Mental distress

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Woman portraying the emotion of stress. Human stress.jpg
Woman portraying the emotion of stress.

Mental distress or psychological distress encompasses the symptoms and experiences of a person's internal life that are commonly held to be troubling, confusing or out of the ordinary. Mental distress can potentially lead to a change of behavior, affect a person's emotions in a negative way, and affect their relationships with the people around them. [1]

Contents

Certain traumatic life experiences (such as bereavement, stress, lack of sleep, use of drugs, assault, abuse, or accidents such as the death of a loved one [2] [ which? ]) can induce mental distress. Those who are members of vulnerable populations might experience discrimination that places them at increased risk for experiencing mental distress as well. This may be something which resolves without further medical intervention, though people who endure such symptoms longer term are more likely to be diagnosed with mental illness. This definition is not without controversy as some mental health practitioners would use the terms "mental distress" and "mental disorder" interchangeably. [3] Some users of mental health services prefer the term "mental distress" in describing their experience as they feel it better captures that sense of the unique and personal nature of their experience, while also making it easier to relate to, since everyone experiences distress at different times. The term also fits better with the social model of disability.

Differences from mental disorder

Some psychiatrists may use these two terms "mental distress" and "mental disorder" interchangeably. However, it can be argued that there are fundamental variations between mental distress and mental disorder. "Mental distress" has a wider scope than the related term "mental illness", which refers to a specific set of medically defined conditions. A person in mental distress may exhibit some of the broader symptoms described in psychiatry, without actually being 'ill' in a medical sense. [4] People with mental distress may also exhibit temporary symptoms on a daily basis, while patients diagnosed with mental disorder may potentially have to be treated by a psychiatrist.

Types

The following are types of major mental distress: [5]

Symptoms and causes

The symptoms for mental distress include a wide range of physical to mental conditions. [7] Physical symptoms may include sleep disturbance, anorexia (lack of appetite), loss of menstruation for women, headaches, chronic pain, and fatigue. Mental conditions may include difficulty in anger management, compulsive/obsessive behavior, a significant change in social behavior, a diminished sexual desire, and mood swings.

Minor mental distress cases are caused by stress in daily problems, such as forgetting your car keys or being late for an event. However, the major types of mental distress described can be caused by other important factors. One such cause is chemical imbalances in the brain, which can lead to irrational decisions and emotional pain. [8] For example, when the brain lacks serotonin, a chemical that regulates the brain's functioning, it can lead to depression, appetite changes, aggression, and anxiety. Another cause of mental distress can be exposure to severely distressing life-threatening situations and experiences. A third cause, in very rare cases, can be inheritance. Some research has shown that very few people have the genetics for the potential to develop mental distress. However, there are many factors that must be accounted for. Mental distress is not a contagious disease that can be caught like the common cold. Mental distress is a psychological condition. [5]

In the United States

African-Americans

The social disparities associated with mental health in the Black community have remained constant over time. According to the Office of Minority Health, African Americans are 30% more likely than European Americans to report serious psychological distress. Moreover, Black people are more likely to have Major Depressive Disorder, and communicate higher instances of intense symptoms/disability. [9] For this reason, researchers have attempted to examine the sociological causes and systemic inequalities which contribute to these disparities in order to highlight issues for further investigation. [9] [10] [11] [12] [ full citation needed ] [13] [ full citation needed ] Nonetheless, much of the research on the mental well-being of Black people are unable to separate race, culture, socioeconomic status, ethnicity, or behavioural and biological factors. [11] According to Hunter and Schmidt (2010), there are three distinct beliefs embraced by Black people which speak to their socio-cultural experience in the United States: racism, stigma associated with mental illness, and the importance of physical health. [10] African Americans are less likely to report depression due to heavy social stigma within their community and culture. [14] These social aspects of mental health can generate distress. Therefore, discrimination within the healthcare community and larger society, attitudes related to mental health, and general physical health contribute to the mental well-being of Black people. [10]

There are also disparities with mental health among Black women. One of the reasons why Black women tend to neglect mental health support and treatment is the aura of the Strong Black Woman schema or S.B.W. According to Watson and Hunter, scholars have traced the origins of the S.B.W. race-gender schema to slavery and have suggested that the schema persist because of the struggles that African-American women continue to experience, such as financial hardship, racism, and sexism. [15] Watson and Hunter state that due to the Strong Black Woman schema, Black women have a tendency to handle tough and difficult situations alone.

African-American youth

Comparable to their adult counterparts, Black adolescents experience mental health disparities. The primary reasons for this have been stipulated to be discrimination, inadequate treatment, and underutilization of mental health services, though Black youth have been shown to have higher self-esteem than their white counterparts. [16] [17] [18] [19] [ full citation needed ] [20] [ full citation needed ] Similarly, children of immigrants, or second-generation Americans, often encounter barriers to optimal mental well-being. [16] [21] [22] [23] [24] [ full citation needed ] [25] [ full citation needed ] Discrimination and its effects on mental health are evident in adolescents' ability to achieve in school and overall self-esteem. [16] Researchers have been unable to pinpoint exact causes for Black teenagers' underutilization of mental health services. One study attributed it to using alternative methods of support instead of formal treatments. [17] Moreover, Black youth used other means of support such as peers and spiritual leaders. [17] This demonstrates that Black teens are uncomfortable disclosing personal matters to professionals. It is difficult to decipher if this is cultural or a youth-related issue, as most teens do not choose to access formal providers for their mental health needs. [26] [ full citation needed ]

Common stigma among immigrants

"Mental health stigma, particularly personal stigma, is important because those who hold stigma beliefs are less willing to obtain the needed treatment (1-9). Often due to stigma, individuals will avoid treatment until the disorder is nearly incapacitating. This avoidance is particularly pronounced in members of ethnic minority groups because they are less likely to seek mental health treatment than those of European Americans [e.g., Ref. (4, 10–12)]. [27] Expressly, Immigrants who hold personal stigma against mental illness are less likely to seek treatment. Its often that immigrants feel stigmatized because they're already undocumented which makes them feel embarrassed, causing them to refrain from treatment. [27]

Demographic and societal factors

There has been a history of disparity and exclusion in regards to the treatment of Black Americans which consists of slavery, imprisonment in the criminal justice system, the inability to vote, marry, attend school, or own property amongst other factors. These factors have attributed to the increase of mental distress in the Black community and due to the lack of resources afforded/known in the community also leads to a lack of resources and treatments available for members of the community to seek and receive some for of help. [28]

LGBTQ+ community

Those who identify as part of the LGBTQ+ community have a higher risk of experiencing mental distress, most likely as a result of continued discrimination and victimization. Members of this population are often confronted with derogatory and hateful comments (physically and/or through social media). This discrimination has the potential of affecting their feelings of self-worth and confidence, leading to anxiety, depression, and even suicidality. It is for this reason that members of the LGBTQ+ community may experience higher rates of mental distress than their cisgender and heterosexual counterparts. Along with the increased risk of experiencing mental distress, members of this community may refrain from seeking mental health care due to past discrimination by medical professionals. In addition to the lack of knowledge and research with this population, this group is marginalized due to the lack of funding as most of the funds go to campaigns for the younger LGBTQ+ population. [29]

A study published in 2021 found that "LGBTQ+ students experienced more bullying and psychological distress". [30]

Related Research Articles

A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context. Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting. There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder is one aspect of mental health.

Abnormal psychology is the branch of psychology that studies unusual patterns of behavior, emotion, and thought, which could possibly be understood as a mental disorder. Although many behaviors could be considered as abnormal, this branch of psychology typically deals with behavior in a clinical context. There is a long history of attempts to understand and control behavior deemed to be aberrant or deviant, and there is often cultural variation in the approach taken. The field of abnormal psychology identifies multiple causes for different conditions, employing diverse theories from the general field of psychology and elsewhere, and much still hinges on what exactly is meant by "abnormal". There has traditionally been a divide between psychological and biological explanations, reflecting a philosophical dualism in regard to the mind–body problem. There have also been different approaches in trying to classify mental disorders. Abnormal includes three different categories; they are subnormal, supernormal and paranormal.

<span class="mw-page-title-main">Depression (mood)</span> State of low mood and aversion to activity

Depression is a mental state of low mood and aversion to activity. It affects about 3.5% of the global population, or about 280 million people worldwide, as of 2020. Depression affects a person's thoughts, behavior, feelings, and sense of well-being. The pleasure or joy that a person gets from certain experiences is reduced, and the afflicted person often experiences a loss of motivation or interest in those activities. People with depression may experience sadness, feelings of dejection or hopelessness, difficulty in thinking and concentration, or a significant change in appetite or time spent sleeping; suicidal thoughts can also be experienced.

<span class="mw-page-title-main">Mental health</span> Level of human psychological well-being

Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. According to the World Health Organization (WHO), it is a "state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and can contribute to his or her community". It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental health includes subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one's intellectual and emotional potential, among others.

Social psychiatry is a branch of psychiatry that studies how the social environment impacts mental health and mental illness. It applies a cultural and societal lens on mental health by focusing on mental illness prevention, community-based care, mental health policy, and societal impact of mental health. It is closely related to cultural psychiatry and community psychiatry.

Sex is correlated with the prevalence of certain mental disorders, including depression, anxiety and somatic complaints. For example, women are more likely to be diagnosed with major depression, while men are more likely to be diagnosed with substance abuse and antisocial personality disorder. There are no marked gender differences in the diagnosis rates of disorders like schizophrenia and bipolar disorder. Men are at risk to suffer from post-traumatic stress disorder (PTSD) due to past violent experiences such as accidents, wars and witnessing death, and women are diagnosed with PTSD at higher rates due to experiences with sexual assault, rape and child sexual abuse. Nonbinary or genderqueer identification describes people who do not identify as either male or female. People who identify as nonbinary or gender queer show increased risk for depression, anxiety and post-traumatic stress disorder. People who identify as transgender demonstrate increased risk for depression, anxiety, and post-traumatic stress disorder.

Various issues in medicine relate to lesbian, gay, bisexual, transgender and queer (LGBTQ) people. According to the US Gay and Lesbian Medical Association (GLMA), besides HIV/AIDS, issues related to LGBTQ health include breast and cervical cancer, hepatitis, mental health, substance use disorders, alcohol use, tobacco use, depression, access to care for transgender persons, issues surrounding marriage and family recognition, conversion therapy, refusal clause legislation, and laws that are intended to "immunize health care professionals from liability for discriminating against persons of whom they disapprove."

Minority stress describes high levels of stress faced by members of stigmatized minority groups. It may be caused by a number of factors, including poor social support and low socioeconomic status; well understood causes of minority stress are interpersonal prejudice and discrimination. Indeed, numerous scientific studies have shown that when minority individuals experience a high degree of prejudice, this can cause stress responses that accrue over time, eventually leading to poor mental and physical health. Minority stress theory summarizes these scientific studies to explain how difficult social situations lead to chronic stress and poor health among minority individuals.

Transgenerational trauma is the psychological and physiological effects that the trauma experienced by people has on subsequent generations in that group. The primary mode of transmission is the shared family environment of the infant causing psychological, behavioral and social changes in the individual.

Culture defines how people view the world and certain phenomena. Culture also appears to influence the way people experience depression. An individual's experience with depression can vary from country to country. For example, a qualitative study revealed that some countries did not recognize post-natal depression as an illness; rather, it was viewed as a state of unhappiness that did not require any health interventions.

The mental health of Filipino Americans is emotional and cognitive status of Americans of Filipino descent. Filipino-Americans utilize mental health services less than some Asian-American groups.

Mental health inequality refers to the differences in the quality, access, and health care different communities and populations receive for mental health services. Globally, the World Health Organization estimates that 350 million people are affected with depressive disorders. Mental health can be defined as an individual's well-being and/or the absence of clinically defined mental illness. Inequalities that can occur in mental healthcare may include mental health status, access to and quality of care, and mental health outcomes, which may differ across populations of different race, ethnicity, sexual orientation, sex, gender, socioeconomic statuses, education level, and geographic location. Social determinants of health, more specifically the social determinants of mental health, that can influence an individual's susceptibility to developing mental disorders and illnesses include, but are not limited to, economic status, education level, demographics, geographic location and genetics.

Race-based traumatic stress is the traumatic response to stress following a racial encounter. Robert T. Carter's (2007) theory of race-based traumatic stress implies that there are individuals of color who experience racial discrimination as traumatic, and often generate responses similar to post-traumatic stress. Race-based traumatic stress combines theories of stress, trauma and race-based discrimination to describe a particular response to negative racial encounters.

Racial trauma, or race-based traumatic stress, is the cumulative effects of racism on an individual’s mental and physical health. It has been observed in numerous BIPOC communities and people of all ages, including young children. Racial trauma can be experienced vicariously or directly. It has been linked to feelings of anxiety, depression, and suicidal ideation, as well as other physical health issues.

<span class="mw-page-title-main">Mental health during the COVID-19 pandemic</span> Psychological aspect of viral outbreak

The COVID-19 pandemic has impacted the mental health of people across the globe. The pandemic has caused widespread anxiety, depression, and post-traumatic stress disorder symptoms. According to the UN health agency WHO, in the first year of the COVID-19 pandemic, prevalence of common mental health conditions, such as depression and anxiety, went up by more than 25 percent. The pandemic has damaged social relationships, trust in institutions and in other people, has caused changes in work and income, and has imposed a substantial burden of anxiety and worry on the population. Women and young people face the greatest risk of depression and anxiety. According to The Centers for Disease Control and Prevention study of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, "63 percent of young people reported experiencing substantial symptoms of anxiety and depression".

<span class="mw-page-title-main">Mental health of Asian Americans</span> Issues and problems for Asian American mental health

Concern about the mental health of Asian Americans has been raised as the Asian population in the United States is rising. According to the US Department of Health and Human Services Office of Minority Health, the leading cause of death among Asian Americans aged 15–24 is suicide. Asian Americans tend to underutilize resources, especially those that are not deemed culturally competent. Studies suggest that Asian American patients tend to ignore the emotional symptoms of mental illness and only report physical ones to doctors, resulting in misdiagnosis.

The social determinants of mental health (SDOMH) are societal problems that disrupt mental health, increase risk of mental illness among certain groups, and worsen outcomes for individuals with mental illnesses. Much like the social determinants of health (SDOH), SDOMH include the non-medical factors that play a role in the likelihood and severity of health outcomes, such as income levels, education attainment, access to housing, and social inclusion. Disparities in mental health outcomes are a result of a multitude of factors and social determinants, including fixed characteristics on an individual level – such as age, gender, race/ethnicity, and sexual orientation – and environmental factors that stem from social and economic inequalities – such as inadequate access to proper food, housing, and transportation, and exposure to pollution.

The psychological impact of discrimination on health refers to the cognitive pathways through which discrimination impacts mental and physical health in members of marginalized, subordinate, and low-status groups. Research on the relation between discrimination and health became a topic of interest in the 1990s, when researchers proposed that persisting racial/ethnic disparities in health outcomes could potentially be explained by racial/ethnic differences in experiences with discrimination. Although the bulk of the research tend to focus on the interactions between interpersonal discrimination and health, researchers studying discrimination and health in the United States have proposed that institutional discrimination and cultural racism also give rise to conditions that contribute to persisting racial and economic health disparities.

<span class="mw-page-title-main">Psychosocial distress</span> Medical condition

Psychosocial distress refers to the unpleasant emotions or psychological symptoms an individual has when they are overwhelmed, which negatively impacts their quality of life. Psychosocial distress is most commonly used in medical care to refer to the emotional distress experienced by populations of patients and caregivers of patients with complex chronic conditions such as cancer, diabetes, and cardiovascular conditions, which confer heavy symptom burdens that are often overwhelming, due to the disease's association with death. Due to the significant history of psychosocial distress in cancer treatment, and a lack of reliable secondary resources documenting distress in other contexts, psychosocial distress will be mainly discussed in the context of oncology.

People who are LGBT are significantly more likely than those who are not to experience depression, PTSD, and generalized anxiety disorder.

References

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  25. ↑ Nicolas et al., 2009
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  30. ↑ Hobaica S, Kwon P, Reiter SR, Aguilar-Bonnette A, Scott WD, Wessel A, Strand PS (December 2021). "Bullying in schools and LGBTQ+ youth mental health: Relations with voting for Trump". Analyses of Social Issues and Public Policy. 21 (1): 960–679. doi:10.1111/asap.12258.

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