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Ethics and mental health

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https://www.readbyqxmd.com/read/29455166/the-development-of-an-online-intervention-care-assist-to-support-male-caregivers-of-women-with-breast-cancer-a-protocol-for-a-mixed-methods-study
#1
Janelle V Levesque, Martha Gerges, Afaf Girgis
INTRODUCTION: It is projected that 17 730 women will be diagnosed with breast cancer in Australia in 2017, with 3114 of these predicted to be fatal. Caregiving for a person with cancer can significantly impact caregivers' physical and mental health. Many caregivers feel ill-prepared for this role, especially when care involves complex medical needs accompanied by the psychological challenges experienced following a cancer diagnosis. METHODS AND ANALYSIS: This study employs a convergent, parallel, mixed methods design combining an online survey with an optional interview...
February 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29453304/protocol-investigating-the-clinical-utility-of-an-objective-measure-of-attention-impulsivity-and-activity-qbtest-for-optimising-medication-management-in-children-and-young-people-with-adhd-qbtest-utility-for-optimising-treatment-in-adhd-quota-a-feasibility
#2
Charlotte L Hall, Marilyn James, Sue Brown, Jennifer L Martin, Nikki Brown, Kim Selby, Julie Clarke, Hena Vijayan, Boliang Guo, Kapil Sayal, Chris Hollis, Madeleine J Groom
INTRODUCTION: Attention-deficit hyperactivity disorder (ADHD) is characterised by symptoms of inattention, hyperactivity and impulsivity. To improve outcomes, the National Institute for Health and Care Excellence ADHD guidelines recommend regular monitoring of symptoms when children commence medication. However, research suggests that routine monitoring rarely happens, and clinicians often rely on subjective information such as reports from parents and teachers to ascertain improvement...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29453298/urban-green-spaces-and-cancer-a-protocol-for-a-scoping-review
#3
Marion Porcherie, Mathilde Lejeune, Marion Gaudel, Jeanine Pommier, Emmanuelle Faure, Zoé Heritage, Stéphane Rican, Jean Simos, Nicola Luca Cantoreggi, Anne Roué Le Gall, Linda Cambon, Jean-Philippe Regnaux
INTRODUCTION: Green space in the built environment is an important topic on the health agenda today. Studies have shown that access to green spaces is associated with better mental and physical health, yet green spaces can also be detrimental to health if they are not managed appropriately. Despite the increasing interest in urban green spaces, little research has so far been conducted into the links between green spaces and cancer. OBJECTIVE: The purpose of this scoping review is therefore to map the literature available on the types of relationship between urban green spaces and cancer...
February 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29449291/adapting-and-enhancing-pax-good-behavior-game-for-first-nations-communities-a-mixed-methods-study-protocol-developed-with-swampy-cree-tribal-council-communities-in-manitoba
#4
Janique Fortier, Mariette Chartier, Sarah Turner, Nora Murdock, Frank Turner, Jitender Sareen, Tracie O Afifi, Laurence Y Katz, Marni Brownell, James Bolton, Brenda Elias, Corinne Isaak, Roberta Woodgate, Depeng Jiang
INTRODUCTION: High rates of mental health problems, such as suicidal behaviours, among First Nations youth in Canada are a major public health concern. The Good Behavior Game (GBG) is a school-based intervention that provides a nurturing environment for children and has been shown to promote positive outcomes. PAX Good Behavior Game (PAX GBG) is an adaptation and enhancement of the GBG. While PAX GBG has been implemented in Indigenous communities, little research exists examining the cultural and contextual appropriateness and effectiveness of the intervention in First Nations communities...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29444712/physical-activity-as-treatment-for-alcohol-use-disorders-fitforchange-study-protocol-for-a-randomized-controlled-trial
#5
Mats Hallgren, Victoria Andersson, Örjan Ekblom, Sven Andréasson
BACKGROUND: Help-seeking for alcohol use disorders (AUDs) is low and traditional treatments are often perceived as stigmatizing. Physical activity has positive effects on mental and physical health which could benefit this population. We propose to compare the effects of aerobic training, yoga, and usual care for AUDs in physically inactive Swedish adults. METHODS: This is a three-group, parallel, single-blind, randomized controlled trial (RCT). In total, 210 adults (aged 18-75 years) diagnosed with an AUD will be invited to participate in a 12-week intervention...
February 14, 2018: Trials
https://www.readbyqxmd.com/read/29439005/randomised-controlled-trial-using-a-theory-based-m-health-intervention-to-improve-physical-activity-and-sleep-health-in-adults-the-synergy-study-protocol
#6
Beatrice Murawski, Ronald C Plotnikoff, Anna T Rayward, Corneel Vandelanotte, Wendy J Brown, Mitch J Duncan
INTRODUCTION: There is a need to reduce physical inactivity and poor sleep health in the adult population to decrease chronic disease rates and the associated burden. Given the high prevalence of these risk behaviours, effective interventions with potential for wide reach are warranted. METHODS AND ANALYSIS: The aim of this two-arm RCT will be to test the effect of a three month personalised mobile app intervention on two main outcomes: minutes of moderate-to-vigorous-intensity physical activity and overall sleep quality...
February 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29437752/towards-high-quality-useful-practice-guidelines-for-child-and-youth-mental-health-disorders-protocol-for-a-systematic-review-and-consensus-exercise
#7
Kathryn Bennett, Stephanie Duda, Melissa Brouwers, Peter Szatmari, Amanda Newton, John McLennan, Purnima Sundar, Kristin Cleverley, Alice Charach, Joanna Henderson, Darren Courtney, Maureen Rice
INTRODUCTION: The quality of clinical practice guidelines (PGs) has not been evaluated in child and youth mental health (CYMH). To address this gap, we will: (1) conduct a systematic review (SR) to answer the question 'among eligible PGs relevant to the prevention or treatment of CYMH conditions, which PGs meet criteria for minimum and high quality?'; (2) apply nominal group methods to create recommendations for how CYMH PG quality, completeness and usefulness can be strengthened. METHODS AND ANALYSIS: SR: Potentially eligible PGs will be identified in 12 databases using a reproducible search strategy developed by a research librarian...
February 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29436894/encountering-ambivalence-a-qualitative-study-of-mental-health-nurses-experiences-with-dual-relationships
#8
Jeanette Varpen Unhjem, Marit Helene Hem, Solfrid Vatne
Nurses are obliged to set professional boundaries in nurse-patient relationships. Relationships with patients that are pursued outside of working hours (dual relationships) are commonly prohibited by legislation and professional codes of ethics, but some nurses still engage in them. A thematic analysis of qualitative interviews revealed that the nurses experienced ambivalence regarding how they see the patients, their assessment of the dual relationships and how people around the nurses react to the relationships...
February 13, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29435945/collaborating-with-families-exploring-family-member-and-health-care-provider-perspectives-on-engaging-families-within-medical-education
#9
Genevieve Ferguson, Alexxa Abi-Jaoude, Andrew Johnson, Riley Saikaly, Bethel Woldemichael, Asha Maharaj, Sophie Soklaridis, Latika Nirula, Mahreen Hasan, David Wiljer
OBJECTIVE: With 40 to 65% of mental health patients being cared for by family members, nearly 500,000 Canadians are serving as caregivers. Yet family members are often excluded from daily clinical interactions and the development of mental health continuing medical education (CME). This qualitative study aimed to understand how best to involve families in mental health CME and how to advance their meaningful and equitable engagement in such initiatives. METHODS: Semi-structured interviews were conducted with two samples: mental health care providers (n = 8) and family members of individuals diagnosed with a co-occurring addiction and mental health problems (n = 12) to explore barriers, facilitators, and strategies for family engagement...
February 12, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29427238/opinion-paper-scientific-philosophical-and-legal-consideration-of-doping-in-sports
#10
REVIEW
Massimo Negro, Natale Marzullo, Francesca Caso, Luca Calanni, Giuseppe D'Antona
The term doping is generally used to indicate practices based on the use of performance-enhancing drugs (PEDs) or the abuse of medical therapies. Mostly analysed by doctors and officials, doping nevertheless also requires a philosophical consideration to avoid being simplistically portrayed as an isolated practice. To do this, we need to pay attention to the contradictions and paradoxes in the modern approach to doping in sport. In this context, doping is not only relevant to the health of an individual involved in the violation of World Anti-Doping Agency (WADA) criteria, but it actually represents a double-edged phenomenon containing ethical and legal points of view...
February 9, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29423828/standardized-patients-in-clinical-psychology-and-psychotherapy-a-scoping-review-of-barriers-and-facilitators-for-implementation
#11
REVIEW
Franziska Kühne, Destina Sevde Ay, Mara Jasmin Otterbeck, Florian Weck
OBJECTIVES: The use of simulated and standardized patients (SP) is widely accepted in the medical field and, from there, is beginning to disseminate into clinical psychology and psychotherapy. The purpose of this study was therefore to systematically review barriers and facilitators that should be considered in the implementation of SP interventions specific to clinical psychology and psychotherapy. METHODS: Following current guidelines, a scoping review was conducted...
February 8, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29420234/-care-under-pressure-a-realist-review-of-interventions-to-tackle-doctors-mental-ill-health-and-its-impacts-on-the-clinical-workforce-and-patient-care
#12
Daniele Carrieri, Simon Briscoe, Mark Jackson, Karen Mattick, Chrysanthi Papoutsi, Mark Pearson, Geoffrey Wong
INTRODUCTION: Mental ill-health is prevalent across all groups of health professionals and this is of great concern in many countries. In the UK, the mental health of the National Health Service (NHS) workforce is a major healthcare issue, leading to presenteeism, absenteeism and loss of staff from the workforce. Most interventions targeting doctors aim to increase their 'productivity' and 'resilience', placing responsibility for good mental health with doctors themselves and neglecting the organisational and structural contexts that may have a detrimental effect on doctors' well-being...
February 2, 2018: BMJ Open
https://www.readbyqxmd.com/read/29417395/islamic-considerations-on-the-application-of-patient-s-autonomy-in-end-of-life-decision
#13
Mohammad Mustaqim Malek, Noor Naemah Abdul Rahman, Mohd Shahnaz Hasan, Luqman Haji Abdullah
In end-of-life situation, the need for patient's preference comes into the picture with the intention of guiding physicians in the direction of patient care. Preference in medical directive is made by a person with full mental capacity outlining what actions should be taken for his health should he loses his competency. This is based on the reality of universal paradigm in medical practice that emphasises patient's autonomy. A specific directive is produced according to a patient's wish that might include some ethically and religiously controversial directives such as mercy killing, physician-assisted suicide, forgoing life-supporting treatments and do-not-resuscitate...
February 7, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29415229/military-personnel-who-seek-health-and-mental-health-services-outside-the-military
#14
Howard Waitzkin, Mario Cruz, Bryant Shuey, Daniel Smithers, Laura Muncy, Marylou Noble
Background: Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. Materials and Methods: This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners...
February 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29410703/mental-health-in-primary-health-care-in-a-rural-district-of-cambodia-a-situational-analysis
#15
Sofia Olofsson, Miguel San Sebastian, Bhoomikumar Jegannathan
Background: While mental and substance use disorders are common worldwide, the treatment gap is enormous in low and middle income countries. Primary health care is considered to be the most important way for people to get mental health care. Cambodia is a country with a long history of war and has poor mental health and limited resources for care. The aim of this study was to conduct a situational analysis of the mental health services in the rural district of Lvea Em, Kandal Province, Cambodia...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29391366/exploring-the-feasibility-and-acceptability-of-a-recovery-focused-group-therapy-intervention-for-adults-with-bipolar-disorder-trial-protocol
#16
Alison K Beck, Amanda Baker, Steven Jones, Fiona Lobban, Frances Kay-Lambkin, John Attia, Michelle Banfield
INTRODUCTION: Improving accessible, acceptable recovery-oriented service provision for people with bipolar disorder (BD) is an important priority. Mindfulness and acceptance-based cognitive and behavioural therapies (or 'third -wave' CBT) may prove fruitful due to the considerable overlap between these approaches and key features of personal recovery. Groups also confer therapeutic benefits consistent with personal recovery and may improve recovery-oriented service provision by adding another modality for accessing support...
January 31, 2018: BMJ Open
https://www.readbyqxmd.com/read/29385044/the-influence-of-supportive-and-ethical-work-environments-on-work-related-accidents-injuries-and-serious-psychological-distress-among-hospital-nurses
#17
Maki Tei-Tominaga, Miharu Nakanishi
The healthcare industry in Japan has experienced many cases of work-related injuries, accidents, and workers' compensation claims because of mental illness. This study examined the influence of supportive and ethical work environments on work-related accidents, injuries, and serious psychological distress among hospital nurses. Self-reported questionnaires were distributed to nurses (n = 1114) from 11 hospitals. Valid responses (n = 822, 93% women, mean age = 38.49 ± 10.09 years) were used for analyses. The questionnaire included items addressing basic attributes, work and organizational characteristics, social capital and ethical climate at the workplace, psychological distress, and experience of work-related accidents or injuries in the last half year...
January 31, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29377773/patient-targeted-googling-by-new-zealand-mental-health-professionals-a-new-field-of-ethical-consideration-in-the-internet-age
#18
Hiran Thabrew, Adam Sawyer, Christiane Eischenberg
BACKGROUND: Patient-targeted Googling (PTG) describes the searching on the Internet by healthcare professionals for information about patients with or without their knowledge. INTRODUCTION: Little research has been conducted into PTG internationally. PTG can have particular ethical implications within the field of mental health. This study was undertaken to identify the extent of PTG by New Zealand mental healthcare professionals and needs for further guidance regarding this issue...
January 29, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29372004/mental-stress-from-animal-experiments-a-survey-with-korean-researchers
#19
Minji Kang, AhRam Han, Da-Eun Kim, Troy Seidle, Kyung-Min Lim, SeungJin Bae
Animal experiments have been widely conducted in the life sciences for more than a century, and have long been a subject of ethical and societal controversy due to the deliberate infliction of harm upon sentient animals. However, the harmful use of animals may also negatively impact the mental health of researchers themselves. We sought to evaluate the anxiety level of researchers engaged in animal use to analyse the mental stress from animal testing. The State Anxiety Scale of the State-Trait Anxiety Inventory (STAI) was used to evaluate how researchers feel when they conduct animal, as opposed to non-animal, based experiments (95 non-animal and 98 animal testing researchers)...
January 2018: Toxicological Research
https://www.readbyqxmd.com/read/29371263/tulsa-1000-a-naturalistic-study-protocol-for-multilevel-assessment-and-outcome-prediction-in-a-large-psychiatric-sample
#20
Teresa A Victor, Sahib S Khalsa, W Kyle Simmons, Justin S Feinstein, Jonathan Savitz, Robin L Aupperle, Hung-Wen Yeh, Jerzy Bodurka, Martin P Paulus
INTRODUCTION: Although neuroscience has made tremendous progress towards understanding the basic neural circuitry underlying important processes such as attention, memory and emotion, little progress has been made in applying these insights to psychiatric populations to make clinically meaningful treatment predictions. The overall aim of the Tulsa 1000 (T-1000) study is to use the NIMH Research Domain Criteria framework in order to establish a robust and reliable dimensional set of variables that quantifies the positive and negative valence, cognition and arousal domains, including interoception, to generate clinically useful treatment predictions...
January 24, 2018: BMJ Open
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