Impact of economic crises on mental health care: a systematic review

Aims Unmet needs for mental health treatment are large and widespread, and periods of economic crisis may increase the need for care and the treatment gap, with serious consequences for individuals and society. The aim of this systematic review was to summarise the empirical evidence on the association between periods of economic crisis and the use of mental health care. Methods Following the PRISMA statement, MEDLINE, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications, published between 1990 and 2018, from inception to June 2018. Search terms included (1) economic crisis, (2) use of mental health services and (3) mental health problems. Study selection, data extraction and the assessment of study quality were performed in duplicate. Results Seventeen studies from different countries met the inclusion criteria. The results from the included articles suggest that periods of economic crisis might be linked to an increase of general help sought for mental health problems, with conflicting results regarding the changes in the use of specialised psychiatric care. The evidence on the use of mental health care specifically due to suicide behaviour is mixed. The results also suggest that economic crises might be associated with a higher use of prescription drugs and an increase in hospital admissions for mental disorders. Conclusions Research on the impact of economic crises on the use of mental health care is scarce, and methodologies of the included papers are prone to substantial bias. More empirical and long-term studies on this topic are needed, in order to adapt mental health care systems to the specific needs of the population in times of economic crisis

A synthesis of convergent reflections, tensions and silences in linking gender and global environmental change research

This synthesis article joins the authors of the special issue "Gender perspectives in resilience, vulnerability and adaptation to global environmental change" in a common reflective dialogue about the main contributions of their papers. In sum, here we reflect on links between gender and feminist approaches to research in adaptation and resilience in global environmental change (GEC). The main theoretical contributions of this special issue are threefold: emphasizing the relevance of power relations in feminist political ecology, bringing the livelihood and intersectionality approaches into GEC, and linking resilience theories and critical feminist research. Empirical insights on key debates in GEC studies are also highlighted from the nine cases analysed, from Europe, the Americas, Asia, Africa and the Pacific. Further, the special issue also contributes to broaden the gender approach in adaptation to GEC by incorporating research sites in the Global North alongside sites from the Global South. This paper examines and compares the main approaches adopted (e.g. qualitative or mixed methods) and the methodological challenges that derive from intersectional perspectives. Finally, key messages for policy agendas and further research are drawn from the common reflection.Este artículo de síntesis une a los autores del número especial "Gender perspectives in resilience, vulnerability and adaptation to global environmental change" en un diálogo reflexivo común sobre las principales contribuciones de sus documentos. En resumen, aquí reflexionamos sobre los vínculos entre los enfoques feministas y de género a la investigación en adaptación y resiliencia en el cambio ambiental global (GEC). Las principales contribuciones teóricas de este número especial son tres: enfatizar la relevancia de las relaciones de poder en la ecología política feminista, incorporar los enfoques de medios de subsistencia e interseccionalidad al GEC y vincular las teorías de la resiliencia y la investigación feminista crítica. También se destacan las ideas empíricas sobre los debates clave en los estudios de GEC de los nueve casos analizados, de Europa, América, Asia, África y el Pacífico. Además, el número especial también contribuye a ampliar el enfoque de género en la adaptación a GEC mediante la incorporación de sitios de investigación en el Norte Global junto a sitios del Sur Global. Este documento examina y compara los principales enfoques adoptados (por ejemplo, los métodos cualitativos o mixtos) y los desafíos metodológicos que se derivan de las perspectivas interseccionales. Finalmente, los mensajes clave para las agendas políticas y la investigación adicional se extraen de la reflexión común.Aquest article de síntesi uneix els autors del número especial "Gender perspectives in resilience, vulnerability and adaptation to global environmental change" en un diàleg reflexiu comú sobre les principals contribucions dels seus documents. En resum, aquí reflexionem sobre els vincles entre els enfocaments feministes i de gènere a la investigació en adaptació i resiliència en el canvi ambiental global (GEC). Les principals contribucions teòriques d'aquest número especial són tres: emfatitzar la rellevància de les relacions de poder en l'ecologia política feminista, incorporar els enfocaments de mitjans de subsistència i interseccionalitat al GEC i vincular les teories de la resiliència i la investigació feminista crítica. També es destaquen les idees empíriques sobre els debats clau en els estudis de GEC dels nou casos analitzats, d'Europa, Amèrica, Àsia, Àfrica i el Pacífic. A més, el número especial també contribueix a ampliar l'enfocament de gènere en l'adaptació a GEC mitjançant la incorporació de llocs d'investigació al Nord Global al costat de llocs del Sud Global. Aquest document examina i compara els principals enfocaments adoptats (per exemple, els mètodes qualitatius o mixtos) i els desafiaments metodològics que es deriven de les perspectives interseccionals. Finalment, els missatges clau per a les agendes polítiques i la investigació addicional s'extreuen de la reflexió comuna

The Effects of Peer Victimization on Children’s Internet Addiction and Psychological Distress: The Moderating Roles of Emotional and Social Intelligence

This study examines the moderating effects of both emotional intelligence and social intelligence (social awareness and social information processing) on the relationship between peer victimization and internet addiction, and on the association between peer victimization and psychological distress. We collected data from a national proportionately-stratified random sample of 6233 fourth-grade primary school students in Taiwan and constructed hierarchical linear regression models to test the research hypotheses. The results show that youth who have experienced more peer victimization are at a higher risk of internet addiction and psychological distress than youth who have experienced less peer victimization. In this study, emotional intelligence was negatively associated with internet addiction, but it did not significantly buffer the impact of victimization on internet addiction. Social awareness was negatively associated with internet addiction, but it exacerbated the negative impact of peer victimization on internet addiction. On the other hand, emotional intelligence was negatively associated with psychological distress and buffered the negative impact of victimization on mental health. Social information processing was negatively associated with psychological distress, but it amplified the negative impact of peer victimization on mental health among Taiwanese adolescents. The research implications of these findings are discussed