Help-Seeking From Clergy and Spiritual Counselors Among Veterans With Depression and PTSD in Primary Care.

Help-Seeking from Clergy and Spiritual Counselors Among Veterans with Depression and PTSD in Primary Care.

Filed under: Depression Treatment

J Relig Health. 2013 Jan 8;
Bonner LM, Lanto AB, Bolkan C, Watson GS, Campbell DG, Chaney EF, Zivin K, Rubenstein LV

Little is known about the prevalence or predictors of seeking help for depression and PTSD from spiritual counselors and clergy. We describe openness to and actual help-seeking from spiritual counselors among primary care patients with depression. We screened consecutive VA primary care patients for depression; 761 Veterans with probable major depression participated in telephone surveys (at baseline, 7 months, and 18 months). Participants were asked about (1) openness to seeking help for emotional problems from spiritual counselors/clergy and (2) actual contact with spiritual counselors/clergy in the past 6 months. At baseline, almost half of the participants, 359 (47.2 %), endorsed being “very” or “somewhat likely” to seek help for emotional problems from spiritual counselors; 498 (65.4 %) were open to a primary care provider, 486 (63.9 %) to a psychiatrist, and 409 (66.5 %) to another type of mental health provider. Ninety-one participants (12 %) reported actual spiritual counselor/clergy consultation. Ninety-five (10.3 %) participants reported that their VA providers had recently asked them about spiritual support; the majority of these found this discussion helpful. Participants with current PTSD symptoms, and those with a mental health visit in the past 6 months, were more likely to report openness to and actual help-seeking from clergy. Veterans with depression and PTSD are amenable to receiving help from spiritual counselors/clergy and other providers. Integration of spiritual counselors/clergy into care teams may be helpful to Veterans with PTSD. Training of such providers to address PTSD specifically may also be desirable.
HubMed – depression

 

Pathological Gambling, Co-occurring Disorders, Clinical Presentation, and Treatment Outcomes at a University-Based Counseling Clinic.

Filed under: Depression Treatment

J Gambl Stud. 2013 Jan 8;
Soberay A, Faragher JM, Barbash M, Brookover A, Grimsley P

It is the intent of this study to examine the relationship between the number of co-occurring disorders in a sample of pathological gamblers and variables associated with clinical presentation and treatment outcomes. Participants were given screening tools for four common psychological disorders: the hands depression screen, the Mood Disorder Questionnaire, the Carroll-Davidson generalized anxiety disorder screen, and the Sprint-4 PTSD Screen. The number of co-occurring disorders, as indicated by the results of these screening instruments, was compared to severity of gambling problems at outset of treatment, as measured by the NORC diagnostic screen for gambling problems-self administered. The number of co-occurring disorders was also compared to psychosocial functioning at the outset of treatment, as well as level of improvement in psychosocial functioning through treatment. Psychosocial functioning was measured using the Outcome Questionnaire 45 (OQ-45). The number of co-occurring disorders was compared to participant satisfaction with the therapeutic relationship as measured by the working alliance inventory-short form. Results suggest that co-occurring disorders are commonplace among treatment seeking pathological gamblers. Over 86 % of the sample screened positively for at least one of the four targeted psychological disorders. Furthermore, the number of co-occurring disorders was found to be positively related to severity of gambling problems at outset of treatment and negatively related to level of psychosocial functioning at outset of treatment. However, the number of co-occurring disorders was not found to be significantly related to level of improvement in psychosocial functioning through treatment. Overall, those that attended at least six sessions reported significantly improved psychosocial functioning by the end of their sixth session. Finally, the number of co-occurring disorders was not found to be significantly related to participants’ reported level of satisfaction with the therapeutic relationship.
HubMed – depression

 

Self-reported health, physical activity and socio-economic status of middle-aged and elderly participants to a popular road running race in Switzerland: better off than the general population?

Filed under: Depression Treatment

Swiss Med Wkly. 2013; 143: 0
Chatton A, Kayser B

In affluent countries habitual physical activity (PA) levels are low while participation of middle-aged people in road running events is increasing. We compared PA determinants of runners aged 50+ to those of a general population sample of similar age in Switzerland.Cross-sectional study comparing 580 road running event participants to 1,067 general population subjects. Binary logistic regression was used to predict group membership and multinomial logistic regression to describe relationships between regular PA levels, health and socio-economic status, adjusted for age, marital status and sex.There was better health status, higher socio-economic position, less obesity and less depression in the runners than in the general population. People in self-reported “poor / very poor” and “good” health categories were less likely than the “excellent/very good” category to engage in vigorous regular PA compared to moderate regular PA.Our findings confirm the association of PA with better health and higher socio-economic status in people aged 50+ but do not allow conclusions on causality. Further research and managerial effort should be expanded to develop programmes for the inactive population. New and existing prevention programmes should be undertaken to increase the awareness of target audiences. Popular road running events should be seen as having important public health potential and should be fostered.
HubMed – depression

 

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