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  1. Article ; Online: Re-traumatised: The experience of injustice whilst seeking justice.

    Paulann, Grech / Andrew, Azzopardi / Moira, Vassallo / Daniel, Vassallo

    Journal of psychiatric and mental health nursing

    2024  

    Language English
    Publishing date 2024-01-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1328479-4
    ISSN 1365-2850 ; 1351-0126
    ISSN (online) 1365-2850
    ISSN 1351-0126
    DOI 10.1111/jpm.13021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Experience of Hearing Voices: Challenges and Coping Mechanisms.

    Farrugia, Patrick / Grech, Paulann

    Issues in mental health nursing

    2024  Volume 44, Issue 12, Page(s) 1254–1264

    Abstract: Auditory hallucinations or hearing voices are often associated with schizophrenia and other psychotic disorders. However, several voice-hearers do not have any mental health issues or diagnoses. The study presented in this paper aimed to explore how ... ...

    Abstract Auditory hallucinations or hearing voices are often associated with schizophrenia and other psychotic disorders. However, several voice-hearers do not have any mental health issues or diagnoses. The study presented in this paper aimed to explore how voice-hearers understand and react to their concerns by reflecting on and exploring their experiences and interpretations of these experiences. The participants were nine individuals - three females, four males and two others, all experiencing auditory hallucinations for at least five years, residing either at their home or at one of the Hostels run by Richmond Foundation (Malta). A qualitative approach following the principles of Interpretative Phenomenological Analysis was used. In-depth interviews were conducted to explore how the participants perceive their voices, what coping strategies are used, and how their experiences affect their lives. Four super-ordinate themes related to the participants' perceptions and their interpretation of the experience of hearing voices were identified: 'A tough experience', 'Methods used to cope with voices', 'Factors linked to recovery' and 'Relationships'. Furthermore, the study elicited the voice-hearers' recommendations (both for other voice-hearers and mental health professionals).
    MeSH term(s) Male ; Female ; Humans ; Hallucinations/therapy ; Hallucinations/psychology ; Psychotic Disorders/therapy ; Psychotic Disorders/psychology ; Schizophrenia/therapy ; Coping Skills ; Hearing
    Language English
    Publishing date 2024-01-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 603180-8
    ISSN 1096-4673 ; 0161-2840
    ISSN (online) 1096-4673
    ISSN 0161-2840
    DOI 10.1080/01612840.2023.2262569
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Covid-19 Restrictive Measures: A Theoretical Exploration of Defiant Attitudes.

    Grech, Paulann / Grech, Reuben

    Issues in mental health nursing

    2021  Volume 42, Issue 4, Page(s) 317–320

    Abstract: The aim of this paper is to explore defiant attitudes to Covid-19 restrictions against a backdrop of Health Behaviour Theories, so as to gain further understanding of such behaviour and target it accordingly. In an attempt to limit the mortality and ... ...

    Abstract The aim of this paper is to explore defiant attitudes to Covid-19 restrictions against a backdrop of Health Behaviour Theories, so as to gain further understanding of such behaviour and target it accordingly. In an attempt to limit the mortality and morbidity of the pandemic, health authorities are encouraging and enforcing the adherence to restrictive measures. Still, defiant attitudes persist. Possible reasons for these attitudes include an unappreciation of possible consequences and feelings of helplessness. The psychiatric nurse has a specific toolkit that is crucial in addressing these thought processes and behaviours-this shall be explored.
    MeSH term(s) COVID-19/psychology ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2021-03-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 603180-8
    ISSN 1096-4673 ; 0161-2840
    ISSN (online) 1096-4673
    ISSN 0161-2840
    DOI 10.1080/01612840.2021.1894619
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The role of health promotion theories in Stroke Awareness and Education.

    Grech, Paulann / Grech, Reuben

    Applied nursing research : ANR

    2021  Volume 58, Page(s) 151415

    Abstract: The aim of this paper is to provide an overview of health promotion theories and their application to Stroke Awareness and Education. Stroke stands as one of the leading causes of mortality and morbidity even though treatment is readily available. One of ...

    Abstract The aim of this paper is to provide an overview of health promotion theories and their application to Stroke Awareness and Education. Stroke stands as one of the leading causes of mortality and morbidity even though treatment is readily available. One of the major challenges in this area is that the effectiveness of treatment depends heavily on timely presentation to healthcare services. Unfortunately, many individuals do not seek help whilst experiencing symptoms or only do so after a significant delay. This paper explores the main health promotion theories related to this problematic health behaviour in relation to stroke.
    MeSH term(s) Awareness ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Health Promotion ; Humans ; Stroke
    Language English
    Publishing date 2021-02-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1027369-4
    ISSN 1532-8201 ; 0897-1897
    ISSN (online) 1532-8201
    ISSN 0897-1897
    DOI 10.1016/j.apnr.2021.151415
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: An account of loneliness while living with an eating disorder.

    Grech, Paulann / Azzopardi, Andrew / Borg, Sarah

    Journal of psychiatric and mental health nursing

    2023  Volume 31, Issue 2, Page(s) 127–132

    Abstract: WHAT IS KNOWN ON THE SUBJECT?: Severe and prolonged loneliness is known to be detrimental to mental well-being. Eating disorders and loneliness are linked to each other with loneliness often acting as a barrier during the recovery journey. WHAT THIS ... ...

    Abstract WHAT IS KNOWN ON THE SUBJECT?: Severe and prolonged loneliness is known to be detrimental to mental well-being. Eating disorders and loneliness are linked to each other with loneliness often acting as a barrier during the recovery journey. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper explores the experience of loneliness while recovering from an eating disorder, as framed within the context of childrearing and challenging family dynamics. While loneliness has negative connotations, it may act as a 'companion' to the person experiencing it. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The first visible need is that for public figures to raise awareness of loneliness and mental well-being. Another emerging issue is the need to re-think automatic negative assumptions associated with loneliness. Importantly, professionals and caregivers have to consider the co-morbidity of loneliness and mental illness. Links between loneliness and unhealthy family dynamics also need to be assessed when providing support.
    MeSH term(s) Humans ; Loneliness ; Feeding and Eating Disorders ; Mental Health ; Caregivers
    Language English
    Publishing date 2023-08-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1328479-4
    ISSN 1365-2850 ; 1351-0126
    ISSN (online) 1365-2850
    ISSN 1351-0126
    DOI 10.1111/jpm.12967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: COVID-19 in Malta: The mental health impact.

    Grech, Paulann / Grech, Reuben

    Psychological trauma : theory, research, practice and policy

    2020  Volume 12, Issue 5, Page(s) 534–535

    Abstract: The COVID-19 pandemic has had a devastating impact on health, economies, and other societal pillars. The Maltese archipelago has also been affected by this viral threat. Due to Malta's characteristics as one of the smallest islands in Europe, the picture, ...

    Abstract The COVID-19 pandemic has had a devastating impact on health, economies, and other societal pillars. The Maltese archipelago has also been affected by this viral threat. Due to Malta's characteristics as one of the smallest islands in Europe, the picture, which shall be portrayed in this article, may have some unique features, especially in terms of mental health and societal well-being. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    MeSH term(s) Adult ; COVID-19 ; Coronavirus Infections ; Humans ; Infection Control ; Internal-External Control ; Malta ; Mental Health ; Mental Health Services ; Pandemics ; Pneumonia, Viral ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0000925
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Comparison of Narrative Exposure Therapy and Non-Trauma-Focused Treatment in Post-Traumatic Stress Disorder: A Systematic Review and Meta-Analysis.

    Grech, Paulann / Grech, Reuben

    Issues in mental health nursing

    2019  Volume 41, Issue 2, Page(s) 91–101

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Humans ; Implosive Therapy ; Narrative Therapy ; Stress Disorders, Post-Traumatic/therapy
    Language English
    Publishing date 2019-10-29
    Publishing country England
    Document type Comparative Study ; Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 603180-8
    ISSN 1096-4673 ; 0161-2840
    ISSN (online) 1096-4673
    ISSN 0161-2840
    DOI 10.1080/01612840.2019.1650853
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Walking on eggshells: A life defined by obsessive-compulsive personality disorder.

    Grech, Paulann / Spiteri, Ana

    Journal of psychiatric and mental health nursing

    2021  Volume 29, Issue 2, Page(s) 181–185

    Abstract: WHAT IS KNOWN ON THE SUBJECT?: Obsessive-compulsive personality disorder (OCPD), which is experienced by 2.1-7.9% of the population, is characterized by an excessive need for orderliness, neatness and perfectionism. WHAT DOES THE PAPER ADD TO EXISTING ... ...

    Abstract WHAT IS KNOWN ON THE SUBJECT?: Obsessive-compulsive personality disorder (OCPD), which is experienced by 2.1-7.9% of the population, is characterized by an excessive need for orderliness, neatness and perfectionism. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: Existing studies on OCPD commonly focus on the physiological aspects, treatment and/or comparison of features with other disorders. Studies that explore the personal experiences related to OCPD are lacking and so the human element of this condition is missing. This paper contributes to this gap by presenting a glimpse into life with OCPD. The narrative is provided by the daughter of a person who lived with OCPD and presents the ordeals, victories and aspects of everyday life as framed by the condition. Whilst personality disorders such as OCPD are subjected to a high level of stigma, this relative's story shows that love and compassion can be found even in the darkest corridors that OCPD can take one to. As the story shows, behind every disorder there is a human being and the disorder is not the totality of that being. In this view, the paper sheds light on the human element related to the condition. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The paper highlights the need for continuous, hands-on community support to those experiencing OCPD and their significant others. In order to enhance continuity of care, support is ideally centralized and provided by one keyworker who builds a strong therapeutic relationship with the person and their loved ones.
    MeSH term(s) Animals ; Compulsive Personality Disorder/epidemiology ; Compulsive Personality Disorder/therapy ; Egg Shell ; Humans ; Obsessive-Compulsive Disorder/epidemiology ; Obsessive-Compulsive Disorder/therapy
    Language English
    Publishing date 2021-11-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 1328479-4
    ISSN 1365-2850 ; 1351-0126
    ISSN (online) 1365-2850
    ISSN 1351-0126
    DOI 10.1111/jpm.12805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: To Hell and Back: A Performer's mental health journey during the COVID-19 pandemic.

    Grech, Paulann / Chircop, Daniel / Azzopardi, Andrew

    Journal of psychiatric and mental health nursing

    2022  Volume 30, Issue 2, Page(s) 148–154

    Abstract: WHAT IS KNOWN ON THE SUBJECT?: The COVID-19 pandemic has induced a considerable amount of mental health difficulties, ranging from anxiety and depression to psychosis. As services struggle to cope with the demand for support, the effect of such ... ...

    Abstract WHAT IS KNOWN ON THE SUBJECT?: The COVID-19 pandemic has induced a considerable amount of mental health difficulties, ranging from anxiety and depression to psychosis. As services struggle to cope with the demand for support, the effect of such psychological challenges on quality of life remains a major concern. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: Since the beginning of the COVID-19 pandemic, a vast amount of research has focused on the physical consequences of the virus. Gradually, studies on the mental health effects related to the pandemic started to emerge, as it became clear that mental health difficulties were as present and as concerning as the physical ones. Whilst such studies commonly explore the prevalence and nature of the presenting mental health challenges, the publication of personal mental health experiences linked to the ongoing situation is lacking. Introducing the human element in literature is an important means of raising awareness on the mental health difficulties that can be triggered by the pandemic. Using public figures such as the individual in this paper is additionally powerful due to the role model effect. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The paper highlights the need for enhanced awareness and monitoring of mental health especially by health professionals who therefore need to receive adequate mental health training. Furthermore, mental health awareness efforts need to be considered as being a part of the role of the psychiatric and mental health nurse who is at a prime position to educate, monitor and support those receiving care.
    MeSH term(s) Humans ; COVID-19 ; Mental Health ; Pandemics ; Quality of Life ; Psychotic Disorders
    Language English
    Publishing date 2022-09-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1328479-4
    ISSN 1365-2850 ; 1351-0126
    ISSN (online) 1365-2850
    ISSN 1351-0126
    DOI 10.1111/jpm.12868
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: COVID-19 in Malta

    Grech, Paulann / Grech, Reuben

    Psychological Trauma: Theory, Research, Practice, and Policy

    The mental health impact.

    2020  Volume 12, Issue 5, Page(s) 534–535

    Keywords Clinical Psychology ; Social Psychology ; covid19
    Language English
    Publisher American Psychological Association (APA)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2497028-1
    ISSN 1942-969X ; 1942-9681
    ISSN (online) 1942-969X
    ISSN 1942-9681
    DOI 10.1037/tra0000925
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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