Psychological and Physiological Health Benefits of a Structured Forest Therapy Program for Children and Adolescents with Mental Health Disorders

Mental health conditions in children and adolescents can be improved by slow mindful nature connection known as forest therapyor bathing.Forest therapy has recently received growing attention as an enabler of relaxation and preventive health care withdemonstrated clinical efficacy.However,it is not well-known that forest therapy also decreases mental health issues amongindividuals with mental health disorders.This study explored the psychological and physiological health benefits of structuredforest therapy programs for children and adolescents with mental health disorders.A one-group pre-test-posttest design wasemployed for our study participants.Twelve participants(aged 9–14 years)engaged in two one-hour guided standard sequenceforest therapy experiences.A Mindful Attention Awareness Scale(MAAS),Connectedness to Nature Scale(CNS),Profile ofMood States(POMS),place meanings(e.g.,functional,emotional,and cognitive attachment to the forest)questionnaire,andphysiological health assessment were administered to the participants.Our results showed that negative mood states weresignificantly reduced and that a positive mood state was significantly improved after the structured forest therapy programs.Also,mindfulness,nature connection,place meanings,and physiological health were significantly boosted after theinterventions.The results demonstrate substantial psychological and physiological health and well-being outcomes ofstructured forest therapy for similar individuals.

Classification,prevalence and integrated care for neurodevelopmental and child mental health disorders:A brief overview for paediatricians

‘Neurodevelopmental disorders’comprise a group of congenital or acquired longterm conditions that are attributed to disturbance of the brain and or neuromuscular system and create functional limitations,including autism spectrum disorder,attention deficit/hyperactivity disorder,tic disorder/Tourette’s syndrome,developmental language disorders and intellectual disability.Cerebral palsy and epilepsy are often associated with these conditions within the broader framework of paediatric neurodisability.Co-occurrence with each other and with other mental health disorders including anxiety and mood disorders and behavioural disturbance is often the norm.Together these are referred to as neurodevelopmental,emotional,behavioural,and intellectual disorders(NDEBIDs)in this paper.Varying prevalence rates for NDEBID have been reported in developed countries,up to 15%,based on varying methodologies and definitions.NDEBIDs are commonly managed by either child health paediatricians or child/adolescent mental health(CAMH)professionals,working within multidisciplinary teams alongside social care,education,allied healthcare practitioners and voluntary sector.Fragmented services are common problems for children and young people with multi-morbidity,and often complicated by subthreshold diagnoses.Despite repeated reviews,limited consensus among clinicians about classification of the various NDEBIDs may hamper service improvement based upon research.The recently developed“Mental,Behavioural and Neurodevelopmental disorder”chapter of the International Classification of Diseases-11 offers a way forward.In this narrative review we search the extant literature and discussed a brief overview of the aetiology and prevalence of NDEBID,enumerate common problems associated with current classification systems and provide recommendations for a more integrated approach to the nosology and clinical care of these related conditions.

Possible Causes of Health Disorders in Stored Yam at Farm Gate

This study investigated and ascertained causes of health disorders in stored yam at farm gate in major yam producing communities in the Nanumba North District of Ghana. A mixed method research design was adopted for data collection through the application of Participatory Research Appraisal tools and techniques including individual interviews using questionnaires. Random sampling technique was used to select five communities and hundred respondents. Data was analyzed via descriptive statistics which generated summaries, Tables, histograms, and pie-charts using SAS software. Ages of respondents were in the range of 11 to over 60 years with illiterate majority. They were inadequate in their knowledge of agronomic, harvest, and postharvest practices and techniques including curing, chemical or botanical treatments for the yam tuber prior to storage. Fresh yam produce was kept in shallow dug trenches where temporal storage was the target but stored their dry yam produce intended for long periods in barns (most preferred) and on wooden platforms which were more sustainable with a little preponderance of the former. Causes of yam health disorders and associated problems in store were insect pests, rodents, weed pests, diseases (tuber rot), yam beetles, snakes, scorpions, and the inability of some storage structures to keep produce for a long time. Research, government, and other stakeholder institutions should partner up and make improved and certified yam sets accessible and affordable, and intensify agriculture extension services’ interventions that empower farmers the knowledge on agronomic, harvest, and postharvest practices and techniques.

A Commentary of a Psychological Experience Questionnaire for Screening Non-Psychiatric Inpatients for Violence-Related Mental Health Disorders

In recent years,there has been an increase in the number of violent incidents in Chinese general hospitals,posing a serious threat to the safety of medical staff and affecting the medical environment in China[1].Non-psychiatric patients with mental health disorders are more likely to exhibit violent tendencies,while those diagnosed with personality disorders are more likely to have psychological and physical co-morbidities[2].Current commonly used psychological assessment tools,such as Kessler Psychological Distress Scale(K10)[3]and the Hospital Anxiety and Depression Scale(HADS)[4],are not commonly used in non-psychiatric clinical practice.At the same time,most of the available psychological assessment tools are designed for hospital psychiatry.This means that the assessment of personality disorders。

Transcranial magnetic stimulation: potential treatment for co-occurring alcohol, traumatic brain injury and posttraumatic stress disorders

Alcohol use disorder （AUD）, mild traumatic brain injury （mTBI）, and posttraumatic stress disorder （PTSD） commonly co-occur （AUD ＋ mTBI ＋ PTSD）. These conditions have overlapping symptoms which are, in part, reflective of overlapping neuropathology. These conditions become problematic because their co-occurrence can exacerbate symptoms. Therefore, treatments must be developed that are inclusive to all three conditions. Repetitive transcranial magnetic stimulation （rTMS） is non-invasive and may be an ideal treatment for co-occurring AUD ＋ mTBI ＋ PTSD. There is accumulating evidence on rTMS as a treatment for people with AUD, mTBI, and PTSD each alone. However, there are no published studies to date on rTMS as a treatment for co-occurring AUD ＋ mTBI ＋ PTSD. This review article advances the knowledge base for rTMS as a treatment for AUD ＋ mTBI ＋ PTSD. This review provides background information about these co-occurring conditions as well as rTMS. The existing literature on rTMS as a treatment for people with AUD, TBI, and PTSD each alone is reviewed. Finally, neurobiological findings in support of a theoretical model are discussed to inform TMS as a treatment for co-occurring AUD ＋ mTBI ＋ PTSD. The peer-reviewed literature was identified by targeted literature searches using PubMed and supplemented by cross-referencing the bibliographies of relevant review articles. The existing evidence on rTMS as a treatment for these conditions in isolation, coupled with the overlapping neuropathology and symptomology of these conditions, suggests that rTMS may be well suited for the treatment of these conditions together.

Mental Health Issues of the Medical Workforce during COVID-19:A Review

The COVID-19 pandemic is a public health emergency.As we write,the world counts more than 10 million positive cases and more than 500 thousand deaths.The difficult conditions faced by healthcare workers helping with the COVID-19 pandemic are leading to severe adverse mental health consequences.The aim of this review is to summarize and analyze the mental health issues that healthcare workers are experiencing during the COVID-19 outbreak.We conduct a systematic literature review to investigate the healthcare workforce’s mental health disorders.About 145 articles were retrieved for the period between January 1,2020 and April 30,2020.After screening,27 articles were selected for full-text examination,13 were included in the review.Of the studies included,69%(9/13)and 61%(8/13)investigated depression and anxiety,respectively,although other mental health disorders such as insomnia,distress,stress,and fear were also assessed.Most of the healthcare workers in the studies reported high levels of stress,anxiety,and severe symptoms of depressions.Caregivers are working under high levels of pressure,in a high-risk environment,and are dealing with many physical and psychological challenges.Appropriate actions and well-timed psychological support to protect medical workers’mental health should be considered.