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Your search for all content returned 3,343 results

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  • Evaluating Outcomes and Experience of Eye Movement Desensitization Reprocessing Through a National Health Service Trust’s Staff Support ServiceGo to article: Evaluating Outcomes and Experience of Eye Movement Desensitization Reprocessing Through a National Health Service Trust’s Staff Support Service

    Evaluating Outcomes and Experience of Eye Movement Desensitization Reprocessing Through a National Health Service Trust’s Staff Support Service

    Article

    Aim: An National Health Service (NHS) mental health trust developed a pathway offering eye movement desensitization reprocessing (EMDR) to healthcare professionals (HCPs). This research aimed to evaluate whether EMDR was linked to improvements in posttraumatic stress disorder (PTSD) and sought to understand the experiences of service users. Method: Pre- and post-outcome measures of the Impact of Events Scale—Revised, patient health questionnaire-9, generalized anxiety disorder-7, and work and social adjustment scale were evaluated. Subsequently, a feedback survey was circulated to those who had accessed the service. Results: Analysis revealed statistically significant improvements in measures of PTSD, depression, anxiety, and functioning. The service was rated highly for accessibility and experience. Perceived treatment effectiveness was variable; however, reliving symptoms and sickness absence were reduced, and improvements made during therapy were reportedly maintained. Conclusion: This service evaluation offers preliminary support for the use of EMDR as a useful intervention for HCW. Recommendations that may be more broadly applicable for service development and considerations for future research are discussed.

    Source:
    Journal of EMDR Practice and Research
  • Efforts to Improve the Accuracy of Information About Electroconvulsive Therapy Given to Patients and FamiliesGo to article: Efforts to Improve the Accuracy of Information About Electroconvulsive Therapy Given to Patients and Families

    Efforts to Improve the Accuracy of Information About Electroconvulsive Therapy Given to Patients and Families

    Article

    Objective: Many thousands of people still receive electroconvulsive therapy (ECT) but it remains highly contested. A recent audit of the United Kingdom patient information leaflets found multiple inaccuracies and omissions, minimizing risks and exaggerating benefits (e.g., only six leaflets mentioned cardiovascular events). This study reports efforts to improve accuracy for patients and families. Methods: Letters were sent twice to managers of all 51 United Kingdom National Health Service Trusts, (regional bodies which deliver most healthcare) detailing the audit’s findings and the accuracy of their own Trust’s leaflet, also asking what changes would be undertaken. Results: Only nine Trusts responded and three committed to improvements. The Royal College of Psychiatrists released a slightly better but still highly misleading information sheet. Efforts to engage Government and all other relevant United Kingdom bodies failed. Conclusions: Trusts are unwilling to correct misinformation/ provide balanced information.

    Source:
    Ethical Human Psychology and Psychiatry
  • The Biopsychosocial Model and Scientific DeceptionGo to article: The Biopsychosocial Model and Scientific Deception

    The Biopsychosocial Model and Scientific Deception

    Article

    Mainstream psychiatry is unable to decide on its model of mental disorder. While the great bulk of research is biologically oriented, many practitioners prefer a more holistic model integrating biological, psychological, and social factors. The “biopsychosocial model” attributed to George Engel appears to offer theoretical support, but the evidence is that it does not exist in any form suitable for science. This puts psychiatry in an invidious position, exposed to allegations of misconduct with no obvious defense.

    Source:
    Ethical Human Psychology and Psychiatry
  • Randomized Controlled Assays and Randomized Controlled Trials: A Category Error With ConsequencesGo to article: Randomized Controlled Assays and Randomized Controlled Trials: A Category Error With Consequences

    Randomized Controlled Assays and Randomized Controlled Trials: A Category Error With Consequences

    Article

    In 1962, in the wake of the thalidomide crisis, a new Amendment to the Food and Drugs Act introduced Randomized Controlled Trials (RCTs) into the regulations governing the licensing of medicines. It was believed that requiring companies to demonstrate their products were effective through RCTs would contribute to safety. In 1962, RCTs were a little-understood technique. It was thought trials would produce generalizable knowledge with similar outcomes for successive trials. As a result, regulators adopted a criterion of two positive placebo-controlled trials for licensing medicine. For physicians keen to stall therapeutic bandwagons and eliminate ineffective treatments, a negative RCT result was a good outcome. When it made a gateway to the market, companies, in contrast, had an interest to transform RCTs from assessments that might throw up unexpected or negative results into Randomized Controlled Assays (RCAs) that efficiently generated approvable results. This article outlines the differences between RCTs and RCAs, the steps companies took to transform RCTs into RCAs, and the consequences of this transformation.

    Source:
    Ethical Human Psychology and Psychiatry
  • Factors Associated With Domestic Violence Against Peri- and Postmenopausal WomenGo to article: Factors Associated With Domestic Violence Against Peri- and Postmenopausal Women

    Factors Associated With Domestic Violence Against Peri- and Postmenopausal Women

    Article

    The goal of the study was to determine factors associated with domestic violence in menopausal women. This was a cross-sectional study that 350 menopausal women participated. Data gathering used a World Health Organization’s violence against women instrument. Emotional violence was recognized as one of the most experienced types of domestic violence (48%). According to the multivariate logistic regression model, the status of exposure to sexual violence (before marriage) and the partner’s substance abuse was the most robust risk factors for domestic violence, while factors such as employment of women and satisfaction of income were protective against domestic violence. This study has highlighted the factors associated with domestic violence that health program managers need to address.

    Source:
    Violence and Victims
  • Intimate Partner Violence Among Hispanic/Latinx and White College StudentsGo to article: Intimate Partner Violence Among Hispanic/Latinx and White College Students

    Intimate Partner Violence Among Hispanic/Latinx and White College Students

    Article

    Hispanic/Latinx individuals disproportionately experience intimate partner violence (IPV) compared to their non-Hispanic/Latinx counterparts, and little is known about IPV among college-aged Hispanic/Latinx students. This study examines the rates of IPV victimization and perpetration and their correlates among Hispanic/Latinx and non-Hispanic White college students by analyzing cross-sectional survey data of 3,397 Hispanic/Latinx and White college students enrolled in seven universities. Compared to their White counterparts, Hispanic/Latinx students reported higher rates of IPV victimization and perpetration. Age, gender, drug use, and adverse childhood experience were associated with both IPV victimization and perpetration, while ethnicity was only associated with IPV perpetration. This study’s findings highlight the urgent need for more culturally sensitive IPV prevention services and responses to support Hispanic/Latinx college students.

    Source:
    Violence and Victims
  • Deadly Initiations: Characteristics of Hazing Deaths in the United States (1994–2019)Go to article: Deadly Initiations: Characteristics of Hazing Deaths in the United States (1994–2019)

    Deadly Initiations: Characteristics of Hazing Deaths in the United States (1994–2019)

    Article

    On American college campuses, numerous students have died as a result of hazing activities perpetrated in fraternities, sororities, and other student groups. Still, little is known about the common characteristics among these hazing deaths. This study aims to investigate the circumstances surrounding these fatal incidents by examining hazing deaths that occurred at institutions of higher education in the United States from 1994 to 2019. This analysis revealed common characteristics related to the victims, organizations, institutions, incidents, and outcomes of these deaths. The findings support past hazing research, as victims were predominantly males pledging social fraternities. Although hazing deaths were widespread, there was variation among institutional characteristics, region, and size. The perpetrators of these incidents faced legal ramifications, including criminal convictions and civil lawsuits. The recognition of these trends can improve our understanding of the conditions present when dangerous hazing activities occur and the best practices for prevention and response.

    Source:
    Violence and Victims
  • Long-Term Relationships Between Negative Life Events and Suicidal Ideation Specifying Agnew’s General Theory of Crime and Delinquency: A 7-Year Longitudinal Mediation AnalysisGo to article: Long-Term Relationships Between Negative Life Events and Suicidal Ideation Specifying Agnew’s General Theory of Crime and Delinquency: A 7-Year Longitudinal Mediation Analysis

    Long-Term Relationships Between Negative Life Events and Suicidal Ideation Specifying Agnew’s General Theory of Crime and Delinquency: A 7-Year Longitudinal Mediation Analysis

    Article

    The purpose of this study was to examine the longitudinal mediationa(l pathways on the link between various straining experiences and suicidal ideation and to test whether its relationship was mediated by the role of negative emotions, constraints, and motivations. Data for this study were collected as part of the Korean Welfare Panel Study, which was a longitudinal study conducted among 7,027 Korean households, surveyed annually from 2006 to 2012. The results indicated that bullying victimization had important effects on negative emotions, although bullying victimization was not significant for later suicidal ideation. Peer delinquency was significantly correlated with negative emotions and positively predicted later suicidal ideation. Also, the significant impact of bullying victimization was transmitted to suicidal ideation through negative emotions. It implies that individuals’ negative life events predicted strain or stressors generating negative emotions that, in turn, led to a high risk of suicidal ideation as a possible coping skill.

    Source:
    Violence and Victims
  • Intentions to Call a Helpline Among Targets of Intimate Partner Violence: The Role of the Theory of Planned Behavior and Gender Role ConflictGo to article: Intentions to Call a Helpline Among Targets of Intimate Partner Violence: The Role of the Theory of Planned Behavior and Gender Role Conflict

    Intentions to Call a Helpline Among Targets of Intimate Partner Violence: The Role of the Theory of Planned Behavior and Gender Role Conflict

    Article

    This research first aimed to test the Theory of Planned Behavior (TPB) as a model to understand the intentions to call a helpline of victimized males and females. A sample of 99 participants (53 males; 46 females) who were suffering violence at the time of participation were considered for analysis. Our results indicate that males and females’ attitudes and subjective norms significantly predicted intentions. Second, this study aimed to measure Gender Role Conflict (GRC) in victimized men and test its association with TPB constructs. GRC occurs when rigid, sexist, or restrictive gender roles result in the restriction, devaluation, or violation of others or the self. Our results indicate that GRC was only negatively associated with perceived behavioral control. Additionally, in our sample of men who filled the GRC measure (n = 245), victimized men reported significantly higher GRC than non-victimized men. Overall, our findings indicate gender specificities in the intentions to call a helpline and suggest that GRC plays an important role in seeking help for men.

    Source:
    Violence and Victims
  • ADHD as a Predictor of Quicker Time to Violent Recidivism and a Moderator of the Exposure to Violence–Violent Recidivism RelationshipGo to article: ADHD as a Predictor of Quicker Time to Violent Recidivism and a Moderator of the Exposure to Violence–Violent Recidivism Relationship

    ADHD as a Predictor of Quicker Time to Violent Recidivism and a Moderator of the Exposure to Violence–Violent Recidivism Relationship

    Article

    Research on the role that attention-deficit hyperactivity disorder (ADHD) plays as a moderator of the relationship between exposure to violence and violent recidivism is limited. The Pathways to Desistance data were analyzed to examine these relationships. Survival analysis was used to examine ADHD as a risk factor predicting time to violent recidivism. Cox-proportional hazard modeling was used to assess the impact of ADHD on violent recidivism risk and examine ADHD as a moderator of the relationship between exposure to violence and violent recidivism. Results indicated that ADHD predicted quicker time to recidivism. The effect of witnessed violence was significantly weaker for participants with ADHD at baseline than those without ADHD at baseline. The direct effect of ADHD diagnosis at baseline on violent recidivism risk was only significant when the hypothesized interaction terms were included in the model. These findings suggest that individuals with ADHD may be less vulnerable to the impact of witnessing violence on their own risk for perpetrating violence. Effective targeting of treatment should be understood within this context.

    Source:
    Violence and Victims

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