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Clinical pharmacy services in mental health in Europe : a commentary paper of the European Society of Clinical Pharmacy Special Interest Group on Mental Health
Matej Štuhec, Martina Hahn, I. Taskova, I. Bayraktar, I. Fitzgerald, L. Molitschnig, A. Tatarević, N. Lindner, L. Agnoletto, Filipa Alves da Costa, 2023, review article

Abstract: A large proportion of the world's disease burden is attributable to mental illnesses. Although effective interventions are available, many patients still have limited access to evidence-based treatments. Aside from access, treatment gaps, including inappropriate medication selection and monitoring, are also routinely recognised. Mental health clinical pharmacists can help address these gaps and enable patients to receive optimised pharmaceutical care, particularly appropriate medication selection and monitoring. The European Society of Clinical Pharmacy (ESCP) Special Interest Group on Mental Health was established to improve standardised service provision in mental health settings across Europe. The Special Interest Group identified significant barriers (predominantly associated with reimbursement and position within the multidisciplinary team) to effective pharmaceutical care amongst those with mental illnesses. This commentary presents recommendations to address these gaps through improved mental health clinical pharmacy service provision.
Keywords: clinical pharmacist interventions, clinical pharmacy in mental health, European society of clinical pharmacy, mental illnesses and pharmacy, pharmaceutical services in mental health, polypharmacy and clinical pharmacy, psychotropics and clinical pharmacy
Published in DKUM: 15.04.2024; Views: 44; Downloads: 2
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Overview of this issue: "clinical pharmacy impacting mental health delivery and outcomes"
Martina Hahn, Matej Štuhec, Filipa Alves da Costa, 2023, preface, editorial, afterword

Keywords: clinical pharmacy, mental health care
Published in DKUM: 15.04.2024; Views: 35; Downloads: 2
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Depressive symptoms among Slovenian female tertiary students before and during the COVID-19 pandemic : analysis of two repeated cross-sectional surveys in 2020 and 2021
Andrej Kirbiš, 2023, original scientific article

Abstract: The COVID-19 pandemic has adversely affected the mental health of the general population. This holds true especially for vulnerable groups, including young people, students, and females. Our study examined cross-sectional changes in depressive symptoms from immediately before the COVID-19 pandemic (January/February 2020) to the second wave of the epidemic in Slovenia (January/February 2021) among female tertiary students. A multivariate analysis of two repeated cross-sectional surveys was performed using relatively homogeneous samples. The pooled sample included 418 young adult female students (Mage = 21.21 years). Depressed affect items were used to measure depressive symptomatology. All three feelings indicating depressed affect increased substantially and significantly from 2020 to 2021: feeling depressed (23% vs. 38%), lonely (16% vs. 43%), and sad (21% vs. 49%). In 2021, female students had almost a three-fold increase in the odds of reporting at least two out of three depressed affect symptoms compared to 2020 (19% vs. 43%; aOR 2.97; 95% CI 1.59–5.54; p < 0.001), adjusted for sociodemographic and socioeconomic confounders. Our findings suggest that Slovenian female students’ mental health deteriorated during the first year of the COVID-19 pandemic. Public health professionals’ efforts to combat the pandemic’s mental health-related negative short-term and potential long-term impacts should thus focus on young people, especially on younger female students.
Keywords: depressive symptoms, depressed affect, students, covid-19, mental health, pandemic
Published in DKUM: 09.04.2024; Views: 70; Downloads: 2
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Scoping review on the multimodal classification of depression and experimental study on existing multimodal models
Umut Arioz, Urška Smrke, Nejc Plohl, Izidor Mlakar, 2022, review article

Abstract: Depression is a prevalent comorbidity in patients with severe physical disorders, such as cancer, stroke, and coronary diseases. Although it can significantly impact the course of the primary disease, the signs of depression are often underestimated and overlooked. The aim of this paper was to review algorithms for the automatic, uniform, and multimodal classification of signs of depression from human conversations and to evaluate their accuracy. For the scoping review, the PRISMA guidelines for scoping reviews were followed. In the scoping review, the search yielded 1095 papers, out of which 20 papers (8.26%) included more than two modalities, and 3 of those papers provided codes. Within the scope of this review, supported vector machine (SVM), random forest (RF), and long short-term memory network (LSTM; with gated and non-gated recurrent units) models, as well as different combinations of features, were identified as the most widely researched techniques. We tested the models using the DAIC-WOZ dataset (original training dataset) and using the SymptomMedia dataset to further assess their reliability and dependency on the nature of the training datasets. The best performance was obtained by the LSTM with gated recurrent units (F1-score of 0.64 for the DAIC-WOZ dataset). However, with a drop to an F1-score of 0.56 for the SymptomMedia dataset, the method also appears to be the most data-dependent.
Keywords: multimodal depression classification, scoping review, real-world data, mental health
Published in DKUM: 11.08.2023; Views: 393; Downloads: 39
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Nursing support in facilitating mental well-being of adolescents
Leona Cilar Budler, 2022, doctoral dissertation

Abstract: Background: Mental well-being is a state in which an individual acts positively, feels good, copes with the daily stressors and contributes to his/her community. Adolescents are a population who experience the various stressors brought on by growing up. The purpose of the doctoral dissertation is to determine the mental well-being of adolescents in correlation with the support of family, friends, teachers, and nurses. Methods: The research was based on the paradigm of pragmatism which supports the usage of quantitative and qualitative approaches using mixed methods. The quantitative part of the research included 2 972 adolescents. The survey method was used, descriptive and inferential statistics and presentation of the results were done with the help of tables, charts and figures. In the qualitative part of the research, data were collected using the interview method. Interviews were conducted with 5 focus groups involving 16 adolescents, 8 parents, 6 teachers, 3 legislators, and 6 nurses. The data were analysed following the steps of Corbin & Strauss (2008). Results: The mental well-being of adolescents is positively related (r = 0.624) to their social support. The mental well-being (r = -0.286) and social support (r = -0.239) of adolescents declines with age. Adolescents are of the opinion that the role of the nurse is to talk to them, help them, advise them, and explain difficulties that bother them. The mental well-being of adolescents is related to their interaction and interpersonal relations with parents, friends, and teachers. In ensuring the mental well-being of adolescents, we must consider the model multidimensional well-being. The Model of Interpersonal Relationships is proposed, which is formed based on the results of quantitative and qualitative part of the research and taking into account the concepts of the Theory of Interpersonal Relationships (Peplau, 1952) and the model of Multidimensional Well-being (Sarriera & Bedin, 2017). Discussion: Mental well-being is an important and relatively new concept in nursing. Adolescents’ mental well-being is closely linked to interpersonal relationships and a safe environment in which they can express themselves. Adolescents and parents do not obtain the necessary professional help in a timely manner. There is also a need for additional education on the mental well-being of adolescents among adolescents, parents, teachers, and nurses. Conclusion: Interpersonal relationships between adolescents, family, friends, teachers, and nurses are of major importance for ensuring mental well-being. There is a need for further research to improve the mental well-being of adolescents worldwide.
Keywords: youth, mental health, quality of life, social support, nursing
Published in DKUM: 12.09.2022; Views: 697; Downloads: 209
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Safety issues in psychiatric settings
Tinkara Pavšič Mrevlje, Peter Umek, 2011, review article

Abstract: Purpose: The purpose of the paper is to establish if mental health workers (nurses, doctors, clinical psychologists) in Slovene psychiatric settings perceive their work as potentially dangerous and which factors contribute mostly to these mindsets. On the basis of gained data recommendations for safety improvement are suggested. Design/Methods/Approach: Review of three studies conducted in different psychiatric settings in Slovenia. Findings: Just a few mental health workers perceive their work as dangerous. Among those that are most frequently victims of violent behaviour are male and female nurses, especially under circumstances of involuntary admission, involuntary pharmacological treatment and when special security measures are applied. Participants think that workers would need more self defence trainings, additional competent medical staff (foremost male nurses), communication trainings and better cooperation in their working teams. Moreover, those hurt in such incidents should get more systematic help. Sometimes security personnel also intervene, however, they are not qualified for such interventions and special trainings should be provided. Research limitations/implications: Our findings have a limited value because the studies have been performed in the course of different years, different questionnaires were applied and participants also differed (their profession, working tasks, demographic data etc.). Practical implications: Our findings can be used by psychiatric hospital management to plan trainings for mental health workers and organize them according to personnel’s necessities. Results also imply the necessity to train security personnel. Originality/Value: In the past merely analyses of incident reports were made on this topic. However, this paper sheds some light on perceptions and experiences of mental health workers directly exposed to patients’ violent behaviour.
Keywords: psychiatric setting, violent behaviour, mental health workers, safety, security personn
Published in DKUM: 11.05.2020; Views: 1054; Downloads: 69
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Correlates of depression in the slovenian working population
Zalika Klemenc-Ketiš, Borut Peterlin, 2013, original scientific article

Abstract: This multicentre, cross-sectional observational study aimed to determine the prevalence of depression among the working population of Slovenia and identify factors correlating with higher prevalence of depression. It was conducted in three occupational medicine practices within major Slovenian primary health care centres. The study population consisted of 1,474 respondents [73.7 % of the invited participants, 889 (60.3 %) men and 585 (39.7 %) women with mean age of (40.5±9.8) years] who visited these practices for their regular check-ups from November 2010 to June 2012 and were asked to fill in a self-developed questionnaire and score depression on the Zung’s self-rating depression scale. According to the rating, 50 (3.4 %) respondents suffered from depression. In the multivariate analysis, depression correlated with the following independent variables: self-perceived exposure to chronic stress, positive family history of depression, and primary school education.
Keywords: mental diseases, primary health care, cross-sectional study, demographic data, family history
Published in DKUM: 30.03.2017; Views: 1288; Downloads: 337
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