Primary Mental Health Care in a New Era

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 January 2023) | Viewed by 42795

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Special Issue Editors

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
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 facts and 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: 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. Still, for COVID-19 patients, we do not know much about their psychosocial and mental health needs, and whether or how they can get help in primary mental health care. We need to review the mental health needs in the community population considering 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 population. We will gladly review studies that address the restructuring of primary mental health care systems to better address today’s multiple challenges.

Dr. Athanassios Tselebis
Dr. Argyro Pachi
Guest Editors

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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 (13 papers)

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Editorial

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4 pages, 205 KiB  
Editorial
Primary Mental Health Care in a New Era
by Athanasios Tselebis and Argyro Pachi
Healthcare 2022, 10(10), 2025; https://doi.org/10.3390/healthcare10102025 - 14 Oct 2022
Cited by 7 | Viewed by 1787
Abstract
Clinical experience and scientific studies highlight the pivotal role that primary health care services have and should have as a gateway to the health care system and as a first point of contact for patients with mental disorders, particularly—but not exclusively—for patients with [...] Read more.
Clinical experience and scientific studies highlight the pivotal role that primary health care services have and should have as a gateway to the health care system and as a first point of contact for patients with mental disorders, particularly—but not exclusively—for patients with a disorder in the spectrum of common mental disorders [...] Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)

Research

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13 pages, 1052 KiB  
Article
Effectiveness of an Educational Filmmaking Project in Promoting the Psychological Well-Being of Adolescents with Emotive/Behavioural Problems
by Antonella Gagliano, Carola Costanza, Marzia Bazzoni, Ludovica Falcioni, Micaela Rizzi, Costanza Scaffidi Abbate, Luigi Vetri, Michele Roccella, Massimo Guglielmi, Filippo Livio, Massimo Ingrassia and Loredana Benedetto
Healthcare 2023, 11(12), 1695; https://doi.org/10.3390/healthcare11121695 - 09 Jun 2023
Viewed by 967
Abstract
Evidence suggests that adolescents respond positively to simple, early interventions, including psychosocial support and educational interventions, even when offered in non-clinical settings. Cinematherapy can help manage life challenges, develop new skills, increase awareness, and offer new ways of thinking about specific problems. This [...] Read more.
Evidence suggests that adolescents respond positively to simple, early interventions, including psychosocial support and educational interventions, even when offered in non-clinical settings. Cinematherapy can help manage life challenges, develop new skills, increase awareness, and offer new ways of thinking about specific problems. This pilot trial was conducted in Italy, aiming to investigate the effects of a six-week filmmaking course on the psychological well-being of adolescents (N = 52) with emotional/behavioural problems and neurodevelopmental disorders. At the end of the project, most participants showed improvements mostly in social skills, such as social cognition (p = 0.049), communication (p = 0.009), and motivation (p = 0.03), detected using the SRS Social Responsiveness Scale. In addition, social awareness (p = 0.001) increased in all patients. Statistically significant differences resulted in four sub-scales of Youth Self-Report Scale: withdrawn/depressed (p = 0.007), social problems (p = 0.003), thought problems (p < 0.001), and rule-breaking behaviour (p = 0.03); these results showed a decrease in emotional and behavioural problems. This study is an innovative therapeutic and educational approach based on the filmmaking art. This research can offer an empirical basis for the effectiveness of alternative therapeutic tools in child and adolescent psychiatric disorders. At the same time, it can be replicated in broader contexts (e.g., school and communities) to promote children’s psychological well-being. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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15 pages, 294 KiB  
Article
Stressed, Lonely, and Overcommitted: Predictors of Lawyer Suicide Risk
by Patrick R. Krill, Hannah M. Thomas, Meaghyn R. Kramer, Nikki Degeneffe and Justin J. Anker
Healthcare 2023, 11(4), 536; https://doi.org/10.3390/healthcare11040536 - 11 Feb 2023
Cited by 1 | Viewed by 10037
Abstract
Suicide is a significant public health concern, and lawyers have been shown to have an elevated risk for contemplating it. In this study, we sought to identify predictors of suicidal ideation in a sample consisting of 1962 randomly selected lawyers. Using logistic regression [...] Read more.
Suicide is a significant public health concern, and lawyers have been shown to have an elevated risk for contemplating it. In this study, we sought to identify predictors of suicidal ideation in a sample consisting of 1962 randomly selected lawyers. Using logistic regression analysis, we found that high levels of work overcommitment, high levels of perceived stress, loneliness as measured by the UCLA loneliness scale, and being male were all significantly associated with an increased risk of suicidal ideation. These results suggest that interventions aimed at reducing work overcommitment, stress, and loneliness, and addressing gender-specific risk factors, may be effective in reducing the risk of suicidal ideation among lawyers. Further research is needed to expand upon these findings and to develop and test interventions specifically tailored to the needs of this population. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
13 pages, 988 KiB  
Article
The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis
by Christos Sikaras, Sofia Zyga, Maria Tsironi, Athanasios Tselebis, Argyro Pachi, Ioannis Ilias and Aspasia Panagiotou
Healthcare 2023, 11(3), 367; https://doi.org/10.3390/healthcare11030367 - 28 Jan 2023
Cited by 6 | Viewed by 2216
Abstract
The coronavirus pandemic (COVID-19) is a global health crisis with a particular emotional and physical impact on health professionals, especially nurses. The aim of this study was to investigate the prevalence of anxiety, depression and fatigue and their possible relationships among nurses during [...] Read more.
The coronavirus pandemic (COVID-19) is a global health crisis with a particular emotional and physical impact on health professionals, especially nurses. The aim of this study was to investigate the prevalence of anxiety, depression and fatigue and their possible relationships among nurses during the pandemic. The study population consisted of nurses from five tertiary-level public hospitals in Athens who completed the Fatigue Assessment Scale (FAS), Beck Depression Inventory (BDI) and State–Trait Anxiety Inventory (STAI) questionnaires. Gender, age and years of work experience were recorded. The study was conducted from mid-November to mid-December 2021. The sample included 404 nurses (69 males and 335 females) with a mean age of 42.88 years (SD = 10.90) and 17.96 (SD = 12.00) years of work experience. Symptoms of fatigue were noted in 60.4% of participants, while 39.7% had symptoms of depression, 60.1% had abnormal scores on state anxiety and 46.8% on trait anxiety, with females showing higher scores on all scales (p < 0.05). High positive correlations (p < 0.01) were found between the FAS, BDI, State Anxiety and Trait Anxiety scales. Regression analysis showed that 51.7% of the variance in FAS scores can be explained by trait anxiety, an additional 6.2% by the BDI and 1.2% by state anxiety. Mediation analysis showed that state anxiety and BDI mediate the relationship between trait anxiety and FAS. Finally, BDI was found to exert a moderating role in the relationship between trait anxiety and fatigue. In conclusion, our study showed that nurses continue to experience high rates of anxiety, depression and fatigue. The variation in fatigue appears to be significantly dependent on trait anxiety. Depressive symptomatology and state anxiety exert a parallel positive mediation on the relationship between trait anxiety and fatigue, with depression exhibiting a moderating role in this relationship. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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7 pages, 287 KiB  
Article
Impact of Multiple Sclerosis and Its Association with Depression: An Analytical Case-Control Investigation
by Francisco Javier Ruiz-Sánchez, Maria do Rosário Martins, Salete Soares, Carlos Romero-Morales, Daniel López-López, Juan Gómez-Salgado and Ana María Jiménez-Cebrián
Healthcare 2022, 10(11), 2218; https://doi.org/10.3390/healthcare10112218 - 04 Nov 2022
Viewed by 1291
Abstract
Multiple sclerosis (MS) is a neurological, chronic, inflammatory, and progressive disease with musculoskeletal problems and neurodegenerative disorders that causes worsening of the health status of patients. The aim of this study was to determine the level of depression in MS patients compared to [...] Read more.
Multiple sclerosis (MS) is a neurological, chronic, inflammatory, and progressive disease with musculoskeletal problems and neurodegenerative disorders that causes worsening of the health status of patients. The aim of this study was to determine the level of depression in MS patients compared to a population of healthy subjects. The established sample size was 116 subjects matched with the same age, sex, and body mass index. The subjects were recruited from different multiple sclerosis associations and neurology clinics in different public health areas (case group n = 58) and healthy subjects from the same locality (control group n = 58). The scores and categories of the Beck Depression Inventory (BDI) in its Spanish version were collected. There was a clear statistically significant difference (p < 0.05) in the BDI scores between both groups. As a result, we found that the subjects with MS presented worse results with BDI = 9.52 ± 7.70 points compared to the healthy subjects with a BDI score = 5.03 ± 5.14. Within the BDI categories, there were statistically significant differences (p < 0.001), which were greater for the MS group. Depression is a dangerous factor for MS patients, being a trigger for a poorer quality of life. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
13 pages, 714 KiB  
Article
Association between Alexithymia and Depression among King Khalid University Medical Students: An Analytical Cross-Sectional Study
by Mohammed Ahmed Aleisa, Naif Saud Abdullah, Amar Abdullah A. Alqahtani, Jaber Ahmed J Aleisa, Mohammed R. Algethami and Najim Z. Alshahrani
Healthcare 2022, 10(9), 1703; https://doi.org/10.3390/healthcare10091703 - 06 Sep 2022
Cited by 4 | Viewed by 1977
Abstract
Alexithymia is a condition in which a person is unable to explain his/her emotions, bodily sensations, or discuss sentiments. This study aims to determine the prevalence of alexithymia and its relationships with socio-demographics and depression among medical students. A cross-sectional survey was conducted [...] Read more.
Alexithymia is a condition in which a person is unable to explain his/her emotions, bodily sensations, or discuss sentiments. This study aims to determine the prevalence of alexithymia and its relationships with socio-demographics and depression among medical students. A cross-sectional survey was conducted among medical students at King Khalid University (KKU), Saudi Arabia. A stratified random sampling technique was utilized for data collection using the Toronto Alexithymia Scale (TAS-20) and the Patient Health Questionnaire-9 (PHQ-9). A multiple logistic regression model was used to identify the factors associated with alexithymia. A total of 333 students participated in this study, almost two-thirds (64.6%) were from clinical years, and 51.4% were females. The prevalence of alexithymia and depression was 47.4% and 88.9%, respectively. Regression analysis showed females had a doubled risk (OR = 2.09), and students with high-income status showed less probability of having alexithymia (OR = 0.39), whereas people with chronic health problems showed a doubled risk for alexithymia (OR = 2.04). Moreover, depression was significantly associated with alexithymia (OR = 1.91). Our study revealed that the prevalence of alexithymia was high along with depression among studied samples. This raises attention towards finding measures to reduce it for the better performance of students and to avoid psychological problems in the future. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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9 pages, 284 KiB  
Article
Depression Associated with Caregiver Quality of Life in Post-COVID-19 Patients in Two Regions of Peru
by Janett V. Chávez Sosa, Flor M. Mego Gonzales, Zoila E. Aliaga Ramirez, Mayela Cajachagua Castro and Salomón Huancahuire-Vega
Healthcare 2022, 10(7), 1219; https://doi.org/10.3390/healthcare10071219 - 29 Jun 2022
Cited by 8 | Viewed by 1614
Abstract
Due to COVID-19, the workload experienced by caregivers has increased markedly which has led them to experience fatigue, anxiety and depression. This study aims to determine the relationship between quality of life and depression in caregivers of post-COVID-19 patients in two regions of [...] Read more.
Due to COVID-19, the workload experienced by caregivers has increased markedly which has led them to experience fatigue, anxiety and depression. This study aims to determine the relationship between quality of life and depression in caregivers of post-COVID-19 patients in two regions of Peru. In a cross-sectional analytical study, the sample was non-probabilistic and by snowball, and consisted of 730 caregivers, to whom the questionnaires “Modified Betty Ferell Quality of Life” and the “Beck Depression Inventory” were applied. It was determined that being a male caregiver (OR: 2.119; 95% CI: 1.332–3.369) was associated with a good quality of life. On the other hand, caregivers who had children (OR: 0.391; 95% CI: 0.227–0.675), were vaccinated against COVID-19 (OR: 0.432; 95% CI: 0.250–0.744), were immediate family members (OR: 0.298; 95% CI: 0.117–0.761) and had high depression (OR: 0.189; 95% CI: 0.073–0.490) were associated with poor quality of life. The results of this study allow us to conclude the association between depression and poor quality of life in caregivers of these patients so it is necessary to monitor the mental health of caregivers, and to develop adaptation strategies to pandemic conditions. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
23 pages, 1216 KiB  
Article
Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
by Argyro Pachi, Athanasios Tselebis, Ioannis Ilias, Effrosyni Tsomaka, Styliani Maria Papageorgiou, Spyros Baras, Evgenia Kavouria and Konstantinos Giotakis
Healthcare 2022, 10(6), 1078; https://doi.org/10.3390/healthcare10061078 - 10 Jun 2022
Cited by 6 | Viewed by 2313
Abstract
Schizophrenia elevates the risk for aggressive behavior, and there is a need to better understand the associated variables predicting aggression for treatment and prevention purposes. The aim of the present study is to determine the relationship between alexithymia, sense of coherence and aggressive [...] Read more.
Schizophrenia elevates the risk for aggressive behavior, and there is a need to better understand the associated variables predicting aggression for treatment and prevention purposes. The aim of the present study is to determine the relationship between alexithymia, sense of coherence and aggressive behavior in a sample of schizophrenic outpatients. Using a correlational research design, standardized self-report questionnaires assessed aggression (brief aggression questionnaire—BAQ), alexithymia (Toronto Alexithymia Scale—TAS) and sense of coherence (sense of coherence questionnaire—SOC) in a sample of 100 schizophrenic outpatients in clinical remission. Participants reported high levels of aggression and alexithymia along with reduced sense of coherence. Significant negative correlations were evidenced among scores on the SOC scale (p < 0.001) with both the TAS as well as with the BAQ scales. However, a positive correlation (p < 0.001) was observed between the TAS and BAQ scales. Regression indicated that 27% of the variation in the BAQ rating was explained by the TAS, while an additional 17.8% was explained by the sense of coherence. The difficulty identifying feelings of alexithymia and the comprehensibility and manageability components of sense of coherence significantly predicted anger, hostility and physical aggression. Sense of coherence mediated the relationship between alexithymia and aggression. From the path analysis, comprehensibility emerged as the key factor counterbalancing alexithymic traits and aggressive behaviors, and manageability effectuated higher anger control. The findings hold practical implications for the treatment and rehabilitation of schizophrenic patients. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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10 pages, 267 KiB  
Article
Association of Depression, Anxiety, Stress and Stress-Coping Strategies with Somatization and Number of Diseases According to Sex in the Mexican General Population
by Aniel Jessica Leticia Brambila-Tapia, Fabiola Macías-Espinoza, Yesica Arlae Reyes-Domínguez, María Luisa Ramírez-García, Aris Judit Miranda-Lavastida, Blanca Estela Ríos-González, Ana Miriam Saldaña-Cruz, Yussef Esparza-Guerrero, Francisco Fabián Mora-Moreno and Ingrid Patricia Dávalos-Rodríguez
Healthcare 2022, 10(6), 1048; https://doi.org/10.3390/healthcare10061048 - 05 Jun 2022
Cited by 5 | Viewed by 1605
Abstract
Somatization and number of diseases are interrelated variables, whose association with stress-coping strategies, according to sex, has not been investigated. Therefore, the aim of this study was to investigate such association in a sample of the Mexican general population. The general population was [...] Read more.
Somatization and number of diseases are interrelated variables, whose association with stress-coping strategies, according to sex, has not been investigated. Therefore, the aim of this study was to investigate such association in a sample of the Mexican general population. The general population was invited to answer an electronic questionnaire via the social networks—e-mail, WhatsApp and Facebook—by the research team. A sample of 1008 adults was obtained, of which 62.2% were women, in whom we detected higher levels of negative psychological variables, somatization and number of diseases and lower levels of sleep quality. Positive moderate correlations were found between depresion, anxiety and stress with somatization, on one hand, and with the number of diseases, on the other, and negative moderate correlations were found between sleep quality and the two dependent variables. As for the coping strategies, self-blame, behavioral disengagement, denial, self-distraction and substance use were positively correlated with somatization. Of these, self-blame, substance use, and self-distraction also showed a positive correlation with number of diseases in both sexes. Negative correlations were detected for active coping and the two dependent variables in men and for religion and planning with somatization in women. In conclusion, the coping strategies showed significant correlations with somatization and number of diseases in both sexes. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
12 pages, 564 KiB  
Article
Adaptation of the Highly Sensitive Person Scale (HSP) and Psychometric Properties of Reduced Versions of the Highly Sensitive Person Scale (R-HSP Scale) in Spanish Nursing Students
by Alicia Ponce-Valencia, Diana Jiménez-Rodríguez, Agustín Javier Simonelli-Muñoz, Juana Inés Gallego-Gómez, Gracia Castro-Luna and Paloma Echevarría Pérez
Healthcare 2022, 10(5), 932; https://doi.org/10.3390/healthcare10050932 - 18 May 2022
Cited by 2 | Viewed by 2442
Abstract
Sensory processing sensitivity (SPS) can be defined as a personality characteristic that includes the individual characteristics of sensitivity towards endogenous and exogenous stimuli. The differences in environmental sensitivity can play a crucial role in the academic context of health professionals, thus defining it [...] Read more.
Sensory processing sensitivity (SPS) can be defined as a personality characteristic that includes the individual characteristics of sensitivity towards endogenous and exogenous stimuli. The differences in environmental sensitivity can play a crucial role in the academic context of health professionals, thus defining it as an area of research that must be addressed. The reduced scale for highly sensitive people (HSP) is a short (16 items) and adapted version of the original scale for highly sensitive people (HSP). This study aims to analyze the psychometric properties of reduced versions of the Highly Sensitive Person Scale (r-HSP Scale) in Spanish nursing students. Once the questionnaire was translated, its psychometric characteristics were analyzed. The Spanish version of the r-HSP scale was administered to 284 university students enrolled in the Nursing Degree. The results from the factorial analysis confirmed the structure of sensitiveness of six factors in our sample. This structure included the following dimensions: (1) Instability, (2) Surroundings, (3) Interaction with others, (4) Sensoperception, (5) Sensitivity, and (6) Insecurity. Additionally, the Cronbach’s α values indicated that the Spanish version of the r-HSP scale had an adequate reliability (α = 0.702). The r-HSP scale is defined as a reliable, valid, and agile replica of the original structure of sensitivity in Spanish university students. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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15 pages, 262 KiB  
Article
Mental Health Nurses’ Tacit Knowledge of Strategies for Improving Medication Adherence for Schizophrenia: A Qualitative Study
by Yao-Yu Lin, Wen-Jiuan Yen, Wen-Li Hou, Wei-Chou Liao and Mei-Ling Lin
Healthcare 2022, 10(3), 492; https://doi.org/10.3390/healthcare10030492 - 07 Mar 2022
Cited by 9 | Viewed by 7682
Abstract
Non-adherence to medication among patients with schizophrenia is an important clinical issue with very complex reasons. Since medication administration is an essential nursing responsibility, improving strategies for patient medication compliance must be fully understood. This study aimed to explore the strategies mental health [...] Read more.
Non-adherence to medication among patients with schizophrenia is an important clinical issue with very complex reasons. Since medication administration is an essential nursing responsibility, improving strategies for patient medication compliance must be fully understood. This study aimed to explore the strategies mental health nurses (MHNs) implement in clinically improving patients with schizophrenia and to describe the nurses’ tacit knowledge of application strategies. A qualitative study with purposeful sampling was used. Twenty-five experienced MHNs in a psychiatric hospital in central Taiwan were given an in-depth interview. The texts were content-analyzed using NVivo 12 Pro software. MHNs promote medication adherence among patients with schizophrenia using the following strategies: establishing a conversational relationship, overall assessment of non-adherence to medication, understanding the disease and adjusting the concept of medication, incorporating interpersonal connection feedback, and building supportive resources. This study explored the strategies of MHNs that incorporated knowledge in managing treatment adherence in patients with schizophrenia. The findings add knowledge to clinical nursing practice about medication adherence among patients with schizophrenia. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
11 pages, 749 KiB  
Article
Burnout, Depression and Sense of Coherence in Nurses during the Pandemic Crisis
by Argyro Pachi, Christos Sikaras, Ioannis Ilias, Aspasia Panagiotou, Sofia Zyga, Maria Tsironi, Spyros Baras, Lydia Aliki Tsitrouli and Athanasios Tselebis
Healthcare 2022, 10(1), 134; https://doi.org/10.3390/healthcare10010134 - 10 Jan 2022
Cited by 22 | Viewed by 3936
Abstract
During the COVID-19 pandemic, the risk to nurses’ mental health has increased rapidly. The aim of the study was to investigate the prevalence of depression and burnout and to evaluate their possible association with the sense of coherence in nursing staff during the [...] Read more.
During the COVID-19 pandemic, the risk to nurses’ mental health has increased rapidly. The aim of the study was to investigate the prevalence of depression and burnout and to evaluate their possible association with the sense of coherence in nursing staff during the pandemic crisis. The Copenhagen Burnout Inventory questionnaire, Beck’s Depression Inventory, and the Sense of Coherence questionnaire were completed by 101 male and 559 female nurses. Individual and demographic data were recorded. Regarding depression, 25.5% of respondents exhibited mild depression, 13.5% moderate depression and 7.6% severe depression. In the burnout scale, 47.1% had a pathological value. Female nurses had higher burnout (t test p < 0.01, 49.03 vs. 38.74) and depression (t test p < 0.01, 11.29 vs. 6.93) scores compared to men and lower levels in the sense of coherence (p < 0.05, 59.45 vs. 65.13). Regression evidenced that 43.7% of the variation in the BDI rating was explained by the CBI, while an additional 8.3% was explained by the sense of coherence. Mediation analysis indicated a partial mediation of burnout in the correlation between sense of coherence and depression. The sense of coherence acted as a negative regulator between burnout and depression. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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Other

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18 pages, 1389 KiB  
Systematic Review
Prospect Theory: A Bibliometric and Systematic Review in the Categories of Psychology in Web of Science
by Júlia Gisbert-Pérez, Manuel Martí-Vilar and Francisco González-Sala
Healthcare 2022, 10(10), 2098; https://doi.org/10.3390/healthcare10102098 - 20 Oct 2022
Cited by 2 | Viewed by 2578
Abstract
Prospect Theory (PT) is an alternative, dynamic explanation of the phenomenon of risky decision making. This research presents an overview of PT’s history in health fields, including advancements, limitations, and bibliometric data. A systematic and bibliometric review of the scientific literature included in [...] Read more.
Prospect Theory (PT) is an alternative, dynamic explanation of the phenomenon of risky decision making. This research presents an overview of PT’s history in health fields, including advancements, limitations, and bibliometric data. A systematic and bibliometric review of the scientific literature included in the psychological categories of Web of Science (WoS) was performed following the PRISMA 2020 statement for systematic reviews. A total of 37 studies (10 non-empirical and 27 empirical) were included in the sample. Bibliometric results showed thematic variability and heterogeneity regarding the production, researchers, and methodologies that are used to study PT. The systematic results highlight three main fields of PT research: preventive and screening behaviors, promotion of healthy habits, and COVID-related decision making. Personal and contextual factors which alter the usual pattern specified by PT are also described. To conclude, PT currently has an interdisciplinary character suitable for health promotion, with recent studies broadening its applicability. Full article
(This article belongs to the Special Issue Primary Mental Health Care in a New Era)
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