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1.
Health Aff (Millwood) ; 43(4): 470-476, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38560799

RESUMEN

Perinatal mental illness is a leading cause of death during pregnancy and the first postpartum year in the United States. Although better acute care services for mental health conditions are desperately needed, urgent services alone cannot create the conditions to thrive. Cultivating well-being requires a sustained commitment to reproductive justice, "the human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities." To support reproductive justice for pregnant and birthing people, the Rippel Foundation's Vital Conditions for Health and Well-Being framework offers a holistic approach comprising seven domains: a thriving natural world; basic needs for health and safety; humane housing; meaningful work and wealth; lifelong learning; reliable transportation; and, central to all of these, belonging and civic muscle. Here we review the evidence for each of the vital conditions as key drivers of perinatal mental health, and we outline how this public health approach can advance well-being across generations.


Asunto(s)
Trastornos Mentales , Justicia Social , Embarazo , Femenino , Niño , Humanos , Estados Unidos , Derechos Humanos , Salud Mental , Autonomía Personal
2.
Health Expect ; 27(2): e14037, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38634418

RESUMEN

BACKGROUND AND AIM: Long Covid is often stigmatised, particularly in people who are disadvantaged within society. This may prevent them from seeking help and could lead to widening health inequalities. This coproduced study with a Community Advisory Board (CAB) of people with Long Covid aimed to understand healthcare and wider barriers and stigma experienced by people with probable Long Covid. METHODS: An active case finding approach was employed to find adults with probable, but not yet clinically diagnosed, Long Covid in two localities in London (Camden and Merton) and Derbyshire, England. Interviews explored the barriers to care and the stigma faced by participants and were analysed thematically. This study forms part of the STIMULATE-ICP Collaboration. FINDINGS: Twenty-three interviews were completed. Participants reported limited awareness of what Long Covid is and the available pathways to management. There was considerable self-doubt among participants, sometimes reinforced by interactions with healthcare professionals (HCPs). Participants questioned their deservedness in seeking healthcare support for their symptoms. Hesitancy to engage with healthcare services was motivated by fear of needing more investigation and concerns regarding judgement about the ability to carry out caregiving responsibilities. It was also motivated by the complexity of the clinical presentation and fear of all symptoms being attributed to poor mental health. Participants also reported trying to avoid overburdening the health system. These difficulties were compounded by experiences of stigma and discrimination. The emerging themes reaffirmed a framework of epistemic injustice in relation to Long Covid, where creating, interpreting and conveying knowledge has varied credibility based on the teller's identity characteristics and/or the level of their interpretive resources. CONCLUSION: We have codeveloped recommendations based on the findings. These include early signposting to services, dedicating protected time to listening to people with Long Covid, providing a holistic approach in care pathways, and working to mitigate stigma. Regardless of the diagnosis, people experiencing new symptoms must be encouraged to seek timely medical help. Clear public health messaging is needed among communities already disadvantaged by epistemic injustice to raise awareness of Long Covid, and to share stories that encourage seeking care and to illustrate the adverse effects of stigma. PATIENT OR PUBLIC CONTRIBUTION: This study was coproduced with a CAB made up of 23 members including HCPs, people with lived experience of Long Covid and other stakeholders.


Asunto(s)
COVID-19 , Síndrome Post Agudo de COVID-19 , Adulto , Humanos , Estigma Social , Salud Mental , Accesibilidad a los Servicios de Salud
3.
BMC Public Health ; 24(1): 1056, 2024 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-38622675

RESUMEN

BACKGROUND: Holistic housing renovations combine physical housing improvements with social and socioeconomic interventions (e.g. referral to social services, debt counselling, involvement in decision-making, promoting social cohesion). In a deprived neighbourhood in Utrecht, the Netherlands, this paper examined residents' and professionals' experiences, ideas, and perceptions regarding holistic housing renovation, its health effects, and underlying mechanisms explaining those effects. METHODS: Semi-structured in-depth interviews were conducted with 21 social housing residents exposed to holistic housing renovation, and 12 professionals involved in either the physical renovation or social interventions implemented. Residents were interviewed in various renovation stages (before, during, after renovation). Transcripts were deductively and inductively coded using qualitative software. RESULTS: Residents experienced and professionals acknowledged renovation stress caused by nuisance from construction work (noise, dust), having to move stuff around, and temporary moving; lack of information and control; and perceived violation of privacy. Involvement in design choices was appreciated, and mental health improvement was expected on the long term due to improved housing quality and visual amenity benefits. Social contact between residents increased as the renovation became topic for small talk. Few comments were made regarding physical health effects. The interviews revealed a certain amount of distrust in and dissatisfaction with the housing corporation, construction company, and other authorities. CONCLUSIONS: Renovation stress, aggravated by lack of information and poor accessibility of housing corporation and construction company, negatively affects mental health and sense of control. Potential stress relievers are practical help with packing and moving furniture, and increased predictability by good and targeted communication. Social interventions can best be offered after renovation, when residents live in their renovated apartment and the nuisance and stress from the renovation is behind them. Social partners can use the period leading up to the renovation to show their faces, offer practical help to reduce renovation stress, and increase residents' trust in their organization and authorities in general. This might also contribute to residents' willingness to accept help with problems in the social domain after renovation.


Asunto(s)
Vivienda , Características de la Residencia , Humanos , Países Bajos , Salud Mental
4.
Front Public Health ; 12: 1228271, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38590811

RESUMEN

Background: A nature-based social prescription (NBSP) is an approach to improving mental health outcomes that involves prescribing nature-based interventions as complementary or alternative therapy to traditional ones. A variety of advantages are available from NBSP for people looking to enhance their mental well-being. The effect size of the nature-based social prescriptions (NBSPs) has not been thoroughly evaluated by systematic reviews and meta-analyses. Objectives: The current study aimed to analyze existing studies and conduct a meta-analysis to determine the overall effect size of the nature-based social prescriptions (NBSP's) outcomes on mental health. Methods: By choosing the relevant papers from among those that were available, a meta-analysis was carried out in the current study. A systematic search of electronic databases (Pub Med, Web of Science, Scopus, Cochrane Library, Embase, CINAHL, and PsychINFO) was conducted to identify relevant studies. Studies were included if they evaluated the effects of NBSP on mental health outcomes. Effect sizes were calculated using the random effects model. Results: Meta-analysis of interventions statistics shows that CBT (SMD -0.0035; 95% CI: [-0.5090; 0.5020]; Tau^2: 0.1011; Tau: 0.318), digital intervention (SMD -0.3654; 95% CI: [-0.5258; 1.2566]; Tau^2: 0.2976, Tau: 0.5455), music intervention (SMD -2.1281; 95% CI: [-0.4659; 4.7221]; Tau^2: 3.4046; Tau:1.8452), and psychological interventions (SMD -0.8529; 95% CI: [0.3051; 1.4007]; Tau^2: 0.1224; Tau: 0.3499) do not significantly impact. The other interventions [social belongingness, communication training, blue intervention, nature-based education, cognitive behavior group therapy (CBGT), social prescribing coordinator, self-help intervention, participatory, organizational intervention, inpatient services, brief diet, internet-based intervention, prenatal intervention, yoga and meditation, ergonomics training program, yoga nidra intervention, and storytelling] highlighted above are significant. Conclusion: The conclusion of the meta-analysis supports the idea that incorporating nature-based social prescription interventions into mental healthcare plans can effectively complement traditional therapies and improve mental health outcomes. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023412458, CRD42023412458.


Asunto(s)
Terapia Cognitivo-Conductual , Meditación , Yoga , Humanos , Salud Mental , Evaluación de Resultado en la Atención de Salud
5.
PLoS One ; 19(4): e0301028, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38574083

RESUMEN

BACKGROUND: Interest in the effectiveness of mindfulness-based interventions such as yoga in primary schools has grown. Evidence shows promise, as youth who engage in yoga to promote mindfulness show improved coping skills, increased socio-emotional competence and prosocial skills, academic performance, attention span, and ability to deal with stress. OBJECTIVE: This study reports the results of a program evaluation of a universal health and wellness curriculum, Pure Power, designed to teach youth yoga techniques, mindfulness, and emotion regulation. METHODS: A non-randomized comparison design examined outcomes among participants from schools that completed the intervention with highest fidelity of implementation (n = 461) and from students in matched comparison schools (n = 420). Standard measures of coping, emotion regulation and emotion dysregulation, spelling, and math achievement were collected. RESULTS: Analyses suggest the youth in the intervention schools demonstrated relative improvement on measures of emotion regulation, spelling, and math. CONCLUSIONS: Challenges in implementation in real-life settings are vital to identify. The data provide some real-world evidence for the effectiveness of a universal health and wellness curriculum on emotion regulation and positive academic outcomes. Training school staff to deliver the intervention may foster implementation. Future research should test the effectiveness of who delivers the intervention; for example, teacher-delivered groups vs. other wellness personnel.


Asunto(s)
Atención Plena , Yoga , Adolescente , Humanos , Yoga/psicología , Salud Mental , Atención Plena/métodos , Evaluación de Programas y Proyectos de Salud , Instituciones Académicas , Curriculum
6.
Compr Psychiatry ; 132: 152483, 2024 07.
Artículo en Inglés | MEDLINE | ID: mdl-38631272

RESUMEN

BACKGROUND: Given the protective effect of nurturing caregivers and families for child and adolescent mental health, there is a need to review and synthesize research evidence regarding the effectiveness of parenting and family interventions in low and middle-income countries, including humanitarian settings. To advance practice, further understanding of the active ingredients of such interventions and implementation factors that lead to effectiveness are essential. METHOD: This systematic review, an update from a previous review, included studies on any parenting or family intervention for children and adolescents aged 0-24, living in a low- or middle-income country, that quantitatively measured child or adolescent mental health outcomes. We searched Global Health, PubMed, PsychINFO, PILOTS and the Cochrane Library databases on the 9th July 2020, and updated on the 12th August 2022. Risk of bias was assessed using an adapted version of the NIH Quality Assessment Tool. We extracted data on: effectiveness outcomes, practice elements included in effective interventions, and implementation challenges and successes. MAIN FINDINGS: We found a total of 80 studies (n = 18,193 participants) representing 64 different family or parenting interventions, 43 of which had evidence of effect for a child or adolescent mental health outcome. Only 3 studies found no effect on child, adolescent or caregiver outcomes. The most common practice elements delivered in effective interventions included caregiver psychoeducation, communication skills, and differential reinforcement. Key implementation strategies and lessons learned included non-specialist delivery, the engagement of fathers, and integrated or multi-sector care to holistically address family needs. PRELIMINARY CONCLUSIONS: Despite a high level of heterogeneity, preliminary findings from the review are promising and support the use of parenting and family interventions to address the wider social ecology of children in low resource and humanitarian contexts. There are remaining gaps in understanding mechanisms of change and the empirical testing of different implementation models. Our findings have implications for better informing task sharing from specialist to non-specialist delivery, and from individual-focused to wider systemic interventions.


Asunto(s)
Países en Desarrollo , Responsabilidad Parental , Humanos , Responsabilidad Parental/psicología , Adolescente , Niño , Salud Mental , Terapia Familiar/métodos , Trastornos Mentales/terapia , Trastornos Mentales/psicología , Preescolar , Adulto Joven
7.
Rheumatol Int ; 44(7): 1233-1244, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38609655

RESUMEN

INTRODUCTION: The growing recognition of holistic patient care highlights the various factors shaping the quality of life of individuals with autoimmune and rheumatic diseases (AIRDs). Beyond the traditional disease measures, there is an emerging acknowledgment of the less-explored aspects, including subjective well-being, social determinants of health, comorbidities, mental health, and medication adherence. Moreover, digital health services have empowered patients to engage actively in decision-making alongside clinicians. To explore these domains within the context of AIRDs, the "Collating the Voice of People with Autoimmune Diseases" COVAD survey was conceived, a successor of the previous two COVAD surveys. In this document, we present the study protocol in comprehensive detail. METHODS: The COVAD-3 survey is a cross-sectional patient self-reported e-survey incorporating multiple widely accepted scales/scores to assess various aspects of patients' lifestyles objectively. To ensure the survey's accuracy and usability across diverse regions, it will be translated into multiple languages and subjected to rigorous vetting and pilot testing. It will be distributed by collaborators via online platforms and data will be collected from patients with AIRDs, and healthy individuals over eight months. Data analysis will focus on outcome measures related to various social, demographic, economic, and psychological factors. CONCLUSION: With the increasing awareness to adopt a holistic treatment approach encompassing all avenues of life, the COVAD-3 survey aims to gain valuable insights into the impact of social, demographic, economic, and psychological determinants of health on the subjective well-being in patients with AIRDs, which will contribute to a better understanding of their overall health and well-being.


Asunto(s)
Enfermedades Autoinmunes , Calidad de Vida , Humanos , Enfermedades Autoinmunes/psicología , Estudios Transversales , Enfermedades Reumáticas/psicología , Autoinforme , Cumplimiento de la Medicación , Salud Mental , Determinantes Sociales de la Salud , Proyectos de Investigación , Encuestas y Cuestionarios
8.
BMC Public Health ; 24(1): 1164, 2024 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-38664712

RESUMEN

BACKGROUND: The relationship between insufficient financial resources and psychological health has been extensively studied and established in various contexts. However, there remains uncertainty regarding the potential impact of the Nigerian naira currency redesign policy on the psychological well-being of Nigerians. This policy, which aimed to demonetize the economy and promote economic stability, involved changes to the physical appearance of some naira denominations (200, 500 and 1000). Understanding the effects of this policy on psychological health is essential for evaluating its overall societal impact and identifying potential areas for improvement in future currency redesign initiatives. METHODS: The study is a cross-sectional mixed-methods study involving 2237 respondents across the six geopolitical zones of Nigeria. Utilizing the simple random, snowball and convenience sampling technique, social media platforms (Facebook and WhatsApp) were used to recruit respondents. Variables were analyzed at descriptive and inferential levels. The qualitative component comprised seven (7) in-depth interviews with participants across the geo-political zones. RESULTS: The perceptions of respondents towards the policy were diverse across different demographic groups. It was widely perceived that the timing of the policy was inappropriate, considering the challenges faced in utilizing online payment platforms and the significant inaccessibility of cash. Furthermore, the analysis revealed that demographic variables played a role in explaining systematic variations in the experience of financial scarcity and its effect on psychological health during the cash crunch that ensued as a result of the Nigerian naira currency redesign policy. CONCLUSIONS: This study identified a significant association between the psychological inventory of financial scarcity and psychological well-being among residents in Nigeria during the cash crunch resulting from the Naira redesign policy. The findings suggest that the financial scarcity experienced by Nigerians due to the policy had a substantial impact on individuals' psychological well-being. We recommend that a holistic approach be undertaken by policymakers to ensure that policy actions not only address economic objectives but also safeguard the mental health and overall well-being of the population.


Asunto(s)
Salud Mental , Humanos , Nigeria , Masculino , Femenino , Estudios Transversales , Adulto , Persona de Mediana Edad , Adulto Joven , Adolescente , Política Pública , Bienestar Psicológico
9.
J Psychosom Res ; 181: 111670, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38636301

RESUMEN

OBJECTIVES: This study aimed to assess the clinical complexity of patients with chronic systemic diseases (systemic lupus erythematosus [SLE] and ANCA-associated vasculitis [AAV]) using the INTERMED Self-Assessment questionnaire (IMSA) to determine the most important factors responsible for this phenomenon in these patients. METHODS: This was a cross-sectional, observational study. Questionnaires were used to evaluate biopsychosocial complexity (IMSA), quality of life (Short Form Survey [SF-36]), mental state (General Health Questionnaire - 28 [GHQ-28] and Hospital Anxiety and Depression Scale [HADS]), and acceptance of illness (Acceptance of Illness Scale [AIS]). RESULTS: The final analysis included 81 patients. There was a moderate correlation between clinical complexity (total IMSA score) and quality of life related to mental health (SF-36) and mental state (GHQ-28) in patients with SLE. However, in patients with AAV, clinical complexity had a strong relationship with physical health-related quality of life and a moderate relationship with mental health-related quality of life. Stepwise regression analysis showed that low mental health-related quality of life is a predictor of higher complexity in SLE. The predictors of high clinical complexity in AAV were low physical and mental health-related quality of life and aggravated depressive symptoms (HADS). Other principal factors of clinical complexity were employment status, place of residence, social functioning, and illness duration. CONCLUSION: This study confirmed the importance of holistic attitudes and complex healthcare among patients with chronic diseases.


Asunto(s)
Lupus Eritematoso Sistémico , Calidad de Vida , Humanos , Masculino , Femenino , Calidad de Vida/psicología , Estudios Transversales , Persona de Mediana Edad , Adulto , Lupus Eritematoso Sistémico/psicología , Enfermedad Crónica , Vasculitis Asociada a Anticuerpos Citoplasmáticos Antineutrófilos/psicología , Encuestas y Cuestionarios , Anciano , Depresión/psicología , Salud Mental , Ansiedad/psicología
10.
Noise Health ; 26(120): 8-13, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38570304

RESUMEN

BACKGROUND: Chronic renal failure (CRF) poses significant clinical risks. Therefore, attention should be paid to the daily nursing of such patients, and better clinical nursing programs should be provided. METHODS: The data of 120 patients with CRF at Yantai Yuhuangding Hospital from March 2020 to March 2022 were retrospectively analyzed. After 8 patients were excluded, 112 patients were finally included in this study. The included patients were divided into group A (58 patients receiving clinical routine nursing) and group B (54 patients receiving clinical routine nursing and personalized music) according to different nursing schemes. The anxiety level, depression level, quality of life (QOL), and clinical satisfaction of the patients in both groups were compared before and after nursing. RESULTS: Before the implementation of nursing, no significant difference existed in the levels of anxiety, depression, and QOL between the two groups (P > 0.05). After nursing, group B had significantly lower levels of anxiety and depression and significantly higher QOL than group A (P < 0.001). No significant difference in clinical nursing satisfaction was found between the two groups (P > 0.05). CONCLUSION: The implementation of personalized music can improve the QOL and psychological states of patients, with clinical application value.


Asunto(s)
Fallo Renal Crónico , Musicoterapia , Humanos , Anciano , Calidad de Vida , Estudios Retrospectivos , Salud Mental , Depresión/etiología , Fallo Renal Crónico/terapia
11.
Complement Ther Med ; 82: 103041, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38648942

RESUMEN

OBJECTIVES: The effects of jujube (Ziziphus jujube) consumption on metabolic and mental health outcomes in subjects diagnosed with metabolic syndrome (MetS) is unknown and remains to be examined. Hence, we carried out a parallel-group, randomized controlled trial to investigate this issue. METHODS: Eligible participants were randomly assigned to the intervention (n = 30) or the control (n = 30) groups to receive either jujube or a placebo for eight weeks. Subjects were provided with 30 g dried jujube powder or placebo and were asked to consume half of the powder at 10 a.m. and the rest at 4 p.m. Lipid profile, fasting blood glucose (FBG), waist circumference (WC), and blood pressure were evaluated as primary outcomes. Secondary outcomes collected were mental health measures (e.g., depression, anxiety, and stress). RESULTS: Jujube consumption failed to decrease FBG, total cholesterol, low-density lipoprotein cholesterol, and blood pressure, as well as depression and anxiety scores (P > 0.05). However, the between-group comparison revealed a significant improvement in WC (- 3.98 vs. - 0.51, P = 0.01), triglyceride (TG) (- 24.96 vs. - 0.73, P = 0.03), and high-density lipoprotein cholesterol (HDL-C) (2.83 vs. 0.40, P = 0.01) in the jujube group compared to the placebo. In addition, compared to the control group, jujube consumption led to a significant improvement in the score of stress (- 5.80 vs. - 2.86, P = 0.01). CONCLUSION: Jujube consumption only had beneficial effects on WC, TG, and HDL-C in subjects with MetS. However, the current study has methodological weaknesses in blinding and herb purity/potency testing, which should be addressed in future studies.


Asunto(s)
Glucemia , Síndrome Metabólico , Ziziphus , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Presión Sanguínea , Circunferencia de la Cintura , Extractos Vegetales/uso terapéutico , Extractos Vegetales/farmacología , Salud Mental , Depresión/tratamiento farmacológico
12.
Front Public Health ; 12: 1363866, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38655517

RESUMEN

Background: In China, the prevalence of mental health issues among college students is a significant concern in society. This study aims to investigate the impact of early dietary quality on the psychological well-being of college students and elucidate the underlying mechanisms through which these effects occur, specifically focusing on height and qi-deficiency as mediators according to Chinese traditional medicine (CTM). Methods: A total of 655 college students were surveyed in October 2023 using paper-pencil-based questionnaires at four second-tier universities in Sichuan Province. The assessment included mental health, height, and qi-deficiency. Pearson's correlation and linear regression analyses were employed to examine the mediation model and test the hypotheses. Results: The college students exhibited acceptable levels of early diet quality (M = 3.72) and mental health (M = 3.63), while also presenting mild qi-deficiency symptoms (M = 2.25). Their average height was measured at 164.61 cm. Early diet quality demonstrated significant associations with mental health (r = 0.38, p < 0.01), height (r = 0.32, p < 0.01), and qi-deficiency (r = -0.32, p < 0.01). Mental health displayed correlations with height (r = 0.32, p < 0.01) and qi-deficiency (r = -0.49, p < 0.01). The results of linear regression analyses revealed significant associations between early diet quality and mental health (ß = 0.31, p < 0.01), height (ß = 0.21, p < 0.01), as well as qi-deficiency (ß = -0.26, p < 0.01). Furthermore, when early diet quality was included in the regression model, both height (ß = 0.21, p < 0.01) and qi-deficiency (ß = -0.35, p < 0.01) emerged as significant mediators in the relationship with mental health. Conclusion: The mediation model and hypotheses were strongly supported, demonstrating that early diet quality exerted an influence on the mental health of college students through two distinct pathways: height and qi-deficiency. Moreover, the mediating effect of qi-deficiency was found to be more pronounced than that of height in the relationship between early diet quality and mental health among college students.


Asunto(s)
Estatura , Dieta , Salud Mental , Qi , Estudiantes , Humanos , Femenino , Estudiantes/estadística & datos numéricos , Estudiantes/psicología , Masculino , Universidades , Salud Mental/estadística & datos numéricos , China , Adulto Joven , Encuestas y Cuestionarios , Dieta/estadística & datos numéricos , Adulto , Adolescente , Medicina Tradicional China
13.
JAMA Netw Open ; 7(4): e244855, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38573637

RESUMEN

Importance: Perceived social isolation is associated with negative health outcomes, including increased risk for altered eating behaviors, obesity, and psychological symptoms. However, the underlying neural mechanisms of these pathways are unknown. Objective: To investigate the association of perceived social isolation with brain reactivity to food cues, altered eating behaviors, obesity, and mental health symptoms. Design, Setting, and Participants: This cross-sectional, single-center study recruited healthy, premenopausal female participants from the Los Angeles, California, community from September 7, 2021, through February 27, 2023. Exposure: Participants underwent functional magnetic resonance imaging while performing a food cue viewing task. Main Outcomes and Measures: The main outcomes included brain reactivity to food cues, body composition, self-reported eating behaviors (food cravings, reward-based eating, food addiction, and maladaptive eating behaviors), and mental health symptoms (anxiety, depression, positive and negative affect, and psychological resilience). Results: The study included 93 participants (mean [SD] age, 25.38 [7.07] years). Participants with higher perceived social isolation reported higher fat mass percentage, lower diet quality, increased maladaptive eating behaviors (cravings, reward-based eating, uncontrolled eating, and food addiction), and poor mental health (anxiety, depression, and psychological resilience). In whole-brain comparisons, the higher social isolation group showed altered brain reactivity to food cues in regions of the default mode, executive control, and visual attention networks. Isolation-related neural changes in response to sweet foods correlated with various altered eating behaviors and psychological symptoms. These altered brain responses mediated the connection between social isolation and maladaptive eating behaviors (ß for indirect effect, 0.111; 95% CI, 0.013-0.210; P = .03), increased body fat composition (ß, -0.141; 95% CI, -0.260 to -0.021; P = .02), and diminished positive affect (ß, -0.089; 95% CI, -0.188 to 0.011; P = .09). Conclusions and Relevance: These findings suggest that social isolation is associated with altered neural reactivity to food cues within specific brain regions responsible for processing internal appetite-related states and compromised executive control and attentional bias and motivation toward external food cues. These neural responses toward specific foods were associated with an increased risk for higher body fat composition, worsened maladaptive eating behaviors, and compromised mental health. These findings underscore the need for holistic mind-body-directed interventions that may mitigate the adverse health consequences of social isolation.


Asunto(s)
Señales (Psicología) , Salud Mental , Femenino , Humanos , Adulto , Estudios Transversales , Encéfalo/diagnóstico por imagen , Aislamiento Social , Conducta Alimentaria , Obesidad
14.
Nutr. clín. diet. hosp ; 44(2): 75-82, Abr. 2024. tab, graf
Artículo en Español | IBECS | ID: ibc-VR-12

RESUMEN

Introducción: Los antioxidantes vegetales tienen la capacidad de limpiar el exceso de radicales libres, inhibir la oxidación de los lípidos y reducir la formación de hidroperóxido, lo que podría proteger al organismo del estrés oxidativo.Objetivo: Identificar el consumo de frutas, verduras y su relación con la salud mental en estudiantes de ciencias de la salud.Métodos: Estudio transversal, correlacional, realizado en 510 estudiantes de universidades públicas y privadas de ciencias de la salud. Los datos fueron obtenidos a partir de dos cuestionarios uno de frecuencia de consumo de 23 frutas y 17 verduras y otro fue para medir el nivel de depresión, ansiedad y estrés. Se realizó la prueba estadística Chi-cuadrado.Resultados: El 60,4% y el 6,9% presentó un nivel alto y leve de depresión, ansiedad y estrés respectivamente, por otro lado, el sexo femenino presenta mayor depresión, ansiedad y estrés que los varones (p=0,005). Existe asociación entre la salud mental con el consumo de frutas, como la cocona (p=0,029), los arándanos (p=0,005), sandía (p=0,016) y el plátano (p=0,009), así mismo no se encontró relación con el consumo de verduras (p>0,05).Conclusión: Existe un bajo consumo de frutas y verduras en los estudiantes de Ciencias de la Salud, sin embargo, las frutas que disminuyen el nivel de depresión, ansiedad y estrés fueron el arándano, cocona, sandía y plátano. Es necesario mejorar e implementar estrategias de difusión para el consumo de frutas y verduras lo cual conlleva a mejorar la salud mental y física.(AU)


Introduction: Plant antioxidants have the ability to scav-enge excess free radicals, inhibit lipid oxidation and reducehydroperoxide formation, which could protect the body fromoxidative stress.Objective: To identify the consumption of fruits, vegeta-bles and their relationship with mental health in health sci-ence students.Methods: Cross-sectional, correlational study, carried out on510 students from public and private universities of health sci-ences. The age of the students was 18 to 35 years old, 73.7%were women and 26.3% men. The questionnaire on the fre-quency of consumption of fruits and vegetables was validated by expert judgment that includes 23 fruits and 17 vegetablesand to measure the level of mental health the questionnaireconsists of 21 items that consider depression, anxiety and stresswhich was validated by Colchado et al. The association of thevariables was analyzed through the Chi-square statistical test.Results: 60.4% and 6.9% presented a high and mild levelof depression, anxiety and stress respectively. Females pres-ent greater depression, anxiety and stress than males(p=0.005). There is an association between mental healthand the consumption of cocona (p=0.029), blueberries(p=0.005), watermelon (p=0.016) and banana (p=0.009). Noassociation was found with vegetable consumption (p>0.05).Conclusion: There is a low consumption of fruits and veg-etables in Health Sciences students, however, those who ob-tained a mild level of depression consumed more fruits suchas blueberry, coconut, watermelon and banana. It is neces-sary to implement dissemination strategies for the daily con-sumption of fruits and vegetables which leads to improve ormaintain physical and mental health.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Salud Mental , Frutas , Verduras , Dieta Saludable , Ansiedad , Estrés Psicológico , Estudiantes , Salud del Estudiante , Ciencias de la Salud/educación
15.
Rev. esp. salud pública ; 98: e202404031, Abr. 2024.
Artículo en Español | IBECS | ID: ibc-VR-20

RESUMEN

Aunque el derecho al goce del más alto nivel de salud mental y física que se pueda lograr es un derecho humano universal, no ha sido hasta etapas muy recientes que la salud mental ha empezado a cobrar la relevancia que merece. La atención a la salud materno-infantil ejemplifica las limitaciones de la Sanidad española para ofrecer una atención integral que incluya la dimensión de la salud mental. Durante años, el objetivo principal ha sido combatir la mortalidad materna prevenible, prácticamente erradicada en nuestro país gracias a sus prestaciones sanitarias. Sin embargo, el disfrute de la salud no puede limitarse a lograr la supervivencia de las madres y de sus bebés, y una buena salud materna implica, necesariamente, una buena salud mental perinatal.(AU)


Asunto(s)
Humanos , Masculino , Salud Pública , Salud Mental , Atención Perinatal , Salud Materno-Infantil , Derechos Humanos , España
16.
BMC Public Health ; 24(1): 907, 2024 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-38539113

RESUMEN

BACKGROUND: Job boredom has been generally associated with poorer self-rated health but the evidence is mainly cross-sectional and there is a lack of a holistic mental health approach. We examined the temporal relationships between job boredom and mental health indicators of life satisfaction, positive functioning, anxiety, and depression symptoms. METHODS: We analyzed a two-wave postal survey data of adults aged 23 to 34 that was collected from the Finnish working population between 2021 and 2022 (n = 513). Latent change score modelling was used to estimate the effects of prior levels of job boredom on subsequent changes in mental health indicators, and of prior levels of mental health indicators on subsequent changes in job boredom. RESULTS: Job boredom was associated with subsequent decreases in life satisfaction and positive functioning and increases in anxiety and depression symptoms. Of these associations, job boredom was more strongly associated with changes in positive functioning and anxiety symptoms than with changes in life satisfaction. CONCLUSIONS: Our two-wave study suggests that job boredom, a motivational state of ill-being in the work domain, spills over into general mental health by decreasing life satisfaction and positive functioning and increasing anxiety and depression symptoms. Our findings contribute to the understanding of the potential detrimental effects of job boredom and its nomological network. From a practical perspective, workplaces are adviced to improve working conditions that mitigate job boredom and thus promote employees' mental health.


Asunto(s)
Depresión , Salud Mental , Adulto , Humanos , Depresión/epidemiología , Tedio , Estudios Transversales , Satisfacción en el Trabajo , Ansiedad/epidemiología , Satisfacción Personal
17.
Salud Colect ; 20: e4663, 2024 Feb 29.
Artículo en Español | MEDLINE | ID: mdl-38427326

RESUMEN

The aim was to understand the way of life and self-care practices in mental health among adult male farmers living in a municipality in the Risaralda department, located in the coffee axis of Colombia, marked by a high incidence of suicides. An ethnographic study was conducted between March and December 2021, employing a combination of methods including interviews, participant observation, document review, and field diaries. Economic and social aspects undergoing transformations were identified, impacting gender roles, family dynamics, and caregiving possibilities for these men. By observing how men discuss their suffering and the resources available to address it, it can be concluded that mental health practices function more as self-care resources, while health services often provide symptom-based care, neglecting attentive listening. These findings are valuable for shaping services and life care strategies that align with the conditions of rural men in Colombia.


El objetivo fue conocer el modo de vida y las prácticas de autocuidado en salud mental de los hombres adultos campesinos, que viven en un municipio del departamento de Risaralda en el eje cafetero de Colombia con alta incidencia de suicidios. Entre marzo y diciembre de 2021, se realizó un estudio etnográfico, haciendo uso de una combinación de métodos: entrevistas, observación participante, revisión documental y diario de campo. Se identificaron aspectos económicos y sociales cuyas transformaciones han afectado los roles de género, las dinámicas familiares y las posibilidades de cuidado para los hombres. Al observar cómo los hombres hablan de su sufrimiento y de los recursos con que cuentan para atenderlo, puede concluirse que las prácticas de salud mental se encuentran más bien como recursos de autoatención y los servicios de salud ofrecen atención basada en síntomas del cuerpo, de modo que abandonan la escucha. Estos hallazgos son útiles para pensar servicios y estrategias de cuidado de la vida que se adapten a las condiciones de hombres campesinos en Colombia.


Asunto(s)
Café , Suicidio , Adulto , Humanos , Masculino , Colombia , Salud Mental , Suicidio/psicología , Antropología Cultural
18.
Artículo en Inglés | MEDLINE | ID: mdl-38541282

RESUMEN

Globally and historically, Indigenous healthcare is efficacious, being rooted in Traditional Healing (TH) practices derived from cosmology and place-based knowledge and practiced on the land. Across Turtle Island, processes of environmental dispossession and colonial oppression have replaced TH practices with a colonial, hospital-based system found to cause added harm to Indigenous Peoples. Growing Indigenous health inequities are compounded by a mental health crisis, which begs reform of healthcare institutions. The implementation of Indigenous knowledge systems in hospital environments has been validated as a critical source of healing for Indigenous patients and communities, prompting many hospitals in Canada to create Traditional Healing Spaces (THSs). After ten years, however, there has been no evaluation of the effectiveness of THSs in Canadian hospitals in supporting healing among Indigenous Peoples. In this paper, our team describes THSs within the Center for Addiction and Mental Health (CAMH), Canada's oldest and largest mental health hospital. Analyses of 22 interviews with hospital staff and physicians describe CAMH's THSs, including what they look like, how they are used, and by whom. The results emphasize the importance of designating spaces with and for Indigenous patients, and they highlight the wholistic benefits of land-based treatment for both clients and staff alike. Transforming hospital spaces by implementing and valuing Indigenous knowledge sparks curiosity, increases education, affirms the efficacy of traditional healing treatments as a standard of care, and enhances the capacity of leaders to support reconciliation efforts.


Asunto(s)
Indígena Canadiense , Salud Mental , Humanos , Canadá , Hospitales Psiquiátricos , Inuk , Indígena Canadiense/psicología
19.
J Korean Acad Nurs ; 54(1): 106-117, 2024 Feb.
Artículo en Coreano | MEDLINE | ID: mdl-38480581

RESUMEN

PURPOSE: This study examined the effects of stress vulnerability and parental burnout on the mental health of women with early school-aged children, with a focus on the mediating role of spirituality. METHODS: A survey was conducted among 171 women with early school-aged children in Gyeonggi Province, Gangwon Province, and Seoul. Data were collected from September to December 2022 using the Korean-Symptom Check List 95, the Parental Burnout Assessment, and the Spirituality Assessment Scale. The data were analyzed using structural equation modeling with SPSS/WIN 22.0 and AMOS 20.0. RESULTS: The study model demonstrated a good fit, explaining 40.5% of the variance in mental health through stress vulnerability, parental burnout, and spirituality. Spirituality had a significant direct impact on mental health. Additionally, participants' spirituality directly influenced their mental health, while stress vulnerability and parental burnout indirectly affected their mental health and were mediated through spirituality. CONCLUSION: Stress vulnerability and parental burnout are negatively associated with mental health, while spirituality partially mediates these effects. Implementing a program to promote spirituality is suggested to assist mothers in recognizing the value and meaning of parenting activities during nursing interventions for mental health.


Asunto(s)
Agotamiento Profesional , COVID-19 , Niño , Humanos , Femenino , Salud Mental , Espiritualidad , Pandemias , Agotamiento Profesional/psicología , Agotamiento Psicológico , Madres/psicología
20.
PLoS One ; 19(3): e0288214, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38483880

RESUMEN

In March 2021, the Governor of Washington declared a youth mental health crisis. State data revealed high rates of youth suicide and inadequate access to services. This study aims to ascertain the kinds of support across the mental health care continuum recommended by young people and key stakeholders who could assist with implementation in Seattle. We interviewed 15 key informants to identify the contextual, structural, and individual-level factors that increase the risk of poor mental health and deter access to care among youth. We complimented these data with a 25-item survey of 117 participants in King County to assess the feasibility and acceptability of interventions for youth mental health. We conducted a deductive thematic qualitative analysis of the interviews and performed descriptive analyses of the quantitative data, using t-tests and χ2 tests to summarize and compare participant characteristics stratified by age group. Qualitative informants attributed challenges to youth mental health to social isolation and relational problems. Example interventions included creating environments that increase belonging and implementation of culturally congruent mental health services. Quantitative study participants rated all evidence-based mental health interventions presented as highly acceptable. However, youth preferred interventions promoting social connectedness, peer support, and holistic approaches to care, while non-youth preferred interventions focused on suicide, and substance abuse prevention. Key informants and survey participants identified schools as the most important setting for mental health interventions. There were no significant differences among quantitative outcomes. Our findings highlight the need for interventions that reduce isolation and increase social connectedness to support youth mental health. As the city designs youth responsive interventions, schools and digital platforms should be prioritized. Engaging multiple stakeholders, particularly young people, tackling cultural stigma surrounding mental health, and improving access to safe community spaces are important considerations for youth mental health interventions.


Asunto(s)
Trastornos Mentales , Suicidio , Humanos , Adolescente , Salud Mental , Washingtón , Estudios de Factibilidad
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