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AnteayerInternacionales

Understanding staff perceptions on adolescent seclusions

Por: Vidal · C. · Reynolds · E. K.

Commentary on: Yurtbasi MK, Melvin G, Pavlou C, Gordon M. Staff perspectives on the effects of seclusion in adolescent psychiatric inpatient care. Int J Ment Health Nurs. 2023 Apr;32(2):567–578. doi: 10.1111/inm.13102. Epub 2022 Dec 15.

Implications for clinical practice and research

  • Nursing staff find adolescent seclusions necessary but also experience related guilt and self-doubt.

  • Seclusion protocols in adolescent psychiatric units should include alternatives to seclusion and debriefing processes.

  • Context

    Seclusions cause distress in patients and lead to negative outcomes, including death. Growing research demonstrates that seclusion rates vary by age, sex, race, diagnosis and personal history of adverse events.1 In fact, seclusion rates among youth are higher than among adults. While research involving staff in adult inpatient psychiatric units demonstrates that staff and patients experience negative reactions,2 more specific research is needed related to staff in adolescent inpatient units, given...

    Vigorous exercise in pragmatic settings leads to antidepressive, metabolic and cardiovascular health benefits in adult outpatients with major depression or anxiety disorders

    Por: Morres · I. D. · Metsios · G. S.

    Commentary on: Verhoeven JE, Han LKM, Lever-van Milligen BA, et al. Antidepressants or running therapy: comparing effects on mental and physical health in patients with depression and anxiety disorders. J Affect Disord 2023;329:19–29. doi: 10.1016/j.jad.2023.02.064.

    Implications for practice and research

  • Supervised outdoor running at vigorous intensity leads to antidepressant and physical health benefits in outpatients with major depression or anxiety disorders.

  • More pragmatic exercise trials for mental health outpatients with heterogeneous symptomatology are needed.

  • Context

    Exercise is associated with antidepressant effects in clinical settings but relevant research in pragmatic (real-life) settings is scarce.1–3 Hence, Verhoeven et al4 in their pragmatic trial compared the mental and physical health benefits of running therapy versus antidepressant medication.

    Methods

    Participants were physically inactive adult outpatients with a current major depression or an anxiety disorder and were treated with...

    eHealth interventions can potentially provide cost-effective and accessible support for stress-related problems in healthcare professionals

    Por: Bratt · A. · Kalmendal · A.

    Commentary on: López-Del-Hoyo Y, Fernández-Martínez S, Pérez-Aranda A, Barceló-Soler A, Bani M, Russo S, Urcola-Pardo F, Strepparava MG, García-Campayo J. Effects of eHealth interventions on stress reduction and mental health promotion in healthcare professionals: A systematic review. J Clin Nurs. 2023 Jan 26. doi: 10.1111/jocn.16634. Epub ahead of print.

    Implications for practice and research

  • eHealth interventions can potentially provide cost-effective and easily accessible support for stress-related problems, and reducing sick leave occurrences in healthcare professionals.

  • To establish the effectiveness of interventions targeting healthcare professionals, researchers should prioritise conducting additional studies with larger sample sizes in order to conduct meta-analytic synthesis for more robust and comprehensive conclusions.

  • Context

    Healthcare professionals (HCPs) encounter work-related challenges that elevate the risk of mental health issues like anxiety, depression and stress. The escalating number of sick leaves due to work-induced stress exacerbates the shortage of active HCPs. Employing digitisation...

    Improved grief and symptoms of depression in bereaved siblings: promising findings from an online intervention

    Por: Andriessen · K.

    Commentary on: Wagner B, Hofmann L, Maaß U. A therapist-supported internet-based intervention for bereaved siblings: a randomized controlled trial. Palliat Med. 2022 Dec;36(10):1532–1543. doi: 10.1177/02692163221122344. Epub 2022 Oct 20.

    Implications for practice and research

  • An online 6-weeks 12-session CBT-based writing intervention can improve grief and depression in bereaved siblings up to 1 year postintervention.

  • Further research may examine the potentially effective components and the effectiveness of the intervention in populations such as males and people bereaved by suicide.

  • Context

    Bereaved siblings have an increased risk of developing long-term health-related problems after loss. A population-wide study revealed higher risks of depression, substance use and a twofold risk of attempted suicide compared to non-bereaved siblings.1 Other research reported a 71% increase of all-cause mortality during a 37-year follow-up period.2 The risk was two-fold when the siblings died by the same cause.

    Statutory mental health services in the UK do not meet the needs of people from ethnic minority groups

    Por: Barreto · M.

    Commentary on: Bansal N, Karlsen S, Sashidharan SP, Cohen R, Chew-Graham CA, Malpass A. Understanding ethnic inequalities in mental healthcare in the UK: A meta-ethnography. PLoS Med. 2022 Dec 13;1912:e1004139. doi: 10.1371/journal.pmed.1004139.

    Implications for practice and research

  • Mental health service providers need to listen to the voices of ethnic minorities to offer services that align with their needs and experiences and reduce mental health disparities.

  • Research should evaluate the effectiveness of alternative approaches to, and co-production of, biomedical mental healthcare for specific ethnic minority groups.

  • Context

    Mental health disparities are well documented in the UK, despite free access to healthcare. Individuals from minoritised ethnic groups are more likely than white British individuals to: suffer from undiagnosed and untreated mental illness; access healthcare via crisis pathways (and less likely to access via primary care); and receive a diagnosis of severe mental illness. This is costly...

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