The MINDMAP project: mental well-being in urban environments

Neumann, Lilli; Dapp, Ulrike; Jacobsen, W.; Lenthe, Frank van; Renteln-Kruse, Wolfgang von

doi:10.1007/s00391-017-1290-7

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…The advanced technologies and novel interventions have broadened the scope of MH promotion and prevention, such as addressing the mental health issues of individuals with chronic medical illness ( 81 , 82 ), severe mental disorders ( 83 ), children and adolescents with mental health problems, and geriatric population ( 78 ). Further, it has increased the accessibility and acceptability of such interventions in a non-stigmatizing and tailored manner.…”

Section: Resultsmentioning

confidence: 99%

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Mental Health Prevention and Promotion—A Narrative Review

2022

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Extant literature has established the effectiveness of various mental health promotion and prevention strategies, including novel interventions. However, comprehensive literature encompassing all these aspects and challenges and opportunities in implementing such interventions in different settings is still lacking. Therefore, in the current review, we aimed to synthesize existing literature on various mental health promotion and prevention interventions and their effectiveness. Additionally, we intend to highlight various novel approaches to mental health care and their implications across different resource settings and provide future directions. The review highlights the (1) concept of preventive psychiatry, including various mental health promotions and prevention approaches, (2) current level of evidence of various mental health preventive interventions, including the novel interventions, and (3) challenges and opportunities in implementing concepts of preventive psychiatry and related interventions across the settings. Although preventive psychiatry is a well-known concept, it is a poorly utilized public health strategy to address the population's mental health needs. It has wide-ranging implications for the wellbeing of society and individuals, including those suffering from chronic medical problems. The researchers and policymakers are increasingly realizing the potential of preventive psychiatry; however, its implementation is poor in low-resource settings. Utilizing novel interventions, such as mobile-and-internet-based interventions and blended and stepped-care models of care can address the vast mental health need of the population. Additionally, it provides mental health services in a less-stigmatizing and easily accessible, and flexible manner. Furthermore, employing decision support systems/algorithms for patient management and personalized care and utilizing the digital platform for the non-specialists' training in mental health care are valuable additions to the existing mental health support system. However, more research concerning this is required worldwide, especially in the low-and-middle-income countries.

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Section: Resultsmentioning

confidence: 99%

“…These encompass different settings (e.g., school, home, workplace, the community at large, etc.) and levels of prevention (universal, selective, indicated) (78)(79)(80).…”

Section: Newer Insights: How To Harness Digital Technology and Novel ...mentioning

confidence: 99%

Mental Health Prevention and Promotion—A Narrative Review

2022

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“…This is probably related to the pace of life; thus, it has been shown that the risk of psychiatric diseases is lower in small towns with a peaceful rhythm of life. Continuous urbanization together with population ageing leads to the growing incidence of mental disorders in the elderly and enhancement of the burden on the healthcare system [ 23 , 44 ]. Income and relationship status are also crucial risk factors for the development of mental diseases in citizens [ 43 , 64 ].…”

Section: The Risk Factors For Mental Disorders In the Elderlymentioning

confidence: 99%

“…Only around 20% of patients with mental disorders seek professional help [ 34 ]. Late diagnosis of mental diseases in elderly patients aggravates the disease burden for their microsocial environment, healthcare system, and society in general [ 25 , 44 ].…”

Section: Care Organizationmentioning

confidence: 99%

Prevalence, Structure, and Risk Factors for Mental Disorders in Older People

Petrova

Khvostikova

2021

Adv Gerontol

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This review focuses on assessing the prevalence and risk factors of mental disorders in older people in the modern era, including the COVID-19 pandemic. A systematic review of the literature was conducted in PubMed, Elsevier, and Google using keywords over the past 10 years. Substantial discrepancy of data on the prevalence of psychiatric disorders has been shown in the elderly population. The significant incidence of mental disorders among nursing home residents is highlighted. The relevance of nonpsychotic depressive and anxiety disorders is demonstrated for the elderly, along with the difficulty of diagnosing mental disorders associated with physical pathology and cognitive impairments. The risk factors for mental disorders in older adults are socio-demographic but also economic, psychological, and physical. The problem of mental health of the elderly is characterized for the conditions of the COVID-19 pandemic associated with specific risk factors for psychiatric disorders. The shortage of evidence-based research in the treatment of mental disorders in the elderly and the urgency to improve the organization of psychiatric care for such patients are noted. Understanding the structure and prevalence of mental disorders among the elderly will allow optimizing the functioning of healthcare systems.

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“…33 A survey from the MINDMAP consortium presents rich material on strategies and programmes for strengthening physical and mental capacities in older individuals and their dynamic interactions in an urban environment. 34 Our results have implications for planning and maintaining healthy urban environments. 35 36 Easily accessible and sensually stimulating urban environments such as wellmaintained and equipped walkways and city parks with many visitors, recreational activities, water surfaces and bird life may help to maintain physical and mental resources by stimulating older people to get out of houses to walk, meet, chat and enjoy life.…”

Section: Community Health Perspectivementioning

confidence: 82%

The inter-relationship between depressed mood, functional decline and disability over a 10-year observational period within the Longitudinal Urban Cohort Ageing Study (LUCAS)

Dapp

Minder

Golgert

et al. 2020

J Epidemiol Community Health

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BackgroundThe WHO defines ‘healthy ageing’ as ‘the process of developing and maintaining the functional ability’. Late-life depression and frailty compromise well-being and independence of older people. To date, there exists little research on the interaction of the dynamic processes of frailty and depression and only a few studies were longitudinal. Conclusions about the direction of effects remained uncertain.MethodsData were obtained from each of the last six biyearly waves (2007–2017) of the Longitudinal Urban Cohort Ageing Study (LUCAS) in Hamburg, Germany, a prospective observational cohort study of manifold aspects of ageing. Screening of predictor and event variables: depressed mood: one question from the 5-item Mental Health Inventory Screening Test; frailty: LUCAS Functional Ability Index, status ‘frail’; disability: one question on need for human help with basic activities of daily living. Kaplan-Meier curves and Cox’s proportional hazards regression were used for time-to-event analyses with shifting baseline.ResultsSample size in 2007 was 2012, average age 76.2 years; ±6.5. Main results were as follows: (1) depression significantly increased the hazard of subsequent frailty (HR=1.581; 95% CI 1.257 to 1.988; p<0.001); (2) frailty significantly increased the hazard of subsequent depression (HR=2.324; 95% CI 1.703 to 3.172; p<0.001); (3) depression significantly increased the hazard of subsequent disability (HR=2.589; 95% CI 1.885 to 3.557; p<0.001) and (4) disability did not significantly increase the hazard of subsequent depression (HR=1.540; 95% CI 0.917 to 2.579; p=0.102).ConclusionOur results suggest an interdependence of the processes of depression and frailty/disability rather than unidirectional dependencies. These observable processes may be representative of underlying unobservable profound life changes. Obviously, there is a need for early screening to initiate appropriate interventions.

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The MINDMAP project: mental well-being in urban environments

Cited by 7 publications

References 17 publications

Mental Health Prevention and Promotion—A Narrative Review

Mental Health Prevention and Promotion—A Narrative Review

Prevalence, Structure, and Risk Factors for Mental Disorders in Older People

The inter-relationship between depressed mood, functional decline and disability over a 10-year observational period within the Longitudinal Urban Cohort Ageing Study (LUCAS)

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