Mental Health: Global Challenges Journal
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Personality and Health in Military Context: A Study of Combatants and Injured Servicemen
Get PDFIntroduction: The ongoing conflict in Ukraine has placed significant mental and physical health burdens on military personnel, including both elite combat troops and injured servicemen in rehabilitation. Understanding the factors that influence their health outcomes is crucial for developing effective support and intervention strategies.
Purpose: This study aims to analyse the relationships between negative indicators of mental and physical health (PTSD symptoms and somatic complaints) and personal characteristics (resilience, self-efficacy, and Big Five personality traits) in two distinct samples of military personnel: elite combat troops and injured servicemen in rehabilitation. By comparing these groups, the study seeks to understand how personal characteristics influence health outcomes and whether the impact differs based on the context of military service.
Methodology: The study involved 180 Ukrainian military personnel (all men) divided into two groups: 149 elite combat troops and 31 injured combatants in rehabilitation. Participants completed self-report measures assessing PTSD symptoms, physical complaints, resilience, self-efficacy, and personality traits. Descriptive statistics (means, standard deviations, ranges, skewness, and kurtosis) were computed, and independent samples t-tests and Cohen’s d were calculated to determine differences between the groups. Pearson's bivariate correlations and Z-tests were conducted to examine relationships between health indicators and personal characteristics. Multiple linear regression analysis (using the forward method) was performed to construct prognostic models for mental and physical health outcomes.
Results: Injured combatants exhibited significantly higher levels of PTSD symptoms, exhaustion, and various physical complaints compared to elite combat troops. In contrast, elite combat troops showed higher levels of resilience, self-efficacy, extraversion, and emotional stability. Regression models highlighted self-efficacy, resilience, and emotional stability as key predictors of reduced PTSD symptoms and physical complaints, with varying predictive values across the two groups.
Conclusion: The study underscores the importance of personal characteristics in mitigating the negative health impacts of combat exposure within the global mental health landscape. Tailored interventions enhancing resilience, self-efficacy, and emotional stability are crucial, particularly for injured combatants. Future research should employ longitudinal designs and larger samples to further understand the dynamics of these relationships and support the well-being of military personnel on a global scale. By addressing these critical areas, we can develop more effective strategies to support the mental health and recovery of those affected by combat and conflict worldwide
Mental Health in Education for Crisis-affected Preschool Children: Multilevel Monitoring
Get PDFIntroduction: The crisis in Ukraine, related to military actions, poses a significant threat to the mental health of preschool children due to their vulnerability, limited self-awareness, and perception of their surroundings, as well as the critical developmental phase characterized by the establishment of foundational personality structures. Chronic stress and trauma can disrupt normal brain development, potentially leading to delays in cognitive and emotional development in the long term. Therefore, it is essential to systematically identify and analyze the negative factors affecting the mental development of preschool children across key domains, contributing to educational deficits and developmental gaps, and to design targeted interventions to solve those emerging issues.
Purpose: The study is focused on the development and implementation of strategies for supporting, preserving, and enhancing the mental well-being of preschool children residing in areas proximate to armed conflict. The research underscores the importance of early and systematic monitoring across various levels (including children, families, educators, professional associations, and early childhood education institutions, including those with alternative forms of preschool education designed to accommodate crisis conditions).
Methodology: Multilevel monitoring has encompassed 3,843 children situated in conditions detrimental to their mental health and development across seven frontline regions of Ukraine (Dnipropetrovsk, Donetsk, Zaporizhzhia, Mykolaiv, Odesa, Sumy, Kharkiv). This initiative is a part of a project by "All-Ukrainian Public Organization 'Association of Early Childhood Education Professionals'", with informational support from the Ministry of Education and Science of Ukraine and is being implemented in collaboration with the United Nations (UNICEF) project "Improving Access to Early Childhood Education Services in Emergencies and Early Recovery in Ukraine."
Level 1 - initial, intermediate, and summative monitoring involved establishing the baseline developmental level of senior preschool children and identifying gaps across key areas, with subsequent measurement of progress and its correlation with interventions aimed at supporting and maintaining children’s mental health. Measurement of indicators was expressed through their manifestation at the minimum and maximum points for each child, with the establishment of an average score (average score = sum of all individual scores divided by the number of children). The average score reflects the overall performance between the lowest and highest indicators across children, educators, regions, and nationally. This analysis was conducted using a web-based spreadsheet program, Google Sheets, which is part of the Google Drive office suite."
Level 2 - organizational and methodological monitoring focused on evaluating the methodological and organizational aspects of the educational process as fundamental factors in preventing negative impacts on children’s mental health. This was conducted using an electronic form developed in Google Forms, utilizing the Google Sheets web-based spreadsheet program, which is part of the Google Drive office suite.
Level 3 - monitoring the quality of the educational process in early childhood education institutions using the ECERS-3 methodology, which allows for the analysis of comfort levels, developmental conditions, safety, and support for the mental health of preschool children. This involves an electronic Google Form equivalent to the paper-based ECERS-3 assessment; automatic calculations are performed according to the formulas specified by the international ECERS-3 methodology (Harms et al., 2020).
Results: The study of the development of senior preschool children, based on the analysis of key domains through regular psychological and pedagogical observations and the use of diagnostic tools over a period of five months, enabled the identification of early signs of stress, anxiety, and other emotional manifestations. This assessment facilitated the evaluation of children's mental health and the development of a system of effective interventions to address the identified issues.
Conclusion: The study underscores the importance of identifying personal characteristics of senior preschool children and developmental gaps across key domains to organize interventions and support measures aimed at preserving mental health, ensuring comprehensive development, and mitigating negative factors in crisis conditions. The results of the multilevel monitoring are valuable for updating educational practices and adapting them to crisis situations. Addressing the identified educational losses and gaps, including those related to social-emotional development and stress resilience, allows for the development of structured programs to counteract negative impacts and facilitate the recovery of preschool childre
Syndemic Burden: Bridging the gap between Tuberculosis and Mental Health Care for Integrated Patient-Centered Solutions – a comprehensive review
Get PDFIntroduction: Mental health issues are prevalent, yet their treatment remains inadequate. Tuberculosis presents substantial mental health challenges. Their co-occurrence is a frequent phenomenon. However, the integration of mental health professionals or services is not a common practice.
Purpose: To review the evidence about the relation between tuberculosis and mental health, and its consequences concerning the implementation of policies and services.
Methodology: We conducted a comprehensive review using the MeSH terms "Tuberculosis" and "Mental Health" on PubMed, spanning from 2011 to December 2021. We identified and assessed systematic reviews, regular reviews, scoping review and meta-analyses for their appropriateness and relevance.
Results: A total of 341 studies were accessed for eligibility and 19 studies were included. Mental disorders and tuberculosis are frequent comorbidities. Their relation is commonly described as “syndemic”. Shared risk factors, social vulnerabilities, and upstream social determinants are prevalent in both conditions. There is a potential for the integration of both conditions into policy and service organization.
Conclusions: Mental disorders treatment gap could be shortened by addressing mental health problems among TB patients. The WHO Global End TB Strategy prioritizes integrated patient-centered care, and fostering collaborative partnerships between tuberculosis and mental health services could enhance its implementatio
Exploring the Feasibility of Integrating Mental Health into a Family Planning Program in low-resource settings
Get PDFIntroduction: Mental health challenges remain a pressing issue, underscored by the glaring gap between the elevated demand and the scarce resources. Research has highlighted the effectiveness of integrating mental health services with primary care services, particularly in low-resource settings. Purpose: The objective of this research was to evaluate the perceived implications and feasibility of integrating basic mental health services into an existing community-based family planning initiative in Pakistan. By adopting a community-driven and co-produced methodology, our study not only ensured a deeper resonance with local needs but also paved the way for a sustainable and transformative uptake of mental health services in low-resource settings. This co-produced strategy, anchored in mutual collaboration and shared expertise with the community, promises a more holistic, enduring, and adaptive integration of essential health services within community frameworks.Methodology: This study utilized a qualitative research approach to obtain a comprehensive understanding of the program's feasibility and potential for expansion. Interview tools and guides, tailored to the regional language, were developed by the Research Associate to gather insights from the lady health workers involved in delivering the intervention, as well as from the clients. Overall, our team conducted 24 interviews, of which 9 were with the lady health workers and 15 with clients. The interviews were facilitated by the Research Associate and a Psychologist.Results: Utilizing the socio-ecological model, we thematically analyzed factors at individual, interpersonal, and community levels that support or hinder the integration of mental health services with existing community-based programmes. We also examined the intervention's impact on its users and the healthcare providers.Our analysis underscores the significant potential of integrating mental health services into existing community-based health programmes, such as family planning, in low-resource settings. Predominant themes highlighted women's willingness to use these services, influenced by strong relationships and trust in the lady health workers, ease of access to services, and community support. Identified barriers to integration included prevailing poverty, a preference for direct financial incentives in addition to counseling, confidentiality concerns in tight-knit communities, and the lingering stigma surrounding mental health.Conclusion: Our findings highlight the value of community collaboration in healthcare, particularly in low-resource settings. The co-production approach blends professional guidance with local insights, fostering community ownership and enhancing program sustainability. As the first to merge mental health with family planning in Pakistan, our research suggests that future health initiatives can greatly benefit from community-driven methods, leading to more sustainable and transformative health outcomes
A Theoretical, Historical, and Socio-Economic Case for Saving Lives through Strategic Improvement of Mental Health Systems around the World
Get PDFIntroduction: Comparing mental health systems between different countries illuminates the potential for change by showing us different approaches exist in the global here and now. Globally, people are suffering and dying daily from untreated mental health conditions and those working in these systems have to live in this reality. Purpose: The purpose of this paper is to examine how stigma, underfunding, deficits in best practices, confusing systems, and failed strategic planning are all variables causing systems’ deficits that have people unnecessarily suffering and dying around the world. Methodology: To make the case for change, we use critical analysis to examine mental health systems through an analytic framework that includes history, systems investment, and general treatment approaches. We review mental health care systems through theories of structural functionalism, conflict, social dynamics, and socio-economic asset development. Results: The historical examination provides vital systems-development insight while the systems investment examination delves into the overall funding structures and strategies of each country. Theoretical analysis reveals how problems seem intractable, but also how progress is always possible. Conclusion: This examination informs critically thinking advocates, through historical and theoretical lenses, to generate precise calls for win-win strategies that can be individualized per World Health Organization and other advancing treatment recommendations
FAMILY BONDING IN CONFINEMENT OF THE COVID-19 PANDEMIC: A SYSTEMATIC REVIEW
Get PDFIntroduction: Due to the demands of the COVID-19 pandemic, the family became the primary setting in which people were confined. As a result, the family bond during confinement is an important phenomenon to study. Purpose: The purpose of this systematic review was to determine if the family bond would influence the changes in mental health brought on by confinement and the COVID-19 pandemic. Methodology: The methodological were a Systematic Review using the PRISMA model in the search engines Web of Science, Scopus, PubMed, PSYINFO, Taylor and Francis, Sciendo, Academic Search Ultimate, and Medline between September 2021 and April 2022. NOS (Newcastle-Ottawa Scale) was utilized. Results: Concerning the search results, it was possible to identify seven relevant studies for analysis: four on the variables associated with psychological well-being during the pandemic and two on the perceived changes in emotional state during the pandemic. Conclusions: the effects of confinement on mental health are characterized by an increase in negative emotions, heightened perceptions of stress, anxiety, and depression, and altered sleep patterns. Concerning the influence of the family bond on mental health, it was discovered that when the bond is perceived as positive and strong, that is, the individual perceives that their basic, social, and affective needs are covered, it becomes a protective factor for mental health, regulating the manifestation of stress, favoring the manifestation of positive emotions over negative ones, and becoming emotionally supportive
Mental healthcare services support: the social role of medical educator involved in the destigmatization process to generate inclusion.
Get PDFIntroduction: The stigmatization of mental healthcare services and users is a barrier to the achievement of mental wellness present on a global level. 800000 suicides are estimated each year, 25 suicide attempts for every suicide (ratio of 25:1), and in 2017 estimated a prevalence > 10% of people suffering from mental disorder or substance abuse (global data). The stigmatization is a multifactorial phenomenon and process that involves different factors, which overall cause health, social and economic damage. Slowing down and reducing access to mental health and well-being pathways due to their influence in the community, also affect social relationships and self-determination.
Purpose: to identify and describe the process, causes, and factors of stigmatization. Propose destigmatization activities led by the medical educator.
Methodology: The manuscript develops a proposal focused on the destigmatization process of mental health/wellbeing services and users, through the guidance of the medical educator as a figure of connection between different professions (interdisciplinary and multidisciplinary), and between different stakeholders.
Conclusion: each identifies factor described, can be involved in the destigmatization process to generate inclusion, through different social interventions led by the role of the medical educator, with the aim of supporting access to patient support processes and quality of life in communities, generating inclusion through destigmatizatio
Systematic review to explore the effect of yoga on anxiety in adults
Get PDFIntroduction: The National Health Service cannot chronically sustain the overwhelming demands being placed on it due to financial cuts, staff numbers and recent presence of Covid-19. As a result, anxiety levels are on the rise thus increasing the need for effective first-line treatment.
Purpose: The purpose of this systematic review was to examine the efficacy of yoga as a first-line treatment for anxiety. Previous systematic reviews have produced mixed results.
Methodology: The inclusion criteria followed the PICO research statement. The population (P) were either healthy or diagnosed with anxiety and the intervention (I) was yoga. The comparison (C) was a control group, or CBT, or used a pre-and post-intervention design. The outcome (O) was the change in the level of anxiety post-intervention.
Results and Discussion: After the review of 64 studies, 7 studies fit the inclusion criteria: four randomized controlled studies, one longitudinal study, and two pre- and post-intervention comparisons. All the studies included provided statistically significant results for the beneficial effect of yoga on anxiety.
Conclusion: This study adds to preceding literature on the current anxiety levels of adults and the potential utility of yoga as a first-line treatment for self-management of anxiety levels. This review stresses the issue of heterogeneity, mode of yoga and calls for more robust randomised controlled trials to pioneer the subject matter to help, if not prevent, to slow down the rising cases of anxiety and ill mental health worldwide
A qualitative exploration of participants’ preferred elements of the 4-week, youth-led, youth-focused, group-based Shamiri intervention: A brief overview
Get PDFIntroduction: Adolescent mental health challenges have been identified as a public health concern globally, especially in low- and middle-income countries (LMICs), due to the scarcity of services, where help-seeking is often hampered by social stigma. A strategy to increase the availability of services is to implement, brief, stigma-free, and scalable interventions. The Shamiri Intervention (the Kiswahili word for “thrive”) is an example of a 4-week, group-based intervention which is implemented via 1-hour sessions within high school settings.
Purpose: The present study employed qualitative methods to explore participant feedback on their preferred elements of Shamiri Intervention. The aim is to use the feedback to help to guide and improve intervention effectiveness, acceptability, and appropriateness. The results have the potential to understand better lay-provided mental health service delivery and design among high school students in LMICs, particularly in sub-Saharan Africa.
Methodology: The project employed a qualitative phenomenological design to collect participant feedback, and reflective thematic analysis was used to analyze the data.
Results: The researchers constructed the following themes to summarize the participants’ responses: learning (acquiring new knowledge related to the core components of the Shamiri Intervention, i.e., growth mindset, values affirmation, and gratitude); rewards (e.g., prizes award that encouraged participation); positive interaction (i.e., the peer-lead delivery); and solutions-oriented (e.g., the practicality of the Shamiri Intervention).
Conclusion: The preferred components of the Shamiri Intervention were learning, rewards for participation, positive interactions with other people, and the solution-oriented nature of the sessions. The mentioning of the features of the Shamiri Intervention could also suggest that, indeed, they are appropriate for the target population. Additionally, the support for the lay providers is critical in Shamiri intervention cost-effectiveness, accessibility, and scalabilit
Ukrainian Canadian Newcomers’ Stories, Hopes, and Dreams: Adapting to a New Multicultural Reality
Get PDFIntroduction: This paper focuses on the experiences of thirty-three newcomer Ukrainian Canadians as they adapt to their new multicultural reality in Canada. Challenges of leaving home and adjusting are studied along with changes to identity and strategies of resilience.
Purpose: Using a mental health and peace building lens, we hope that our findings will inform better understanding of newcomer struggles, hopes and dreams and can be helpful in transforming existing injustices in Canada’s vibrant multicultural society towards positive peace
Methodology: Supported by a document search that supplies the broader context, the heart of the research is based on individual narrative interviews conducted in 2020/2021 with grassroot Ukrainian Canadians who immigrated to Canada as adults before Russia’s overt invasion of Ukraine. The experiences of these modern newcomer research participants are viewed through a peacebuilding and mental health lens.
Results: While coming from the same country in a relatively short period of history, study participants were found to be a multivariate group. There were often competing needs for personal growth, security (economic and physical) and belonging. Major challenges upon arrival in their new home also varied. Along with some downshift in employment status, they experienced challenges to identity, language, finances, cultural adaptation, along with loneliness and sadness at leaving their homeland. They shared personal resilience strategies. Participants shared hopes and dreams for themselves, Ukraine, and Canada ,along with advice for others considering the journey.
Conclusion: As Canada’s ethnic and cultural makeup continues to evolve through embracing our current multicultural population accepting increasing numbers of immigrants, newcomers’ experiences and their integration become important aspects of the multiculturalism debate which acknowledges the importance of developing harmonious relationships between Canada’s new and older settler population and the Indigenous people who share this land. This study highlights the importance of newcomers engaging in cross-cultural experiences, while considering one’s own identity at home and in communit