Mental health history and social barriers impacting caregivers of infants with cystic fibrosis

2020 ◽  
Author(s):  
Michelle L. Gillespie ◽  
Christopher J. Nemastil ◽  
Melissa Moore‐Clingenpeel ◽  
Diana Gilmore ◽  
Mary L. Dell ◽  
...  
Keyword(s):  
Mental Health ◽  
Cystic Fibrosis ◽  
Social Barriers ◽  
Health History ◽  
Mental Health History

scholarly journals Mental health history—a contributing factor for poorer outcomes in burn survivors

2018 ◽  
Vol 6 ◽  
Author(s):  
Frank Li ◽  
Danielle Coombs
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Average Length ◽  
Adult Population ◽  
Total Body Surface Area ◽  
Control Group ◽  
Health History ◽  
Health Group ◽  
Burn Survivors ◽  
Mental Health History

Abstract Background A pre-morbid mental health history is common in patients with severe burn injuries. This creates challenges in providing rehabilitation. The aim of this study is to cross examine the possible impact of psychological co-morbidities on outcomes. Methods A notes audit was carried out examining patients that were admitted to Concord Hospital Burns Unit in a 3-year period (2010–2012). Patients with total body surface area (TBSA) of 20% or greater and aged between 16 and 50 years were included. Subjects were divided into a mental health group and a control group. SPSS version 21 statistic program was used for analysis the data. Results Data collected included length of stay, time to achieve independence, %TBSA, types of burns and surgery required. Results of 69 files showed that the average length of stay per %TBSA was nearly double in the patients with a mental health problem (1.47 vs 0.88). They also had a higher rate of re-graft (52% vs 22%) due to infection and poor nutrition. The average time for patients to achieve independence in daily living activity was significantly higher (p = 0.046) in the mental health group (36.2 days) versus the control group (24.1 days). Conclusion Patients with a mental health history may have poorer general health. This may result in a higher failure rate of grafting, leading to a requirement of re-graft. Hence, it took a longer time to achieve independence, as well as a longer hospital stay. A mental health history in burn survivors can be a contributing factor for poorer outcomes in the adult population.

Mental Health Screening Results for Native American and Euro-American Youth in Oregon Juvenile Justice Settings

2003 ◽  
Vol 92 (3_suppl) ◽  
pp. 1053-1060 ◽  
Author(s):  
Thomas L. Crofoot Graham ◽  
Kevin Corcoran
Keyword(s):  
Mental Health ◽  
Native American ◽  
Juvenile Justice ◽  
Justice System ◽  
Juvenile Justice System ◽  
Native American Youth ◽  
Mental Health Needs ◽  
Health History ◽  
Two Samples ◽  
Mental Health History

Mental health needs of Native American youth in the Oregon juvenile justice system are compared to those of Euro-American youth. The comparison is between 109 Euro-American youth and 22 Native American youth drawn from two samples of youth adjudicated to community service and incarcerated. The youth completed a mental health history and indices of mental health and health status. Native American youth are disproportionately represented in the Oregon juvenile justice system. Mental health profiles of Native American youth reflect problems at least as severe as those of Euro-American youth, and both Native American and Euro-American youth in the juvenile justice system had profiles different from those of youth not referred for clinical services. More Native American youth .(42.5%) compared to Euro-American youth (27.5%) reported considering suicide in the past 12 months. Mental health screenings for both Native American and Euro-American youth are indicated.

Violence and Sexuality

1980 ◽  
Vol 7 (3) ◽  
pp. 243-255 ◽  
Author(s):  
Hernan Vera ◽  
George W. Barnard ◽  
Charles W. Holtzer ◽  
Maria I. Vera
Keyword(s):  
Mental Health ◽  
Health History ◽  
Mental Health History

This article is an empirical profile of defendants charged with acts of violence alone, such as assault; violence and sexuality, such as rape; and purely sexual, such as exposure. The three groups are compared along four types of variables: background, medical and mental health history, psychiatric, and some derived from the circumstance of the criminal event.

scholarly journals A-40 Predictors of Failed Effort Testing at Initial Clinic Visit for Concussion Rehabilitation and Outcomes

2020 ◽  
Vol 35 (5) ◽  
pp. 636-636
Author(s):  
N Sherry ◽  
N Ernst ◽  
J French ◽  
A P Kontos ◽  
M W Collins
Keyword(s):  
Mental Health ◽  
Symptom Burden ◽  
Clinic Visit ◽  
Performance Validity ◽  
Symptom Scale ◽  
Post Injury ◽  
Word Memory Test ◽  
Effort Testing ◽  
Health History ◽  
Mental Health History

Abstract Objective Neuropsychological evaluation of concussion typically includes performance validity testing to assess effort. The aim of this study was to explore the usefulness of effort testing as part of initial screening for concussion rehabilitation, including determining the factors that predict effort testing and evaluate outcomes between “good effort” and “failed effort” groups. Method Records of 76 patients aged 16–66 years old (M = 40.58 years, SD = 14.18) seen for rehabilitation of non-sport concussion from 2018–2019 were reviewed. Patients completed clinical interview, neurocognitive screening (ImPACT), effort testing (Word Memory Test), vestibular/oculomotor screening (VOMS), and the post-concussion symptom scale (PCSS). A logistic regression (LR) was conducted to predict effort, with predictors including mental health history, secondary gain, work injury, days post-injury, and PCSS. A series of one-way ANOVAs evaluated outcomes from concussion rehabilitation between the good and failed effort groups. Results Failed effort occurred in 42% of cases. The LR accurately classified 81.8% of individuals, with mental health history (p = .01) and PCSS (p = .02) as the only significant predictors of effort. There were no differences in recovery time (p = .56) between effort groups, but the failed effort group took longer to return to work (p = .03). Half of individuals who failed effort were seen until discharge, and 69% of them reported no symptoms/mild symptoms at discharge. Conclusions Failure of effort testing was predicted by a history of mental health and high symptom burden. Individuals who fail effort testing at initial visit for concussion rehabilitation take longer to return to functional activity but are capable of achieving recovery with compliance and appropriate rehabilitation.

scholarly journals THE RELATIONSHIP BETWEEN MENTAL HEALTH HISTORY AND SYMPTOMS, SEX, AND RECOVERY TIME IN A CONCUSSED PEDIATRIC POPULATION

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0023
Author(s):  
Richard Cameron Allred ◽  
Sara Stremlau ◽  
Richard Gerkin ◽  
Steven Erickson ◽  
Jamie Pardini
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Recovery Time ◽  
Pediatric Population ◽  
Return To Play ◽  
Depression Symptoms ◽  
Health History ◽  
Mental Health History ◽  
Recovery Times ◽  
History Of

Background: The Generalized Anxiety Disorder scale (GAD-7) and Patient Health Questionnaire (PHQ-9) are mental health screening instruments that assess symptoms of depression and anxiety. Studies of patients with concussion suggest that history of mental illness is associated with prolonged recovery; however, little research has examined the value of these tools in a concussed pediatric population (Iverson et al., 2017). Hypothesis/Purpose: The purpose of this study was to explore the relation between anxiety and depression symptoms, mental illness history, sex, and time to recover in a concussed pediatric population. We hypothesized that mental health symptoms and history, and female sex would predict longer recoveries in the pediatric population. Methods: IRB-approved retrospective chart review was used for data collection. Demographics, self-reported mental health history, GAD-7, and PHQ-9 scores were acquired for 250 adolescents ages 12-18 (45.2% female) who presented to an outpatient concussion clinic for their initial visit. Days to recover was imputed for all patients who had been discharged by clinic physicians based on international return to play standards. Results: Mann-Whitney U tests were used for analysis of this nonnormally distributed data. Males were found to recover more quickly than females (female median = 15 days, IQR 7-27; male median = 12 days, IQR 6-23; p=.013). No significant differences were observed in days to clearance based on reported history of mental health disorder (p=.066). Individuals who scored above cutoff (see Kroenke et al., 2001; Spitzer et al., 2006) on the GAD-7 (below cutoff median = 12.00 days; above cutoff median = 21.00 days) and PHQ-9 (below cutoff median = 23.5 days; above cutoff median = 57.00 days) required longer recovery times (p <.001). Conclusion: We found longer recovery times in females versus males, and in those whose scores fell above cutoff for the PHQ-9 and GAD-7 at their initial clinic visit. Although a trend existed, there were no significant differences in recovery time for those who reported a mental health history compared to those who did not. Results suggest that the GAD-7 and PHQ-9 may be useful screening measures in a concussion clinic and may provide additional insight into potential recovery times for pediatric patients.

Attitudes towards help seeking behaviour and professional psychiatric help in Slovenia

2017 ◽  
Vol 41 (S1) ◽  
pp. S183-S184
Author(s):  
S. Roškar ◽  
M. Bračič ◽  
U. Kolar ◽  
N. Konec Juričič ◽  
K. Lekić ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Demographic Data ◽  
Health Indicators ◽  
Mental Illnesses ◽  
Health History ◽  
Mental Health History ◽  
Help Seeking Behaviour ◽  
On Line ◽  
Competing Interest

IntroductionKnowledge about signs and treatment of mental illnesses is often not enough to seek professional help. Hence, it is important to gain understanding of other determinants, i.e. attitudes, stigma, which influence help-seeking behaviour.ObjectivesBased on Ajzen's theory of planned behaviour, we aimed at collecting data of determinants known to be related to behavioural action, in our case help seeking.AimsTo examine how attitudes, stigma and normative believes influence help seeking behaviour and whether these determinants differ in relation to demographic data and mental health indicators of the respondents’ region.MethodsA representative sample of adult Slovene population (n = 594) was recruited via an on-line invitation. They were asked to (i) provide basic demographic data (region, age, gender, mental health history…) and (ii) to complete the inventory of attitudes toward seeking mental health services. The inventory variables (attitudes, knowledge and stigma) were linked to demographic data and mental health indicators in Slovenia.ResultsThe respondents dispose of good knowledge of where and when to seek help either for themselves or others. However, the readiness to seek help was significantly lower, in particular so in men, younger, single persons and respondents from regions with lower mental health indicators. Accordingly, stigma was significantly higher pronounced in the same groups. More than 50% of respondents have already experienced mental distress, however only 25% have sought help.ConclusionsReasons for this “help seeking gap” should be further scrutinized. Future interventions shall be focused on changing attitudes and destigmatization mental health issues.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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