P–497 Anxiety, depression and sexual dysfunction among women with genital diseases

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
D Libei ◽  
M X C Yin ◽  
C H Chan ◽  
H W R Li

Abstract Study question How is the prevalence of anxiety, depression and sexual dysfunction among Chinese women who is suffering from genital diseases? What is the relationship among their anxiety, depression and sexual dysfunction? Summary answer Anxiety, depression and sexual dysfunction symptoms were self-reported by the participants. Besides, their anxiety, depression and sexual dysfunction were inter-correlated. What is known already Reduced sexual activity and dysfunctional problems are highly prevalent in females. Approximately 43% of American women reported experiencing sexual problems. Women who are facing pressure on childbirth, may be more likely to have mental health problems. Some studies have shown that having gynecological disease can lead to anxiety, depression and sexual dysfunction. However, the mental health of females who are suffering from genital diseases has been little studied. Study design, size, duration The investigation was carried out from March to November, 2020. Participants were recruited in the Hong Kong University-Shenzhen Hospital, located in Shenzhen, China. 135 patients were approached while 116 agreed to join the survey. Participants/materials, setting, methods 116 women (35.42±8.19 years old) with a diagnosis of fallopian tube disease, ovarian benign disease or uterine disease voluntarily filled a questionnaire which contains the Female Sexual Function Index–6 Items (FSFI–6) and the Hospital Anxiety and Depression Scale (HADS). Descriptive analysis and stepwise regression were used to present participants’ self-reported anxiety, depression, and sexual dysfunction problems, as well as the relationship among their anxiety, depression, and sexual dysfunction. Main results and the role of chance 25% of the participants reported anxiety symptoms; 9.5% of the women reported depressive symptoms; while 37.3% reported sexual dysfunction problems. Anxiety (p < 0.001) was significantly associated with depression. Depressive symptom can significantly predict sexual dysfunction (p < 0.05) while anxiety was not associated with sexual dysfunction (p > 0.05). Targeted interventions are needed to improve the mental health status of women with genital diseases in China. Limitations, reasons for caution This study can only present mental health status of this population. To better show the odds ratio of mental health problems, a case-control study design is needed. Besides, future qualitative or longitudinal studies are needed to detect the risk factors for the poor mental health of women with genital diseases. Wider implications of the findings: Reduced sexual activity and dysfunctional problems are highly prevalent in females with genital diseases. Sexuality is an important element in patients’ quality of life. For female patients with genital diseases, we should not only treat their physical symptoms, but also guide and treat patients in mental ways. Trial registration number ChiCTR2000031343

Author(s):  
Noriko Kameyama ◽  
Yukina Morimoto ◽  
Ayako Hashimoto ◽  
Hiroko Inoue ◽  
Ikuko Nagaya ◽  
...  

The relative burden of mental health problems in children is increasing worldwide. Family meals have attracted attention as an effective modifiable factor for preventing children’s mental health problems. We examined the relationship between family meals and mental health problems in Japanese elementary schoolchildren. A cross-sectional, self-administered questionnaire survey was conducted with guardians of children aged 7 to 12 years in Gifu Prefecture, Japan. Frequency of family meals and with whom the child eats breakfast, lunch, and dinner were assessed separately for weekdays and weekends/holidays. Mental health was assessed using the Japanese version of the parent-reported Strengths and Difficulties Questionnaire. Multivariate adjusted odds ratios (ORs) for borderline/abnormal mental health status were calculated using logistic regression analysis. Of the 678 children, 24.9% had borderline/abnormal mental health status. Children eating breakfast with their family less than once a week (adjusted OR, 4.79; 95% confidence interval (CI), 1.51–15.25) and those eating weekend breakfast alone (adjusted OR, 3.61; 95% CI, 1.42–9.23) had a higher prevalence of borderline/abnormal mental health status compared to those eating breakfast seven times a week and weekend breakfast with their family, respectively. These results suggest that family meals, especially breakfast, might be positively associated with better mental health in children.


2018 ◽  
Vol 7 (1) ◽  
pp. 40-47
Author(s):  
Birgitte Thylstrup ◽  
Kim Bloomfield ◽  
Abdu K Seid

Background: The current level of alcohol consumption has placed Nigeria and Uganda in the group of high consumption countries, however little is known about how people with problematic alcohol use and related problems utilize treatment services. Aims: This study examined the relationship between alcohol consumption and mental health status in Nigeria and Uganda, and the relationship between heavy episodic drinking and treatment-seeking and treatment-receiving behavior. Data and methods: Analyses were based on cross-sectional survey data from Nigeria (N= 2018) and Uganda (N=1478) aged > 18 years from the 2003 Gender, Alcohol, and Culture: An International Study (GENACIS). Results: In both countries, the level of alcohol consumption was comparatively high, however, associations between drinking status and mental health problems were found only in Nigeria. Heavy episodic drinkers were more likely to report having sought help in both countries, only in Nigeria was it also related to ever receiving help. Conclusion: National strategies in both countries must continue allocation of resources to treatment services, supporting treatment availability and early identification of alcohol and related mental health problems. Implementation of national alcohol policies should be followed up with assessment and adjustments.


2015 ◽  
Vol 206 (6) ◽  
pp. 456-460 ◽  
Author(s):  
Peter Kinderman ◽  
Sara Tai ◽  
Eleanor Pontin ◽  
Matthias Schwannauer ◽  
Ian Jarman ◽  
...  

BackgroundThe relationship between well-being and mental ill health is complex; people may experience very low levels of well-being even in the absence of overt mental health problems.AimsThis study tested the hypothesis that anxiety, depression and well-being have different causal determinants and psychological mediating mechanisms.MethodThe influence of causal and mediating factors on anxiety, depression and well-being were investigated in a cross-sectional online questionnaire survey hosted on a UK national broadcasting website.ResultsMultivariate conditional independence analysis of data from 27 397 participants revealed different association pathways for the two constructs. Anxiety and depression were associated with negative life events mediated by rumination; low levels of subjective well-being were associated with material deprivation and social isolation, mediated by adaptive coping style.ConclusionsOur findings support the ‘two continua’ model of the relationship between psychological well-being and mental health problems, with implications for both treatment and prevention.


Author(s):  
Ai-Wen Hwang ◽  
Chia-Hsieh Chang ◽  
Mats Granlund ◽  
Christine Imms ◽  
Chia-Ling Chen ◽  
...  

Children with physical disabilities (PD) are known to have participation restrictions when in inclusive settings alongside typically developing (TD) children. The restrictions in participation over time may affect their mental health status. This study aimed to investigate the longitudinal relationship between independence in activities (capability) and frequency of attendance in activities, in relation to perceived mental health status in children with and without PD. The participants were a convenience sample of parents of 77 school children with PD and 94 TD children who completed four assessments with a one-year interval between each assessment. Parents of these children were interviewed with the Functioning Scale of the Disability Evaluation System—Child version (FUNDES-Child). Three dimensions of mental health problems—loneliness, acting upset, and acting nervous—were rated by parents with the Child Health Questionnaire (CHQ). Linear trend was tested by repeated-measure ANOVA. The results revealed different longitudinal patterns of independence and frequency of attendance over time for children with PD and TD. Frequency of attending activities may be more important than independence in performing activities for experiencing fewer mental health problems. The findings highlight the need for supporting children’s actual attendance in daily activities which may benefit their later mental health.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
F. Veríssimo ◽  
S. Almeida ◽  
R. Teiga

Backgroud:Parental pychosis can have a major impact on the household and studies indicate that they increase the risk of children developing behavioural, social, emotional and educational problems (Royal College of Psychiatrists, 2004). to our knowledge, there is scarce information available about the mental health status of the sons and daughters cared by psychotic inpatients. Potential interventions that mental health services could adopt by screening this at risk population are missed.Aim:To assess the mental health status of the children cared by the psychotic inpatients admitted to an acute mental health ward in Porto. to determine the number of children that fulfill criteria of mental illness and of those at risk. to refer this population to a specialist clinic.Methods:Prospective study: we will screen the sons and daughters of all the inpatients admitted with psychosis between the 1st September 2008 and the 30th November 2008 to a busy acute inpatient ward at Hospital Megalhães Lemos, Porto. We will use the Robert Goodman Strenghts and Weaknesses Questionnaire for the 18- year old and below and the SCL-90 for the adult population. the population that fulfills criteria for mental health problems and the ones that are identified as at risk will be referred to a specialist clinic and followed-up by an experienced psychiatrist.Conclusions:To identify and quantify a vulnerable population at high risk of developing mental health problems and offering an early intervention may proove to have an important impact in the household wellbeing.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jinzhao Xie ◽  
Zixin Wang ◽  
Quanmin Li ◽  
Qiangsheng He ◽  
Guohong Xu ◽  
...  

Abstract Background Mental health problems (e.g., depression and anxiety) are among the most commonly reported comorbidities of HIV. Antiretroviral therapy (ART) coverage has increased sharply. The purposes of this prospective cohort study were to investigate the ART-related experiences and whether they were associated with mental health problems among a sample of people living with HIV undergoing ART in China. Methods The participants were 400 people living with HIV who had started ART for the first time in Guangzhou city. They were followed-up 1-year after ART initiation. Probable depression and moderate/severe anxiety were measured at baseline and Month 12, while experiences related to ART (e.g., side effects and regained self-confidence) were measured at Month 6. Univariate and multivariate logistic regressions were used to explore the associations between baseline characteristics, ART-related experiences and mental health status. Results Among the 300 participants (75.0%) who completed all three surveys, a significant decline in prevalence of probable depression (23.0% at baseline vs. 14.0% at Month 12, P = 0.002) and moderate/severe anxiety (14.7% at baseline vs. 8.7% at Month 12, P = 0.023) was observed during the follow-up period. After adjustment for mental health status and potential confounders at baseline, a number of ART-related experiences at Month 6 were associated with probable depression and/or moderate/severe anxiety measured at Month 12. Improved physical health, relationships with sexual partners, and self-confidence were associated with decreased mental health issues, while the side effects of ART, AIDS-related symptoms, and inconvenience in daily life due to ART use were associated with increased mental health issues. Conclusions ART-related experiences were associated with mental health problems, tailored mental health promotion interventions targeting these experiences are needed.


2020 ◽  
Vol 19 (2) ◽  
Author(s):  
I.D. Noordin ◽  
I.B. Idris ◽  
R. Hod ◽  
N.A. Muhammad ◽  
H. Mohd Yusoff ◽  
...  

Introduction: Adolescence is a crucial phase in life, as this is the time when they are developing their identity, while at the same time forming relationships with others, including their family members. This study investigated adolescents’ mental health status in Malaysia and its associated factors including self -esteem and parenting style that are experienced by them. Materials and Methods: A cross-sectional study was conducted among 248 school-going adolescents aged 13 and 14 years in Selangor, Malaysia. The validated Malay version of the Strengths and Difficulties Questionnaire (SDQ) was utilized to assess adolescents’ mental health status. In addition, the adolescents’ self-esteem was also assessed using the Rosenberg Self-Esteem Scale Questionnaire while the Parental Bonding Instrument was used to assess their parent’s parenting style. Results: Almost 20% of the adolescents were found to have mental health problems such as emotional and conduct problems, hyperactivity disorder and peer problems. Using multivariate analysis, factors that were associated with mental health problems were family income (AOR=2.788, 95% CI=1.397, 5.563), adolescents’ self-esteem (AOR=0.799, 95% CI=0.668, 0.955) and their perception on parental control (AOR=1.175, 95% CI=1.020, 1.353). Conclusion: This study shows that one fifth of these adolescents had mental health problems. Low socio-economic factors, over controlling parents and poor self-esteem were associated with these problems. In conclusion, it is important to educate parents on effective parenting style, as improper parenting may cause psychological distress among adolescents. Improving families’ socioeconomic status and adolescents’ self-esteem can also enhance their mental health and well-being.


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