scholarly journals M225. EXPRESSED EMOTIONS AND PSYCHOLOGICAL DISTRESS AMONG CAREGIVERS OF PATIENTS WITH CHRONIC MENTAL ILLNESS ATTENDING PSYCHIATRIC DEPARTMENT OF BPKIHS

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S221-S222
Author(s):  
Sanjita Fyak ◽  
Nirmala Pradhan ◽  
Sami Lama ◽  
Kriti Thapa ◽  
Rajesh Kumar
Keyword(s):  
Mental Illness ◽  
Psychological Distress ◽  
Expressed Emotion ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Chronic Mental Illness ◽  
Cross Sectional ◽  
Expressed Emotions ◽  
Distress Scale

Abstract Background Family expressed emotions had been shown to be predictive of outcome in mental illnesses in variety of cultural settings. Distressed caregivers who provide care to mentally ill relatives are at risk for developing mental health disorders. Methods A hospital based cross sectional study was conducted among 85 caregivers of chronic mental illness using purposive sampling technique. Caregivers were interviewed using Family Questionnaire (FQ) and Kessler Psychological Distress Scale (K10) to assess expressed emotions and psychological distress of caregivers respectively. Results More than half (55.3%) of the caregivers had low expressed emotions while 44.7% had high expressed emotions. More than half (55.3%) of the caregivers had low psychological distress, followed by medium risk (31.8%) and high risk (12.9%). Study revealed significant association between caregiver’s expressed emotion with caregiver’s relationship to patient, area of residence, socioeconomic status, age and gender of patients. Caregiver’s psychological distress had a significant association with their relationships with patient and educational qualification of patient. There was positive correlation between caregiver’s expressed emotions and psychological distress. Discussion This study illustrated that more than half (55.3%) of the caregivers had low expressed emotions and 44.7% had high expressed emotions while caring their patients with chronic mental illness. This finding is contradictory to the findings of a study conducted in India which depicts that most of the caregivers were designated as high EE (56%) as compared to low EE (44%). Another study conducted in Thailand indicated that large number of caregivers have high expressed emotion (87.5%).Another descriptive quantitative exploratory study done in Saudi Arabia had shown that majority of caregivers had low EE (85%). This differences in the results related to expressed emotions could be possibly due to variations in the sample size and tools used for data collection among these studies.

SCREENING OF PSYCHOLOGICAL DISTRESS AMONG COLLEGE STUDENTS DURING THE COVID-19 LOCKDOWN PERIOD: A CROSS-SECTIONAL STUDY

2021 ◽  
pp. 55-56
Author(s):  
Vishnu G. Ashok ◽  
Pretty Venis ◽  
Glannie A.R.
Keyword(s):  
Psychological Distress ◽  
Undergraduate Students ◽  
Early Recognition ◽  
Economic Status ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Sleep Habits ◽  
Cross Sectional ◽  
Time Activity

The uncertainty and dread linked with COVID-19 has contributed to a rise in mental health disorders among the general population showing high rates of anxiety, depression, posttraumatic stress disorder, and psychological discomfort. The current study aims to assess the prevalence of psychological distress among undergraduate students of an Arts college in rural Tamilnadu. A cross-sectional study was carried out among 100 undergraduate students of an arts college selected by convenient sampling technique using GHQ-12 questionnaire via online platforms. Among the 100 medical students who participated in the study, 78% were found have severe problems with psychological distress. Leisure time activity like smartphone usage was found to have a signicant association with psychological distress (p<0.05) while other factors like gender, socio-economic status, physical activity, dietary preferences, junk food consumption and sleep habits were not associated statistically. Early recognition of students under stress and counselling will go a long way in helping students adjust to the demands of the educational curriculum.

scholarly journals Psychometric evaluation of the modified Kessler seven-item version (K7) for measuring psychological distress using Rasch analysis: a cross-sectional study in a rural district of Bangladesh

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034523
Author(s):  
Mohammed Nazim Uddin ◽  
Fakir M Amirul Islam
Keyword(s):  
Psychological Distress ◽  
Rural Population ◽  
Rasch Analysis ◽  
Psychometric Evaluation ◽  
Cross Sectional Study ◽  
P Value ◽  
Financial Instability ◽  
Sectional Study ◽  
Cross Sectional ◽  
Distress Scale

ObjectivesThis investigation expected to validate the psychometric properties of the modified seven-item Kessler psychological distress scale (K7) for measuring psychological distress in healthy rural population of Bangladesh.DesignCross-sectional study.SettingNarail district, Bangladesh.ParticipantsA random sample of 300 adults of age 18–90 years were recruited. Face-to-face interviews were conducted between July and August 2018 using an Android phone installed with a mobile data collection application known as CommCare.Outcome measureValidation of the K7 was the major outcome. Sociodemographic factors were measured to assess for Differential Item Functioning to check if the tool functions equally in different factors. Rasch analysis was carried out for the validation of the K7 scale in the healthy rural population of Bangladesh. RUMM2030 was used for the analyses.ResultsResults showed good overall fit, as indicated by a non-significant item-trait interaction (χ2=44.54, df=28, p=0.0245) compared with a Bonferroni adjusted p value of 0.007. Both item fit (mean=0.30, SD 1.22) and person fit residuals (mean=–0.18, SD 0.85) showed perfect fit. Reliability was very good as indicated by a Person Separation Index=0.85 and Cronbach’s alpha=0.89. All individual items were ordered thresholds. The K7 scale showed adequate reliability, unidimensionality and was free from local dependency. The K7 scale also showed similar functioning for adults and older adults, males and females, no education and any level of education, and at least some financial instability versus no financial instability.ConclusionsValidation of K7 scale confirmed that the tool is suitable for measuring psychological distress among the rural Bangladeshi population. Further research should validate the K7 scale in different rural settings in Bangladesh to determine a valid cut-off score for assessment of severity levels of psychological distress. The K7 scale should also be tested in other developing countries where sociodemographic characteristics are similar to those of Bangladesh.

The Relationship Between Insight and Internalized Stigma in Persons With Sever Mental Illness

2016 ◽  
Vol 33 (S1) ◽  
pp. S453-S453
Author(s):  
D. Szczesniak ◽  
I. Wojciechowska ◽  
M. Kłapciński ◽  
E. Zwyrtek ◽  
J. Rymaszewska
Keyword(s):  
Mental Illness ◽  
Psychotic Disorders ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Internalized Stigma ◽  
Related Factors ◽  
Cross Sectional ◽  
Stigma Of Mental Illness ◽  
The Relationship ◽  
Insight Into

IntroductionStigma is a multistage process that makes person marked by the stigma to be perceived as diminished or even as “not fully human”. The internalized stigmatization is seen as one of the levels of stigma to be present in persons with mental illness. A new perspective to mediation models between internalized stigma and illness-related factors is needed.AimTo assess the relationship between insight in mental illness and internalized stigma, as well to verify the knowledge of illness-related factors on the phenomenon of internalized stigma among patients with severe mental illnesses.MethodsA cross-sectional study design conducted among participants of both sexes between 18 years old and 65 years old with diagnosis of psychotic disorders (F20–29) and mood disorders (F30–39), who after reading the information about the study, give their written consent to participate. Among used methods were: a questionnaire of Internalized Stigma of Mental Illness (ISMI) by Ritsher [Boyed] et al. translated into Polish version and self-prepared interviews. Insight into mental illness was assessed using the Positive and Negative Syndrome Scale.ResultsThe preliminary results showed patients with the insight into the mental illness have significantly higher scores on the ISMI scale. Moreover, inpatient participants and those with the diagnosis of depression were characterized by higher level of stereotype endorsement compared with outpatients and psychotic patients.ConclusionsThe obtained results may contribute in the clinical and therapeutic fields, assuming that insight and the type of treatment are strongly linked with the process of recovery and the internalized stigma.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Functional disability and associated factors among patients with severe mental illness attending psychiatry outpatient unit at Ayder comprehensive specialized hospital, Mekelle, Ethiopia: a cross-sectional study.

2020 ◽  
Author(s):  
Tesfalem Amare ◽  
Natnael Seifu ◽  
Mirkat Shewangzaw
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Functional Disability ◽  
Social Supports ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Sectional Study ◽  
Cross Sectional ◽  
Duration Of Illness ◽  
Functional Disabilities

Abstract Background According to the World Health Organization (WHO), functional disability associated with severe mental illnesses was pervasive, affecting everyday life, and has a significant contribution to the global functional disability. The severe mental illnesses (schizophrenia, major depressive disorder, and bipolar disorder) were among the top ten leading causes of functional disability as indicated by years lived with a functional disability. These illnesses hurt the academic, occupational, social and family functioning of the patients. Despite this fact, functional disabilities and its contributing factors among severe mental illness were not clear. Therefore this study will assess the prevalence and associated factors of functional disabilities among patients with severe mental illnesses. Methods Institutional based cross-sectional study was conducted from Feb 03 to March 10, 2020, with a total of 423 participants in Mekelle, Ethiopia. A stratified random sampling method was included in the study. Functional disabilities were measured by WHO functional disability assessment schedule version two (WHODAS 2.0). Bivariate and multiple logistic regression analyses were performed to determine the association between independent and dependent variables. Results The prevalence of functional disability among severe mental ill patients was 88.1% (51.3% mild, 27.5% moderate & 9.3% sever functional disabilities). This study revealed that, being jobless [AOR=4.01, 95% CI (1.77, 12.35)], duration of illness ≥11 years [AOR=2.99, 95% CI(1.17,7.64)], those who had poor treatment adherence [AOR= 2.79, 95% CI (1.06, 7.35)], drug adverse effects [AOR= 4.61, 95% CI (1.79, 11.84)], poor social supports [AOR=6.58, 95% CI (2.01, 21.56)], and moderate social supports [AOR=4.16, 95% CI (1.88,9.20)] were significantly associated with functional disabilities. Conclusion The prevalence of functional disability was found to be high. Being jobless, duration of illness ≥11 years, medication non-adherent, having drug side effects and having poor or moderate social support were significantly associated with functional disabilities. Therefore, when treating patients with severe mental illness giving especial attention the bio-psycho-social aspect of treatment is essential.

scholarly journals Stress gradation of medical practitioners during the pandemic (covid-19) along with ways to de-stress; a cross sectional study at tertiary care hospitals using Kessler’s 10 psychological distress scale.

2021 ◽  
Vol 28 (09) ◽  
pp. 1239-1244
Author(s):  
Umair Toqueer ◽  
Muhammad Usama Zardad ◽  
Mahwish Toqueer ◽  
Anila Riyaz ◽  
Sana Khan ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Junior Doctors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Tertiary Care Hospitals ◽  
Distress Scale ◽  
The Impact

Objectives: To determine stress grades of doctors working in tertiary care  hospitals by using a standard measuring tool i.e. Kessler 10 psychological distress scale along with finding out different coping methods adopted by doctors during the COVID-19 pandemic. Study Design: Cross Sectional study. Setting: Tertiary Care Hospitals of Khyber Pakhtunkhwa (KPK), Pakistan. Period: 15 March 2020 to 20 June 2020. Material & Methods: A structured questionnaire was sent online to the junior and senior doctors working during the pandemic. The data was automatically collected with the help of Google docs and then analysed using SPSS 26. Results: Of the 219 doctors who completed the questionnaire 142 were males (64.8%) and 77 were females (35.2%). Interestingly, analysis of the score revealed that 38.8% of the doctors were found likely to be well, 16.4% of the doctors were likely to have mild disease and 20.5% were likely to have a moderate disorder while 24.2% were likely to have a severe disorder. Further analysis showed that the mean of  Kessler’s score was greater for junior doctors as  compared to Consultants which was found to be statistically significant (p=0.044). Conclusion: The impact of Corona virus disease (COVID-19) on the stress levels of health workers warrants considerable attention as it was declared a pandemic. Assessing the psychological impact and ways to tackle them will not only help the health care workers during this pandemic but will be beneficial in future pandemics as well.

scholarly journals Relation Of Resilience With Psychological Distress On Tobacco Farmers In Kalisat District, Jember Regency

2020 ◽  
Vol 10 (2) ◽  
pp. 141
Author(s):  
Emi Wuri Wuryaningsih ◽  
Tria Mega Holivia ◽  
Enggal Hadi K
Keyword(s):  
Psychological Distress ◽  
Pearson Correlation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Crop Failure ◽  
Cross Sectional ◽  
Cluster Random Sampling ◽  
Weather Anomalies

Tobacco farmers are prone to various health problems both physically and psychologically or mentally due to several problems such as Green Tobacco Sickness (GTS), crop failure and weather anomalies. Resilience is one of the coping mechanisms that can be used to prevent psychological distress. This study used a cross-sectional study design with cluster random sampling technique, a sample of 96 respondents. The study was conducted in February-March in Kalisat District, Jember Regency. Bivariate analysis used Pearson correlation (α

scholarly journals Prevalence of depression and its association with parental neglect among adolescents at governmental high schools of Aksum town, Tigray, Ethiopia, 2019: A cross sectional study

2019 ◽  
Author(s):  
Enguday Tirfeneh ◽  
Mengesha Srah
Keyword(s):  
High Schools ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Parental Neglect ◽  
Prevalence Of Depression

Abstract Background depression is one of the most serious and prevalent mental illnesses that can result in serious disability and ending life by committing suicide and homicide. The risks of having depression are substantially higher in persons who have parental neglect when compared to the general population.Objective To detect prevalence of depression and its association with parental neglect among adolescents in governmental high schools at Aksum town, Tigray, Ethiopia 2019Method A facility based cross-sectional study was conducted from January 1-30/2019 at Aksum town high schools. Public health questionnaire was used in this study to detect Depression. Study participants were selected using simple random sampling technique. Data was collected with face to face interview. Data was analyzed using statistical package for social science version 22. Bivariate and multivariate logistic regressions were used to see the association between depression and parental neglect. Adjusted Odds ratio at a p-value <0.05 with 95% confidence interval was taken to declare statistical significance of variables.

scholarly journals COVID-19: Factors associated with psychological distress, fear, and coping strategies among community members across 17 countries

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Muhammad Aziz Rahman ◽  
Sheikh Mohammed Shariful Islam ◽  
Patraporn Tungpunkom ◽  
Farhana Sultana ◽  
Sheikh M. Alif ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Well Being ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Factors Associated ◽  
Psychological Distress Scale ◽  
And Coping ◽  
Distress Scale

Abstract Background The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping. Methods We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed. Results A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]). Conclusions The extent of psychological distress, fear of COVID-19 and coping varied by country; however, we identified few higher risk groups who were more vulnerable than others. There is an urgent need to prioritise health and well-being of those people through well-designed intervention that may need to be tailored to meet country specific requirements.

scholarly journals Perceived Stigma Towards Psychological Illness in Relation to Psychological Distress Among Medical Students in Riyadh, Saudi Arabia

2020 ◽  
Vol 44 (5) ◽  
pp. 538-544 ◽  
Author(s):  
Dalal Ibrahim Alfayez ◽  
Norah Ali AlShehri
Keyword(s):  
Psychological Distress ◽  
Medical Students ◽  
Family Income ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Perceived Stigma ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Strongly Agree ◽  
Distress Scale

Abstract Objective Due to the high prevalence of psychological distress among medical students and its related functional and cognitive implications, this study aimed to investigate the association between perceived stigma and psychological distress, estimate the prevalence of each level of distress among medical students, and determine the independent significant risk factors of outcome variables for each level of psychological distress. Methods A cross-sectional study was performed that surveyed medical students at King Saud University in 2018. Using the modified and validated stigma scale for receiving psychological help along with Kessler psychological distress scale, the survey measured perceived stigma towards mental illness in relation to the level of psychological distress. Results Among the 524 participants, 395 surveys were completed. Participants had a mean age of 21.56 years old, and 53% were female. The overall prevalence of severe psychological distress was 30.7% (N = 161). Furthermore, 25.6% of participants reported experiencing moderate distress (N = 134). Additionally, a significant association was found between females and severe psychological distress. Moreover, family income was significantly associated with severe psychological distress in the extreme lower and upper groups (5000–10,000 SR and above 20,000 SR). Participants with high levels of psychological distress were more likely than those with low levels to agree or strongly agree with 3 out of 10 items related to perceived stigma. Conclusions Medical students with moderate/severe psychological distress disclosed more concerns regarding stigma, particularly about perceived consequences of their mental health issues being revealed to others. Such opinions could cause physical health problems and decrease quality of life.

scholarly journals Stress and Depression among undergraduate Medical Students of Bangladesh

2014 ◽  
Vol 2 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Nazma Sultana
Keyword(s):  
Psychological Distress ◽  
Medical Students ◽  
Significant Proportion ◽  
Sampling Technique ◽  
Mild Stress ◽  
Severe Stress ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Distress Scale

This cross-sectional descriptive type of study was conducted to explore the level of stress and depression and to find out the various socio-demographic, academic factors which act as barriers to study among undergraduate medical students of Bangladesh. The study was conducted at Dhaka Medical College during the period of April 2009 to June 2009. The students of 1st year to 5th year were the study population. A total of 425 students participated in the study. After taking proper approval from the concerned authority adopting convenient sampling technique data were collected through a self administered questionnaire with validated Kessler 10 psychological distress scale. The study revealed that only (1%) respondents were free from any sorts of psychological stress. Over one third (34.6%) had mild stress, (39.8%) moderate stress and about one fourth (24.9%) was suffering from severe stress according to Kessler 10 Psychological distress scale. A significant proportion of male respondents (73%) had moderate to severe psychological distress compared to the female respondents (56%) p<0.001. A significant higher proportion (56%) of those experiencing study pressure had moderate to severe stress as well (p<0.001). Having political affiliation, higher proportion of students (66%) reported no or mild stress. It is researcher’s opinion that politically affiliated students usually maintain good relationship with their teachers’ which help them to pass or they influence their teachers’ to bring result in their favor or teachers’ favor them to keep their position undisturbed. Lower proportion (34%) reported to have moderate to severe stress. The differences between politically affiliated and not politically affiliated groups are statistically significant p<0.001.This study demonstrates that factors which are responsible for students’ stress and depression are not similar in all countries. Sources of stress of our students’ should be checked out for the betterment of our students. The study recommended that need for intervention like social and psychological support to improve the quality of life of medical students. Students’ advisors should be provided who will train students about stress management. DOI: http://dx.doi.org/10.3329/bjme.v2i1.18130 Bangladesh Journal of Medical Education Vol.2(1) 2011: 6-9

Sign in / Sign up

Export Citation Format

Share Document