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Early Access And Help Seeking: Practice Implications And New Initiatives., Coralie J. Wilson 2010 University of Wollongong

Early Access And Help Seeking: Practice Implications And New Initiatives., Coralie J. Wilson

Coralie J Wilson

Seeking appropriate help for early signs and symptoms of psychological distress can reduce the long-term impact of many mental disorders. This article describes practice implications and new initiatives for promoting early access and help-seeking among young people. Relevant help-seeking research is reviewed, and prominent help-seeking barriers are discussed. Prominent barriers for young people include: incomplete mental health and emotional literacy, beliefs about having little need for help versus having a need for autonomy, and the process of help-negation for different symptoms of psychological distress. To improve early access to appropriate help and mental health services, barriers that can be reduced, …


Rural Adolescents’ Help Seeking Intentions For Emotional Problems: The Influence Of Perceived Benefits And Stoicism., Coralie J. Wilson 2010 University of Wollongong

Rural Adolescents’ Help Seeking Intentions For Emotional Problems: The Influence Of Perceived Benefits And Stoicism., Coralie J. Wilson

Frank Deane

This paper is the second from a larger multi-cite study developed and led by the third author which explores factors that influence adolescents' help-seeking intentions. Specifically, this paper investigates the extent to which perceived benefits of help seeking, stoicism, gender and symptoms of psychological distress are associated with intentions to seek professional help for emotional problems. A cross sectional self-report questionnaire was administered to adolescents recruited from seven high schools in rural towns in the Riverina region of New South Wales. A total of 778 adolescents were recruited. The sample included 373 male and 404 female participants between 13 and …


The Effects Of Need For Autonomy And Preference For Seeking Help From Informal Sources On Emerging Adults’ Intentions To Access Mental Health Services For Common Mental Disorders And Suicidal Thoughts., Coralie J. Wilson 2010 University of Wollongong

The Effects Of Need For Autonomy And Preference For Seeking Help From Informal Sources On Emerging Adults’ Intentions To Access Mental Health Services For Common Mental Disorders And Suicidal Thoughts., Coralie J. Wilson

Coralie J Wilson

Emerging or early adulthood is the life stage spanning 18-25 years of age. In Australia, anxiety and affective disorders (often classified as ‘common mental disorders’) are prevalent in this age group and suicide is also a concern. Professional mental health care can reduce the long-term impact of these mental health problems and protect against the development of severe forms of these disorders. However, up to three-quarters of young people with mental health needs do not seek professional help for their condition. This study aimed to examine the extent to which belief in the need for autonomy and intentions to seek …


Therapist-Initiated Addiction Assessment Procedures Of Marriage And Family Therapists In The Southwest United States, Emire Olmeztoprak 2010 University of Nevada, Las Vegas

Therapist-Initiated Addiction Assessment Procedures Of Marriage And Family Therapists In The Southwest United States, Emire Olmeztoprak

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to examine the addiction assessment procedures of marriage and family therapists. Addiction prevalence rates are growing therefore it is likely that marriage and family therapists will have clients affected by addiction. Undetected addictions can impede treatment and/or prevent the therapist from making appropriate treatment related decisions. Marriage and family therapists in Nevada, Arizona, and New Mexico were invited to complete a web-based survey containing a series of questions about their assessment procedures for addiction as well as a series of demographics questions. The data from the completed surveys was collected and analyzed. The data …


Persistent Comorbid Symptoms Of Depression And Anxiety Predict Mortality In Heart Disease, Lynn V. Doering, Debra K. Moser, Barbara Riegel, Sharon McKinley, Patricia Davidson, Heather Baker, Hendricka Meischke, Kathleen Dracup 2010 University of Pennsylvania

Persistent Comorbid Symptoms Of Depression And Anxiety Predict Mortality In Heart Disease, Lynn V. Doering, Debra K. Moser, Barbara Riegel, Sharon Mckinley, Patricia Davidson, Heather Baker, Hendricka Meischke, Kathleen Dracup

School of Nursing Departmental Papers

Background

Incident anxiety and depression are associated separately with cardiac events and mortality in patients after acute coronary syndromes, but the influence of persistent comorbid depression and anxiety on mortality remains unknown. The purpose of this study was to determine the prevalence of comorbid persistent depressive and anxious symptoms in individuals with ischemic heart disease and to evaluate effects on mortality.

Methods

Prospective, longitudinal cohort design in the context of a randomized trial to decrease patient delay in seeking treatment for ischemic heart symptoms (PROMOTION trial) was used, with twelve-month follow-up of 2325 individuals with stable ischemic heart disease. Participants …


Smoking Cessation In Those Living With Schizophrenia, Angela Bradbury 2010 Rowan University

Smoking Cessation In Those Living With Schizophrenia, Angela Bradbury

Theses and Dissertations

The study was conducted at a group home located in Salem County where 6 people with severe mental illness reside. 4 of the 6 people are smokers and diagnosed with schizophrenia. The 4 people in the study all showed interest in quitting smoking. The subjects were given questionnaires weekly and were monitored daily to record the amount of cigarettes smoked. The questionnaires that were administered are the Intention to Quit/ Interest in Quitting, Withdrawal Symptoms, Relief of Craving, and a Smoking Related Symptoms Score. The scores and answers were measured to see the likelihood and the motivation of the participants …


Psychiatric Taxonomy, Psychopharmacology And Big Pharma, Lisa Cosgrove 2010 University of Massachusetts Boston

Psychiatric Taxonomy, Psychopharmacology And Big Pharma, Lisa Cosgrove

Counseling and School Psychology Faculty Publication Series

Clinicians practicing today need to be aware of the ways in which the current industry-dominated climate may undermine the integrity of the scientific process and, thus, may compromise patient care. In the mental health field, corporate sponsorship bias can affect psychiatric taxonomy and clinical Practice Guidelines (CPG). Financial conflicts of interest (FCOI) can occur when there are financial associations between researchers, authors, or panel members developing psychiatric diagnostic and treatment guidelines, and the pharmaceutical industry, or when randomized clinical trials (RCTs) are industry funded. Therefore, clinicians need to be especially vigilant about the informed consent process when patients are prescribed …


Transitioning From First Episode Psychosis Treatment To Prodrome: Lessons And Outcomes From The East Program In Oregon Usa, Ryan P. Melton, Robert Wolf 2010 Portland State University

Transitioning From First Episode Psychosis Treatment To Prodrome: Lessons And Outcomes From The East Program In Oregon Usa, Ryan P. Melton, Robert Wolf

Regional Research Institute for Human Services

This presentation discusses the outcomes of the Early Detection in Preventing Psychosis (EDIPP) model.


Early Psychosis Intervention And Its Implications For Mental Health Counselors, Advocates And Supervisors: Lessons And Outcomes From The East Program, Ryan P. Melton 2010 Portland State University

Early Psychosis Intervention And Its Implications For Mental Health Counselors, Advocates And Supervisors: Lessons And Outcomes From The East Program, Ryan P. Melton

Regional Research Institute for Human Services

This presentation focuses on early psychosis intervention, identification, prevention, and intervention.


Las Percepciones De La Salud Mental Y Su Evolución, Rebecca Gourevitch 2010 SIT Study Abroad

Las Percepciones De La Salud Mental Y Su Evolución, Rebecca Gourevitch

Independent Study Project (ISP) Collection

Background: Previous literature has identified a strong stigma against mental health patients in many parts of Latin America, which can serve as a deterrent to seeking help for mental health (Acuña 2005; López 2008; Vicente 2007). The resulting lack of attention to one’s mental health can not only exacerbate mental illnesses but also impede proper attention to one’s physical health (Prince 2007). Therefore, combating this stigma is an important step to improving the health of a population. Some of the most effective strategies for combating the stigma are education, social interaction, and integrating mental health services into primary care (López …


Students’ Research: Tradition Ahead Of Its Time, Haider A Naqvi 2010 Aga Khan University

Students’ Research: Tradition Ahead Of Its Time, Haider A Naqvi

Department of Psychiatry

This view point describes the experience of introducing research at an undergraduate level during clinical rotation in psychiatry. Objective of this initiative was to encourage critical thinking, self directed learning and sensitization to mental health issues. This contributed to student learning besides galvanizing their interest in the subject. The opinion piece aims to expose various issues to students’ research in the context of medical education in Pakistan.


Gender Difference In Age At Onset Of Schizophrenia: A Cross Sectional Study From Pakistan, Imama Naqvi, Muhammad Murtaza, Muhammad Ressam Nazir, Haider Ali Naqvi 2010 Aga Khan University

Gender Difference In Age At Onset Of Schizophrenia: A Cross Sectional Study From Pakistan, Imama Naqvi, Muhammad Murtaza, Muhammad Ressam Nazir, Haider Ali Naqvi

Department of Psychiatry

OBJECTIVE: To validate the effect of gender on age at onset of schizophrenia in a developing country

METHODS: Medical records of 252 patients diagnosed with schizophrenia according to DSM-IV criteria at a tertiary care hospital in Karachi, Pakistan between 2002 and 2008 were reviewed using a structured questionnaire. Age at onset was defined as age at onset of psychotic symptoms, age at first contact with a health care provider and age at first hospitalization. Socio-demographic variables were reported using descriptive statistics and all measures of age at onset were compared across gender using t-test.

RESULTS: There were 119 women and …


Coping, Productive Time Use, And Negative Mood Among Adults With Severe Mental Illness: A Daily Diary Study, Philip T. Yanos, Michelle L. West, Stephen M. Smith 2010 CUNY John Jay College

Coping, Productive Time Use, And Negative Mood Among Adults With Severe Mental Illness: A Daily Diary Study, Philip T. Yanos, Michelle L. West, Stephen M. Smith

Publications and Research

Most studies on coping among persons with severe mental illness have relied on retrospective self-report methods; a limitation of this methodology is susceptibility to recall bias. The purpose of the present investigation was to expand the current understanding of the impact of coping among persons with severe mental illness by examining coping strategies, mood, and social functioning (operationalized as productive time use) using a daily process design. Twenty-seven adults diagnosed with severe mental illness completed baseline clinical interviews and up to 20 days of nightly telephone interviews addressing coping and daily life. A total of 198 coping efforts were reported …


Affective Consequences Of Sleep Deprivation, Jared D. Minkel 2010 University of Pennsylvania

Affective Consequences Of Sleep Deprivation, Jared D. Minkel

Publicly Accessible Penn Dissertations

Surprisingly little is known about the effects of sleep deprivation on affective processes. Although clinical evidence and introspection suggest that emotional function is sensitive to sleep loss, there are only three published studies that have experimentally manipulated both stress and emotion in a single experiment, the earliest of which was published in 2007. This dissertation presents findings from three studies that were designed to improve our understanding of the influence of sleep loss on affective functioning in healthy adults. Study 1 (Sleep and Mood) measured the effects of sleep loss on affect in the absence of specific probes. Three facets …


Narcissism And Binge Drinking: Exploring The Role Of Overconfidence And Confidence-Based Risk-Taking., Alicia M. Wood 2010 East Tennessee State University

Narcissism And Binge Drinking: Exploring The Role Of Overconfidence And Confidence-Based Risk-Taking., Alicia M. Wood

Electronic Theses and Dissertations

Binge drinking (BD) entails excessive alcohol intake in a short time period. Despite numerous negative outcomes associated with BD and efforts to curtail it, rates remain steady. Thus, it is important to identify "who" binge drinks and "why" it occurs. Drawing from past research, I sought to replicate the link between trait narcissism and BD; moreover, I examined if overconfidence and confidence-based risk-taking assessed via the Georgia Gambling Task (GGT), explained why they did so. The results generally supported my hypotheses. As expected, narcissism related to poor GGT performance and high levels of BD; likewise, poor GGT performance related to …


Examining The Interrater Reliability Of The Comprehensive Inventory Of Mental Health And Recovery And Rehabilitation Services (Cimhrrs), Robert W. Johnson 2010 University of Nebraska at Lincoln

Examining The Interrater Reliability Of The Comprehensive Inventory Of Mental Health And Recovery And Rehabilitation Services (Cimhrrs), Robert W. Johnson

Theses, Dissertations, and Student Research: Department of Psychology

This dissertation is one step in the continuing development, evaluation, and validation of the Comprehensive Inventory of Mental Health and Recovery and Rehabilitation Services (CIMHRRS). The CIMHRRS is an instrument to guide comprehensive assessment of programs that provide integrated services to people with serious mental illness (SMI).

The project described in this dissertation evaluated three key aspects of its performance in real world application: practical feasibility, internal consistency and reliability, and ability to distinguish between different programs. Investigators utilized a combination of principles and methods, associated with psychometric scale development, field methods, and program evaluation. Using a structured site review …


Perceptions Of The Long-Term Effects Of Childhood Sexual Abuse, Cynthia Mellitz 2010 Rowan University

Perceptions Of The Long-Term Effects Of Childhood Sexual Abuse, Cynthia Mellitz

Theses and Dissertations

The perceptions of how Childhood Sexual Abuse (CSA) survivors perceive themselves and are perceived by others was evaluated. The aims of the study were to use Attribution Theory and the Traumagenic Model in evaluating whether perceptions were mediated by assertiveness, self-esteem, and interpersonal relationships. Additionally examining if CSA survivors differ in perceived levels of these attributes from non-CSA individuals within a college sample was of interest. 35% of the sample exhibited a variety of CSA experiences, with the majority being minimal contact experiences (i.e. sexual invitations or sexual hugging/kissing). Regression analyses indicated that CSA survivors did not differ in their …


The Effects Of Parental Divorce On The Views Of Romantic Relationships And Marriages Of The Children Involved, Melissa D'Agostino 2010 Rowan University

The Effects Of Parental Divorce On The Views Of Romantic Relationships And Marriages Of The Children Involved, Melissa D'Agostino

Theses and Dissertations

The purpose of this study was to determine if the occurrence of parental divorce resulted in negative views and experiences regarding the romantic relationships of the offspring. Four surveys were administered to undergraduate students enrolled in psychology courses at Rowan University. The first survey was used for informational purposes to group participants into two group (those from intact families and those from non-intact families) and to determine the current relationship status of all participants. The following three surveys addressed avoidant behaviors, anxiety level, the presence of conflict, and satisfaction regarding past or present romantic relationships. The data was analyzed for …


Should ‘Risk Syndrome Of Psychosis’ Be Included In Dsm V As A Diagnosis? A Road Towards Preventive Psychiatry”, Amresh Srivastava 2010 University of Western Ontario

Should ‘Risk Syndrome Of Psychosis’ Be Included In Dsm V As A Diagnosis? A Road Towards Preventive Psychiatry”, Amresh Srivastava

Amresh Srivastava

Psychiatric diagnosis has acquired a position of a quasi-legal document for mental health services and agencies working with mental health. Its utility has gone far beyond ‘clinical diagnosis for treatment’.

The concept of risk syndrome for schizophrenia has been thoroughly researched in last ten years or so. Significant advancement has been made in phenomenology, diagnostic criteria, classification, & neurobiology. The research of prodromal or at-risk or Ultra high-risk psychosis has significantly contributed to the body of knowledge of aetio-pathogenesis of schizophrenia.

The science of risk syndrome has apparently matured and its proponents are ready for its inclusion in DSM V …


Outcome, Early Intervention & Dup: The Matrix Of Research In Early Psychosis, Amresh Srivastava, Megan Johnston 2010 University of Western Ontario

Outcome, Early Intervention & Dup: The Matrix Of Research In Early Psychosis, Amresh Srivastava, Megan Johnston

Amresh Srivastava

There has been little investigation of the relationship of DUP to other long-term outcomes such as negative symptoms and cognitive functioning neither have the possible confounds of DUP been widely investigated or controlled. It is important that there should be more thorough investigations of DUP, its correlates, and the extent to which it does mediate any advantages of earlier intervention. Shorter duration of untreated psychosis was associated with greater response to antipsychotic treatment, as measured by severity of global psychopathology, positive symptoms, negative symptoms, and functional outcomes. At the time of treatment initiation, duration of initially untreated psychosis was associated …


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