Social class and minor psychiatric disorder in British Civil Servants: a validated screening survey using the General Health Questionnaire

1992 ◽  
Vol 22 (3) ◽  
pp. 739-749 ◽  
Author(s):  
S. A. Stansfeld ◽  
M. G. Marmot
Keyword(s):  
Social Class ◽  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Well Being ◽  
Civil Servants ◽  
Health Questionnaire ◽  
Cross Sectional ◽  
Personal Lives ◽  
Clear Cut

SynopsisMajor psychiatric disorder is more common in people of lower rather than higher socioeconomic status. This is less clear for the commoner, so-called minor psychiatric disorders, but these are more affected by tendency to report symptoms. To examine this the distribution of minor psychiatric disorder by employment grade measured by the 30-item General Health Questionnaire is reported from the first cross-sectional phase of the Whitehall II Study of 10314 London-based civil servants, men and women between 35 and 55 years. Validation of the GHQ in a random subsample stratified by grade and sex (N = 201) suggested that people in lower employment grades tend to under-report minor psychiatric disorder on the GHQ relative to those in higher employment grades. The prevalence of minor psychiatric disorder corrected by the coefficients from the validity study was greater in the lower employment grades than the higher employment grades particularly for men. This was echoed in grade differences in well-being measured by the Affect Balance Scale, and in symptoms and recurrent health problems. Overall, for women there were few clear-cut differences in minor psychiatric disorder by employment grade. The lack of social class gradient in women suggests that further exploration should examine women's role at work and their personal lives for the aetiology of minor psychiatric disorder.

Social factors and minor psychiatric disorder in middle-aged men: a validation study and a population survey

1991 ◽  
Vol 21 (1) ◽  
pp. 157-167 ◽  
Author(s):  
S. A. Stansfeld ◽  
J. E. J. Gallacher ◽  
D. S. Sharp ◽  
J. W. G. Yarnell
Keyword(s):  
Social Class ◽  
Psychiatric Disorder ◽  
General Health ◽  
Community Sample ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Health Questionnaire ◽  
Cross Sectional Survey ◽  
Social Contacts ◽  
Married Men

SYNOPSISA cross-sectional survey of minor psychiatric disorder is reported in a representative community sample of 2204 men between the ages of 45 years and 64 years living in Caerphilly, South Wales. Minor psychiatric disorder was measured by the 30-item General Health Questionnaire and validated by the Clinical Interview Schedule in a consecutive sample of 97 men, weighted to provide one-third cases, two-thirds non-cases. A case threshold of 4/5 on the General Health Questionnaire was chosen on the basis of ‘ROC’ analysis. An overall estimated ‘true’ prevalence rate for minor psychiatric disorder of 22·0% was found, with 22·3% of men scoring 5 or more on the General Health Questionnaire. Rates of minor psychiatric disorder were higher in widowed and divorced men than in married men but were also, unexpectedly, lower in single as opposed to married men. There was no social-class gradient in minor psychiatric morbidity but a lower rate in Social Class III NM may be largely explained by lower unemployment rates. There were markedly higher rates of minor psychiatric morbidity in unemployed men and those who retired ill. Men with no available social contacts had higher rates of morbidity than men with some or high social contacts.

scholarly journals Mental Health of Medical and Non-Medical Professionals during the Peak of the COVID-19 Pandemic: A Cross-Sectional Nationwide Study

2020 ◽  
Vol 9 (8) ◽  
pp. 2527 ◽  
Author(s):  
Julian Maciaszek ◽  
Marta Ciulkowicz ◽  
Blazej Misiak ◽  
Dorota Szczesniak ◽  
Dorota Luc ◽  
...  
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
Healthcare Providers ◽  
Well Being ◽  
World Health ◽  
Medical Professionals ◽  
Health Questionnaire ◽  
Cross Sectional ◽  
Male Sex ◽  
The Impact

Background: The study aimed to compare psychopathological expressions during the COVID-19 (novel coronavirus disease 2019) pandemic, as declared on March 11th 2020 by the World Health Organization, with respect to which institutional variables might distinguish the impact of COVID-19 in medical and non-medical professionals. Methods: A cross-sectional study was performed nationwide between 16th March and the 26th April 2020 in Poland. A total of 2039 respondents representing all healthcare providers (59.8%) as well as other professionals filled in the sociodemographic section, the General Health Questionnaire-28 and the author’s questionnaire with questions related to exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the availability of protective measures, quarantine, change of working hours and place of employment during the pandemic, as well as feelings associated with the state of the pandemic. Results: Medical professionals more often presented with relevant psychopathological symptoms (GHQ-28 (General Health Questionnaire-28) total score >24) than the non-medical group (60.8% vs. 48.0%, respectively) such as anxiety, insomnia and somatic symptoms even after adjustment for potential confounding factors. Male sex, older age and appropriate protective equipment were associated with significantly lower GHQ-28 total scores in medical professionals, whereas among non-medical professionals, male sex was associated with significantly lower GHQ-28 total scores. Conclusions: Somatic and anxiety symptoms as well as insomnia are more prevalent among medical staff than workers in other professions. Targeting the determinants of these differences should be included in interventions aimed at restoring psychological well-being in this specific population. Apparently, there are present gender differences in psychological responses that are independent of profession.

Unemployment and risk of minor psychiatric disorder in young people: cross-sectional and longitudinal evidence

1982 ◽  
Vol 12 (4) ◽  
pp. 789-798 ◽  
Author(s):  
M. H. Banks ◽  
P. R. Jackson
Keyword(s):  
Young People ◽  
Psychiatric Disorder ◽  
Ethnic Group ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Longitudinal Analyses ◽  
Health Questionnaire ◽  
Cross Sectional ◽  
Age Cohorts

SynopsisTwo age cohorts of young people were interviewed at times up to 2½ years after leaving school to investigate the association between unemployment and risk of minor psychiatric morbidity, as assessed by the General Health Questionnaire (GHQ), taking into account differences due to sex, ethnic group and educational qualifications. Cross-sectional data are presented on 2767 interviews. The psychometric properties of the GHQ justified the use of a total score. Although females had a higher risk of psychiatric morbidity, the strongest association was between unemployment and GHQ. The association between unemployment and GHQ scores was shown to be present after controlling for sex, ethnic group and educational qualification differences. Longitudinal analyses showed that the experience of unemployment was more likely to create increased symptoms, rather than the reverse.

scholarly journals Resiliencia asociada a factores de salud mental y sociodemográficos en enfermeros mexicanos durante COVID-19

2021 ◽  
Vol 20 (3) ◽  
pp. 1-32
Author(s):  
Reyna Jazmín Martínez Arriaga ◽  
Leivy Patricia González Ramírez ◽  
Nancy Evelyn Navarro Ruiz ◽  
José María De la Roca -Chiapas ◽  
Oscar Ulises Reynoso González
Keyword(s):  
Mental Health ◽  
General Health ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Risk Groups ◽  
Sociodemographic Factors ◽  
Health Questionnaire ◽  
Cross Sectional ◽  
Salud Mental ◽  
Low Levels

Introducción: El personal de enfermería es uno de los grupos más afectados por la actual pandemia por COVID-19. Se han reportado problemas de salud mental en esta población, sin embargo, también es importante estudiar la resiliencia, para identificar sus fortalezas. El objetivo de este estudio fue estudiar la resiliencia en enfermeros mexicanos y los factores sociodemográficos y de salud mental asociados a ella. Se llevó a cabo un estudio transversal.Método: Se envió vía online un cuestionario sociodemográfico y relacionado a COVID-19, así como el Inventario de Resiliencia y el Cuestionario General de Salud-28. Se incluyeron 556 enfermeros, la mayoría fueron mujeres (80%), solteras (60.8%) y con edades entre 26-35 años (38.3%).Resultados: Se encontraron niveles bajos de resiliencia en los enfermeros más jóvenes (p<0.001, ɳ2=0.05), solteros (p<0.001, ɳ2=0.02) y con menor nivel educativo (p=0.001, ɳ2=0.02). Los predictores de resiliencia fueron la búsqueda de información sobre salud mental (β =-0.152, p <0.001), nivel educativo más alto (β = 0.142, p<0.001), niveles bajos de depresión (β=-0.307, p<0.001) y bajos niveles de disfunción social (β =-0.261, p<0.001).Conclusión: Estos hallazgos permiten identificar los factores asociados a la resiliencia en los enfermeros y cómo estos juegan un rol muy importante en su salud mental. Asimismo, estos datos permiten la identificación de grupos con mayor riesgo psicosocial, con la finalidad de guiar estrategias en salud mental orientadas a aumentar la resiliencia. Introduction: Nursing personnel are one of the groups which have been most affected by the current COVID-19 pandemic. Although mental health problems have been reported in this population, it is important to study resilience, in order to identify its strengths. The purpose was to study resilience in Mexican nurses and the mental health and sociodemographic factors associated with it. A cross-sectional study was used. Method: A sociodemographic and COVID-19 related questionnaire, the Resilience Inventory and the General Health Questionnaire-28, was sent via online. 556 nurses were included, the majority were women (80%), single (60.8%), aged between 26-35 years (38.3%). Results: Lower resilience was found among nurses who were younger (p<0.001, ɳ2=0.05), single (p<0.001, ɳ2=0.02) and with lower levels of education (p=0.001, ɳ2=0.02). Predictors of resilience included the search for mental health information (β =-0.152, p <0.001), higher education (β = 0.142, p<0.001), low levels of depression (β=-0.307, p<0.001) and low levels of social dysfunction (β =-0.261, p<0.001). Conclusion: This findings allowed to identify the factors which are associated with resilience among nurses and how this plays an important role in their mental. Likewise, this data allows for the identification of high psychosocial risk groups, to better guide mental health strategies aimed at increasing resilience. Resumo:Introdução:O pessoal de enfermagem é um dos grupos mais afetados pela atual pandemia de COVID-19. Problemas de saúde mental têm sido relatados nessa população, porém também é importante estudar a resiliência, para identificar seus pontos fortes. O objetivo deste estudo foi estudar a resiliência em enfermeiras mexicanas e os fatores sociodemográficos e de saúde mental a ela associados. Foi realizado um estudo transversal.Método:Um questionário sociodemográfico relacionado ao COVID-19 foi enviado online, assim como o Resilience Inventory e o General Health Questionnaire-28. Foram incluídos 556 enfermeiros, a maioria mulheres (80%), solteiros (60,8%) e com idade entre 26-35 anos (38,3%).Resultados:Baixos níveis de resiliência foram encontrados nos enfermeiros mais jovens (p <0,001, ɳ2 = 0,05), solteiros (p <0,001, ɳ2 = 0,02) e com menor escolaridade (p = 0,001, ɳ2 = 0,02). Os preditores de resiliência foram a busca por informações sobre saúde mental (β = -0,152, p <0,001), maior escolaridade (β = 0,142, p <0,001), baixos níveis de depressão (β = -0,307, p <0,001 ) e baixos níveis de disfunção social (β = -0,261, p <0,001).Conclusão:Esses achados permitem identificar os fatores associados à resiliência em enfermeiros e como eles desempenham um papel muito importante em sua saúde mental. Da mesma forma, esses dados permitem identificar grupos de maior risco psicossocial, a fim de nortear estratégias de saúde mental que visem aumentar a resiliência.

Validation of the 30-item General Health Questionnaire in postpartum women

1982 ◽  
Vol 12 (2) ◽  
pp. 409-413 ◽  
Author(s):  
P. N. Nott ◽  
S. Cutts
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Slight Modification ◽  
Screening Instrument ◽  
Postpartum Women ◽  
Health Questionnaire ◽  
Psychiatric Interview ◽  
General Practices ◽  
At Home

SynopsisTwo hundred consecutive women from five Southampton general practices who were between 8 and 14 weeks postpartum were visited at home. Each subject was given the 30-item General Health Questionnaire (GHQ-30) and a standardized psychiatric interview. Thirty-seven (18%) were identified as ‘cases’ by the psychiatric interview. Eighty-nine (44.5%) scored highly on the GHQ. Analysis of the results indicates that slight modification of the content and a raised cut-off point of the GHQ-30 make it a useful screening instrument for postpartum psychiatric disorder.

scholarly journals Reliability, Validity and Factor Structure of the 12-Item General Health Questionnaire among General Population

2015 ◽  
Vol 3 (3) ◽  
pp. 478-483 ◽  
Author(s):  
Miodraga Stefanovska Petkovska ◽  
Marjan I. Bojadziev ◽  
Vesna Velikj Stefanovska
Keyword(s):  
Factor Structure ◽  
Rural Areas ◽  
Urban Areas ◽  
General Health ◽  
General Health Questionnaire ◽  
Principal Component ◽  
Well Being ◽  
Health Questionnaire ◽  
Oblique Rotation ◽  
Nationally Representative

AIM: The aim of the study is to analyze the internal consistency; validity and factor structure of the twelve item General Health Questionnaire for the Macedonian general population.MATERIAL AND METHODS: Data came from nationally representative sample of 1603 randomly selected Macedonians all aged 18 years or older.RESULTS: The mean GHQ score in the general sample was found to be 7.9 (SD = 4.3). The results revealed a higher GHQ score among women (M = 8.91, SD = 4.5) compared to men (M = 6.89; SD = 4.2). The participants from the rural areas obtained a lower GHQ score (M = 7.55, SD = 3.8) compared to participants coming from the urban areas (M = 9.37, SD = 4.1). The principal component analysis with oblique rotation (direct oblimin) with maximum likelihood procedure solution was performed and the results yielded a three factor solution which jointly accounted for 57.17% of the total variance: Factor I named social management (items 1, 3, 4, 6, 7 and 8); Factor II stress (items 2, 5 and 9) and Factor III named self-confidence (items 10, 11 and 12). Its factor structure is in line with representative research from other population groups.CONCLUSION: The GHQ-12 can be used effectively for assessment of the overall psychological well-being and detection of non-psychotic psychiatric problems among the Macedonian population.

Severity of Psychiatric Disorder and the 30-Item General Health Questionnaire

1979 ◽  
Vol 134 (6) ◽  
pp. 609-616 ◽  
Author(s):  
Robert A. Finlay-Jones ◽  
Elaine Murphy
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
False Negatives ◽  
Two Samples ◽  
Threshold Score ◽  
Adverse Life Event ◽  
Chronic Disorders ◽  
State Examination

SummaryThe 30-item General Health Questionnaire misclassified 26 per cent of respondents in two samples of women who were interviewed by a psychiatrist using the Present State Examination. False negatives were likely to be women with chronic disorders, particularly anxiety states. False positives were likely to be distressed by severe physical illness, a recent adverse life event, or loneliness. Applying a higher threshold score to their GHQ, responses would help to separate those with a diagnosable psychiatric disorder from those in states of distress.

scholarly journals Coping and health in harassed teachers

2016 ◽  
Vol 1 (1) ◽  
pp. 437
Author(s):  
MARIA CONSUELO MORÁN ASTORGA
Keyword(s):  
Coping Strategies ◽  
General Health ◽  
General Health Questionnaire ◽  
Well Being ◽  
Health Questionnaire ◽  
Workplace Health ◽  
Brief Cope ◽  
The Relationship ◽  
Health And Well Being

The present study examined the relationship among bullying, coping strategies, and health in a sample of 255 Spanish teachers. They completed a set of questionnaires to evaluate: 1) bullying (with a bullying perceived questionnaire); 2) health (with General Health Questionnaire); and 3) coping strategies (with the Brief COPE). Results showed that teachers bullied by colleagues had a poorer health than those not bullied. The analysis established also the differences between targets and non-targets in coping strategies: It was observed that bullying targets use more non-functional coping strategies and fewer functional ones than non-targets. These results suggest that it is necessary eradicate bullying in order to improve workers’ health and well-being. The victims also need to change their strategies to coping harassment. More investigations in these issues are needed, as they are essential to workplace health and well-being.ResumenEn este estudio se examinó la relación entre el sentimiento de acoso psicológico en el trabajo, la salud y las estrategias de afrontamiento del estrés. Participaron 255 profesores no universitarios que completaron el Cuestionario de Acoso Psicológico Percibido, el Cuestionario de Salud General y el Brief Cope (Cope-28, en español). Los resultados hallaron que los profesores acosados por colegas tenían peor salud que los no acosados. Se encontraron también diferencias en el uso de estrategias de afrontamiento entre las víctimas y las no víctimas de acoso: las primeras utilizan más estrategias disfuncionales y menos estrategias funcionales. Estos resultados sugieren que es necesario erradicar el acoso en el entorno laboral con el fin de mejorar la salud y el bienestar. También las víctimas de acoso necesitan cambiar sus estrategias de afrontar el bullying. Son necesarias mas investigaciones en el campo de la salud y el bienestar en el ámbito laboral.

Emotional Disturbances in Endocrine Patients

1988 ◽  
Vol 152 (6) ◽  
pp. 807-812 ◽  
Author(s):  
Antonio Lobo ◽  
Maria-Jesús Pérez-Echeverría ◽  
Antonio Jiménez-Aznárez ◽  
Maria-Antonia Sancho
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
Type I Diabetes ◽  
General Health Questionnaire ◽  
Somatic Symptoms ◽  
Emotional Disturbances ◽  
Type I ◽  
Health Questionnaire ◽  
Interview Schedule ◽  
Additional Information

The 28-item General Health Questionnaire (GHQ) has been validated against the criterion of the Clinical Interview Schedule (CIS) in Spanish patients in hospital with several types of endocrinological illnesses. The screening instrument correctly identified 91 of 100 respondents as exhibiting psychiatric disorder. The questionnaire's efficacy was similar at the time of medical discharge, when the rate of disorder was significantly lower. Significant correlations were found between GHQ total scores and endocrine blood measures in Addison's disease, and in Type I diabetes. The four subscales of the GHQ sum to provide additional information concerning somatic symptoms and anxiety.

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