Bipolar disorder and self-perceived interpersonal relationships in the family: A household cross-sectional study among married adults in Rajshahi City, Bangladesh

Intensi turnover pada institusi pelayanan kesehatan merupakan masalah serius dan harus segera ditindaklanjuti, karena akan berdampak terhadap kualitas sumber daya manusia yang dapat mempengaruhi dalam pemberian pelayanan kesehatan kepada pasien. Intensi turnover di Rumah Sakit Awal Bros Batam sejak lima tahun terakhir diatas standar rata-rata turnover dan Rumah Sakit belum mempunyai stategi yang efektif untuk mencegahnya. Tujuan penelitian ini untuk menganalisis hubungan budaya organisasi dengan risiko intensi turnover di Rumah Sakit Awal Bros Batam. Metode penelitian menggunakan desain kuantitatif dengan cross sectional study. Pengambilan sampel kuantitatif menggunakan kuesioner berdasarkan proposional random sampling, Chi Square dan Uji Regresi Logistic Berganda (Binary Logistic). Hasil penelitian menunjukkan bahwa budaya organisasi di Rumah Sakit Awal Bros Batam mempunyai hubungan yang bermakna dengan intensi turnover dengan nilai pValue 0.005. Saran yang dapat diberikan peneliti adalah menciptakan suasana kerja yang kondusif dengan menjaga hubungan interpersonal dan komunikasi yang baik antar karyawan maupun atasan. The intention of turnover in health care institutions is a serious problem and must be followed up immediately, because it will have an impact on the quality of human resources that can affect the delivery of health services to patients. The intention of the turnover in Batam Awal Bros Hospital since the last five years is above the average turnover standard and the Hospital does not yet have an effective strategy to prevent it. The purpose of this study was to analyze the relationship between organizational culture and risk of turnover intention at Awal Bros Batam Hospital. The research method uses quantitative design with cross sectional study. Quantitative sampling using a questionnaire based on proportional random sampling, data processing using the mean, Chi Square and Binary Logistic Regression Test. The results showed that the organizational culture in Batam Awal Bros Hospital had a significant relationship with turnover intention with a pValue 0.005. Suggestions that can be given by researchers is establish a conducive work atmosphere by maintaining interpersonal relationships and good communication between employees and superiors

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Magnitude of internalised stigma and associated factors among people with bipolar disorder at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-044824 ◽

2021 ◽

Vol 11 (4) ◽

pp. e044824

Author(s):

Shegaye Shumet ◽

Bethlehem W/Michele ◽

Dessie Angaw ◽

Temesgen Ergete ◽

Nigus Alemnew

Keyword(s):

Social Support ◽

Bipolar Disorder ◽

Associated Factors ◽

Addis Ababa ◽

Self Esteem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Specialized Hospital ◽

Poor Social Support

ObjectivesTo assess the magnitude of internalised stigma and associated factors among patients with bipolar disorder attending the outpatient department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.DesignInstitution-based cross-sectional study design.SettingAmanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.ParticipantsWe recruited about 418 participants using systematic sampling technique for an interview during the study period.MeasurementData were collected by face-to-face interviews. Internalized Stigma of Mental Illness scale was used to measure internalised stigma. The Rosenberg Self-Esteem Scale and the Oslo-3 Social Support were instruments used to assess the associated factors. Bivariate and multivariate logistic regressions were performed to identify factors associated with the outcome variable. ORs with 95% CI were computed to determine the level of significance.ResultsThe magnitude of internalised stigma was 24.9% (95% CI: 21.2% to 28.9%). In the multivariate analysis, unemployed (adjusted OR (AOR)=2.3, 95% CI: 1.0 to 5.0), unable to read and write (AOR=3.3, 95% CI: 1.05 to 10.7), poor social support (AOR=5.3, 95% CI: 1.9 to 15.0), ≥4 previous hospitalisations due to bipolar disorder (AOR=2.6, 95% CI: 1.1 to 6.1) and low self-esteem (AOR=2.4, 95% CI: 1.1 to 5.1) had a significant association with internalised stigma.ConclusionsOne in four patients with bipolar disorder reported high internalised stigma. Unemployment, low educational status, low self-esteem, poor social support and being hospitalised more than three times before were significantly associated with internalised stigma. Thus, a stigma-reduction programme focusing on self-esteem improvement and psychological health of patients to increase their stigma resistance to counteracting effects of internalised stigma is essential.

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Patients’ Perspectives about Lifestyle Behaviors and Health in the Context of Family Medicine: A Cross-Sectional Study in Portugal

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18062981 ◽

2021 ◽

Vol 18 (6) ◽

pp. 2981

Author(s):

Rosália Páscoa ◽

Andreia Teixeira ◽

Micaela Gregório ◽

Rosa Carvalho ◽

Carlos Martins

Keyword(s):

Family Medicine ◽

Family Doctor ◽

Cross Sectional Study ◽

Demographic Variables ◽

Future Research ◽

Lifestyle Behaviors ◽

Sectional Study ◽

Self Assessment ◽

Cross Sectional ◽

The Family

Lifestyle interventions are recognized as essential in the prevention and treatment of non-communicable diseases. Previous studies have shown that Portuguese patients tend to give more importance to diagnostic and laboratory tests than to lifestyle measures, and seem unaware that behavioral risks are the main modifiable risk factors. The study aimed to analyze patients’ perspectives about lifestyle behaviors and health in the context of family medicine in Portugal. A population-based cross-sectional study was carried out in Portugal (the mainland). A total of 900 Portuguese patients aged ≥20 years, representative of the population, were surveyed using face-to-face questionnaires. Participants were selected by the random route method. Descriptive statistics and non-parametric tests were performed to evaluate differences between the personal beliefs and the personal behavior self-assessment, as well as between the level of importance given to the family doctor to address health behaviors and the reported approach implemented by the family doctor, and its association with bio-demographic variables. The results indicate that the vast majority of this Portuguese cohort has informed beliefs regarding lifestyle behaviors, tends to overestimate their own behavior self-assessment, and strongly agrees that it is important that their family doctor asks/advises on these lifestyle behaviors, although the proportion of those who totally agree that their family doctor usually does this is significantly lower. Differences concerning bio-demographic variables were found. Future research directions should focus on the politics, economics, and policy aspects that may have an impact in this area. It will also be important to understand more broadly the relationships between lifestyle behaviors and clinical, physical, and sociodemographic variables.

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Cardiometabolic disease and features of depression and bipolar disorder: Population-based, cross-sectional study

The British Journal of Psychiatry ◽

10.1192/bjp.bp.114.157784 ◽

2016 ◽

Vol 208 (4) ◽

pp. 343-351 ◽

Cited By ~ 16

Author(s):

Daniel J. Martin ◽

Zia Ul-Haq ◽

Barbara I. Nicholl ◽

Breda Cullen ◽

Jonathan Evans ◽

...

Keyword(s):

Cardiovascular Disease ◽

Bipolar Disorder ◽

Mood Disorder ◽

Psychotropic Medication ◽

Large Population ◽

Population Sample ◽

Cross Sectional Study ◽

Cardiometabolic Disease ◽

Sectional Study ◽

Cross Sectional

BackgroundThe relative contribution of demographic, lifestyle and medication factors to the association between affective disorders and cardiometabolic diseases is poorly understood.AimsTo assess the relationship between cardiometabolic disease and features of depresion and bipolar disorder within a large population sample.MethodCross-sectional study of 145 991 UK Biobank participants: multivariate analyses of associations between features of depression or bipolar disorder and five cardiometabolic outcomes, adjusting for confounding factors.ResultsThere were significant associations between mood disorder features and ‘any cardiovascular disease’ (depression odds ratio (OR) = 1.15, 95% CI 1.12–1.19; bipolar OR = 1.28, 95% CI 1.14–1.43) and with hypertension (depression OR = 1.15, 95% CI 1.13–1.18; bipolar OR = 1.26, 95% CI 1.12–1.42). Individuals with features of mood disorder taking psychotropic medication were significantly more likely than controls not on psychotropics to report myocardial infarction (depression OR = 1.47, 95% CI 1.24–1.73; bipolar OR = 2.23, 95% CI 1.53–3.57) and stroke (depression OR = 2.46, 95% CI 2.10–2.80; bipolar OR = 2.31, 95% CI 1.39–3.85).ConclusionsAssociations between features of depression or bipolar disorder and cardiovascular disease outcomes were statistically independent of demographic, lifestyle and medication confounders. Psychotropic medication may also be a risk factor for cardiometabolic disease in individuals without a clear history of mood disorder.

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Associations between residual depressive symptoms, cognition, and functioning in patients with euthymic bipolar disorder: results from the FACE-BD cohort

The British Journal of Psychiatry ◽

10.1192/bjp.bp.117.201335 ◽

2017 ◽

Vol 211 (6) ◽

pp. 381-387 ◽

Cited By ~ 18

Author(s):

Paul Roux ◽

Aurélie Raust ◽

Anne-Sophie Cannavo ◽

Valérie Aubin ◽

Bruno Aouizerate ◽

...

Keyword(s):

Bipolar Disorder ◽

Depressive Symptoms ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Cognitive Component ◽

Cognitive Components ◽

The Face ◽

Sources Of Variation ◽

The Relationship

BackgroundThe relationship between residual depressive symptoms, cognition and functioning in patients with euthymic bipolar disorder is a subject of debate.AimsTo assess whether cognition mediates the association between residual depressive symptoms and functioning in patients with bipolar disorder who were euthymic.MethodWe included 241 adults with euthymic bipolar disorder in a multicentre cross-sectional study. We used a battery of tests to assess six cognition domains. A path analysis was then used to perform a mediation analysis of the relationship between residual depressive symptoms, cognitive components and functioning.ResultsOnly verbal and working memory were significantly associated with better functioning. Residual depressive symptoms were associated with poorer functioning. No significant relationship was found between residual depressive symptoms and any cognitive component.ConclusionsCognition and residual depressive symptoms appear to be two independent sources of variation in the functioning of people with euthymic bipolar disorder.

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Affective temperaments are associated with specific clusters of symptoms and psychopathology: A cross-sectional study on bipolar disorder inpatients in acute manic, mixed, or depressive relapse

Journal of Affective Disorders ◽

10.1016/j.jad.2013.06.041 ◽

2013 ◽

Vol 151 (2) ◽

pp. 540-550 ◽

Cited By ~ 31

Author(s):

Felice Iasevoli ◽

Alessandro Valchera ◽

Emanuela Di Giovambattista ◽

Massimo Marconi ◽

Maria Paola Rapagnani ◽

...

Keyword(s):

Bipolar Disorder ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Affective Temperaments

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Impact of metabolic syndrome and clinical features on functioning in patients with bipolar disorder: a cross-sectional study

Brazilian Journal of Psychiatry ◽

10.1590/1516-4446-2019-0622 ◽

2020 ◽

Vol 42 (4) ◽

pp. 373-381

Author(s):

Hanife Kocakaya ◽

Emrah Songur ◽

Sedat Batmaz ◽

Zekiye Çelikbaş ◽

Önder Küçük

Keyword(s):

Metabolic Syndrome ◽

Bipolar Disorder ◽

Clinical Features ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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A cross-sectional study of factors affecting seasonality in bipolar disorder

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v20i2.491 ◽

2014 ◽

Vol 20 (2) ◽

pp. 2 ◽

Cited By ~ 1

Author(s):

Pankaj Kumar Mittal ◽

Shubham Mehta ◽

Ram Kumar Solanki ◽

Mukesh Kumar Swami ◽

Parth Singh Meena

Keyword(s):

Bipolar Disorder ◽

Seasonal Variations ◽

Affective Disorders ◽

Seasonal Pattern ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Behavioural Patterns ◽

Assessment Questionnaire

Background. Researchers have evinced interest in the effect of seasonal variations on mood and behavioural patterns in affective disorders. Objective. To study seasonality in bipolar disorder (BD) patients and also the factors affecting this seasonality. Method. Forty-nine patients with BD in euthymic phase were recruited and analysed using the Seasonal Pattern Assessment Questionnaire and Morningness-Eveningness Questionnaire. Results. Most of the patients were morning types but chronotype had no influence on seasonality. Age of patient and number of episodes were the most important factors affecting seasonality in BD. Conclusion. Seasonality and its influencing factors must be considered while managing bipolar disorder.

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Relationship Quality and Distress in Caregivers of Persons With Dementia: A Cross-Sectional Study

American Journal of Alzheimer s Disease & Other Dementias® ◽

10.1177/1533317517691121 ◽

2017 ◽

Vol 32 (3) ◽

pp. 157-165 ◽

Cited By ~ 8

Author(s):

Heidi Bjørge ◽

Kari Kvaal ◽

Milada Cvancarova Småstuen ◽

Ingun Ulstein

Keyword(s):

Leisure Time ◽

Expressed Emotion ◽

Rating Scale ◽

Cross Sectional Study ◽

Regression Analyses ◽

Sectional Study ◽

Factor Analyses ◽

Cross Sectional ◽

The Family ◽

The Relationship

This cross-sectional study aimed to investigate the relationship between caregivers and care receivers, defined as home-dwelling family members with dementia. We used a self-rating questionnaire, the Felt Expressed Emotion Rating Scale (FEERS; 6 simple questions), to measure caregiver perceptions of the care receiver’s criticisms (CCs) and emotional overinvolvement (EOI) toward the caregiver. We performed factor analyses to rank single items on the FEERS pertaining to CC and EOI. We included 208 caregiver/care receiver pairs. Logistic regression analyses tested associations between FEERS items and caregiver and care receiver variables. The main contributors to caregiver perceptions of CC were the caregiver’s own distress and the amount of time spent with the care receiver. Socially distressed caregivers perceived the care receiver as emotionally overinvolved. When offering a psychosocial intervention, a tailored program should target the caregiver’s perceived relationship with the family member and the caregiver’s distress. The program should also endeavor to give the caretaker more opportunities for leisure time.

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Morbidity Pattern and Its Determinants in Urban Field Practice Area of VIMS, Bellary - A Cross-Sectional Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/507 ◽

2021 ◽

Vol 8 (30) ◽

pp. 2763-2767

Author(s):

Pratibharani Reddy ◽

Ramesh K ◽

Anju Mariam Jacob ◽

Gangadhara Goud T

Keyword(s):

Quality Of Life ◽

Disease Burden ◽

Sampling Technique ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Training Centre ◽

The Family

BACKGROUND India is doubly burdened with communicable and non-communicable diseases (NCD). Knowledge regarding morbidity profile is important for timely intervention so as to improve the quality of life. For effective health strategies, it is important to know the disease burden of a community. As for the effective preventive strategies, it’s important to know the information regarding disease burden and changing trends of diseases in the locality. Hence this study was done to find the morbidity pattern of urban population in Bellary district, Karnataka. METHODS A cross sectional study was carried out in Millerpet, urban health training centre (UHTC), Bellary, Karnataka. The respective UHTC covers 69195 populations, which has eight wards. Simple random sampling technique was adopted to select the ward. The study was carried out in the selected ward and the study duration was for a period of 3 months. Based on the estimated sample size, 416 houses were selected using random number method. Statistical package for social sciences (SPSS) software version 26 was used for analysing data. Descriptive statistics were used to describe socio demographic and morbidity conditions. RESULTS The most common morbidity among 416 houses were found to be diabetes (22.8 %) followed by hypertension (20 %) and musculoskeletal problems (9 %). Majority of the houses were of nuclear type and the most common age group was 31 - 60 (91.8 %) years followed by 13 - 30 years (80.8 %). 167 (40.1 %) houses had at least one morbidity and 451 (41.4) subjects had at least one morbidity. Socio-demographic variables like age group, family size, monthly income, occupation of head of the family and type of the family were found to be statistically significant. CONCLUSIONS The study revealed that non communicable are the most common diseases present and there is a need to further evaluate the factors responsible so that preventive measures can be taken at the earliest so as to improve the quality of life. KEYWORDS Morbidity Pattern, Urban, Bellary

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