Mental health in the workplace

2011 ◽  
Vol 26 (S2) ◽  
pp. 694-694 ◽  
Author(s):  
H.Ø. Sørensen ◽  
P. Munk-Joergensen
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Psychiatric Symptoms ◽  
Correct Diagnosis ◽  
Mental Illnesses ◽  
The Public ◽  
Need For Treatment ◽  
Increased Risk ◽  
The Individual

IntroductionDepression and simple phobia are the most prevalent mental illnesses among employees leading to an increased number of sick days, decreased social and professional function, job satisfaction, quality of life and increased risk of loss of work.Around 25% of the working population is affected by psychiatric symptoms in a way that is painful to the individual, but not of such severity that is qualifies as a genuine disease.Untreated and not early identified these cases could lead to actual mental illness.Moreover, less than half of those currently suffering from depression are provided with the correct diagnosis in general practice, and less the half, diagnosed correctly, receive the proper medical treatment.ObjectivesTo identify, treat and thereby interrupt pre-existing cases of mental illness in the workplace. To prevent worsening of minor cases of psychiatric illness and symptomatic cases not considered a genuine disease.AimsTo develop models for early tracing and treatment of mental illness in the workplace with consequent improved health status and quality of life for the individual and improved economy for the workplace and the public.MethodsThis intervention study includes larger companies with more than 100 employees in the Region of North Denmark.The study design is a before-after study using self-reporting questionnaires as a basis for identification of cases of mental illness and follow-up of treatment. The study uses clinical interview and examination for determining the need for treatment.ResultsResults not yet available.

Menopause-Related Quality of Life in Chronically Mentally ILL Women

2005 ◽  
Vol 35 (3) ◽  
pp. 259-271 ◽  
Author(s):  
Susan Hatters Friedman ◽  
Martha Sajatovic ◽  
Isabel N. Schuermeyer ◽  
Roknedin Safavi ◽  
Robert W. Hays ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Major Depression ◽  
Mentally Ill ◽  
Psychiatric Symptoms ◽  
Mental Illnesses ◽  
Cross Sectional ◽  
Quality Of Life Scale ◽  
Related Quality

Objective: Menopause is an important life event that has not yet been well characterized among women with severe mental illness. Our goal was to evaluate menopause-related quality of life among severely mentally ill women. Method: We conducted a cross-sectional assessment of perimenopausal and postmenopausal women, ages 45–55, diagnosed with schizophrenia/schizoaffective disorder, bipolar disorder, or major depression, who were receiving inpatient or outpatient psychiatric care. Women were compared regarding menopausal symptoms and quality of life using the Menopause Specific Quality of Life Scale (MENQOL). Results: Women with severe mental illnesses who were peri- and post-menopausal experienced considerable vasomotor, physical, sexual, and psychosocial symptoms related to menopause. On seven of 29 MENQOL items, women with major depression reported problems significantly more often than women with other serious mental illnesses. Conclusions: This preliminary study indicates that psychiatrists and other physicians should consider the frequency and overlap of menopausal and psychiatric symptoms among women with serious mental illness in this age group.

Posttraumatic Stress Disorder, Supported Employment, and Outcomes in People with Severe Mental Illness

CNS Spectrums ◽  
2004 ◽  
Vol 9 (12) ◽  
pp. 913-925 ◽  
Author(s):  
Kim T. Mueser ◽  
Susan M. Essock ◽  
Michael Haines ◽  
Rosemarie Wolfe ◽  
Haiyi Xie
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Supported Employment ◽  
Stress Disorder ◽  
Work Outcomes ◽  
Individual Placement And Support ◽  
Rehabilitation Programs ◽  
The Individual ◽  
Individual Placement

AbstractObjective: To evaluate whether posttraumatic stress disorder (PTSD) is related to outcomes in persons with severe mental illness (SMI) participating in a study of vocatinal rehabilitation programsBackground: PTSD is a common comorbid disorder in people with SMI, but it is unknown whether PTSD interferes with the ability to benefit from rehabilitation programs such as supported employment.Methods: The relationships between PTSD and symptoms, health, quality of life, and work outcomes was examined in 176 clients with SMI participating in a 2-year randomized controlled trial of three vocational rehabilitation programs: supported employment based on the Individual Placement and Support model, a psychosocial rehabilitation program based on transitional employment, and standard services.Results: The overall rate of current PTSD in the sample was 16%. Compared with clients without PTSD, clients with PTSD had more severe psychiatric symptoms, worse reported health, lower self-esteem, and lower subjective quality of life. Clients with PTSD who participated in the Individual Placement and Support model (the most effective vocational model of the three studied) also had worse employment outcomes over the 2-year study period than clients without PTSD, with lower rates of compeitive work, fewer hours worked, and fewer wages earned. Employment outcomes did not differ between clients with PTSD versus without PTSD in the other two vocational rehabilitation approaches.Conclusion: The findings suggest that PTSD may contribute to worse work outcomes in clients participating in supported employment programs. Effective treatment of these clients with PTSD may improve their ability to benefit from supported employment.

scholarly journals The Canadian Migraine Forum

2007 ◽  
Vol 34 (4) ◽  
pp. s1-s26
Keyword(s):  
Correct Diagnosis ◽  
Health Related Quality ◽  
The Public ◽  
The Family ◽  
Related Quality ◽  
Health Related ◽  
Degree Of Disability ◽  
The Individual ◽  
The Impact

ABSTRACT:The goal of the Canadian Migraine Forum was to work towards improving the lives of Canadians with migraine by reducing their migraine-related disability. This paper reviews the epidemiology and diagnosis of migraine, and the effects of migraine on health related quality of life. Many patients with migraine do not consult a physician for their headaches, and when they do they often do not receive a correct diagnosis. The discussion at the Forum concluded that better education, both for physicians and the public, on issues relating to migraine was a necessary step in improving migraine diagnosis. The degree of disability caused by migraine is often not recognized by society, and can be substantial for individuals with migraine. Once again, education of the public and of the health professionals who see these patients is key, so that the best migraine management can be instituted to minimize the impact of migraine on the individual, the family, and society at large.

scholarly journals Risk factors for suicide in China's youth: a case-control study

2007 ◽  
Vol 38 (3) ◽  
pp. 397-406 ◽  
Author(s):  
X. Y. Li ◽  
M. R. Phillips ◽  
Y. P. Zhang ◽  
D. Xu ◽  
G. H. Yang
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Mental Illness ◽  
Depressive Symptoms ◽  
Univariate Analysis ◽  
Case Control ◽  
Mental Illnesses ◽  
Time Of Death ◽  
Severe Life Events

BackgroundSuicide is the most common cause of death among youth in China.MethodA case-control psychological autopsy study in 23 geographically representative disease surveillance points around China collected information from family members and close associates of 114 persons aged 15–24 years who died by suicide (cases) and 91 who died of other injuries (controls).ResultsAmong the 114 suicides 61% were female, 88% lived in rural villages, 70% died by ingesting pesticides (most commonly stored in the home), 24% previously attempted suicide, and 45% met criteria of a mental illness at the time of death. Multivariate logistic regression identified several independent risk factors: severe life events within 2 days before death (OR 31.8, 95% CI 2.6–390.6), presence of any depressive symptoms within 2 weeks of death (OR 21.1, 95% CI 4.6–97.2), low quality of life in the month before death (OR 9.7, 95% CI 2.8–34.1), and acute stress at time of death (moderate: OR 3.1, 95% CI 0.8–11.9; high: OR 9.1, 95% CI 1.2–66.8). A significant interaction between mental illness at time of death and gender indicated that diagnosis was an important predictor of suicide in males (OR 14.0, 95% CI 2.6–76.5) but not in females (OR 0.3, 95% CI 0.0–3.6). Prior suicide attempt was related to suicide in the univariate analysis (OR 57.5) but could not be included in the multivariate model because no controls had made prior attempts.ConclusionsSuicide prevention efforts for youth in China must focus on restricting access to pesticides, early recognition and management of depressive symptoms and mental illnesses, improving resiliency, and enhancing quality of life.

scholarly journals Health-Related Quality of Life and Overall Life Satisfaction in People with Serious Mental Illness

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Amy L. Barnes ◽  
Meghan E. Murphy ◽  
Christopher A. Fowler ◽  
Melisa V. Rempfer
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Psychiatric Symptoms ◽  
Well Being ◽  
Mental Illnesses ◽  
Medical Comorbidity ◽  
Health Related ◽  
Mental Hrqol ◽  
Overall Life Satisfaction

Quality of life (QoL) in people with schizophrenia and other serious mental illnesses (SMI) is an important outcome goal, yet there is no consistent definition of the construct. We examined three aspects of QoL in persons with SMI: overall life satisfaction, physical health-related QoL (HRQoL), and mental HRQoL. This study had two primary aims: first, to examine whether there are differences in physical and mental HRQoL in persons with SMI, and, second, to investigate the cognitive, clinical, and functional correlates of the three QoL indicators. Participants were 48 persons with SMI who completed assessments of QoL, cognition, functional capacity, psychiatric symptomatology, and medical comorbidity. Results indicate that participants experience similar levels of physical and mental HRQoL, and these two constructs are not related to one another. Physical HRQoL is associated with less medical comorbidity, while mental HRQoL is associated with negative and depressive symptoms. Overall life satisfaction was associated with fewer psychiatric symptoms and less medical comorbidity. This study adds to the important literature defining distinct domains of QoL and supports the necessity of addressing both physical and mental health factors as they relate to recovery and well-being among persons with SMI.

Easing the Burden of Panic Disorder: Comorbidity, Diagnosis, and Implications for Treatment

CNS Spectrums ◽  
2005 ◽  
Vol 10 (S12) ◽  
pp. 5-11 ◽  
Author(s):  
David Baldwin
Keyword(s):  
Panic Disorder ◽  
Correct Diagnosis ◽  
Somatic Symptoms ◽  
High Rate ◽  
Increased Risk ◽  
Medical Consultations ◽  
Substance Abuse Disorders ◽  
The Individual ◽  
Medical Morbidity

AbstractPanic disorder (PD) is typically a distressing, chronic, and recurrent mental disorder associated with a high rate of comorbidity with other mood, anxiety, and substance abuse disorders, increased risk of medical morbidity and mortality, and marked impairment of functioning and reduced quality of life. Most patients with PD first seek treatment in emergency room or general practice settings. In the overwhelming majority of cases, PD patients present with primarily somatic symptoms, many of which are common to medical illnesses. It is, therefore, not surprising that PD is often misdiagnosed and that patients with this disorder often spend years seeking treatment and undergoing costly and unnecessary tests and medical consultations before receiving a correct diagnosis. Better diagnosis and treatment of PD to achieve remission and prevent relapse has the potential to reduce the burden of this illness to the individual and society.

scholarly journals Therapeutic Lifestyle Changes: Impact on Weight, Quality of Life, and Psychiatric Symptoms in Veterans With Mental Illness

2017 ◽  
Vol 182 (9) ◽  
pp. e1738-e1744 ◽  
Author(s):  
Jillian M. Tessier ◽  
Zachary D. Erickson ◽  
Hilary B. Meyer ◽  
Matthew R. Baker ◽  
Hollie A. Gelberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Psychiatric Symptoms ◽  
Lifestyle Changes ◽  
Therapeutic Lifestyle Changes

Hope, recovery and symptoms: the importance of hope for people living with severe mental illness

2017 ◽  
Vol 25 (6) ◽  
pp. 583-587 ◽  
Author(s):  
Laura Hayes ◽  
Helen Herrman ◽  
David Castle ◽  
Carol Harvey
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Isolation ◽  
Psychiatric Symptoms ◽  
Negative Association ◽  
Community Groups ◽  
Validated Questionnaires ◽  
Australian Community

Objectives: Hope is an important part of recovery from severe mental illness. Our aim was to assess hope and its correlation with symptoms in people living with severe mental illness. Methods: We used validated questionnaires to assess hope, social isolation, quality of life and symptoms among 60 people living with severe mental illness. Results: Hope scores were significantly lower than those reported for many community groups. There was a negative association between psychiatric symptoms and levels of hope. Conclusions: Some people living with enduring severe mental illness in the Australian community feel hopeless. Being hopeful and initiating recovery are evidently difficult when symptoms remain severe. Appropriate acknowledgement and support for patients and their families is required.

scholarly journals Pain Management in Childhood Leukemia: Diagnosis and Available Analgesic Treatments

Cancers ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3671
Author(s):  
Flaminia Coluzzi ◽  
Monica Rocco ◽  
Rula Green Gladden ◽  
Pietro Persiani ◽  
Laurel A. Thur ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Childhood Leukemia ◽  
Analgesic Drugs ◽  
Off Label ◽  
Increased Risk ◽  
Leukemia Diagnosis ◽  
Ongoing Pain ◽  
The Individual

Pain is one of the most common symptoms in children suffering from leukemia, who are often misdiagnosed with other childhood painful diseases such as juvenile idiopathic arthritis. Corticosteroid-induced osteonecrosis (ON) and vincristine-induced peripheral neuropathy (VIPN) are the most common painful manifestations. Additionally, ongoing pain may continue to impact quality of life in survivorship. This narrative review focuses on the pathophysiological mechanisms of pain in childhood leukemia and current available indications for analgesic treatments. Pain management in children is often inadequate because of difficulties in pain assessment, different indications across countries, and the lack of specific pediatric trials. Analgesic drugs are often prescribed off-label to children by extrapolating information from adult guidelines, with possible increased risk of adverse events. Optimal pain management should involve a multidisciplinary team to ensure assessment and interventions tailored to the individual patient.

Deinstitutionalization for Long-Term Mental Illness: A 6-Year Evaluation

2002 ◽  
Vol 36 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Coletta Hobbs ◽  
Lesley Newton ◽  
Christopher Tennant ◽  
Alan Rosen ◽  
Kate Tribe
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Social Behaviour ◽  
Repeated Measures ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Ageing Population ◽  
Term Care

Objective: Forty-seven patients with long-term mental illness were transferred to the community following the closure of a psychiatric hospital in Sydney. This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition. Method: Quantitative evaluation was conducted using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Assessments were completed prior to discharge and at two- and 6-year intervals following community transfer. Repeated measures analysis was utilized to determine changes in outcome variables over time. The residents' perception of 6-years of community living was explored in qualitative semistructured interviews. Details of accommodation, level of care, readmissions, incidents and medication were also documented. Results: During the 6 years following community relocation a total of seven residents returned to hospital for long-term care, three residents died from medical causes and one resident required detention in a corrective services facility. The 36 residents who remained in the community at the 6-year follow-up no longer required intensive 24-h supervision. Living semi-independently, 23 residents resided in two to three person accommodation with either daily or weekly case manager visits. Clinically, community residents remained stable over the 6 years without significant changes in psychiatric symptoms, depression, living skills or social behaviour problems. Clinical stability was achieved with significant reduction in medication levels over the 6 years. Community-based residents continued to experience improved quality of life and reported their marked preference for living in the community. Conclusion: The residents maintained community tenure with significant improvement in quality of life and a reduction in medication, supported by a mental health system with adequate community resources. Issues regarding continuing rehabilitation and social integration need to be addressed. Further deinstitutionalization will require 24-h supervision for most initially and for some on a continuing basis. An ageing population will require specific age related medical and psychiatric services.

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