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Williams KDA, Adkins A, Kuo SIC, LaRose JG, Utsey SO, Guidry JPD, Dick D, Carlyle KE. Mental health disorder symptom prevalence and rates of help-seeking among University-Enrolled, emerging adults. J Am Coll Health 2023; 71:61-68. [PMID: 33735596 PMCID: PMC8448792 DOI: 10.1080/07448481.2021.1873791] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 12/14/2020] [Accepted: 01/03/2021] [Indexed: 06/12/2023]
Abstract
Objective. Examine mental health symptom prevalence and rates of campus services utilization among Black male, White male and Black female college students. Participants. 2500 students from an ongoing, student survey at a public university; launched in 2011. Methods. Measures included data for anxiety and depressive symptoms and utilization of campus health services (counseling center, health services, etc.). Descriptive analyses determined prevalence and utilization rates. Mann Whitney U tests compared prevalence. Chi-squared tests compared utilization rates. Results. Anxiety prevalence: greater than 60% of students from each ethnic group reported symptoms; reporting rates decreased significantly for Black men (49.6%); p < 0.001. Depression prevalence: greater than 80% reported symptoms; there were significant differences in reporting between Black men and Black women (72.7% vs. 87.1%, p < 0.001). Utilization: Black men utilized counseling services less than White men (20.4% vs. 37.8%, p = 0.024). Conclusion. Black men report depressive and anxiety symptoms but underutilize campus health resources.
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Affiliation(s)
- Kofoworola D. A. Williams
- Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
| | - Amy Adkins
- Department of Psychology, Virginia Commonwealth University College of Humanities & Sciences, Richmond, VA, USA
| | - Sally I-Chun Kuo
- Department of Psychology, Virginia Commonwealth University College of Humanities & Sciences, Richmond, VA, USA
| | - Jessica G. LaRose
- Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
| | - Shawn O. Utsey
- Department of African American Studies, Virginia Commonwealth University College of Humanities & Sciences, Richmond, VA, USA
| | - Jeanine P. D. Guidry
- Robertson School of Media and Culture, Virginia Commonwealth University College of Humanities & Sciences, Richmond, VA, USA
| | | | - Danielle Dick
- Department of Psychology, Virginia Commonwealth University College of Humanities & Sciences, Richmond, VA, USA
| | - Kellie E. Carlyle
- Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA, USA
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Menear M, Gervais M, Careau E, Chouinard MC, Cloutier G, Delorme A, Dogba MJ, Dugas M, Gagnon MP, Gilbert M, Harvey D, Houle J, Kates N, Knowles S, Martin N, Nease D, Pluye P, Samson E, Zomahoun HTV, Légaré F. Strategies and impacts of patient and family engagement in collaborative mental healthcare: protocol for a systematic and realist review. BMJ Open 2016; 6:e012949. [PMID: 27678546 PMCID: PMC5051434 DOI: 10.1136/bmjopen-2016-012949] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
INTRODUCTION Collaborative mental healthcare (CMHC) has garnered worldwide interest as an effective, team-based approach to managing common mental disorders in primary care. However, questions remain about how CMHC works and why it works in some circumstances but not others. In this study, we will review the evidence on one understudied but potentially critical component of CMHC, namely the engagement of patients and families in care. Our aims are to describe the strategies used to engage people with depression or anxiety disorders and their families in CMHC and understand how these strategies work, for whom and in what circumstances. METHODS AND ANALYSIS We are conducting a review with systematic and realist review components. Review part 1 seeks to identify and describe the patient and family engagement strategies featured in CMHC interventions based on systematic searches and descriptive analysis of these interventions. We will use a 2012 Cochrane review of CMHC as a starting point and perform new searches in multiple databases and trial registers to retrieve more recent CMHC intervention studies. In review part 2, we will build and refine programme theories for each of these engagement strategies. Initial theory building will proceed iteratively through content expert consultations, electronic searches for theoretical literature and review team brainstorming sessions. Cluster searches will then retrieve additional data on contexts, mechanisms and outcomes associated with engagement strategies, and pairs of review authors will analyse and synthesise the evidence and adjust initial programme theories. ETHICS AND DISSEMINATION Our review follows a participatory approach with multiple knowledge users and persons with lived experience of mental illness. These partners will help us develop and tailor project outputs, including publications, policy briefs, training materials and guidance on how to make CMHC more patient-centred and family-centred. PROSPERO REGISTRATION NUMBER CRD42015025522.
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Affiliation(s)
- Matthew Menear
- CHU de Québec Research Centre, Quebec, Quebec, Canada
- Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Quebec, Canada
| | | | - Emmanuelle Careau
- Department of Rehabilitation, Laval University, Quebec, Quebec, Canada
| | | | - Guylaine Cloutier
- Association québecoise pour la réadaptation psychosociale, Quebec, Quebec, Canada
| | - André Delorme
- Quebec Ministry of Health and Social Services, Quebec, Quebec, Canada
| | - Maman Joyce Dogba
- CHU de Québec Research Centre, Quebec, Quebec, Canada
- Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Quebec, Canada
| | - Michèle Dugas
- CHU de Québec Research Centre, Quebec, Quebec, Canada
| | | | - Michel Gilbert
- National Centre for Excellence in Mental Health, Montreal, Quebec, Canada
| | - Diane Harvey
- Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada
| | - Janie Houle
- Department of Psychology, Université du Québec à Montréal, Montreal, Quebec, Canada
| | - Nick Kates
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Sara Knowles
- Institute of Population Health, University of Manchester, Manchester, UK
| | - Neasa Martin
- Neasa Martin and Associates, Toronto, Ontario, Canada
| | - Donald Nease
- Department of Family Medicine, University of Colorado Denver, Denver, Colorado, USA
| | - Pierre Pluye
- Department of Family Medicine, McGill University, Montreal, Quebec, Canada
| | - Esther Samson
- Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada
| | | | - France Légaré
- CHU de Québec Research Centre, Quebec, Quebec, Canada
- Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Quebec, Canada
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Bellante F, Dethy S, Zegers de Beyl D. Depression, anxiety and non-motor symptoms on initiation of intrajejunal levodopa/carbidopa therapy. Acta Neurol Belg 2016; 116:39-41. [PMID: 26085378 DOI: 10.1007/s13760-015-0497-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Accepted: 06/05/2015] [Indexed: 11/26/2022]
Abstract
In Parkinson's disease (PD), clinical observations and some studies suggest that depression and anxiety are linked to motor fluctuations. We studied prospectively 10 patients with advanced PD just before initiation of intrajejunal levodopa/carbidopa therapy, and after 1 and 3 months of regular treatment. Motor symptoms, motor fluctuations, non-motor symptoms, quality of sleep, symptoms of depression and anxiety were evaluated with the appropriate scales. As expected, motor symptoms and motor fluctuations improved considerably. Non-motor symptoms, quality of sleep and depression also improved significantly. However, anxiety score remained unchanged during the study. Our data in a small numbers of patients indicate that all aspects of mental and psychic symptoms are not alleviated within a short period of reduction of motor fluctuations.
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Affiliation(s)
- F Bellante
- Department of Neurology, Hôpital Erasme, Bruxelles, Belgium.
| | - S Dethy
- Department of Neurology, Hôpital de Tivoli, La Louvière, Belgium
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