Reflections on Masculinity, Culture and the Diagnosis of Depression

Mellsop, Graham; Smith, Barry D.

doi:10.1080/00048670701579082

Cited by 11 publications

(8 citation statements)

References 21 publications

(22 reference statements)

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“…Within the patient cohort, the Maori rate for violent offending (51%) was significantly less than was that for NZ Europeans (71%). This contrasts with an earlier New Zealand study of general New Zealand psychiatric service users which found that the highest ratings assigned by clinicians for over activity/aggression on the HoNoS were to Maori males, followed by Maori females [9].…”

Section: Discussioncontrasting

confidence: 98%

A Review of the Psychiatric Care Provided to Patients who Subsequently Offended

Brand

Mellsop

Tapsell

2015

Int. J. Clin. Psychiat. Ment. Health

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Background: An examination (audit) of the files of patients who had received any mental health services in the year prior to an alleged offence may inform our understanding of the relationship between mental health and crime. More helpfully, it may provide information to facilitate a reduction in the rate of such tragic events Method: The records of all patients assessed by the Midland Regional Forensic Psychiatric service in the 26 months from January 2010 were screened. The 222 who received a diagnosis of a non-organic psychosis and who were recorded as having offended within one year of a previous psychiatric service attendance formed the cohort. The data extracted from their clinical files, relating primarily to that pre-offence psychiatric contact, included legal, clinical and contextual information. Results: Analysis examined the characteristics of this forensic population and most particularly, of their pre-offending service contact. This identified clinical practice and delivery issues which could reduce the rate of conversion of psychiatric patients to "forensic" status. Conclusions: The results inform issues of effectiveness of adult service delivery with particular consideration of the intensity of clinical contact, antipsychotic drug choice and adherence and the use of assertive treatment.

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Section: Discussioncontrasting

confidence: 98%

A Review of the Psychiatric Care Provided to Patients who Subsequently Offended

Brand

Mellsop

Tapsell

2015

Int. J. Clin. Psychiat. Ment. Health

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“…Therefore, these stressors and social pressures make the university education more stressful event for males than for females (Dehshiri et al., ; Khodayari‐Fard et al., ; Rezai‐Adriany et al., ). It is possible that these gender differences may be due to different ways of coping with stressors (Pillay & Ngcobo, ) or due to different help‐seeking behaviours (Mellsop & Smith, ; Tapsell & Mellsop, ).…”

Section: Discussionmentioning

confidence: 99%

“…The unclear gender‐based prevalence is due to the different assessment tools used by the researchers (Ghasemzadeh, Mojtabai, Karamghadiri, & Ebrahimkhani, ). The depression rate and gender‐based prevalence are still unclear in Iran and warrant further investigation (Mellsop & Smith, ).…”

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confidence: 99%

University Student Depression Inventory: Measurement model and psychometric properties

Habibi

Khawaja

Moradi

et al. 2014

Australian Journal of Psychology

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University Student Depression Inventory (USDI) was developed to assess the symptoms of depression among the university students. Considering the debilitating nature of depression among university students globally, USDI was translated in Persian and validated using university students from Iran. A battery including the Persian version of USDI and scales measuring suicide, depression, and stress was administered to a normative sample of 359 undergraduate students, and an additional clinical sample of 150 students referred to the university's mental health centre. The results supported the factor structure and the psychometric properties of the translated version. Confirmatory factor analysis upheld the previously reported three-factor first-order and one-factor second-order structure. The internal consistency, test-retest reliability, and concurrent and discriminant validity of the Persian version were supported. Cut-off points using receiver operating characteristic curve analysis were established to identify students at risk. Gender differences on the symptoms of depression were evident only in the normative sample, where male participants, compared with female students, had higher mean scores in lethargy, cognitive/emotion, and academic motivation subscales. The translated scale can be used with Persian-speaking students in Iran and the neighbouring countries as well as those settled in the West to identify symptoms of depression for further evaluation and management.

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“…Much debate about culture has centred on diagnostic issues, for example culture‐bound syndromes and the pathoplastic effect of culture on disorders (e.g. Strakowski et al ., ; WHO, ; Mellsop and Smith, ; Udomratn, ). However, of more universal relevance is the effect of culture on illness behavior and on attitudes towards mental health services.…”

Section: Formulationmentioning

confidence: 99%

Postgraduate education – meeting the needs and expectations of those we serve: The dynamic duo of psychiatric diagnosis and formulation

Mellsop

Howard

2011

Asia-Pacific Psychiatry

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Service users and those who support them have an expectation that a health diagnosis will offer insight into the cause of their symptoms, and will come with a prognosis that will determine treatment options. However, psychiatric diagnostic systems do not usually provide links to aetiology or prognosis, both of which can be highly individualised. As a result, there is a gap between mental health service users' expectations and what can be realistically provided by diagnosis alone. However, when paired with a thorough and reflective formulation, diagnosis is placed in a context that leads ineluctably to a comprehensive management or recovery plan. This dynamic combination results in a collaborative plan that is better placed to meet both the needs and the expectations of those we serve.

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Reflections on Masculinity, Culture and the Diagnosis of Depression

Abstract: Amongst the hypotheses to explain these findings are those relating to service utilization, rater bias, criteria bias, and cultural pathoplastic effects. These questions need answers.

Cited by 11 publications

References 21 publications

A Review of the Psychiatric Care Provided to Patients who Subsequently Offended

A Review of the Psychiatric Care Provided to Patients who Subsequently Offended

University Student Depression Inventory: Measurement model and psychometric properties

Postgraduate education – meeting the needs and expectations of those we serve: The dynamic duo of psychiatric diagnosis and formulation

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