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Foroozanfar Z, Hooshyar D, Joulaei H. Psychosocial predictors of quality of life among women living with HIV/AIDS: a cross-sectional study in a VCT centre in Shiraz, Iran. Qual Life Res 2024:10.1007/s11136-023-03586-9. [PMID: 38231437 DOI: 10.1007/s11136-023-03586-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2023] [Indexed: 01/18/2024]
Abstract
PURPOSE We aimed to assess psychosocial predictors of quality of life (QOL) among women living with HIV/AIDS (WLHIV). QOL has been considered as an important indicator in evaluating the outcome of psychological and physical healthcare in people living with HIV (PLHIV). METHODS This cross-sectional study was carried out from October 2021 to April 2022 at the Voluntary, Counselling, and Testing (VCT) center in Shiraz, Iran. A total of 452 WLHIV were included in this study. Socio-demographic and clinical data, social support (MSPSS questionnaire), food insecurity (HFIAS questionnaire), resilience (CD-RISC questionnaire), mental health status (DASS questionnaire), and QOL (WHOQOL-BREF questionnaire) were collected through direct interviews and patients' files at Shiraz VCT. RESULTS Physical and social relationships domains of QOL had the highest (60.48 ± 18.00) and lowest (36.76 ± 23.88) scores, respectively. Higher clinical stage, psychotropic substances use, having a husband infected with HIV, history of hypertension, and higher socioeconomic status had a significant relationship with some domains of QOL. The score of social support, food insecurity, resilience, and mental health status had a significant relationship with all domains of QOL. CONCLUSION Social relationships domain of QOL had the lowest scores in WLHIV. Also, the mental health status of WLHIV was more related to their QOL than the physical status related to HIV/AIDS. Interventions such as improving the mental health care and resilience skills of WLHIV, including their social network in counseling services to promote their social support, could help them to improve their QOL.
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Affiliation(s)
- Zohre Foroozanfar
- HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Scienses, Shiraz, Iran
- HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Dariush Hooshyar
- HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Scienses, Shiraz, Iran
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hassan Joulaei
- HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Scienses, Shiraz, Iran.
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Wei Y, Song H. Adult female callers' characteristics and mental health status: a retrospective study based on the psychological assistance hotline in Hangzhou. BMC Public Health 2023; 23:2295. [PMID: 37986069 PMCID: PMC10662539 DOI: 10.1186/s12889-023-17085-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 10/27/2023] [Indexed: 11/22/2023] Open
Abstract
OBJECTIVE This study aims to analyze the basic characteristics and mental health status of adult female callers to the psychological assistance helpline in Hangzhou City, in order to provide targeted services for effectively intervening in the psychological crises of this group. METHODS Data from adult female callers to a helpline in Hangzhou City were collected between 2019 and 2022, encompassing demographic information and discussed issues. The data were analyzed according to age groups, marital status, and call times. The mental health status of the adult female population was measured by two indicators-mood status and suicide risk. RESULTS The study included 15,580 adult female callers. Among them, 52.2% were aged 30 and below, 62.1% were unmarried, and 42.6% were from other provinces. The primary types of calls were related to mental health (56.5%), romantic relationships (11%), and marriage/family issues (13%). Adults aged 30 and below had more consultations about romantic relationships, work, and study-related issues compared to those over 30. Those over 30 sought more advice on marriage/family and child education. Younger callers displayed higher levels of depression and suicide risk compared to older callers. Unmarried callers had a higher proportion of moderate depression and suicide risk than married callers. Higher education levels were associated with lower depression levels (OR = 0.631,95%CI:0.439-0.906, P = 0.013) and high-risk proportions (OR = 0.328,95%CI:0.147-0.733, P = 0.007). Late evening callers had a higher high-risk proportion (OR = 5.326,95%CI:2.633-10.775, P < 0.001), and employed individuals had lower high-risk proportions compared to unemployed callers (OR = 0.536,95%CI:0.320-0.897, P = 0.018). CONCLUSION The mental health status of female callers aged 30 and below, unemployed individuals, and those calling in the latter part of the night have relatively poorer mental health and are more likely to be at risk for suicide, which needs to be taken seriously, and more professional and targeted intervention services need to be enhanced in the hotline.
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Affiliation(s)
- Yating Wei
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230032, China.
- Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310013, China.
| | - Haidong Song
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230032, China
- Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310013, China
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Liao SJ, Fang YW, Liu TT. Exploration of related factors of suicide ideation in hospitalized older adults. BMC Geriatr 2023; 23:749. [PMID: 37974110 PMCID: PMC10655411 DOI: 10.1186/s12877-023-04478-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 11/10/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND With the rapid aging of the population structure, and the suicide ideation rate also increasing year by year, the ratio of people over 65 to the total number of deaths is increasing yearly. The study provides a reference for researchers interested in older adults' care to explore SI further affecting older adults in the future and provide a reference for qualitative research methods or interventional measures. OBJECTIVE The objective of this study is to explore the influence of mental health status, life satisfaction, and depression status on suicidal ideation (SI) among hospitalized older adults. METHODS In a cross-sectional correlation study, taking inpatients over 65 years old in a regional teaching hospital in eastern Taiwan, and the BSRS-5 ≧ 5 points of the screening cases, a total of 228 older adults agree to conduct data analysis in this study. Mainly explore the influence of personal characteristics, mental health status, life satisfaction, and depressed mood on SI among the hospitalized older adults. The basic attributes of the cases used in the data, mental health status, cognitive function, quality of life, depression, and suicide ideation, the data obtained were statistically analyzed with SPSS 20/Windows, and the descriptive statistics were average, standard deviation, percentage, median, etc. In the part of inference statistics, independent sample t-test, single-factor analysis of variance, Pearson performance difference correlation, and logistic regression analysis were used to detect important predictors of SI. RESULTS Research results in (1) 89.5% of hospitalized older adults have a tendency to depression. 2.26.3% of the older adults had SI. (2) Here are significant differences in the scores of SI among hospitalized older adults in different economic status groups and marital status groups. (3) The age, marital status, and quality of life of the hospitalized older adults were negatively correlated with SI; economic status, self-conscious health, mental health, and depression were positively correlated with SI. (4) The results of the mental health status and SI is (r = .345, p < .001), higher the score on the BSRS-5 scale, the higher the SI. The correlation between the depression scale score (SDS-SF) and SI was (r = .150, p < .05), the higher the depression scale score, the higher the SI. CONCLUSION The results of the study found that there was a statistically significant correlation between SI in older adults and age, marital status, economic status, mental health, quality of life, and depression, and also showed that they might interact with each other; the older adults in BSRS-5, GDS-SF, quality of life scale scores have statistically significant differences as essential predictors of SI. The results of this study suggest that medical staff can use the BSRS-5 scale to quickly screen and evaluate the mental health status of older adults, hoping to detect early and provide preventive measures, thereby improving the quality of life of older adults.
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Affiliation(s)
- Su-Jung Liao
- Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien, Taiwan
| | - Yu-Wen Fang
- Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien, Taiwan.
| | - Tse-Tsung Liu
- Department of Family Physician and Geriatrician, Mennonite Christian Hospital, Hualien, Taiwan.
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Sokratous S, Alexandrou G, Zavrou R, Karanikola M. Mental health status and stressful life events among postgraduate nursing students in Cyprus: a cross-sectional descriptive correlational study. BMC Nurs 2023; 22:294. [PMID: 37644498 PMCID: PMC10466854 DOI: 10.1186/s12912-023-01463-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 08/24/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND Despite prior evidence supporting the association between stressful life events and mental health status, there are limited data on the number and severity of stressful life events and their effects on university students' mental health status. Therefore, the present study aimed to: (a) examine mental health status and subsequent predictors of clinically significant mental distress symptoms, (b) estimate the number and severity of stressful life events, and (c) explore the associations between mental health status, stressful life events (number and severity) and sociodemographic characteristics. METHODS This study was descriptive, cross-sectional, and correlational with internal comparisons. A convenience sample of 90 Master of Science in nursing and midwifery students, participated in the study. Participants with a General Health Questionnaire-28 (GHQ-28) total score ≥ 24 were considered to have clinically significant mental distress symptoms. Descriptive and inferential statistics were evaluated, and Pearson's chi-square test for group differences was used to analyse the data. Analysis of variance and t-tests were used for comparisons between two or more groups, and regression analyses were employed to identify the predictors of GHQ-28 scores and clinical mental distress symptoms. RESULTS The final sample comprised 90 students (response rate: 97.8%), 33 (36.7%) of whom reported clinically significant symptoms of mental distress. Students with divorced parents [29.92 (± 10.62), p < .05] scored high on the GHQ-28. Participants who had low/no satisfaction with the education system posted higher scores than participants who had high/very high satisfaction [24.82 (± 11.68) vs. 17.93 (± 9.78), p < .05]. In the subscale measuring depressive symptoms, there was a statistically significant gender difference, with men reporting higher scores than females. [3.0± (3.69) vs. 1.60 (± 2.42), p = .034]. In multiple analyses of sociodemographic characteristics and those who scored higher on the Life Events Scale for Students (LESS) scale (≥ 340), the loss of parent/s was associated with the total GHQ-28 score (B=-17.046, p < .001). In multiple analyses, chronic physical disorders or disabilities and numerous stressful life events among students (≥ 8 events) were correlated with higher overall GHQ-28 scores (B = 15.232, p < .005). CONCLUSION The high frequency of clinical symptoms of mental distress among postgraduate university nursing students and their correlation with stressful life events highlights the need for university counselling services to provide psychological support strategies to students.
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Affiliation(s)
- Sokratis Sokratous
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
| | | | | | - Maria Karanikola
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
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He Y, Huang L, Chen J, Long L, Zhang L, Hui X, Zhang Q, Guan M, Xie Y, Sun J. Mental health status and related influencing factors in patients with COVID-19. BMC Psychol 2023; 11:225. [PMID: 37550783 PMCID: PMC10408094 DOI: 10.1186/s40359-023-01254-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 07/19/2023] [Indexed: 08/09/2023] Open
Abstract
BACKGROUND The outbreak of the Corona Virus Disease 2019 (COVID-2019) has resulted in a significant number of diagnosed patients requiring treatment in designated hospitals. However, limited evidence exists regarding the prevalence of mental health problems and associated psychological factors in COVID-19 patients. OBJECTIVES This study investigated the prevalence rates of anxiety, depression, and insomnia among COVID-19 patients, as well as explored the associations between these mental health problems and psychological factors. METHODS A cross-sectional study was conducted among 387 COVID-19 patients in a designated shelter hospital. Online measures were used to assess anxiety, depression, insomnia, social support, coping styles, and emotional regulation. Data were analyzed to determine the prevalence rates of mental health problems and examine the associations between these problems and the psychological factors. RESULTS The results revealed high prevalence rates of anxiety (21.80%), depression (49.0%), and insomnia (63.70%) among COVID-19 patients. Objective social support scores and positive coping style scores were significantly associated with lower levels of anxiety, depression, and insomnia, respectively. Conversely, high negative coping style scores, higher education level, and self-perceived illness severity, were significantly related to higher levels of anxiety, depression, or insomnia symptoms. Emotional regulation scores did not show a significant association with any of the examined mental health problems. CONCLUSIONS These findings have implications for guiding psychological interventions tailored to COVID-19 patients in future outbreaks. By targeting social support and promoting adaptive coping strategies, psychological interventions can address the psychological distress experienced by COVID-19 patients.
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Affiliation(s)
- Ying He
- Department of Medical Psychology, Neurology Medical Center, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Lei Huang
- Department of Medical Psychology, Neurology Medical Center, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Jian Chen
- Department of Medical Psychology, Neurology Medical Center, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Ling Long
- Cancer Institute, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Ling Zhang
- Department of Medical Psychology, Neurology Medical Center, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Xiao Hui
- Department of Medical Psychology, Neurology Medical Center, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Qingling Zhang
- Department of Medical Psychology, Neurology Medical Center, The Second Affiliated Hospital, Army Medical University, Chongqing, China
| | - Muzhen Guan
- Department of Mental Health, Xi'an Medical College, Xi'an, China
| | - Yuanjun Xie
- Department of Military Medical Psychology, Fourth Military Medical University, Xi'an, China.
| | - Jianguo Sun
- Cancer Institute, The Second Affiliated Hospital, Army Medical University, Chongqing, China.
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Zhong XL, Sheng DL, Cheng TZ, Zhang ZW. Effect of exercise prescription teaching on exercise quality and mental health status of college students. World J Psychiatry 2023; 13:191-202. [PMID: 37303933 PMCID: PMC10251364 DOI: 10.5498/wjp.v13.i5.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 03/21/2023] [Accepted: 04/19/2023] [Indexed: 05/19/2023] Open
Abstract
BACKGROUND The teaching mode of fitness exercise prescriptions for college students in physical education conforms to the scientific principles and rules of fitness, which can adapt to the characteristics of students' individual physiological functions and stimulate their interest in learning.
AIM To analyze the effect of prescribed exercise teaching on the sports quality and mental health of college students.
METHODS The participants of the study were 240 students in our class of 2021, of which 142 were men and 98 were women. The 240 students were randomly divided into an experimental group using the exercise prescription teaching model and a control group using the conventional teaching model. The experimental and control groups were divided into four classes of 30 students each. The teaching activities of the two teaching mode groups were strictly controlled, and the same tests were used before and after the experiment to test the subjects' exercise quality (in-cluding standing long jump, 50 m race, 800 m race, sit-ups, sit-and-reach), physical form (including height, weight, Ketorolai index), cardiopulmonary function (including heart rate, blood pressure, spirometry, 12-min running distance, maximum oxygen intake) and mental health (SCL-90, including somatization, obsessive-compulsive, interpersonal, depression, anxiety, hostility, phobia, paranoia, psychotic symptoms) to understand the effects of the exercise prescription teaching mode on students' physical and mental health status.
RESULTS There were differences in the exercise scores of standing long jump, 50 m, 800 m/1000 m running, sit-ups, and sit-and-reach in the experimental group after the experiment compared with those before the experiment, and the above indices of the experimental group were different from those of the control group after the experiment (P < 0.05). There were differences in body weight and Ketorolai index in the experimental group after the experiment compared to those before the experiment, and the indices of the experimental group were also different from those of the control group after the experiment (P < 0.05). After the experiment, there were differences in spirometry, 12-min running distance, and maximum oxygen intake in the experimental group compared to those before the experiment, and the indices of the experimental group were also different from those of the control group after the experiment (P < 0.05). After the experiment, the indicators of somatization, interpersonal sensitivity, depression, anxiety, and hostility in the experimental group were different from those in the pre-experimental group, and the indexes of the experimental group were also different from those of the control group after the experiment (P < 0.05).
CONCLUSION Exercise prescription teaching can mobilize college students' consciousness, enthusiasm, and initiative; expand personalities; enhance physical fitness and improve their mental health more than the conventional fitness exercise prescription teaching method.
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Affiliation(s)
- Xing-Long Zhong
- Police Command and Tactics Department, Zhejiang Police College, Hangzhou 310053, Zhejiang Province, China
| | - Da-Li Sheng
- Police Command and Tactics Department, Zhejiang Police College, Hangzhou 310053, Zhejiang Province, China
| | - Tong-Zhou Cheng
- Police Command and Tactics Department, Zhejiang Police College, Hangzhou 310053, Zhejiang Province, China
| | - Zhe-Wei Zhang
- Police Command and Tactics Department, Zhejiang Police College, Hangzhou 310053, Zhejiang Province, China
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Gao S, Su S, Zhang E, Liu R, Zhang Y, Wang C, Liu J, Xie S, Yin C, Yue W. Psychological health status in postpartum women during COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord 2022; 319:99-111. [PMID: 36087790 PMCID: PMC9450470 DOI: 10.1016/j.jad.2022.08.107] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 05/30/2022] [Accepted: 08/26/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND This systematic review and meta-analysis pooled the prevalence of psychological symptoms during the COVID-19 pandemic and examined the effects of the pandemic on psychological health in postpartum women. METHODS A systematic literature search and identification were performed in PubMed, EMBASE, Web of Science, and PsycINFO databases until June 16th, 2021. The fixed or random effect models to estimate the pooled prevalence of postpartum psychological symptoms during the COVID-19 pandemic and the odds ratio (OR) of COVID-19 for psychological symptoms. RESULTS A total of 29 articles including 20,225 postpartum women during the COVID-19 pandemic and 8312 before the COVID-19 pandemic were identified. During the COVID-19 pandemic, the prevalence of postpartum depressive, anxiety, stress, and post-traumatic stress disorder symptoms were 26.7 % (95 % CI: 22.0-31.9 %), 33.8 % (95 % CI: 21.1-49.4 %), 55.0 % (95%CI: 27.9-79.5 %), and 33.7 % (95%CI: 19.6-51.5 %), respectively. The ORs of COVID-19 pandemic for postpartum depressive and anxiety symptoms were 1.54 (95 % CI: 1.00-2.36) and 2.56 (95%CI: 1.62-4.04). Subgroup analyses revealed that women with >6 weeks after delivery, younger than 35 years old, low income, less education and without breastfeeding experienced a higher risk of depressive or anxiety symptoms after delivery. LIMITATIONS Only a few of prospective studies were included, and significant but inevitable heterogeneities were found in some analyses. CONCLUSION A significantly higher proportion of postpartum women were suffered from psychological symptoms during COVID-19 pandemic, particularly in those with >6 weeks after delivery, younger than 35 years old, low income, less education and formula feeding.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Chenghong Yin
- Department of Central Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, China.
| | - Wentao Yue
- Department of Central Laboratory, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, China.
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Lin WY, Chang CK, Tung FI, Lin TY, Lin YK. Interpreting the Evidence of Body Mass Index in Relation to Mental Health Status in Community-Dwelling Older Adults. Gerontology 2022; 68:1311-1320. [PMID: 35500556 DOI: 10.1159/000524450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 04/01/2022] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Maintaining a better physical and mental health status is an important issue for older adults in their later life. Thus, the study's purpose was to evaluate the association between body mass index (BMI) and mental health status in older adults aged 65 years old or above residing in communities of Taipei City, Taiwan. METHODS We carried out secondary data analysis with data from a volunteer-based health examination project for older adults >65 years old residing in Taipei City from 2006 to 2010 with a retrospective study design. BMI, calculated by standardized measuring procedures for height and weight, and mental health status, evaluated by 5-item Brief Symptom Rating Scale (BSRS-5), were collected at their first visits of health examination. A BSRS-5 score ≥6 was considered an inferior mental health status for the outcome. In statistical analysis, univariable and multivariable logistic regressions were adopted to estimate the relative risk of inferior mental health status, treating BMI as the major exposure of interest. RESULTS A total of 90,576 subjects were involved, with a mean age of 73.38 years old (SD = 6.64 years) and 49.21% females. With confounders controlled, compared to normal or overweight (23 ≤ BMI <30), an adjusted OR of 1.23 (95% CI: 1.18, 1.29) on inferior mental health status was detected for the underweight group (BMI <23) significantly. Adjusted OR for those obese (BMI ≧30) was 0.87 (95% CI: 0.79, 0.96). Significantly elevated ORs of underweight were found for both genders, but the significantly protective effect of obese was only detected for females. CONCLUSION Keeping an appropriate weight or even being overweighted might be beneficial for older adults dwelling in the community, especially for males.
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Affiliation(s)
- Wan-Yu Lin
- Department of Health and Welfare, College of City Management, University of Taipei, Taipei, Taiwan.,Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Chin-Kuo Chang
- Global Health Program, College of Public Health, National Taiwan University, Taipei, Taiwan.,Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.,King's College London (Institute of Psychiatry, Psychology & Neurosciences), London, United Kingdom.,South London & Maudsley NHS Foundation Trust, London, United Kingdom
| | - Fu-I Tung
- Department of Orthopedics, Taipei City Hospital, Taipei, Taiwan
| | - Tung-Yi Lin
- Department of Health and Welfare, College of City Management, University of Taipei, Taipei, Taiwan
| | - Yu-Kai Lin
- Department of Health and Welfare, College of City Management, University of Taipei, Taipei, Taiwan
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Wu Q, Li D, Yan M, Li Y. Mental health status of medical staff in Xinjiang Province of China based on the normalisation of COVID-19 epidemic prevention and control. Int J Disaster Risk Reduct 2022; 74:102928. [PMID: 35368428 PMCID: PMC8958729 DOI: 10.1016/j.ijdrr.2022.102928] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 03/24/2022] [Accepted: 03/25/2022] [Indexed: 05/05/2023]
Abstract
INTRODUCTION The 2019 coronavirus disease (COVID-19) pandemic has burdened and threatened the psychological health of people around the world, especially those of front-line medical staff. This study aimed to explore the mental-health status and its associated factors amongst the medical workforce of Xinjiang province under the normalisation of the COVID-19 epidemic prevention and control. METHODS A total of 408 medical staff were recruited from February 20 to March 10, 2021. Symptom Checklist 90 (SCL-90) scale, Social support Scale, and Simplified Coping-Style Questionnaire were applied to assess their mental-health status and stress-coping tendency. Descriptive analyses, welch's T-test, chi-square test, and binary logistic regression were used to analyse the data. RESULTS The prevalence of mental-health problems was 20.25% (80/395) amongst the surveyed medical staff, and their total symptom mean score (1.31 ± 0.40) was lower than that of the general population (1.44 ± 0.43). Logistic regression analysis revealed that nurse, individual with poor health condition, those who lived with their elderly parents at home, those receiving less social support, and those with a negative stress-coping style were more likely to show psychological problems. CONCLUSION More attention should be paid to the mental state of the medical workforce during the COVID-19 pandemic. The government and professional institutes should facilitate social supportive activities and essential counselling services to help strengthen the psychological resilience of medical staff. Additionally, it is necessary for health administration committee and hospitals to make COVID-19 prevention practice guides and risk communication principles for improving the mental health of the front-line medical staff.
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Affiliation(s)
- Qiong Wu
- Faculty of Medicine, Wuhan City College, Wuhan, China
| | - Dao Li
- Faculty of Medicine, Wuhan City College, Wuhan, China
| | - Min Yan
- Health Bureau of Shuanghe City in Xinjiang Province, Shuanghe, China
| | - Yihua Li
- Department of Preventive Medicine, Medical College of Yanbian University, Yanji, China
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Luo X, Zheng R, Xiao P, Xie X, Liu Q, Zhu K, Wu X, Xiang Z, Song R. Relationship between school bullying and mental health status of adolescent students in China: A nationwide cross-sectional study. Asian J Psychiatr 2022; 70:103043. [PMID: 35219979 DOI: 10.1016/j.ajp.2022.103043] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 01/20/2022] [Accepted: 02/17/2022] [Indexed: 01/12/2023]
Abstract
INTRODUCTION School bullying, as a public health problem, has been linked to many emotional disorders. However, the overall status of school bullying among adolescent students in China is unknown. This nationwide study aimed to investigate school bullying in China and evaluate the relationships between school bullying and mental health status. METHODS A total of 15, 415 middle and high school students were enrolled in this study through multistage stratified cluster random sampling. Multinomial logistic regression models were used to examine the association between school bullying and mental health status and the analysis was stratified by gender. RESULTS Students were divided into four groups: 2.72%, bully/victims; 1.38%, bullies; 10.89%, victims; 85.01%, uninvolved. Compared with uninvolved students, students with anxiety symptoms, non-suicidal self-injury and suicide ideation had a higher risk of being involved in school bullying and were more likely to be bully/victims, bullies, and victims. Stratified analysis indicated that boys with anxiety symptoms and non-suicidal self-injury risks tended to be bullies, victims and bully/victims. However, for girls, bullying others or being bullied was related to anxiety symptoms and suicide ideation. CONCLUSION Our study indicated that school bullying is still a health problem in the adolescent students of China, and is related to many mental health problems. Intervention programs are in urgent need to help the students involved in school bullying, both in terms of their mental and physical health.
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Affiliation(s)
- Xiaomin Luo
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, China
| | - Ruimin Zheng
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, China.
| | - Pei Xiao
- Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xinyan Xie
- Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Qi Liu
- Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Kaiheng Zhu
- Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xiaoqian Wu
- Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Zhen Xiang
- Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Ranran Song
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, China; Department of Maternal and Child Health, and the Ministry of Education Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
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11
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Tao X, Chen D, Fan Y, Zhang L, Shan H, Wei Y, Yu X, Zhong T, Wang L, Chung SK, Yu Y, Xiao Y. A cross-sectional study for the mental health status and sleep quality among college students in Macao during the COVID-19 pandemic. PeerJ 2021; 9:e12520. [PMID: 34966578 PMCID: PMC8663623 DOI: 10.7717/peerj.12520] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 10/29/2021] [Indexed: 11/20/2022] Open
Abstract
Objectives The main focus of this study was to investigate the effect of the coronavirus disease (COVID-19) pandemic on the mental health condition and sleep quality of college students in Macao. In addition, the students’ behaviours during the pandemic, such as drinking alcohol, taking sleeping pills, and seeking psychological counselling were analyzed. Method A cross-sectional survey of mental health and sleep quality status, as well as the possible behavioral risk factors, was conducted among the college students of Macao in August, 2020 during the COVID-19 pandemic. An online self-report questionnaire survey method was applied to assess the general demographics and related lifestyle behaviors of students. The general mental health condition and sleep quality were evaluated through the General Health Questionnaire (GHQ-12) and Pittsburgh Sleep Quality Index (PSQI) questionnaires, respectively. The main statistical methods included the Chi-square test, Bonferroni correction, and Pearson correlation. Data analysis was performed using SPSS Version 24.0. Results A total of 980 students were investigated in the study, of which 977 completed the survey. During the COVID-19 pandemic period, overall college students in Macao were psychologically well adjusted and reported good quality of sleep. However, female students were in poorer psychological condition than males (P < 0.05). Moreover, the students over 20 years of age had poorer sleep quality than students aged less than or equal to 20 (P < 0.05). The significant differences were found among the students in different study majors for the mental health status and sleep quality (both P < 0.05), which were associated with certain behaviors, such as drinking alcohol, taking sleeping pills, and seeking for help in psychological counselling during the COVID-19 pandemic period. Conclusions Poor mental health status could be either the consequence or cause of sleep disturbance, which might further affected physical health. Therefore, regular assessment of mental health condition and sleep quality of college students is particularly necessary during public health emergencies, such as the COVID-19 pandemic, and appropriate intervention should be provided to the students.
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Affiliation(s)
- Xiaoyu Tao
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Dong Chen
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Yawen Fan
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Lanxin Zhang
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Houqian Shan
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Yi Wei
- School of Public Administration, Jilin University, Changchun, Jilin, China
| | - Xi Yu
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Tian Zhong
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Ling Wang
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Sookja Kim Chung
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
| | - Yaqin Yu
- Faculty of Health Sciences, Zhuhai College of Science and Technology, Zhuhai, Guangdong, China
| | - Ying Xiao
- Faculty of Medicine, Macau University of Science and Technology, Macao, China
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Wang S, Zhou P, Yang X, Wang N, Jie J, Li Y, Cai Q, Lyv C, Li Y. Can urban prosperity aid in recovery?: The relationship between healthcare workers' mental health status and the city level during the COVID-19 epidemic. Cities 2021; 118:103361. [PMID: 36540671 PMCID: PMC9756374 DOI: 10.1016/j.cities.2021.103361] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 05/26/2021] [Accepted: 07/21/2021] [Indexed: 05/07/2023]
Abstract
The mental health of healthcare workers during epidemics is a complex topic. The outbreak of coronavirus disease 2019 (COVID-19) that occurred in late 2019 has become a global public health threat and provides an opportunity to investigate this topic. Based on a large-scale investigation of Chinese healthcare workers during the COVID-19 epidemic, the article tests the assumption that the socioeconomic level of a city affects the mental health status of healthcare workers. The result is interesting and important: the mental health status of this population differs based on the city level. Hospital level, hospital type and departments risk level were investigated separately. With regard to the degree of anxiety, depression and post-traumatic stress disorder (PTSD), there were obvious differences based on the city level: the negative mental health impacts increase with increasing city level, such that healthcare workers in first-tier cities have the least negative mental health impacts, while those in third-tier cities have the most. City level reflects the degree of urban development, resource richness, resident satisfaction, and positive social atmosphere. Urban prosperity may affect mental health.
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Affiliation(s)
- Sheng Wang
- Faculty of Economics and Management, East China Normal University, Shanghai, China
| | - Ping Zhou
- Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China
| | - Xiaoguang Yang
- Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China
| | - Nan Wang
- Chinese Hospital Association, Beijing, China
| | - Junqin Jie
- Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China
| | - Yao Li
- Chinese Hospital Association, Beijing, China
| | - Qimeng Cai
- Faculty of Economics and Management, East China Normal University, Shanghai, China
| | - Chao Lyv
- Department of Hospital Management, School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment of National Health Commission (Fudan University), Shanghai, China
| | - Yongbin Li
- Chinese Hospital Association, Beijing, China
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13
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Faruk MO, Ching U, Chowdhury KUA. Mental health and well-being of indigenous people during the COVID-19 pandemic in Bangladesh. Heliyon 2021; 7:e07582. [PMID: 34345744 PMCID: PMC8319571 DOI: 10.1016/j.heliyon.2021.e07582] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 06/18/2021] [Accepted: 07/12/2021] [Indexed: 12/30/2022] Open
Abstract
Background The ongoing pandemic caused by the novel coronavirus and the subsequent containment strategies has taken a heavy toll on the mental health of people irrespective of age, gender, race, ethnicity, and geographical location. Studies have documented the mental health status of non-indigenous Bangladeshi people, but little attention has been paid during the pandemic to the investigation of the mental health status of indigenous people living in remote hilly areas. To address this gap the present study aimed at investigating the prevalence and accompanying risk factors of depression, anxiety, stress, and compromised well-being among indigenous people during the pandemic. Methods A cross-sectional survey was conducted on 422 indigenous people aged between 16 and 90 using the 21-item Bangla Depression Anxiety Stress Scale (BDASS-21) and the Bangla version of the WHO-5 Well-being Index from January 30 to April 10, 2021. Data were collected by trained research assistants from three remote hilly areas namely Bandarban, Rangamati, and Khagracchari in the Chattogram Hill Tracts (CHT). Chi-squares, logistic regression, and ANOVA were performed to examine the association of variables. Results The prevalence of moderate to extremely severe depression, anxiety, stress, and low well-being among the indigenous population during the pandemic was found to be 49.3%, 47.2%, 36.7%, and 50.9%, respectively. Risk predictors for depression, anxiety, and stress included age, ethnicity, geographical locations, educational attainment, occupation, and marital status. Conclusions The results suggest that the ongoing pandemic has led to the rise of common mental health problems among indigenous people during the pandemic. The results can contribute to the formation of mental health policy for indigenous people and the development of suitable mental health intervention strategies especially during and after the COVID-19 pandemic.
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Affiliation(s)
- Md Omar Faruk
- Department of Clinical Psychology, University of Dhaka, Dhaka, Bangladesh
| | - Umay Ching
- Department of Psychology, University of Dhaka, Dhaka, Bangladesh
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Bonilla-Escobar FJ, Osorio-Cuéllar GV, Pacichana-Quinayaz SG, Rangel-Gómez AN, Gomes-Pereira LD, Fandiño-Losada A, Gutiérrez-Martínez MI. Impacts of violence on the mental health of Afro-descendant survivors in Colombia. Med Confl Surviv 2021; 37:124-145. [PMID: 34225496 DOI: 10.1080/13623699.2021.1938035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The Colombian armed conflict has disproportionately affected minorities, especially afro-Colombian communities. However, there is a lack of evidence about mental health of victims. This study aims to describe the prevalence of mental illness and its associated factors in Afro-descendant violence survivors in Buenaventura and Quibdó, Colombia. A cross-sectional study was carried out using data from a previous trial which aimed to reduce mental health symptoms (ClinicalTrials.gov: NCT01856673). Data of 710 adults identified through a snowball sampling technique was analysed. Diagnoses of depression, anxiety, post-traumatic stress disorder (PTSD), and dysfunction were established using adapted versions of the Hopkins Symptoms Checklist and the Harvard Trauma Questionnaire, plus variables identified in a qualitative study. Multivariate regressions were used to identify associated factors with these diagnoses. The prevalence of depression, anxiety and PTSD in both cities was 26.62% (95% confidence interval [95%CI]: 20.30;23.89), 36.53% (95%CI: 30.63;42.36), and 39.15% (95%CI: 33.36;44.83), respectively. Being married and having registered with the government as victim of the conflict were found to be protective factors for depression and PTSD, respectively. Psychological trauma, unemployment, and traumatic experiences, amongst others, were found as risk factors. The Colombian armed conflict, plus disparities and social exclusion, may be associated with mental health morbidity.
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Affiliation(s)
- Francisco J Bonilla-Escobar
- CISALVA Institute, Faculty of Health, Universidad del Valle, Cali, Colombia.,Science to Serve the Community, SCISCO Foundation - Fundación Somos Ciencia al Servicio de la Comunidad, Fundación SCISCO, Cali, Colombia.,Institute for Clinical Research Education (ICRE), University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Sara G Pacichana-Quinayaz
- CISALVA Institute, Faculty of Health, Universidad del Valle, Cali, Colombia.,Science to Serve the Community, SCISCO Foundation - Fundación Somos Ciencia al Servicio de la Comunidad, Fundación SCISCO, Cali, Colombia
| | - Ada N Rangel-Gómez
- CISALVA Institute, Faculty of Health, Universidad del Valle, Cali, Colombia
| | | | - Andres Fandiño-Losada
- CISALVA Institute, Faculty of Health, Universidad del Valle, Cali, Colombia.,School of Public Health, Universidad del Valle, Cali, Colombia
| | - Maria I Gutiérrez-Martínez
- CISALVA Institute, Faculty of Health, Universidad del Valle, Cali, Colombia.,Institute for Clinical Research Education (ICRE), University of Pittsburgh, Pittsburgh, PA, USA
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Luibl L, Traversari J, Paulsen F, Scholz M, Burger P. Resilience and sense of coherence in first year medical students - a cross-sectional study. BMC Med Educ 2021; 21:142. [PMID: 33663468 PMCID: PMC7934430 DOI: 10.1186/s12909-021-02571-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 02/19/2021] [Indexed: 05/16/2023]
Abstract
BACKGROUND A broad range of studies show that medical students often have a significantly deteriorated mental health status. Although starting medical school with values comparable to the population average, only a few semesters later, medical undergraduates show increased rates of psychological risk states and some manifest mental illnesses, such as burnout and depression. In our survey we intentionally assessed mental health parameters from a salutogenetic, i.e. resource-oriented point of view. METHODS We examined first-year medical students in a cross-sectional study and assessed sense of coherence (SOC) and resilience as parameters from the salutogenesis model by Antonovsky in a structured way using validated, self-administered questionnaires. In total, we examined 236 students of human medicine, dentistry and molecular medicine at the Friedrich-Alexander-University Erlangen-Nürnberg (FAU). RESULTS Our analyses showed significantly higher values of resilience among male students compared to female students (p < 0.01). In contrast, even though a significant correlation between resilience and SOC was observed, only a non-significantly lower value of SOC was found in female students. Compared to the reference sample our medical students in their first year of study showed significantly lower values for resilience (p < 0.01) and SOC (p < 0.01). CONCLUSION Resilience and SOC are known to correlate with psychological stress (burnout parameters) and depression. In order to keep protective factors like SOC and resilience in medical students at a good and healthy level we see the necessity to address that problem proactively and educationally. Integrating training focused on the preservation of the students´ own mental health into the medical curriculum from the beginning of university courses, and throughout the whole medical study course, is essential and should be an obligatory training goal. Based on our study results, we also deem it necessary to think about ways to adapt the measures for the gender-specific needs of our students, e.g. dependent on their biological gender.
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Affiliation(s)
- Lena Luibl
- Institute of Functional and Clinical Anatomy, Friedrich-Alexander-University Erlangen-Nürnberg, Universitätsstr. 19, 91054, Erlangen, Germany
| | - Julia Traversari
- Institute of Anatomy, University of Zurich, Winterthurerstrasse 190, 8057, Zürich, Switzerland
| | - Friedrich Paulsen
- Institute of Functional and Clinical Anatomy, Friedrich-Alexander-University Erlangen-Nürnberg, Universitätsstr. 19, 91054, Erlangen, Germany
| | - Michael Scholz
- Institute of Functional and Clinical Anatomy, Friedrich-Alexander-University Erlangen-Nürnberg, Universitätsstr. 19, 91054, Erlangen, Germany.
| | - Pascal Burger
- Department of Psychiatry, Psychiatric University Hospital, Lenggstrasse 31, 8008, Zurich, Switzerland
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Tang M, Wang SH, Li HL, Chen H, Sun XY, Bian WW, Sheng J, Ma SJ. Mental health status and quality of life in elderly patients with coronary heart disease. PeerJ 2021; 9:e10903. [PMID: 33643714 PMCID: PMC7896500 DOI: 10.7717/peerj.10903] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 01/14/2021] [Indexed: 12/21/2022] Open
Abstract
Background Coronary heart disease (CHD) is the leading cause of morbidity and mortality among elderly individuals. Patients with CHD are at high risk for mental health disorders, and psychological issues may affect the quality of life (QoL) of these patients. Nevertheless, there is little evidence regarding the psychological issues and QoL of patients with CHD among the elderly population. This study aimed to investigate the relationship between comorbidities and mental status as well as QoL among elderly patients with CHD. Methods Overall, 216 patients were included in this cross-sectional, observational, single-center study. The demographics and clinical manifestations of the patients were collected from electronic medical records. All patients were interviewed using the Chinese version of Symptom Checklist 90 (SCL-90) to assess the mental health status and the World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF) to assess the QoL. Results In total, 96 men and 120 women, with a mean age of 71.69 ± 8.30 years, were included. When controlling for the patients’ sex, marital status and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid type 2 diabetes mellitus had the significant influence on average positive factors (Coef., 5.809; 95% CI [2.467–9.152] p = 0.001); when controlling for the patients’ sex, marital status and type 2 diabetes mellitus, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid stroke had the significant influence on average positive factors (Coef., 8.680; 95% CI [4.826–12.534]; p < 0.001); when controlling for the patients’ sex, marital status, type 2 diabetes mellitus and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid primary hypertension had the significant influence on phobic anxiety (Coef., 0.178; 95% CI [0.010–0.347]; p = 0.038). Conclusions For elderly CHD patients, comorbid type 2 diabetes mellitus and stroke were at risk for psychological problems and lower QoL. Our findings may guide patients and clinicians to make better decisions and achieve better outcomes.
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Affiliation(s)
- Min Tang
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Song-Hao Wang
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Hui-Lin Li
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Han Chen
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xin-Yi Sun
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wei-Wei Bian
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jing Sheng
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shao-Jun Ma
- Department of Geriatrics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Di Napoli A, Rossi A, Baralla F, Ventura M, Gatta R, Perez M, Sarchiapone M, Mirisola C, Petrelli A. Self-perceived workplace discrimination and mental health among immigrant workers in Italy: a cross-sectional study. BMC Psychiatry 2021; 21:85. [PMID: 33563258 PMCID: PMC7871130 DOI: 10.1186/s12888-021-03077-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 01/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The process of immigration is associated with poor mental and physical health. While the workplace represents an important context of social integration, previous studies evaluating the effect of discrimination experienced in the workplace found worse mental health status among immigrants. The aim of this study was to investigate whether self-perceived workplace discrimination has any role in the mental health status of immigrants living and working in Italy, evaluating the contribution of other personal experiences, such as loneliness and life satisfaction. METHODS A cross-sectional study was conducted on a sample of 12,408 immigrants (aged 15-64) living and working in Italy. Data were derived from the first national survey on immigrants carried out by the Italian National Institute of Statistics (Istat). Mental health status was measured through the Mental Component Summary (MCS) of the SF-12 questionnaire. A linear multivariate linear regression was carried out to evaluate the association between mental health status, self-perceived workplace discrimination, and sociodemographic factors; path analysis was used to quantify the mediation effect of self-perceived loneliness, level of life satisfaction, and the Physical Component Summary (PCS). RESULTS Mental health status was inversely associated (p < 0.001) with self-perceived workplace discrimination (β:-1.737), self-perceived loneliness (β:-2.653), and physical health status (β:-0.089); it was directly associated with level of life satisfaction (β:1.122). As confirmed by the path analysis, the effect of self-perceived workplace discrimination on MCS was mediated by the other factors considered: self-perceived loneliness (11.9%), level of life satisfaction (20.7%), and physical health status (3.9%). CONCLUSIONS Our study suggests that self-perceived workplace discrimination is associated with worse mental health status in immigrant workers through personal experiences in the workplace and explains the effect of the exposure to workplace discrimination on immigrants' psychological well-being. Our findings suggest that an overall public health response is needed to facilitate the social integration of immigrants and their access to health services, particularly those services that address mental health issues.
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Affiliation(s)
- Anteo Di Napoli
- National Institute for Health, Migration and Poverty (INMP), Epidemiology Unit, Via di San Gallicano 25/a, 00153, Rome, Italy.
| | - Alessandra Rossi
- grid.416651.10000 0000 9120 6856National Institute for Health, Migration and Poverty (INMP), Epidemiology Unit, Via di San Gallicano 25/a, 00153 Rome, Italy
| | - Francesca Baralla
- grid.10373.360000000122055422Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy
| | - Martina Ventura
- grid.416651.10000 0000 9120 6856National Institute for Health, Migration and Poverty (INMP), Epidemiology Unit, Via di San Gallicano 25/a, 00153 Rome, Italy
| | - Rosaria Gatta
- Médecins Sans Frontières (MSF), Via Magenta 5, 00185 Rome, Italy
| | - Monica Perez
- grid.425381.90000 0001 2154 1445National Institute of Statistics (Istat), Viale Liegi 13, 00198 Rome, Italy
| | - Marco Sarchiapone
- grid.10373.360000000122055422Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy
| | - Concetta Mirisola
- grid.416651.10000 0000 9120 6856National Institute for Health, Migration and Poverty (INMP), Epidemiology Unit, Via di San Gallicano 25/a, 00153 Rome, Italy
| | - Alessio Petrelli
- grid.416651.10000 0000 9120 6856National Institute for Health, Migration and Poverty (INMP), Epidemiology Unit, Via di San Gallicano 25/a, 00153 Rome, Italy
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Gibbons BJ, Salkever DS. Working with a Severe Mental Illness: Estimating the Causal Effects of Employment on Mental Health Status and Total Mental Health Costs. Adm Policy Ment Health 2020; 46:474-487. [PMID: 30815767 DOI: 10.1007/s10488-019-00926-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Employment is an important goal for persons who have a severe mental illness (SMI). The current literature finds some evidence for a positive relationship between employment and measures of mental health (MH) status, however study design issues have prevented a causal interpretation. This study aims to measure the causal effect of employment on MH status and total MH costs for persons with SMI. In a quasi-experimental prospective design, self-reported data measured at baseline, 6-months, and 12-months, on MH status and employment are paired with Public Mental Health System (PMHS) claims data. The study population (N = 5162) is composed of persons with a SMI who received PMHS services for a year or more. Outcome variables are MH status symptom scores from the BASIS-24 instrument and total MH costs. The estimation method is full information maximum likelihood, which allows for tests of employment endogeneity. Outcomes with an insignificant test of endogeneity are estimated using tobit or ordinary least square (OLS). Employment has modest but meaningful effects on MH status (including overall MH status, functioning, and relationships) and reduces total mental health costs on average by $538 in a 6-month period. Tests of endogeneity were largely insignificant, except for the depression score that tested marginally statistically significant. Interaction terms between baseline MH scores and employment indicated larger employment effects for individuals with worse baseline scores. This study demonstrates the non-vocational benefits of employment for individuals with SMI. Results have high generalizability and should be of interest to federal and state governments in setting appropriate disability policy and funding vocational programs. From a methodological perspective, future research should still be concerned with potential endogeneity problems, especially if employment status and MH outcomes are simultaneously measured and/or baseline measures of MH are not adequately controlled for future research should continue to examine the multi-dimensional nature of MH status and costs. Our analyses also demonstrate the practical use of a state-wide outcomes measurement program in assessing the factors that influence the recovery trajectories of individuals with SMI.
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Affiliation(s)
- Brent J Gibbons
- The National University of Singapore, School of Public Health, 12 Science Drive 2, #10-01, Singapore, 117549, Singapore.
| | - David S Salkever
- The University of Maryland, Baltimore County (UMBC), Baltimore, USA
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Chauhan SK, Dhar M. Prevalence and Predictors of Mental Health Disorder Among the Adolescent Living in the Slums of Lucknow, India: A Cross-Sectional Study. Community Ment Health J 2020; 56:383-92. [PMID: 31531783 DOI: 10.1007/s10597-019-00452-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Accepted: 09/07/2019] [Indexed: 10/26/2022]
Abstract
India is the home of more than 253 million adolescents, which account for almost 21% of the country's population. In the recent past, there has been a rise in the prevalence of mental illness and maladaptive behaviours among adolescents living in slum populations, which are increasing at an alarming rate in many developing countries, mainly due to rural-urban migration, are characterized by poverty, poor housing, overcrowding, poor environment, and high prevalence of communicable diseases. This neglected population has become a major reservoir for a broad spectrum of adverse health conditions. Studies on the mental health status among adolescents in India are relatively scarce. The main objective of the study was to estimate the prevalence of mental health disorder and its determinants among adolescents in slum settings in Lucknow, India; by using GHQ-12. The study used cross-sectional primary data which was collected in 2015-2016 from the adolescents living in various slums of Lucknow city. About 590 adolescents whose parents gave consent to participate were included in the study. Descriptive statistics, Chi square test and ordered logistic regression analysis (OLR) technique were used to assess the mental health. Reliability of GHQ-12 was assessed before performing the analysis which was found to be 0.79. Approximately, 33% of adolescents were found to suffer from severe level of mental disorder. The results of this study depicts that adolescents of age 12-15 years had more severe mental health problems compares to 16-19 years of adolescents. Females were more likely to suffer from severe mental health problems compared to moderate/normal mental health problems (OR 1.72; p < 0.001). Odds of severe mental health problems was significantly higher among Muslims (OR 1.66; p < 0.001) than Hindus. Thus, it was found that age, gender, education, caste, household economic status, media exposure and religion to be significantly associated with mental health problem. Government should provide a wide range of adolescent friendly health services (clinical, mental, nutritional, including counselling) in these slums for a better adolescent health outcome.
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Gjertsen H. Mental health among Sami people with intellectual disabilities. Int J Circumpolar Health 2019; 78:1565860. [PMID: 30664403 PMCID: PMC6346717 DOI: 10.1080/22423982.2019.1565860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
The first living condition-survey among people with intellectual disability in Sami areas in Norway was conducted in 2017. The purpose of this article is to present and discuss results from the living-condition study, with a focus on the results related to mental health and bullying as a risk factor for poor mental health among people with intellectual disability and a Sami background. We have conducted a questionnaire survey among people with intellectual disability in Sami areas, with and without a Sami background (N = 93). People with intellectual disability have poorer mental health compared to the population in general and those with Sami background have the poorest mental health. Bullying is one of several factors that increase the risk of poor mental health among people with intellectual disability and Sami background. Having a Sami background makes people with intellectual disability more disposed to poor mental health.
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Affiliation(s)
- Hege Gjertsen
- a Institute of Social Education, Campus Harstad , UiT, the Arctic University of Norway , Harstad , Norway
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21
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Atella V, Deb P, Kopinska J. Heterogeneity in long term health outcomes of migrants within Italy. J Health Econ 2019; 63:19-33. [PMID: 30439575 DOI: 10.1016/j.jhealeco.2018.10.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2017] [Revised: 07/04/2018] [Accepted: 10/17/2018] [Indexed: 06/09/2023]
Abstract
This article examines the long term physical and mental health effects of internal migration focusing on a relatively unique migration experience concentrated over a short period between 1950 and 1970 from the South to the North of Italy. We find a positive and statistically significant association between migration, its timing and physical health for migrant females, which we show are likely to represent rural females in both the early and the late cohort. We find less defined evidence of migration-health association for mental health. We link our findings to the economic transition and labor market transformation that Italy witnessed in that era. Male migrants were likely to be positively selected to migration, but harsh working conditions were likely to downplay this differential. On the contrary, women migrants, by and large, would not engage in the formal labor market avoiding the ill effects of working environments, at the same time benefiting from better living conditions and health care in the destination regions.
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Affiliation(s)
- Vincenzo Atella
- University of Rome Tor Vergata, CEIS Tor Vergata, Italy; CHP-PCOR Stanford University, United States.
| | - Partha Deb
- Hunter College, United States; The Graduate Center, CUNY, United States; NBER, United States
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Zahir Izuan A, Shamsul Azhar S, Tan MKS, Syed-Sharizman SAR. Neighbourhood influences and its association with the mental health of adolescents in Kuala Lumpur, Malaysia. Asian J Psychiatr 2018; 38:35-41. [PMID: 30408711 DOI: 10.1016/j.ajp.2018.10.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 09/27/2018] [Accepted: 10/19/2018] [Indexed: 11/18/2022]
Abstract
BACKGROUND Mental health problems are affecting more children and adolescents worldwide. Individual, family and school factors are often linked with mental health problems among adolescents. AIM To determine the neighbourhood factors influencing the prevalence of abnormal mental health status among adolescents in an urban population. METHOD A cross-sectional study was conducted among adolescents aged 13, 14 and 16 years old from thirteen secondary schools in Kuala Lumpur using validated questionnaires. A total of 567 adolescents participated in this study. RESULTS The prevalence of abnormal mental health status in this study was 4.4%. In multivariable analysis, female (OR = 1.79, 95%CI: 1.11-2.89), having divorced parents (OR = 3.53, 95%CI: 1.96-6.36), high educational stress (OR = 8.18, 95%CI: 4.25-15.75), medium educational stress (OR = 2.99, 95%CI: 1.53-5.83), whose house has been broken in before (OR = 2.02, 95%CI: 1.11-3.68) and living in a neighbourhood with low socioeconomic status (OR = 2.09, 95%CI: 1.23-3.56) were more likely to have abnormal mental health status. CONCLUSIONS Neighbourhood factors were found to be significant in determining adolescents' mental health status. The findings emphasize the importance of those in the public health sector to highlight these significant neighbourhood factors to the Ministry of Housing and Local Government. Swift action needs to be taken by the Ministry to provide solutions related to the neighbourhood factors and this can contribute to improvement in the adolescents' mental health.
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Affiliation(s)
- Azhar Zahir Izuan
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Selangor, Malaysia.
| | - Shah Shamsul Azhar
- Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
| | - Mooi Koon Susan Tan
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
| | - Syed Abdul Rahim Syed-Sharizman
- Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia.
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Ji FL, Liu ZM, Liu ZS, Zou JF, Yu WL, Li HM, Li J, Kong LM, Jiang Q. [ Mental health status in railway female workers and its occupational influencing factors]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2018; 36:102-5. [PMID: 29699007 DOI: 10.3760/cma.j.issn.1001-9391.2018.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the mental health status of railway female workers and related influencing factors, and to provide a scientific strategy for labor protection regulations in railway female workers. Methods: Cluster sampling was used to select 5033 female workers from Jinan, Nanning, Qinghai-Tibet, and Wuhan railway systems in China from January to August, 2016. A uniform reproductive health questionnaire, as well as the Symptom Checklist-90 (SCL-90) , was used to investigate their general information (age, marital status, education level, and family income) , work type (day shift, night shift, or work on shift) , work position, and the presence or absence of exposure to occupational hazardous factors. The score on each factor of SCL-90 and the positive rate of mental health status were calculated. Results: The positive rate of mental health status was 10.6% in railway female workers. The workers exposed to occupational hazardous factors had a significantly higher positive rate of mental health status than those not exposed to occupational hazardous factors (14.20% vs 8.02%, P<0.01) . There were significant differences in the positive rate of mental health status between workers with different ages, marital status, education levels, histories of abortion, or annual family income levels (P<0.01) . The scores of somatization (1.54±0.62) and horror (1.28±0.47) in SCL-90 were significantly higher than the Chinese adult norm (P<0.01) . The multivariate logistic regression analysis showed that exposure to occupational hazardous factors, night shift, overwork, and carrying heavy objects were associated with mental health problems (OR=1.797, 95%CI: 1.393-2.318; OR=0.641, 95%CI: 0.498-0.827; OR=0.586, 95%CI: 0.439-0.783; OR=0.580, 95%CI: 0.378-0.890) . Conclusion: Railway female workers have lower levels of mental health than the general population and are under significant occupational stress. Exposure to occupational hazardous factors, night shift, overwork, and carrying heavy objects are associated with the development of mental health problems in railway female workers.
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Zhao ZY. Effect of live combined bifidobacterium, lactobacillus, and enterococcus powder plus lansoprazole on clinical symptoms and mental health in patients with peptic ulcer. Shijie Huaren Xiaohua Zazhi 2018; 26:1371-1376. [DOI: 10.11569/wcjd.v26.i22.1371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM To explore the effect of live combined bifidobacterium, lactobacillus, and enterococcus powder plus lansoprazole on the clinical symptoms and mental health in patients with peptic ulcer.
METHODS One hundred and eighteen patients with peptic ulcer were admitted to the Department of Gastroenterology, Tianjin Fifth Central Hospital from June 2017 to May 2018. The patients were randomly divided into an observation group and a control group. Both groups were treated with lansoprazole, and the observation group was additionally given live combined bifidobacterium, lactobacillus, and enterococcus powder. The clinical symptoms, the Symptom Checklist 90 (SCL-90) score, and the quality of life were compared between the two groups of patients before and after treatment.
RESULTS The total score of SCL-90 and the scores of somatization, depression, anxiety, and hostility in patients with peptic ulcer were all higher than those of healthy ones (P < 0.05). After treatment, the scores of abdominal pain, abdominal distention, sour regurgitation, and belching in the two groups were lower than those before treatment, and abdominal pain score was significantly lower in the observation group than in the control group (P < 0.05). The scores of SCL-90 and somatization, depression, anxiety and hostility in both groups were significantly lower than those before treatment (P < 0.05), but the difference between the control group and the observation group was statistically significant (P < 0.05). After treatment, the quality of life scores in the two groups were significantly higher than those before treatment, and the quality of life scores in the observation group were significantly higher than those of the control group (P < 0.05).
CONCLUSION Live combined bifidobacterium, lactobacillus, and enterococcus powder plus lansoprazole can improve the clinical symptoms, mental health, and quality of life in patients with peptic ulcer.
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Affiliation(s)
- Zi-Yan Zhao
- Emergency Medicine Center, Tianjin Fifth Central Hospital, Tianjin 300450, China
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Badr HE, Naser J, Al-Zaabi A, Al-Saeedi A, Al-Munefi K, Al-Houli S, Al-Rashidi D. Childhood maltreatment: A predictor of mental health problems among adolescents and young adults. Child Abuse Negl 2018; 80:161-171. [PMID: 29609135 DOI: 10.1016/j.chiabu.2018.03.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Revised: 03/08/2018] [Accepted: 03/10/2018] [Indexed: 06/08/2023]
Abstract
Child maltreatment is a risk factor for detrimental effects on mental health that may extend to adulthood. This study aimed to examine the association between exposure to childhood maltreatment, socio-demographic factors, and students' mental health status and self-esteem. A cross-sectional study enrolled a representative sample of 1270 students from Kuwait University. An anonymous self-administered questionnaire included students' socio-demographic characteristics, history of exposure to childhood physical and/or emotional maltreatment, DASS-21 to assess mental health status, and Rosenberg self-esteem scale was used. Chi-square test and binary logistic regression models were applied. The study found that among participants, 49.6%(95% CI: 64.8%-52.4%), 63.0%(95% CI: 60.3%-65.7%), and 43.8%(95% CI: 41.1%-46.6%) reported having depression, anxiety, and stress respectively. Moreover, 22.5%(95% CI: 20.1%-24.8%) and 18.6%(95% CI:16.5%-20.9%) reported childhood physical and emotional maltreatment, respectively; while 12.7% reported both. Multivariate analysis revealed that experiencing childhood physical and emotional maltreatment were independent contributors to reporting depression and anxiety; while exposure to only emotional maltreatment contributed to reporting stress. Gender, GPA, childhood enrollment in private/public schools, number of close friends, were other contributors to mental health problems. Participants' median score of self-esteem was 17/30, and only childhood emotional maltreatment was a significant predictor to low self-esteem after adjustment for other confounders. Mental health problems, and experiencing childhood physical and emotional maltreatment were prevalent relatively high among university students. Childhood corporal and emotional maltreatment were independent predictors to adolescents and young adults' mental health problems. Experiencing childhood emotional maltreatment predicted low self-esteem. Further research to assess culture factors associated with childhood maltreatment is recommended.
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Affiliation(s)
- Hanan E Badr
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait.
| | - Jumana Naser
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Abdullah Al-Zaabi
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Anfal Al-Saeedi
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Khalifa Al-Munefi
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Shaikha Al-Houli
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Dana Al-Rashidi
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
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Prothero L, Barley E, Galloway J, Georgopoulou S, Sturt J. The evidence base for psychological interventions for rheumatoid arthritis: A systematic review of reviews. Int J Nurs Stud 2018; 82:20-29. [PMID: 29573593 DOI: 10.1016/j.ijnurstu.2018.03.008] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Revised: 03/04/2018] [Accepted: 03/09/2018] [Indexed: 11/16/2022]
Abstract
BACKGROUND Psychological interventions are an important but often overlooked adjunctive treatment option for patients with rheumatoid arthritis. Findings from systematic reviews of psychological interventions for this patient group are conflicting. A systematic review of reviews can explain inconsistencies between studies and provide a clearer understanding of the effects of interventions. OBJECTIVES To: 1) determine the effectiveness of psychological interventions in improving biopsychosocial outcomes for adults with rheumatoid arthritis, 2) determine the relationship between the intensity of the psychological interventions (number of sessions, duration of sessions, duration of intervention) on outcomes, and 3) assess the impact of comparator group (usual care, education only) on outcomes. DESIGN We conducted a systematic review of reviews using the following inclusion criteria: 1) randomised controlled trials of psychological interventions (including cognitive behavioural therapy, supportive counselling, psychotherapy, self-regulatory techniques, mindfulness-based cognitive therapy and disclosure therapy) provided as an adjunct to medication, 2) included rheumatoid arthritis patients aged ≥ 18 years, 3) reported findings for at least 1 of the primary outcomes: pain, fatigue, psychological status, functional disability and disease activity and 4) were published in English between January 2000 and March 2015 (updated January 2018). DATA SOURCES We searched in MEDLINE, EMBASE, CINAHL, PsycINFO, the Cochrane Database of Systematic Reviews and the Database of Abstracts of Reviews of Effects. Reference lists were searched for additional reviews. REVIEW METHODS Study selection and 50% of the quality assessments were performed by two independent reviewers. Methodological quality was measured using the Assessment of Multiple Systematic Reviews checklist. Data extraction was conducted by one reviewer using a predesigned data extraction form. RESULTS Eight systematic reviews met inclusion criteria (one review was excluded due to its low-quality score). Small post intervention improvements in patient global assessment, functional disability, pain, fatigue, anxiety and depression were observed. The effect on coping, self-efficacy and physical activity was greater. Improvements in depression, coping and physical activity were maintained (8.5-14 months). Interventions delivered over a longer period with a maintenance component appeared more effective. Attention, education, and placebo control groups produced some improvements but not as large as those produced by the psychological interventions. CONCLUSIONS Psychological interventions result in small to moderate improvements in biopsychosocial outcomes for patients with rheumatoid arthritis in addition to those achieved by standard care. Several priorities for future research were identified, including determining the cost effectiveness of non-psychologically trained health professionals delivering psychological interventions.
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Affiliation(s)
- Louise Prothero
- Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, 10 Cutcombe Road, Denmark Hill, London, SE5 9RJ, UK; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, 57 Waterloo Road, London, SE1 8WA, UK.
| | - Elizabeth Barley
- College of Nursing, Midwifery and Healthcare, University of West London, Boston Manor Road, Brentford, Middlesex, TW8 9GA, UK.
| | - James Galloway
- Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, 10 Cutcombe Road, Denmark Hill, London, SE5 9RJ, UK.
| | - Sofia Georgopoulou
- Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, 10 Cutcombe Road, Denmark Hill, London, SE5 9RJ, UK; School of Psychology, University of East London, Water Lane, London, E15 4LZ, UK.
| | - Jackie Sturt
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, 57 Waterloo Road, London, SE1 8WA, UK.
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Yu B, Chen X, Yan Y, Gong J, Li F, Robserson E. Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: A Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China. Sex Res Social Policy 2017; 14:467-477. [PMID: 29098041 PMCID: PMC5662130 DOI: 10.1007/s13178-016-0252-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND There is a growing need for better understanding of mechanisms underpinning the relationship between migration stress and HIV risk behaviors for the development of HIV prevention and control policy. METHODS Survey data from a random sample of 1,293 Chinese rural-to-urban migrants were analyzed. Stress was assessed using the Domestic Migration Stress Questionnaire (DMSQ), mental health status was assessed using the Brief Symptoms Inventory (BSI), and having sex with high risk partners was assessed as if ever have had sex with high risk partners (e.g., sex workers, intravenous injection drug users, blood donors, persons infected with HIV, persons with sexually transmitted infection, and same gender partners) in the past year. The proposed relationship was tested using mediation modeling method. RESULTS Among the sample, 5.5% reported having had sex with high-risk partners in the past year. Mediation analysis indicated that the relationship between DMSQ scores and having sex with high-risk partners was mediated by BSI (coefficient =0.41, 95% CI [0.21, 0.65]), including its components of somatization (0.32 [0.15, 0.53]), obsessive-compulsive disorder (0.31 [0.07, 0.55]), depression (0.45 [0.23, 0.72]), anxiety (0.41 [0.23, 0.63]), and hostility (0.35 [0.17, 0.56]). Furthermore, the effect was more pronounced in males than in females. CONCLUSION The study findings provide new data advancing our understanding of the mechanism of engagement in risky sex, underscoring the need for the HIV prevention policies in China to pay more attention to mental health of the rural-to-urban migrant population.
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Affiliation(s)
- Bin Yu
- Department of Epidemiology, University of Florida, USA
| | - Xinguang Chen
- Department of Epidemiology, University of Florida, USA
- Department of Chronic Disease, Wuhan Centers for Disease Prevention and Control, China
| | - Yaqiong Yan
- Department of Chronic Disease, Wuhan Centers for Disease Prevention and Control, China
| | - Jie Gong
- Department of Chronic Disease, Wuhan Centers for Disease Prevention and Control, China
| | - Fang Li
- Department of Chronic Disease, Wuhan Centers for Disease Prevention and Control, China
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Maharlouei N, Hoseinzadeh A, Ghaedsharaf E, Zolfi H, Arab P, Farahmand Z, Hallaj M, Fazilat S, Heidari ST, Joulaei H, Karbalaie F, Lankarani KB. The mental health status and associated factors affecting underprivileged Iranian women. Asian J Psychiatr 2014; 12:108-12. [PMID: 25193508 DOI: 10.1016/j.ajp.2014.07.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Revised: 07/19/2014] [Accepted: 07/28/2014] [Indexed: 02/08/2023]
Abstract
PURPOSE The prevalence of mental disorders in Iran approximates to that of other countries. This study evaluates mental health status and its related factors among underprivileged women in Shiraz, Iran. METHODS This research was conducted between June, 2010 and November, 2012, and comprised 2108 women who participated in the Shiraz Women's Health Cohort Study. The questionnaire used in the study was completed by trained general practitioner and included demographic information and the 28-item version of the General Health. The t-test, chi-square test and multivariate logistic regression model were used for statistical analysis. A P-value <0.05 was considered significant. RESULTS The mean age of the participants was 49.7±10.6 years. According to the General Health Questionnaire, the most prevalent mental disorder was social dysfunction observed in 1643 (77.9%) participants followed by somatic symptoms found in 1308 (62%) subjects. Mental disorders were most prevalent among married women (63.8%, P=0.004). Participants holding high school diploma or university degree (141; 52.4%) comprised the smallest proportion of subjects with mental disorders (P=0.01). Of a total 265 participants whose husband were in prison, 171 (64.5%) exhibited mental disorders, presenting the greatest proportion of women with mental disorders. Logistic regression analysis showed an association between mental health status and participants' level of education, number of children and marital status, based on the General Health Questionnaire total score. CONCLUSIONS The results of this study showed a considerably higher prevalence of mental disorders among Iranian women in comparison with the general population. Therefore policymakers should pay greater attention to the mental health status of underprivileged Iranian women.
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Affiliation(s)
- Najmeh Maharlouei
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Amin Hoseinzadeh
- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran.
| | - Esmaeil Ghaedsharaf
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Hosein Zolfi
- College of Electrical and Computer Engineering, Shiraz University, Shiraz, Iran.
| | - Parisa Arab
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Zahra Farahmand
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Mahbanoo Hallaj
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Shiva Fazilat
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Sayed Taghi Heidari
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Hassan Joulaei
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Fatemeh Karbalaie
- College of Electrical and Computer Engineering, Shiraz University, Shiraz, Iran.
| | - Kamran B Lankarani
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
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Nakayama K, Yamaguchi K, Maruyama S, Morimoto K. Association of smoking with other lifestyle factors and mental health status of Japanese factory workers. Environ Health Prev Med 1997; 2:11-5. [PMID: 21432444 DOI: 10.1007/BF02931223] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/1996] [Accepted: 01/06/1997] [Indexed: 10/21/2022] Open
Abstract
A self-administered questionnaire survey was conducted among factory workers in Japan. The questionnaire included items concerning eight health practices recommended by Morimoto and the General Health Questionnaire-28. Data from 1598 male workers were analyzed. There were few differences in comprehensive health status due to smoking status, but smokers under the age of 30 years had worse lifestyle habits than nonsmokers with regard to favorable drinking and eating breakfast, and smokers between the ages 30 and 44 years had worse lifestyle habits with regard to favorable drinking and eating breakfast, and better habits regarding sleeping hours and working hours. Smokers under 30 showed worse mental health status than ex-smokers with regard to social dysfunction, though there was little difference between those aged from 30 to 44 and those 45 and older. The results suggested the importance of considering the difference in lifestyle and mental health status due to smoking status when providing advice for improving health habits.
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Nakayama K, Yamaguch K, Maruyama S, Morimot K. Effects of shiftwork on lifestyle and mental health status of employees of a major Japanese electrical manufacturer. Environ Health Prev Med 1997; 2:16-20. [PMID: 21432445 DOI: 10.1007/BF02931224] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/1996] [Accepted: 12/13/1996] [Indexed: 10/21/2022] Open
Abstract
To examine the effect of shiftwork on lifestyle and mental health, a self-administered questionnaire survey was conducted among employees of a leading electrical appliances manufacturing company in Japan. The questionnaire included eight health practices recommended by Morimoto, the General Health Questionnaire-28 (GHQ-28) and demographic variables. Considering the effects of type of occupation, working hours and gender, analysis was focused on 295 male blue-collar mere employees working less than 8 hours per day and engaged in daytime work or two-shift work.Scores for Health Practice Index (HPI) and physical exercise of shift workers were significantly lower than those of daytime workers for those from 30 to 45 years of age (p<0.05). However, in scores for HPI and each lifestyle factor, no significant difference was found among shift workers and daytime workers 29 or younger and 46 and older. In scores for the total GHQ-28 and its four subscales, no significant differences were found among shift workers and daytime workers 29 or younger, between 30 and 45, and 46 years of age and older. No significant effect of shiftwork was found on mental health status and lifestyle practices excluding physical exercise.The findings suggested reduction of physiological and psychological stress due to shiftwork among employees of the major company. However, the effect of shiftwork on lifestyle practices and mental health status might be affected by various factors. Therefore an investigation of the work load in regard to shiftwork should be conducted precisely in the future.
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