scholarly journals Day-to-day variability in sleep parameters and depression risk: a prospective cohort study of training physicians

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Yu Fang ◽  
Daniel B. Forger ◽  
Elena Frank ◽  
Srijan Sen ◽  
Cathy Goldstein
Keyword(s):  
Mental Health ◽  
Smartphone Application ◽  
Sleep Time ◽  
Self Report ◽  
First Year ◽  
Cross Sectional ◽  
Wake Time ◽  
Mood Variability ◽  
Patient Health ◽  
Sleep Parameters

AbstractWhile 24-h total sleep time (TST) is established as a critical driver of major depression, the relationships between sleep timing and regularity and mental health remain poorly characterized because most studies have relied on either self-report assessments or traditional objective sleep measurements restricted to cross-sectional time frames and small cohorts. To address this gap, we assessed sleep with a wearable device, daily mood with a smartphone application and depression through the 9-item Patient Health Questionnaire (PHQ-9) over the demanding first year of physician training (internship). In 2115 interns, reduced TST (b = −0.11, p < 0.001), later bedtime (b = 0.068, p = 0.015), along with increased variability in TST (b = 0.4, p = 0.0012) and in wake time (b = 0.081, p = 0.005) were associated with more depressive symptoms. Overall, the aggregated impact of sleep variability parameters and of mean sleep parameters on PHQ-9 were similar in magnitude (both r2 = 0.01). Within individuals, increased TST (b = 0.06, p < 0.001), later wake time (b = 0.09, p < 0.001), earlier bedtime (b = − 0.07, p < 0.001), as well as lower day-to-day shifts in TST (b = −0.011, p < 0.001) and in wake time (b = −0.004, p < 0.001) were associated with improved next-day mood. Variability in sleep parameters substantially impacted mood and depression, similar in magnitude to the mean levels of sleep parameters. Interventions that target sleep consistency, along with sleep duration, hold promise to improve mental health.

scholarly journals Assessing and protecting the mental health of the nation: A study protocol

2021 ◽  
Vol 4 ◽  
pp. 5
Author(s):  
Philip Hyland ◽  
Frédérique Vallières
Keyword(s):  
Public Health ◽  
Mental Health ◽  
General Population ◽  
Mental Health Disorders ◽  
Self Report ◽  
First Year ◽  
Cross Sectional ◽  
Health Disorders ◽  
Nationally Representative ◽  
Quota Sampling

Background: Coronavirus disease 2019 (COVID-19) and the public health measures enacted to control its spread may affect the mental health of the general population of Ireland. Funded under the Health Research Board’s COVID-19 Pandemic Rapid Response Funding Call, this protocol outlines the aims of a project to assess and protect the mental health of the population of Ireland during this pandemic. We will determine (i) the prevalence of common mental health disorders at various times during the first year of the pandemic, (ii) changes in the prevalence of mental health disorders during the first year of the pandemic, (iii) if there are distinct groups of people experiencing different mental health responses to the pandemic, and (iv) the factors associated with different mental health reactions. Methods: This quantitative study uses cross-sectional and longitudinal designs. Data have been collected from a nationally representative sample of Irish adults at four assessments:  Wave 1 (N = 1,041) occurred during the first week of lockdown in March 2020, Wave 2 in May, Wave 3 in August, and Wave 4 in December. Wave 5 is planned for March 2021. Participants from Wave 1 have been recontacted at each wave to produce a longitudinal dataset. New participants were recruited using quota sampling to ensure the availability of nationally representative samples at each wave. Self-report measures of demographic, economic, psychological, and mental health variables were completed.   Conclusion: This design will allow us to determine whether there has been a change in mental health disorders in the general population during the first year of the pandemic, and if so, what variables are associated with changes in mental health. Results will be used to inform the government’s ongoing response to this crisis, to better protect the mental health of the nation during this and any future public health emergency.

scholarly journals Sleep Parameters in Short Daily versus Conventional Dialysis: An Actigraphic Study

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Ludimila D’Avila e Silva Allemand ◽  
Otávio Toledo Nóbrega ◽  
Juliane Pena Lauar ◽  
Joel Paulo Russomano Veiga ◽  
Einstein Francisco Camargos
Keyword(s):  
Total Sleep Time ◽  
Linear Regression Analysis ◽  
Sleep Onset ◽  
Objective Measure ◽  
Sleep Time ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Wake Time ◽  
Daily Dialysis ◽  
Sleep Parameters

Previous studies have observed worse sleep quality in patients undergoing conventional dialysis as compared to daily dialysis. Our aim was to compare the sleep parameters of patients undergoing daily or conventional dialysis using an objective measure (actigraphy). This cross-sectional study was performed in three dialysis centers, including a convenience sample (nonprobability sampling) of 73 patients (36 patients on daily hemodialysis and 37 patients on conventional hemodialysis). The following parameters were evaluated: nocturnal total sleep time (NTST), expressed in minutes; wake time after sleep onset (WASO), expressed in minutes; number of nighttime awakenings; daytime total sleep time (DTST), expressed in minutes; number of daytime naps; and nighttime percentage of sleep (% sleep). The Mini-Mental State Examination and the Beck Depression Inventory were also administered. The mean age was 53.4  ±  17.0 years. After adjustment of confounding factors using multiple linear regression analysis, no difference in actigraphy parameters was detected between the groups: NTST (p=0.468), WASO (p=0.88), % sleep (p=0.754), awakenings (p=0.648), naps (p=0.414), and DTST (p=0.805). Different from previous studies employing qualitative analysis, the present assessment did not observe an influence of hemodialysis modality on objective sleep parameters in chronic renal patients.

Prescribing stigma in mental disorders: A comparative study of Portuguese psychiatrists and general practitioners

2021 ◽  
pp. 002076402110025
Author(s):  
Bárbara Almeida ◽  
Ana Samouco ◽  
Filipe Grilo ◽  
Sónia Pimenta ◽  
Ana Maria Moreira
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
General Practitioners ◽  
Psychiatric Patients ◽  
Self Report ◽  
Cross Sectional ◽  
Medical Speciality ◽  
Diagnostic Overshadowing ◽  
Related Stigma ◽  
Health Related

Background: Physicians, including psychiatrists and general practitioners (GPs), have been reported as essential sources of stigma towards people diagnosed with a mental disorder (PDMDs), which constitutes an important barrier to recovery and is associated with poorer clinical outcomes. Therefore, psychiatrists and GPs are key populations where it is crucial to examine stigma, improve attitudes and reduce discrimination towards psychiatric patients. Aims: This study is the first to explore mental health-related stigma among Portuguese psychiatrists and GPs, examining the differences between these two specialities and assessing whether sociodemographic and professional variables are associated with stigma. Method: A cross-sectional study was performed between June 2018 and August 2019. A consecutive sample of 55 Psychiatrists and 67 GPs working in Porto (Portugal) filled a 25-item self-report questionnaire to assess their attitudes towards PDMDs in clinical practice. The instrument was designed by the authors, based on previous mental health-related stigma studies and validated scales. The questionnaire includes 12 stigma dimensions ( Autonomy, Coercion, Incompetence, Dangerousness, Permanence, Pity, Responsibility, Segregation, Labelling, Diagnostic Overshadowing, Shame and Parental Incompetence), and its total score was used to measure Overall Stigma (OS). Sample characteristics were examined using descriptive statistics, and the factors affecting stigma were assessed through regression analysis. Results: GPs exhibit significantly higher OS levels than psychiatrists, and present higher scores in the dimensions of dangerousness, parental incompetence, diagnostic overshadowing and responsibility. Besides medical speciality, several other sociodemographic variables were associated with sigma, including age, gender, having a friend with a mental disorder, professional category, agreement that Psychiatry diverges from core medicine and physician’s interest in mental health topics. Conclusions: Our data suggest that both psychiatrists and GPs hold some degree of stigmatizing attitudes towards PDMDs. Overall, these results bring new light to stigma research, and provide information to tailor anti-stigma interventions to Portuguese psychiatrists and GPs.

scholarly journals 106 Self-Reported Sleep and Resilience

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A43-A44
Author(s):  
Michelle Persich ◽  
Sara Cloonan ◽  
Michael Grandner ◽  
William Killgore
Keyword(s):  
Sleep Quality ◽  
Sleep Time ◽  
Self Report ◽  
Subjective Perception ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Sleep Quantity ◽  
The Past ◽  
Resilience Scale ◽  
Longitudinal Effects

Abstract Introduction Psychological resilience is the ability to withstand setbacks, adapt positively to challenges, and bounce back from the adversities of life. While the construct of resilience is broadly understood, the specific individual factors that contribute to the ability to be resilient and persevere in the face of difficulties remain poorly understood. We recently showed that psychological resilience during the COVID-19 pandemic was associated with a number of factors, including fewer complaints of insomnia, and others have suggested that sleep is an important contributor. We therefore tested the hypothesis that sleep quality and acute sleep quantity would combine to predict measures of psychological resilience and perseverance (i.e. “grit”). Methods We asked 447 adults (18–40 yrs; 72% female) to report the number of hours of sleep obtained the night before their assessment session (SLEEP), and complete several questionnaires, including the Pittsburgh Sleep Quality Index (PSQI), the Connor-Davidson Resilience Scale (CD-RISC), Bartone Dispositional Resilience Scale (Hardiness), and the Grit Scale. Sleep metrics were used to predict resilience, hardiness, and grit using multiple linear regression. Results For resilience, PSQI (β=-.201, p&lt;.00003) and SLEEP (β=.155, p&lt;.001) each contributed uniquely to prediction of CD-RISC (R2=.08, p&lt;.00001). Hardiness was also predicted (R2=.08, p&lt;.00001) by a combination of PSQI (β=-.218, p&lt;.00001) and SLEEP (β=.128, p=.007). Interestingly, worse sleep quality over the past month on the PSQI (β=.13, p=.008) in combination with more SLEEP the night before the assessment (β=.137, p=.005) each contributed uniquely to higher Grit (i.e., perseverance; R2=.03, p=.003). Conclusion Self-reported sleep quality and quantity were both independently associated with greater self-reported resilience, hardiness, and grit. While better sleep quality and more sleep the night before testing each uniquely predicted greater resilience and hardiness, a different pattern emerged for Grit. The combination of lower quality sleep over the past month followed by greater recent sleep duration was associated with increased perseverance. Whereas sleep quality appears to be more important for general resilience/hardiness, recent sleep time appears more important for the subjective perception of perseverance. Because these data are purely self-report and cross sectional, future work will need to determine the longitudinal effects on behavior. Support (if any):

scholarly journals Mental health and its association with coping strategies and intolerance of uncertainty during the COVID-19 pandemic among the general population in Saudi Arabia: cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmad N. AlHadi ◽  
Mohammed A. Alarabi ◽  
Khulood M. AlMansoor
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Coping Strategies ◽  
Intolerance Of Uncertainty ◽  
Cross Sectional Study ◽  
Self Report ◽  
Sectional Study ◽  
Mental Health Symptoms ◽  
Cross Sectional ◽  
Health Symptoms

Abstract Background The COVID-19 pandemic has had a major impact on people’s lives globally. The outbreak in Saudi Arabia worsened when the number of cases and deaths rose in March and April of 2020, leading to a national lockdown. This study aimed to assess the factors associated with mental health symptoms in a sample of people residing in Saudi Arabia during the COVID-19 pandemic. Methods We conducted an observational cross-sectional study using an online survey distributed via social media, completed by 3032 respondents from all Saudi regions. We collected demographic data, illness history, and scores of validated self-report scales to assess mental health symptoms, intolerance of uncertainty, and coping strategies. Results In total, respondents indicated moderate to very severe symptoms during the pandemic as follows: 20.9% for depression, 17.5% for anxiety, and 12.6% for stress. Younger age, female gender, and history of mental illness were associated with higher levels of depression, anxiety, stress, and insomnia. Intolerance of uncertainty and certain coping strategies (such as denial or self-blame) were associated with more severe symptoms. Conclusions Mental health is a key concern during the COVID-19 pandemic, especially for the identified vulnerable groups. Agencies concerned with mental health during crises may use the studied associated factors of mental health symptoms to generate targeted policies or interventions.

scholarly journals Mental health of undocumented migrants and migrants undergoing regularization in Switzerland: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julien Fakhoury ◽  
Claudine Burton-Jeangros ◽  
Liala Consoli ◽  
Aline Duvoisin ◽  
Delphine Courvoisier ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Disturbance ◽  
Legal Status ◽  
Cross Sectional Study ◽  
Self Report ◽  
Undocumented Migrants ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Anxiety Depression

Abstract Background Undocumented migrants live and work in precarious conditions. Few studies have explored the mental health consequences of such environment. The objective of this study is to describe the mental health of migrants at different stages of a regularization program. Methods This cross-sectional study included migrants undocumented or in the process of regularization. We screened for symptoms of anxiety, depression and sleep disturbance using validated tools. We created a composite outcome of altered mental health including these components plus self-report of a recent diagnosis of mental health condition by a health professional. Results We enrolled 456 participants of whom 246 (53.9%) were undocumented. They were predominantly women (71.9%) with a median age of 43.3 (interquartile range: 15.5) years, from Latin America (63.6%) or Asia (20.2%) who had lived in Switzerland for 12 (IQR: 7) years. Overall, 57.2% presented symptoms of altered mental health. Prevalence of symptoms of anxiety, depression and sleep disturbance were 36% (95% confidence interval: 31.6–40.6%), 45.4% (95% CI: 40.8–50.1%) and 23% (95% CI: 19.2–27.2), respectively. Younger age (adjusted odd ratio: 0.7; 95% CI: 0.5–0.9 for each additional decade), social isolation (aOR: 2.4; 95% CI: 1.4–4.2), exposure to abuse (aOR: 1.9; 95% CI: 1.1–3.5), financial instability (aOR: 2.2; 95% CI: 1.4–3.7) and multi-morbidity (aOR: 3.2; 95% CI: 1.7–6.5) were associated with increased risk of having altered mental health while being in the early stages of the process of regularization had no effect (aOR: 1.3: 95% CI: 0.8–2.2). Conclusions This study highlights the need for multi-pronged social and health interventions addressing the various domains of undocumented migrants living difficulties as complement to legal status regularization policies. Protection against unfair working conditions and abuse, access to adequate housing, promoting social integration and preventive interventions to tackle the early occurrence of chronic diseases may all contribute to reduce the burden of altered mental health in this group. More research is needed to assess the long-term impact of legal status regularization on mental health.

scholarly journals Self-reported suboptimal sleep and receipt of sleep assessment and treatment among persons with and without a mental health condition in Australia: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra P. Metse ◽  
Caitlin Fehily ◽  
Tara Clinton-McHarg ◽  
Olivia Wynne ◽  
Sharon Lawn ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Health ◽  
Health Condition ◽  
Community Dwelling ◽  
Mental Health Condition ◽  
Cross Sectional ◽  
Sleep Assessment ◽  
Assessment And Treatment ◽  
Sleep Parameters

Abstract Background Poor sleep and poor mental health go hand in hand and, together, can have an adverse impact on physical health. Given the already disproportionate physical health inequities experienced by people with a mental health condition worldwide, the need to consider and optimise sleep has been highlighted as a means of improving both physical and mental health status. Sleep recommendations recently developed by the United States’ National Sleep Foundation incorporate a range of sleep parameters and enable the identification of ‘suboptimal’ sleep. Among community-dwelling persons with and without a 12-month mental health condition in Australia, this study reports: [1] the prevalence of ‘suboptimal’ sleep and [2] rates of sleep assessment by a health care clinician/service and receipt of and desire for sleep treatment. Methods A descriptive study (N = 1265) was undertaken using self-report data derived from a cross-sectional telephone survey of Australian adults, undertaken in 2017. Results Fifteen per cent (n = 184) of participants identified as having a mental health condition in the past 12 months. Across most (7 of 8) sleep parameters, the prevalence of suboptimal sleep was higher among people with a mental health condition, compared to those without (all p < 0.05). The highest prevalence of suboptimal sleep for both groups was seen on measures of sleep duration (36–39% and 17–20% for people with and without a mental health condition, respectively). In terms of sleep assessment and treatment, people with a mental health condition were significantly more likely to: desire treatment (37% versus 16%), have been assessed (38% versus 12%) and have received treatment (30% versus 7%). Conclusions The prevalence of suboptimal sleep among persons with a mental health condition in Australia is significantly higher than those without such a condition, and rates of assessment and treatment are low for both groups, but higher for people with a mental health condition. Population health interventions, including those delivered as part of routine health care, addressing suboptimal sleep are needed.

scholarly journals Public Concerns during the COVID-19 Lockdown: A Multicultural Cross-Sectional Study among Internet Survey Respondents in Three Countries

2021 ◽  
Vol 10 (8) ◽  
pp. 1577
Author(s):  
Alona Emodi-Perlman ◽  
Ilana Eli ◽  
Nir Uziel ◽  
Joanna Smardz ◽  
Anahat Khehra ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Middle Eastern ◽  
Well Being ◽  
Cross Sectional Study ◽  
Internet Survey ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Culturally Different ◽  
Patient Health

(1) Background: this study aimed to evaluate the worries, anxiety, and depression in the public during the initial coronavirus disease 2019 (COVID-19) pandemic lockdown in three culturally different groups of internet survey respondents: Middle Eastern (Israel), European (Poland), and North American (Canada). (2) Methods: a cross-sectional online survey was conducted in the mentioned countries during the lockdown periods. The survey included a demographic questionnaire, a questionnaire on personal concerns, and the Patient Health Questionnaire-4 (PHQ-4). A total of 2207 people successfully completed the survey. (3) Results: Polish respondents were the most concerned about being infected. Canadian respondents worried the most about their finances, relations with relatives and friends, and both physical and mental health. Polish respondents worried the least about their physical health, and Israeli respondents worried the least about their mental health and relations with relatives and friends. Canadian respondents obtained the highest score in the PHQ-4, while the scores of Israeli respondents were the lowest. (4) Conclusions: various factors should be considered while formulating appropriate solutions in emergency circumstances such as a pandemic. Understanding these factors will aid in the development of strategies to mitigate the adverse effects of stress, social isolation, and uncertainty on the well-being and mental health of culturally different societies.

Investigation of depression, anxiety and stress levels of health-care students during COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Obay A. Al-Maraira ◽  
Sami Z. Shennaq
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Self Report ◽  
Negative Effects ◽  
Psychological Counseling ◽  
Cross Sectional ◽  
Content Type ◽  
Health Care Students ◽  
Stress Levels

Purpose This study aims to determine depression, anxiety and stress levels of health-care students during coronavirus (COVID-19) pandemic according to various socio-demographic variables. Design/methodology/approach This cross-sectional study was conducted with 933 students. Data were collected with an information form on COVID- 19 and an electronic self-report questionnaire based on depression, anxiety and stress scale. Findings Findings revealed that 58% of the students experienced moderate-to-extremely severe depression, 39.8% experienced moderate-to-extremely severe anxiety and 38% experienced moderate-to-extremely severe stress. Practical implications Educational administrators can help reduce long-term negative effects on students’ education and mental health by enabling online guidance, psychological counseling and webinars for students. Originality/value This paper is original and adds to existing knowledge that health-care students’ depression, anxiety and stress levels were affected because of many factors that are not yet fully understood. Therefore, psychological counseling is recommended to reduce the long-term negative effects on the mental health of university students.

scholarly journals Screening for Depressive Mood During Acute Chikungunya Infection in Primary Healthcare Settings

2018 ◽  
Vol 15 (11) ◽  
pp. 2552
Author(s):  
Efrén Murillo-Zamora ◽  
Oliver Mendoza-Cano ◽  
Benjamín Trujillo-Hernández ◽  
Xóchitl Trujillo ◽  
Miguel Huerta ◽  
...  
Keyword(s):  
Logistic Models ◽  
Depressive Mood ◽  
Self Report ◽  
Chikv Infection ◽  
Multicenter Cohort Study ◽  
Cross Sectional ◽  
Healthcare Settings ◽  
Frequent Event ◽  
Patient Health ◽  
Sectional Analysis

Background: We aimed to screen for depressive mood experienced during acute chikungunya (CHIKV) infection, and to evaluate the association of several exposures with the risk of depressive symptoms. Methods: A cross-sectional analysis of a multicenter cohort study took place and data from 354 adult individuals with confirmed CHIKV infection were analyzed. Participants were recruited in primary health care settings and the Patient Health Questionnaire-2 (PHQ-2) was used. Prevalence odds ratios (OR) and 95% confidence intervals (CIs) estimated by means of logistic models were used. Results: Depressive mood (PHQ-2 score 3 or higher) was reported by 44.1% of individuals. Subjects with articular effusion (OR = 3.37, 95% CI 1.77–8.11), gastrointestinal manifestations (diarrhea, vomiting or abdominal pain, OR = 1.97, 95 CI 1.21–3.19), and higher length of severe arthralgia (reference ≤ 14 days: 15–30 days, OR = 3.38, 95% CI 1.78–6.41; ≥ 30 days, OR = 1.69, 95% CI 0.95–3.01) were more likely to self-report depressive mood. Increasing age (≥ 40 years old, OR = 0.55, 95% CI 0.31–0.95) and rash (OR = 0.54, 95% CI 0.30–0.98) were associated with a decreased risk of depressive mood. Conclusions: Depressive mood seemed to be a frequent event among analyzed individuals, and markers associated with its risk were identified.

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