How do we improve men’s mental health via primary care? An evaluation of the Atlas Men’s Well-being Pilot Programme for stressed/distressed men

Cheshire, Anna; Peters, David H.; Ridge, Damien

doi:10.1186/s12875-016-0410-6

Cited by 16 publications

(11 citation statements)

References 54 publications

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“…Men with chronic disease may also have less coping ability because they do not seek help as often as women do. 65 Given the high prevalence of mental disorders such as depression in patients with CKD, 66 addressing mental health issues may be very important for enhancing patient activation and outcomes.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study

Zimbudzi

Ranasinha

et al. 2017

BMJ Open

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ObjectiveTo evaluate the extent of patient activation and factors associated with activation in adults with comorbid diabetes and chronic kidney disease (CKD).DesignA cross-sectional study.SettingRenal/diabetes clinics of four tertiary hospitals across the two largest states of Australia.Study populationAdult patients (over 18 years) with comorbid diabetes and CKD (estimated glomerular filtration rate <60 mL/min/1.73 m2).Main outcome measuresPatients completed the Patient Activation Measure, the Kidney Disease Quality of Life and demographic and clinical data survey from January to December 2014. Factors associated with patient activation were examined using χ2 or t-tests and linear regression.ResultsThree hundred and five patients with median age of 68 (IQR 14.8) years were studied. They were evenly distributed across socioeconomic groups, stage of kidney disease and duration of diabetes but not gender. Approximately 46% reported low activation. In patients with low activation, the symptom/problem list, burden of kidney disease subscale and mental composite subscale scores were all significantly lower (all p<0.05). On multivariable analysis, factors associated with lower activation for all patients were older age, worse self-reported health in the burden of kidney disease subscale and lower self-care scores. Additionally, in men, worse self-reported health in the mental composite subscale was associated with lower activation and in women, worse self-reported health scores in the symptom problem list and greater renal impairment were associated with lower activation.ConclusionFindings from this study suggest that levels of activation are low in patients with diabetes and CKD. Older age and worse self-reported health were associated with lower activation. This data may serve as the basis for the development of interventions needed to enhance activation and outcomes for patients with diabetes and CKD.

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Section: Discussionmentioning

confidence: 99%

Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study

Zimbudzi

Ranasinha

et al. 2017

BMJ Open

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“…Moreover, symptoms of depression for men are often expressed through somatic symptoms like fatigue or sleep problems [8][9][10][11][12][13][14][15], for which people commonly show up in general practice.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences to the Contextual Factors Questionnaire and Implications for General Practice

Pelletier¹

2017

J Gen Pract

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The purpose of this study was to contribute to the revision of the International Classification of Diseases (ICD-10) by exploring how mental health service users and their relatives conceive the influence of the contextual factors, as described in Chap. 21 of the ICD-10, on a) the onset of a mental or behavioral disorder; b) the resurgence of such a disorder; and c) the recovery process. In individual interviews, the 18 main categories of contextual factors proposed by the ICD-11 (beta draft) were discussed through the Contextual Factors Questionnaire (CFQ) by 28 participants who completed the CFQ individually. This paper presents the results from a t-test that was performed on the data set to assess whether the means for two groups who completed the CFQ were statistically different from each other (p≤ 0.05). On one hand, we found significant differences between users and family members for A) Housing or the environment (p=0.01), and B) Personal finances (p=0.04); and for C) Water or nutrition (p=0.05) between male and female participants, on the other hand. In light of the fact that Social or cultural environments were considered to be the most influential of all 18 contextual factors by all aggregated participants, this suggests that male-female differences are related to social norms concerning gender, rather than discrete biological sex categories.

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“…Brief psychological interventions have been shown to be effective in the prevention of suicide [ 42 , 43 ]. While some have reported promising findings, such as the Atlas wellbeing pilot, which reported positive improvements in psychological wellbeing including anxious mood and stress [ 44 ], there remains a paucity of evaluative studies. Subsequently, a knowledge gap exists between what researchers and practitioners know reliably works in suicide prevention interventions for men in a community setting.…”

Section: Introductionmentioning

confidence: 99%

A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis

Saini

Chopra

Hanlon

et al. 2021

IJERPH

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Due to the continuing high suicide rates among young men, there is a need to understand help-seeking behaviour and engagement with tailored suicide prevention interventions. The aim of this study was to compare help-seeking among younger and older men who attended a therapeutic centre for men in a suicidal crisis. In this case series study, data were collected from 546 men who were referred into a community-based therapeutic service in North West England. Of the 546 men, 337 (52%) received therapy; 161 (48%) were aged between 18 and 30 years (mean age 24 years, SD = 3.4). Analyses included baseline differences, symptom trajectories for the CORE-34 Clinical Outcome Measure (CORE-OM), and engagement with the therapy. For the CORE-OM, there was a clinically significant reduction in mean scores between assessment and discharge (p < 0.001) for both younger and older men. At initial assessment, younger men were less affected by entrapment (46% vs. 62%; p = 0.02), defeat (33% vs. 52%; p = 0.01), not engaging in new goals (38% vs. 47%; p = 0.02), and positive attitudes towards suicide (14% vs. 18%; p = 0.001) than older men. At discharge assessment, older men were significantly more likely to have an absence of positive future thinking (15% vs. 8%; p = 0.03), have less social support (45% vs. 33%; p = 0.02), and feelings of entrapment (17% vs. 14%; p = 0.02) than younger men. Future research needs to assess the long-term effects of help-seeking using a brief psychological intervention for young men in order to understand whether the effects of the therapy are sustainable over a period of time following discharge from the service.

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How do we improve men’s mental health via primary care? An evaluation of the Atlas Men’s Well-being Pilot Programme for stressed/distressed men

Cited by 16 publications

References 54 publications

Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study

Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study

Gender Differences to the Contextual Factors Questionnaire and Implications for General Practice

A Case Series Study of Help-Seeking among Younger and Older Men in Suicidal Crisis

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