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Nye C, Winter M, Lobley M. The role of the livestock auction mart in promoting help-seeking behavior change among farmers in the UK. BMC Public Health 2022; 22:1581. [PMID: 35987610 PMCID: PMC9392309 DOI: 10.1186/s12889-022-13958-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 07/29/2022] [Indexed: 01/16/2023] Open
Abstract
AbstractCertain physical and mental health issues are particularly prevalent in farming occupations, yet frequently, farmers, particularly males, are resistant to seeking help from primary care practitioners. A qualitative approach examined the perspective of stakeholders at livestock auction marts to identify the determinants for, or barriers to, seeking help, perceptions regarding basing primary care services on-site at livestock auction marts, and the role of a site-based approach, i.e. placing primary healthcare services within a traditional farmers’ meeting place, in facilitating changes in help-seeking beliefs and behaviors. Findings support previous studies regarding barriers to seeking help, but demonstrate that by deconstructing these barriers through specifically designed workplace/site-oriented support services, more positive behaviors are facilitated. The study highlights how collaboration between livestock auction marts and primary healthcare services allows access to a hard-to-reach demographic in terms of healthcare, and illustrates how such socially integrative opportunities can contribute to the improvement of the mental and physical health and wellbeing of the agricultural community.
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See CK, Turnbull D, Ritson F, Martin S, Tully P, Wittert G. Association of endogenous testosterone concentration with depression in men: a systematic review protocol. ACTA ACUST UNITED AC 2020; 17:1894-1900. [PMID: 30925504 DOI: 10.11124/jbisrir-2017-004035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE The objective of this review is to examine the association between serum testosterone concentration and the presence and severity of depression in men. INTRODUCTION Cross-sectional and longitudinal cohort studies examining the relationship between serum testosterone concentration and depression in men have produced mixed results. There has not, however, been any prior attempt to systematically interrogate the data. Clarification of the relationship has clinical importance because depression may be under-diagnosed in men. INCLUSION CRITERIA This review will consider studies involving community-dwelling men who are not receiving testosterone replacement therapy. The exposure of interest reviewed will include endogenous testosterone concentration measured through validated assays. Studies measuring total and testosterone fraction concentration will be included. This review will include studies with depression or incident depression outcomes as defined by either clinical diagnosis of depression or validated self-administered questionnaire assessing depression symptomatology. METHODS This review will follow the JBI approach for systematic reviews of etiology and risk. The following sources will be searched: PubMed, PsycINFO, Embase, the Cochrane Central Register of Controlled Trials, Australian New Zealand Clinical Trials Registry and the ISRCTN Registry. Analytical observational studies including prospective and retrospective cohort studies, case control studies and analytical cross-sectional studies published in English or other languages with English translation will be considered. Retrieval of full-text studies, assessment of methodological quality and data extraction will be performed independently by two reviewers. Data will be pooled in statistical meta-analysis, where possible. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42018108273.
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Affiliation(s)
- Chee Keong See
- Discipline of Medicine, The University of Adelaide, Adelaide, Australia.,Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide, Australia.,South Australian Health and Medical Research Institute, Adelaide, Australia.,Putrajaya Hospital, Putrajaya, Malaysia
| | - Deborah Turnbull
- South Australian Health and Medical Research Institute, Adelaide, Australia.,School of Psychology, The University of Adelaide, Adelaide, Australia
| | - Felix Ritson
- Discipline of Medicine, The University of Adelaide, Adelaide, Australia.,School of Psychology, The University of Adelaide, Adelaide, Australia
| | - Sean Martin
- Discipline of Medicine, The University of Adelaide, Adelaide, Australia.,Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide, Australia.,South Australian Health and Medical Research Institute, Adelaide, Australia
| | - Phillip Tully
- Discipline of Medicine, The University of Adelaide, Adelaide, Australia.,Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide, Australia.,South Australian Health and Medical Research Institute, Adelaide, Australia
| | - Gary Wittert
- Discipline of Medicine, The University of Adelaide, Adelaide, Australia.,Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide, Australia.,South Australian Health and Medical Research Institute, Adelaide, Australia
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Devendorf A, Bender A, Rottenberg J. Depression presentations, stigma, and mental health literacy: A critical review and YouTube content analysis. Clin Psychol Rev 2020; 78:101843. [DOI: 10.1016/j.cpr.2020.101843] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 02/21/2020] [Accepted: 03/03/2020] [Indexed: 12/24/2022]
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Kaselionyte J, Gumley A. Psychosis or spiritual emergency? A Foucauldian discourse analysis of case reports of extreme mental states in the context of meditation. Transcult Psychiatry 2019; 56:1094-1115. [PMID: 31311435 DOI: 10.1177/1363461519861842] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Meditation is becoming increasingly popular in the West and research on its effects is growing. While studies point to various benefits of meditation on mental and physical health, reports of extreme mental states in the context of meditation have also been published. This study employed Foucauldian discourse analysis to examine how the experience of extreme mental states has been constructed in case reports and what kind of practices were employed to address them. The study analyses how extreme mental states associated with meditation are framed within the scientific literature and how such differential framings may affect the meaning making and help-seeking of persons experiencing these states. A systematic scientific literature search identified 22 case studies of extreme mental states experienced by practitioners of various types of meditation. The analysis suggests a discursive divide between two dominant framings: a biomedical discourse which constructs such experiences as psychiatric symptoms and an alternative discursive, which understands them as spiritual emergencies. Both approaches offered distinct therapeutic avenues. This divide maps onto the disciplinary divides within the mental health field more generally, which may obscure a better understanding of these experiences. However, the two discourses are not necessarily mutually exclusive and authors of three articles chose to blend them for their case reports. A supportive environment could help those experiencing extreme state integrate them into their lives. Our findings encourage collaboration between clinicians, therapists and spiritual teachers in order to make a range of approaches available.
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Anderson C, Robinson EJ, Krooupa AM, Henderson C. Changes in newspaper coverage of mental illness from 2008 to 2016 in England. Epidemiol Psychiatr Sci 2018; 29:e9. [PMID: 30511612 PMCID: PMC8061298 DOI: 10.1017/s2045796018000720] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 10/30/2018] [Accepted: 11/04/2018] [Indexed: 11/08/2022] Open
Abstract
AIMS Since 2008 England's anti-stigma programme Time to Change has lobbied media outlets about stigmatising coverage and worked with them to promote accurate and non-stigmatising coverage. While this may have an impact on coverage and hence attitudes, it is also possible that coverage can change in response to improving attitudes, through the creation of a market demand for less stigmatising coverage. This study evaluates English newspaper coverage of mental health topics between 2008 and 2016. METHOD Articles covering mental health in 27 newspapers were retrieved using keyword searches on two randomly chosen days each month in 2008-2016, excluding 2012 and 2015 due to restricted resources. Content analysis used a structured coding framework. Univariate logistic regression models were used to estimate the odds of each hypothesised element occurring in 2016 compared with 2008 and Wald tests to assess the overall statistical significance of the year variable as the predictor. RESULTS The sample retrieved almost doubled between 2008 (n = 882) and 2016 (n = 1738). We found a significant increase in the proportion of anti-stigmatising articles (odds ratio (OR) 2.26 (95% confidence interval (CI) 1.86-2.74)) and a significant decrease in stigmatising articles (OR 0.62 (95% CI 0.51-0.75)). Reports on all diagnoses except for schizophrenia were more often anti-stigmatising than stigmatising. CONCLUSIONS This is the first clear evidence of improvement in coverage since the start of Time to Change. However, coverage of schizophrenia may be less affected by this positive shift than that of other diagnoses. The increase in the level of coverage identified in 2016 requires further investigation, as it may also influence public conceptualisation of what constitutes mental illness, attitudes to mental illness in general and/or specific diagnoses. While most anti-stigma programmes are not diagnosis specific, we suggest their evaluation would benefit from a diagnosis specific approach to allow fuller interpretation of their effects. This could include media analysis driven by hypotheses based on diagnoses to ascertain whether variations by diagnosis over time occur both in the nature and in the proportion of coverage.
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Affiliation(s)
- C. Anderson
- Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - E. J. Robinson
- Department of Biostatistics & Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - A.-M. Krooupa
- Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK
| | - C. Henderson
- Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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Osborne A, Carroll P, Richardson N, Doheny M, Brennan L, Lambe B. From training to practice: the impact of ENGAGE, Ireland's national men's health training programme. Health Promot Int 2018; 33:458-467. [PMID: 28013256 DOI: 10.1093/heapro/daw100] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Ireland's National Men's Health Policy recommended developing training programmes tailored to the needs of those working in health and allied health professionals and ENGAGE was developed to meet that recommendation. This study evaluated the impact of ENGAGE on frontline service providers' self-reported knowledge, skills, capacity and practice up to 5-months post training. Between 2012 and 2015, ENGAGE Trainers (n = 57) delivered 62 1-day training programmes to 810 participants. This study was conducted on a subset of those training days (n = 26) and participants. Quantitative methodologies were used to collect pre (n = 295), post (n = 295) and 5-month post (n = 128) training questionnaire data. Overall, participants were highly satisfied with the training immediately post training (8.60 ± 1.60 out of 10) and at 5-month follow up (8.06 ± 1.43 out of 10). Participants' self-reported level of knowledge, skill and capacity in identifying priorities, engaging men and influencing practice beyond their own organisation increased immediately following training (P < 0.001) and, with the exception of improving capacity to engage men and influencing practice beyond their organisation, these improvements were sustained at 5-month post training (P < 0.001). The vast majority of service providers (93.4%) reported that ENGAGE had impacted their work practice up to 5-month post training. The findings suggest that ENGAGE has succeeded in improving service providers' capacity to engage and work with men; improving gender competency in the delivery of health and health related services may increase the utilisation of such services by men and thereby improve health outcomes for men.
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Affiliation(s)
- Aoife Osborne
- National Centre for Men's Health, Institute of Technology Carlow, Ireland
| | - Paula Carroll
- Centre for Health Behaviour Research, Waterford Institute of Technology, Ireland
| | - Noel Richardson
- National Centre for Men's Health, Institute of Technology Carlow, Ireland
| | | | | | - Barry Lambe
- Centre for Health Behaviour Research, Waterford Institute of Technology, Ireland
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Martin D, Atkinson C. What narratives do young people use to communicate depression? A systematic review of the literature. EMOTIONAL AND BEHAVIOURAL DIFFICULTIES 2018. [DOI: 10.1080/13632752.2018.1460527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Dorota Martin
- Kirklees Educational Psychology Service, Dewsbury, UK
| | - Cathy Atkinson
- Manchester Institute of Education, University of Manchester, Manchester, UK
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Scholz B, Bocking J, Happell B. Improving exchange with consumers within mental health organizations: Recognizing mental ill health experience as a 'sneaky, special degree'. Int J Ment Health Nurs 2018; 27:227-235. [PMID: 28145617 DOI: 10.1111/inm.12312] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/30/2016] [Indexed: 12/25/2022]
Abstract
Stigmatizing views towards consumers may be held even by those working within mental health organizations. Contemporary mental health policies require organizations to work collaboratively with consumers in producing and delivering services. Using social exchange theory, which emphasises mutual exchange to maximise benefits in partnership, the current study explores the perspectives of those working within organizations that have some level of consumer leadership. Interviews were conducted with 14 participants from a range of mental health organizations. Data were transcribed, and analyzed using thematic analytic and discursive psychological techniques. Findings suggest stigma is still prevalent even in organizations that have consumers in leadership positions, and consumers are often perceived as less able to work in mental health organizations than non-consumers. Several discourses challenged such a view - showing how consumers bring value to mental health organizations through their expertise in the mental health system, and their ability to provide safety and support to other consumers. Through a social exchange theory lens, the authors call for organizations to challenge stigma and promote the value that consumers can bring to maximize mutual benefits.
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Affiliation(s)
- Brett Scholz
- SYNERGY Nursing and Midwifery Research Centre, University of Canberra and ACT Health, The Canberra Hospital, Garran, Australian Capital Territory, Australia
| | - Julia Bocking
- SYNERGY Nursing and Midwifery Research Centre, University of Canberra and ACT Health, The Canberra Hospital, Garran, Australian Capital Territory, Australia
| | - Brenda Happell
- SYNERGY Nursing and Midwifery Research Centre, University of Canberra and ACT Health, The Canberra Hospital, Garran, Australian Capital Territory, Australia
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Maiorano A, Lasalvia A, Sampogna G, Pocai B, Ruggeri M, Henderson C. Reducing Stigma in Media Professionals: Is there Room for Improvement? Results from a Systematic Review. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2017; 62:702-715. [PMID: 28622747 PMCID: PMC5638187 DOI: 10.1177/0706743717711172] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The mass media may increase stigma against people with mental health problems by reinforcing common stereotypes. Media professionals thus represent a target group for antistigma interventions. This paper aims to review available literature on antistigma interventions for mass media professionals, seeking to clarify what kind of interventions have been found to be effective in reducing mental health stigma among mass media professionals. METHOD Six electronic databases (MEDLINE, PsycINFO, Embase, Cochrane Reviews Library and Cochrane Central Register of Controlled Trials, Web of Science, and Applied Social Sciences Index & Abstracts) were systematically searched through March 2017 for studies addressing antistigma interventions on mass media professionals. Results: A total of 27 studies on antistigma interventions targeted to media professionals were found. Reviewed articles were classified into 3 categories: media-monitoring projects/reporting guidelines ( n = 23), interventions for educating journalists ( n = 2), and interventions for educating journalism students ( n = 2). Overall, antistigma interventions for media professionals seem to have some effect in improving reporting style, thus providing a more balanced portrayal of people with mental health problems: the most promising interventions are contact-based educational approaches and the provision of guidelines by authoritative institutions. CONCLUSION It should be useful to promote and disseminate contact-based educational interventions targeted to journalists and to include specific modules on mental health topics in the training curricula of journalism students. However, as research in the field suffers from several limitations, high-quality studies exploring the long-term effect of antistigma interventions for media professionals are needed.
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Affiliation(s)
- Alessandra Maiorano
- Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - Antonio Lasalvia
- UOC Psichiatria, Azienda Ospedaliera Integrata (AOUI) di Verona, Verona, Italy
- Department of Mental Health, ULSS 9 Scaligera, Verona, Italy
| | - Gaia Sampogna
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - Benedetta Pocai
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - Mirella Ruggeri
- Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - Claire Henderson
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK
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Scholz B, Crabb S, Wittert GA. "Males Don't Wanna Bring Anything Up To Their Doctor": Men's Discourses of Depression. QUALITATIVE HEALTH RESEARCH 2017; 27:727-737. [PMID: 27055495 DOI: 10.1177/1049732316640294] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Men experiencing depression may present with externalizing behaviors including avoidance, getting angry, or finding distractions rather than seeking help. General practitioners report that depression is harder to diagnose in men than in women. Research has not typically focused on men's accounts of depression; thus, the current study uses an exploratory design to better understand men's subjectivities of depression. A thematic framework informed the analysis of interviews with 10 men who had experienced high levels of depressive symptoms at least once within the prior 5 years, with two overarching discourses of depression discussed. The first relates to links between depression and health, including comorbid illnesses. The second relates to social contexts in which depression is experienced. These findings extend upon previous research suggesting medical practitioners have difficulty with competing biomedical and social discourses of depression, highlighting the importance of continuing to improve understandings of men's depression discourses.
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Affiliation(s)
- Brett Scholz
- 1 University of Canberra, Bruce, Australia
- 2 The University of Adelaide, Adelaide, Australia
- 3 Spur Projects, Brisbane, Queensland, Australia
| | - Shona Crabb
- 2 The University of Adelaide, Adelaide, Australia
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Sympathy, shame, and few solutions: News media portrayals of fetal alcohol spectrum disorders. Midwifery 2016; 40:49-54. [DOI: 10.1016/j.midw.2016.06.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 05/23/2016] [Accepted: 06/03/2016] [Indexed: 11/23/2022]
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Oliffe JL, Ogrodniczuk JS, Gordon SJ, Creighton G, Kelly MT, Black N, Mackenzie C. Stigma in Male Depression and Suicide: A Canadian Sex Comparison Study. Community Ment Health J 2016; 52:302-10. [PMID: 26733336 PMCID: PMC4805721 DOI: 10.1007/s10597-015-9986-x] [Citation(s) in RCA: 73] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Accepted: 12/26/2015] [Indexed: 12/02/2022]
Abstract
Stigma in men's depression and suicide can restrict help-seeking, reduce treatment compliance and deter individuals from confiding in friends and family. In this article we report sex comparison findings from a national survey of English-speaking adult Canadians about stigmatized beliefs concerning male depression and suicide. Among respondents without direct experience of depression or suicide (n = 541) more than a third endorsed the view that men with depression are unpredictable. Overall, a greater proportion of males endorsed stigmatizing views about male depression compared to female respondents. A greater proportion of female respondents endorsed items indicating that men who suicide are disconnected, lost and lonely. Male and female respondents with direct personal experience of depression or suicide (n = 360) strongly endorsed stigmatizing attitudes toward themselves and a greater proportion of male respondents indicated that they would be embarrassed about seeking help for depression.
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Affiliation(s)
- John L Oliffe
- School of Nursing, University of British Columbia, 109 - 2176 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
| | - John S Ogrodniczuk
- Department of Psychiatry, University of British Columbia, #420, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada
| | - Susan J Gordon
- School of Health Sciences, Flinders University, Sturt Road, Bedford Park, Adelaide, SA, 5042, Australia
| | - Genevieve Creighton
- School of Nursing, University of British Columbia, 2176 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Mary T Kelly
- School of Nursing, University of British Columbia, 2176 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Nick Black
- Intensions Consulting Inc., Vancouver, BC, Canada
| | - Corey Mackenzie
- Department of Psychology, University of Manitoba, P516 Duff Roblin Bldg, 190 Dysart Road, Winnipeg, MB, R3T 2N2, Canada
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