P.3.b.014 Effects of depressive symptoms and social functioning level for hospitalizations of schizophrenia patients with community-based mental health model

BACKGROUND People with type 2 diabetes mellitus (T2DM) often experience mental health symptoms that exacerbate illness and increase mortality risk. Access to psychological support is low in people with T2DM. Detection of depression is variable in primary care and can be further hampered by mental health stigma. Electronic mental health (eMH) programs may provide an accessible, private, nonstigmatizing mental health solution for this group. OBJECTIVE This study aims to evaluate the efficacy over 12 months of follow-up of an eMH program (myCompass) for improving social and occupational functioning in a community sample of people with T2DM and self-reported mild-to-moderate depressive symptoms. myCompass is a fully automated and self-guided web-based public health program for people with depression or anxiety. The effects of myCompass on depressive symptoms, diabetes-related distress, anxiety symptoms, and self-care behavior were also examined. METHODS Adults with T2DM and mild-to-moderate depressive symptoms (N=780) were recruited via online advertisements, community organizations, and general practices. Screening, consent, and self-report questionnaires were administered online. Eligible participants were randomized to receive either myCompass (n=391) or an attention control generic health literacy program (Healthy Lifestyles; n=379) for 8 weeks. At baseline and at 3, 6, and 12 months postintervention, participants completed the Work and Social Adjustment Scale, the Patient Health Questionnaire-9 item, the Diabetes Distress Scale, the Generalized Anxiety Disorder Questionnaire-7 item, and items from the Self-Management Profile for Type 2 Diabetes. Glycosylated hemoglobin measurements were obtained at baseline and 6 and 12 months postintervention. RESULTS A total of 38.9% (304/780) of the trial participants completed all postintervention assessments. myCompass users logged in on an average of 6 times and completed an average of 0.29 modules. Healthy Lifestyles users logged in on an average of 4 times and completed an average of 1.37 modules. At baseline, the mean scores on several outcome measures, including the primary outcome of work and social functioning, were close to the normal range, despite a varied and extensive recruitment process. Intention-to-treat analyses revealed slightly greater improvement at 12 months in work and social functioning for the Healthy Lifestyles group relative to the myCompass group. All participants reported equivalent improvements in depression anxiety, diabetes distress, diabetes self-management, and glycemic control across the trial. CONCLUSIONS The Healthy Lifestyles group reported higher ratings of social and occupational functioning than the myCompass group, but no differences were observed for any secondary outcome. Although these findings should be interpreted in light of the near-floor symptom scores at baseline, the trial yields important insights into how people with T2DM might be engaged in eMH programs and the challenges of focusing specifically on mental health. Several avenues emerge for continued investigation into how best to deal with the growing mental health burden in adults with T2DM. CLINICALTRIAL Australian New Zealand Clinical Trials Registry Number (ACTRN) 12615000931572; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368109&isReview=true

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Implementing mental health screening, assessment, and navigation program in a community-based survivorship program.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.5_suppl.36 ◽

2017 ◽

Vol 35 (5_suppl) ◽

pp. 36-36 ◽

Cited By ~ 1

Author(s):

Laura Howe-Martin ◽

Stephanie L. Lawrence ◽

Bryan Jester ◽

Nancy de la Garza ◽

Natalie Benedetto ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Psychiatric Symptoms ◽

Integrated Approach ◽

Health Screening ◽

Mental Health Screening ◽

Community Based ◽

Screening Guidelines ◽

Measurement Based Care ◽

Screening Assessment

36 Background: ASCO guidelines recommend cancer survivors be evaluated, treated, & reassessed for depression & anxiety along the trajectory of care. To meet these guidelines, UT Southwestern Moncrief Cancer Institute instituted an integrated approach to mental health screening, assessment, & navigation called MH-SCAN. (Andersen, BL, Rowland, JH, Somerfield, MR. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation.J Onc Prac, 2015. 11(2): p. 133-134.) Methods: MH-SCAN uses the Vital Sign6 (VS6) program, a web-based application to screen & monitor psychiatric symptoms, and to give feedback regarding measurement-based care (MBC). Measures are repeated at 2-week intervals when possible for those who need treatment. Our implementation process, including training & workflows, will be reviewed. Results: Patients (N = 415) enrolled from 9/1/15 to 8/1/16 in our community-based Survivorship Program (see table) were screened using VS6, of which 119 reported symptoms indicating potential depression. Over 90% of that subset reported moderately severe symptoms and 87% endorsing comorbid symptoms of anxiety. Approximately 60% of the original sample completed reassessment within 4 weeks. Over half continued to endorse significant depressive symptoms, as well as suicidal ideation and comorbid anxiety. Conclusions: Implementing ASCO recommendations for mental health screening, assessment, and treatment adherence, while challenging, is feasible. Our preliminary data underscores its importance among survivors. The MH-SCAN protocol provides a useful approach to implementing screening guidelines efficiently and effectively, thus addressing mental health comorbidities within oncology and primary care.[Table: see text]

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Mood Symptoms, Suicide, and Associated Factors Among Jimma Community. A Cross-Sectional Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.640575 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yonas Tesfaye ◽

Liyew Agenagnew ◽

Susan Anand ◽

Gudina Terefe Tucho ◽

Zewdie Birhanu ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Suicidal Behavior ◽

Associated Factors ◽

Mental Health Problems ◽

Outcome Variable ◽

Community Based ◽

Cross Sectional ◽

Manic Symptoms ◽

Mood Symptoms

Background: The global burden of mental health problems is high and is predicted to rise. At present, mood symptoms are the foremost common psychological problems worldwide, yet little is known regarding their magnitude and associated factors in developing countries. Therefore, this study aimed to assess the magnitude and associated factors of anxiety, depressive, manic symptoms, and suicidal behavior among the rural Jimma community, Ethiopia.Methods: A community-based quantitative cross-sectional survey was employed on 423 households selected through systematic random sampling. An adapted version of the Mini International Neuropsychiatric Interview tool was used for the structured face-to-face interview. The collected data were checked for completeness, coded, and inserted into Epi Data version 3.1 and exported to SPSS version 23 for analysis. Variables with P < g0.05 and odds ratio (OR) [95% confidence interval (CI)] on multivariate logistic regression analysis were considered as factors associated with the outcome variable.Results: Overall, 185 (44.0%), 55 (13.1%), 44 (10.5%), and 23 (5.5%) of the respondents had anxiety, depressive, manic symptom, and suicide behavior, respectively. The odds of having anxiety symptoms were nearly 5 times higher among those who had perceived discrimination and racism experience compared to their counterpart [adjusted OR (AOR), 5.02; 95% CI, 1.90–13.26]. Likewise, recently bereaved participants had 4-fold higher odds of reporting depressive symptoms (AOR, 3.9; 95% CI, 1.4–10.4) than the non-bereaved ones. Furthermore, respondents who had depressive symptoms were almost four and a half times more likely to have manic symptoms compared to those who did not (AOR, 4.3; 95% CI, 1.71–11.02).Conclusion: Anxiety, depressive, manic symptoms, and suicidal behavior were prevalent in the community and positively associated with multiple psychosocial factors. Implementing accessible and affordable community-based mental health services is recommended to mitigate the problems.

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Social networks and social functioning level among occupational therapy workshops and community-based support centers users

Psychiatria Polska ◽

10.12740/pp/62080 ◽

2017 ◽

Vol 51 (1) ◽

pp. 139-152 ◽

Cited By ~ 2

Author(s):

Paweł Bronowski ◽

Maryla Sawicka ◽

Magda Rowicka ◽

Marta Bronowska

Keyword(s):

Social Networks ◽

Occupational Therapy ◽

Social Functioning ◽

Community Based ◽

Functioning Level

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The Impact of COVID-19 on Mental Health outcomes among hospital fever clinic attendants across Nepal: A community-based cross-sectional study

10.1101/2020.07.28.20163295 ◽

2020 ◽

Author(s):

Hridaya Raj Devkota ◽

Tula Ram Sijali ◽

Ramji Bogati ◽

Meraj Ahmad ◽

Karuna Laxmi Shakya ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Health Status ◽

Health Outcomes ◽

Psychological Impact ◽

Mental Health Outcomes ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

The Impact

Background: The COVID 19 pandemic has been creating a panic and distressing situations among the entire population globally including Nepal. No study has been conducted assessing the psychological impact of this pandemic on the general public in Nepal. The objective of this study is to assess the mental health status during COVID 19 outbreak and explore the potential influencing factors among the population attending the hospital fever clinics with COVID 19 symptoms. Methods: A cross sectional survey was conducted between May to June, 2020 with a sample of 645 participants aged 18 and above in 26 hospitals across Nepal. Telephone interviews were conducted using a semi-structured questionnaire along with a validated psychometric tool, the Depression, Anxiety and Stress (DASS21) scale. The metrics and scores of symptoms and their severity were created and analyzed. Multivariate logistic regression was used to determine the association of potential covariates with outcome variables. Results: The prevalence of anxiety, depression and stress were 14%, 7% and 5% respectively. Participants from Bagmati province reported higher level of anxiety (OR 3.87, 95% CI 1.42 10.59), while stress (OR 4.78, 95% CI 1.09 21.29) and depressive symptoms (OR 3.37, 95% CI 1.10 10.35) observed higher among the participants in Province 1. Women were more at risk of anxiety (OR 4.26, 95% CI 2.21 8.20) and depression (2.75, 95% CI 1.16 6.51) than men. Similarly, people with primary level education found more prone to all factors, stress (OR 20.35, 95% CI 2.06 201.19), anxiety (OR 3.10, 95% CI 1.24 7.91), and depression (OR 4.41, 95% CI 1.29 15.07). More farmers than labors showed higher odds (OR 2.25, 95% CI 1.01 5.01) for anxiety, while individuals surveyed who reported their health status as poor-had higher odds (OR 5.95, 95% CI 1.08 32.68) for depression. Also, people currently living in rented houses reported more stress (OR 3.11, 95% CI 1.07 9.05) and those living far from family reported higher rates of depressive symptoms (OR 3.57, 95% CI 1.01 12.58). Conclusion: The study identified increased prevalence of stress, anxiety and depressive symptoms during the initial stage of COVID 19 pandemic in Nepal. Considering the findings, there is urgent need to develop and implement appropriate community-based mental health programs targeting individuals who have had COVID 19 symptoms and who are prone to develop adverse mental health outcomes. Key words: COVID 19, Depression, Anxiety, Stress, Pandemic, Public Health, Nepal

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UNDERSTANDING THE ROLE OF SOCIAL SUPPORTS AND SOCIAL NETWORK FOR DEMENTIA CAREGIVERS’ MENTAL HEALTH

Innovation in Aging ◽

10.1093/geroni/igz038.492 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S135-S135

Author(s):

Carmen Morano ◽

daejun park ◽

Andrea Savage

Keyword(s):

Mental Health ◽

Social Network ◽

Depressive Symptoms ◽

Small Sample Size ◽

Social Supports ◽

Small Sample ◽

Community Based ◽

Dementia Caregivers ◽

Caregiver Support ◽

Network Analyses

Abstract This paper explores the associations of depressive symptoms with social supports and social networks among dementia caregivers. It has been well documented that dementia caregivers are at greater risk of experiencing negative mental health and poorer physical health than non-caregivers. This paper describes a collaborative process between two universities and a community-based provider in designing a Social Network Analyses to examine the network structures used by dementia caregivers participating in a community-based support program. The relationship between the caregiver support networks and depressive symptoms, were analyzed using multivariate regression models. Given the small sample size and missing data multiple imputation was applied to the data. The findings suggest the effects of a variety of supports in the caregiver network on mental health and depressive symptoms. Among the findings it was found that the presence of financial support (B= - 0.58; p = .01) and frequency of contacts (B = -0.58; p = .01) support resulted in a decrease in depressive symptoms and better mental health than for caregivers without similar supports in their networks. This paper will conclude with a discussion of potential uses of social network analysis to better understand how the structure of caregivers’ network can address the concrete physical, emotional and financial needs of dementia caregivers.

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Predicting onset of bipolar disorder from subsyndromal symptoms: a signal question?

The British Journal of Psychiatry ◽

10.1192/bjp.bp.109.074898 ◽

2010 ◽

Vol 196 (2) ◽

pp. 87-88 ◽

Cited By ~ 7

Author(s):

Gordon Parker

Keyword(s):

Mental Health ◽

Bipolar Disorder ◽

Depressive Symptoms ◽

Mental Health Service ◽

Health Service ◽

Predictive Power ◽

Community Based ◽

Subsyndromal Symptoms ◽

Issue Reports ◽

Service Attendance

SummaryThis issue reports a community-based study quantifying the extent to which subthreshold hypomanic or depressive symptoms in childhood or adolescence predicted subsequent formal bipolar disorder status and mental health service attendance. This editorial emphasises the low predictive power of the signal and considers early intervention implications.

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A Mixed-Methods, Community-Based Study To Identify Predictors Of Depression In Latino Adolescents By Gender

ENGAGE! Co-created Knowledge Serving the City ◽

10.18060/22817 ◽

2019 ◽

Vol 1 (1) ◽

pp. 78-97

Author(s):

Silvia M. Bigatti ◽

Virna Diaz ◽

Katrina K. Conrad ◽

Michelle Ramirez ◽

Tess D. Weathers

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Focus Groups ◽

Acculturative Stress ◽

English Language ◽

Mental Health Problems ◽

Systems Approach ◽

Community Based Participatory Research ◽

Community Based ◽

Predictors Of Depression

Latino adolescent depressive symptoms are a growing problem, of interest to both the community and academic partner who are reporting the present study. In this mixed-method, community-based participatory research study we quantitatively examined predictors of depression known to impact adolescent mental health that are amenable to interventions. Concurrently, we qualitatively assessed parents’ perceptions of mental health problems in children, their causes and potential solutions. The data from parents (n = 108) was obtained in focus groups led in Spanish, and the data from adolescents (n = 86) was obtained in English language surveys. Among the adolescents there was an even representation of males (47.7%) and females (52.3%), Mage = 15.24 (SD = 1.97). Nearly half (47.7%) of the adolescents were experiencing minor depression and one in ten (10.5%) were experiencing major depression according to their scores on the PHQ-9. Adolescent participants reported low acculturative stress, average social support, and high mastery, as well as highly functional families. Males reported higher self-mastery than females and lower acculturative stress. Predictors of depression differed by gender. For males, self-mastery predicted depressive symptoms; for females acculturative stress predicted depressive symptoms. The focus groups with parents supported and expanded quantitative findings. The parents demonstrated a keen awareness of depression in teens and their own contributions to the problem, including their efforts to maintain their culture of origin which prevents integration of their children into the majority culture. Parents also reported difficulties knowing what steps to take and finding resources. The additional dimension of parental voice is often missing from studies of adolescents, and here it clarified many of the issues identified in the teens. These findings suggest the need to focus on mental health in this population, potentially developing differential interventions by gender and taking a family systems approach.

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