scholarly journals Risk of Depression in Family Caregivers: Unintended Consequence of COVID-19

2020 ◽  
Author(s):  
Stephen Gallagher ◽  
Mark A. Wetherell
Keyword(s):  
Mental Health ◽  
Confidence Interval ◽  
Family Caregivers ◽  
Health Care Professionals ◽  
Negative Impact ◽  
General Health Questionnaire ◽  
Population Level ◽  
Poor Mental Health ◽  
Unintended Consequences ◽  
Face To Face

BackgroundCOVID-19 is likely to exacerbate the symptoms of poor mental health family caregivers. To investigate whether rates of depression increased in caregivers during COVID-19 and whether the unintended consequences of health protective measures, i.e., social isolation, exacerbated this risk. Another aim was to see if caregivers accessed any online/phone psychological support during COVID.MethodData (1349 caregivers; 7527 non-caregivers) was extracted from Understanding Society, UK population level dataset. The General Health Questionnaire cut-off scores identifying those with and without depression were our primary outcome.ResultsAfter adjustment for confounding caregivers had a higher risk of having depression compared with non-caregivers, Odds ratio (OR) = 1.22 (95% confidence interval (95% CI), 1.05-1.40)), p=.008 evidenced by higher levels of depression pre-COVID-19 (16.7% vs 12.1%) and during COVID-19 (21.6% vs 17.9%), respectively. Further, higher levels of loneliness increased the risk of depression almost 4-fold risk in caregivers, OR = 3.85 (95% confidence interval (95% CI), 3.08-4.85)), p<.001), while access to therapy attenuated the risk (47%. While 60% of caregivers with depression reported not accessing any therapeutic support (e.g., online or face to face) during COVID-19.ConclusionCOVID-19 has had a negative impact on family caregivers’ mental health with loneliness a significant contributor to caregiver’s depression. However, despite these detriments in mental health, the majority of caregivers do not access any online or phone psychiatric support. Reducing feelings of isolation therefore provides an opportunity for psychiatric services and health care professionals to support at-risk caregivers.

scholarly journals Risk of depression in family caregivers: unintended consequence of COVID-19

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Stephen Gallagher ◽  
Mark A. Wetherell
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Depressive Symptomatology ◽  
Negative Impact ◽  
General Health Questionnaire ◽  
Population Level ◽  
Poor Mental Health ◽  
Unintended Consequences ◽  
Depression Symptoms ◽  
Data Set

Background Coronavirus disease 2019 (COVID-19) is likely to exacerbate the symptoms of poor mental health in family caregivers. Aims To investigate whether rates of depressive symptomatology increased in caregivers during COVID-19 and whether the unintended consequences of health protective measures, i.e., social isolation, exacerbated this risk. Another aim was to see if caregivers accessed any online/phone psychological support during COVID. Method Data (1349 caregivers; 6178 non-caregivers) was extracted from Understanding Society, a UK population-level data-set. The General Health Questionnaire cut-off scores identified those who are likely to have depression. Results After adjustment for confounding caregivers had a higher risk of having depressive symptoms compared with non-caregivers, odds ratio (OR) = 1.22 (95% CI 1.05–1.40, P = 0.008) evidenced by higher levels of depression pre-COVID-19 (16.7% caregivers v. 12.1% non-caregivers) and during the COVID-19 pandemic (21.6% caregivers v. 17.9% non-caregivers), respectively. Further, higher levels of loneliness increased the risk of depression symptoms almost four-fold in caregivers, OR = 3.85 (95% 95% CI 3.08–4.85, P < 0.001), whereas accessing therapy attenuated the risk of depression (43%). A total of 60% of caregivers with depression symptoms reported not accessing any therapeutic support (for example online or face to face) during the COVID-19 pandemic. Conclusions COVID-19 has had a negative impact on family caregivers’ mental health with loneliness a significant contributor to depressive symptomatology. However, despite these detriments in mental health, the majority of caregivers do not access any online or phone psychiatric support. Finally, psychiatric services and healthcare professionals should aim to focus on reducing feelings of loneliness to support at-risk caregivers.

scholarly journals Relationship between mental health and spiritual wellbeing among hemodialysis patients: a correlation study

2014 ◽  
Vol 132 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Beatriz Bertolaccini Martinez ◽  
Rodrigo Pereira Custodio
Keyword(s):  
Mental Health ◽  
Negative Impact ◽  
General Health Questionnaire ◽  
Well Being ◽  
Hemodialysis Patients ◽  
Poor Mental Health ◽  
Spiritual Wellbeing ◽  
Cross Sectional ◽  
Study Results ◽  
The Relationship

CONTEXT AND OBJECTIVE: The stress of living with a terminal disease has a negative impact on the mental health of hemodialysis (HD) patients. Spirituality is a potential coping mechanism for stressful experiences. Studies on the relationship between spirituality and mental health among HD patients are scarce. The purpose of this study was to evaluate the relationship between mental health and spiritual well-being among HD patients. DESIGN AND SETTING: Cross-sectional observational study on hemodialysis patients at a single center in Brazil, between January and December 2011. METHODS : Mental health was assessed using the General Health Questionnaire and spiritual wellbeing was assessed using the Spiritual Wellbeing Scale; 150 HD patients participated in the study. RESULTS : A significant correlation was found between mental health and spiritual wellbeing (P = 0.001). Spiritual wellbeing was the strongest predictor of mental health, psychological distress, sleep disturbance and psychosomatic complaints. CONCLUSION: Poor mental health was associated with lower spiritual wellbeing. This has important implications for delivery of palliative care to HD patients.

scholarly journals Persistent distress after psychological exposure to the Nagasaki atomic bomb explosion

2011 ◽  
Vol 199 (5) ◽  
pp. 411-416 ◽  
Author(s):  
Yoshiharu Kim ◽  
Atsuro Tsutsumi ◽  
Takashi Izutsu ◽  
Noriyuki Kawamura ◽  
Takao Miyazaki ◽  
...  
Keyword(s):  
Mental Health ◽  
Atomic Bomb ◽  
General Health Questionnaire ◽  
Primary Outcome Measure ◽  
Poor Mental Health ◽  
Radiological Hazard ◽  
Sample Group ◽  
Individual Perception ◽  
Health Deterioration ◽  
Bomb Explosion

BackgroundAlthough there is speculation that individuals living in the vicinity of nuclear disasters have persistent mental health deterioration due to psychological stress, few attempts have been made to examine this issue.AimsTo determine whether having been in the vicinity of the Nagasaki atomic bomb explosion in the absence of substantial exposure to radiation affected the mental health of local inhabitants more than half a century later.MethodParticipants were randomly recruited from individuals who lived in the vicinity of the atomic bomb explosion in uncontaminated suburbs of Nagasaki. This sample (n = 347) was stratified by gender, age, perception of the explosion and current district of residence. Controls (n = 288) were recruited from among individuals who had moved into the area from outside Nagasaki 5–15 years after the bombing, matched for gender, age and district of residence. The primary outcome measure was the proportion of those at high risk of mental disorder based on the 28-item version of the General Health Questionnaire, with a cut-off point of 5/6. Other parameters related to individual perception of the explosion, health status, life events and habits were also assessed.ResultsHaving been in the vicinity of the explosion was the most significant factor (OR = 5.26, 95% CI 2.56–11.11) contributing to poorer mental health; erroneous knowledge of radiological hazard showed a mild association. In the sample group, anxiety after learning of the potential radiological hazard was significantly correlated with poor mental health (P<0.05), whereas anxiety about the explosion, or the degree of perception of it, was not; 74.5% of the sample group believed erroneously that the flash of the explosion was synonymous with radiation.ConclusionsHaving been in the vicinity of the atomic bomb explosion without radiological exposure continued to be associated with poorer mental health more than half a century after the event. Fear on learning about the potential radiological hazard and lack of knowledge about radiological risk are responsible for this association.

scholarly journals Exploring the quality of life and psychological symptoms of university students in Cyprus during the Covid-19 pandemic

2021 ◽  
Vol 17 ◽  
pp. 110-121
Author(s):  
Hadjicharalambous Demetris ◽  
Loucia Demetriou ◽  
Koulla Erotocritou
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Family Income ◽  
Mental Health Problems ◽  
Psychological Symptoms ◽  
Negative Impact ◽  
General Health Questionnaire ◽  
Well Being ◽  
Idioms Of Distress

The onset of the infectious disease Covid19 originating in Wuhan, China, took over the world in December 2019 and was declared a pandemic in January 2020.  Empirical evidence resulting from relevant research illustrated that the effects of the pandemic itself but also of the strict measures to contain the spread of the virus on the mental health and well-being of affected populations were just as unanticipated as the pandemic itself. Data led to the identification of six idioms of distress: (1) Demoralization and pessimism towards the future, (2) anguish and stress, (3) self-depreciation, (4) social withdrawal and isolation, (5) somatization, (6) withdrawal into oneself. Our research explores the psychological impact of the Covid19 pandemic on college students and their quality of life. The study took place in Cyprus with 356 young participants, whereas 256 were female (72%) and 100 were male (28%). They all completed the General Health Questionnaire-28 and the Life Satisfaction Inventory (LSI). The present study's findings revealed that six factors, including residence without family, the deterioration of the financial situation of the family, the loss of employment, the deterioration of social relationships, young age, and gender, have significantly affected in a negative way the mental health and quality of life of young people. Research findings revealed that the strict lockdown and physical/social isolation measures had a significant adverse effect on our sample, whereas participants showed increased symptoms of anxiety and insomnia, social dysfunction, and somatization. Young adults who lost their jobs during the pandemic or had a significant decrease in their family income, and students who stayed away from their families, experienced a negative impact on their quality of life and had to cope with more mental health problems.

Vietnamese-American family caregivers of persons with mental illness: Exploring caregiving experience in cultural context

2018 ◽  
Vol 55 (6) ◽  
pp. 846-865 ◽  
Author(s):  
Quynh Nhu (Natasha) Bui ◽  
Meekyung Han ◽  
Sadhna Diwan ◽  
Tran Dao
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Cultural Values ◽  
Family Caregivers ◽  
Cultural Context ◽  
Negative Impact ◽  
Recovery Process ◽  
American Family ◽  
Snowball Sampling ◽  
Vietnamese American

While involvement of family caregivers can play an important role in the recovery process of persons with serious mental illness (SMI), family caregivers often endure poor health and mental health issues due to caregiving-related distress. These challenges may be exacerbated for Vietnamese American families due to cultural values (e.g., familism and stigma). This qualitative exploratory study examined how Vietnamese American family caregivers of persons with SMI describe their caregiving experience. Using convenience and snowball sampling, the study recruited 21 participants who took part in two Vietnamese-language focus groups. Key findings of the study addressed three themes: (1) the influence of cultural and religious values on caregiving and mental health; (2) the negative impact of caregiving on caregivers’ wellbeing; and (3) the stigma attached to mental illness. The study offers useful insights to assist mental health practitioners in tailoring culturally appropriate and effective services for Vietnamese caregivers.

scholarly journals Face-to-Face Exercises Performed by Instructors to Improve the Mental Health of Japanese in the Community—A Randomized Control Trial

Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 404
Author(s):  
Akihiko Katayama ◽  
Kanae Kanda ◽  
Ayako Hase ◽  
Nobuyuki Miyatake
Keyword(s):  
Mental Health ◽  
Physical Fitness ◽  
Self Efficacy ◽  
Randomized Control Trial ◽  
General Health Questionnaire ◽  
Physical Fitness Test ◽  
Face To Face ◽  
Exercise Class ◽  
Randomized Control ◽  
Primary Evaluation

Background and objectives: The purpose of this study is to clarify the effects on the mental health of face-to-face exercise performed by an instructor (lesson-style Group: Group L) and exercise using machines (program-style Group: Group P) by randomized control trial. Materials and Methods: Among 120 subjects, 117 subjects were allocated to two groups with stratified randomization by sex (Group P: 58 subjects; Group L: 59 subjects). A 60-min health exercise class was held once per week for 12 consecutive weeks. The measurement items were mental health as a primary evaluation item and self-efficacy as a secondary evaluation item. Physical fitness was also measured using a new physical fitness test used in Japan. The 12-item general health questionnaire (GHQ-12) was used to measure mental health and the general self-efficacy scale (GSES) was used to measure self-efficacy. Results: After the intervention, 102 subjects were analyzed. The changes in mental health evaluated by GHQ-12 scores were significantly lower in Group L −0.7 (95% CI, −1.2 to −0.3) than Group P −0.1 (95% CI, −0.4 to 0.2) (p = 0.03). The changes in self-efficacy evaluated by GSES scores were significantly higher in Group P 5.3 (95% CI, 3.1 to 7.5) than Group L 1.3 (95% CI, −0.4 to 3.1) (p < 0.01). Conclusions: Compared with program exercises mainly using machines, face-to-face exercises performed by instructors improved mental health.

Cohabiting unions, repartnering and mental health

2004 ◽  
Vol 34 (8) ◽  
pp. 1553-1559 ◽  
Author(s):  
DAVID J. PEVALIN ◽  
JOHN ERMISCH
Keyword(s):  
Mental Health ◽  
General Health Questionnaire ◽  
Poor Mental Health ◽  
Parental Status ◽  
Proportional Hazard ◽  
Panel Survey ◽  
Rank Tests ◽  
Proportional Hazard Models ◽  
Women Poor ◽  
Considerable Body

Background. A considerable body of research has established that transitions out of marriage are generally deleterious for mental health and some have examined transitions out of cohabitation. In this study we depart from these established areas to investigate the effects of poor mental health on the duration and outcome of cohabitations and on the time to, and likelihood of, repartnering after both cohabitation and marriage.Method. Samples came from the British Household Panel Survey, 1991–2001. These were: (1) 447 cohabiting spells; (2) 5571 paired person-years during cohabitation; (3) 508 spells after cohabitation; (4) 1197 person-year observations within those spells; (5) 869 spells after marriage; and (6) 2736 person-year observations within those spells. Life tables, log-rank tests, multinomial logit and proportional hazard models were used. Mental health was measured by the 12-item General Health Questionnaire.Results. Poor mental health increased the risk of dissolving a cohabiting union for both men and women. Poor mental health reduced the risk of repartnering after a cohabiting union but had no effect on the risk of repartnering after a marriage. Other factors such as past marital status, age and parental status also had significant effects.Conclusions. This study provides evidence that poor mental health during a cohabiting union increases the chances of that union dissolving instead of turning into marriage and poorer mental health immediately after a transition out of a cohabiting union is associated with reduced chances of repartnering.

Unintended consequences: the negative impact of e-mail use on participation and collective identity in two ‘horizontal’ social movement groups

2015 ◽  
Vol 8 (1) ◽  
pp. 95-122 ◽  
Author(s):  
Cristina Flesher Fominaya
Keyword(s):  
Social Movement ◽  
Collective Identity ◽  
Global Justice ◽  
Negative Impact ◽  
Online Communication ◽  
Unintended Consequences ◽  
Ethnographic Study ◽  
Face To Face ◽  
Identity Processes ◽  
E Mail

The relation between face-to-face and online communication and its impact on collective identity processes is understudied. In this article I draw on two case studies conducted during a 3-year ethnographic study of the Global Justice Movement network in Madrid, Spain, from 2002 to 2005 to explore the unintended impact of e-mail on the sustainability, internal dynamics, and collective identity of two groups committed to participatory and deliberative practices as key features of their collective identity. I found that despite an explicit commitment to ‘horizontalism’ the use of e-mail in these two groups increased existing hierarchies, hindered consensus, decreased participation, and worked towards marginalization of group members. In addition, the negative and unintended consequences of e-mail use affected both groups, independently of activists’ evaluation of their experience in their face-to-face assemblies (one of which was overwhelmingly perceived as positive and one of which was perceived as negative). The article draws on e-mail research in organizations, online political deliberation research, and existing studies of e-mail use in social movement groups to analyse these findings.

scholarly journals Impact of COVID-19 on the Mental Health of Medical Students in Portugal

2021 ◽  
Vol 11 (10) ◽  
pp. 986
Author(s):  
Ricardo Campos ◽  
Vânia Pinto ◽  
Daniela Alves ◽  
Celina Pires Rosa ◽  
Henrique Pereira
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Negative Impact ◽  
Statistical Processing ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Anonymous Questionnaire ◽  
The Impact ◽  
Academic Year

(1) Background: The purpose of this article is to assess the impact of the COVID-19 pandemic on the mental health of medical students in Portugal in the period after returning to face-to-face classes during the COVID-19 pandemic, in the 2020/2021 academic year. (2) Methods: We conducted an observational, descriptive, and cross-sectional study, between December 2020 and February 2021 with a representative sample of Portuguese medical students (n = 649), applying an anonymous questionnaire which was composed by a sociodemographic characterization, The Brief Symptoms Inventory–18, The Fear of COVID-19 Scale and the Negative Impact Assessment Scale. For statistical processing, Statistical Package for Social Sciences (SPSS ©) was used. (3) Results: 65.3% of participants said that self-perceived relevant anxiety symptoms, and around 10% said that they had a physical or a mental illness diagnosis. Significant differences (p < 0.05) were found for Fear of COVID-19, Somatization, Anxiety and Overall Mental Health, indicating that women, students from the 1st and last years of training had higher scores. Age, year of training, Fear of COVID-19 and Negative Impact of COVID-19 were significant predictors of overall mental health. (4) Conclusion: In our sample of Portuguese medical students, age, year of training, but mostly fear of COVID-19 and the negative impact of COVID-19 contributed to mental health symptoms.

scholarly journals “Breaking the silence”: Sexual victimisation in an old age psychiatry patient population in Flanders

2021 ◽  
Author(s):  
Anne Nobels ◽  
Ines Keygnaert ◽  
Egon Robert ◽  
Christophe Vandeviver ◽  
An Haekens ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Old Age ◽  
Health Care Professionals ◽  
Mental Health Problems ◽  
Physical Contact ◽  
Screening Tools ◽  
Face To Face ◽  
Old Age Psychiatry

AbstractBackgroundSexual violence (SV) is linked to mental health problems in adulthood and old age. However, the extent of sexual victimisation in old age psychiatry patients is unknown. Due to insufficient communication skills in both patients and healthcare workers, assessing SV in old age psychiatry patients is challenging.MethodsBetween July 2019 and March 2020, 100 patients at three old age psychiatry wards across Flanders participated in a face-to-face structured interview receiving inpatient treatment. The participation rate was 58%. We applied the WHO definition of SV, encompassing sexual harassment, sexual abuse with physical contact without penetration, and (attempted) rape.OutcomesIn 57% of patients (65% F, 42% M) SV occurred during their lifetime and 7% (6% F, 9% M) experienced SV in the past 12-months. Half of the victims disclosed their SV experience for the first time during the interview. Only two victims had disclosed SV to a mental health care professional before.InterpretationSexual victimisation appears to be common in old age psychiatry patients, yet it remains largely undetected. Although victims did reveal SV during a face-to-face interview to a trained interviewer, they do not seem to spontaneously disclose their experiences to mental health care professionals. In order to provide tailored care for older SV victims, professionals urgently need capacity building through training, screening tools and care procedures.

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