• How to choose the right antimalarial

      Khan, Nahim; University of Chester (2016-06-08)
      This is a small case study on the appropriateness of mefloquine in a patient with a co-existing psychiatric disorder. It also includes a question on prescribing advice and other methods of reducing mosquito bites.
    • Perspectives on supporting fathers affected by postnatal depression and a history of violence

      Keeling, June J.; Laws, Thomas; University of Chester; University of Salford (Mark Allen Healthcare, 2018-01-23)
      Intimate partner violence during the perinatal period is a significant public health problem that remains under-screened, under-diagnosed and under-treated. The establishment of evidence based guidelines to aid Health Visitors in providing provide support for couples experiencing violence has been hampered by the complex interplay between maternal and paternal mental health problems and violence. Our study explored the experiences of UK fathers voluntarily engaged with services designed to redeem their ideation to violence. The findings indicate that a tendency to violence was increased by stresses associated with the transition to parenthood. Men felt pressured by concerns for their partners' mental health, changes to their relationship with the mother, sleep disturbances and the burden of infant care they assumed when the mother could no longer cope. Health Visitors are ideally situated to assess for factors linked to the emergence of violence and pre-empt the support needed to minimise its occurrence.
    • The presentation of depression in the British Army

      Finnegan, Alan; Finnegan, Sara; Thomas, Mike; Deahl, Martin; Simpson, Robin; Ashford, Robert; University of Chester (Elsevier, 2013-03-26)
      Background The British Army is predominately composed of young men, often from disadvantaged backgrounds, in which Depression is a common mental health disorder. Objectives To construct a predictive model detailing the presentation of depression in the army that could be utilised as an educational and clinical guideline for Army clinical personnel. Method and Participants Utilising a Constructivist Grounded Theory, phase 1 consisted of 19 interviews with experienced Army mental health clinicians. Phase 2 was a validation exercise conducted with 3 general practitioners. Results Depression in the Army correlates poorly with civilian definitions, and has a unique interpretation. Conclusion Young soldiers presented with symptoms not in the International Classification of Disorders and older soldiers who feared being medically downgraded, sought help outside the Army Medical Services. Women found it easier to seek support, but many were inappropriately labelled as depressed. Implications include a need to address the poor understanding of military stressors; their relationships to depressive symptoms and raise higher awareness of gender imbalances with regard to access and treatment. The results have international implications for other Armed forces, and those employed in Young Men's Mental Health. The results are presented as a simple predictive model and aide memoire that can be utilised as an educational and clinical guideline. There is scope to adapt this model to international civilian healthcare practice
    • Psychological distress in student nurses undertaking an educational programme with professional registration as a nurse: their perceived barriers and facilitators in seeking psychological support

      Mitchell, Andrew E. P.; University of Chester (Wiley, 2018-03-06)
      Introduction. The present study adds to the existing international evidence on psychological distress in the student population by focusing on student nurses. It quantitatively assesses psychological distress with comparative norms and investigates service uptake in in a single study. Aim. Investigate the level of psychological distress in students and compare this with population norms and highlight potential facilitators and barriers to help seeking. Methods. This study recruited N=121 student nurses from one university in a cross sectional design. Data were analysed using descriptive statistics, independent t-tests and one-way ANOVA’s. Findings. The key findings show high levels of psychological distress which is above levels seen in the general population. The main barriers to seeking support was fear of disclosure and the perceived impact on their suitability as a student nurse. Discussion. The study highlights that high levels of distress identified in the literature are seen in student nurses and that fear of disclosure may account for some not seeking support. Relevance. The fear of disclosure and low levels of seeking support suggest there is a need for mental health nurses and academics to play a key role in mental health literacy and evidence-based interventions such as mindfulness to combat these issues.
    • Understanding depression

      Khan, Nahim; University of Chester (Chemist and Druggist, 2016-07-11)
      Quiz on use of the NICE guidelines on depression