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Guillaume M, Haghighi S, Goudard P, Ruelle Y. Experiences of a Circus Performance Among Patients with Depressive Symptoms: A Phenomenological Study. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2024. [PMID: 38411688 DOI: 10.1089/jicm.2023.0346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Abstract
Introduction: Depression is the leading cause of disability worldwide. Support can be provided by the arts. Objective: The aim of the study was to explore the experiences of patients with depressive symptoms after a circus performance. Methods: A qualitative research study using a phenomenological approach was carried out. The design was approved by an ethics committee. Volunteers were referred by general practitioners to an ambulatory cultural program and were invited to express their experience throughout interviews that were analyzed with the interpretative phenomenological analysis method. Results: Twelve patients participated in the interviews. The effect on the patient was linked to interactions with the performance. It was an effective way of socializing for patients. The show offered patients distance from their daily difficulties. The circus provided specific elements as a resource for patient empowerment. The experience lived by patients during a circus performance is a cognitive phenomenon inducing an influence on the spectator with depressive symptoms. A beneficial effect depended on the artistic content selected, the support offered by the organization operator, and the medical orientation. Conclusions: The observations characterized the emotional reception of a circus show among people. This study invites further exploration of the impact of circus art on the quality of life of patients with depressive symptoms.
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Affiliation(s)
- Maddly Guillaume
- Département Universitaire de Médecine Générale (DUMG), Université Sorbonne Paris Nord, Villetaneuse, France
| | - Sophie Haghighi
- Département Universitaire de Médecine Générale (DUMG), Université Sorbonne Paris Nord, Villetaneuse, France
- Centres Municipaux de Santé Universitaires, Ville de Pantin, Pantin, France
| | - Philippe Goudard
- Département Arts du Spectacle (Section 18), Université Paul-Valéry Montpellier 3, Montpellier, France
- Laboratoire RIRRA21 (EA 4209), Université Paul-Valéry Montpellier 3, Montpellier, France
| | - Yannick Ruelle
- Département Universitaire de Médecine Générale (DUMG), Université Sorbonne Paris Nord, Villetaneuse, France
- Centres Municipaux de Santé Universitaires, Ville de Pantin, Pantin, France
- Laboratoire Éducations et Promotion de la Santé (LEPS), UR 3412, Université Sorbonne Paris Nord, Villetaneuse, France
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Philo C, Callard F, McGeachan C, Parr H. Geopsychiatry and geography: A response. Int J Soc Psychiatry 2024; 70:80-86. [PMID: 37843025 PMCID: PMC10860351 DOI: 10.1177/00207640231195289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
BACKGROUND This contribution responds to three articles (we refer to all three as 'editorials') concerning something called 'geopsychiatry'. AIMS To evaluate claims made in these editorials for 'geopsychiatry' as a new field of inquiry at the interface between geography and psychiatry. METHOD Close critical reading of two editorials in the International Journal of Social Psychiatry - entitled 'Geographical determinants of mental health' and 'Political determinants of mental health' - and one in the International Review of Psychiatry - entitled 'What is geopsychiatry?' RESULTS While this geopsychiatry initiative is to be applauded, disquiet can be expressed about the almost complete neglect of a pre-existing domain of inquiry - 'mental health geography' or 'the geography of mental health' - that has long been researched by academic geographers and cognate scholars. Key trajectories in this field can be identified and related to the proposed foci for geopsychiatry. CONCLUSIONS The hope is voiced that future developments in geopsychiatry will proceed in dialogue with the literature and practitioners of mental health geography.
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Affiliation(s)
- Chris Philo
- School of Geographical and Earth Sciences, University of Glasgow, Scotland, UK
| | - Felicity Callard
- School of Geographical and Earth Sciences, University of Glasgow, Scotland, UK
| | - Cheryl McGeachan
- School of Geographical and Earth Sciences, University of Glasgow, Scotland, UK
| | - Hester Parr
- School of Geographical and Earth Sciences, University of Glasgow, Scotland, UK
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3
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Chumakov E. Comment on 'Therapeutic work with clients living in poverty'. Int J Soc Psychiatry 2023:207640231151869. [PMID: 36929851 DOI: 10.1177/00207640231151869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
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Deng J, Zhou F, Hou W, Heybati K, Lohit S, Abbas U, Silver Z, Wong CY, Chang O, Huang E, Zuo QK, Moskalyk M, Ramaraju HB, Heybati S. Prevalence of mental health symptoms in children and adolescents during the COVID-19 pandemic: A meta-analysis. Ann N Y Acad Sci 2023; 1520:53-73. [PMID: 36537131 PMCID: PMC9880764 DOI: 10.1111/nyas.14947] [Citation(s) in RCA: 31] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The COVID-19 pandemic and its accompanying infection control measures introduced sudden and significant disruptions to the lives of children and adolescents around the world. Given the potential for negative impacts on the mental health of youths as a result of these changes, we conducted a systematic review and meta-analysis to examine the prevalence of depressive symptoms, anxiety symptoms, and sleep disturbances in children and adolescents during the pandemic. We searched major literature databases for relevant cross-sectional or longitudinal studies that included primary and secondary school students or children and adolescents ≤18 years of age. Prevalence values were extracted, logit-transformed, and pooled. Based on 191 included studies with 1,389,447 children and adolescents, we found the pooled prevalence of depressive symptoms, anxiety symptoms, and sleep disturbances to be 31%, 31%, and 42%, respectively. Age, grade levels, education levels, gender, geographical regions, and electronics use were correlated with the prevalence of mental health symptoms. The prevalence of mental health symptoms also increased with time, although signs of recovery and stabilization were also observed. Overall, the results from this review demonstrate the need for increased mental health research, monitoring, and intervention for children and adolescents during the current and future pandemics.
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Affiliation(s)
- Jiawen Deng
- Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.,Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Fangwen Zhou
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Wenteng Hou
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.,Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada
| | - Kiyan Heybati
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.,Mayo Clinic Alix School of Medicine, Mayo Clinic (Rochester), Rochester, Minnesota, USA
| | - Simran Lohit
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Umaima Abbas
- Schulich School of Medicine & Dentistry (Windsor Campus), University of Western Ontario, Windsor, Ontario, Canada
| | - Zachary Silver
- Department of Neuroscience, Faculty of Science, Carleton University, Ottawa, Ontario, Canada
| | - Chi Yi Wong
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.,Michael G. DeGroote School of Medicine (Waterloo Regional Campus), McMaster University, Kitchener, Ontario, Canada
| | - Oswin Chang
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.,Physician Assistant Education Program, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Emma Huang
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Qi Kang Zuo
- Department of Anesthesiology, Rutgers New Jersey Medical School, Newark, New Jersey, USA.,Faculty of Science, McGill University, Montréal, Quebec, Canada
| | - Myron Moskalyk
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Harikrishnaa Ba Ramaraju
- Virginia Commonwealth University School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Shayan Heybati
- Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada
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5
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Affiliation(s)
- Albert Persaud
- The Centre for Applied Research and Evaluation- International Foundation (CAREIF), London, UK
| | - Dinesh Bhugra
- Professor Emeritus Mental Health and Cultural Diversity, King's College London, London, UK
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6
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Chumakov E, Petrova N, Vadivel R, Pinto da Costa M, Bhugra D, Ventriglio A. Use of Compulsory Treatment by Early-Career Psychiatrists: An International Survey. Psychiatr Serv 2021; 72:1276-1281. [PMID: 34030455 DOI: 10.1176/appi.ps.202000303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The United Nations Convention on the Rights of Persons with Disabilities (UN CRPD) has been broadly incorporated into national frameworks for compulsory psychiatric treatment. Recently, instructions issued by the UN CRPD Committee discouraged any involuntary treatment and detention of people with mental disabilities, which has sparked clinical, legal, and ethical debates. Early-career psychiatrists (ECPs) are often at the front line of decisions to involuntarily detain psychiatric patients; here, the authors surveyed ECPs to gain insight into their experiences with compulsory psychiatric treatment in clinical practice. METHODS An anonymous, voluntary, online survey among ECPs from 43 countries was conducted between July and August 2019. RESULTS In total, 142 ECPs completed and were eligible to participate in the survey. Most of the survey respondents reported being involved in the practice of compulsory psychiatric care. More than half reported difficulties in providing compulsory psychiatric care, mostly because of the bureaucracy of legal procedures (e.g., legal correspondence with the court) and ethical issues around detention. Most respondents (96%) generally agreed with their country's legal mechanism for compulsory treatment; 43% indicated that it should remain unchanged, and 53% indicated that it should be revised. CONCLUSIONS These findings call for a broader discussion in society and among psychiatrists regarding the practice of compulsory treatment while giving due consideration to the legal, therapeutic, and ethical issues involved. The views of ECPs will be helpful in future revisions of the ethical and operational frameworks of compulsory psychiatric care.
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Affiliation(s)
- Egor Chumakov
- Department of Psychiatry and Addictions, Saint Petersburg State University (Chumakov, Petrova) and Saint Petersburg Psychiatric Hospital No. 1, Saint Petersburg, Russia (Chumakov); Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand (Vadivel); Institute of Biomedical Sciences Abel Salazar, University of Porto, and Hospital de Magalhaes Lemos, Porto, Portugal (Pinto da Costa); Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London (Pinto da Costa); Institute of Psychiatry, King's College London, London (Bhugra); Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy (Ventriglio)
| | - Nataliia Petrova
- Department of Psychiatry and Addictions, Saint Petersburg State University (Chumakov, Petrova) and Saint Petersburg Psychiatric Hospital No. 1, Saint Petersburg, Russia (Chumakov); Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand (Vadivel); Institute of Biomedical Sciences Abel Salazar, University of Porto, and Hospital de Magalhaes Lemos, Porto, Portugal (Pinto da Costa); Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London (Pinto da Costa); Institute of Psychiatry, King's College London, London (Bhugra); Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy (Ventriglio)
| | - Ramya Vadivel
- Department of Psychiatry and Addictions, Saint Petersburg State University (Chumakov, Petrova) and Saint Petersburg Psychiatric Hospital No. 1, Saint Petersburg, Russia (Chumakov); Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand (Vadivel); Institute of Biomedical Sciences Abel Salazar, University of Porto, and Hospital de Magalhaes Lemos, Porto, Portugal (Pinto da Costa); Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London (Pinto da Costa); Institute of Psychiatry, King's College London, London (Bhugra); Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy (Ventriglio)
| | - Mariana Pinto da Costa
- Department of Psychiatry and Addictions, Saint Petersburg State University (Chumakov, Petrova) and Saint Petersburg Psychiatric Hospital No. 1, Saint Petersburg, Russia (Chumakov); Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand (Vadivel); Institute of Biomedical Sciences Abel Salazar, University of Porto, and Hospital de Magalhaes Lemos, Porto, Portugal (Pinto da Costa); Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London (Pinto da Costa); Institute of Psychiatry, King's College London, London (Bhugra); Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy (Ventriglio)
| | - Dinesh Bhugra
- Department of Psychiatry and Addictions, Saint Petersburg State University (Chumakov, Petrova) and Saint Petersburg Psychiatric Hospital No. 1, Saint Petersburg, Russia (Chumakov); Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand (Vadivel); Institute of Biomedical Sciences Abel Salazar, University of Porto, and Hospital de Magalhaes Lemos, Porto, Portugal (Pinto da Costa); Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London (Pinto da Costa); Institute of Psychiatry, King's College London, London (Bhugra); Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy (Ventriglio)
| | - Antonio Ventriglio
- Department of Psychiatry and Addictions, Saint Petersburg State University (Chumakov, Petrova) and Saint Petersburg Psychiatric Hospital No. 1, Saint Petersburg, Russia (Chumakov); Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand (Vadivel); Institute of Biomedical Sciences Abel Salazar, University of Porto, and Hospital de Magalhaes Lemos, Porto, Portugal (Pinto da Costa); Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London (Pinto da Costa); Institute of Psychiatry, King's College London, London (Bhugra); Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy (Ventriglio)
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Iemmi V. Global collective action in mental health financing: Allocation of development assistance for mental health in 142 countries, 2000-2015. Soc Sci Med 2021; 287:114354. [PMID: 34492405 DOI: 10.1016/j.socscimed.2021.114354] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 07/06/2021] [Accepted: 08/26/2021] [Indexed: 10/20/2022]
Abstract
Collective action between international donors is central to the mobilisation of global solidarity in global health. This is especially important in mental health where resources remain extremely limited. In this paper I investigate global collective action in mental health financing, looking at the responsiveness of international donors to mental health needs in low- and middle-income countries (LMICs). I analyse factors at the level of recipient countries (needs, interests, policy environment) associated with allocation of development assistance for mental health (DAMH) using a two-part regression model applied to a time series cross-sectional dataset of 142 LMICs between 2000 and 2015. Findings reveal that international donors' disbursements are not well aligned with mental health needs of recipient countries, and, moreover, contextual factors might be playing more prominent roles in resource allocation. Countries are more likely to receive DAMH if they experience significant outbreaks of infectious diseases or have lower gross domestic product (GDP) per capita and lower market openness. Selected recipient countries are more likely to receive higher DAMH amounts per capita if they have lower GDP per capita, higher government health expenditure, or higher mortality rates due to conflicts or natural disasters. Past DAMH recipients are more likely to be selected and, when selected, to receive higher DAMH amounts per capita. My results demonstrate that more holistic collective action amongst international donors is required to address mental health needs in LMICs. Investments should better reflect needs, particularly during and after emergencies such as COVID-19, and could be amplified by leveraging synergies across other health conditions and sectors.
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Affiliation(s)
- Valentina Iemmi
- Department of Health Policy, London School of Economics and Political Science, London, UK; Department of Social Policy, London School of Economics and Political Science, London, UK.
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Persaud A, Bhugra D, Valsraj K, Bhavsar V. Understanding geopolitical determinants of health. Bull World Health Organ 2021; 99:166-168. [PMID: 33551512 PMCID: PMC7856359 DOI: 10.2471/blt.20.254904] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 11/03/2020] [Accepted: 12/03/2020] [Indexed: 11/27/2022] Open
Affiliation(s)
- Albert Persaud
- The Centre for Applied Research and Evaluation-International Foundation, MHA MacIntyre Hudson, Victoria Court 17-21 Ashford Road, Maidstone, Kent ME14 5DA, England
| | - Dinesh Bhugra
- Centre for Affective Disorders, Kings College, London, England
| | | | - Vishal Bhavsar
- Department of Health Services and Population Research, Kings College, London, England
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Bhavsar V, Bhugra D, Persaud A. Public policy, mental health and a public health approach to violence. Int J Soc Psychiatry 2020; 66:629-632. [PMID: 32223492 DOI: 10.1177/0020764020915236] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Vishal Bhavsar
- Section of Women's Mental Health, Department of Health Services and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Dinesh Bhugra
- Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Albert Persaud
- The Centre for Applied Research and Evaluation International Foundation (CAREIF), Centre for Psychiatry, Barts and The London, Queen Mary's School of Medicine & Dentistry, London, UK
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10
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Affiliation(s)
- Albert Persaud
- Department of Psychiatry, Queen Mary's School of Medicine, London, England
| | | | - Antonio Ventriglio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Dinesh Bhugra
- Department of Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, England
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