scholarly journals The mental health of staff working on Intensive Care Units over the COVID-19 winter surge of 2020 in England: a cross sectional survey.

2022 ◽  
Author(s):  
Charlotte Elizabeth Hall ◽  
Joanna Milward ◽  
Cristina Spoiala ◽  
Jaskiran Kaur Bhogal ◽  
Dale Weston ◽  
...  
Keyword(s):  
Mental Health ◽  
Functional Impairment ◽  
Care Delivery ◽  
Mental Health Disorders ◽  
Poor Mental Health ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Disorders ◽  
Threshold Criteria

Background: The COVID-19 pandemic generated a surge of critically ill patients greater than the NHS capacity. Additionally there have been multiple well-documented impacts associated with the national COVID-19 pandemic surge on ICU workers including an increased prevalence of mental health disorders on a scale potentially sufficient to impair high-quality care delivery. Aim: To identify prevalence of probable mental health disorders, functional impairment and establish demographic and professional predictors of probable mental health disorders, and functional impairment, in ICU staff between November 2020 to April 2021. Methods: English ICU staff were surveyed before, during and after the winter 2020/2021 surge using a survey which comprised of validated measures of mental health. Results: 6080 surveys were completed, by nurses (57.5%), doctors (27.9%), and other healthcare staff (14.5%). Reporting probable mental health disorders increased from 51% (prior to), to 64% (during) and then dropped to 46% (after) the peak. Younger, less experienced and nursing staff were most likely to report probable mental health disorders. Additionally, during and after the winter, over 50% of participants met threshold criteria for functional impairment. Staff who reported probable post-traumatic stress disorder, anxiety or depression were more likely to meet threshold criteria for functional impairment. Conclusions: The winter of 2020/2021 was associated with an increase in poor mental health outcomes and functional impairment during a period of peak caseload. These effects are likely to impact on patient care outcomes and the longer-term resilience of the healthcare workforce.

scholarly journals Cerebral malaria is associated with long-term mental health disorders: a cross sectional survey of a long-term cohort

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Richard Idro ◽  
Angelina Kakooza-Mwesige ◽  
Benjamin Asea ◽  
Keron Ssebyala ◽  
Paul Bangirana ◽  
...  
Keyword(s):  
Mental Health ◽  
Cerebral Malaria ◽  
Mental Health Disorders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Disorders

scholarly journals Mental health stigma in Ukraine: cross-sectional survey

2021 ◽  
Vol 8 ◽  
Author(s):  
Eleanor Quirke ◽  
Vitalii Klymchuk ◽  
Orest Suvalo ◽  
Ioannis Bakolis ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Health Knowledge ◽  
Mental Health Disorders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Disorders ◽  
Mental Health Knowledge ◽  
Intended Behaviour

Abstract Background and study objectives This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders. Methodology A cross-sectional survey of Ukrainian adults aged 18–60 was conducted. Stigma-related mental health knowledge was measured using the mental health knowledge schedule. Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. The Reported and Intended Behaviour scale was used to assess past and future intended behaviour towards people with mental health disorders. Results Associations between gender, age, and educational level and the knowledge and attitudes measures were identified. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021–0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% CI 0.0733 to −0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090–0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295–1.215) attitudes towards people with mental health problems. Conclusion Overall, the findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, although this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective.

scholarly journals Validation of screening tools for common mental health disorders in the methadone maintenance population in Hanoi, Vietnam

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anisa Y. Mughal ◽  
Melissa A. Stockton ◽  
Quynh Bui ◽  
Vivian Go ◽  
Tran Viet Ha ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Methadone Maintenance ◽  
Mental Health Disorders ◽  
Screening Tools ◽  
Generalized Anxiety ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Health Disorders

Abstract Background Common mental health disorders (CMDs), including depression, anxiety and post-traumatic stress disorder (PTSD) may worsen both HIV and drug use outcomes, yet feasible tools to accurately identify CMDs have received limited study in this population. We aimed to validate the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder screen (GAD-7) and Primary Care PTSD screen for DSM-5 (PC-PTSD-5) in a methadone maintenance therapy (MMT) patient population in Hanoi, Vietnam. Methods We conducted a cross-sectional survey. The PHQ-9, GAD-7, and PC-PTSD-5 were administered to MMT patients. A blinded interviewer administered the Mini-International Neuropsychiatric Interview (MINI) as the reference gold standard. Total scores of each tool were compared with the MINI diagnoses using a receiver operating characteristic curves, and we identified the optimal respective cut-off scores using the Youden’s Index. Results We enrolled 400 MMT patients. Approximately 99.3% were male (n = 397) and 21.8% (n = 87) were HIV positive. The prevalence of major depressive disorder, generalized anxiety disorder and PTSD, respectively, was 10.5, 4 and 2%. Optimal cut-off scores for the PHQ-9, GAD-7 and PC-PTSD were ≥ 5, ≥3, and ≥ 4 with a sensitivity/specificity of 95.2%/91.9, 93.8%/87.5, and 62.5%/95.2%. Conclusions The prevalence of CMDs in the MMT population was lower than expected. A lower cut-off score may be considered when screening for CMDs in this population. Further research should investigate the validity of somatic symptom-based screening tools among other drug-using or MMT populations.

Association between physical multimorbidity, body mass index and mental health/disorders in a representative sample of people with obesity

2019 ◽  
Vol 73 (9) ◽  
pp. 874-880 ◽  
Author(s):  
Ahmed Jérôme Romain ◽  
Jacques Marleau ◽  
Aurelie Baillot
Keyword(s):  
Mental Health ◽  
Representative Sample ◽  
Canadian Community Health Survey ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Cross Sectional ◽  
Obesity Class ◽  
Health Studies ◽  
Health Disorders

BackgroundObesity is known to be associated with poor mental health. Studies suggested that multimorbidity might explain the consequences of obesity on mental health. The objective of the present study was to examine to what extent physical multimorbidity and the severity of obesity were associated with mental health and with mental disorders.MethodsCross-sectional study including a weighted representative sample of individuals in obesity from the province of Quebec included in the 2013–2014 Canadian Community Health Survey (N=1315) and test of the replicability of the association in the three previous cycles (2011–2012, N=1180; 2009–2010, N=1166; 2007–2008, N=1298).ResultsAdjusted logistic regressions showed that when obesity classes and physical multimorbidity were considered, the latter was preferentially associated with poor perceived mental health (OR 3.58, 95% CI 2.07 to 6.22), psychological distress (OR 3.71, 95% CI 2.14 to 6.42), major depressive episode (OR 5.16, 95% CI 2.92 to 9.13), mood disorders (OR 2.31, 95% CI 1.41 to 3.78) and anxiety disorders (OR 2.46, 95% CI 1.46 to 4.16). The same associations were confirmed in the previous cycles. Obesity class was only associated with stress (OR 2.05, 95% CI 1.36 to 3.07), but this association was not confirmed in the other cycles. Both physical multimorbidity and severe obesity were associated with mental multimorbidity.ConclusionAmong people with obesity, physical multimorbidity is preferentially associated with poor mental health/disorders. There is an existence of a somatic-mental multimorbidity which should be assessed and prevented in the management of obesity.

scholarly journals Prevalence and Comorbidity of Depression and Anxiety among Medical Students in Babcock University, Ogun State, Nigeria

2021 ◽  
pp. 46-55
Author(s):  
Naomi A. Dike-Israel ◽  
Dora O. Akinboye
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Survey Design ◽  
Mental Health Disorders ◽  
Strong Positive Correlation ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Ogun State ◽  
Health Disorders

Background: Depression and anxiety are mental health disorders which both result in high negative affect and are two of the most common mental health disorders globally. Stress is one factor implicated in the cause and aggravation of such mental disorders. Medicine is among some of the most stressful courses that a student can undertake in the university. Aim: The aim of the study was to determine the prevalence and comorbidity of depression and anxiety among medical students in Ogun state, Nigeria. Study Design: Cross-sectional survey design Methodology: 225 medical students (MBBS) aged 15-26 (mean: 19.09±2.14), majority of whom were female (69.8%), attending a private university in Ogun state participated in the study. The levels of depression and anxiety were assessed by administering an instrument comprising of the Beck Depression Inventory-II (BDI-II) and the Beck Anxiety Inventory (BAI). Results: Findings indicated a prevalence of depression (moderate: 16.0%, severe: 9.8%) and anxiety (moderate: 11.1%, severe: 17.3%). The study revealed significant gender differences in the manifestation of depression (male: 19.1%, female: 28.7%) and anxiety (male: 13.3%, female: 35.0%) indicating that female students are more likely to be diagnosed with both disorders. The study identified a strong positive correlation between depression and anxiety in medical students (r = 0.803). Conclusion: Depression and anxiety are significantly prominent disorders among medical students. Therefore, sensitization and periodic mental health screening for medical students should be carried out to ensure optimal health.

scholarly journals Elucidating Mental Health Disorders among Rohingya Refugees: A Malaysian Perspective

2020 ◽  
Vol 17 (18) ◽  
pp. 6730
Author(s):  
Kushilpal Kaur ◽  
Ahmad Hatim Sulaiman ◽  
Chee Kok Yoon ◽  
Aili Hanim Hashim ◽  
Manveen Kaur ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Food Insecurity ◽  
Religious Orientation ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Health Disorders

Mental health disorders (MHDs) among refugees has been recognized as a major public health issue. However, to date, there is limited evidence on the prevalence of MHDs among Rohingya refugees in Malaysia. This study aimed to examine the prevalence and associated factors of major depressive disorder (MDD), generalized anxiety disorder (GAD), and post-traumatic stress disorder (PTSD) among Rohingya refugees in Malaysia. A total of 220 refugees were randomly selected to participate in this cross-sectional study, conducted from June 2019 to November 2019. Perceived social support, religious orientation, food security, and sociodemographic characteristics were assessed as independent variables. The dependent variables assessed were MDD, GAD, and PTSD. The prevalence of GAD, PTSD, and MDD was reported at 92 (41.8%), 84 (38.2%), and 71 (32.3%). Several factors were significantly associated with MDD following multivariate analysis such as perceived low to moderate social support (AOR = 2.17; 95% CI 1.13, 4.19) and food insecurity (AOR = 2.77; 95% CI 1.19, 6.47). Exposure to violence (AOR = 38.46; 95% CI 16.27, 90.91) and food insecurity (AOR = 3.74; 95% CI 1.41, 9.91) were significantly associated with PTSD. Addressing these risk factors could be key in improving mental health outcomes among this vulnerable population.

scholarly journals Toxoplasmosis, but not borreliosis, is associated with psychiatric disorders: A cross-sectional survey on 46 thousand of subjects

2017 ◽  
Author(s):  
Jaroslav Flegr ◽  
Jiří Horáček
Keyword(s):  
Mental Health ◽  
Mental Health Disorders ◽  
Internet Survey ◽  
World Population ◽  
Negative Effects ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Substantial Role ◽  
Increased Risk ◽  
Health Disorders

ABSTRACTInfection by the parasite Toxoplasma, which affects about 33% of world population, is associated with increased risk of several mental health disorders, the most strongly with schizophrenia. It is unknown whether toxoplasmosis really plays a substantial role in the etiopathogenesis of these disorders and whether schizophrenia is associated with this infection the most strongly, or whether this association has just been the most intensively studied for historical reasons. We used the data from 3,440 and 7,800 subjects tested for toxoplasmosis and borreliosis, respectively, who took part in an internet survey, for searching in the associations of these infections with 22 mental health disorders and other indices of impaired mental health. The typical symptom associated with toxoplasmosis was anxiety, and the typical toxoplasmosis-associated disorders were autism (OR=4.86), schizophrenia (OR=3.34), attention deficit hyperactivity disorder (OR=3.02), Asperger syndrome (OR=2.49), antisocial personality disorder (OR=1.81), OCD (OR=1.69), and anxiety disorder (OR=1.57). Borreliosis was associated only with symptoms of depression and with major depression (OR=1.65). The negative effects of borreliosis were detectable only in the Toxoplasma-infected subjects. Toxoplasmosis could play a substantial role in the etiopathogenesis of mental health disorders and its association with schizophrenia is the second strongest association, after autism.

Prevalence of Depression, Anxiety and Stress in Medical Students, interns and residents in Pakistan

2021 ◽  
Vol 15 (9) ◽  
pp. 2333-2336
Author(s):  
Anum Arif ◽  
Minahil Iram ◽  
Sabih Nofal ◽  
Aima Sohail ◽  
Bismah Riaz ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Severe Depression ◽  
Poor Mental Health ◽  
Military Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Interns And Residents ◽  
The Mean

Aim: To assess prevalence of Depression, Anxiety, Stress in medical students, interns, and residents in Pakistan Study design: Cross-sectional Survey (Questionnaire) based study. Place and duration of study: This study was conducted at Combined Military Hospital Lahore Medical College from March 2020 to May 2020. Results: 104 participants were included in the study. There was female predominance 58(55.8%), and the mean age was 23.55±1.42. The overall mean score of depression and anxiety was 21.2±12.67 and 15.7±10.67 respectively and most prevalent in third and fourth-year residents. The mean stress score was 13.7, 10. 27. Twenty-eight (26.9%) of the overall participants had extremely severe depression, 36 (34.6 %) had extremely severe anxiety and 13(12.5%) had severe stress. Doctors studying and practicing in the private sector have a higher DASS21 score (p = < 0.006) Conclusion: Multiple factors have been found to contribute to the poor mental health of health care workers, including financial trouble, sleep deprivation, abuse from colleagues, high expectations, female gender, broken relationships, and substance misuse. Keywords: Anxiety Disorders, Depression, Medical, Mental Health Problem Solving, Psychological Distress,

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