Background: There is growing awareness of the public health importance of the mental well-being of population in general.This study was carried out to examine the wellbeing of Pakistani healthcare professionals, and to evaluate the psychometric properties of Warwick-Edinburgh Mental Well-being Scale in in this population.The well-being of health professionals is likely to influence their care delivery.Methods: A cross-sectional survey was carried out from June, 2013 to December, 2014 among 1271 Pakistani health personnel (HCPs) belonging to seven different cities of Punjab province, Pakistan, to examine the acceptability, internal consistency, test-retest reliability and the content and construct validity of the English version of the Warwick-Edinburgh Mental Well-being Scale in a Pakistani population sample.All data were analyzed in SPSS v.21.Results: Our analysis demonstrated a unidimensional construct, a high internal consistency (0.89) and test-retest reliability, good convergent validity and easy readability of WEMBS among Pakistani HCPs.The mean on WEMWBS score was 48.1 (9.4) which is lower than general population sample in other nations.Male healthcare professionals scored significantly higher on WEMWBS than their female counterparts (P < .05),and older respondents had higher scores.Conclusion: The WEMBS appears feasible and acceptable for use in the Pakistani healthcare professionals, and findings from this study indicate its validity and internal consistency.The well-being scores of the health professional respondents were lower than those identified in general population surveys in the UK.
BACKGROUND: Depression affects around 5% of adolescents and its identification and management is an important part of front‐line professionals' roles. There are few validated measures of knowledge and skills in this area. We describe a multiple‐choice question set to test nurses' depression knowledge and vignettes to examine case recognition skills. METHODS: A 24‐item knowledge test and 12 vignettes were developed based on relevant literature and expert panel review. Three rounds of panel review assessed face and content validity and expert agreement of vignette depression status. The measures were piloted with 26 school nurses. Following amendments, administered to 146 school nurses. A depression attitude scale was used concurrently so that associations among knowledge, attitudes, and condition recognition could be explored. RESULTS: Readability for the knowledge test and vignettes was satisfactory. Item difficulty and discrimination indices for most knowledge questions were acceptable; overall, participants scored 50% correctly, with less than 5% unanswered. The panel reached 89% agreement about vignette depression status, and nurse participants' judgments of the vignettes achieved 65% sensitivity and 47% specificity. CONCLUSION: The study produced psychometrically tested instruments for measuring depression recognition and knowledge. There was evidence for content validity, and limited evidence of convergent validity from associations among measures. Some of the items may be modified, and a smaller set of vignettes having the best expert agreement may be useful in future research.
With the widespread prevalence of mental health problems, digital platforms for mental healthcare are increasingly commonly used. This article explores what this means for services.
Abstract Aim To understand the experiences of carers who were confronted by the development of impulsive and compulsive behaviours. Background Impulsive and compulsive behaviours (ICBs) are a serious complication in Parkinson's disease (PD) strongly associated with dopamine replacement therapy used to treat patients. These behaviours comprise abnormal activities such as pathological gambling, binge eating, compulsive shopping and hypersexuality. These behaviours place a considerable burden on patients and on their carers and families. Design An exploratory qualitative study. Methods Using a convenience sampling approach, 13 carers were recruited to participate in semi‐structured interviews. Interviews were conducted over the telephone. Verbatim transcripts were analysed using a thematic analysis approach. COREQ guidelines were adhered to in the reporting of this study. Results Five main themes were identified: (a) realisation—developing awareness of ICB symptoms and their causes; (b) reacting—confronting and attempts to manage ICBs; (c) reaching out—help‐seeking and selective disclosure; (d) reframing—shifting perspectives on ICBs over time; and (e) resignation—impact on relationships and facing the future. Conclusions The profound impact of ICBs on quality of life, relationships and economic stability was clear in the carers’ accounts. Possible avenues for future clinical research are suggested. Relevance to clinical practice The potentially devastating effects of ICBs provide a strong imperative for nurses and other health professionals to ensure that close monitoring for symptom development together with patient education is always part of practice.
The collaborative care planning study (COCAPP) is a cross-national comparative study of care planning and coordination in community mental healthcare settings. The context and delivery of mental health care is diverging between the countries of England and Wales whilst retaining points of common interest, hence providing a rich geographical comparison for research. Across England the key vehicle for the provision of recovery-focused, personalised, collaborative mental health care is the care programme approach (CPA). The CPA is a form of case management introduced in England in 1991, then revised in 2008. In Wales the CPA was introduced in 2003 but has now been superseded by The Mental Health (Care Co-ordination and Care and Treatment Planning) (CTP) Regulations (Mental Health Measure), a new statutory framework. In both countries, the CPA/CTP requires providers to: comprehensively assess health/social care needs and risks; develop a written care plan (which may incorporate risk assessments, crisis and contingency plans, advanced directives, relapse prevention plans, etc.) in collaboration with the service user and carer(s); allocate a care coordinator; and regularly review care. The overarching aim of this study is to identify and describe the factors that ensure CPA/CTP care planning and coordination is personalised, recovery-focused and conducted collaboratively. COCAPP will employ a concurrent transformative mixed methods approach with embedded case studies. Phase 1 (Macro-level) will consider the national context through a meta-narrative mapping (MNM) review of national policies and the relevant research literature. Phase 2 (Meso-level and Micro-level) will include in-depth micro-level case studies of everyday ‘frontline’ practice and experience with detailed qualitative data from interviews and reviews of individual care plans. This will be nested within larger meso-level survey datasets, senior-level interviews and policy reviews in order to provide potential explanations and understanding. COCAPP will help identify the key components that support and hinder the provision of personalised, recovery-focused care planning and provide an informed rationale for a future planned intervention and evaluation.
This paper aims to describe current trends in the UK primary care management of common mental disorders and explore the appropriateness of differing management approaches in light of the course and common complications of these disorders.It highlights key findings concerning the course and comorbidity of depression to indicate that depression and associated mental illnesses may often form part of more complex patterns of ill health and that these conditions have a clear potential for chronicity. A narrative review of studies providing detail of depression prevalence in selected comorbid conditions is presented for this purpose.The presentation and course of common mental disorders indicate organizational changes in health service delivery, and--for a sizeable patient group--the use of chronic disease management strategies.
Background: There is growing awareness of the public health importance of the mental well-being of population in general. This study was carried out to examine the wellbeing of Pakistani healthcare professionals, and to evaluate the psychometric properties of Warwick-Edinburgh Mental Well-being Scale in in this population. The well-being of health professionals is likely to influence their care delivery. Methods: A cross-sectional survey was carried out from June, 2013 to December, 2014 among 1271 Pakistani health personnel (HCPs) belonging to seven different cities of Punjab province, Pakistan, to examine the acceptability, internal consistency, test-retest reliability and the content and construct validity of the English version of the Warwick-Edinburgh Mental Well-being Scale in a Pakistani population sample. All data were analyzed in SPSS v.21. Results: Our analysis demonstrated a unidimensional construct, a high internal consistency (0.89) and test-retest reliability, good convergent validity and easy readability of WEMBS among Pakistani HCPs. The mean on WEMWBS score was 48.1 (9.4) which is lower than general population sample in other nations. Male healthcare professionals scored significantly higher on WEMWBS than their female counterparts (P < .05), and older respondents had higher scores. Conclusion: The WEMBS appears feasible and acceptable for use in the Pakistani healthcare professionals, and findings from this study indicate its validity and internal consistency. The well-being scores of the health professional respondents were lower than those identified in general population surveys in the UK.
Background: Post-partum depression (PPD) is a prevalent psychological condition affecting 10-20% of women following childbirth, with higher rates in low and middle-income countries (LMICs) due to limited resources, poor access to mental health care, and sociocultural stressors. Cognitive Behavioral Therapy (CBT) is an evidence-based intervention for treating PPD in high-income countries, but its effectiveness in LMICs remains underexplored.
Aim: This systematic review aims to synthesize evidence on CBT's effectiveness for post-partum women in LMICs, examine cultural and contextual factors, and provide recommendations for culturally-sensitive interventions.
Methods: Following PRISMA Statement 2020 guidelines, a systematic search was conducted in electronic databases such as PubMed, PsycINFO, and Web of Science to identify studies evaluating CBT's effectiveness for post-partum women in LMICs. A narrative synthesis was used to analyze and synthesize findings, considering the heterogeneity in study designs, populations, and outcome measures.
Results: The review included five studies, all of which reported a more significant decrease in Edinburgh Postnatal Depression Scale (EPDS) scores for the CBT intervention group compared to the control group. The studies varied in terms of populations, settings, and CBT delivery modes, with telephonic CBT, in-hospital CBT, and in-person CBT being utilized.
Conclusion: The findings from this systematic review suggest that CBT may be effective in reducing depressive symptoms among post-partum women in LMICs. Further research is needed to strengthen the evidence base, refine intervention strategies, and develop more effective, accessible, and culturally-appropriate interventions for PPD in LMICs. Addressing these recommendations will contribute to better mental health outcomes for post-partum women and their families in developing countries.
People in prison experience a range of physical and mental health problems. Evaluating the effectiveness and efficiency of prison-based interventions presents a number of methodological challenges. We present a case study of an economic evaluation of a prison-based intervention ("Engager") to address common mental health problems.
Background. There is growing awareness of the public health importance of mental well-being both in the general population and in specific groups. The well-being of health professionals is likely to influence the quality of the care they deliver. This study was carried out to examine the well-being of Pakistani healthcare professionals, and to evaluate the psychometric performance of the Warwick–Edinburgh Mental Well-being Scale (WEMWBS) in this population. Methods. A cross-sectional survey was carried out from June, 2013 to December, 2014 among 1,271 Pakistani health care providers (HCPs) working in seven different cities in Punjab province, Pakistan, to examine the acceptability, internal consistency, test-retest reliability and content and construct validity of the English version of the WEMWBS in a Pakistani population sample. All data were analyzed in SPSS v. 21. Results. Our analysis demonstrated unidimensional construct validity, high internal consistency (0.89) and test-retest reliability, good validity and easy readability of WEMWBS in our sample of Pakistani HCPs. The mean WEMWBS score was 48.1 (SD 9.4), which is lower than in the general population in other countries. Male HCPs scored significantly higher on the WEMWBS than their female counterparts ( P < 0.05), and older respondents had higher scores. Conclusion. The WEMWBS appears acceptable for use in Pakistani HCPs, and findings from this study verify its validity and internal consistency for this population sample. Our respondents had lower well-being scores than those reported in general population surveys in the UK.
'/%3e%3c/defs%3e%3cpath fill='%23012169' d='M0 0h10080v5040H0z'/%3e%3cpath stroke='%23fff' stroke-width='.6' d='m0 0 6 3m0-3L0 3' clip-path='url(%23b)' transform='scale(840)'/%3e%3cpath stroke='%23e4002b' stroke-width='.4' d='m0 0 6 3m0-3L0 3' clip-path='url(%23c)' transform='scale(840)'/%3e%3cpath stroke='%23fff' stroke-width='840' d='M2520 0v2520M0 1260h5040'/%3e%3cpath stroke='%23e4002b' stroke-width='504' d='M2520 0v2520M0 1260h5040'/%3e%3cg fill='%23fff'%3e%3cuse xlink:href='%23d' x='2520' y='3780'/%3e%3cuse xlink:href='%23a' x='7560' y='4200'/%3e%3cuse xlink:href='%23a' x='6300' y='2205'/%3e%3cuse xlink:href='%23a' x='7560' y='840'/%3e%3cuse xlink:href='%23a' x='8680' y='1869'/%3e%3cuse xlink:href='%23e' x='8064' y='2730'/%3e%3c/g%3e%3c/svg%3e)
'%3e%3cpath fill='%23012169' d='M0 0v30h60V0z'/%3e%3cpath stroke='%23fff' stroke-width='6' d='m0 0 60 30m0-30L0 30'/%3e%3cpath stroke='%23C8102E' stroke-width='4' d='m0 0 60 30m0-30L0 30' clip-path='url(%23b)'/%3e%3cpath stroke='%23fff' stroke-width='10' d='M30 0v30M0 15h60'/%3e%3cpath stroke='%23C8102E' stroke-width='6' d='M30 0v30M0 15h60'/%3e%3c/g%3e%3c/svg%3e)