Mental health problems in rural contexts : A broader perspective
- Boyd, Candice, Hayes, Louise, Sewell, Jessica, Caldwell, Kirra, Kemp, Evan, Harvie, Lisa, Aisbett, Damon, Nurse, Sarah
- Authors: Boyd, Candice , Hayes, Louise , Sewell, Jessica , Caldwell, Kirra , Kemp, Evan , Harvie, Lisa , Aisbett, Damon , Nurse, Sarah
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Psychologist Vol. 43, no. 1 (2008), p. 2-6
- Full Text:
- Reviewed:
- Description: The objectives of this article are to expand and comment upon a recent review in Australian Psychologist of the literature in relation to mental health problems in rural contexts by Jackson et al. (2007). In the present article we review recently published qualitative research on the help-seeking attitudes and experiences of rural Australian adolescents. While we agree on the utility of the Macintyre, Ellaway, and Cummins (2002) conceptual framework based on notions of health and place, we note that this framework specifically emphasises the importance of the collective dimension. We present a broader perspective on health and place than Jackson et al. (2007) by incorporating social geographic research. We argue that rural mental health research has been hampered by a simplistic view of social stigma of mental illness and that a more thorough conceptualisation of the phenomenon is needed. Finally, we make some further recommendations based on a broader perspective of mental health in rural contexts: one that incorporates an in-depth understanding of the help-seeking attitudes and experiences of rural adolescents as well as an appreciation of the collective social functioning of rural communities.
- Description: C1
- Authors: Boyd, Candice , Hayes, Louise , Sewell, Jessica , Caldwell, Kirra , Kemp, Evan , Harvie, Lisa , Aisbett, Damon , Nurse, Sarah
- Date: 2008
- Type: Text , Journal article
- Relation: Australian Psychologist Vol. 43, no. 1 (2008), p. 2-6
- Full Text:
- Reviewed:
- Description: The objectives of this article are to expand and comment upon a recent review in Australian Psychologist of the literature in relation to mental health problems in rural contexts by Jackson et al. (2007). In the present article we review recently published qualitative research on the help-seeking attitudes and experiences of rural Australian adolescents. While we agree on the utility of the Macintyre, Ellaway, and Cummins (2002) conceptual framework based on notions of health and place, we note that this framework specifically emphasises the importance of the collective dimension. We present a broader perspective on health and place than Jackson et al. (2007) by incorporating social geographic research. We argue that rural mental health research has been hampered by a simplistic view of social stigma of mental illness and that a more thorough conceptualisation of the phenomenon is needed. Finally, we make some further recommendations based on a broader perspective of mental health in rural contexts: one that incorporates an in-depth understanding of the help-seeking attitudes and experiences of rural adolescents as well as an appreciation of the collective social functioning of rural communities.
- Description: C1
The longitudinal effects of midwife-led postnatal debriefing on the psychological health of mothers
- Selkirk, Rosemary, McLaren, Suzanne, Ollerenshaw, Alison, McLachlan, Angus, Moten, Julie
- Authors: Selkirk, Rosemary , McLaren, Suzanne , Ollerenshaw, Alison , McLachlan, Angus , Moten, Julie
- Date: 2006
- Type: Text , Journal article
- Relation: Journal of Reproductive and Infant Psychology Vol. 24, no. 2 (2006), p. 133-147
- Full Text:
- Reviewed:
- Description: To assess the effect of midwife-led postpartum debriefing on psychological variables, 149 women were recruited in the third trimester of their pregnancy and were randomly assigned to treatment and control conditions. Women in the treatment group received midwife-led postpartum debriefing within 3 days postpartum, whereas women in the control group did not receive formalised debriefing. Background information and psychological variables were assessed in the prepartum, and birthing information was gathered 2 days postpartum. The psychological variables, plus a measure of birth trauma, were re-assessed at 1 month, and again, together with a measure of parenting stress, at 3 months postpartum. Although the majority of women reported positively on their debriefing experience, statistical analyses indicated that only on the measure of dyadic satisfaction was there some suggestion that debriefing was effective. There were no significant differences between the treatment and control groups on measures of personal information, depression, anxiety, trauma, perception of the birth, or parenting stress at any assessment points, postpartum. On the other hand, the effect of medical intervention on women's perceptions of their birthing was evident, with women who experienced more medical intervention reporting more negative perceptions of their birthing than women who had experienced less medical intervention. Surprisingly, this difference was more marked among the women who had been debriefed than among the control group. Generally, the results did not support midwife-led debriefing as an effective intervention postpartum. © 2006 Society for Reproductive and Infant Psychology.
- Description: C1
- Description: 2003001984
- Authors: Selkirk, Rosemary , McLaren, Suzanne , Ollerenshaw, Alison , McLachlan, Angus , Moten, Julie
- Date: 2006
- Type: Text , Journal article
- Relation: Journal of Reproductive and Infant Psychology Vol. 24, no. 2 (2006), p. 133-147
- Full Text:
- Reviewed:
- Description: To assess the effect of midwife-led postpartum debriefing on psychological variables, 149 women were recruited in the third trimester of their pregnancy and were randomly assigned to treatment and control conditions. Women in the treatment group received midwife-led postpartum debriefing within 3 days postpartum, whereas women in the control group did not receive formalised debriefing. Background information and psychological variables were assessed in the prepartum, and birthing information was gathered 2 days postpartum. The psychological variables, plus a measure of birth trauma, were re-assessed at 1 month, and again, together with a measure of parenting stress, at 3 months postpartum. Although the majority of women reported positively on their debriefing experience, statistical analyses indicated that only on the measure of dyadic satisfaction was there some suggestion that debriefing was effective. There were no significant differences between the treatment and control groups on measures of personal information, depression, anxiety, trauma, perception of the birth, or parenting stress at any assessment points, postpartum. On the other hand, the effect of medical intervention on women's perceptions of their birthing was evident, with women who experienced more medical intervention reporting more negative perceptions of their birthing than women who had experienced less medical intervention. Surprisingly, this difference was more marked among the women who had been debriefed than among the control group. Generally, the results did not support midwife-led debriefing as an effective intervention postpartum. © 2006 Society for Reproductive and Infant Psychology.
- Description: C1
- Description: 2003001984
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