Gender-affirming medical interventions and mental health in transgender adults.

2019 ◽  
Vol 6 (2) ◽  
pp. 182-193 ◽  
Author(s):  
Kevin K. Tomita ◽  
Rylan J. Testa ◽  
Kimberly F. Balsam
2018 ◽  
Vol 138 (4) ◽  
pp. 209-214 ◽  
Author(s):  
A Jensen ◽  
LO Bonde

Aims: This literature review aims to illustrate the variety and multitude of studies showing that participation in arts activities and clinical arts interventions can be beneficial for citizens with mental and physical health problems. The article is focused on mental health benefits because this is an emerging field in the Nordic countries where evidence is demanded from national health agencies that face an increasing number of citizens with poor mental health and a need for non-medical interventions and programmes. Methods: A total of 20 articles of interest were drawn from a wider literature review. Studies were identified through the search engines: Cochrane Library, Primo, Ebscohost, ProQuest, Web of Science, CINAHL, PsycINFO, PubMed and Design and Applied Arts Index. Search words included the following: arts engagement + health/hospital/recovery, arts + hospital/evidence/wellbeing, evidence-based health practice, participatory arts for wellbeing, health + poetry/literature/dance/singing/music/community arts, arts health cost-effectiveness and creative art or creative activity + health/hospital/recovery/mental health. The inclusion criteria for studies were (1) peer review and (2) empirical data. Results: The studies document that participation in activities in a spectrum from clinical arts interventions to non-clinical participatory arts programmes is beneficial and an effective way of using engagement in the arts to promote holistic approaches with health benefits. Engagement in specially designed arts activities or arts therapies can reduce physical symptoms and improve mental health issues. Conclusion: Based on the growing evidence of the arts as a tool for enhancing mental health wellbeing, and in line with the global challenges in health, we suggest that participatory arts activities and clinical arts interventions are made more widely available in health and social settings. It is well-documented that such activities can be used as non-medical interventions to promote public health and wellbeing.


2021 ◽  
Author(s):  
Vahideh MoghaddamHosseini ◽  
Neda Mahdavifar ◽  
Alexandra Makai ◽  
Katalin Varga ◽  
Annick Bogaerts ◽  
...  

Abstract Background:The evidence on long-lasting effects of certain specific aspects of birth circumstances on the maternal mental health later during pregnancy in offspring is scares. Aim: This study aimed to investigate the association between birth circumstances and prenatal maternal mental health in offspring. Method: In this retrospective survey, 380 pregnant women completed the Hungarian translation of Wijma Delivery Expectancy/Experience Questionnaire A, Beck Depression Inventory-Short Form, Beck Anxiety Inventory to measure prenatal fear of childbirth (FOC), depression, and anxiety, respectively. Information on peri and postnatal events were obtained from participants’ biological mothers through Mother’s Birth Circumstances Questionnaire. This included questions regarding mode of birth, administered medical interventions during labor, early life care, and breastfeeding during infancy. Multiple Linear regression was performed for statistical analysis.Results: After adjusting for potencial confounders, administration of Oxytocin (OT) induction during labor was significantly associated with higher levels of prenatal FOC (β= 0.14; 95% CI, 0.59, 14.70), depression (β= 0.18; 95% CI, 0.47, 2.73), and anxiety (β= 0.15; 95% CI, 0.50, 6.95). Moreover, being breast fed for more than 12 months was significantly associated with lower level of prenatal FOC in offspring (β= -0.12; 95% CI, -18.42, -1.36). Conclusion: Poor prenatal mental health might be rooted in administered OT induction as a common medical practice during labor while long duration of breast feeding can have a positive effect on improving prenatal maternal mental health in offspring. Further studies of prospective design are on demand to explore the biological trajectories of these findings in humans.


2021 ◽  
Author(s):  
Vahideh MoghaddamHosseini ◽  
Alexandra Makai ◽  
Katalin Varga ◽  
Annick Bogaerts ◽  
Ákos Várnagy

Abstract BackgroundThe evidence on long-lasting effects of certain specific aspects of birth circumstances on the maternal mental health later during pregnancy in offspring is scares.AimThis study aimed to investigate the association between birth circumstances and prenatal maternal mental health in offspring.MethodIn this retrospective survey, 380 pregnant women completed the Hungarian translation of Wijma Delivery Expectancy/Experience Questionnaire A, Beck Depression Inventory-Short Form, Beck Anxiety Inventory to measure prenatal fear of childbirth (FOC), depression, and anxiety, respectively. Information on peri and postnatal events were obtained from participants’ biological mothers through Mother’s Birth Circumstances Questionnaire. This included questions regarding mode of birth, administered medical interventions during labor, early life care, and breastfeeding during infancy. Multiple Linear regression was performed for statistical analysis.ResultsAfter adjusting for potencial confounders, administration of Oxytocin (OT) induction during labor was significantly associated with higher levels of prenatal FOC (B = 7.64; 95% CI, 0.55, 14.73), depression (B = 1.60; 95% CI, 0.47, 2.73), and anxiety (B = 3.80; 95% CI, 0.55, 6.99). Moreover, having been breastfed for more than 12 months was significantly associated with lower level of prenatal FOC in offspring (B= -10.45; 95% CI,-18.79,-2.11).ConclusionPoor prenatal mental health might be rooted in administered OT induction as a common medical practice during labor while long duration of breast feeding can have a positive effect on improving prenatal maternal mental health in offspring. Further studies of prospective design are on demand to explore the biological trajectories of these findings in humans.


2021 ◽  
Vol 4 (1) ◽  

Adaptation to stressful conditions has been considered as a cause of chronic medical disorders for many years. However, the failure of adaptation involved in the genesis of these disorders has never been connected to mental health conditions that have the same adaptation failures to stress. A failure in the type of attachment in which parents help their children adapt to fearful conditions, which involves the hippocampus and amygdala regions in the brain, might be an underlying cause for both chronic medical disorders and mental health conditions. This paper will provide evidence for the underlying continuity of these conditions, as they relate to a similar type of attachment failure, as it impedes successful adaptation to stress. To demonstrate this continuity, case material is provided on patients with both conditions who are given model treatments that resolve each sequentially, indicating that they have a common attachment-based root. The importance of treating patients’ attachment-based deficits for both their medical and mental health issues concurrently supports using alternative, holistic medical strategies and attachment-based psychotherapy, in which the therapist can experience the fear of the patient and then advocate for them to help them resolve their problems for both types of conditions. The importance of using these therapies in treating chronic medical and mental health conditions is strongly supported by this evidence. These interventions are not adjunctive to the medical treatments but are as primary as the medical interventions in developing more pervasive resolution of the conditions.


2020 ◽  
pp. 1-46
Author(s):  
N. Meltem Daysal ◽  
Marianne Simonsen ◽  
Mircea Trandafir ◽  
Sanni Breining

We investigate the effects of early-life medical treatments on the treated children and their families. We use a regression discontinuity design that exploits changes in medical treatments across the very low birth weight (VLBW) cutoff. Using administrative data from Denmark, we establish that VLBW children have better health and higher test scores. We find that these benefits spill over to other family members: mothers enjoy better mental health and siblings have higher test scores. Maternal mental health improvements seem to be driven by better focal child health, and sibling spillovers by improved interactions within the family and parental compensating behavior.


2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475


1997 ◽  
Vol 6 (5) ◽  
pp. 419-420 ◽  
Author(s):  
Jerome Carson ◽  
Leonard Fagin ◽  
Sukwinder Maal ◽  
Nicolette Devilliers ◽  
Patty O'Malley

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