Geopsychiatry and the complex mental health challenges of conflict: areview examining local and distal psychiatric outcomes in afractured world.
Armed conflicts can engender substantial detrimental effects for mental health, both within immediate settings and for faraway populations. Guided by frameworks from geopsychiatry, this narrative review underlines the local- and macro-level psychiatric consequences of conflicts, informed by illustrative findings from academic sources and gray literature focusing on contemporary global disputes. Specifically, the review demonstrates that exposure to conflict is consistently associated with elevated rates of mental illnesses, which are worsened by devastated healthcare systems and related phenomena. Subsequently, it highlights how vulnerable populations often experience disproportionate mental health burdens in conflict, before exploring how secondary, distal psychiatric effects can arise from vicarious media exposure, forced displacement, and associated environmental degradation. With the most armed hostilities occurring since the end of World War Two, the paper concludes by considering how the psychiatric discipline can adapt to confront the modern challenges of diversifying patient populations in an increasingly turbulent geopolitical landscape.
- Discussion
36
- 10.1016/j.biopsych.2020.05.012
- May 18, 2020
- Biological Psychiatry
The COVID-19 Pandemic: Setting the Mental Health Research Agenda
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6
- 10.1176/ps.2008.59.9.1004
- Sep 1, 2008
- Psychiatric Services
The Link Between Homeless Women's Mental Health and Service System Use
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1
- 10.1016/s2215-0366(21)00350-3
- Oct 18, 2021
- The Lancet Psychiatry
When should we intervene in adolescent depression and with whom?
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3
- 10.1377/hlthaff.12.3.240
- Jan 1, 1993
- Health Affairs
Opportunities in mental health services research.
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- 10.1176/appi.pn.2018.1a21
- Jan 2, 2018
- Psychiatric News
Patients With Serious Mental Illness Need Better Primary Care Integration, Health Advocacy
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7
- 10.1002/hsr2.734
- Jul 1, 2022
- Health science reports
Une etude des sels nutritifs dans l'ocean est menee sur deux plans. L'un, est la modelisation de leur regeneration et de leur melange entre les masses d'eau suivant des horizons isopycnaux ; l'autre est l'analyse et l'acquisition de nouvelles donnees. Un lien tres etroit entre les sels nutritifs et l'oxygene d'une part et l'activite biologique d'autre part, caracterise par les rapports biochimiques P/N/-O2 = 1/16/138, a ete defini par Redfield (1934) et Redfield et al. (1963). Tout recemment Takahashi et al. (1985) et Broecker et al. (1985) ont propose des valeurs differentes des rapports de P/N/-O2 = 1/17/175 pour l'ocean mondial. Cette suggestion est etudiee d'une facon critique. L'etude de ces rapports est menee a l'aide d'une analyse isopycnale detaillee, a plusieurs profondeurs de la colonne d'eau de mer : suivant 4 niveaux dans les oceans Atlantique et Indien et suivant 5 niveaux dans l'Ocean Pacifique. Les donnees TTO ont ete selectionnees pour l'etude du Bassin Nord Atlantique et les donnees Geosecs pour les autres domaines consideres. On montre que le rapport P/-O2 decroit systematiquement en fonction de la profondeur d'une valeur de 160-200 en surface a une valeur de l'ordre de 108-127 en profondeur. L rapport N/-O2, qui semble altere par la denitrification dans le Pacifique Nord et equatorial, est constant geographiquement et dans la colonne d'eau. Le rapport d'abondance N/P decroit systematiquement avec la profondeur dans tous les domaines explores. Ces resultats pourraient etre expliques par un recyclage plus lent et plus en profondeur du phosphore par rapport a celui de l'azote. L'analyse automatisee des sels nutritifs a ete amelioree par une saisie et un depouillement en ligne par microordinateur pendant le programme Indigo dans l'Ocean Indien. De nouvelles donnees ont ete obtenues, d'une reproductibilite meilleure que le pourcent pour les nitrates et la silice. Les donnees Indigo, apres calibration, sont tres coherentes avec les donnees Geosecs dans l'Ocean Indien et confirment les resultats de l'analyse isopycnale dans cet ocean. Dans le bassin de Somalie, ces donnees tracent une remontee locale d'eau avec un flux estime a 7. 5 10⁶ m3/s. Ce resultat est en bon accord avec les descriptions dynamiques des courants dans la region et avec les donnees de traceurs transitoires (freons).
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9
- 10.5271/sjweh.842
- Feb 1, 2005
- Scandinavian Journal of Work, Environment & Health
Reversed causality--a need to revisit systems modeling of work-stress-health relationships
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21
- 10.1016/j.neuropharm.2022.109127
- May 13, 2022
- Neuropharmacology
Psilocybin-facilitated psychotherapy shows potential transdiagnostic efficacy for a range of mental health conditions. Though vulnerable populations bear disproportionate mental health burden, they have been largely neglected in the clinical psilocybin literature. However, if the field is to best respond to the diverse needs of individuals from vulnerable populations, care must be taken to ensure these individuals are represented in the empirical research. This report calls attention to this concern by detailing the challenges and opportunities associated with evaluating psilocybin-facilitated psychotherapy in vulnerable populations. First, we show how working with vulnerable populations must be considered in the context of an often-problematic past and differential exposure to and experience with classic psychedelics. We then provide actionable recommendations for future research testing psilocybin-facilitated psychotherapy in vulnerable populations, including an emphasis on recruitment strategies, the appropriate communication and assessment of subjective effects, building therapeutic alliance, multicultural competence, and flexible study designs. On these premises we call for future work in this area, underscoring that there is vast room for improvement and expansion in this rapidly advancing field of study.This article is part of the Special Issue on ‘Psilocybin Research’.
- Research Article
13
- 10.1097/01.numa.0000853148.17873.77
- Aug 1, 2022
- Nursing Management
Nurses suffering in silence: Addressing the stigma of mental health in nursing and healthcare.
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2
- 10.51249/hs.v4i05.2281
- Nov 5, 2024
- Health and Society
Climate change has intensified in recent decades, generating devastating consequences for the environment and, consequently, for human health. Mental health has emerged as a critical area of concern, since extreme weather events such as natural disasters, droughts and floods directly impact the psychological well-being of vulnerable populations. This study aims to analyze how climate change influences mental health, focusing on the psychological effects these changes have on communities in situations of vulnerability. The aim of this analysis is to explore how climate change impacts the mental health of vulnerable populations, discussing the main risk factors involved and addressing strategies that can be adopted to minimize these effects. This discussion is relevant because recognizing the emotional consequences of the climate crisis creates a basis for developing public health practices and psychosocial approaches that promote resilience and adaptation. By focusing on the psychological impact of climate change, we aim to contribute to a more comprehensive and inclusive response to the challenges of a changing world. This is a literature review, based on a qualitative approach, using the Scielo, Google Scholar and PubMed databases. To enhance the research, the health descriptors “climate change”, “mental health”, “psychological impacts” and “solastalgia” were used, with a time frame between 2007 and 2020. The methodology adopted for this analysis consists of a comprehensive literature review, using academic sources and reports from health and environmental organizations. The study addresses how extreme weather events, food insecurity and forced displacement affect mental health, leading to an increase in disorders such as anxiety, depression and post-traumatic stress disorder (PTSD). In addition, the social inequalities that aggravate these impacts are discussed, considering that populations with less access to health resources and services are more susceptible to the adverse effects of climate change. It is concluded that climate change poses a significant threat to mental health, especially for vulnerable populations already facing socio-economic challenges. It is essential that public health policies integrate mental health considerations into climate change adaptation and mitigation strategies. Promoting psychological support programs and implementing targeted interventions can help minimize the negative impacts on mental health, strengthening the resilience of affected communities and promoting a more effective response to climate crises.
- Front Matter
17
- 10.2106/jbjs.21.00121
- Mar 11, 2021
- Journal of Bone and Joint Surgery
This publication seeks to assist organizations in understanding the risks of RFID technology and security measures to mitigate those risks. It provides practical, real-world advice on how to initiate, design, implement and operate RFID systems in a manner that mitigates security and privacy risks. The document also provides background information on RFID applications, standards, and system components to assist in the understanding of RFID security risks and controls. This document presents information that is independent of particular hardware platforms, operating systems, and applications. The emphasis is on RFID systems that are based on industry and international standards, although the existence of proprietary approaches is noted when they offer relevant security features not found in current standards.
- Research Article
147
- 10.1176/appi.ps.60.6.761
- Jun 1, 2009
- Psychiatric Services
Prevalence of Serious Mental Illness Among Jail Inmates
- Research Article
744
- 10.1176/ps.2009.60.6.761
- Jun 1, 2009
- Psychiatric Services
This study estimated current prevalence rates of serious mental illness among adult male and female inmates in five jails during two time periods (four jails in each period). During two data collection phases (2002-2003 and 2005-2006), recently admitted inmates at two jails in Maryland and three jails in New York were selected to receive the Structured Clinical Interview for DSM-IV (SCID). Selection was based on systematic sampling of data from a brief screen for symptoms of mental illness that was used at admission for all inmates. The SCID was administered to a total of 822 inmates-358 during phase I and 464 during phase II. To determine the current (past-month) prevalence of serious mental illness (defined as major depressive disorder; depressive disorder not otherwise specified; bipolar disorder I, II, and not otherwise specified; schizophrenia spectrum disorder; schizoaffective disorder; schizophreniform disorder; brief psychotic disorder; delusional disorder; and psychotic disorder not otherwise specified), interview data were weighted against strata constructed from the screening samples for male and female inmates by jail and study phase. Across jails and study phases the rate of current serious mental illness for male inmates was 14.5% (asymmetric 95% confidence interval [CI]=11.0%-18.9%) and for female inmates it was 31.0% (asymmetric CI=21.7%-42.1%). The estimates in this study have profound implications in terms of resource allocation for treatment in jails and in community-based settings for individuals with mental illness who are involved in the justice system.
- Front Matter
1
- 10.1111/jan.13782
- Jul 31, 2018
- Journal of advanced nursing
Children are at risk of physical and psychological injury due to the escalation of war and conflict across the globe. Consequently, children often become refugees with their families, or worse, alone as orphans. Asylum is sought across a diverse range of nations, sometimes close to home and sometimes far away in nations of different language and cultural identity to their own. This article is protected by copyright. All rights reserved.
- Research Article
3
- 10.3390/air2030016
- Aug 12, 2024
- Air
Air pollution’s effects on physical health, especially cardiovascular and respiratory, are well known. Exposure to air pollution may damage every organ and cell in the human body. New evidence is emerging showing that air pollution adversely affects human mental health. Current research suggests that high air pollution levels have long-term mental health effects, such as reduced mental capacity and increased cognitive decline, leading to increased stress, anxiety, and depression. Objectives: This scoping review aims to provide a comprehensive overview of the methods used in epidemiological literature to ascertain the existence of links between outdoor particulate matter (PM) and multiple adverse mental health (MH) effects (depression, anxiety, and/or stress). A better understanding of the practical research methodologies could lead to improved air quality (AQ) management and enhanced well-being strategies. Methods: This paper undertakes a scoping review. PubMed and EMBASE databases from 2010 to 2024 were searched for English-language human cohort observational studies stating methodologies used in analyzing the link between outdoor particulate matter (ultrafine (UFT) (<0.1 μm), fine (<2.5 μm), and course (<10 μm)) and mental health outcomes (depression, anxiety, and stress) in adults (>18 years), excluding vulnerable populations (i.e., elderly, children, and pregnant women). The study focuses on urban, suburban areas, and rural areas. Results: From an initial search of 3889 records, 29 studies met the inclusion criteria and were included in the review. These studies spanned various countries and employed robust quantitative methodologies to assess AQ and MH. All included studies investigated the impact of PM on mental health, with some (n = 19/65.52%) also examining nitrogen oxides (NOx), nitrogen dioxide (NO2), sulfur dioxide (SO2), ozone (O3), and carbon monoxide (CO). Depression was the most frequently studied outcome (n = 10/34.48%), followed by anxiety and depression (n = 6/20.69%), and anxiety, stress, and depression, and stress (n = 4/13.79%, each). Depression, anxiety, and stress together were examined in a single study (n = 1/3.45%). Standardized questionnaires involving psychological scales such as Patient Health Questionnaire (PHQ) (n = 7/24.14%) and The Center for Epidemiological Studies-Depression (CES-D) (n = 3/10.34%) for depression and Generalized Anxiety Disorder Questionnaire (GAD) (n = 2/6.90%) for anxiety were commonly used MH tools. 27 out of 29 studies found a significant negative impact of air pollution on mental health, demonstrating a solid consensus in the literature. Two studies did not find a significant correlation. The results consistently indicated that higher levels of air pollution were associated with increased symptoms of depression, anxiety, and stress. Conclusion: Of the 3889 identified studies, 29 were suitable for inclusion in the scoping review per inclusion criteria. The results show the most preferred methods in assessing air quality and mental health in relevant studies, providing a detailed account of each method’s strengths and limitations used in studies. This scoping review was conducted to assist future research and relieve the decision-making process for researchers aiming to find a correlation between air quality and mental health. While the inclusion criteria were strict and thus resulted in few studies, the review found a gap in the literature concerning the general adult population, as most studies focused on vulnerable populations. Further exploration of the methodologies used to find the relationship between air quality and mental health is needed, as reporting on these outcomes was limited.
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