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Objective: To reveal the classification characteristics of college students' mental health literacy and compare their differences in professional psychological help-seeking behavior. Methods: Totally 12 850 college students were selected and assessed with the Mental Health Literacy Questionnaire (MHLQ), Self-made Questionnaire of Professional Psychological Help-seeking Behavior in Non-epidemic and COVID-19 epidemic and Patient Health Questionnaire-9 (PHQ-9). Latent profile analysis was used to classify the mental health literacy of college students. The Chi-square test and logistic regression analysis were used to explore the differences in professional psychological help-seeking behavior of different classes of college students. Results: College students' mental health literacy could be divided into three classes including low-literacy group (7.4%), medium-literacy group (50.2%) and high-literacy group (42.4%). After controlling for demographic variables and depression level, logistic regression analysis found that there was no significant correlation between mental health literacy and professional psychological help-seeking behavior in non-epidemic situations. In the COVID-19 epidemic, compared with the low-literacy group, the medium-literacy group was more likely to seek professional psychological help (OR=1.32). The medium-literacy group and the high-literacy group were more likely to recommend others for help (OR=1.77, 2.45). Conclusion: The mental health literacy of college students has classification characteristics. During the COVID-19 epidemic, the college students with higher mental health literacy have greater possibility of seeking professional help and recommending others for seeking help. (English) [ FROM AUTHOR] 目的: 了解大学生心理健康素养的分类特点, 比较不同分类大学生在专业心理求助行为上的差异。方法: 选取 12 850 名大学生, 采用心理健康素养问卷（MHLQ）、自编非疫情和新冠肺炎疫情中专业心理求助行为自评表、病人健康问卷抑郁量表（PHQ-9）进行调查。采用潜在剖面分析将大学生心理健康素养分类, 采用 χ² 检验和 logistic 回归分析探讨不同类别大学生专业心理求助行为的差异。结果: 大学生心理健康素养可分为低素养组（7.4%）、中等素养组（50.2%）和高素养组（42.4%） 3 类。非疫情中, 心理健康素养与专业心理求助行为无关联;在新冠肺炎疫情中, 相比低素养组, 中等素养更可能寻求专业心理求助（OR=1.32）, 中等素养组、高素养组更可能推荐他人求助（OR=1.77、2.45）。结论: 大学生心理健康素养有类别特征。新冠肺炎疫情中, 心理健康素养较高的大学生的专业求助或推荐求助可能性更大。 (Chinese) [ FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Aims The study aimed to examine the nature and outcomes of social support for the well-being and quality of life (QoL) of adults with epilepsy. Methods The Australian Epilepsy Longitudinal Survey's 5 th Wave included the Medical Outcomes Study Modified Social Support Survey on four dimensions of social support and the QOLIE-31. Both numerical data and open-ended responses were analyzed quantitatively and qualitatively. A mixed method was used where quantitative analysis used t -tests, analysis of variance and block recursive regression, and qualitative analysis identified themes. Results Three-hundred thirty-two people with epilepsy (PWE) participated. The quantitative component showed that for emotional/informational support being older and living alone were key factors. These as well as household income were important in tangible support. For affectionate support living alone and household income were factors, but only income was a factor for positive social interaction. In addition, only positive social interaction predicted increased QoL. In the qualitative component of the study both positive and negative supports were identified for the emotional/informational supports. Many reported the benefits of having information, although some reported failure to have their needs taken seriously by health professionals or epilepsy associations. Inability to drive was an important feature of negative tangible support as was finding some assistive services unaffordable. Reports of positive social interaction identified being accepted as a person with epilepsy that is the primary concern. Peer support plays a role here. Discussion The findings of factors affecting the four dimensions of support in this study have supported a number of studies. This includes the effects of positive social interaction on QoL. The qualitative analysis supports these results, but it also contributes to deeper understanding of support in the lives of PWE. Conclusion Social support is a particularly important issue for PWE. The results of this study demonstrate the complexities and benefits of obtaining the appropriate forms of support. This survey took place before the coronavirus disease 2019 pandemic and it may well be that this phenomenon affects PWE's support needs. Copyright © 2023. Indian Epilepsy Society. All rights reserved.
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There is growing evidence that adolescents in high socioeconomic status groups may be at increased risk for some mental health concerns. This scoping review aims to synthesize empirical literature from 2010 to 2021 on mental health concerns and help-seeking behaviors among this adolescent group. Six comprehensive electronic databases yielded 1316 studies that were systematically reviewed in Covidence to identify relevant research. PRISMA-ScR analysis was used. Eighty-three studies met the eligibility requirements. NVivo was employed for coding, data extraction, and analysis. Key findings suggest substance use, in particular, alcohol, is the main mental health concern among adolescents in high socioeconomic status groups. Other main mental health concerns were externalizing and risk behaviors, bullying, depression, anxiety and stress. These concerns were shown to be influenced by parents, peers, school, and neighborhood contextual factors. Three emerging subgroups were identified as being at higher risk of mental health concerns among adolescents in high socioeconomic status groups. Specifically, adolescents residing in boarding schools, those with high subjective social status (e.g., popular) or low academic performance. Being pressured by parents to perform well academically was identified as a risk-factor for substance use, depression and anxiety. Albeit limited, areas explored for help-seeking behaviors centered on formal, semi-formal and informal support. Further research examining multi-level socioeconomic status factors and mental health concerns and help-seeking behaviors are urgently needed to inform appropriate interventions for this under-represented group. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Background: Currently, coronavirus disease 2019 (COVID-19) pandemic is recognized as a major threat to human public health. Obviously, accurate and in-depth identification of patients' help-seeking behavior not only explains the process but also is able to identify the related factors, challenges, strengths, and weaknesses, and depicts participants' expectations for optimization and improvement. Methods: This qualitative study was conducted based on content analysis and through individual interviews (in person and by phone) with people with a history of COVID-19 disease until data saturation was reached between June and September 2020 in Tehran, Iran. Findings: In this study, 15 in-depth individual interviews were conducted. Strengths, weaknesses, and strategies to improve the help-seeking behavior were extracted in four levels: individual, family, social, and health system. The most important strengths were self-care (individual level), empathy of family members (family), charitable activities (social), and human resources (health system). The most important weaknesses in these levels included lack of attention to health protocols, lack of requirements for full quarantine, economic problems, and lack of proper monitoring by the health system. Conclusion: The most important and key element to improve the help-seeking behavior is human resources and promoting the individual capabilities in various aspects. © 2023, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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OBJECTIVE: The authors aimed to evaluate changes in use of government-subsidized primary mental health services, through the Medicare Benefits Schedule (MBS), by young people during the first year of the COVID-19 pandemic in Australia and whether changes were associated with age, sex, socioeconomic status, and residence in particular geographical areas. METHODS: Interrupted time-series analyses were conducted by using quarterly mental health MBS service data (all young people ages 12-25 years, 2015-2020) for individual Statistical Area Level 3 areas across Australia. The data captured >22.4 million service records. Meta-analysis and meta-regression models estimated the pandemic interruption effect at the national level and delineated factors influencing these estimates. RESULTS: Compared with expected prepandemic trends, a 6.2% (95% CI=5.3%-7.2%) increase was noted for all young people in use of MBS mental health services in 2020. Substantial differences were found between age and sex subgroups, with a higher increase among females and young people ages 18-25. A decreasing trend was observed for males ages 18-25 (3.5% reduction, 95% CI=2.5%-4.5%). The interruption effect was strongly associated with socioeconomic status. Service uptake increased in areas of high socioeconomic status, with smaller or limited uptake in areas of low socioeconomic status. CONCLUSIONS: During 2020, young people's use of primary mental health services increased overall. However, increases were inequitably distributed and relatively low, compared with increases in population-level mental health burden. Policy makers should address barriers to primary care access for young people, particularly for young males and those from socioeconomically disadvantaged backgrounds.
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Asian Americans (AA) in the United States, and throughout the world, commonly hold a negative connotation or stigma regarding seeking mental health services. Unique cultural stigmas and beliefs of AA play an important role when examining why this population group is less likely to engage in therapy. This article explains why these cultural stigmas and beliefs contribute to the lack of mental health help seeking. Through examining these stigmas, perception of therapy, loss of face, and parental control among AA will allow therapists to have a better understanding when they are working with this population. Also, the consideration is given of how the increase of Anti-Asian racism due to the COVID-19 pandemic affects AA and the challenges it creates. This article includes a case example that provides information on how stigmas impact an AA family who have differing cultural values and expectations while experiencing discrimination from COVID-19. [ FROM AUTHOR] Copyright of Family Journal is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Technology-facilitated gender-based violence (GBV) has become an increasing issue in recent years, especially during the COVID-19 pandemic which prompted a significant rise in online activity. In addition to amplifying traditional forms of abusive behaviours such as stalking, bullying and sexual harassment, information and communication technologies have facilitated new manifestations of violence such as image-based abuse, doxing, gendertrolling, impersonation and hacking, among others. Women, children, sexual, religious and ethnic minorities, and other vulnerable groups are particularly vulnerable to elevated risks of experiencing violence. Based on findings from a scoping review, this article discusses how certain key stakeholders - identified as technology companies, government and legal systems, and social support systems - are used in the help-seeking process by those who have experienced technology-facilitated GBV. We seek to highlight particular nuances which key actors must consider when addressing technology-facilitated GBV and summarise gaps and propose recommendations to inform policy and programming efforts in low-and middle-income countries across Asia.
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Objective: To reveal the classification characteristics of college students' mental health literacy and compare their differences in professional psychological help-seeking behavior. Methods: Totally 12 850 college students were selected and assessed with the Mental Health Literacy Questionnaire (MHLQ), Self-made Questionnaire of Professional Psychological Help-seeking Behavior in Non-epidemic and COVID-19 epidemic and Patient Health Questionnaire-9 (PHQ-9). Latent profile analysis was used to classify the mental health literacy of college students. The Chi-square test and logistic regression analysis were used to explore the differences in professional psychological help-seeking behavior of different classes of college students. Results: College students' mental health literacy could be divided into three classes including low-literacy group (7.4%), medium-literacy group (50.2%) and high-literacy group (42.4%). After controlling for demographic variables and depression level, logistic regression analysis found that there was no significant correlation between mental health literacy and professional psychological help-seeking behavior in non-epidemic situations. In the COVID-19 epidemic, compared with the low-literacy group, the medium-literacy group was more likely to seek professional psychological help (OR=1.32). The medium-literacy group and the high-literacy group were more likely to recommend others for help (OR=1.77, 2.45). Conclusion: The mental health literacy of college students has classification characteristics. During the COVID-19 epidemic, the college students with higher mental health literacy have greater possibility of seeking professional help and recommending others for seeking help. (English) [ FROM AUTHOR] 目的: 了解大学生心理健康素养的分类特点, 比较不同分类大学生在专业心理求助行为上的差异。方法: 选取 12 850 名大学生, 采用心理健康素养问卷（MHLQ）、自编非疫情和新冠肺炎疫情中专业心理求助行为自评表、病人健康问卷抑郁量表（PHQ-9）进行调查。采用潜在剖面分析将大学生心理健康素养分类, 采用 χ² 检验和 logistic 回归分析探讨不同类别大学生专业心理求助行为的差异。结果: 大学生心理健康素养可分为低素养组（7.4%）、中等素养组（50.2%）和高素养组（42.4%） 3 类。非疫情中, 心理健康素养与专业心理求助行为无关联;在新冠肺炎疫情中, 相比低素养组, 中等素养更可能寻求专业心理求助（OR=1.32）, 中等素养组、高素养组更可能推荐他人求助（OR=1.77、2.45）。结论: 大学生心理健康素养有类别特征。新冠肺炎疫情中, 心理健康素养较高的大学生的专业求助或推荐求助可能性更大。 (Chinese) [ FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Since the outbreak of the COVID-19 pandemic, increases in suicidal ideation and suicide attempts in adolescents have been registered. Many adolescents experiencing suicidal ideation turn to online communities for social support. In this retrospective observational study, we investigated the communication-language style, contents and user activity-in 7975 unique posts and 51,119 comments by N = 2862 active adolescent users in a large suicidal ideation support community (SISC) on the social media website reddit.com in the onset period of the COVID-19 pandemic. We found significant relative changes in language style markers for hopelessness such as negative emotion words (+ 10.00%) and positive emotion words (- 3.45%) as well as for social disengagement such as social references (- 8.63%) and 2nd person pronouns (- 33.97%) since the outbreak of the pandemic. Using topic modeling with Latent Dirichlet Allocation (LDA), we identified significant changes in content for the topics Hopelessness (+ 23.98%), Suicide Methods (+ 17.11%), Social Support (- 14.91%), and Reaching Out to users (- 28.97%). Changes in user activity point to an increased expression of mental health issues and decreased engagement with other users. The results indicate a potential shift in communication patterns with more adolescent users expressing their suicidal ideation rather than relating with or supporting other users during the COVID-19 pandemic.
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Objective: To reveal the classification characteristics of college students' mental health literacy and compare their differences in professional psychological help-seeking behavior. Methods: Totally 12 850 college students were selected and assessed with the Mental Health Literacy Questionnaire (MHLQ), Self-made Questionnaire of Professional Psychological Help-seeking Behavior in Non-epidemic and COVID-19 epidemic and Patient Health Questionnaire-9 (PHQ-9). Latent profile analysis was used to classify the mental health literacy of college students. The Chi-square test and logistic regression analysis were used to explore the differences in professional psychological help-seeking behavior of different classes of college students. Results: College students' mental health literacy could be divided into three classes including low-literacy group (7.4%), medium-literacy group (50.2%) and high-literacy group (42.4%). After controlling for demographic variables and depression level, logistic regression analysis found that there was no significant correlation between mental health literacy and professional psychological help-seeking behavior in non-epidemic situations. In the COVID-19 epidemic, compared with the low-literacy group, the medium-literacy group was more likely to seek professional psychological help (OR=1.32). The medium-literacy group and the high-literacy group were more likely to recommend others for help (OR=1.77, 2.45). Conclusion: The mental health literacy of college students has classification characteristics. During the COVID-19 epidemic, the college students with higher mental health literacy have greater possibility of seeking professional help and recommending others for seeking help. (English) [ FROM AUTHOR] 目的: 了解大学生心理健康素养的分类特点, 比较不同分类大学生在专业心理求助行为上的差异。方法: 选取 12 850 名大学生, 采用心理健康素养问卷（MHLQ）、自编非疫情和新冠肺炎疫情中专业心理求助行为自评表、病人健康问卷抑郁量表（PHQ-9）进行调查。采用潜在剖面分析将大学生心理健康素养分类, 采用 χ² 检验和 logistic 回归分析探讨不同类别大学生专业心理求助行为的差异。结果: 大学生心理健康素养可分为低素养组（7.4%）、中等素养组（50.2%）和高素养组（42.4%） 3 类。非疫情中, 心理健康素养与专业心理求助行为无关联;在新冠肺炎疫情中, 相比低素养组, 中等素养更可能寻求专业心理求助（OR=1.32）, 中等素养组、高素养组更可能推荐他人求助（OR=1.77、2.45）。结论: 大学生心理健康素养有类别特征。新冠肺炎疫情中, 心理健康素养较高的大学生的专业求助或推荐求助可能性更大。 (Chinese) [ FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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Background: The ongoing COVID-19 pandemic has grave implications worldwide. Workers in small scale industries like fisheries forms a vulnerable group without social security/recognised labour rights Objectives: To assess the physical, mental and socio- economic impact of COVID-19 among fishermen community from coastal area of Karnataka 2. To understand the challenges faced and coping mechanism adopted to mitigate the impact Methodology: This community based mixed methods study was conducted among 138 participants from a fishermen community in coastal Karnataka. Quantitative data included sociodemographics, COVID-19 diagnosis, treatment, related expenses and DASS -21 questionnaire. Qualitative data was collected through 3 Focus Group Discussions and 7 Key informant Interviews till data saturation. Result(s): A total of 138 participants (quantitative 107 and qualitative 31) were included. Majority of the participants were males (70.1%), belonged to age category of 46-60 years (37.4%), nuclear family (71%) and were from low socioeconomic status (79.4%). COVID-19 appropriate behaviour was found to be poor among participants with only 36% using masks, 24.3% washing hands and 10.3% maintaining social distancing. Among 107, 51 (47.7%) participants had probable COVID-19 symptoms. However only 7 (10.9%) had tested for COVID-19 with test positivity rate of 57.1%. Two participants were admitted in hospital with mean hospital stay of 7 days. According to DASS-21, 20.6%, 15.9% and 9.3% screened positive for depression, anxiety and stress respectively. Nealy 90% lost jobs and more than 75% reported to have financial difficulties. Major challenges included loss of livelihood, inaccessibility to health care, repayment of loans, stigma related to Covid-19 and meeting educational expenses of children with one drop out from college. Strategies to cope up with financial difficulty included borrowings, pawning and selling assets at individual level. Activities of local self-help groups in the community and grass root level marketing strategies were highly successful in mitigating the impact as a community. Conclusion(s): COVID-19 has affected fishermen community to a large extent. This understanding will enable to implement need-based intervention strategies and help in disaster preparedness among this population.
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BACKGROUND: Despite existing research on mental health problems during the COVID-19 pandemic, studies related to help-seeking intention for mental health, particularly in Indonesia, are limited. During this unprecedented crisis, it is important to determine help-seeking intention, to allow providers of mental health services to deliver the appropriate intervention and so as to avoid the worst scenario. The aim of this study was to determine factors predicting help-seeking intention during the COVID-19 pandemic. METHOD(S): A cross-sectional approach using questionnaires were employed. Items on sociodemographic factors were asked. Several instruments were also administered: the Fear of COVID-19 Scale, the Coronavirus Anxiety Scale, and the General Help-seeking Questionnaire. Online questionnaires were distributed via email, WhatsApp Messenger, and Facebook Messenger during the period August 11-21, 2020, yielding responses from 1340 participants (females = 971, males = 369). The data were analyzed using descriptive analysis and multiple linear regression analysis. RESULT(S): The results showed that age, education, occupation, living in an infected area, and fear were statistically significant predictors of help-seeking intention. CONCLUSION(S): Mental health services need to be equitably available for people of various sociodemographic backgrounds during the COVID-19 pandemic. To improve and strengthen help-seeking intention, providers of mental health services should consider providing appropriate services based on age, education, and occupation. They also need to take into consideration special emphasis for those who are living in infected areas, leading to them being in a state of heightened fear, which is also a predictor.Copyright © 2021 EDIZIONI MINERVA MEDICA.
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For promoting financial inclusion in India, both banks and Non-Banking Finance Companies - Micro Finance Institutions (NBFC-MFIs) play a pivotal role by providing microfinance to individuals and tiny enterprises. There are 187 lending institutions in India engaged in providing microfinance of more than Rs.2.27 lakh crore. Today, microfinance activity is more technology driven to ensure adequate, timely and hassle free financial services. During the Covid-19 pandemic, the sector suffered significantly due to lack of demand for credit and increasing loan defaults. Hence, RBI announced certain measures including debt restructuring to provide relief for stressed micro loan customers and creating more liquidity in the market. Post the pandemic, there are enough business opportunities for the microfinance sector to prosper. However, the age old issues such as lack of due diligence in lending, over-indebtedness and multiple borrowing by customers and unethical recovery practices need to be addressed. Therefore, there is a need to make microfinance activity more digital, promote financial literacy, strengthen risk management systems, upgrade skills of the field level staff and formulate an effective grievance redressal system. Towards this end, the article attempts to review the performance of the microfinance sector at a time when India is currently celebrating the 75th year of Independence and offer suggestions to strengthen the microfinance sector in the country.
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This book tells us from a professional perspective how to deal with stress response in the family, effectively address family problems in the epidemic, and handle the infectious emotions. This book is a profound explanation of the new stress, conflicts, and problems arising at home amid the epidemic. It provides people with a psychological self-help scale to effectively distinguish the normal and abnormal states of psychological response. Besides, it also provides professional psychological assistance and suggestions for special groups, including children, the elderly, the quarantined, and the bereaved, in order to help all families actively respond to the epidemic with the power of psychology. © Beijing Normal University Press 2022.
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BACKGROUND AND AIM: Women in Oman and low- and middle-income countries (LMICs) are usually diagnosed with BC at a younger age and more advanced stage, with poor five-year survival. This study aims to evaluate the effectiveness of breast cancer (BC) related educational programs among female Omani adolescents. MATERIALS AND METHODS: Six female-only public schools were randomly selected from three governorates of Oman and assigned to the control or interventional group. An Arabic version of the Breast Cancer Awareness Measure questionnaire was used to evaluate students attending grades 10 and 11 at baseline (T0) and after 4 weeks (T1). After T0, the intervention group participated in a one-hour BC education program involving group discussions, a slideshow presentation, leaflets, and online access to program materials and videos. Non-parametric tests were used to compare scores between intervention and control groups and within each group across time (T0 vs. T1). RESULTS: A total of 1106 students participated, of which 547 (49.5%) and 559 (50.5%) were allocated to the control and intervention groups, respectively. Recognition of BC risk factors (Z = 18.67; p < 0.001) and symptoms (Z = 20.01; p < 0.001) increased significantly in the intervention group between T0 and T1 and compared to the control group at T1 (U = 27.27; p < 0.001, and U = 25.75; p < 0.001, respectively). Anticipated time to seeking medical help (Z = 18.67; p < 0.001) and barriers to help-seeking (Z = 7.91; p < 0.001) decreased significantly between T0 and T1 in the intervention group and compared to the control group at T1 (U = 15.78; p < 0.001, and U = 3.44; p = 0.001, respectively). CONCLUSION: The program increased knowledge of BC risk factors and symptoms and promoted early medical help-seeking among Omani female adolescents. Healthcare strategic planners and policy-makers in Oman and low- and middle-income countries should consider incorporating cancer education programs in the national school curriculum to minimize delays in BC diagnosis and improve the survival rate.
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Breast Neoplasms , Humans , Female , Adolescent , Breast Neoplasms/diagnosis , Health Knowledge, Attitudes, Practice , Students , Health Education , Risk FactorsABSTRACT
BACKGROUND: Young adults are at elevated risks of hikikomori (severe social withdrawal) under the COVID-19 pandemic, which could lead to psychological distress and suicidal ideation. AIMS: The present study aimed to examine the associations among hikikomori, suicide stigma, suicidal ideation, and help-seeking behaviors among young adults in Hong Kong. METHOD: This study recruited a large sample of 2,022 young adults in Hong Kong via an online survey at the end of 2021. The participants completed the Hikikomori Questionnaire and validated measures on psychological distress, suicide stigma, and suicidal ideation severity and report their help-seeking behaviors. Multivariate analysis of variance was conducted to compare the profiles of the hikikomori groups. Path analysis evaluated the effects of hikikomori and suicide stigma on occurrence and severity of suicidal ideation and their associations with help-seeking behaviors. RESULTS: Hikikomori showed significant and positive indirect effects on prevalence and severity of suicidal ideation via psychological distress. Glorification positively predicted hikikomori and suicidal ideation severity among suicidal persons. Hikikomori was associated with reduced help-seeking. Isolation and suicidal ideation were associated with greater barriers to seek help among the non-help-seekers. Perceived helpfulness of sought help was negatively associated with hikikomori and suicidal ideation among the help-seekers. CONCLUSIONS: The present findings demonstrated greater prevalence and severity of suicidal ideation and less help-seeking in young adults with hikikomori. Suicide stigma showed differential associations with hikikomori, suicidal ideation, and help-seeking behaviors.
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BACKGROUND: Cannabis is the most-frequently used illicit drug in Europe. Over the last few years in Spain, treatment demand has increased, yet most cannabis users do not seek treatment despite the related problems. A web-based self-help tool, like CANreduce 2.0, could help these users to control their consumption. METHODS: This study protocol describes a three-arm randomized controlled trial (RCT) comparing the effectiveness of three approaches, in terms of reducing cannabis use among problematic cannabis users, the first two treatment arms including the Spanish version of CANreduce 2.0 (an adherence-focused, guidance-enhanced, web-based self-help tool) (1) with and (2) without psychological support; and the third group (3) treatment as usual (TAU). Study hypotheses will be tested concerning the primary outcome: change in the number of days of cannabis use over the previous week, comparing assessments at 6 weeks and 3 and 6 months follow-up between groups and against baseline. Secondary outcomes related to cannabis use will be tested similarly. Mental disorders will be explored as predictors of adherence and outcomes. Analyses will be performed on an intention-to-treat basis, then verified by complete case analyses. DISCUSSION: This study will test how effective the Spanish version of CANreduce 2.0 (CANreduce-SP) is at reducing both the frequency and quantity of cannabis use in problematic users and whether adding psychological support increases its effectiveness. TRIAL REGISTRATION: This trial is registered with the Clinical Trials Protocol Registration and Results System (PRS) number: NCT04517474 . Registered 18 August 2020, (Archived by archive.is https://archive.is/N1Y64 ). The project commenced in November 2020 and recruitment is anticipated to end by November 2022.
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Cannabis , Counseling , Marijuana Abuse , Patient Acceptance of Health Care , Health Behavior , Humans , Internet , Marijuana Abuse/therapy , Mental Disorders , Randomized Controlled Trials as Topic , Treatment OutcomeABSTRACT
In recent years, there has been a noticeable increase in online self-help treatments and peer-support programs for eating disorders. The possibility of easily accessing them anytime makes these programs an important support tool and an influencing source for increasing motivation to change. The aim of this work is to describe the #How can we help you? project, its initial feedback received from users, and its future directions. Researchers and clinicians developed an Instagram profile (Dicci Come Aiutarti) based on psychoeducation, aimed at orienting those suffering from a self-reported eating disorder towards clinical care, providing information about eating concerns and related constructs, and increasing motivation for treatment and illness awareness. The contents shared are based on narratives about people who had recovered from an eating disorder, importance and ability to change, and nutrition management. We have provided an overview of the needs of the Instagram profile users, a description of the main interactions recorded since the profile was opened, and examples of the unmet needs shared by users in direct messages. Future directions of the project concern the definition and formalization of the type of support provided by developing a psychoeducational and integrated program and also, the formulation of a research protocol able to assess the usability, effectiveness, and satisfaction of the Instagram profile.
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The article reflects theoretical, methodological and methodical bases of psychological aid to victims of unexpected crisis-military situations on the background of coronovirus pandemics spreading. The essence of psychological self-help as a factor of stress-resistance and internal psychological potential of resisting psychological traumas in the conditions of war and viral pandemics with the propositions of effective methodological means of its conducting is revealed. In providing psychological aid, the cognitive-behavioral approach was deemed effective as the basic one, and it was suggested that integrative psychotherapeutic and comprehensive psychological approaches to crisis counseling in conditions of military conflict be applied, depending on the specifics of survivors' experience of acute emotional reactions and the complexity of the course of posttraumatic stress disorders of resistance to the action of a psychotraumatic factor. Neuropsychological correction deserves special attention in providing psychological aid in conditions of military conflict and pandemics, which allows a combination of an integrated bodyoriented psychological approach with neuro-psycho-correctional techniques and psychotherapeutic methods for effective restoration of the tone of the nervous system and stabilization of the psycho-emotional state. The main provisions of practical psychology that in conditions of war and pandemic COVID-19 the adaptive potential of psychological health of each person and psychological self-help is love, faith and hope. Psychological recommendations of educational character for the formation of basic skills to ensure psychological health in conditions of war and pandemic COVID-19 have been developed.