Mental health factors in late-life insomnia

2001 ◽  
Vol 11 (1) ◽  
pp. 71-81
Author(s):  
Kevin Morgan

As a correlate of psychological well-being, insomnia continues to be regarded as a critical indicator of both mental health and quality of life, appearing as a prominent diagnostic feature in both DSM-IV1 and ICD-102 (particularly in relation to depression and anxiety states), and included in many of the most commonly used health outcome measures, including the Nottingham Health Profile and the SF-364. The symptom of disturbed sleep is also included in most of the available schedules for assessing the mental health of elderly people, including the GMS, CAMDEX, and the CARE. Whether specified as a diagnostic criterion or included in a diagnostic algorithm, the assumption is made that certain patterns of sleep disturbance are associated with, and consequently predict, certain types of mental illness. The evidence would suggest, however, that the strength of the association, and hence the validity of this assumption, may diminish across the human lifespan.

2007 ◽  
Vol 60 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Chih-Hung Chang ◽  
Benjamin D. Wright ◽  
David Cella ◽  
Ron D. Hays

2015 ◽  
Vol 2 (1) ◽  
pp. 20-31 ◽  
Author(s):  
Karin Gehring ◽  
Martin J.B. Taphoorn ◽  
Margriet M. Sitskoorn ◽  
Neil K. Aaronson

Abstract Background Studies in cancer and noncancer populations demonstrate lower than expected correlations between subjective cognitive symptoms and cognitive functioning as determined by standardized neuropsychological tests. This paper systematically examines the association between subjective and objective cognitive functioning in patients with low-grade glioma and the associations of these indicators of cognitive function with clusters of sociodemographic, clinical, and self-reported physical and mental health factors. Methods Multiple regression analyses with the subjective and 2 objective indicators of cognitive functioning as dependent variables and 4 clusters of predictor variables were conducted in 169 patients with predominantly low-grade glioma. Results Correlations between the subjective and the 2 objective cognitive indicators were negligible (0.04) to low (0.24). Objective cognitive deficits were predominantly associated with sociodemographic (older age, lower education, male sex) and clinical (left hemisphere tumor) variables, while lower ratings of subjective cognitive function were more closely related to self-reported mental health symptoms (fatigue, lower mental well-being), physical (motor) dysfunction and female sex. Self-reported communication deficits were associated significantly with both subjective and objective dysfunction. Conclusions We recommend that both subjective and objective measures of cognitive functioning, together with a measure of psychological distress, be used for comprehensive neuropsychological assessments of patients with glioma to determine which areas are most affected and which specific intervention strategies are most appropriate.


1996 ◽  
Vol 9 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Kathleen M. Beusterien ◽  
Bruce Steinwald ◽  
John E. Ware

Longitudinal data from a clinical trial were analyzed to evaluate the usefulness of the SF-36 Health Survey in estimating the impact of depression and changes in severity over time on the functional health and well-being of 532 patients, 60 to 86 years of age, who met DSM-III-R criteria for major depressive disorder. The Hamilton Depression Rating Scale, the Clinician's Global Impression of Severity and Improvement, and the Geriatric Depression Scale were used to define clinical severity and changes in severity over a 6-week period. Answers to SF-36 questions tended to be complete and to satisfy assumptions underlying methods of scale construction and scoring. As hypothesized, the SF-36 Mental Health Scale and Mental Component Summary measure, shown in previous studies to be most valid in measuring differences in mental health, exhibited the strongest associations with severity of depression in cross-sectional analyses and were most responsive to changes in severity in longitudinal comparisons. We conclude that the SF-36 Health Survey is useful for estimating the burden of depression and in monitoring changes in functional health and well-being over time among the depressed elderly.


1995 ◽  
Vol 7 (S1) ◽  
pp. 125-137 ◽  
Author(s):  
John H. Heiligenstein ◽  
John E. Ware, Jr ◽  
Kathy M. Beusterien ◽  
Paul J. Roback ◽  
Carol Andrejasich ◽  
...  

In a randomized 6-week trial comparing fluoxetine with placebo, the Medical Outcomes Study 36-Item Short-Form Health Status Survey (SF-36) scales were used to measure the effects of treatment on functional health and well-being among elderly (age ≥ 60 years) outpatients with major depression. In the fluoxetine and placebo groups, 261 and 271 patients, respectively, completed the SF-36 before treatment and at Weeks 3 and 6. Compared with national norms for individuals over age 60, study patients before treatment exhibited baseline decrements on the following SF-36 scales: mental health, role limitations due to emotional problems, social functioning, vitality, role limitations due to physical problems, and bodily pain. Analyses of SF-36 changed scores from baseline to Week 6 revealed that the fluoxetine group improved more than the placebo group across all scales. Differences in changes of scores between groups were significant (p < .05), favoring the fluoxetine group for the scales of mental health, role limitations due to emotional problems, physical functioning, and bodily pain. Improvements observed in the fluoxetine group were both clinically and socially significant.


2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Lindiwe Buyisile Mthembu ◽  
Marie Poggenpoel ◽  
Chris P. H. Myburgh

Worldwide, grandparent-headed households have emerged as one of the fastest-growing family constellations responsible for caring for grandchildren as a result of various crises, including increased death of middle-aged people. Little is known about mental health factors influencing grandmothers’ daily well-being when raising orphaned adolescent grandsons (OAGs). The main objective of this study was to explore and describe the lived experiences of grandmothers raising their OAGs in uMkhanyakude District, KwaZulu-Natal. In this study, a qualitative research design, which is exploratory, descriptive and contextual in nature, was used. The study was based on the application of a philosophy of constructivism by conducting individual in-depth phenomenological interviews to understand the experience of grandmothers as they narrate it and the meaning they attach to raising their OAGs. Purposive sampling was used in the selection of grandmothers raising OAGs. Data saturation was reached after 10 interviews, and was supplemented by documented observations and field notes. The data was analysed using Tesch’s method of open coding. The themes that emerged were the following: the burden of meeting the basic needs of their OAGs, concern about the future and their health as well as their grandsons’ health, and living everything in God. The results are discussed in the context of existing literature. Many mental health conditions are undiagnosed; the study highlights the need to promote mental health strategies that will be sensitive to the challenges experienced by grandmothers raising OAGs and empower them with skills and the mobilisation of resources.


2003 ◽  
Vol 93 (1) ◽  
pp. 75-83
Author(s):  
R. Feld ◽  
A. Colantonio ◽  
K. Yoshida ◽  
F. Odette

This study investigated scores for mental health and vitality in a large community-based sample of women with physical disabilities. The scores from two subscales of the SF-36 were collected from 1,096 women with physical disabilities through a mailed survey regarding health and well-being. These scores were compared to normative data using t tests. The mean scores of the vitality subscale were significantly lower than that of the normed sample when analyzed by age groups. The mental health scores were significantly lower as well, except for one age group (65-74 yr.). These results suggest that health care workers should address aspects of mental health and energy when caring for women with physical disabilities, as these areas are often overlooked in this population. Health promotion programs aimed at these topics should be designed specifically for this population as well.


2021 ◽  
Vol 4 (1) ◽  
pp. 34-41
Author(s):  
Sudakshina Chakrabarti

Background: The Coronavirus disease 2019 (COVID-19) pandemic has led to unparallel hazards to mental health globally. Many countries around the world have introduced quarantine measures. Quarantine has changed not only the plans of most people, but also their way of life. The greatest impact of quarantine is experienced by COVID positive patients who are isolated in a hospital. The aim of the study: to explore psychological well-being of COVID positive patients during quarantine in a private hospital. Materials and Methods: In this study, 100 patients who were COVID positive were requested to fill the Quality of Life Questionnaire. A pre-validated questionnaire was used to assess the depression score amongst COVID positive patients. The analysis of the answers and respondent opinions was conducted using the Pearson method, which produced statistically relevant results. Results: The studied aspects of mental health patients: sleep, appetite, crying spells; happiness and hope for the future; ability to concentrate and focus and getting disturbed easily by trivia; support received from family and friends; overall outlook of life and ability to stay happy in solitude. As a result, qualitative indicators of the patients’ mental health during quarantine in a private hospital were obtained. Conclusions: The data obtained showed that patients managed to stay happy and eat well but they talked less, had disturbed sleep and did not look forward towards a hopeful future. Some were able to shake away the blues with family, friends on Online Media but some got depressed and got crying spells and thought that their life was a failure. The study concluded that patients on quarantine were often depressed. Many patients might benefit if psychological counselling and support are employed during quarantine measures.


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