Primary Mental Health Care in a New Era: Second Edition

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Environmental Factors and Global Health".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 5622

Special Issue Editors


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Guest Editor
Psychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece
Interests: clinical psychology; primary mental health care; community psychology; health psychology; psychometrics
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Clinical psychiatrist, Director of Psychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece
Interests: psychiatry; primary mental health care; psychopharmacology; consultation-liaison psychiatry
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The COVID-19 pandemic has created new challenges for health care systems in all countries by exerting immense pressure on communities, hospitals and mental health services. Primary mental health services have to cope, to a large extent, with the impact of the pandemic crisis, including the possible deterioration of the mental health of vulnerable populations such as patients with chronic illnesses, migrants, the elderly and people who have been under great psychological and physical stress. However, for COVID-19 patients, we do not know much about their psychosocial and mental health needs, and whether or how they can receive  help via primary mental health care. We need to review the mental health needs in the community, considering the possible existing protection mechanisms and how they contribute to and maintain positive mental health.

The purpose of this Special Issue is to gather research articles, reviews and/or meta-analyses on the current mental health needs of the community. We will gladly review studies that address the restructuring of primary mental health care systems to better address today’s multiple challenges.

Dr. Athanasios Tselebis
Dr. Argyro Pachi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • primary mental health care
  • anxiety
  • depression
  • stress
  • sleep disorders
  • drug and/or alcohol use disorders
  • geriatric population
  • chronic illnesses
  • COVID-19 patients
  • migrants/refugees
  • psychosocial needs

Published Papers (3 papers)

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Research

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25 pages, 1661 KiB  
Article
Anger and Aggression in Relation to Psychological Resilience and Alcohol Abuse among Health Professionals during the First Pandemic Wave
by Argyro Pachi, Evgenia Kavourgia, Dionisios Bratis, Konstantinos Fytsilis, Styliani Maria Papageorgiou, Dimitra Lekka, Christos Sikaras and Athanasios Tselebis
Healthcare 2023, 11(14), 2031; https://doi.org/10.3390/healthcare11142031 - 15 Jul 2023
Cited by 4 | Viewed by 3013
Abstract
Mental health problems, behavior changes, and addictive issues have been consistently documented among healthcare workers during the pandemic. The objective of this study was to investigate the levels of anger and aggression in relation to psychological resilience and alcohol abuse among healthcare workers [...] Read more.
Mental health problems, behavior changes, and addictive issues have been consistently documented among healthcare workers during the pandemic. The objective of this study was to investigate the levels of anger and aggression in relation to psychological resilience and alcohol abuse among healthcare workers during the first wave of the COVID-19 pandemic. A total of 120 physicians and 123 nurses completed an online survey of the Dimensions of Anger Reactions-5 (DAR-5), the Brief Aggression Questionnaire (BAQ), the Brief Resilience Scale (BRS), and the Alcohol Screening questionnaire CAGE which is an acronym for the focus of the questions (Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers). Demographic and professional data were also recorded. A total of 53 men and 190 women participated in the study. Almost one-third of the participants had a positive score on the DAR-5 scale and one out of ten respondents presented with current problematic alcohol use. Male participants demonstrated lower scores on the DAR-5 scale compared to females. Individuals with current problematic alcohol use displayed higher scores on the BAQ compared to those without alcohol use disorders. Regression analysis revealed that 16.4% of the variance in the BAQ scores can be attributed to scores on the DAR-5, 5.9% to the BRS scores, 2.1% to the CAGE scores, 1.7% to gender, and 1.2% to years of work experience. Mediation analysis highlighted the role of psychological resilience as a negative mediator in the DAR-5 and BAQ relationship. Professional experience and alcohol abuse emerged as positive and negative risk factors contributing to aggression and psychological resilience. The findings hold practical implications for implementing interventions to strengthen resilience in order to compensate for aggressive tendencies and discourage addictive issues. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era: Second Edition)
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13 pages, 460 KiB  
Article
Health Service Protection vis-à-vis the Detection of Psychosocial Risks of Suicide during the Years 2019–2021
by Ismael Puig-Amores, Isabel Cuadrado-Gordillo and Guadalupe Martín-Mora-Parra
Healthcare 2023, 11(10), 1505; https://doi.org/10.3390/healthcare11101505 - 22 May 2023
Cited by 2 | Viewed by 954
Abstract
Health services are especially relevant in suicide prevention and intervention, representing a favourable environment in which to implement specific strategies to detect and address suicidal behaviours. Indeed, a significant proportion of people who die by suicide (DBS) present at primary care and mental [...] Read more.
Health services are especially relevant in suicide prevention and intervention, representing a favourable environment in which to implement specific strategies to detect and address suicidal behaviours. Indeed, a significant proportion of people who die by suicide (DBS) present at primary care and mental health services during the last year, month, or even days before committing suicide. The objective of this descriptive and cross-sectional study of all registered cases of death by suicide (N = 265) in Extremadura (Spain) was to determine which of those people who died by suicide had mental health problems (MHP) and what type of assistance they had requested. Diagnoses, previous suicide attempts, type of health service, and last visit before death were explored with univariate analyses and logistic regressions. The proportion of people without MHP was found to be high, and these people had hardly visited the health services at all in their last year. People with MHP, between the ages of 40 and 69, and with previous suicide attempts were more likely to have visited the mental health service in the three months prior to their death. It is, thus, necessary to provide health professionals with tools and training in the prevention of and approach to suicide. Efforts must be directed towards effectively assessing mental health and the risk of suicide since a large proportion of people who die by suicide may go unnoticed. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era: Second Edition)
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Review

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19 pages, 993 KiB  
Review
Effectiveness of Physiotherapy in Managing Symptomatology in Gambling Disorder Patients: A Systematic Review
by Pablo Carrascosa-Arteaga, Remedios López-Liria, Daniel Catalán-Matamoros and Patricia Rocamora-Pérez
Healthcare 2023, 11(14), 2055; https://doi.org/10.3390/healthcare11142055 - 18 Jul 2023
Viewed by 1091
Abstract
Although the prevalence of gambling disorder (GD) and problem gambling has remained stable in recent years, the expansion of legalized gambling is considered a public health problem leading to significant personal, familial, and social impacts. This study aims to assess the effectiveness of [...] Read more.
Although the prevalence of gambling disorder (GD) and problem gambling has remained stable in recent years, the expansion of legalized gambling is considered a public health problem leading to significant personal, familial, and social impacts. This study aims to assess the effectiveness of various physiotherapy interventions on the symptoms of patients with GD. A systematic review following PRISMA guidelines was conducted in December 2022, using descriptors related to physiotherapy and GD in ten databases. Inclusion criteria were designed to identify clinical trials published in the last decade. Eight studies were identified, with a total of 357 patients, and the main variables measured were anxiety and depression symptoms, gambling craving, and gambling desire. The interventions included aerobic exercise, relaxation techniques, and non-invasive brain stimulation. Results suggest that physiotherapy may help with GD symptoms, although more research is needed to strengthen these findings. These findings highlight the potential of physiotherapy in treating GD and provide a basis for future research to better understand the effectiveness of these interventions. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era: Second Edition)
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