253. Mental health improvement predicts acute changes in physical health outcomes following minimally invasive lumbar decompression

The spread of COVID-19 mandated several restrictions, mediated changes in routines, and impacted coping abilities and mental health outcomes. In terms of physical health outcomes, undoubtedly, adults 50 years and older were more severely affected by a higher death rate, medical complications and hospitalization. Nevertheless, how do older adults respond to the uncertainty and scare for life compared to other age groups within the context of COVID-19 remains partially unexplored.

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Mental health recovery and physical health outcomes in psychotic illness: Longitudinal data from the Western Australian survey of high impact psychosis catchments

Australian & New Zealand Journal of Psychiatry ◽

10.1177/0004867420954268 ◽

2020 ◽

pp. 000486742095426

Author(s):

Vera A Morgan ◽

Anna Waterreus ◽

Taryn Ambrosi ◽

Johanna C Badcock ◽

Kay Cox ◽

...

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Physical Health ◽

Psychosocial Interventions ◽

Service Utilisation ◽

Personal Recovery ◽

Psychotic Illness ◽

Physical Health Outcomes ◽

Community Rehabilitation ◽

Mental And Physical Health

Objective: There is a dearth of longitudinal data on outcomes in prevalent cases of psychotic illness across a range of ages and levels of chronicity. Our aim was to describe changes over time in mental and physical health outcomes, as well as patterns of service utilisation that may have influenced outcomes, in a representative prevalence sample of 641 Western Australians with a psychotic illness who, at Wave 1, were part of the National Survey of High Impact Psychosis. Methods: In Wave 1 (2010, 2012), a two-phase design was employed to ensure representativeness: Phase 1 psychosis screening took place in public mental health and non-government organisation services, while, in Phase 2, a randomised sample was interviewed. In Wave 2, 380/641 (59%) of participants were re-interviewed, with interviews staggered between 2013 and 2016 (follow-up time: 2.3–5.6 years). Data collection covered mental and physical health, functioning, cognition, social circumstances and service utilisation. Mental health outcomes were categorised as symptomatic, functional and personal recovery. Physical health outcomes covered metabolic syndrome and its component criteria. Results: In mental health, there were encouraging improvements in symptom profiles, variable change in functional recovery and some positive findings for personal recovery, but not quality of life. Participants ranked physical health second among challenges. Metabolic syndrome had increased significantly. While treatment for underlying cardiovascular risk conditions had improved, rates of intervention were still very low. More people were accessing general practices and more frequently, but there were sharp and significant declines in access to community rehabilitation, psychosocial interventions and case management. Conclusion: Although we observed some positive outcomes over time, the sharp decline in access to evidence-based interventions such as community rehabilitation, psychosocial interventions and case management is of great concern and augurs poorly for recovery-oriented practice. Changes in service utilisation appear to have influenced the patterns found.

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Generational health improvement or decline? Exploring generational differences of British ethnic minorities in six physical health outcomes

Ethnicity and Health ◽

10.1080/13557858.2018.1469736 ◽

2018 ◽

Vol 25 (7) ◽

pp. 1041-1054 ◽

Cited By ~ 1

Author(s):

Senhu Wang ◽

Hei-Wan Mak

Keyword(s):

Health Outcomes ◽

Physical Health ◽

Ethnic Minorities ◽

Generational Differences ◽

Health Improvement ◽

Physical Health Outcomes

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Forgiveness of others and subsequent health and well-being in mid-life: a longitudinal study on female nurses

BMC Psychology ◽

10.1186/s40359-020-00470-w ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Katelyn N. G. Long ◽

Everett L. Worthington ◽

Tyler J. VanderWeele ◽

Ying Chen

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Health Behaviors ◽

Health Outcomes ◽

Physical Health ◽

Well Being ◽

The United States ◽

Physical Health Outcomes ◽

Female Nurses ◽

Forgiveness Of Others

Abstract Background Forgiveness is a concept of growing interest within psychology and of potential relevance to public health. While there has been increasing evidence suggesting positive associations between forgiveness of others and a range of psychosocial well-being and mental health outcomes, its associations with health behaviors and physical health are less clear. Methods This study used longitudinal data from the Nurses’ Health Study II (2008 Trauma Exposure and Post-traumatic Stress Supplementary Survey to 2015 questionnaire wave, N = 54,703), to conduct an outcome-wide analysis among a cohort of female nurses in the United States (age range: 43–64 years). The study prospectively examines the association between spiritually motivated forgiveness of others and a number of of subsequent psychosocial well-being, mental health, health behavior, and physical health outcomes in midlife. A set of linear, logistic, and Poisson regression models were used to regress each outcome on forgiveness in separate models. Sociodemographic factors, prior religious service attendance, and prior values of all outcome variables were controlled for wherever data were available. To account for multiple testing, we performed Bonferroni correction. Results Forgiveness was associated with subsequent improved psychosocial well-being and reduced psychological distress outcomes in a monotonic pattern. For instance, the top versus bottom level of forgiveness was associated with substantially higher levels of subsequent positive affect (β = 0.18, 95% CI: 0.15, 0.21) and social integration (β = 0.15, 95% CI: 0.13, 0.17), and was inversely associated with several indicators of subsequent psychological distress such as depressive symptoms (β = − 0.16, 95% CI: − 0.19, − 0.14). However, in this sample, there was little evidence that forgiveness was associated with health behaviors or physical health outcomes. Discussion This study suggests that forgiveness may be a health asset for promoting population mental health and psychosocial well-being, and moreover may also be understood as a good in itself. Further investigation on the dynamics between forgiveness and physical health is warranted to explore the discrepancy between the results here and some past research.

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Job Satisfaction Among Mental Health Workers

Journal of Psychophysiology ◽

10.1027/0269-8803/a000203 ◽

2019 ◽

Vol 33 (1) ◽

pp. 32-38 ◽

Cited By ~ 3

Author(s):

William H. O’Brien ◽

Paul W. Goetz ◽

Heather McCarren ◽

Eileen Delaney ◽

William F. Morrison ◽

...

Keyword(s):

Mental Health ◽

Job Satisfaction ◽

Health Outcomes ◽

Physical Health ◽

Respiratory Sinus Arrhythmia ◽

Health Workers ◽

Self Report ◽

Cross Sectional ◽

Sinus Arrhythmia ◽

Physical Health Outcomes

Abstract. Work characteristics such as job satisfaction have been associated with mental and physical health outcomes in several cross-sectional and longitudinal studies. However, meta-analytic reviews indicate that nearly all of the reported relationships between these two sets of constructs rely on self-report measures. Thus, the magnitude of the reported relationships may be inaccurate and inflated due to common method variance (mono-method bias) and negative affectivity. Respiratory sinus arrhythmia (RSA) is an objective measure of risk for adverse mental health and physical health outcomes. To our knowledge, there has been no investigation of the relationship between job satisfaction and respiratory sinus arrhythmia. In this investigation, 29 workers in mental health settings who experience higher than average levels of work stress due to the amount and unpredictability of workload completed sociodemographic measures and a job satisfaction measure. RSA was then collected during a resting baseline, a worry induction stressor condition where they were instructed to think about work stressors, and a post-stress recovery condition. RSA reactivity to the stressor was significantly greater for participants with low job satisfaction. The low job satisfaction participants also demonstrated less RSA recovery after the stressor ended. Alternatively, participants with higher job satisfaction reacted less and recovered more completely from the stressor.

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To meta-analyse or not to meta-analyse: abortion, birth and mental health

The British Journal of Psychiatry ◽

10.1192/bjp.bp.111.106112 ◽

2012 ◽

Vol 200 (1) ◽

pp. 12-14 ◽

Cited By ~ 12

Author(s):

Tim Kendall ◽

Victoria Bird ◽

Roch Cantwell ◽

Clare Taylor

Keyword(s):

Mental Health ◽

Health Risk ◽

Health Outcomes ◽

Physical Health ◽

Meta Analysis ◽

Unwanted Pregnancy ◽

Mental Health Outcomes ◽

Physical Health Outcomes ◽

The Individual ◽

Meta Analyses

SummaryTwo recent meta-analyses claim that abortion leads to a deterioration in mental health. Previous reviews concluded that the mental health outcomes following an unwanted pregnancy are much the same whether the woman gives birth or terminates the pregnancy, although there is an increased mental health risk with an unwanted pregnancy. Meta-analysis is particularly susceptible to bias in this area. The physical health outcomes for women with an unwanted pregnancy have improved greatly by making abortion legal. To further improve the mental health outcomes associated with an unwanted pregnancy we should focus practice and research on the individual needs of women with an unwanted pregnancy, rather than how the pregnancy is resolved.

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