Agreement between clinical judgments and subjective perceptions of clinical change

2016 ◽  
Vol 33 (S1) ◽  
pp. s237-s237 ◽  
Author(s):  
M. Müller ◽  
V. Stefan ◽  
W. Godehard ◽  
S. Prinz ◽  
S. Egger
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Brief Symptom Inventory ◽  
Reliable Change Index ◽  
Subjective Perception ◽  
Clinical Judgments ◽  
Clinical Change ◽  
Outcome Monitoring ◽  
Objective Evidence ◽  
The Relationship

IntroductionResearch into the relationship between the subjective perception of clinical change and the objective evidence of the same is very limited. Less is known about the relationship between clinical judgments by mental health experts and the patient's perception of symptom change, in particular across different diagnostic groups.Aims and objectivesThis study aims to determine the level of concordance between the HONOS as a tool for clinical outcome monitoring and the self-reported change in psychopathology in a total sample of psychiatric patients as well as stratified by their primary diagnosis at admission.MethodsA consecutive sample of patients admitted to a Swiss psychiatric hospital for either alcohol use disorders, schizophrenic psychoses, mood disorders, anxiety and somatoform disorders, or personality disorders, was assessed using the Brief Symptom Inventory (BSI) at admission and at discharge. The HoNOS were rated by the responsible clinicians. Complete data of admission and discharge were available from approximately 600 cases. Reliable change index (RCI) will be calculated to determine a clinically meaningful change based on the HoNOS scores. Concordance of RCI and change in BSI scores will be explored and compared between different diagnostic groups.Results and conclusionsAccording to our preliminary results from this ongoing evaluation program, we hope to provide a step towards a deeper understanding of the interrelationship between clinical judgments and the course of subjectively experienced mental health problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Exploration of the link between clinical judgments and subjective perceptions of clinical change in patients treated for schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. s247-s247 ◽  
Author(s):  
S. Egger ◽  
S. Vetter ◽  
S. Prinz ◽  
G. Weniger ◽  
M. Müller
Keyword(s):  
Clinical Severity ◽  
Reliable Change Index ◽  
Subjective Perception ◽  
Clinical Judgments ◽  
Clinical Change ◽  
Logistic Regression Models ◽  
Subjective Perceptions ◽  
Outcome Monitoring ◽  
Objective Evidence ◽  
Competing Interest

IntroductionSubjective perceptions of clinical change in patients with schizophrenia are often not congruent to the objective evidence of the same, especially since a lack of insight is part of the symptomatology. However, the exploration of the relationship between clinical judgments from mental health experts and the patients’ perception of symptom change is fairly understudied.Aims and objectivesThis study aimed to investigate the performance of the Positive and Negative Syndrome Scale (PANSS) as a tool for clinical outcome monitoring in schizophrenia in concordance with the change of self-reported psychopathology assessed with the Frankfurt Complaint Questionnaire (FCQ) in patients with a schizophrenia.MethodsA consecutive sample of patients admitted to a Swiss psychiatric hospital for schizophrenia was assessed with the FCQ at admission and discharge. The PANSS was rated by the responsible clinicians at admission and discharge. Complete data of admission and discharge were available from approximately 60 cases. Reliable change index (RCI) was calculated to determine a clinically meaningful change based on the PANSS scores. Logistic regression models were conducted to explore the link between RCI levels and the change of self-reported perceptions of psychopathology.Results and xonclusionsOur study found no relationship between the change of PANSS and FCQ from admission to discharge in a sample of patients treated for schizophrenia. Therefore, our findings provide evidence for a large discrepancy between the observed clinical severity and the subjective perception of symptoms in individuals with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Attachment to God and Quest as Moderators of the Relationship between Religious Doubt and Mental Health

2021 ◽  
pp. 009164712199240
Author(s):  
Noah S. Love ◽  
Cassidy A. Merlo ◽  
M. Elizabeth Lewis Hall ◽  
Peter C. Hill
Keyword(s):  
Mental Health ◽  
Positive Relationship ◽  
Mental Health Problems ◽  
Negative Relationship ◽  
Health Problems ◽  
Positive Mental Health ◽  
Attachment To God ◽  
Religious Doubt ◽  
Avoidant Attachment ◽  
The Relationship

The present study examined attachment to God and quest as potential moderators of the relationship between religious doubt and mental health. A sample of Christian participants ( N = 235) completed a survey which included measures of attachment to God, quest, religious doubt, and mental health. As hypothesized, attachment to God and quest significantly moderated an individual’s experience of religious doubt. Low avoidant attachment to God (i.e., a more secure attachment) was associated with a more negative relationship between cognitive religious doubt and positive mental health than high avoidant attachment. In contrast, low avoidant attachment to God also ameliorated the positive relationship between affective religious doubt and mental health problems. Low anxious attachment was associated with a stronger negative relationship between both measures of religious doubt (i.e., cognitive and affective) and positive mental health. In addition, high soft quest weakened all four of the relationships between measures of religious doubt and mental health. High hard quest ameliorated the positive relationship between both measures of religious doubt and mental health problems. These results indicate that an individual’s attachment to God and the way an individual is oriented toward religion each play a role in the mental health outcomes associated with religious doubt.

scholarly journals Trauma, Sleep and Mental Health Problems in Low-Income Young Adults

2021 ◽  
Vol 18 (3) ◽  
pp. 1145
Author(s):  
Rachel A. Fusco ◽  
Yan Yuan ◽  
Hyunji Lee ◽  
Christina E. Newhill
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Low Income ◽  
Mental Health Problems ◽  
Trauma Exposure ◽  
Health Problems ◽  
Equation Modeling ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
The Relationship

Low-income young adults are more likely to have exposure to trauma, which increases risk for mental health problems. Although adequate sleep promotes good health, people with histories of trauma are more likely to have sleep problems. The current study explored whether poor sleep mediated the relationship between trauma exposure and mental health. A sample of 143 low-income 18–24-year-old young adults completed depression, anxiety, and trauma exposure measures and wore sleep monitors for four nights. Structural equation modeling (SEM) was used to examine both direct and indirect effects of variables. Results showed that higher trauma exposure was associated with depression and anxiety. Mean sleep hours per night was fewer than six, far below recommended guidelines for optimal health and functioning. Fewer sleep hours partially mediated the relationship between both trauma exposure and depression and anxiety, and the direct effect from trauma remained significant after adjusting for the partial mediation from sleep.

Self-Report Depression Scales in the Elderly: The Relationship between the CES-D and ZUNG

1989 ◽  
Vol 18 (4) ◽  
pp. 325-338 ◽  
Author(s):  
Bruce R. Deforge ◽  
Jeffery Sobal
Keyword(s):  
Mental Health ◽  
Sex Differences ◽  
Mental Health Problems ◽  
Psychological Symptoms ◽  
Somatic Symptoms ◽  
The Elderly ◽  
Self Report ◽  
Common Mental Health Problems ◽  
Depression Scales ◽  
The Relationship

Depression is one of the most common mental health problems in the elderly, but there is little consensus about the best way to assess depression in the aged. The relationship between the CES-D and the ZUNG self-report depression scales was investigated in seventy-eight elderly people with osteoarthritis (mean age 71). The correlation between the scales was r = .69, with the CES-D classifying 15 percent of the participants as depressed, as compared to 6 percent by the ZUNG. Psychological symptoms had the strongest relationship with overall depression scores on both scales. No sex differences were found on psychological items on either scale, but females reported more somatic symptoms on the ZUNG. People over age seventy-four reported more psychological symptoms than their younger counterparts.

scholarly journals Relationship of Depression, Aging and Immune System During Covid-19 Pandemic: A Review

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Farah Iylia Binti Fauzi ◽  
Siti Fatimah Binti Salleh ◽  
Mohammad Shahadat Hossen
Keyword(s):  
Mental Health ◽  
Immune System ◽  
Elderly People ◽  
Social Isolation ◽  
Mental Health Problems ◽  
Preventive Measures ◽  
Coping Mechanisms ◽  
Depression And Anxiety ◽  
Relationship Of ◽  
The Relationship

COVID-19 is a highly contagious virus that first appeared in China in December 2019. It has affected over 157 million people and killed over 3.2 million. The paper reviews the function of the immune system for COVID-19 prevention, depression, and anxiety due to COVID-19 and their effects on the immune system and the relationship of aging with the immune system and depression and anxiety. It has been found that several elderly people lack the coping mechanisms required to deal with the stress caused by COVID-19. Hence, identifying the factors and mechanisms that lead to this resilience will aid in the development of preventive measures for certain elderly people and groups with more severe mental health problems. Additionally, it would be beneficial to understand how technology could be leveraged to accomplish this goal. During the pandemic, various steps such as social isolation, quarantine, and self-isolation are needed to be implemented properly to slow the spread of the virus. Meanwhile, to help halt the pandemic, everybody must be vaccinated as soon as possible until any bans on social gatherings and social isolation can be removed, allowing other sectors such as schooling, social activities, and life to resume normalcy.

scholarly journals Relationships Among the Internal Health Locus of Control, Mental Health Problems, and Subjective Well-Being of Adults in South Korea

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1588
Author(s):  
Sunhwa Shin ◽  
Eunhye Lee
Keyword(s):  
Mental Health ◽  
Locus Of Control ◽  
South Korea ◽  
Mental Health Problems ◽  
Health Locus Of Control ◽  
Well Being ◽  
Health Problems ◽  
Mediating Effect ◽  
Subjective Well Being ◽  
The Relationship

The purpose of this study was to confirm the relationship between internal health locus of control, mental health problems, and subjective well-being in adults during the prolonged COVID-19 pandemic. In particular, the mediating effect of mental health problems on the relationship between internal health locus of control and subjective well-being was examined. A cross-sectional descriptive design was conducted via online survey. The participants were 600 adults over 20 years of age living in South Korea. The collected data were analyzed using hierarchical regression analysis and SPSS Process Macro (Model 4). As a result of the study, the internal health locus of control had a significant negative effect on mental health problems. In addition, in the process of the internal health locus of control affecting subjective well-being, the mediating effect of mental health problems was significantly shown. In the period of an infectious disease pandemic such as COVID-19, it is necessary to establish a strong internal health locus of control of individuals and to promote monitoring and treatment introduction for those with a low internal health locus of control. In addition, it was discussed that controlling mental health problems can improve subjective well-being, which is life satisfaction and happiness.

scholarly journals The Relationship between Trauma due to Winter Storm Alexa, PTSD, Mental Health of Palestinians in the Gaza Strip

2016 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Abdelaziz M. Thabet ◽  
Sanaa S. Thabet
Keyword(s):  
Mental Health ◽  
Political Violence ◽  
Mental Health Problems ◽  
Gaza Strip ◽  
Psychiatric Morbidity ◽  
Traumatic Events ◽  
Winter Storm ◽  
Social Dysfunction ◽  
The Gaza Strip ◽  
The Relationship

<p><em>Aim:</em><em> This study investigated the relationship between trauma due to winter storm Alexa, PTSD and other mental health problems of Palestinian in Gaza Strip.</em><em> </em><em>Method:</em><em> The sample consisted of 105 males (50%) and 105 females (50%) selected from three of the most affected areas by flooding in 2014 due to Alexa storm in Gaza Strip. Participants age range was 20-65 years, with a mean age 40.88 (SD = 9.8)</em><em>,</em><em> with a mean age of years. Mental health status was assessed by a sociodemographic scale, the Trauma Due to Flood Scale, PTSD scale, and General Health Questionnaire (28 items). Results: Mean traumatic events experienced were 7.8. There were no statistically significant differences between males and females in reporting traumatic events. Mean post-traumatic stress disorder was 18.65, re-experiences symptoms was 6.4, avoidance symptoms was 5.7 and mean arousal symptoms was 5.73. </em></p><p><em>The study showed that 34.8% reported full criteria of PTSD. There were no statistically significant differences in PTSD total scores and subscales and sex of participants. Mean GHQ-28 was 12.12, somatization mean was 3.21, anxiety was 3.31, social dysfunction was 3.34, and depression was 2.27, 91% of the participants were rated as psychiatric morbidity cases and need further investigation. Males significantly scored more in social dysfunction than females. Traumatic events were significantly correlated with PTSD and general mental health and all subscales.</em><em> </em><em>Conclusion and implications</em><em>: </em><em>This study has important implications for need of establishing and implementing psychosocial intervention programs for in the Gaza Strip not only for those victims of political violence but also for people exposed to other types of traumatic events such as natural disasters. </em></p>

The Role of Social Media in Adolescent Loneliness and Mental Health Problems: Current Evidence and Suggestions for Future Work

2021 ◽  
Author(s):  
Warner Myntti ◽  
Jensen Spicer ◽  
Carol Janney ◽  
Stacey Armstrong ◽  
Sarah Domoff
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Mental Health Problems ◽  
Media Use ◽  
Current Evidence ◽  
Social Media Use ◽  
The Social ◽  
Future Work ◽  
The Relationship

Adolescents are spending more time interacting with peers online than in person, evidencing the need to examine this shift’s implications for adolescent loneliness and mental health. The current review examines research documenting an association between social media use and mental health, and highlights several specific areas that should be further explored as mechanisms within this relationship. Overall, it appears that frequency of social media use, the kind of social media use, the social environment, the platform used, and the potential for adverse events are especially important in understanding the relationship between social media use and adolescent mental health.

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