scholarly journals Workplace Bullying and Psychotropic Drug Use: The Mediating Role of Physical and Mental Health Status

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhengyue Jing ◽  
Jie Li ◽  
Pei Pei Fu ◽  
Yi Wang ◽  
Yemin Yuan ◽  
...  

Abstract Background Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship. Methods This study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans. Results The prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively. Conclusion This study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide.


2017 ◽  
Author(s):  
Blanka Šebánková ◽  
Jaroslav Flegr

AbstractLatent toxoplasmosis is known to be associated with specific changes in animal and human behavior and human personality. Many toxoplasmosis-associated shifts, such as an extroversion-introversion shift or a trust -suspicion shift, go in opposite directions in men and women. The stress coping hypothesis suggests that such behavioral effects of toxoplasmosis are side effects of chronic stress caused by lifelong parasitosis and associated health disorders. Several studies have searched for, and typically found, indices of impaired health in infected subjects. However, subjects were always aware of their toxoplasmosis status, which could influence obtained data and cause false-positive results of the studies. Here we searched for differences in physical and mental health status among 39 Toxoplasma-infected and 40 Toxoplasma-free female university students who completed identical questionnaires (N-70, and anamnestic questionnaire), before and 3 years after they were informed of their toxoplasmosis status. Our results showed that infected women showed indices of poorer health status, not only after, but also before they were informed of their infection. In accordance with previously published data, these indices were more numerous and stronger in Rh-negative than in Rh-positive women. Present results suggest that observed indices of poorer health and symptoms of chronic stress in Toxoplasma-infected subjects are real. Due to its high (30%) prevalence, toxoplasmosis could represent an important factor for public health.


2016 ◽  
Vol 42 ◽  
pp. 96-103 ◽  
Author(s):  
Foteini Tseliou ◽  
Aideen Maguire ◽  
Michael Donnelly ◽  
Dermot O’Reilly

2011 ◽  
Vol 36 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Marcus K. Taylor ◽  
Ricardo Pietrobon ◽  
John Taverniers ◽  
Matthew R. Leon ◽  
Benedict J. Fern

2019 ◽  
pp. 488-495
Author(s):  
Mohamad Reza Esmaeilzadeh Ghandehary ◽  
Mahmood Reza Mottaghy Shahri ◽  
Fatemeh Mohamadi

2012 ◽  
Vol 7 (S1) ◽  
Author(s):  
Antionette Krupski ◽  
Jeanne Sears ◽  
Jutta Joesch ◽  
Sharon Estee ◽  
Lijian He ◽  
...  

2020 ◽  
Vol 32 (9) ◽  
pp. 585-590
Author(s):  
Generosa Do Nascimento ◽  
Francisco Guilherme Nunes ◽  
Janet E Anderson

Abstract Objective To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design Longitudinal study of patients discharged from hospitals to PACO. Setting 12 hospitals and 14 PACO Portuguese organizations. Participants 181 patients participated in the both stages of data gathering. Main Outcome Measures Patients’ physical and mental health status was measured through the 36-item short form health survey scale. The experience of transition from hospital to PACO was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results Patients reporting better physical condition in PACO had a better experience on discharge [b = 0.21, 95% confidence interval, CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = − 0.19, 95% CI (−0.31, 0.08)]. The experience in PACO is significantly related to patients’ mental health status [b = − 0.47, 95% CI (−0.59, − 0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = − 0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = − 0.41, 95% CI (−0.52, − 0.30)]. Conclusions PACO play a key role in maintaining and promoting patients’ health, and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.


Sign in / Sign up

Export Citation Format

Share Document