Health Impact of Interpersonal Violence 2: Medical and Mental Health Outcomes

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.

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History for some or lesson for all? A systematic review and meta-analysis on the immediate and long-term mental health impact of the 2002–2003 Severe Acute Respiratory Syndrome (SARS) outbreak

BMC Public Health ◽

10.1186/s12889-021-10701-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Steven W. H. Chau ◽

Oscar W. H. Wong ◽

Rema Ramakrishnan ◽

Sandra S. M. Chan ◽

Evelyn K. Y. Wong ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Health Outcomes ◽

General Public ◽

Healthcare Workers ◽

Meta Analysis ◽

Health Impact ◽

Mental Health Outcomes ◽

Post Discharge

Abstract Background The aims of this systematic review and meta-analysis are to examine the prevalence of adverse mental health outcomes, both short-term and long-term, among SARS patients, healthcare workers and the general public of SARS-affected regions, and to examine the protective and risk factors associated with these mental health outcomes. Methods We conducted a systematic search of the literature using databases such as Medline, Pubmed, Embase, PsycInfo, Web of Science Core Collection, CNKI, the National Central Library Online Catalog and dissertation databases to identify studies in the English or Chinese language published between January 2003 to May 2020 which reported psychological distress and mental health morbidities among SARS patients, healthcare workers, and the general public in regions with major SARS outbreaks. Results The literature search yielded 6984 titles. Screening resulted in 80 papers for the review, 35 of which were included in the meta-analysis. The prevalence of post-recovery probable or clinician-diagnosed anxiety disorder, depressive disorder, and post-traumatic stress disorder (PTSD) among SARS survivors were 19, 20 and 28%, respectively. The prevalence of these outcomes among studies conducted within and beyond 6 months post-discharge was not significantly different. Certain aspects of mental health-related quality of life measures among SARS survivors remained impaired beyond 6 months post-discharge. The prevalence of probable depressive disorder and PTSD among healthcare workers post-SARS were 12 and 11%, respectively. The general public had increased anxiety levels during SARS, but whether there was a clinically significant population-wide mental health impact remained inconclusive. Narrative synthesis revealed occupational exposure to SARS patients and perceived stigmatisation to be risk factors for adverse mental health outcomes among healthcare workers, although causality could not be determined due to the limitations of the studies. Conclusions The chronicity of psychiatric morbidities among SARS survivors should alert us to the potential long-term mental health complications of covid-19 patients. Healthcare workers working in high-risk venues should be given adequate mental health support. Stigmatisation against patients and healthcare workers should be explored and addressed. The significant risk of bias and high degree of heterogeneity among included studies limited the certainty of the body of evidence of the review.

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Interpersonal Violence and Mental Health Outcomes: Mediation by Self-efficacy and Coping

Victims & Offenders ◽

10.1080/15564886.2021.1880508 ◽

2021 ◽

pp. 1-17

Author(s):

Eunice Magalhães ◽

John Grych ◽

Célia Ferreira ◽

Carla Antunes ◽

Ana Prioste ◽

...

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Interpersonal Violence ◽

Self Efficacy ◽

Mental Health Outcomes ◽

And Coping

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Interpersonal Violence (IV) in Sport and Mental Health Outcomes in Teenagers

Journal of Sport and Social Issues ◽

10.1177/01937235211043652 ◽

2021 ◽

pp. 019372352110436

Author(s):

Sylvie Parent ◽

Marie-Pier Vaillancourt-Morel ◽

Allyson Gillard

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Health Outcomes ◽

Sexual Violence ◽

Interpersonal Violence ◽

Online Survey ◽

Self Esteem ◽

Mental Health Outcomes ◽

Ptsd Symptoms ◽

Convenience Sample

The aim of the present study was to examine the associations between interpersonal violence (IV) experienced in the context of sport by teenagers and three mental health outcomes: self-esteem, psychological distress, and post-traumatic stress disorder (PTSD) symptoms. A convenience sample of 1055 French-Canadian athletes between the ages of 14 and 17 who were participating in an organized sport was recruited to participate in an online survey. Results showed that psychological violence and neglect as well as sexual violence were independently related to lower self-esteem while physical, psychological/neglect, and sexual violence were all independently related to higher psychological distress and PTSD symptoms. Early intervention programs for athletes that experience IV is critical as it may help prevent the development of subsequent mental health issues.

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The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

10.1101/2020.07.03.20145607 ◽

2020 ◽

Author(s):

Ashley Elizabeth Muller ◽

Elisabet Vivianne Hafstad ◽

Jan Peter William Himmels ◽

Geir Smedslund ◽

Signe Flottorp ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Systematic Review ◽

Health Outcomes ◽

Healthcare Workers ◽

Mental Health Problems ◽

Health Impact ◽

Health Problems ◽

Mental Health Outcomes ◽

Sleeping Problems

Background: The covid-19 pandemic has heavily burdened, and in some cases overwhelmed, healthcare systems throughout the world. Healthcare workers are not only at heightened risk of infection, but also of adverse mental health outcomes. Identification of organizational, collegial and individual risk and resilience factors impacting the mental health of healthcare workers are needed to inform preparedness planning and sustainable response. Methods: We performed a rapid systematic review to identify, assess and summarize available research on the mental health impact of the covid-19 pandemic on healthcare workers. On 11 May 2020, we utilized the Norwegian Institute of Public Health's Live map of covid-19 evidence, the visualization of a database of 20,738 screened studies, to identify studies for inclusion. We included studies reporting on any type of mental health outcome in any type of healthcare workers during the pandemic. We described interventions reported by the studies, and narratively summarized mental health-related outcomes, as study heterogeneity precluded meta-analysis. We assessed study quality using design-specific instruments. Results: We included 59 studies, reporting on a total of 54,707 healthcare workers. The prevalence of general psychological distress across the studies ranged from 7-97% (median 37%), anxiety 9-90% (median 24%), depression 5-51% (median 21%), and sleeping problems 34-65% (median 37%). Seven studies reported on implementing mental health interventions, and most focused on individual symptom reduction, but none reported on effects of the interventions. In most studies, healthcare workers reported low interest in and use of professional help, and greater reliance on social support and contact with family and friends. Exposure to covid-19 was the most commonly reported correlate of mental health problems, followed by female gender, and worry about infection or about infecting others. Social support correlated with less mental health problems. Discussion: Healthcare workers in a variety of fields, positions, and exposure risks are reporting anxiety, depression, sleep problems, and distress during the covid-19 pandemic, but most studies do not report comparative data on mental health symptoms. before the pandemic. There seems to be a mismatch between risk factors for adverse mental health outcomes among healthcare workers in the current pandemic and their needs and preferences, and the individual psychopathology focus of current interventions. Efforts to help healthcare workers sustain healthy relationships to colleagues, family and friends over time may be paramount to safeguard what is already an important source of support during the prolonged crisis. Expanding interventions' focus to incorporate organizational, collegial and family factors to support healthcare workers responding to the pandemic could improve acceptability and efficacy of interventions. Other: The protocol for this review is available online. No funding was received.

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Mental Health of Keyworkers in the UK during the COVID-19 Pandemic: a Cross-sectional Analysis of a Community Cohort

10.1101/2020.11.11.20229609 ◽

2020 ◽

Author(s):

Kieran Ayling ◽

Ru Jia ◽

Trudie Chalder ◽

Adam Massey ◽

Elizabeth Broadbent ◽

...

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Psychological Factors ◽

Health Impact ◽

Mental Health Outcomes ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Health And Social Care ◽

The Uk ◽

Sectional Analysis

AbstractObjectivesPrevious pandemics have resulted in high levels of psychological morbidity among frontline workers. Here we report on the early mental health impact of the COVID-19 pandemic on keyworkers in the UK, as assessed during the first six weeks of nationwide social distancing measures being introduced. Comparisons are made with non-keyworkers, and psychological factors that may be protective to keyworkers’ mental health are explored.DesignCross-sectional analysis of a community cohort study.MethodsDuring April 2020, keyworkers (n=1559) and non-keyworkers (n=1436) completed online measures of depression, anxiety, and stress levels as well as explanatory demographic and psychological factors hypothesised to be related to these mental health outcomes.ResultsKeyworkers reported significantly higher depression, anxiety, and stress than pre-pandemic population norms. Compared to non-keyworkers, keyworkers were more likely to worry about COVID-19 and perceived they were at higher risk from the virus. This was particularly evident for health and social care keyworkers. Younger keyworkers and those in a clinically increased risk group were more likely to report poorer mental health. Lower positive mood, greater loneliness and worrying more about COVID-19 were all associated with poorer mental health outcomes amongst keyworkers.ConclusionsThe mental health impact of the COVID-19 pandemic on keyworkers in the UK has been substantial. Worry about COVID-19 and perceived risk from COVID-19 in keyworkers are understandable given potential increased exposure to the virus. Younger and clinically vulnerable keyworkers may benefit most from any interventions that seek to mitigate the negative mental health impacts of the pandemic.

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Moral Injury Related to Immigration Detention on Nauru: A Qualitative Study

10.31234/osf.io/ctw5m ◽

2021 ◽

Author(s):

Sandra Passardi ◽

Debbie Hocking ◽

Naser Morina ◽

Suresh Sundram ◽

Eva Alisic

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Asylum Seekers ◽

Health Impact ◽

Moral Injury ◽

Mental Health Outcomes ◽

Immigration Detention ◽

Policy Makers ◽

Moral Frameworks ◽

Refugees And Asylum Seekers

Background: Immigration detention is associated with detrimental mental health outcomes but little is known about the underlying psychological processes. Moral injury, the experience of transgression of moral beliefs, may play an important role. Objective: Our aim was to explore refugees’ and asylum seekers’ moral injury appraisals and associated mental health outcomes related to immigration detention on Nauru.Methods: We conducted in-depth interviews with 13 refugees and asylum seekers who had an experience of immigration detention on Nauru and lived in Australia after medical transfer. We used reflexive thematic analysis to develop themes from the data.Results: The participant statement “In my country they torture your body but in Australia they kill your mind.” conveyed key themes in our analysis. We describe 1) how participants’ home country experience and the expectation to get protection led them to seek safety in Australia; 2) how they experienced deprivation, trauma and dehumanisation after arrival, with the Australian government seen as the driving force behind these experiences; and 3) how these experiences led to feeling irreparably damaged.Conclusion: Our findings suggest that moral injury may be one of the mechanisms by which mandatory immigration detention can cause harm. Hence, refugees returned to Australia from offshore detention may benefit from interventions that specifically target moral injury. Our results highlight the potentially deleterious mental health impact of experiencing multiple subtle and substantial transgressions of one’s moral frameworks. Policy makers should incorporate moral injury considerations to prevent damaging refugee mental health.

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Longitudinal changes in home confinement and mental health implications: A 17-month follow-up study in England during the COVID-19 pandemic

10.1101/2021.10.08.21264749 ◽

2021 ◽

Author(s):

Feifei Bu ◽

Andrew Steptoe ◽

Daisy Fancourt

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Social Study ◽

Health Impact ◽

Mental Health Outcomes ◽

Longitudinal Patterns ◽

Containment Policy ◽

The Uk ◽

High Level

AbstractBackgroundThe COVID-19 pandemic has brought about significant behavioural changes, one of which is increased time spent at home. Although official lockdowns were typically short-term and allowed people to leave their homes for exercise and essential activities, some individuals did not leave their home for prolonged periods due to a range of factors including clinical vulnerability. This study aimed to explore longitudinal patterns of such ‘home confinement’ across different stages of the COVID-19 pandemic in the UK, and its associated predictors and mental health outcomes.MethodsData were from the UCL COVID -19 Social Study. The analytical sample consisted of 25,390 adults in England who were followed up for 17 months from March 2020 to July 2021. Data were analysed using growth mixture models.ResultsOur analyses identified three classes of growth trajectories, including one class showing a high level of persistent home confinement (24.8%), one changing class with clear alignment with national containment policy/advice (32.0%), and one class with a persistently low level of confinement (43.1%). A range of factors were found to be associated the class membership of home confinement trajectories, such as age, gender, income, employment status, social relationships and health. The class with a high level of confinement had the highest number of depressive and anxiety symptoms at the end of the follow-up independent of potential confounders.ConclusionsThere was substantial heterogeneity in longitudinal patterns of home confinement during the COVID-19 pandemic. However, a striking proportion of our sample maintained a high level of home confinement over the course of 17 months, even during periods when containment measures were eased or removed and when infection rates were low. They also had the worst mental health outcomes. This group warrants special attention in addressing the mental health impact of the COVID-19 pandemic.

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Mental Health Among Adolescents from Returned Portuguese Immigrant Families

Swiss Journal of Psychology ◽

10.1024/1421-0185/a000015 ◽

2010 ◽

Vol 69 (3) ◽

pp. 131-139 ◽

Cited By ~ 5

Author(s):

Félix Neto

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Mental Health Problems ◽

Immigrant Families ◽

Health Problems ◽

Mental Health Outcomes ◽

Control Group ◽

Older Adolescents ◽

The Mean ◽

Portuguese Adolescents

This study investigated mental health problems and their predictors among adolescents from returned immigrant families. The sample consisted of 360 returned adolescents (mean age = 16.8 years; SD = 1.9). The mean duration of a sojourn in Portugal for the sample was 8.2 years (SD = 4.5). A control group of 217 Portuguese youths were also included in the study. Adolescents from immigrant families reported mental health levels similar to those of Portuguese adolescents who have never migrated. Girls showed more mental health problems than boys. Younger adolescents showed fewer mental health problems than older adolescents. Adaptation variables contributed to mental health outcomes even after acculturation variables were accounted for. Implications of the study for counselors are discussed.

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