Suchergebnisse

ABSTRACTSevere mental illnesses (SMIs) can affect parents' ability to provide an adequate environment for their children. Little has been written about the different factors that affect these abilities in individuals with SMI. In this study, we explored a number of relationships that have been found in the literature to be related to parenting styles. Our main hypotheses were that the participants' secure attachment with their parents is positively correlated with high levels of social support; social support is positively correlated with the experience of having good parental competency; lack of parental competency is negatively correlated with problematic parenting styles. This correlational and cross‐sectional study was conducted with 60 mothers with SMI. Results suggest a strong relationship between parental style, sense of parental competency, social support and attachment style of the parent. Negative parental styles were found to be negatively correlated with parental competence. Overactive and hostile parenting styles were found to be correlated with the interviewees' parental overprotecting attachment style. Positive correlations were found between parental competence and high social support. The results of the study may help in developing future multidimensional interventions for parents with SMI, to improve their parenting skills and reduce any negative influence on their offspring.

Children in Sub-Saharan Africa are living under chronic adversity due to poverty, serious health issues, physical and sexual abuse, and armed conflicts. These highly stressful conditions have deleterious effects on their mental health and socio-emotional adjustment. Since many children lack adequate access to mental health care, culturally adapted school-based resiliency programs could provide a resource to scaffold their development and promote their mental health. This study evaluated the efficacy of a universal school-based intervention in enhancing the resiliency of Tanzanian primary school children and cultivating prosocial behaviors. A total of 183 students from grades 4 to 6 were randomly assigned to either the 16-session "ERSAE-Stress-Prosocial (ESPS)" structured intervention or to a Social Study curriculum (SS) active control group. The original ESPS program was adapted by Tanzanians mental health professionals who modified the program based on local idioms of distress and indigenous practices. Students' resilience was evaluated before, after and 8 months following the intervention by assessing social difficulties, hyperactivity, somatization, level of anxiety, prosocial behaviors and school functioning as well as academic achievements and disciplinary problems. There was significant improvement on all outcome measures for the ESPS group compared to the control group post-intervention and at the 8-month follow up. The ESPS intervention was equally effective on most measures for students experiencing different adversity levels. The results indicate that a culturally adapted universal school-based intervention can be effective in enhancing Tanzanian students' resiliency and promoting prosocial behaviors. Should these results be replicated and found enduring, the modified ESPS could be a valuable mental health-promoting intervention in other low-income countries.

Psychiatric rehabilitation for people with severe mental illness (SMI) has many documented benefits, but less is known about cultural related aspects. To date, no comparison of psychiatric rehabilitation outcomes between Israeli Jews and Israeli Arabs has been carried out. Thus, the purpose of the present study was to compare the outcome measures of Israeli Arabs and Israeli Jews consuming psychiatric rehabilitation services. As part of the Israeli Psychiatric Rehabilitation Reported Outcome Measurement project (PR-ROM), a cross-sectional study comparing different ethnic-religious groups was performed. Data is based on 6,751 pairs of psychiatric rehabilitation consumers and their service providers. The consumers filled questionnaires on quality of life (QoL) and functioning, and their providers completed mirroring instruments. The findings revealed that QoL and functioning ratings were lower among Muslim Arabs compared to Jews on both consumers' and providers' ratings. Among Muslim Arabs, differences in outcomes according to the service's location were indicated. The observed differences between Israeli Arabs and Israeli Jews with SMI in the PR-ROM point to the need for culturally adapted rehabilitation services that take into account how cultural differences may affect the benefits of such services.

In recent years, general practitioners (GPs) have become more involved in treating people with mental disorders. This study examined the mental health literacy of GPs in Israel, based on Jorm's conceptual framework. Twenty-one GPs participated in a semi-structured, in-depth interview. The data were analyzed thematically, guided by Jorm's six mental health literacy dimensions. The GPs generally reported that they could identify symptoms of mental disorders, mainly noted genetics as the cause and risk factor for mental disorders, did not believe that self-care methods could alleviate mental disorders, and regarded social workers—as distinct from psychologists—as particularly helpful in their work with people with mental disorders. The findings, which have implications for families, emphasize the importance of providing GPs with ongoing educational opportunities to ensure they remain knowledgeable and skilled in mental health.