scholarly journals 2313

2017 ◽  
Vol 1 (S1) ◽  
pp. 73-73
Author(s):  
Nikhil Satchidanand ◽  
Jeffrey Fine ◽  
Gregory S. Cherr

OBJECTIVES/SPECIFIC AIMS: To explore associations among bio-psychosocial factors predictive of overall physical and mental health status as assessed using the SF-12 Health Survey. METHODS/STUDY POPULATION: Community-dwelling, male and female elders with peripheral arterial disease (PAD) were administered an assessment battery to identify factors associated with self-assessed physical and mental health status using the SF-12 Health Survey. The battery included an assessment of pain, depressive symptoms, perceived social support, perceived psychological stress, physical function, as well as selected demographic variables. RESULTS/ANTICIPATED RESULTS: Preliminary linear regression analyses have identified several factors predictive of physical and mental health status including depressive symptoms, pain, perceived stress, and physical function. A more in-depth examination using path analysis is anticipated to reveal important mediational associations, wherein physical function is a strong mediator between bio-psychosocial factors and overall physical and mental health status. DISCUSSION/SIGNIFICANCE OF IMPACT: Aging is often associated with a reduction in physical and mental well-being, frequently exacerbated by the development and progression of chronic disease. PAD is a common chronic condition that places significant burden on the older patient and their family. Identifying and developing a more in-depth understanding of the factors that impact health status in PAD is an important and timely objective. We anticipate that our findings will inform development of more targeted and effective intervention strategies we can employ to improve the quality of life among elders struggling to manage PAD.

2019 ◽  
Vol 47 (2) ◽  
pp. 7-11
Author(s):  
Md Safikul Islam ◽  
Kazi Safiqul Halim ◽  
Kazi Fardana Mostary ◽  
Atiya Tasnim Muna ◽  
Bushra E Zannat Khan ◽  
...  

Gradual rising of crime among adolescents is now a social and public health concern worldwide. A total of 1.9 million children getting incarcerated worldwide yearly where in Bangladesh, 1.3 million of children engaged in hazardous job most of them involved in crime. Again, physical and mental well-being is the legal and constitutional rights of the every adolescent including detained adolescent of Juvenile Development Centers. This is a cross-sectional study conducted to assess the physical and mental health status as well as socio-demographic status of adolescents of two Government Juvenile Development Center, Tongi and Konabari, Gazipur from January to December 2017. 191 adolescents were selected purposively (male: female=1.41:1). Data were collected by face to face interview and record review and height and weight of the respondents were measured. The mental health status was measured by WHO-5 Well-being Scale. The age range was from 13 to 17 years. Age of the respondents were significantly correlated with score of the WHO-5 well-being scale (p=0.028). The study observed higher score among respondents who had detained here for more than 2 months which was highly significant (p<0.001). Most of the respondents (75.9%) belong to poor family. The mean score of the WHO-5 well-being scale of the respondent was 52.20±10.0, where 35.1% had good and 64.9% had poor psychological well-being status and higher among male respondents (52.92±10.40) than the female respondents (51.29±9.45). The respondents who were employee prior to this institution had significantly high score (p=0.024). A significant relationship was observed between type of crime and the score of WHO-5 well-being scale (p=0.003). The mean body mass index was 20.26±1.27 kg/m2. Almost every respondent (92.7%) belongs to normal nutritional category. Well-being score of the respondents was significantly increased with the body mass index (p=0.005). This study revealed score of WHO-5 well-being scale was significantly associated with duration of stay of the respondents (p<0.001, R=0.540). Thus this study provides prevalence of mental health status and nutritional status as well as socio-demographic condition of adolescents of Government Juvenile Development Centre in Bangladesh which may provide the Government, sociologists and psychologists valid and reliable data for making plans and policies for improving or updating the living conditions of detainee of Juvenile development Centre. Bangladesh Med J. 2018 May; 47 (2): 7-11


2011 ◽  
Vol 36 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Marcus K. Taylor ◽  
Ricardo Pietrobon ◽  
John Taverniers ◽  
Matthew R. Leon ◽  
Benedict J. Fern

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 251-251
Author(s):  
Kheng Siang Ted Ng ◽  
Shu Cheng Wong ◽  
Glenn Wong ◽  
Ee Heok Kua ◽  
Anis Larbi ◽  
...  

Abstract Despite increasing emphasis on assessing the mental health of older adults, there has been inconclusive evidence on whether depression and psychological well-being (PWB) are fundamentally distinct constructs or representations of the opposite ends of the mental health spectrum. To instantiate either hypothesis, investigation of the associations between mental health scales and biomarkers have been proposed. First, we assessed depressive symptoms and PWB in community-dwelling older adults (N=59, mean age=67) using the Self-Rating Depression Scale (SDS) and Ryff’s Scale of PWB (comprising six sub-scales). We measured a wide range of immune markers employing ELISA and flow cytometry. Subsequently, we used principal component analysis (PCA) to aggregate and derived biomarker factor scores. Lastly, multiple linear regressions were performed to examine the associations between the scales and the derived biomarker factor scores, controlling for covariates. PCA extracted six biomarker factors. Biomarker factor score 1 was significantly associated with PWB (β=-0.029, p=0.035) and the PWB sub-scale, self-acceptance (β=-0.089, p=0.047), while biomarker factor score 4 was significantly associated with the PWB sub-scale, purpose in life (β=-0.087, p=0.025). On the other hand, biomarker factor 6 was significantly associated with SDS (β=-0.070, p=0.008). There were mutually- exclusive associations between the scales with biomarker factor scores, supporting the hypothesis of distinct constructs. Our findings expanded the biomarkers of depression and PWB, deepening understanding of the biological underpinnings of depressive symptoms and PWB. These findings have implications in field work, since researchers could not infer one construct from the other, the examination of both constructs are essential.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yi Zhang ◽  
Xiaopeng Guo ◽  
Lijun Wang ◽  
Jinzhu Guo ◽  
Haiyan Zhao ◽  
...  

Purpose. To identify the characteristics of the physical and mental health status of patients with pituitary adenomas, explore the postoperative reversibility of impaired health status, and assess the impact of clinical characteristics, hormone levels, anxiety, depression, and disease stigma on health status. Methods. We prospectively enrolled 147 and 138 patients with nonfunctioning and secretory pituitary adenomas, respectively. Health status was evaluated in 8 domains using the 36-item Short-Form Health Survey before and 3 months after transsphenoidal surgery. The Self-Rating Anxiety Scale, the Self-Rating Depression Scale, and the Stigma Scale for Chronic Illness were used to assess the psychological status. Results. Compared with the healthy population reference values, general physical and mental health, social functioning, and role limitations due to physical and psychological health problems were all found to be significantly impaired in the adenoma patients. Health status was worse in patients with adrenocorticotropic hormone- (ACTH-) secreting and growth hormone- (GH-) secreting adenomas than in patients with nonfunctioning adenomas. Among the patients, 11.6% had anxiety and 30.9% had depression. Higher scores for anxiety, depression, and disease stigma; older age; higher body mass index; and tumor recurrence were independent risk factors for health status impairment in at least one domain. Physical function impairment and role limitations caused by physical health problems became worse after surgery, whereas the mental component of health status remained the same. Conclusion. Health status was impaired in patients with pituitary adenomas, especially secretory adenomas. Physical function and role limitations were worse 3 months after surgery than before surgery. Mental problems, old age, obesity, and tumor recurrence reduced health status.


2020 ◽  
Vol 32 (9) ◽  
pp. 585-590
Author(s):  
Generosa Do Nascimento ◽  
Francisco Guilherme Nunes ◽  
Janet E Anderson

Abstract Objective To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design Longitudinal study of patients discharged from hospitals to PACO. Setting 12 hospitals and 14 PACO Portuguese organizations. Participants 181 patients participated in the both stages of data gathering. Main Outcome Measures Patients’ physical and mental health status was measured through the 36-item short form health survey scale. The experience of transition from hospital to PACO was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results Patients reporting better physical condition in PACO had a better experience on discharge [b = 0.21, 95% confidence interval, CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = − 0.19, 95% CI (−0.31, 0.08)]. The experience in PACO is significantly related to patients’ mental health status [b = − 0.47, 95% CI (−0.59, − 0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = − 0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = − 0.41, 95% CI (−0.52, − 0.30)]. Conclusions PACO play a key role in maintaining and promoting patients’ health, and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.


2019 ◽  
Vol 32 (1) ◽  
pp. 135-139 ◽  
Author(s):  
Michael D. Barnett ◽  
Ellen A. Anderson

ABSTRACTObjectives:Optimism and pessimism are distinct constructs that have demonstrated independent relationships with aspects of health and well-being. The purpose of this study was to investigate whether optimism or pessimism is more closely linked with physical and mental health among older adults.Design:Cross-sectional survey.Participants:Community-dwelling older adults (N = 272) ages 59–95 in the southern United States.Measurements:The Life Orientation Test—Revised and the Short Form 8.Results:At the bivariate level, optimism was associated with higher physical health and mental health, while pessimism was associated with lower physical health and mental health. Multiple-regression analyses as well as comparison of correlation coefficients found that pessimism was more closely associated with physical health and mental health than optimism.Conclusions:These results add to the literature suggesting that, in terms of older adults’ health and well-being, avoiding pessimism may be more important than being optimistic.


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