Evidence map›Paper›PMID 25702165›Full record

ArticleSocial psychiatry and psychiatric epidemiology2015

The role of fear in mental health service users' experiences: a qualitative exploration.

Angela Sweeney, Steve Gillard, Til Wykes, Diana Rose

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  9. Review
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  11. Participatory research: real or imagined.Social psychiatry and psychiatric epidemiology · 2018
    Article
  12. Taking a Gamble for High Rewards? Management Perspectives on the Value of Mental Health Peer Workers.International journal of environmental research and public health · 2018
    Article
  13. Defining continuity of care from the perspectives of mental health service users and professionals: an exploratory, comparative study.Health expectations : an international journal of public participation in health care and health policy · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Angela SweeneyPopulation Health Research Institute, St George's University of London, Cranmer Terrace, London, SW17 0RE, UK, asweeney@sgul.ac.uk.
Steve Gillard
Til Wykes
Diana Rose

Funding

Department of Health 08/1109/198Department of Health HS&DR/08/1109/198
6 · The paper itself

Abstract

purposeAlthough studies suggest that fear plays an important role in shaping mental health service users' experiences, evidence is patchy and the contexts, conditions and consequences of fear have rarely been researched. This paper explores the role of fear in adult mental health service users' lives and describes its implications for mental health services.

methodsFour community health service user focus groups (N32) were held. Each group was reconvened after 7-14 days. An initial thematic analysis generated a service user definition of continuity of care (reported elsewhere). A Straussian 'secondary grounded theory analysis' was conducted to gain a deeper understanding of participants' experiences.

results'Being afraid' was identified as a core process, with power and control, and stigma and discrimination found to have explanatory power in determining how and why fear manifests. Consequences included distrusting staff, cooperating reluctantly, learning reticence, delaying help-seeking, avoiding services, feeling unsafe in the community and avoiding exposure as a service user.

conclusionsOur model suggests that fear plays a substantial role in the lives of adult mental health service users. This has particular consequences for therapeutic relationships, engagement with services and engagement with the wider community. This lack of engagement is associated with adverse outcomes. Further research into the role of fear and the factors that mediate against it is warranted.

Indexed as

Mental Health ServicesSocial StigmaFearFemaleFocus GroupsHealth Services AccessibilityHumansMaleMental DisordersMiddle AgedModels, Psychological

Identifiers

PMID25702165
PMCPMC4463981

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.