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  • Open Access Icon
  • Research Article
  • 10.56508/mhgcj.v5i2.144
Witness as Victim: Clinical Encounters with Children Who Observed Violence
  • Aug 2, 2022
  • Mental Health: Global Challenges Journal
  • Galina Itskovich

In the spring months of 2022, Human Rights Watch, the international humanitarian group, released stunning details of the carnage in the regions around Chernihiv and Kyiv that Russia left behind. In a report released from May 2022, Human Rights Watch stated that it was currently investigating 22 potential summary executions, nine other unlawful killings, six possible kidnappings, seven cases of torture and 21 reported incidents of other forms of “unlawful confinement in inhuman and degrading conditions” carried out by Russian forces against civilians. But even this report doesn’t take into account traumatic impact on witnesses. Having witnessed the crime once, the witness continues to see the world through the prism of the observed violence

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  • Research Article
  • Cite Count Icon 9
  • 10.56508/mhgcj.v5i2.126
What mental illness means in different cultures: Perceptions of mental health among refugees from various countries of origin
  • Aug 2, 2022
  • Mental Health: Global Challenges Journal
  • Sarah Moses + 1 more

Introduction: Mental illness remains a significant issue in refugees worldwide. Internationally, there continues to be stigma surrounding mental health, mental illness, and mental health treatment. Cultural stigma is just one of many barriers to mental healthcare for refugees. Perceptions of mental health are culture-specific and continue to play a role in refugees.
 Purpose: The purpose of this review study is to make distinctions between the perceptions of mental health of refugees based on country of origin because knowing these cultural differences has the potential to improve refugee mental healthcare. This knowledge could contribute to treatment approaches and help break some of the barriers to mental healthcare for refugees.
 Methodology: An extensive literature review of relevant articles published between 2000-2021 was performed using the databases APA PsycInfo, Global Health, MEDLINE via Ovid, CINAHL Plus with Full Text, and Google Scholar. The following search terms, in addition to other related and relevant terms, were used: “mental health, refugees, mental health barriers, perceptions of mental illness, country of origin.”
 Results: There were both numerous similarities and differences between the perceptions of mental health among refugees from different cultures. There were similarities in terms of mental health stigma, with certain cultures thinking of mental health/illness as taboo, as shameful, or associating it with evil spirits. A few of the cultures studied had similar ideas about the causes of mental illness, believing it was due to traumatic events or possession by evil spirits. The refugee groups had some common treatment options, including informal conversation, religious-based ideas, and community-level solutions. Some differences between refugees from different cultures involved certain symptoms associated with mental health, including physical symptoms, and differing degrees of religiosity.
 Discussion: Based on studies reviewed about the perceptions of mental health of various refugee cultures, many recommendations are proposed to improve refugee mental healthcare. Suggestions include focusing on cultural competency and community-level solutions, in addition to implementing mobile health clinics and telehealth.
 Conclusions: This review discusses the perceptions of mental health, mental illness, and mental health treatment of refugees from numerous countries of origin. It is unique in its inclusion of different groups of refugees. Culture seems to play a significant role in the perceptions encountered. Keeping culture in mind, several recommendations are made to improve refugee mental healthcare, such as more integrative treatment methods and telehealth.

  • Open Access Icon
  • Journal Issue
  • 10.56508/mhgcj.v5i2
  • Aug 2, 2022
  • Mental Health: Global Challenges Journal

Mental Health: Global Challenges Journal is an open access peer-reviewed journal, whose main aim is to promote dialogue and debate on topics such as Mental Health, Mental Health Care Systems, international studies on MHC systems in the context of global social challenges. The Journal was originally founded for publication of the materials from the International Conference on Mental Health Care “Mental Health: global challenges of XXI century”. The journal especially encourages manuscripts which may be of interest to policy makers and/or practitioners.

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  • Research Article
  • Cite Count Icon 1
  • 10.32437/mhgcj.v4i1.129
Clinical case of catatonic stupor developed as a result of acute respiratory disease COVID-19
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • М Komarovskyi + 6 more

The aim of this work is to demonstrate and analyze a clinical case of catatonic stupor as a consequence of the complex effect of the infectious process, namely systemic inflammation and direct neurotoxicity of the SARS-CoV-2 virus on the nervous system. A retrospective analysis of outpatient and inpatient medical records was performed. . Analysis of clinical case proves the possibility of catatonic syndrome due to acute respiratory disease COVID-19. 2. Given that catatonia is an urgent condition, it is necessary to be vigilant about its occurrence

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  • Research Article
  • Cite Count Icon 15
  • 10.32437/mhgcj.v4i1.113
Psychological Impact of Infertility. Directions for the Development of Interventions
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • Ana-Maria Vioreanu

Introduction: Infertility represents a major health problem that oftentimes is experienced as a crisis situation. Because it interposes with achieving an important life goal, that of having children, its implications on the psycho-emotional level are robust. Purpose: The present article aimed at exploring the multidimensional effects of infertility on mental health, as well as suitable psychological intervention strategies for patients both at an individual and couple level. Methodology: An extensive literature review was conducted to select the most relevant information. Articles included were searched in PubMed, Google Scholar and other similar databases within a seven years interval (2014-2021) to assure the up-to-date quality of the paper. The main criteria of inclusion were: studies about the consequences of infertility on mental health, epidemiology, risk and protective factors, psychological models for infertility, psychological evaluation, established instruments, psycho-social and therapeutic interventions, intervention protocols used in public health for infertility patients. Results and Discussion: Infertility is often experienced as a crisis situation, in which the most common consequences are visible at the level of mood disorders (e.g. anxiety, depression, marked distress) and at the social level (stigma, divorce, social isolation, financial difficulties). Psychological counseling is needed throughout medical treatment and therapeutic interventions (e.g. cognitive-behavioral therapy) have shown favorable results in managing the emotional balance of the individual/couple and reducing the risk of psychopathology. Conclusions: Research highlights the beneficial effects of psychological interventions on reducing levels of stress related to infertility, anxiety and depressive symptoms and on improving the quality of life and couple dynamics

  • Open Access Icon
  • Research Article
  • Cite Count Icon 6
  • 10.32437/mhgcj.v4i1.130
Main features of expeditioners’personality traits in Antarctic conditions
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • Larysa Bakhmutova

Introduction. Determining the benefits of basic human personality traits is one of the main components of the selection and staffing of small groups of peoples that are working in extreme environmental conditions and socio-spatial isolation. These groups include teams of polar explorers, scientists from outlying research bases, ship and submarine crews, and aircraft and space shuttles teams. Purpose. To identify the prevailing type of temperament of and personal changes in people working on the Antarctic station during a one-year period of isolation to develop measures to maintain their mental and physical health. Methodology. A total of 48 people (46 men and 2 women aged from 23 to 63 years) from four wintering teams of the Ukrainian Antarctic station (UAS) “Akademik Vernadsky” were voluntarily interviewed according to the Eysenck Personality Questionnaire (EPQ). The poll was conducted twice – before the departure to the Antarctic station and after their return after a year. Participants were studied in two groups (24 peoples) once again after a 6-month stay on the Antarctic station, to determine the level of psychoticism. The research was based on the analysis of preferences and changes in personality traits: Extraversion/Introversion, Neuroticism/Stability, and Psychoticism/Socialization. Results. Based on the analysis of indicators such as Extraversion/Introversion, Neuroticism/Stability, and Psychoticism/Socialization, we determined the general structure of the personal characteristics of the expeditioners. Indicators of these characteristics showed that more than a third of the expeditioners (36.1%) were pronounced extroverts. A majority (61.1%) of the respondents were characterized by an intermediate between extraversion and introversion, and only 2.8% were pronounced introverts. 58.4% of the respondents were characterized by a low level of neuroticism, while 33.3% were characterized by medium level of neuroticism. Only 8.3% were found to have a high level of neuroticism. Low levels of psychoticism were predominant in 56.3% of the respondents while the remaining 43.7% had medium levels of psychoticism. A high level of psychoticism was absent in the respondents which indicates a psychologically correct selection of the team. Analysis of the dynamics of psychoticism revealed that there were higher growth rates (+0.97) of average indexes of psychoticism during the first 6 months of the expeditioners’ stay at the Antarctic station than at the end of the activity. This was due to the “acute adaptation” period when the respondent fit in the natural conditions of Antarctica. Furthermore, there was a development of psychoticism in the expeditioners during the “polar night”; the growth rates of psychoticism decreased after adaptation. Conclusions. To maintain people’s mental health at the Antarctic station, it is optimal to select candidates for a one-year expedition with average rates of extraversion-introversion, and mostly low rates of neuroticism and psychoticism. These personal characteristics must be taken into account when forming an expedition team. The level of psychoticism during the expedition increases under the influence of the adverse environmental conditions of Antarctica and the socio-spatial isolation

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  • Research Article
  • Cite Count Icon 3
  • 10.32437/mhgcj.v4i1.105
Self-Care practices for anxiety during the COVID-19 pandemic in the UK in adults
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • Antony Laban-Sharman + 1 more

Introduction. The National Health Service cannot chronically sustain the overwhelming demands being placed on it due to financial cuts, staff numbers and presence of Covid-19. As a result, anxiety levels are on the rise thus increasing the need for effective self-care behaviors.Purpose: The purpose of this study was to comprehend and acknowledge the profound influence Covid-19 has had on anxiety levels and explore what behaviors people engage in to manage their perceived stress levels themselves.Methodology: This study was an exploratory mixed-methods design consisting of 110 self-referred adults aged 18-65 with anxiety completed an online survey guided by the “Harvard Anxiety and Depression Scale”. Data collected from the free-text questions were analyzed using the thematic analyses method to evoke the most relevant themes and generate an evidence-based narrative.Results and Discussion: Self-care behaviors used for anxiety self-management pre and during lockdown were walks, virtual family/social peer support, cooking and aerobic exercise. Additionally, it was apparent that a lack of ongoing family/social support was a key predictor for the proclivity of anxiety-inducing thoughts to be experienced. Interestingly, individuals who continually engaged in activity experienced positive mood states irrespective of the current lockdown environment.Conclusion: This study adds to novel literature on the current anxiety levels of adults living in the UK under the Covid-19 pandemic and what self-care behaviors people implement to self-manage their anxiety levels. This study stresses the significance of ongoing peer support as a self-care behavior that can act as a positive meditator for healthy cognitive processes to ensue. Therefore, future self-care programs advocating this strategy may, if not prevent, slow down the rising cases of anxiety and ill mental health due to the uncertain environment of Covid-19

  • Open Access Icon
  • Research Article
  • 10.32437/mhgcj.v4i1.132
Mental health sequelae of bone cancer: A narrative review
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • Christos Tsagkaris + 2 more

Introduction: Bone cancer causes a significant mental health burden. Although the mental health implications of cancer as a whole have been widely discussed, there is limited evidence regarding the psychiatric and psychological sequelae of malignant and benign bone neoplasms in particular. Purpose: To summarize the scientific literature, present relevant knowledge gaps and discuss a number of recommendations. Methodology: The authors searched Pubmed/Medline and Google Scholar with keywords (mental health, bone cancer, musculoskeletal neoplasms, psychiatric comorbidities). When appropriate, MeSH terms and Boolean operators were used. Relevant peer reviewed studies published in English, French or German until 05 May 2021 were included. Results and Discussion: Loss of mobility, decrease of physical activity, chronic pain and amputations in combination with patient’s previous psychiatric history, socioeconomic conditions, cancer biology and treatment-related side effects undermine the mental wellbeing of patients and carers. Since March 2020, the COVID-19 pandemic has posed an additional burden, which is yet to be comprehensively evaluated. Conclusion: More research and solid action towards the integration of mental health care into the management of bone cancer is crucial

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  • Research Article
  • Cite Count Icon 2
  • 10.32437/mhgcj.v4i1.128
Dynamics of quality of life indicators in patients with gastroesophageal reflux disease comorbid with connective tissue dysplasia under the influence of complex treatment
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • Iryna Romash + 1 more

Introduction. In the case of gastroesophageal reflux disease (GERD) on the background of undifferentiated connective tissue dysplasia (UCTD) causes an even more significant deterioration in the QOL, including sleep disturbances and the onset of excessive daytime sleepiness (EDS). Thus, the study of the peculiarities of GERD on the background of connective tissue dysplasia and determining the impact of comorbid pathology on the QOL of patients with GERD is a topical issue in internal medicine. It has significant socio-economic significance. We believe that monitoring the most important variables that affect the quality of life of patients with GERD can help raise public awareness in this regard. In addition, it can guide the health care system to address these issues.
 Purpose. The purpose of the work is to increase the awareness of medical workers about the scale of the problem and ways to solve it. to study the features of the dynamics of quality of life in patients with gastroesophageal reflux disease comorbid with connective tissue dysplasia under the influence of the proposed complex therapy.
 Methodology. 120 patients were included: 65 men and 55 women. In 75 of them (Study Group) GERD was in the background of UCTD, in 45 (?omparison Group ) - developed as an independent disease. The Study Group was divided into three groups. ?omparison Group - 45 patients with GERD without UCTD, received basic standard therapy, which included PPI "Panocid" 40 mg once a day and alginate-antacid formulation (Gaviscon Double Action Liquid) 20 ml, 3 times per day after meals and before bedtime. I Group - 25 patients with GERD +UCTD, which to the standard basic therapy was added "Magne-B6" for 2 tablets 3 times per day. II Group - 25 patients with GERD +UCTD, which to the standard basic therapy was added "Calcium-D3 Nicomed" 1 tablet 3 times per day. III Group - 25 patients with GERD +UCTD, who used the drug "Magne-B6" 2 tablets 3 times per day and "Calcium-D3 Nicomed" 1 tablet 3 times per day on the background of standard basic therapy. The Medical Outcomes Study 36-Item Short-Form Health Status (SF-36), the Gastrointestinal Symptom Rating Scale (GSRS), and the scale of "Personal and social performance" (PSP) - were used to study patients in detail. A comprehensive examination of patients was performed twice: before and after 30 days of comprehensive treatment.
 Results and Discussion. Under the influence of the basic therapy in Comparison Group the General Health (GH) improved by 33.03%. While in the groups on the background of complex treatment is increased by 42.52% in patients of the I Group, by 13.10% in patients of the II Group, and 46.28% in patients of the III Group (p1, p2, p3 <0.05).Physical Functiong Scale (PF) improved by 17.9% in patients of the Comparison Group (p <0.05) and by 30.38%; 27.47%, 29.17%, respectively (p1, p2, p3 <0.05). Role Physical Scale (RP) scores improved by 25.14% in Comparison Group (p <0.05) and by 33.6 %, 22.58% and 40.20% respectively (p1, p2, p3 <0.05). Dynamics of data in Body Pain (BP) scale improved by 21.84% in patients of the Comparison Group (p <0.05) and by 37.28%, 25.46%, 35.92% (p1, p2, p3 <0.05).As can be seen from it, under the influence of complex therapy, the values of the Vitality (VT) increased by 17.18% in patients of Group I, by 21.93% – in Group II, by 37.87%– in Group III (p1, p2, p3 <0.05). Among patients of the Comparison Group, the influx of strength and energy felt 9.50% (p <0.05). Data of Social Functioning Scale (SF) improved by 8.8% in patients of the Comparison Group (p <0 , 05) and by 22.7%, 29.6%, 29.31%, respectively(p1, p2, p3 <0.05). Mental Health Scale (MH) improved by 17.23% in patients of Group I, by 22.41% – in Group II, by 21.96% – in Group III (p1, p2, p3 <0.05) and 14.22% - in the Comparison Group (p <0.05). Also in patients were positive dynamics of the Role Emotional functioning scale (RE): by 27.37% in patients of Group I, by 12.36%– in Group II, by 15.7% – in the Group III (p1, p2, p3 <0.05) and 9.05% - in patients of the Comparison Group (p < 0.05).
 Conclusions. Thus, the inclusion in the standard therapy of gastroesophageal reflux disease in patients with its development on the background of undifferentiated connective tissue dysplasia of magnesium lactate dihydrate in combination with pyridoxine hydrochloride ("Magne -B6 ") and calcium carbonate in combination with cholecalciferol ("Calcium-D3 Nicomed") contributed to a significant improvement in their quality of life

  • Open Access Icon
  • Research Article
  • Cite Count Icon 6
  • 10.32437/mhgcj.v4i1.114
ANALYSIS OF MENTAL HEALTH LITERACY AND PSYCHOLOGICAL DISTRESS AS PREDICTORS OF PSYCHOLOGICAL WELL-BEING IN SRIWIJAYA UNIVERSITY STUDENTS
  • Oct 25, 2021
  • Mental Health: Global Challenges Journal
  • Sayang Ajeng Mardhiyah

Introduction. This research focused on answering questions: how mental health literacy and psychological distress act as predictors of psychological well-being in Sriwijaya University students. Methodology.This research used quantitative method, by conducting instrument preparation, data collection, and analysis of data results to see the role of the independent variables on the dependent variable. Psychological well-being was measured using an instrument in a form of psychological scale referred to Psychological Scale by Ryff & Keyes (1995). Meanwhile, psychological distress was measured using WHO Self-Reporting Questionnaire 20 (SRQ-20) Indonesian version, and Mental Health Literacy measurement was adapted from O’Connor and Casey (2015). The participants of this research were consisted of 418 college students. Results.The analysis results show that there is a role of mental health literacy and psychological distress together on psychological well-being, thus the hypothesis is accepted. Major hypothesis test was done using multiple linear regression which shows a correlation value (R) of 0.586 and a significance of 0.001 (p<0.05). For the results of minor hypothesis test, it is known that the beta value is 0.143 and the P value is 0.022 (p>0.05), this indicates that there is a role for mental health literacy on psychological well-being, thus the hypothesis is accepted. In addition, it is known that psychological well-being and psychological distress show a beta value of -1.945 and a P value of 0.001 (p>0.05), this indicates that there is a role for psychological distress on psychological well-being thus the hypothesis is accepted. Conclusions.The percentage of mental health literacy and psychological pressure influences on psychological well-being (R adjusted) is 0.343, this also shows that the contribution of mental health literacy and psychological distress together on psychological well-being is 34.3%, while the rest is the contribution of other variables not examined in this study