scholarly journals Life Beyond the Home: Nutritional, Occupational, Social and Environmental Predictors of Common Mental Disorders Among Indian Mothers with 6- to 23-Month-old Infants (P11-026-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Samuel Scott ◽  
Alejandra Arrieta ◽  
Neha Kumar ◽  
Purnima Menon ◽  
Agnes Quisumbing
Keyword(s):  
Decision Making ◽  
Mental Disorders ◽  
Young Children ◽  
Food Insecurity ◽  
Group Membership ◽  
Common Mental Disorders ◽  
Mental Wellbeing ◽  
Indian States ◽  
Agricultural Work ◽  
Self Reporting Questionnaire

Abstract Objectives The mental wellbeing of mothers with young children has been shown to positively affect child development. Little, however, is known about which factors are related to optimal maternal mental health in high poverty rural contexts where women face a broad array of challenges at multiple levels daily. Methods Data were from 1644 mother-infant pairs in five Indian states as part of the Women Improving Nutrition through Group-based Strategies study. Common mental disorders (CMD) were assessed through the 20-item Self Reporting Questionnaire. We report on factors spanning nutritional (women's weight, fertility, food security, child illness), occupational (self-reported type of work, time spent in labor, domestic and caretaking activities), social (group membership, decision-making, gender attitudes, household dependents) and environmental (shocks, water, sanitation) aspects of life. Logistic regression models with district controls were used to examine associations between these factors and CMD. Results On average, women were 26 years old and their children were 15 months old. CMD was present in 262 (16%) of the mothers. Risk factors for CMD included having a failed pregnancy (AOR 1.40, 95% CI 1.01-1.93), and food insecurity (1.13, 1.07-1.20). Protective factors included being engaged in agricultural labor as a main occupation relative to being a housewife (0.20, 0.11-0.35) more time working (AOR associated with 1 more hour of work: 0.88, 0.81-0.97), higher decision-making (0.91, 0.86-0.96), group membership (non-significant trend; 0.76, 0.56-1.02), and having an improved toilet (0.51, 0.35-0.73). Conclusions In a sample of rural and mostly tribal Indian households, we found a moderate prevalence of poor mental wellbeing among mothers with young children. We also found that the determinants span a range of factors. Future research should aim to better understand the ways in which working outside the home, albeit in rigorous agricultural work, appears to protect the wellbeing of women in this context. It is plausible that agricultural work mitigates food insecurity, connects women with others and generates income, but these pathways need empirical and ethnographic examination. Funding Sources Bill & Melinda Gates Foundation; CGIAR Research Program on Agriculture for Nutrition and Health.

scholarly journals Impact of Common Mental Disorders on Food Insecurity among Women in Butajira, Ethiopia: A Cohort Study

2020 ◽  
Author(s):  
bilal shikur endris ◽  
Seifu Hagos Gebreyesus ◽  
Girmay Medhin ◽  
Martin Prince ◽  
Atalay Alem ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Time Points ◽  
South Central ◽  
Household Food ◽  
Increased Risk ◽  
Self Reporting Questionnaire

Abstract Background: There is a growing body of evidence for an association between common mental disorders and food insecurity. However, since most studies have been cross-sectional, it has not been possible to differentiate the direction of the association. The aim of this study was to determine the effect of common mental disorders on food insecurity using a prospective cohort study design. Methods: The study was carried out in Butajira, south-central Ethiopia among mothers who were enrolled in the CMaMiE cohort. A total of 1815 enrolled women were evaluated for symptoms of CMD using the Self-Reporting Questionnaire-20 (SRQ-20) at two time points; August 2012 (time 1, T1) and in August 2014 (time 2, T2). Probable CMD was defined when mothers reported six or more affirmative (yes) responses to the SRQ-20. Household food insecurity was measured using the Household Food Insecurity Access Scale (HFIAS) in December 2017 (time 3, T3). Zero inflated negative binomial regression was used to determine the independent effects of CMDs at T1 and T2 on food insecurity score at T3. A Poisson working model was used to determine the risk of being severely food insecure associated with CMD. Results : About two thirds of women (67.0%) were living in food insecure households.The prevalence of CMD was 4.8% at T1 and 10.0% at T2 and only 1.2 % (n=22) women had CMD at both time points. After controlling for potential confounders, women with CMD at T2 only (RR=1.14; 95%CI: 1.02, 1,29) had higher HFIAS scores at T3; Women with CMD at T1 only were not significantly associated with HFIAS score at T3. Women with CMD at T1 only had 4 times higher risk of severe food insecurity (RR=3.96, 95% CI: 2.15-7.27) and women with CMD at T2 only had 2.2 times higher risk of severe food insecurity (RR=2.24, 95% CI: 1.27-3.95) at follow-up. Conclusion : Common mental disorders among mothers were prospectively associated with increased risk of household food insecurity in this rural Ethiopian population. Possible mechanisms such as increased cost for health care, lost productivity and decreased self-efficacy warrant further investigation for their potential to prevent future food insecurity.

scholarly journals Prevalence of Common Mental Disorders and its Association with Life Events and Social Support in Mothers Attending a Well-Child Clinic

SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667732 ◽  
Author(s):  
Nusrat Husain ◽  
Ipshita Mukherjee ◽  
Amber Notiar ◽  
Zahir Alavi ◽  
Barbara Tomenson ◽  
...  
Keyword(s):  
Social Support ◽  
Mental Disorders ◽  
Young Children ◽  
Life Events ◽  
Social Stress ◽  
Common Mental Disorders ◽  
Multiple Logistic Regression Analysis ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Self Reporting Questionnaire

Common mental disorders (CMD), such as depression and anxiety disorders that affect mothers with young children, are a major public health issue in developing countries. This study investigates the prevalence of CMD and its associated factors among mothers attending a well-child clinic in Mombasa, Kenya. In this cross-sectional study, 429 women were screened for the presence of CMD using the Self-Reporting Questionnaire–20 (SRQ-20). Social support and social stress were measured using the OSLO Social Support Scale and the Life Events Checklist. The prevalence of CMD was 20%. High SRQ scorers were more likely to be single or separated/divorced compared with low scorers. Language, neighborhood, and financial difficulties were found to be significant independent correlates of CMD through multiple logistic regression analysis. Rates of CMD among mothers with young children in Kenya are high. This is important for nurses and pediatricians whose contact offers them an opportunity to detect CMD and refer mothers for appropriate support.

scholarly journals Detecting common mental disorders in primary care in India: a comparison of five screening questionnaires

2007 ◽  
Vol 38 (2) ◽  
pp. 221-228 ◽  
Author(s):  
V. Patel ◽  
R. Araya ◽  
N. Chowdhary ◽  
M. King ◽  
B. Kirkwood ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
General Health Questionnaire ◽  
Diagnostic Interview ◽  
Systematic Sampling ◽  
Health Questionnaire ◽  
Primary Care Settings ◽  
Self Reporting Questionnaire ◽  
Distress Scale

BackgroundScreening of patients for common mental disorders (CMDs) is needed in primary-care management programmes. This study aimed to compare the screening properties of five widely used questionnaires.MethodAdult attenders in five primary-care settings in India were recruited through systematic sampling. Four questionnaires were administered, in pairs, in random order to participants: the General Health Questionnaire (GHQ, 12 items); the Primary Health Questionnaire (PHQ, nine items); the Kessler Psychological Distress Scale (K10, 10 items), and from which we could extract the score of the shorter 6-item K6; and the Self-Reporting Questionnaire (SRQ, 20 items). All participants were interviewed with a structured lay diagnostic interview, the Revised Clinical Interview Schedule (CIS-R).ResultsComplete data were available for 598 participants (participation rate 99.3%). All five questionnaires showed moderate to high discriminating ability; the GHQ and SRQ showed the best results. All five showed moderate to high degrees of correlation with one another, the poorest being between the two shortest questionnaires, K6 and PHQ. All five had relatively good internal consistency. However, the positive predictive value (PPV) of the questionnaires compared with the diagnostic interview ranged from 51% to 77% at the optimal cut-off scores.ConclusionsThere is little difference in the ability of these questionnaires to identify cases accurately, but none showed high PPVs without a considerable compromise on sensitivity. Hence, the choice of an optimum cut-off score that yields the best balance between sensitivity and PPV may need to be tailored to individual settings, with a higher cut-off being recommended in resource-limited primary-care settings.

scholarly journals Food insecurity and common mental disorders in perinatal women living in low socio-economic settings in Cape Town, South Africa during the COVID-19 pandemic: a cohort study

2021 ◽  
Author(s):  
Zulfa Abrahams ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Cape Town ◽  
Baseline Risk ◽  
Multivariable Logistic Regression Analysis ◽  
Perinatal Women

Abstract Background Common mental disorders (CMDs) such as depression and anxiety are highly prevalent during the perinatal period, and are associated with poverty, food insecurity and domestic violence. We used data collected from perinatal women at two time-points during the COVID-19 pandemic to test the hypotheses that (1) socio-economic adversities at baseline would be associated with higher CMD prevalence at follow-up and (2) worse mental health at baseline would be associated with higher food insecurity prevalence at follow-up. Methods Telephonic interviews were conducted with perinatal women attending healthcare facilities in Cape Town, South Africa. Multivariable logistic regression analysis was used to model the associations of baseline risk factors with the prevalence of household food insecurity and CMD at 3 months follow-up. Results At baseline 859 women were recruited, of whom 217 (25%) were pregnant, 106 (12%) had probable CMD, and 375 (44%) were severely food insecure. At follow-up (n=634), 22 (4%) were still pregnant, 44 (7%) had probable CMD, and 207 (33%) were severely food insecure. In the multivariable regression model, after controlling for confounders, the odds of being food insecure at follow-up were greater in women who were unemployed [OR=2.05 (1.46-2.87); p<0.001] or had probable CMD [OR=2.37 (1.35-4.18); p=0.003] at baseline; and the odds of probable CMD at follow-up were greater in women with psychological distress [OR=2.81 (1.47-5.39); p=0.002] and abuse [OR=2.47 (1.47-4.39); p=0.007] at baseline. Conclusions This study highlights the complex bidirectional relationship between mental health and socioeconomic adversity among perinatal women during the COVID-19 pandemic.

Prevalence and determinants of Common Mental Disorder among pregnant women In Debre Berhan town: Highland in Central Ethiopia

2020 ◽  
Author(s):  
Kefyalew Dagne Gizachew ◽  
Gashaw Andargie Biks ◽  
Abate Dargie Wubetu
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Pregnant Women ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Significant Risk ◽  
Medical Illness ◽  
Debre Berhan ◽  
Self Reporting Questionnaire

Abstract Introduction: The high prevalence of antenatal mental disorders in Sub-Saharan African countries is poorly understood. Pregnancy and childbirth are gaining recognition as significant risk factors for the development and exacerbation of mental health problems. In low- and lower-middle income countries about one in six pregnant women are experiencing antenatal common mental disorders (CMD). Objective: To assess prevalence and associated factors of common mental disorders (CMD) among pregnant women in Debre Berhan town, North Showa Zone, Amhara region, Ethiopia, 2016. Methods: Community based cross-sectional study was employed among 569 participants. Data was collected using face-to-face interviews with Amharic version of Self Reporting Questionnaire (SRQ-20) from seven selected kebeles. Kebeles were selected by simple random sampling and individuals were selected using cluster sampling. Crude and adjusted OR was analyzed using bivariate and multivariable logistic regression analysis and the level of significance for association was determined with 95% CI and at P- value < 0.05. Result: A total 557 study participants were completed the interview and the prevalence of antenatal common mental disorder was found to be 45.2%. Loss of loved one (AOR = 1.97; 95% CI: 1.19–3.27), history of chronic medical illness (AOR = 6.57; 95% CI: 2.17–19.94), unwanted pregnancy (AOR = 2.13; 95% CI: 1.15–3.95), nulliparity (AOR = 8.71; 95% CI: 1.58–47.94), one or less ANC consultations (AOR = 0.22; 95% CI: 0.08–0.64), two-three ANC consultations (AOR = 0.30; 95% CI: 0.11–0.83) and current obstetric complications (AOR = 4.45; 95% CI: 2.21–8.99) were important factors significantly associated with antenatal common mental disorder. Conclusion: The prevalence of antenatal common mental disorder (CMD) was high in this study that shows antenatal CMD is significant public health issue that requires a great emphasis. So, early screening and intervention for antenatal CMD should be integrated in primary health care and antenatal care service settings.

scholarly journals The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

2020 ◽  
pp. 1-9
Author(s):  
Qiao Wang ◽  
Mbatshi Dima ◽  
Ari Ho-Foster ◽  
Keneilwe Molebatsi ◽  
Chawangwa Modongo ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hiv Infection ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Depression And Anxiety ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Household Food ◽  
Prevalence Of Depression

Abstract Objective: To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients. Design: Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with TB. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status.

Stress at work and the common mental disorders prevalence among nursing workers

2010 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Jorge Luiz Lima da Silva ◽  
Adriana Cibelle Rodrigues da Nóbrega ◽  
Fabiane Gonçalves De Faria Brito ◽  
Renata Campos Gonçalves ◽  
Barbara Soares Avanci
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Mental Disorders ◽  
Rio De Janeiro ◽  
Common Mental Disorders ◽  
Statistical Significance ◽  
University Hospital ◽  
Survey Study ◽  
Chi Square ◽  
Self Reporting Questionnaire

ABSTRACT Objective: to identify the prevalence of mental disorders common and analyze factors related in nursing workers. Method: this is about a survey study performed with 80 workers in intensive care in a public university hospital in Rio de Janeiro city, Brazil. The CMD were assessed using the Self-Reporting Questionnaire (SRQ-20). It were described socio-demographic variables, work variables, the prevalence of CMD through univariate and bivariate. The Chi-square Test was used to assess the level of statistical significance. The study was approved by the Ethics in Research number 030/08 and the subjects were those who agreed with the purposes of the study and signed a formal term. Results: it was observed that the prevalence of TMC was significantly higher in those workers with monthly income above six minimum wages, job security, with and between those who work in coronary unit. Conclusion: the findings demonstrate the need for preventive actions aimed at better quality of life in promotion workplace and mental health for employees of nursing sectors of intensive care. Descriptors: stress; mental health; mental disorders.  RESUMO Objetivo: identificar a prevalência de transtornos mentais comuns e analisar fatores relacionados entre trabalhadores de enfermagem. Método: trata-se de um levantamento realizado com 80 trabalhadores de cuidados intensivos em um hospital público universitário de grande porte do Rio de Janeiro. Os transtornos mentais comuns foram avaliados por meio do Self-Reporting Questionnaire (SRQ-20). Foram descritas variáveis sócio-demográficas, variáveis laborais, a prevalência de TMC por meio de análises univariadas e bivariadas. O Teste do Qui-quadrado foi empregado para verificar o grau de significância estatística. O estudo foi aprovado pelo Comitê de Ética em Pesquisa sob o nº 030/08 e os sujeitos foram os que consentiram com os propósitos do estudo e assinaram termo formal. Resultados: foi observado que a prevalência de TMC esteve significativamente maior em trabalhadores que com renda mensal acima de seis salários mínimos, com vínculo estável e entre aqueles que trabalham em unidade coronariana. Conclusão: os achados demonstram a necessidade de ações preventivas que visem a melhor qualidade de vida no trabalho e promoção à saúde mental para os trabalhadores de enfermagem de setores de cuidados intensivos. Descritores: estresse; saúde mental; transtorno mental.  RESUMEN Objetivo: identificar la prevalecía de trastornos mentales comunes y analizar los factores relacionados en el personal de enfermería. Método: se trata de un estudio de encuesta con 80 trabajadores en cuidados intensivos en un hospital público universitario en el ciudad de Río de Janeiro, Brasil. Los trastornos mentales comunes se evaluaron utilizando el Self Reporting Questionnaire (SRQ-20). Se describen las variables socio demográficas, la labor de la prevalecía de CMD a través de análisis univariado y bivariado. La prueba de Chi cuadrado para evaluar el nivel de significación estadística. El estudio fue aprobado por el Comité de Ética en la Investigación con nº 030/08 y los participantes fueron los que estuvieron de acuerdo con los propósitos del estudio y firmaron un formulario de consentimiento. Resultados: hemos observado que la prevalecía de CMD fue significativamente mayor en los trabajadores con ingresos de más de seis veces el salario mínimo, con una estable y entre quienes trabajan en la unidad de cuidados coronarios. Conclusión: los resultados demuestran la necesidad de medidas preventivas destinadas a mejorar la calidad de la vida laboral y la promoción de la salud mental para el personal de enfer estrés; saludmería de los sectores de cuidados intensivos. Descriptores: mental; trastornos mentales.

scholarly journals Intimate partner violence, common mental disorders and household food insecurity: an analysis using path analysis

2016 ◽  
Vol 19 (16) ◽  
pp. 2965-2974 ◽  
Author(s):  
Claudia Leite de Moraes ◽  
Emanuele Souza Marques ◽  
Michael Eduardo Reichenheim ◽  
Marcela de Freitas Ferreira ◽  
Rosana Salles-Costa
Keyword(s):  
Intimate Partner Violence ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Path Analysis ◽  
Partner Violence ◽  
Physical Violence ◽  
Common Mental Disorders ◽  
Intimate Partner ◽  
Household Food Insecurity ◽  
Household Food

AbstractObjectiveTo investigate the direct and indirect associations between psychological and physical intimate partner violence and the occurrence of common mental disorders (CMD) and how they relate to the occurrence of household food insecurity (HFI).DesignThis was a population-based cross-sectional study. Intimate partner violence was assessed using the Brazilian version of the Revised Conflict Tactics Scale (CTS2) and HFI was assessed using the Brazilian Food Insecurity Scale. The propositional analytical model was based on a review of the literature and was tested using path analysis.SettingDuque de Caxias, Greater Rio de Janeiro, Brazil (April–December 2010).SubjectsWomen (n 849) who had been in a relationship in the 12 months preceding the interview.ResultsBoth psychological and physical violence were found to be major risk factors of HFI. Psychological violence was associated with HFI indirectly via physical violence and CMD, and directly by an unidentified path. The effects of physical violence seemed to be manifested exclusively through CMD. Most of the variables in the propositional model related to socio-economic position, demographic characteristics, degree of women’s social support and partner alcohol misuse were retained in the ‘final’ model, indicating that these factors contribute significantly to the increased likelihood of HFI.ConclusionsThe results reinforce the importance of considering domestic violence and other psychosocial aspects of family life when implementing interventions designed to reduce/eradicate HFI.

scholarly journals Prevalence and risk factors associated with common mental disorders among medical students

2019 ◽  
Vol 14 (41) ◽  
pp. 1911
Author(s):  
Amine Selim de Salles Gonçalves Melado ◽  
Filipe Alvarenga Caetano Vitorino ◽  
Ana Rosa Murad Szpilman ◽  
Wanêssa Lacerda Poton
Keyword(s):  
Risk Factors ◽  
Medical Students ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Preventive Actions ◽  
Self Reporting Questionnaire

Objective: To identify the prevalence of common mental disorders (CMD) in medical students at Vila Velha University (UVV), ES, and its associated factors. Methods: A cross-sectional study was conducted with 360 medical students from February to April 2018. A self-administered, confidential and online questionnaire was used, including sociodemographic, economic data, family support, friends’ network, physical activity and academic performance, as well as Self-Reporting Questionnaire (SRQ-20). Statistical analysis was performed using the STATA program, version 13.0. The Ethics Committee on Research with Humans approved the study, under number 2.108.290. Results: The prevalence of CMD among students was 45.6%. Risk factors were mental disorder in the family (RR 1.24, 95% CI 1.01-1.54), poor sleep quality (RR 1.49, 95% CI 1.17-1.90), fear that impaired the academic result (RR 1.33, 95% CI 1.01-1.77), feeling rejected by friends (RR 1.45, 95% CI 1.07-1.96), thinking about giving up the course (RR 1.67, 95% CI 1.29-2.17) and physical discomfort during the test (RR 1.63, 95% CI, 1.21-2.20). Conclusions: The overall prevalence of CMD among students was high, and the risk factors were significant. It is recommended that educational institutions and responsible government agencies be able to formulate and subsidize preventive actions and care for the mental health of medical students.  

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