereating and were less likely to report having supportive figures in their childhood than the healthy controls.Conclusion:Our findings support the theory that AN is not a culture-bound syndrome. Larger epidemiologically based studies would be needed to validate these preliminary findings.
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Jiménez, José, Adham Mancini-Marïe, and Adrianna Mendrek. "The case for not combining men and women in neurocognitive studies for schizophrenia." Schizophrenia Research 108, no. 1-3 (March 2009): 293–94. http://dx.doi.org/10.1016/j.schres.2008.12.007.
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Abo-Rass, Fareeda, Sarah Abu-Kaf, and Ora Nakash. "Barriers to Mental Health Service Use among Palestinian-Arab Women in Israel: Psychological Distress as Moderator." International Journal of Environmental Research and Public Health 19, no. 19 (October 1, 2022): 12557. http://dx.doi.org/10.3390/ijerph191912557.
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Background: Many studies indicate that ethnic minority women, including women from the disadvantaged Palestinian-Arab minority in Israel, experience higher rates of psychological distress but are less likely to use mental health services. This study examined psychological distress and its role as a moderator in the relationship between mental health service use and stigma-related, attitudinal, and instrumental barriers. Method: Cross-sectional study of 146 Palestinian-Arab women who completed measures of psychological distress, mental health service use, the Barriers to Care Evaluation scale, and sociodemographic characteristics. Results: Participants who did not utilize mental health services reported higher levels of all barrier types compared to participants who reported previous use, but lower levels of psychological distress. Psychological distress was a significant moderator only in the relationship between attitudinal barriers and mental health service use. Conclusions: This study highlights the role of psychological distress in the relationship between barriers to and utilization of mental health services, helping professionals and policymakers increase mental health service use among Palestinian-Arab women in Israel and other vulnerable women elsewhere.
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Catalao, R., M. Ashworth, S. Hatch, and L. Howard. "Ethnic disparities in multi-morbidity in women of reproductive age in the UK: a data linkage study." European Psychiatry 65, S1 (June 2022): S597—S598. http://dx.doi.org/10.1192/j.eurpsy.2022.1530.
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Introduction Few studies have explored ethnic inequalities in physical and mental health in women at preconception. Objectives Explore inequalities in multimorbidity in women of reproductive age. Methods Data from Lambeth DataNet, anonymized primary care records of this ethnically diverse London borough, linked to anonymized electronic mental health records (“CRIS secondary care database”) were extracted on preconception risk factors including BMI, smoking, alcohol, substance misuse, micronutrient deficiencies and physical health diagnoses for women aged 15-40 with an episode of secondary mental health care (January 2008-December 2018) and no pregnancy codes (n=3,633) and a 4:1 age-matched comparison cohort (n=14,532) . Results Women in contact with mental health services (whether with or without SMI diagnoses) had a higher prevalence of all risk factors and physical health diagnoses studied after adjustment for deprivation and ethnicity. Women from minority ethnic groups [79.5% of total sample] were less likely to be diagnosed with depression in primary care compared to White British women [adj OR 0.66 (0.55- 0.79) p<0.001] and Black women were more likely to have a severe mental illness [adj OR 3.41(2.63-4.43), p<0.001]. Black and Asian women were less likely to smoke or misuse substances and more likely to be vitaminD deficient. Black women were also significantly more likely to be overweight [adj OR 4.56(3.96-5.24 p <0.001] and have two or more physical health conditions [adj OR 2.98(2.19-4.07) p<0.001] than White British women after adjustment for deprivation and SMI diagnoses. Conclusions Our results highlight a need for culturally centered integrative models of care across primary and secondary mental health services. Disclosure Closing the Gap is funded by UK Research and Innovation and their support is gratefully acknowledged (Grant reference: ES/S004459/1). Any views expressed here are those of the project investigators and do not necessarily represent the views of the Closing
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Lagha, M., G. Hamdi, N. Dhaouadi, S. Chebli, and R. Ridha. "Determinants of sexual dysfunction in women recovered from COVID-19." European Psychiatry 65, S1 (June 2022): S189. http://dx.doi.org/10.1192/j.eurpsy.2022.498.
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Introduction While several studies have assessed the impact of the COVID-19 pandemic on sexuality and sexual behavior in the general population, very few studies have assessed sexuality in patients recovered from Sars-Cov 2 infection. Objectives The objectives of our study were to assess factors associated with sexuality dysfunction in women recovered from covid-19. Methods This is a case-control study. The women in the case group have been infected with Sars-Cov 2, and cured for one to two months at the time of the study, women in the control group have not been infected with Sars-Cov 2. We assessed depression, anxiety, post-traumatic stress disorder (PTSD) and sexuality in both groups using the Beck Depression Inventory (BDI), the Coronavirus Anxiety Scale (CAS), the Post traumatic stress disorder Checklist Scale (PCLS) and the Female Sexual Function Index (FSFI). Results In total, we recruited 30 women in the case group and 30 women in the control group. An FSFI score <26.55 and corresponding to impaired sexual function was found in 63.33% of women in the case group versus 53.33% of women in the control group (p=0.009). Factors influencing sexual activity were depression (OR = 17.86, CI95% = [1.1-290.12]) and PTSD (OR = 18.51, CI95% = [1.43-240.30]). Conclusions Depression and PTSD are significantly associated with sexual dysfunction in women recovered from COVID-19, even in mild or pauci-symptomatic clinical forms. Disclosure No significant relationships.
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Dollar, Cindy Brooks, and Joshua A. Hendrix. "“I’m Not a Traditional Woman”: Tranquilizer Misuse as Self-Medication Among Adult Women." American Behavioral Scientist 62, no. 11 (July 10, 2018): 1562–85. http://dx.doi.org/10.1177/0002764218787027.
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Research consistently finds that men use all types of drugs more frequently and extensively than women. However, the misuse of prescription tranquilizers provides an exception. Recent research has found that women are more likely to misuse tranquilizers than men, yet few efforts have been made to systematically understand why this is the case and whether there are gendered factors that might help explain their misuse. Building on general strain theory and other scholarship concerning the links between psychological strain, mental–emotional health, and illicit drug use, we employed a mixed-methods design to investigate the interrelationships between gender, mental health, and tranquilizer misuse. Using data from the 2010 National Survey of Drug Use and Health, we examined tranquilizer misuse among women using various social, demographic, and health-related characteristics. Following this, we drew on nine in-depth interviews with adult women aged 21 to 69 years who reported a history of misusing tranquilizers. The quantitative data reveal that the odds of tranquilizer misuse are nearly two times higher for each unit increase on the poor mental health scale. Whereas being married increases the risk of misuse, having young children is associated with a decreased risk. Our analysis of the interview data reveals three main themes, related to tranquilizer access, reasons for misuse, and shame related to misuse. The interviews clearly uncover tranquilizer misuse as an attempt by women to manage competing demands between their work and home lives, and more specifically as a means of promoting success in both devotions. We conclude by arguing that women’s misuse of tranquilizers is a gendered behavior in response to gender-specific strains, which in turn reproduces gendering as an institution as well as in individual lives. The implications of these findings for general strain theory are also discussed.
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Atmore, Katie, Louise Howard, and Abigail Easter. "Preconception interventions and resources for women with serious mental illness: a rapid evidence review." BJPsych Open 7, S1 (June 2021): S234. http://dx.doi.org/10.1192/bjo.2021.626.
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AimsThere is little research into evidence-based preconception interventions for women with serious mental illness (SMI). Women with SMI will have specific needs around preconception due to the complexities of the teratogenicity of medications, risk of mental illness relapse and higher levels of stigma around motherhood. If effectively delivered preconception care could mitigate these difficulties and improve outcomes for mother and baby. The aim of this research was therefore to determine to identify and describe studies evaluating preconception interventions for women of child-bearing age who have an existing SMI through searches of the peer-reviewed literature.MethodA rapid review was conducted to search MEDLINE and PsychINFO databases from the year 2000 onwards for peer-reviewed articles describing preconception interventions/resources delivered prior to a pregnancy to women of child-bearing age with a pre-existing existing serious mental illness (including schizophrenia, bipolar and eating disorders).ResultA total of 592 results were returned from the searches and 576 of these remained after the removal of duplicates. 11 studies were included in the final narrative synthesis describing the following intervention types: Health warning (1), Health screening (1), Teratogen phone service (2), Psychiatric consultation (5), Family planning information (1) and Peripartum management plan (1). Interventions were delivered in Australia, UK, Italy, Germany, Netherlands, USA and Nigeria.ConclusionThough the included studies indicated that some efforts have been made globally to meet the preconception needs of women with SMI the numbers included in the studies tended to be low and reflective of small-scale service provision. Future studies utilising a randomised controlled trial design would lower the risk of bias and provide more generalisable evidence of effectiveness for these interventions. The results of this review were used to inform the development of a number of resources to aid the planning of healthy pregnancies in both women with SMI and the health professionals working with them.
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Evans, Jessica, and Lucy Costa. "Women’s Forensic Mental Health Care: The Need for Gender-Based Analysis." Canadian Journal of Disability Studies 9, no. 3 (September 26, 2020): 52–77. http://dx.doi.org/10.15353/cjds.v9i3.646.
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This paper critically interrogates the increasingly popular framework of Gender-based Analysis (GBA) in Canada, as it relates to psychiatry more broadly, and forensic psychiatry more specifically. Through a critical feminist and Mad Studies analysis, we argue that if GBA is to be anything more than rhetoric, it is necessary to ground policies and practices in the knowledge generated by women and service-users themselves. We further point to Mad Studies as an important field for research and an opportunity to look deeper into the ‘margins within the margins.’
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Lagha, M., G. Hamdi, N. Dhaouadi, S. Chebli, and R. Ridha. "Depression in women recovered from COVID-19." European Psychiatry 65, S1 (June 2022): S490. http://dx.doi.org/10.1192/j.eurpsy.2022.1245.
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Introduction Studies assessing the psychological impact of COVID-19 have shown that patients with COVID-19 had significantly higher levels of depression, anxiety, and post-traumatic stress symptoms than healthy controls. Objectives The objectives of our study were to assess depression in women recovered from COVID-19 and to compare it to healthy controls. Methods It was a cross-sectional case-control study. We randomly recruited women, from April 1st to 30th, 2021.The women in the case group have been infected with Sars-Cov 2, with a benign or pauci-symptomatic clinical form, and cured for one to two months at the time of the study without any post-COVID complications. Women included in the control group have not been infected with Sars-Cov 2 .Depression was assessed by the Beck Depression Inventory (BDI). Results In total, we recruited 30 women in the case group and 30 women in the control group.The average age of the case group was 35.8 ±6.8 years versus an average age of 35.3 ± 6.33 years in the control group. The majority of coronavirus infections were symptomatic (83.3% (n=25)). The average depression score for the case group was 10.8 ±9.6 corresponding to moderate depression, while the average depression score for the control group was 6.1 ± 6.1 corresponding to mild depression. The presence of depression was more significant in the case group compared to the controls (p=0.003). Conclusions COVID-19 is significantly associated with depression, even in mild or pauci-symptomatic clinical forms. Disclosure No significant relationships.
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Suwalska, Julia, Maria Napierała, Paweł Bogdański, Dorota Łojko, Katarzyna Wszołek, Sara Suchowiak, and Aleksandra Suwalska. "Perinatal Mental Health during COVID-19 Pandemic: An Integrative Review and Implications for Clinical Practice." Journal of Clinical Medicine 10, no. 11 (May 29, 2021): 2406. http://dx.doi.org/10.3390/jcm10112406.
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The COVID-19 pandemic and measures implemented to decelerate its spread have consequences for mental health of societies. The aim of our review was to analyze depressive and anxiety symptoms in perinatal women. The search used PubMed and Web of Science databases. Most studies showed an increase in the prevalence of depression and/or anxiety symptoms. Risk factors identified in our study were mainly related to the possibility of COVID-19 infection, changes in the organization of perinatal care, social isolation and financial problems. Protective factors included social support, the woman’s own activity and knowledge about COVID-19. The results of our study point to the importance of the mental health screening including suicide risk assessment in perinatal women. Much of the mental health needs of perinatal women can be met in primary or perinatal care services; however, women with mental health issues should be offered psychiatric consultations and psychological support, and sometimes urgent psychiatric hospitalization is necessary. Healthcare professionals should provide information addressing uncertainty about COVID-19, organization of midwifery and medical care as well as mental health problems and how to get help. Mental health interventions in pregnant women may involve planning physical activity and encouraging to engage in online social activities.
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Kverno, Karan S., Sharlene M. Weiss, Lucy R. Waletzky, and Barry L. Gruber. "Expanding the Therapeutic Application of Circumvaginal Electromyography: Two Case Studies of Women with Spinal Cord Injuries." Journal of Sex Education and Therapy 15, no. 2 (June 1989): 127–32. http://dx.doi.org/10.1080/01614576.1989.11074954.
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Marí-Dell’Olmo, Marc, Ana M. Novoa, Lluís Camprubí, Andrés Peralta, Hugo Vásquez-Vera, Jordi Bosch, Jordi Amat, et al. "Housing Policies and Health Inequalities." International Journal of Health Services 47, no. 2 (December 28, 2016): 207–32. http://dx.doi.org/10.1177/0020731416684292.
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A large body of literature shows the link between inadequate housing conditions and poor physical and mental health. The aim of this paper is to summarize the research on the impact of local housing policies on health inequalities, focusing on the issues of access to housing and fuel poverty as studied in the SOPHIE project. Our case studies in Spain showed that people facing housing insecurity, experienced intense levels of mental distress. We found that access to secure and adequate housing can improve the health of these populations, therefore, public policies that address housing instability and their consequences are urgently needed. Housing conditions related to fuel poverty are associated with poorer health and are unevenly distributed across Europe. We found possible positive effects of façade insulation interventions on cold-related mortality in women living in social housing; but not in men. Policies on housing energy efficiency can reduce the health consequences of fuel poverty, but need to be free to users, target the most vulnerable groups and be adaptable to their needs.
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Grussu, Pietro, Ilaria Lega, Rosa Maria Quatraro, and Serena Donati. "Perinatal mental health around the world: priorities for research and service development in Italy." BJPsych International 17, no. 1 (November 27, 2019): 8–10. http://dx.doi.org/10.1192/bji.2019.31.
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In Italy, most studies on perinatal mental health and initiatives aimed at improving the early detection and management of perinatal mental disorders have been carried out at the local level. National population-based studies are lacking. A study of pregnant women, recruited and diagnosed by a university hospital, found a 12.4% prevalence of minor and major depression during pregnancy, and a prevalence of 9.6% in the postpartum period. In a population-based surveillance system, covering 77% of national births, suicide was identified to be one of the main causes of maternal death within the first year after birth, yet half of those who were known to have a high suicide risk during the postpartum period had not been referred to a mental health service. The value of recognising depressive or anxiety symptoms early, during pregnancy, has been emphasised by recent research and should be linked to multi-professional psychosocial interventions. Since 2017, the Italian public primary care services that are dedicated to pregnancy assistance (Family Care Centres) have been tasked to provide free psychological assessment to pregnant and postpartum women. Action is now needed in order to improve access to Italian Family Care Centres for pregnant women and to develop an integrated care model involving obstetric and mental health services.
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Dibaji, Sayyed Meysam, Sayyed Hamid Reza Oreyzi, and Mohammad Reza Abedi. "Occupation or Home: Comparison Housewives and Working Women in the Variables of Stress, Depression and Perception of Quantitative, Mental and Emotional Home Demands." Review of European Studies 9, no. 2 (May 14, 2017): 268. http://dx.doi.org/10.5539/res.v9n2p268.
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In recent years, the employment rate of women, particularly in the service sector has been increasing and at the same time, researchers interested on the psycho-social consequences of women’s employment especially on health. This study compared housewives and working women in terms of stress, depression and perception quantitative, mental and emotional home demands. For this purpose, a sample consists of 94 working women and 94 housewives among Isfahan women selected via convenience sampling and completed warttig et al. perceived stress questionnaire, Beck Depression II and peters et al. home demands questionnaire. Results revealed that working women perceived more depression and quantitative and mental home demands, but no differences between working women and housewives in terms of stress and emotional home demands. According to effort-recovery model, it seems that the pressures of work and family role, especially time pressure means that despite the positive role of work in working women, they were psychologically vulnerable because of the multiplicity of tasks. The results highlight the importance of culture in terms of the role of men in the house, especially in the case of families who identify working women.
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Roca Lecumberri, A., E. Gelabert, A. Torres Giménez, E. Solé, S. Andrés-Perpiñá, E. Roda, C. Lopez, C. Naranjo, and L. Garcia-Esteve. "Unplanned Pregnancy in women with mental disorder." European Psychiatry 65, S1 (June 2022): S331—S332. http://dx.doi.org/10.1192/j.eurpsy.2022.844.
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Introduction Few studies have investigated the level of planning of pregnancy among women with mental disorder and associated risk factors. Objectives The purpose of this study was to determine the associated factors to UP and psychopathological consequences. Methods A cross sectional study was conducted at the Perinatal Mental Health Unit of the Hospital Clínic in Barcelona. The total sample comprised 675 consecutive pregnant women with diagnosis of mental disorder (DSM-IV criteria), seen between January 2006 and December 2018. Clinical, psychometric and socio-demographic variables were collected at the first visit. Pregnancy planning was assessed by a question “Was this pregnancy planned?” with three possible answers: 1) Yes, it was planned and has been well received; 2) No, it was not planned but it has been well received; and 3) No, it was an accident. Response 1 was coded as “planned pregnancy” and responses 2 and 3 as “Unplanned Pregnancy”. Results 38.4% of the sample had an UP. Younger age, lower levels of education, Latin-American population, multiparity, financials problems and poor relationship with the partner were associated with UP in women with mental disorder. The mean EPDS and STAI scores and the presence of self-harming thoughts were significantly higher in women with UP. Conclusions UP was associated with more depressive and anxious symptoms and more self-harming thoughts. It is necessary to promote reproductive health care for women with mental disorders and to take into account their reproductive life plan, especially in those with risk factors described. Disclosure No significant relationships.
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Lagha, M., G. Hamdi, N. Dhaouadi, S. Chebli, and R. Ridha. "Dysfunctional anxiety in women recovered from COVID-19." European Psychiatry 65, S1 (June 2022): S306. http://dx.doi.org/10.1192/j.eurpsy.2022.780.
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Introduction Studies assessing the psychological impact of COVID-19 have shown that patients with COVID-19 had significantly higher levels of depression, anxiety, and post-traumatic stress symptoms than healthy controls. Objectives The objectives of our study were to assess dysfunctional anxiety in women recovered from COVID-19 and to compare it to healthy controls. Methods This is a cross-sectional case-control study. We randomly recruited women, from April 1st to 30th, 2021.The women in the case group have been infected with Sars-Cov 2, with a benign or pauci-symptomatic clinical form, and cured for one to two months at the time of the study without any post-COVID complications. Women included in the control group have not been infected with Sars-Cov 2 .Anxiety was assessed by the Coronavirus Anxiety Scale (CAS). Results In total, we recruited 30 women in the case group and 30 women in the control group.The average age of the case group was 35.8 ±6.8 years versus an average age of 35.3 ± 6.33 years in the control group. The majority of coronavirus infections were symptomatic (83.3% (n=25)). Nearly one-third of the patients in the case group had a CAS score greater than 9, indicating dysfunctional anxiety probably related to coronavirus (33.3%), with a significant difference with the control group (p=0.026). Conclusions COVID-19 is significantly associated with dysfunctional anxiety, even in mild or pauci-symptomatic clinical forms. Disclosure No significant relationships.
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Amodu, Oluwakemi C., Magdalena S. Richter, and Bukola O. Salami. "A Scoping Review of the Health of Conflict-Induced Internally Displaced Women in Africa." International Journal of Environmental Research and Public Health 17, no. 4 (February 17, 2020): 1280. http://dx.doi.org/10.3390/ijerph17041280.
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Armed conflict and internal displacement of persons create new health challenges for women in Africa. To outline the research literature on this population, we conducted a review of studies exploring the health of internally displaced persons (IDP) women in Africa. In collaboration with a health research librarian and a review team, a search strategy was designed that identified 31 primary research studies with relevant evidence. Studies on the health of displaced women have been conducted in South- Central Africa, including Democratic Republic of Congo (DRC); and in Eastern, East central Africa, and Western Africa, including Eritrea, Uganda, and Sudan, Côte d’Ivoire, and Nigeria. We identified violence, mental health, sexual and reproductive health, and malaria and as key health areas to explore, and observed that socioeconomic power shifts play a crucial role in predisposing women to challenges in all four categories. Access to reproductive health services was influenced by knowledge, geographical proximity to health services, spousal consent, and affordability of care. As well, numerous factors affect the mental health of internally displaced women in Africa: excessive care-giving responsibilities, lack of financial and family support to help them cope, sustained experiences of violence, psychological distress, family dysfunction, and men’s chronic alcoholism. National and regional governments must recommit to institutional restructuring and improved funding allocation to culturally appropriate health interventions for displaced women.
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Vallejo-Martín, Macarena, Ana Sánchez Sancha, and Jesús M. Canto. "Refugee Women with a History of Trauma: Gender Vulnerability in Relation to Post-Traumatic Stress Disorder." International Journal of Environmental Research and Public Health 18, no. 9 (April 30, 2021): 4806. http://dx.doi.org/10.3390/ijerph18094806.
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Refugees represent a population whose living conditions have a strong impact on their mental health. High rates of post-traumatic stress disorder (PTSD), more than other mental disorders, have been found in this group, with women having the highest incidence. The objective of the present systematic review was to identify and examine studies from the last fifteen years on the relationship between the impact of traumatic experiences and PTSD psychopathology in refugee women. Twelve studies were included, from which the overall results approved this relation. In addition, six of these studies show that exposure to sexual trauma in refugee women is associated with the high odds of being at risk for PTSD. These findings suggest that gender-related traumatic experiences can explain the high rate of PTSD in refugee women and highlight the unmet need for psychosocial health care in this population.
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Tsantefski, Menka, Alun C. Jackson, and Cathy Humphreys. "A delicate balance: intervention with mothers with dual diagnosis and their infants." Advances in Dual Diagnosis 8, no. 2 (May 18, 2015): 78–89. http://dx.doi.org/10.1108/add-09-2014-0027.
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Purpose – Women with mental illness, substance-dependence or dual diagnosis are at increased risk of losing care of their children which leads to poorer outcomes for mothers. The purpose of this paper is to explore the service response to substance-dependent mothers, many of whom had a dual diagnosis, and reports outcomes for their infants from the perinatal period to the end of each infant's first year. Design/methodology/approach – This was a longitudinal case study of 20 women substance-dependent women and their associated care. Semi-structured interviews were held with mothers recruited from a specialist alcohol and other drug obstetric service at infant age six weeks, six and 12 months. Structured interviews were also held with counsellors from the obstetric service at infant age six weeks. Child protection (CP) workers were interviewed at infant age six weeks, six and 12 months regarding mothers involved with the service. Findings – By 12-month follow-up, CP services had been involved with 14 mothers and eight had lost the legal care of their infant. Mothers who retained legal care were more likely to have addressed their drug use and less likely to be in a domestically violent relationship. Domestic violence, homelessness and maternal recidivism to crime tipped the scales in favour of protection of the infant through removal from maternal care, essentially leaving mothers with minimal support for reunification and reduced incentive for treatment. Research limitations/implications – Reliance on mothers’ self-reports was a limitation of the study. The small sample size restricts generalisability of findings. Practical implications – Key workers should engage women (and their partners) during the perinatal period to provide support, advocacy and case-management to enable substance-dependent mothers to safely parent. Originality/value – This is one of few studies to report long-term outcomes for mother/infant dyads when substance-dependence and/or mental health are present that allows women to speak for themselves. The prospective design provides a contemporaneous account of events as they unfolded in situ.
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Fernández-Abascal, Blanca, Maria Recio-Barbero, Margarita Sáenz-Herrero, and Rafael Segarra. "Long-acting injectable aripiprazole in pregnant women with schizophrenia: a case-series report." Therapeutic Advances in Psychopharmacology 11 (January 2021): 204512532199127. http://dx.doi.org/10.1177/2045125321991277.
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Antipsychotic long-acting formulations (LAI-AP) have emerged as a new therapeutic choice to treat patients presenting a severe mental disorder. Despite that, to date, there is a lack of safety data and studies regarding the use of LAI-AP formulations in pregnant women. Here we present the first six-case series of pregnant women with schizophrenia treated with aripiprazole-LAI reported in the literature. All patients remained psychopathologically stable through pregnancy and the postpartum period, and all of them were in treatment with aripiprazole-LAI. To date, all infants remain healthy with normal developmental milestones, without the presence of congenital malformations or adverse effects. Lack of information on safety data regarding the use of new antipsychotic formulations remains important in treating women with mental illness who desire to become pregnant. Further studies in this clinical population with a larger number of patients included remains necessary.
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Petersen, Irene, Rachel L. McCrea, Cormac J. Sammon, David PJ Osborn, Stephen J. Evans, Phillip J. Cowen, Nick Freemantle, and Irwin Nazareth. "Risks and benefits of psychotropic medication in pregnancy: cohort studies based on UK electronic primary care health records." Health Technology Assessment 20, no. 23 (March 2016): 1–176. http://dx.doi.org/10.3310/hta20230.
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BackgroundAlthough many women treated with psychotropic medication become pregnant, no psychotropic medication has been licensed for use in pregnancy. This leaves women and their health-care professionals in a treatment dilemma, as they need to balance the health of the woman with that of the unborn child. The aim of this project was to investigate the risks and benefits of psychotropic medication in women treated for psychosis who become pregnant.Objective(s)(1) To provide a descriptive account of psychotropic medication prescribed before pregnancy, during pregnancy and up to 15 months after delivery in UK primary care from 1995 to 2012; (2) to identify risk factors predictive of discontinuation and restarting of lithium (multiple manufacturers), anticonvulsant mood stabilisers and antipsychotic medication; (3) to examine the extent to which pregnancy is a determinant for discontinuation of psychotropic medication; (4) to examine prevalence of records suggestive of adverse mental health, deterioration or relapse 18 months before and during pregnancy, and up to 15 months after delivery; and (5) to estimate absolute and relative risks of adverse maternal and child outcomes of psychotropic treatment in pregnancy.DesignRetrospective cohort studies.SettingPrimary care.ParticipantsWomen treated for psychosis who became pregnant, and their children.InterventionsTreatment with antipsychotics, lithium or anticonvulsant mood stabilisers.Main outcome measuresDiscontinuation and restarting of treatment; worsening of mental health; acute pre-eclampsia/gestational hypertension; gestational diabetes; caesarean section; perinatal death; major congenital malformations; poor birth outcome (low birthweight, preterm birth, small for gestational age, low Apgar score); transient poor birth outcomes (tremor, agitation, breathing and muscle tone problems); and neurodevelopmental and behavioural disorders.Data sourcesClinical Practice Research Datalink database and The Health Improvement Network primary care database.ResultsPrescribing of psychotropic medication was relatively constant before pregnancy, decreased sharply in early pregnancy and peaked after delivery. Antipsychotic and anticonvulsant treatment increased over the study period. The recording of markers of worsening mental health peaked after delivery. Pregnancy was a strong determinant for discontinuation of psychotropic medication. However, between 40% and 76% of women who discontinued psychotropic medication before or in early pregnancy restarted treatment by 15 months after delivery. The risk of major congenital malformations, and neurodevelopmental and behavioural outcomes in valproate (multiple manufacturers) users was twice that in users of other anticonvulsants. The risks of adverse maternal and child outcomes in women who continued antipsychotic use in pregnancy were not greater than in those who discontinued treatment before pregnancy.LimitationsA few women would have received parts of their care outside primary care, which may not be captured in this analysis. Likewise, the analyses were based on prescribing data, which may differ from usage.ConclusionsPsychotropic medication is prescribed before, during and after pregnancy. Many women discontinue treatment before or during early pregnancy and then restart again in late pregnancy or after delivery. Our results support previous associations between valproate and adverse child outcomes but we found no evidence of such an association for antipsychotics.Future workFuture research should focus on (1) curtailing the use of sodium valproate; (2) estimating the benefits of psychotropic drug use in pregnancy; and (3) investigating the risks associated with lifestyle choices that are more prevalent among women using psychotropic drugs.Funding detailsThe National Institute for Health Research Health Technology Assessment programme.
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Acharya, Neema, Sparsh Madaan, Arpita Jaiswal, Deepika Dewani, and Kanan Kotdawala. "Anxiety and depression in post-Menopausal women: A short review." Annals of Geriatric Education and Medical Sciences 8, no. 2 (December 15, 2021): 38–41. http://dx.doi.org/10.18231/j.agems.2021.010.
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Anxiety, Depression and stress are one of the most prevalent psychological problems witnessed in post-menopausal women. These complaints are mostly neglected by the females and ignored due to social stigmas and lack of awareness amongst the elderly population regarding the same. It often affects the quality of life and is thus essential to diagnose and treat on time. Reduced Vitamin D and estrogen levels are one of the proposed culprits behind these psychological disorders in post-menopausal women which will be discussed in this review.Systematic literature review was done with the help of data search domains such as Pubmed, Scopus, Web of science and google scholar. Case reports, observational studies and cross-sectional studies were included in this review.Depression and anxiety are common problems for the post-menopausal women. Various factors such as reduced Vitamin D levels and Estrogen levels as well as increased stress can contribute to development of these psychological complaints. Though these problems might look benign to the patients, they can severely impact the mental health and require more awareness amongst the patients to improve the mental as well as physical health in post-menopausal women.Women in the post-menopausal stage have increased predisposition towards developing psychological disorders and hence the assessment of mental health is essential in these females which should be a vital part of the evaluation done of these females.
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Lopes, L., A. Certo, S. Pereira, and Â. Venâncio. "Clinical case of animal hoarding – characterization and management of a new disorder." European Psychiatry 64, S1 (April 2021): S476. http://dx.doi.org/10.1192/j.eurpsy.2021.1272.
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IntroductionAnimal hoarding is characterized by hoarding of a large number of animals without providing minimum conditions of nutrition and sanitation, accompanied by lack of insight for the behavior and by social isolation. Despite studies detecting an increasing incidence, the behavior is still poorly understood.ObjectivesTo review clinical evidence on animal hoarding and to report a clinical case.MethodsWe report a clinical case based on patient’s history and clinical data, along with a review of the literature on animal hoarding. The terms “Noah syndrome” and “animal hoarding disorder” were searched on PubMed® database.ResultsWe present the case of a 51-years-old woman, living alone, with higher education. His first contact with psychiatry was in August 2019 upon aggravated self-neglect and behavioral disorganization. She was living with around 40 cats, her home was extremely deteriorated. In December 2019 she was admitted to a psychiatric unit. A schizophrenia diagnosis was established and pharmacological treatment was initiated. She was discharged to a chronic psychiatric institution. Studies found out that animal hoarders are typically middle age/older women living alone in squalid conditions. Animal hoarding is characterized by a chronic course and intense emotional attachment to animals. It seems to be associated with traumatic situations, as well as mental disorders such as schizophrenia or dementia. Published data on intervention and treatment is still limited.ConclusionsAnimal hoarding phenomenon requires further investigation, regarding developmental risk factors and co-morbid mental disorders. Comprehensive approaches to clinical intervention and management strategies in animal hoarding are necessary.
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Adams, Clive E., Christos Pantelis, Peter J. Duke, and Thomas R. E. Barnes. "Psychopathology, Social and Cognitive Functioning in a Hostel for Homeless Women." British Journal of Psychiatry 168, no. 1 (January 1996): 82–86. http://dx.doi.org/10.1192/bjp.168.1.82.
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BackgroundThis study surveyed all residents in a hostel for homeless women. Demographic data, and information on past and present psychiatric and social morbidity and current and premorbid cognitive functioning were collected.MethodA four week prevalence study using: SCID–PD; a semi-structured interview; GHQ; SBS; Manchester Scale; MMSE; and NART; the data were analysed using SPSS.ResultsThe women originated from across the social spectrum and disruption of early family life was common. Fifty per cent had a ‘severe mental illness’ and most were not receiving drug treatment. High levels of active psychotic symptoms were present. Women with psychosis had suffered a greater intellectual decline from their premorbid levels of functioning than those without psychosis.ConclusionsThe study affirmed findings of earlier studies employing case-series methodology. Women with high levels of psychiatric morbidity and social dysfunction were being managed by care workers in a way that may promote stability rather than a drift into street-life.
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Morton, Patricia M., Blakelee Kemp, and Frass Ahmed. "CHILD ABUSE AND ADULT MENTAL HEALTH: DOES GENDER MATTER?" Innovation in Aging 3, Supplement_1 (November 2019): S934. http://dx.doi.org/10.1093/geroni/igz038.3399.
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Abstract Numerous studies have demonstrated that child abuse is associated with poor adult mental health, but few have investigated the extent to which the frequency of different types of abuse increase mental health conditions, especially at the nexus of gender. The present study examines whether parental abuse frequency and abuse perpetrator have distinct effects for men and women on three mental health outcomes—depressive symptoms, generalized anxiety, and global self-reported mental health. Data came from three waves of the National Survey of Midlife Development in the United States (MIDUS), comprising a baseline sample of 3,032 adults aged 25-74. Estimating a series of mixed effects models revealed that maternal abuse and frequent abuse during childhood were associated with poorer adult mental health during our 20-year observation period, net of childhood and adult risk factors. Specifically, maternal emotional abuse raised the risk of depression, anxiety, and lower self-rated mental health, and was more strongly associated with depression and anxiety for women than men. Compared to adults who did not experience parental abuse during childhood, adults who experienced frequent emotional and physical abuse by either parent were more likely to experience depression and anxiety and report lower ratings of mental health in adulthood. Frequent child abuse was more strongly associated with anxiety for women than men. These results demonstrate that gender differences in adult mental health have early-life antecedents. Future research investigating the long-term mental health consequences of child abuse should consider the type and magnitude of abuse as well as the perpetrator.
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Morton, Patricia M., Blakelee Kemp, and Frass Ahmed. "CHILD ABUSE AND ADULT MENTAL HEALTH: DOES GENDER MATTER?" Innovation in Aging 3, Supplement_1 (November 2019): S935. http://dx.doi.org/10.1093/geroni/igz038.3401.
Full textAbstract:
Abstract Numerous studies have demonstrated that child abuse is associated with poor adult mental health, but few have investigated the extent to which the frequency of different types of abuse increase mental health conditions, especially at the nexus of gender. The present study examines whether parental abuse frequency and abuse perpetrator have distinct effects for men and women on three mental health outcomes—depressive symptoms, generalized anxiety, and global self-reported mental health. Data came from three waves of the National Survey of Midlife Development in the United States (MIDUS), comprising a baseline sample of 3,032 adults aged 25-74. Estimating a series of mixed effects models revealed that maternal abuse and frequent abuse during childhood were associated with poorer adult mental health during our 20-year observation period, net of childhood and adult risk factors. Specifically, maternal emotional abuse raised the risk of depression, anxiety, and lower self-rated mental health, and was more strongly associated with depression and anxiety for women than men. Compared to adults who did not experience parental abuse during childhood, adults who experienced frequent emotional and physical abuse by either parent were more likely to experience depression and anxiety and report lower ratings of mental health in adulthood. Frequent child abuse was more strongly associated with anxiety for women than men. These results demonstrate that gender differences in adult mental health have early-life antecedents. Future research investigating the long-term mental health consequences of child abuse should consider the type and magnitude of abuse as well as the perpetrator.
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Morán-Sánchez, Inés, Evdochia Adoamnei, María L. Sánchez-Ferrer, María T. Prieto-Sánchez, Julián J. Arense-Gonzalo, Ana Carmona-Barnosi, Ana I. Hernandez-Peñalver, Jaime Mendiola, and Alberto M. Torres-Cantero. "Assessment of Optimism in Women with Polycystic Ovary Syndrome: A Case Control-Study." International Journal of Environmental Research and Public Health 18, no. 5 (February 28, 2021): 2352. http://dx.doi.org/10.3390/ijerph18052352.
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Polycystic ovary syndrome (PCOS) is a chronic endocrinopathy characterized by hyperandrogenism and anovulation that may pervade psychological dimensions such as dispositional optimism. Considering how PCOS influences mental health and the lack of studies on this matter, this research was aimed at assessing optimism and associated factors in PCOS. A case–control study of 156 patients with PCOS and 117 controls was conducted. All woman filled out the Life Orientation Test-Revised (LOT-R), a self-report questionnaire for measuring dispositional optimism. Medication, pain severity, gynecological, and sociodemographic information was also collected. Lower optimism was found in patients with PCOS compared to controls, even after covariate adjustment (LOT-R global scores: 14.1 vs. 15.9, p = 0.020). Our study provides evidence that a personality characteristic with important implications in illness prognosis may be affected in PCOS. We propose to assess dispositional optimism with the LOT-R scale in the gynecological appointment and tailor medical attention accordingly as a way to improve the comprehensive care of these patients within a multidisciplinary team.
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Jahangir, Shagufta, and Asma Manzoor. "Effects Of Sports And Social Well-Being On Physical And Mental Health Of Pakistani Women." Pakistan Journal of Gender Studies 18, no. 1 (March 8, 2019): 145–64. http://dx.doi.org/10.46568/pjgs.v18i1.30.
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Sports are very trendy observable fact in the world. It is the greatest extensive communal institution of contemporary civilization. It increases social hierarchies of any society, which is based on class, competition, gender and ethnicity. Almost all societies of the world aren’t comfortable that women get involved in games, while it plays a vital role in shaping social, cultural and economic values. Usually Women at their peak lacks in physical and mental strength as compared to men because they cannot sustain fatigue and strain beyond certain limit therefore, they have to compromise their sports careers usually before attaining the highest goal. The objective of this study is to explore different perspectives regarding sports women in sports activities and it also aims to analyze critically the misconceptions regarding women sports. The researcher has used both qualitative and quantitative research method and by using snowball sampling technique collected data through the interview schedule from 210 sports women residing in different places of Pakistan and hence, five case studies are in corporated in this study. The findings of the study highlight that societal misconceptions have strictly prohibited women from sports activities because dominant people create misconceptions regarding women sports in the society according to their own perceptions. It is observed that wrong fallacies regarding sports activities are very strong in the Pakistani society, which restricts women to participate in sports activities. According to the research findings it is the responsibility of the Government to facilitate women and provide them different facilities which not only assure their mental health but also provide them opportunity of full participation in sports by providing them childcare facilities, economic stability, maintaining their social respect, self - esteem, and empowering them.
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Tsirigotis, Konstantinos. "Indirect self-destructiveness in women with schizophrenia." Psychiatria i Psychologia Kliniczna 22, no. 3 (December 30, 2022): 158–65. http://dx.doi.org/10.15557/pipk.2022.0021.
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Background: Many authors emphasise the influence of gender differences on mental health and the course and experience of mental illness, and/or postulate a gendered perspective in mental health research. Research holistically considering indirect selfdestructiveness in women with schizophrenia is hard to find in the international literature; studies have been performed on the sole basis of some discrete manifestations of indirect self-destructiveness. Aim: The aim of this study was to explore the indirect self-destructiveness syndrome and its categories in women with schizophrenia. Method: A group of 125 women with paranoid schizophrenia, aged 27–57, were examined by using the Polish version of the Chronic Self-Destructiveness Scale (CS-DS); for comparison, a group of 175 men with schizophrenia and a sociodemographically well-matched group of 125 healthy women were examined. Results: The intensity of indirect self-destructiveness and most of its categories were found to be greater in the group of women with schizophrenia compared to men with schizophrenia (transgression, poor health maintenance, personal and social neglects) and healthy women (transgression, personal and social neglects, lack of planfulness, helplessness). Nevertheless, women with schizophrenia displayed signs of better psychosocial adjustment than schizophrenic men. Conclusions: Comprehensive therapeutic, i.e. psychiatric, psychological and social, interventions should serve to enhance the “self ” defence and self-care functions, and improve the evaluation of adequacy and efficiency in women with schizophrenia. Working with such patients towards increasing their life satisfaction, although life did not spare them suffering, seems to be equally important in (psycho) therapy. The mobilisation and orientation of their actions towards those in favour of their development and health appear as crucial.
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Fernández-Abascal, B., M. Recio-Barbero, M. Saenz-Herrero, and R. Segarra. "Aripirazole-Long Acting Injectable in Pregnant Women with Schizophrenia: A Case Series." European Psychiatry 65, S1 (June 2022): S129—S130. http://dx.doi.org/10.1192/j.eurpsy.2022.355.
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Introduction Long-acting injectable antipsychotics (LAIs) have emerged as a new therapeutic option to treat patients suffering a psychotic disorder. To date, there is a lack of studies regarding safety and clinical use pattern of LAIs in pregnant women. Objectives Provide evidence and real world clinical data of pregnant women with schizophrenia who have been treated with long-acting aripiprazole monohydrate (aripiprazole once monthly [AOM] condition) during their pregnancy. Methods Descriptive real-world clinical experiences of pregnant women in treatment with AOM. The information was obtained by reviewing electronic medical records and by direct clinical observation management. Results The first six case-series describing the pregnancy course of women with schizophrenia treated with AOM. All of them remained psychopathologically stable through pregnancy, and their infants became healthy with normal developmental milestones (Table 1). Table 1. Clinical characteristics of six case-reports. Mothers 1 2 3 4 5 6 Maternal/Pregnancy outcomes Age(years) 35 29 35 31 38 30 Diagnosis Schizophrenia Schizophrenia Schizophrenia Schizophrenia Schizophrenia Schizophrenia AOM(mg/days) 400-300 400-300 400-300 160 300 400 Type of delivery Eutocic. Eutocic, preterm Eutocic Eutocic Eutocic Eutocic Neonatal outcomes Weight(grams) 3300 1800 3140 3102 2940 3400 Gender Female Female Male Male Male Male Developmental Abnormalities (years) No(3) No(2) No( 0.17) No(2) No(2) No(1.5) Conclusions The favorable results in this case-series suggest that despite the lack of evidence on reproductive safety and treatment with AOM during pregnancy, this therapeutic option should be considered in pregnant women with schizophrenia. However, further research on the use of long-acting antipsychotics in pregnant women is needed. Disclosure No significant relationships.