Resilience dimensions and mental health outcomes in bipolar disorder in a follow-up study

2017 ◽  
Vol 34 (1) ◽  
pp. 115-126 ◽  
Author(s):  
A. Echezarraga ◽  
E. Calvete ◽  
A.M. González-Pinto ◽  
C. Las Hayas
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Follow Up Study

scholarly journals Longitudinal Correlates of Loneliness and Psychological Distress During the Lockdown Situation due to COVID-19. Effects of Age and Self-Perceptions of Aging

2021 ◽  
Author(s):  
Andrés Losada-Baltar ◽  
José Ángel Martínez-Huertas ◽  
Lucía Jiménez-Gonzalo ◽  
María del Sequeros Pedroso-Chaparro ◽  
Laura Gallego-Alberto ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Stressful Situation ◽  
Self Perceptions ◽  
Personal Variables ◽  
Dependent Variables ◽  
Perceptions Of Aging

Abstract Objectives To longitudinally analyze the correlates of loneliness and psychological distress in people exposed to the coronavirus disease 2019 (COVID-19) lockdown, exploring the effects of age and self-perceptions of aging (SPA). Methods A longitudinal follow-up of 1,549 participants was carried out at four different time points during the lockdown in Spain. Questions about the risk of COVID-19, age, SPA, family and personal resources, loneliness, and psychological distress were measured. Results Changes in loneliness showed a linear longitudinal trajectory through time, but changes in psychological distress showed a U-shaped relationship with time. Age was a relevant predictor of differences in distress, with older people reporting less psychological distress. Change in both dependent variables was related to change in different predictors like family and personal variables and also to negative SPA. Discussion In a stressful situation such as the COVID-19 pandemic, older adults may be more resilient to adverse mental health outcomes by using more adaptive resources that strengthen their resilience. Support is provided for the importance of stereotyped views of the aging process that, independently of chronological age, may put people at risk of suffering adverse mental health outcomes such as loneliness and psychological distress in times of crisis.

scholarly journals Prospective association between receipt of the economic impact payment and mental health outcomes

2021 ◽  
pp. jech-2021-216661
Author(s):  
Jack Tsai ◽  
Minda Huang ◽  
Suja S Rajan ◽  
Eric B Elbogen
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Health Outcomes ◽  
Low Income ◽  
Financial Distress ◽  
Mental Health Outcomes ◽  
Middle Income ◽  
History Of ◽  
Prospective Association

BackgroundThe Coronavirus Aid, Relief, and Economic Security Act of 2020 provided ‘economic impact payments’ (EIPs) of $1200 to US adults with annual personal income of $75 000 or less. This study examined the prospective association between EIP receipt and mental health outcomes.MethodsA nationally representative sample of 3169 middle-income and low-income US adults completed a baseline assessment of their health and well-being in May–June 2020 and a 3-month follow-up assessment during the period of the COVID-19 pandemic when EIPs were distributed.ResultsControlling for sociodemographic characteristics, EIP recipients had higher odds of reporting a positive COVID-19 test, endorsing a history of post-traumatic stress disorder and reporting any illicit drug use in the past month than participants who did not receive EIP. Participants who did not receive EIP were more likely to report a history of anxiety disorder or alcohol use disorder and recent suicidal ideation than EIP recipients. There was no association between EIP receipt and financial distress, although over one-third to over half of EIP recipients were not employed at baseline. Between baseline and 3-month follow-up, receipt of EIP was significantly associated with reduced medical conditions and alcohol use problems, but increased depression, suicidal ideation and COVID-19 era-related stress.ConclusionThe EIP provided a brief income stimulus to many adults in need but was not associated with improvements in financial distress or mental health among middle-income and low-income recipients. Long-term income security and employment may be more important to improving and sustaining positive mental health outcomes.

Evaluating an Internet-based video cognitive processing therapy intervention for veterans with PTSD: A pilot study

2019 ◽  
Vol 26 (9) ◽  
pp. 552-559 ◽  
Author(s):  
Dominic Murphy ◽  
David Turgoose
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Therapeutic Alliance ◽  
Cognitive Processing ◽  
Remote Access ◽  
Mental Health Outcomes ◽  
Future Research ◽  
Cognitive Processing Therapy ◽  
Psychological Therapies

Introduction There remain a number of UK military veterans who are not able to access psychological therapies for post-traumatic stress disorder (PTSD). Some of these barriers are practical, including the need to balance work and other life commitments with attendance at residential or outpatient appointments. There is a need to investigate more accessible and flexible methods of delivering psychological therapies to veterans. One such alternative is to use remote-access video technology, often referred to as tele-therapy. The aims of the present study were to explore the feasibility of using tele-therapy in this population, whilst also reporting mental health outcomes for those who accessed the intervention. Methods Participants were recruited from a UK veterans mental health charity. The intervention consisted of 12 sessions of cognitive processing therapy delivered via Skype. Participants completed various measures of mental health, including PTSD at three time points: pre-treatment, post-treatment and at three months follow-up. A measure of therapeutic alliance was also completed by participants and the clinician. Results A total of 27 participants engaged in tele-therapy, with a treatment completion rate of 79% and a ‘did not attend’ rate of 12%, which compared well against similar outpatient services. All mental health outcomes showed maintained improvement at three months follow-up, with the highest effect size recorded for PTSD. Therapeutic alliance was also rated highly by both participants and the clinician. Discussion The findings suggest that tele-therapy could provide a viable alternative format for delivering trauma-focused psychological therapies to veterans. Limitations and recommendations for future research are also presented.

scholarly journals Sustained negative mental health outcomes among healthcare workers over the first year of the COVID-19 pandemic: a prospective cohort study

2021 ◽  
Author(s):  
Roberto Mediavilla ◽  
Eduardo Fernandez-Jimenez ◽  
Irene Martinez-Morata ◽  
Fabiola Jaramillo ◽  
Jorge Andreo-Jover ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Psychological Distress ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
Mental Health Problems ◽  
Mental Health Outcomes ◽  
Depression Symptoms ◽  
Over Time

Objective: To characterize the evolution of healthcare workers' mental health status over the 1-year period following the initial COVID-19 pandemic outbreak and to examine baseline characteristics associated with resolution or persistence of mental health problems over time. Methods: We conducted an 8-month follow-up cohort study. Eligible participants were healthcare workers working in Spain. Baseline data were collected during the initial pandemic outbreak. Survey-based self-reported measures included COVID-19-related exposures, sociodemographic characteristics, and three mental health outcomes (psychological distress, depression symptoms, and posttraumatic stress disorder symptoms). We examined three longitudinal trajectories in mental health outcomes between baseline and follow-up assessments (namely asymptomatic/stable, recovering, and persistently symptomatic/worsening). Results: We recruited 1,807 participants. Between baseline and follow-up assessments, the proportion of respondents screening positive for psychological distress and probable depression decreased, respectively, from 74% to 56% and from 28% to 21%. Two-thirds remained asymptomatic/stable in terms of depression symptoms and 56% remained symptomatic or worsened over time in terms of psychological distress. Conclusions: Poor mental health outcomes among healthcare workers persisted over time. Occupational programs and mental health strategies should be put in place.

scholarly journals The mental health of NHS staff during the COVID-19 pandemic: two-wave Scottish cohort study

BJPsych Open ◽  
2022 ◽  
Vol 8 (1) ◽  
Author(s):  
Johannes H. De Kock ◽  
Helen Ann Latham ◽  
Richard G. Cowden ◽  
Breda Cullen ◽  
Katia Narzisi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Well Being ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
Health Changes ◽  
Health And Social Care ◽  
Mental Well Being ◽  
Over Time

Background Health and social care workers (HSCWs) are at risk of experiencing adverse mental health outcomes (e.g. higher levels of anxiety and depression) because of the COVID-19 pandemic. This can have a detrimental effect on quality of care, the national response to the pandemic and its aftermath. Aims A longitudinal design provided follow-up evidence on the mental health (changes in prevalence of disease over time) of NHS staff working at a remote health board in Scotland during the COVID-19 pandemic, and investigated the determinants of mental health outcomes over time. Method A two-wave longitudinal study was conducted from July to September 2020. Participants self-reported levels of depression (Patient Health Questionnaire-9), anxiety (Generalised Anxiety Disorder-7) and mental well-being (Warwick-Edinburgh Mental Well-being Scale) at baseline and 1.5 months later. Results The analytic sample of 169 participants, working in community (43%) and hospital (44%) settings, reported substantial levels of depression and anxiety, and low mental well-being at baseline (depression, 30.8%; anxiety, 20.1%; well-being, 31.9%). Although mental health remained mostly constant over time, the proportion of participants meeting the threshold for anxiety increased to 27.2% at follow-up. Multivariable modelling indicated that working with, and disruption because of, COVID-19 were associated with adverse mental health changes over time. Conclusions HSCWs working in a remote area with low COVID-19 prevalence reported substantial levels of anxiety and depression, similar to those working in areas with high COVID-19 prevalence. Efforts to support HSCW mental health must remain a priority, and should minimise the adverse effects of working with, and disruption caused by, the COVID-19 pandemic.

scholarly journals Brief self-affirmation intervention for adults with psoriasis for reducing anxiety and depression and boosting well-being: Evidence from a randomized controlled trial

2021 ◽  
pp. 1-11
Author(s):  
Patryk Łakuta
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Active Control ◽  
Implementation Intentions ◽  
Controlled Trial ◽  
Well Being ◽  
Mental Health Outcomes ◽  
Control Group ◽  
Post Intervention

Abstract Background There are relatively few studies to address mental health implications of self-affirming, especially across groups experiencing a chronic health condition. In this study, short- and longer-term effects of a brief self-affirmation intervention framed in terms of implementation intentions (if-then plans with self-affirming cognitions; S-AII) were evaluated against an active control group (non-affirming implementation intentions; N-AII), matched to the target condition, and mere goal intention condition (a non-active control) in adults with psoriasis. The three pre-registered primary outcomes captured depression, anxiety, and well-being. Methods Adults with psoriasis (N = 175; Mage = 36.53, s.d. = 11.52) were randomized into S-AII, N-AII, or control. Participants' mental health outcomes were assessed prior to randomization (at baseline), at week 2 (post-intervention), and at a 1-month follow-up. Results Linear mixed models were used and results were reported on the intention-to-treat principle. Analyses revealed that S-AII exerted significantly more improvement in the course of well-being (ds > 0.25), depressive symptoms (ds > −0.40), and anxiety (ds > −0.45) than the N-AII and control group at 2-week post-intervention. Though the differences between groups faded at 1-month follow-up, the within-group changes over time for S-AII in all mental health outcomes remained significant. Conclusions Brief and low-intensity S-AII intervention exerted in the short-term a considerable impact on mental health outcomes. The S-AII shows promising results as a relevant public mental health strategy for enhancing well-being and reducing psychological distress. Future studies could consider whether these effects can be further enhanced with booster interventions.

scholarly journals Internet Use, Depression, and Anxiety in a Healthy Adolescent Population: Prospective Cohort Study

2018 ◽  
Vol 5 (2) ◽  
pp. e44 ◽  
Author(s):  
Robyn Pauline Thom ◽  
David S Bickham ◽  
Michael Rich
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Outcomes ◽  
Internet Use ◽  
Mental Health Outcomes ◽  
Depression And Anxiety ◽  
Healthy Adolescent ◽  
Adolescent Population ◽  
One Year

Background Psychiatric disorders, including conduct disturbances, substance abuse, and affective disorders, emerge in approximately 20% of adolescents. In parallel with the rise in internet use, the prevalence of depression among adolescents has increased. It remains unclear whether and how internet use impacts mental health in adolescents. Objective We assess the association between patterns of internet use and two mental health outcomes (depression and anxiety) in a healthy adolescent population. Methods A total of 126 adolescents between the ages of 12 and 15 years were recruited. Participants reported their typical computer and internet usage patterns. At baseline and one-year follow-up, they completed the Beck Depression Index for primary care (BDI-PC) and the Beck Anxiety Inventory for Primary Care (BAI-PC). Individual linear regressions were completed to determine the association between markers of internet use at baseline and mental health outcomes at one-year follow-up. All models controlled for age, gender, and ethnicity. Results There was an inverse correlation between minutes spent on a favorite website per visit and BAI-PC score. No association was found between internet use and BDI-PC score. Conclusions There is no relationship between internet use patterns and depression in adolescents, whereas internet use may mitigate anxiety in adolescents with higher levels of baseline anxiety.

scholarly journals Changes in physical activity levels and mental health during COVID-19: Prospective findings among adult twin pairs

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260218
Author(s):  
Glen E. Duncan ◽  
Ally R. Avery ◽  
Siny Tsang ◽  
Bethany D. Williams ◽  
Edmund Seto
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Outcomes ◽  
Mitigation Strategies ◽  
Mental Health Outcomes ◽  
Activity Levels ◽  
Cross Sectional ◽  
Adult Twins ◽  
Over Time

Background Physical distancing and other COVID-19 pandemic mitigation strategies have negatively impacted physical activity (PA) levels and mental health in cross-sectional studies. The purpose of this study was to investigate associations between changes in PA and mental health outcomes during the COVID-19 pandemic, following implementation of mitigation strategies, in a sample of adult twins. Methods This was a prospective study of 3,057 adult twins from the Washington State Twin Registry. Study participants completed online surveys in 2020, at baseline (March 26 –April 5), and three follow-up waves (W1: April 20 –May 3; W2: Jul 16 –Aug 2; W3: Sept 16 –Oct 1). Physical activity was operationalized as self-reported moderate-to-vigorous PA (MVPA) and neighborhood walking (minutes/week), and mental health outcomes, operationalized as self-reported anxiety and perceived stress were assessed in the three waves of follow-up. Latent growth curve models (LGCMs) were used to assess changes in PA and mental health outcomes over time. Parallel LGCMs were used to estimate the cross-sectional, parallel, and prospective associations between PA and mental health over time. All models took into within-pair correlations and adjusted for age, sex, and race. Results Individuals’ amount of MVPA and walking decreased over time, whereas levels of anxiety remained stable, and stress increased slightly. Cross-sectional associations observed between both PA predictors and mental health outcomes were weak. After taking into account cross-sectional associations between PA and mental health outcomes, changes in PA over time were not associated with changes in mental health outcomes over time. Conclusions Over a time period aligned with COVID-19 mitigation strategies and social restrictions, changes in physical activity was not associated with changes in anxiety or stress levels in the current sample. Nonetheless, the average decline in PA over time is worrisome. Public health resources should continue to promote PA as a means to improve physical health during the pandemic.

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