scholarly journals Living under siege: resilience, hopelessness, and psychological distress among Palestinian students in the Gaza Strip

2021 ◽  
Vol 8 ◽  
Author(s):  
Guido Veronese ◽  
Alessandro Pepe ◽  
Marwan Diab ◽  
Yasser Abu Jamey ◽  
Ashraf Kagee
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Psychological Distress ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Gaza Strip ◽  
Mental Symptoms ◽  
The Gaza Strip ◽  
Anxiety Depression ◽  
The Impact

Abstract Background Moving from an approach oriented to adaptation and functioning, the current paper explored the network of cumulative associations between the effects of the siege and resilience on mental health. Methods We sought to explore the impact of the siege on psychological distress (anxiety, depression, and stress) and the moderating effect of resilience and hopelessness in a sample of 550 Palestinian university students. We hypothesized that the siege effect would impact psychological distress so that the more people were affected by the siege, the more mental symptoms of common mental disorders they would report. We also expected that the siege would negatively impact both resilience and participants' hopelessness. Results Findings showed that higher scores on the scale measuring effect of the siege were associated with hopelessness. Furthermore, living under siege compromised participants’ resilience. The more the siege affected individuals, the lower resilience were protecting participants mental health and the more hopelessness was exposing them to anxiety, stress, and depression. Conclusion Our findings draw attention to how the ongoing violation of human rights influences people's mental health in Gaza. Implications for clinicians and policymakers are discussed.

scholarly journals Mental Health in COVID-19 Pandemic: A Meta-Review of Prevalence Meta-Analyses

2021 ◽  
Vol 12 ◽  
Author(s):  
Geovan Menezes de Sousa ◽  
Vagner Deuel de Oliveira Tavares ◽  
Maria Lara Porpino de Meiroz Grilo ◽  
Monique Leite Galvão Coelho ◽  
Geissy Lainny de Lima-Araújo ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Funnel Plot ◽  
Psychophysiological Stress ◽  
Population Type ◽  
Meta Review ◽  
Trim And Fill ◽  
Meta Analyses ◽  
Anxiety Depression ◽  
The Impact

Background: Mental health burden has been massively reported during the COVID-19 pandemic period. Aiming to summarise these data, we present a meta-review of meta-analyses that evaluated the impact of COVID-19 pandemic on anxiety, depressive and stress symptoms, psychological distress, post-traumatic stress disorder/symptoms (PTSD), and sleep disturbance, reporting its prevalence on general public (GP) and health care workers (HCW).Methods: A search was performed in the PubMed, EMBASE, and the Web of Science. Sleep disturbances, psychological distress, stress, and burnout were grouped as “Psychophysiological stress,” and anxiety, depression, and PTSD were grouped as “Psychopathology.” A random-effects model, calculating the pooled prevalence together with 95% confidence interval was performed for each domain. Subgroup analyses were performed for each population type (GP and HCW) and for each mental health outcome. For anxiety and depression, subgroup analysis for population type was performed. Heterogeneity is reported as I2. Publication bias was assessed through visual inspection of the funnel plot, and further tested by Egger's test and trim and fill analyses.Results: A total of 18 meta-analyses were included. The prevalence of psychophysiological stress was 31.99% (CI: 26.88–37.58, I2 = 99.9%). HCW showed a higher prevalence (37.74%, CI: 33.26–42.45, I2 = 99.7%) than the GP (20.67%, 15.07–27.66, I2 = 99.9%). The overall prevalence of insomnia, psychological distress, and stress were, respectively, 32.34% (CI: 25.65–39.84), 28.25% (CI: 18.12–41.20), and 36% (CI: 29.31–43.54). Psychopathology was present at 26.45% (CI: 24.22–28.79, I2 = 99.9%) of the sample, with similar estimates for population (HCW 26.14%, CI: 23.37–29.12, I2 = 99.9%; GP: 26.99%, CI: 23.41–30.9, I2 = 99.9%). The prevalence of anxiety, depression, and PTSD was 27.77% (CI: 24.47–31.32), 26.93% (CI: 23.92–30.17), and 20% (CI: 15.54–24.37), respectively. Similar proportions between populations were found for anxiety (HCW = 27.5%, CI: 23.78–31.55; GP = 28.33%, CI: 22.1–35.5) and depression (HCW = 27.05%, CI: 23.14–31.36; GP = 26.7%, CI: 22.32–31.59). Asymmetry in the funnel plot was found, and a slight increase in the estimate of overall psychopathology (29.08%, CI: 26.42–31.89) was found after the trim and fill analysis.Conclusions: The prevalence of mental health problems ranged from 20 to 36%. HCW presented a higher prevalence of psychophysiological stress than the general population.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=252221, identifier: CRD42021252221.

Interventions in the Health and Non-health Sectors Aimed at Promoting Mental Health

2017 ◽  
Vol 41 (S1) ◽  
pp. S8-S8
Author(s):  
H. Herrman
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Early Intervention ◽  
Mental Disorders ◽  
Women’S Mental Health ◽  
Women's Mental Health ◽  
Primary Health ◽  
The Impact

The impact of social determinants on women's mental health is becoming clearer worldwide. Poverty, violence and communal insecurity are among the main challenges to women's mental health and the health of their families. Depression is one of the most common mental disorders experienced by women. It typically has an early onset in life and is more frequently found in women made vulnerable by trauma.Improving mental health for women and girls requires early intervention for depression and other mental disorders; with gender sensitive clinical care and support for recovery in primary health care, and mother, child and reproductive health settings. Early intervention in primary health care and collaboration with patients and family carers encourage integration of mental health with the health care system, in turn protective of human rights.In addition, gender equity and observance of human rights need to be embedded in policy and practice in health and non-health sectors to ensure that women's mental health is promoted and mental illnesses adequately prevented and treated. Effective promotion of mental health and prevention of mental disorders is possible in countries of all income levels.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Mobile-based interventions for common mental disorders in youth: a systematic evaluation of pediatric health apps

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Matthias Domhardt ◽  
Eva-Maria Messner ◽  
Anna-Sophia Eder ◽  
Sophie Engler ◽  
Lasse B. Sander ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
Rating Scales ◽  
Rating Scale ◽  
Common Mental Disorders ◽  
Mobile App ◽  
Health Apps ◽  
Anxiety Depression

Abstract Background The access to empirically-supported treatments for common mental disorders in children and adolescents is often limited. Mental health apps might extend service supplies, as they are deemed to be cost-efficient, scalable and appealing for youth. However, little is known about the quality of available apps. Therefore, we aimed to systematically evaluate current mobile-based interventions for pediatric anxiety, depression and posttraumatic stress disorder (PTSD). Methods Systematic searches were conducted in Google Play Store and Apple App Store to identify relevant apps. To be eligible for inclusion, apps needed to be: (1) designed to target either anxiety, depression or PTSD in youth (0–18 years); (2) developed for children, adolescents or caregivers; (3) provided in English or German; (4) operative after download. The quality of eligible apps was assessed with two standardized rating systems (i.e., Mobile App Rating Scale (MARS) and ENLIGHT) independently by two reviewers. Results Overall, the searches revealed 3806 apps, with 15 mental health apps (0.39%) fulfilling our inclusion criteria. The mean overall scores suggested a moderate app quality (MARS: M = 3.59, SD = 0.50; ENLIGHT: M = 3.22, SD = 0.73). Moreover, only one app was evaluated in an RCT. The correlation of both rating scales was high (r = .936; p < .001), whereas no significant correlations were found between rating scales and user ratings (p > .05). Conclusions Our results point to a rather poor overall app quality, and indicate an absence of scientific-driven development and lack of methodologically sound evaluation of apps. Thus, future high-quality research is required, both in terms of theoretically informed intervention development and assessment of mental health apps in RCTs. Furthermore, institutionalized best-practices that provide central information on different aspects of apps (e.g., effectiveness, safety, and data security) for patients, caregivers, stakeholders and mental health professionals are urgently needed.

scholarly journals Common Mental Disorders and Economic Uncertainty: Evidence from the COVID-19 Pandemic in the U.S.

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260726
Author(s):  
Wing Wah Tham ◽  
Elvira Sojli ◽  
Richard Bryant ◽  
Michael McAleer
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Disorders ◽  
Physical Health ◽  
Mental Distress ◽  
Common Mental Disorders ◽  
Economic Security ◽  
Economic Uncertainty ◽  
Financial Uncertainty ◽  
The U.S

Mental health disorders represent an enormous cost to society, are related to economic outcomes, and have increased markedly since the COVID-19 outbreak. Economic activity contracted dramatically on a global scale in 2020, representing the worst crisis since the Great Depression. This study used the COVID Impact Survey to provide insights on the interactions of mental illness and economic uncertainty during COVID-19. We used a probability-based panel survey, COVID Impact Survey, conducted in the U.S. over three waves in the period April-June 2020. The survey covered individual information on employment, economic and financial uncertainty, mental and physical health, as well as other demographic information. The prevalence of moderate mental distress was measured using a Psychological Distress Scale, a 5-item scale that is scored on a 4-point scale (total range: 0–15). The mental distress effect of employment, economic, and financial uncertainty, was assessed in a logit regression analysis conditioning for demographic and health information. It is found that employment, health coverage, social security, and food provision uncertainty are additional stressors for mental health. These economic factors work in addition to demographic effects, where groups who display increased risk for psychological distress include: women, Hispanics, and those in poor physical health. A decrease in employment and increases in economic uncertainty are associated with a doubling of common mental disorders. The population-representative survey evidence presented strongly suggests that economic policies which support employment (e.g., job keeping, job search support, stimulus spending) provide not only economic security but also constitute a major health intervention. Moving forward, the economic uncertainty effect ought to be reflected in community level intervention and prevention efforts, which should include strengthening economic support to reduce financial and economic strain.

scholarly journals O5C.3 The mental health impact of deployment to iraq and afghanistan: what does the current data show?

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A46.1-A46
Author(s):  
Sharon Stevelink ◽  
Margaret Jones ◽  
Lisa Hull ◽  
David Pernet ◽  
Shirlee MacCrimmon ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Outcomes ◽  
Alcohol Misuse ◽  
Common Mental Disorders ◽  
Health Impact ◽  
Current Data ◽  
Mental Health Outcomes ◽  
The Uk ◽  
The Impact

The longer term mental health outcomes of UK serving and ex-serving personnel have been the subject of much speculation. The latest research findings from the third phase of a longitudinal study will be presented, which is the only military cohort study of its kind in the UK. Data was collected among 8093 personnel between 2014 and 2016. The study examined the prevalence of mental disorders and alcohol misuse, whether rates differed between serving and ex-serving regular personnel and the impact of various deployment exposures. The prevalence of probable posttraumatic stress disorder was 6.2% (95% confidence interval (CI) 5.5–6.9), 21.9% (95% CI 20.8–23.0) for common mental disorders and 10.0% (95% CI 9.2–10.9) for alcohol misuse. Deployment to Iraq or Afghanistan and self-reported role during deployment were associated with significantly worse mental health outcomes and alcohol misuse in ex-serving regular personnel but not in currently serving regular personnel. There was no association with number of deployments for any outcome. The findings highlight the importance of the continued monitoring of following personnel throughout their military career and beyond. The implications of the study outcomes will be discussed in the light of the mental health provision for serving and ex-serving personnel.

scholarly journals The psychological impact of COVID-19 on the mental health in the general population

QJM ◽  
2020 ◽  
Vol 113 (8) ◽  
pp. 531-537 ◽  
Author(s):  
G Serafini ◽  
B Parmigiani ◽  
A Amerio ◽  
A Aguglia ◽  
L Sher ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
General Population ◽  
Severe Acute Respiratory Syndrome ◽  
Psychological Impact ◽  
Psychological Reactions ◽  
Chinese City ◽  
Anxiety Depression ◽  
The Impact

Abstract As a result of the emergence of coronavirus disease 2019 (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the Chinese city of Wuhan, a situation of socio-economic crisis and profound psychological distress rapidly occurred worldwide. Various psychological problems and important consequences in terms of mental health including stress, anxiety, depression, frustration, uncertainty during COVID-19 outbreak emerged progressively. This work aimed to comprehensively review the current literature about the impact of COVID-19 infection on the mental health in the general population. The psychological impact of quarantine related to COVID-19 infection has been additionally documented together with the most relevant psychological reactions in the general population related to COVID-19 outbreak. The role of risk and protective factors against the potential to develop psychiatric disorders in vulnerable individuals has been addressed as well. The main implications of the present findings have been discussed.

scholarly journals The experiences of lay health workers trained in task-shifting psychological interventions: a qualitative systematic review

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Ujala Shahmalak ◽  
Amy Blakemore ◽  
Mohammad W. Waheed ◽  
Waquas Waheed
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Workers ◽  
Common Mental Disorders ◽  
Task Shifting ◽  
Alternative Methods ◽  
Psychological Interventions ◽  
Lay Health Workers ◽  
The Impact ◽  
Therapy Delivery

Abstract Introduction The prevalence of common mental disorders, such as depression and anxiety, is high and the demand for psychological interventions and talking therapies is increasing. In order to meet this need, it is necessary to explore alternative methods to deliver talking therapies. Training lay health workers (LHWs) to deliver psychological interventions might be one possible solution to address current gaps in service provision. A number of studies have successfully used this approach to deliver psychological interventions in order to meet the demand for mental health care. Despite increased interest in this area, the evidence has not been synthesised or systematically reviewed. Methods Electronic databases (MEDLINE, EMBBASE, PsycINFO and CINHAL) were systematically searched to specifically capture studies on task-shifting psychological interventions for common mental disorders. Data were extracted on the experiences of the lay-workers on training and therapy delivery. Thematic analysis was used to analyse the data. Themes and subthemes of LHWs views on receiving training, barriers and facilitators to therapy delivery, factors required to become a successful therapist and the impact of training and therapy delivery on the therapists are described. Results 10 studies were eligible for inclusion. Key messages were: LHWs were satisfied with training but wanted more robust supervision; not enough time was given to training on understanding mental health problems; LHWs grew in confidence and this impacted on their personal relationships with others. Conclusion This is the first review to explore LHWs experiences in training and therapy delivery by synthesising existing qualitative research. A number of key messages derived out of this review can help in further improving the quality of the training programmes and highlighting the benefits that are available for the LHW in delivering psychological interventions.

scholarly journals COVID-19, social isolation, and psychological distress in a Brazilian sample

2020 ◽  
Author(s):  
Raíssa Oliveira de Mendonça ◽  
Mylena Maria Ribeiro de Almeida ◽  
Talita Garcia Barroso ◽  
Normando José Queiroz Viana ◽  
Caio Maximino
Keyword(s):  
Psychological Distress ◽  
Mental Disorders ◽  
Coping Strategies ◽  
Social Isolation ◽  
Common Mental Disorders ◽  
Phase 1 ◽  
Positive Reappraisal ◽  
Online Newspapers ◽  
Related Information ◽  
The Impact

Importance: The global infection outbreak by the new SARS-CoV-2 prompted community containment schedules; however, social isolation is a predictor of psychological distress. Objective: To determine whether social isolation, in Brazil, led to higher signs of psychological distress, and which intra- and inter-psychic variables mediated this effect. The following hypotheses were tested: 1) in isolated individuals, loneliness activates distancing and escape-avoidance coping strategies with intensities that are directly correlated with symptoms of anxiety and common health disorders; 2) in isolated individuals, poor reliance on social support coping strategies increase the effects of loneliness on symptoms of anxiety and common mental disorders; 3) in isolated individuals, External Entrapment moderates the effects of loneliness such that the higher the feelings of entrapment, the higher the effects of loneliness on symptoms of anxiety and common mental disorders. 4) in both isolated and non-isolated individuals, intense reliance on positive reappraisal coping strategies decrease (moderate) the effects of information consumption on symptoms of anxiety and common mental disorders. No a priori hypothesis on the specific nature of the subjective experiences of social isolation were established. We proposed that the semantic field of social isolation should present a complex and multidimensional nature. Design: Two phases of web-based surveys were applied to participants between May 25th 2020 and August 19th 2020. Setting: Brazilian participants responded surveys on the web. Participants: For Phase 1, 440 participants responded to the survey. Participants were a volunteer sample of Brazilian nationality and above 18 years old. For Phase 2, a sub-sample of 55 participants was drawn from the pool of the first phase. Main outcomes and measures: For Phase 1, the primary endpoint was score in the SRQ-20 scale (an instrument to screen symptoms of common mental disorders), and the secondary endpoint was score in an anxiety scale that screened feelings of anxiety related to illness and medical procedures. Results: For Phase 1, 51% of the sample reported leaving the house less than once a week during the period of the research, 27.6% reported leaving the house 1-2 times per week, 9.8% reported leaving the house 3-4 times per week, and 11.6% reported leaving the house every day. Using SRQ-20, we found that 76.9% of the female respondents and 58.0% of the male respondents that reported leaving their houses less than once a week showed clinically significant symptoms, while these proportions fell below 65% for females and 44% for males that reported leaving their houses more than 3 times per week. Reliance on escape/avoidance as well as distancing coping strategies were significant mediators of the effect of isolation-induced loneliness. We did not find support for the hypothesis that reliance on social support coping strategies significantly altered the effects of social isolation-induced loneliness on psychological distress, nor for the hypothesis that external entrapment moderated the effects of loneliness. We also found that the impact of reliance on positive reappraisal coping strategies on the relationship between frequency of media use for COVID-19-related information and psychological distress depended on the type of media, with individuals which sought information from print or online newspapers, social networks, and podcasts at higher frequencies consistently showing more psychological distress; however, higher levels of positive reappraisal coping strategies increased this impact instead of decreasing it. In Phase 2 (qualitative survey), 47.3% of the sample reported leaving the house less than once a week during the period of the research, 21.8% reported leaving the house 1-2 times per week, 10.9% reported leaving the house 3-4 times per week, and 20% reported leaving the house every day. At the qualitative survey we found that individuals interpreted isolation as producing self-assessment with protective and introspective dimensions, but also ruminative and emotional experiences of distress. Conclusions and relevance: Our results reveal that social isolation during the COVID-19 pandemic significantly increased psychological distress at clinically relevant rates, with loneliness being an important predictor of this effect. We also found that escape-avoidance and distancing coping strategies mediated this effect. Psychological distress was also related to high consumption of COVID-19-related information in social networks, print or online newspapers, and podcasts, but that relying on positive reappraisal coping strategies increased this effect instead of decreasing it. Our results suggest the need for policies that diminish the impact of social isolation on mental health; the need to assess and teach alternative coping strategies in clinical settings; and the need to address the impact of Internet-based sources.

Physical activity and mental health in India: A narrative review

2019 ◽  
Vol 65 (7-8) ◽  
pp. 656-667 ◽  
Author(s):  
Aishwarya Gonzalez Cherubal ◽  
Balasubramanian Suhavana ◽  
Ramachandran Padmavati ◽  
Vijaya Raghavan
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Health Care Expenditure ◽  
Narrative Review ◽  
Cross Sectional ◽  
Indian Context ◽  
Mesh Terms ◽  
The Impact

Background:Apart from its evident impact on physical health, physical activity also has a role to play in mental health. Individuals engaged in physical inactivity have been found to have higher morbidity and health care expenditure. In order to combat these issues and preserve mental health, interventions of exercise are typically advocated. This review aimed to assess the benefits of physical activity on common and severe mental disorders in the Indian context.Materials and methods:A Boolean search was carried out using both relevant keywords and MeSH terms. Articles were sourced from online databases including PubMed, ScienceDirect, Cochrane Database, PsycINFO and Google Scholar. All studies included in the review were peer-reviewed articles exclusively from India with Indian subjects reporting the relationship between physical activity and at least one mental health outcome including depression, anxiety, psychosis, stress, self-esteem and cognitive functioning.Results:Nineteen articles were found eligible for the narrative review. Out of these, 7 were cross-sectional studies and 12 were intervention studies.Conclusion:Existing literature from India has shown promising results towards the impact of physical activity in mental health disorders. However, more research is needed in the assessment of physical activity and physical activity interventions suitable to the Indian context. This review found that exercise and yoga are effective in reducing mean scores for both severe and common mental disorders. Yoga had a more significant impact on patients with schizophrenia than exercise or no intervention. To confirm that exercise is an effective add-on treatment, further research is required.

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