Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning...Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.展开更多
Previous research and observations have shown that COVID-19 affected both patients’and nurses’mental health.Even in the best times,one of the best ways to improve patients’experiences is to improve the health work...Previous research and observations have shown that COVID-19 affected both patients’and nurses’mental health.Even in the best times,one of the best ways to improve patients’experiences is to improve the health workers’experience.Therefore,it is important to be aware of the patterns of interaction between patients diagnosed with COVID-19 and the nurses caring for them and to help them recognize the strengths of their relationship.In this study,we aimed that purposed to discover the interaction and life experiences between the COVID-19 patients and the nurses who provided care for them in Turkey.With the dyadic approach,a qualitatively descriptive design has been used.The research examples consisted of 12 patients diagnosed with COVID-19 selected by purposeful exemplification and 12 nurses who provided care to them.Semi-structured individual in-depth interviews were conducted with individuals.The study adheres to the COREQ guidelines.As a result of the content analysis,four main themes came forward:life change,pandemic journey,getting strong together,new horizons.Institutions should focus on appropriate psychological interventions in order to fortify the relations and mental health of dyad members.Institutions should focus on appropriate psychological interventions in order to fortify the relations and mental health of dyad members.In our research,it is expected to guide related public institutions and non-governmental organizations on formulating policies related to protecting and maintaining the mental health of nurses and patients,extending the scope of existing information,providing patient-health worker security,to assess the problems on thefield through the eyes of patients-health workers and to take necessary precautions.This study,which deals with the interaction and life experiences of patients with COVID-19 and nurses who care for them,will shed light on patients,families,communities,organizations,health policies and systems.展开更多
In the beginning of the 1900s,the prevalence of catatonia in inpatient samples was reported to be between 19.5%and 50%.From the mid-1900s,most clinicians thought that catatonia was disappearing.Advances in medical sci...In the beginning of the 1900s,the prevalence of catatonia in inpatient samples was reported to be between 19.5%and 50%.From the mid-1900s,most clinicians thought that catatonia was disappearing.Advances in medical sciences,particularly in the field of neurology,may have reduced the incidence of neurological diseases that present with catatonic features or mitigated their severity.More active pharmacological and psychosocial treatment methods may have either eliminated or moderated catatonic phenomena.Moreover,the relatively narrow descriptive features in modern classifications compared with classical texts and ascribing catatonic signs and symptoms to antipsychotic-induced motor symptoms may have contributed to an apparent decline in the incidence of catatonia.The application of catatonia rating scales introduced in the 1990s revealed significantly more symptoms than routine clinical interviews,and within a few years,the notion of the disappearance of catatonia gave way to its unexpected resurgence.Several systematic investigations have found that,on average,10%of acute psychotic patients present with catatonic features.In this editorial,the changes in the incidence of catatonia and the possible underlying causes are reviewed.展开更多
Introduction: Maternal mortality is still very high in Benin. Being one of the methods of reducing this mortality, contraception is still very rarely used in Benin, particularly in Borgou district. The objective of th...Introduction: Maternal mortality is still very high in Benin. Being one of the methods of reducing this mortality, contraception is still very rarely used in Benin, particularly in Borgou district. The objective of this work was to evaluate the experience of using Jadelle contraceptive implants by women in the city of Parakou in the Borgou department. Methodology: This was a descriptive cross-sectional study, with retrospective and prospective data collection over the period from March 1 to July 31, 2016. Results: A total of 320 women were involved in the study. The mean age was 28.29 years, with extremes of 16 and 44 years. Socio-professionally, housewives predominated (56.88%). Sixty-eight point forty-four percent of women were educated and only 111 (34.69%) women had reached secondary school;married women were mostly represented. Obstetrically, multi-gestures were the most affected (43.75%). Birth spacing was the main reason for choosing Jadelle (48.13%). Majority of patients had their husbands consent to use Jadelle contraceptive method (85.31%). Sixty-eight point fifty-two percent of women had used this contraceptive method for 2 to 4 years. Jadelle had been chosen by the majority (78.75%) of the women, for its long duration of action and its easy use. The dropout rate for Jadelle was 35/320 (10.94%) after 3 years of use. The failure rate for this method was 0.31% (1/320). The satisfaction rate was 87.5%. Conclusion: Jadelle contraceptive implants are an important part of contraceptive methods in Parakou.展开更多
Inmates in jails and prisons are a high-risk group for suicide. Often, legal claims of medical negligence and §1983 based on deliberate indifference by the correctional officials follow. Unique stable and dynamic...Inmates in jails and prisons are a high-risk group for suicide. Often, legal claims of medical negligence and §1983 based on deliberate indifference by the correctional officials follow. Unique stable and dynamic factors and circumstances and their interaction explain most suicides. A systematic suicide screening using a well-designed suicide screening questionnaire that captures known risk factors will identify most inmates at risk if adequately used. Identification and subsequent mental health assessment set the stage for preventive intervention, monitoring, and treatment of the inmates. A multidimensional suicide prevention program saves not only lives but also the best defense against a liability lawsuit.展开更多
OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using ...OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using a balanced mix of subjective and clinician ratings in an outcome-informed model for a clinical management based on shared decision making, 'The Quality star'. METHODS. Naturalistic data for 2552 persons, mainly with schizophrenia diagnoses, in long-term treatment and rehabilitation, were analyzed in a cross-sectional study. RESULTS. With increasing Social Function, rated with the split-GAF Disability/Functioning scale, the better were patients' Satisfaction, subjective Quality of life and Perceived Global Distress. Women were more satisfied with the care but also more distressed. CONCLUSION. Main findings were in line with other studies. However, the gender differences are in line with some, but not with other, studies. This poses questions how patient factors, instrument constructs, and treatment, especially shared decision making, influence subjective reports.展开更多
The Clinical Strategies Implementation scale (CSI) was originally designed to be used by external reviewers in order to measure the extent to which evidence-based strategies had been implemented in the treatment of pe...The Clinical Strategies Implementation scale (CSI) was originally designed to be used by external reviewers in order to measure the extent to which evidence-based strategies had been implemented in the treatment of persons with schizophrenia spectrum disorders according to Resource-group Assertive Community Treatment (RACT). The present investigation had two aims: 1) to conduct a revision of CSI and to examine the revised instrument (CSI-R) in terms of interrater reliability (Study I);2) to compare assessments of CSI-R made by experienced assessors with assessments made by students in case management (Study II) in order to determine whether the instrument has validity even when more inexperienced persons are using it. In Study I six raters, who took part in 12 to 15 cases from three outpatient community mental health teams, participated. Results indicated that internal consistency of the CSI-R was strong (alpha = 0.89) as well as correlations between individual raters’ (r between 0.80-0.98). In Study II 91 newly trained RACT praxis trainees participated. Each of them followed one case for eighteen months, i.e., the client which they had been assigned during training (n = 91). The five external auditors in the education program then independently assessed the 91 cases with the CSI-R. Results showed significant correlations between experts and trainees (rho = 0.68,展开更多
Studies have shown that mental illnesses are more common among the prison population than the general population.However,most studies in this environment had only looked at nonspecific psychiatric morbidities.The obje...Studies have shown that mental illnesses are more common among the prison population than the general population.However,most studies in this environment had only looked at nonspecific psychiatric morbidities.The objective of this study was to assess the prevalence of major depressive disorder,its associated sociodemographic and clinical variables in a population of inmates in Nigeria.Institution‑based cross‑sectional study was conducted among 196 prisoners consisting of 136 awaiting trials(AT)and 60 convicted inmates(CI).Simple random sampling technique was used to select the study participants.Data were collected using a structured interviewer‑administered questionnaire.Depression was assessed with the depression module of the Structured Clinical Interview Schedule for Axis 1 Diagnostic Statistical Manual‑IV(DSM‑IV)Disorders.The diagnosis was made according to the DSM‑IV criteria and severity assessed with the Montgomery–Asberg Depression Rating Scale(MADRS).Forty‑one(30.1%)of AT compared with 21(35.0%)of the CI were depressed.The mean total MADRS score for AT was 23.90 standard deviation(SD)±7.97 while the mean total MADRS score for the convicted was 25.50 SD±8.70,P=0.479.Unlike the general population,there were no sociodemographic predictors of depression.Among the ATs,depression was associated with the presence of physical complaints,having a chronic illness and family history of psychiatric illness among the CI.The prevalence of depression among prisoners was found to be high and associated with clinical variables.Due attention needs to be given to address the mental health needs of the prisoners.展开更多
基金This study is part of the RECOLLECT 2 programme,a five-year(2020-2025)project funded by the National Institute for Health and Care Research,which investigates the effectiveness and cost-effectiveness of recovery colleges.
文摘Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.
文摘Previous research and observations have shown that COVID-19 affected both patients’and nurses’mental health.Even in the best times,one of the best ways to improve patients’experiences is to improve the health workers’experience.Therefore,it is important to be aware of the patterns of interaction between patients diagnosed with COVID-19 and the nurses caring for them and to help them recognize the strengths of their relationship.In this study,we aimed that purposed to discover the interaction and life experiences between the COVID-19 patients and the nurses who provided care for them in Turkey.With the dyadic approach,a qualitatively descriptive design has been used.The research examples consisted of 12 patients diagnosed with COVID-19 selected by purposeful exemplification and 12 nurses who provided care to them.Semi-structured individual in-depth interviews were conducted with individuals.The study adheres to the COREQ guidelines.As a result of the content analysis,four main themes came forward:life change,pandemic journey,getting strong together,new horizons.Institutions should focus on appropriate psychological interventions in order to fortify the relations and mental health of dyad members.Institutions should focus on appropriate psychological interventions in order to fortify the relations and mental health of dyad members.In our research,it is expected to guide related public institutions and non-governmental organizations on formulating policies related to protecting and maintaining the mental health of nurses and patients,extending the scope of existing information,providing patient-health worker security,to assess the problems on thefield through the eyes of patients-health workers and to take necessary precautions.This study,which deals with the interaction and life experiences of patients with COVID-19 and nurses who care for them,will shed light on patients,families,communities,organizations,health policies and systems.
文摘In the beginning of the 1900s,the prevalence of catatonia in inpatient samples was reported to be between 19.5%and 50%.From the mid-1900s,most clinicians thought that catatonia was disappearing.Advances in medical sciences,particularly in the field of neurology,may have reduced the incidence of neurological diseases that present with catatonic features or mitigated their severity.More active pharmacological and psychosocial treatment methods may have either eliminated or moderated catatonic phenomena.Moreover,the relatively narrow descriptive features in modern classifications compared with classical texts and ascribing catatonic signs and symptoms to antipsychotic-induced motor symptoms may have contributed to an apparent decline in the incidence of catatonia.The application of catatonia rating scales introduced in the 1990s revealed significantly more symptoms than routine clinical interviews,and within a few years,the notion of the disappearance of catatonia gave way to its unexpected resurgence.Several systematic investigations have found that,on average,10%of acute psychotic patients present with catatonic features.In this editorial,the changes in the incidence of catatonia and the possible underlying causes are reviewed.
文摘Introduction: Maternal mortality is still very high in Benin. Being one of the methods of reducing this mortality, contraception is still very rarely used in Benin, particularly in Borgou district. The objective of this work was to evaluate the experience of using Jadelle contraceptive implants by women in the city of Parakou in the Borgou department. Methodology: This was a descriptive cross-sectional study, with retrospective and prospective data collection over the period from March 1 to July 31, 2016. Results: A total of 320 women were involved in the study. The mean age was 28.29 years, with extremes of 16 and 44 years. Socio-professionally, housewives predominated (56.88%). Sixty-eight point forty-four percent of women were educated and only 111 (34.69%) women had reached secondary school;married women were mostly represented. Obstetrically, multi-gestures were the most affected (43.75%). Birth spacing was the main reason for choosing Jadelle (48.13%). Majority of patients had their husbands consent to use Jadelle contraceptive method (85.31%). Sixty-eight point fifty-two percent of women had used this contraceptive method for 2 to 4 years. Jadelle had been chosen by the majority (78.75%) of the women, for its long duration of action and its easy use. The dropout rate for Jadelle was 35/320 (10.94%) after 3 years of use. The failure rate for this method was 0.31% (1/320). The satisfaction rate was 87.5%. Conclusion: Jadelle contraceptive implants are an important part of contraceptive methods in Parakou.
文摘Inmates in jails and prisons are a high-risk group for suicide. Often, legal claims of medical negligence and §1983 based on deliberate indifference by the correctional officials follow. Unique stable and dynamic factors and circumstances and their interaction explain most suicides. A systematic suicide screening using a well-designed suicide screening questionnaire that captures known risk factors will identify most inmates at risk if adequately used. Identification and subsequent mental health assessment set the stage for preventive intervention, monitoring, and treatment of the inmates. A multidimensional suicide prevention program saves not only lives but also the best defense against a liability lawsuit.
文摘OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using a balanced mix of subjective and clinician ratings in an outcome-informed model for a clinical management based on shared decision making, 'The Quality star'. METHODS. Naturalistic data for 2552 persons, mainly with schizophrenia diagnoses, in long-term treatment and rehabilitation, were analyzed in a cross-sectional study. RESULTS. With increasing Social Function, rated with the split-GAF Disability/Functioning scale, the better were patients' Satisfaction, subjective Quality of life and Perceived Global Distress. Women were more satisfied with the care but also more distressed. CONCLUSION. Main findings were in line with other studies. However, the gender differences are in line with some, but not with other, studies. This poses questions how patient factors, instrument constructs, and treatment, especially shared decision making, influence subjective reports.
文摘The Clinical Strategies Implementation scale (CSI) was originally designed to be used by external reviewers in order to measure the extent to which evidence-based strategies had been implemented in the treatment of persons with schizophrenia spectrum disorders according to Resource-group Assertive Community Treatment (RACT). The present investigation had two aims: 1) to conduct a revision of CSI and to examine the revised instrument (CSI-R) in terms of interrater reliability (Study I);2) to compare assessments of CSI-R made by experienced assessors with assessments made by students in case management (Study II) in order to determine whether the instrument has validity even when more inexperienced persons are using it. In Study I six raters, who took part in 12 to 15 cases from three outpatient community mental health teams, participated. Results indicated that internal consistency of the CSI-R was strong (alpha = 0.89) as well as correlations between individual raters’ (r between 0.80-0.98). In Study II 91 newly trained RACT praxis trainees participated. Each of them followed one case for eighteen months, i.e., the client which they had been assigned during training (n = 91). The five external auditors in the education program then independently assessed the 91 cases with the CSI-R. Results showed significant correlations between experts and trainees (rho = 0.68,
文摘Studies have shown that mental illnesses are more common among the prison population than the general population.However,most studies in this environment had only looked at nonspecific psychiatric morbidities.The objective of this study was to assess the prevalence of major depressive disorder,its associated sociodemographic and clinical variables in a population of inmates in Nigeria.Institution‑based cross‑sectional study was conducted among 196 prisoners consisting of 136 awaiting trials(AT)and 60 convicted inmates(CI).Simple random sampling technique was used to select the study participants.Data were collected using a structured interviewer‑administered questionnaire.Depression was assessed with the depression module of the Structured Clinical Interview Schedule for Axis 1 Diagnostic Statistical Manual‑IV(DSM‑IV)Disorders.The diagnosis was made according to the DSM‑IV criteria and severity assessed with the Montgomery–Asberg Depression Rating Scale(MADRS).Forty‑one(30.1%)of AT compared with 21(35.0%)of the CI were depressed.The mean total MADRS score for AT was 23.90 standard deviation(SD)±7.97 while the mean total MADRS score for the convicted was 25.50 SD±8.70,P=0.479.Unlike the general population,there were no sociodemographic predictors of depression.Among the ATs,depression was associated with the presence of physical complaints,having a chronic illness and family history of psychiatric illness among the CI.The prevalence of depression among prisoners was found to be high and associated with clinical variables.Due attention needs to be given to address the mental health needs of the prisoners.
