Association between long-term stressors and mental health distress following the 2013 Moore tornado: a pilot study

2019 ◽  
Vol 18 (2) ◽  
pp. 124-134 ◽  
Author(s):  
Lauren A. Clay ◽  
Alex Greer
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Pilot Study ◽  
Resource Loss ◽  
Content Type ◽  
Disaster Experience ◽  
Health Distress ◽  
Mental Health Distress ◽  
Post Disaster

PurposeStress has considerable impacts on human health, potentially leading to issues such as fatigue, anxiety and depression. Resource loss, a common outcome of disasters, has been found to contribute to stress among disaster survivors. Prior research focuses heavily on clinical mental health impacts of disaster experience, with less research on the effect of cumulative stress during long-term recovery. To address this gap, the purpose of this paper is to examine the influence of stressors including resource loss and debt on mental health in a sample of households in Moore, Oklahoma, impacted by a tornado in 2013.Design/methodology/approachFor this pilot study, questionnaires were mailed to households residing along the track of the May 2013 tornado in Moore, OK. Descriptive statistics were calculated to report sample characteristics and disaster experience. Independent associations between disaster losses and demographic characteristics with the outcome mental health were examined withχ2and unadjusted logistic regression analysis. Adjusted logistic regression models were fit to examine resource loss and mental health.FindingsFindings suggest that the tornado had considerable impacts on respondents: 56.24 percent (n=36) reported that their homes were destroyed or sustained major damage. Greater resource loss and debt were associated with mental health distress during long-term recovery from the Moore, OK, 2013 tornadoes.Research limitations/implicationsThe association between resource loss and mental health point to a need for interventions to mitigate losses such as bolstering social support networks, incentivizing mitigation and reducing financial constraints on households post-disaster.Originality/valueThis study contributes to a better understanding of long-term, accumulated stress post-disaster and the impact on health to a literature heavily focused on clinical outcomes.

scholarly journals Prevalence and Predictors of Mental Health Distress Post-Katrina: Findings From the Gulf Coast Child and Family Health Study

2008 ◽  
Vol 2 (2) ◽  
pp. 77-86 ◽  
Author(s):  
David Abramson ◽  
Tasha Stehling-Ariza ◽  
Richard Garfield ◽  
Irwin Redlener
Keyword(s):  
Mental Health ◽  
Hurricane Katrina ◽  
Gulf Coast ◽  
Short Form ◽  
Mental Component Summary Score ◽  
Health Study ◽  
Health Distress ◽  
Mental Health Distress

ABSTRACTBackground: Catastrophic disasters often are associated with massive structural, economic, and population devastation; less understood are the long-term mental health consequences. This study measures the prevalence and predictors of mental health distress and disability of hurricane survivors over an extended period of recovery in a postdisaster setting.Methods: A representative sample of 1077 displaced or greatly affected households was drawn in 2006 using a stratified cluster sampling of federally subsidized emergency housing settings in Louisiana and Mississippi, and of Mississippi census tracts designated as having experienced major damage from Hurricane Katrina in 2005. Two rounds of data collection were conducted: a baseline face-to-face interview at 6 to 12 months post-Katrina, and a telephone follow-up at 20 to 23 months after the disaster. Mental health disability was measured using the Medical Outcome Study Short Form 12, version 2 mental component summary score. Bivariate and multivariate analyses were conducted examining socioeconomic, demographic, situational, and attitudinal factors associated with mental health distress and disability.Results: More than half of the cohort at both baseline and follow-up reported significant mental health distress. Self-reported poor health and safety concerns were persistently associated with poorer mental health. Nearly 2 years after the disaster, the greatest predictors of poor mental health included situational characteristics such as greater numbers of children in a household and attitudinal characteristics such as fatalistic sentiments and poor self-efficacy. Informal social support networks were associated significantly with better mental health status. Housing and economic circumstances were not independently associated with poorer mental health.Conclusions: Mental health distress and disability are pervasive issues among the US Gulf Coast adults and children who experienced long-term displacement or other serious effects as a result of Hurricanes Katrina and Rita. As time progresses postdisaster, social and psychological factors may play greater roles in accelerating or impeding recovery among affected populations. Efforts to expand disaster recovery and preparedness policies to include long-term social re-engagement efforts postdisaster should be considered as a means of reducing mental health sequelae. (Disaster Med Public Health Preparedness. 2008;2:77–86)

Recommendations for a “Recovery” orientated apprenticeships scheme in mental health: a literature review

2015 ◽  
Vol 10 (3) ◽  
pp. 180-188 ◽  
Author(s):  
John Sapani
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Mental Disorder ◽  
Return To Work ◽  
Supported Employment ◽  
Outcome Evaluation ◽  
Cochrane Library ◽  
Content Type ◽  
Health Distress ◽  
Mental Health Distress

Purpose – Recovery principles have been central to debates in both the government and the mental health field, when thinking about the best way to support people who have experienced mental health distress into employment and education. The purpose of this paper is to review how this principle has been employed within the most effective approaches. This information will contribute to the development of the South London and Maudsley (SLaM) NHS Foundation Trust apprenticeship/return-to-work scheme for people who have experienced mental health distress. Design/methodology/approach – NHS evidence was used to undertake searches journals on CINAHL, EMBASE, PsycINFO, MEDLINE, HMIC, AMED, BNI, HEALTH BUSINESS ELITE and the Cochrane Library. Common search terms used were as follows: apprentice*; mental illness*; mental disorder*; psychiatric; psychosis; chronic mental disorder*; patient*; service user*; client*; return to work schemes; work; employment; unemployment; peer worker*; supported employment; vocational rehabilitation; peer training*; outcome measure*; recovery. Findings – Although the available literature writing about these employment schemes were not explicit in using Recovery as its guiding principle (i.e. Hope, Control and Opportunity), many of the participants in studies about a particular type of supported employment called Individual Placement Support (IPS) referred to recovery concepts in their narrative accounts, i.e. doing work that is meaningful, building self-esteem. This particular type of employment scheme was shown to have better outcomes for people who have experienced mental health difficulties then others schemes. The importance of employers having systems in place to support people’s control/self-management of their mental health condition was a key factor in helping them retain jobs once they have got them. Originality/value – The SLaM education and training service plans to develop a return to work programme for people who have had lived experience of mental health distress, through a workforce skills apprenticeships scheme. This is first apprenticeship scheme of this type in London. Therefore, this paper will review the literature on previous and current employment programmes for people who have experienced mental health distress, specifically highlighting what has worked well and what could be improved. This paper will also draw on the literature presented in this review and conclude on key points, which will contribute to the development of SLaM’s apprenticeships scheme. This literature review will form the basis of further research about the outcome/evaluation of the actual apprenticeship scheme after the first year.

Prevalence of Self-Reported Depression Symptoms and Perceived Anxiety Among Community-Dwelling U.S. Adults Reporting Tinnitus

2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson
Keyword(s):  
Mental Health ◽  
Fold Increase ◽  
Community Dwelling ◽  
Self Report ◽  
Depression Symptoms ◽  
Community Based Interventions ◽  
Data Set ◽  
Health Distress ◽  
Validated Questionnaire ◽  
Mental Health Distress

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475

Five-year Psychosocial Impact of Living in Post-Disaster Prefabricated Temporary Housing

2021 ◽  
pp. 1-31
Author(s):  
Tetsuya Akaishi ◽  
Tomomi Suzuki ◽  
Harumi Nemoto ◽  
Yusuke Utsumi ◽  
Moe Seto ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Interaction ◽  
The Other ◽  
Temporary Housing ◽  
Psychiatric Status ◽  
History Of ◽  
Psychosocial Conditions ◽  
Long Term Impact ◽  
Post Disaster

Abstract Objective: This study aims to evaluate the long-term impact of living in post-disaster prefabricated temporary housing on social interaction activities and mental health status. Methods: A total of 917 adult residents in a coastal town, whose residences were destroyed by the tsunami caused by the Great East Japan Earthquake (GEJE), were enrolled for the assessment held five years after the disaster. They answered questions about their experience and consequence of living in prefabricated temporary housing after the disaster. Their present scores on five types of self-reported measures regarding the psychosocial or psychiatric status and their present and recalled social interaction activities were cross-sectionally collected. Results: A total of 587 (64.0%) participants had a history of living in prefabricated temporary housing, while the other 330 (36.0%) had not. The prevalence of social interaction activities significantly decreased after the GEJE. However, the experience of living in prefabricated temporary housing did not adversely affect the subsequent social interaction activities or mental conditions of the participants five years after the disaster. Conclusions: Living in post-disaster prefabricated temporary housing may not negatively impact subsequent psychosocial conditions or social interaction activities five years later.

Investigation of depression, anxiety and stress levels of health-care students during COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Obay A. Al-Maraira ◽  
Sami Z. Shennaq
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Self Report ◽  
Negative Effects ◽  
Psychological Counseling ◽  
Cross Sectional ◽  
Content Type ◽  
Health Care Students ◽  
Stress Levels

Purpose This study aims to determine depression, anxiety and stress levels of health-care students during coronavirus (COVID-19) pandemic according to various socio-demographic variables. Design/methodology/approach This cross-sectional study was conducted with 933 students. Data were collected with an information form on COVID- 19 and an electronic self-report questionnaire based on depression, anxiety and stress scale. Findings Findings revealed that 58% of the students experienced moderate-to-extremely severe depression, 39.8% experienced moderate-to-extremely severe anxiety and 38% experienced moderate-to-extremely severe stress. Practical implications Educational administrators can help reduce long-term negative effects on students’ education and mental health by enabling online guidance, psychological counseling and webinars for students. Originality/value This paper is original and adds to existing knowledge that health-care students’ depression, anxiety and stress levels were affected because of many factors that are not yet fully understood. Therefore, psychological counseling is recommended to reduce the long-term negative effects on the mental health of university students.

Marketing dispossession

2017 ◽  
Vol 35 (1) ◽  
pp. 112-127 ◽  
Author(s):  
Paul Sergius Koku ◽  
Hannah Emma Acquaye
Keyword(s):  
Mental Health ◽  
Financial Institutions ◽  
Mental State ◽  
Well Being ◽  
Small Sample ◽  
Real Property ◽  
Content Type ◽  
Alternative Approach ◽  
Hard Times

Purpose The purpose of this paper is to examine the mental state and the disposition of those who have fallen on hard times during the recent financial crisis and have had their homes foreclosed on or their automobiles repossessed. It also proposes an alternative process for dispossessing individuals that preserves the mental health of such individuals and the banks’ reputation. Design/methodology/approach This study uses the hermeneutics approach to analyze the predicament of those whose homes have been foreclosed on or whose properties have been repossessed by financial institutions to better understand their predicament. Findings Those whose homes have been foreclosed on or whose properties have been repossessed by financial institutions are traumatized. They feel victimized, bitter, helpless and hopeless and have poor mental state. The study draws on theories in counseling psychology to propose an alternative approach to making loans that take long time to be repaid (long-term loans), and for repossessing personal properties such as automobiles and for foreclosing on real property (homes). Research limitations/implications As a qualitative study based on a small sample, the findings of the study are limited to only those who have been studied. A further study that leads to a generalized result will be useful. Practical implications The study develops a practical framework that could be useful to financial institutions in making long-term loans and to foreclose on delinquent loans (i.e. to dispossess individuals). Social implications The proposed strategy, if implemented, could have a significant positive impact on the mental well-being of those who have fallen on financial hard times. Originality/value To the best of the knowledge, this is the first marketing paper that has explored the mental health of those who have defaulted on loans, and has proposed an alternative approach to making long-term loans that not only preserves the mental health of banks’ customers, but also protects the reputation and market share of banks.

scholarly journals Causal Factors of Effective Psychosocial Outcomes in Online Mental Health Communities

2020 ◽  
Author(s):  
Koustuv Saha ◽  
Amit Sharma
Keyword(s):  
Mental Health ◽  
Online Community ◽  
Psychosocial Outcomes ◽  
Case Control ◽  
Case Control Studies ◽  
Causal Factors ◽  
Health Distress ◽  
Health Communities ◽  
Mental Health Distress ◽  
And Control

Online mental health communities enable people to seek and provide support, and growing evidence shows the efficacy of community participation to cope with mental health distress. However, what factors of peer support lead to favorable psychosocial outcomes for individuals is less clear. Using a dataset of over 300K posts by ∼39K individuals on an online community TalkLife, we present a study to investigate the effect of several factors, such as adaptability, diversity, immediacy, and the nature of support. Unlike typical causal studies that focus on the effect of each treatment, we focus on the outcome and address the reverse causal question of identifying treatments that may have led to the outcome, drawing on case-control studies in epidemiology. Specifically, we define the outcome as an aggregate of affective, behavioral, and cognitive psychosocial change and identify Case (most improved) and Control (least improved) cohorts of individuals. Considering responses from peers as treatments, we evaluate the differences in the responses received by Case and Control, per matched clusters of similar individuals. We find that effective support includes complex language factors such as diversity, adaptability, and style, but simple indicators such as quantity and immediacy are not causally relevant. Our work bears methodological and design implications for online mental health platforms, and has the potential to guide suggestive interventions for peer supporters on these platforms.

London Fire Brigade's screen and treat approach to the Grenfell Tower incident

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Craig Steel ◽  
Zoe Travers ◽  
Lynette Meredith ◽  
Deborah Lee ◽  
Michael Conti ◽  
...  
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Stress Disorder ◽  
National Guidelines ◽  
Line Managers ◽  
Content Type ◽  
Health Response ◽  
The Uk ◽  
Post Disaster ◽  
Practical Implications

PurposeThe purpose is to report on the mental health response to the Grenfell incident within the London Fire Brigade (LFB).Design/methodology/approachThe LFB implemented screening for the symptoms of posttraumatic stress disorder (PTSD) at 28 days, 3 months and 6 months for all personnel directly involved in the incident.FindingsThe prevalence of PTSD within frontline personnel was 13.4% at 28 days, falling to 7.6% at 6 months. The LFB's internal Counselling and Wellbeing Service offered treatment to those scoring above the cut-off for PTSD along with accepting self-referral and referrals from line managers and occupational health. There were 139 referrals within the 12-month period following the incident.Research limitations/implicationsThe outcomes for those who engaged in treatment are broadly in line with other studies evaluating post-disaster interventions. Issues for consideration within national guidelines are discussed.Practical implicationsThe screen and treat approach adopted by LFB was shown to be a feasible approach to use within such a scenario.Originality/valueThe current study reports on a screen and treat approach to one of the largest single incidents in the UK in recent years.

Does Assessment Method Matter in Detecting Mental Health Distress among Ashkenazi and Mizrahi Israeli Women with Breast Cancer?

2020 ◽  
Vol 45 (2) ◽  
pp. 101-109
Author(s):  
Ora Nakash ◽  
Leeat Granek ◽  
Michal Cohen ◽  
Gil Bar-Sela ◽  
David Geffen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Anxiety Disorder ◽  
Ethnic Groups ◽  
Assessment Method ◽  
Diagnostic Interview ◽  
Health Distress ◽  
Significant Difference ◽  
Structured Diagnostic Interview ◽  
Mental Health Distress

Abstract Authors examined differences in assessment method (structured diagnostic interview versus self-report questionnaire) between ethnic groups in the prevalence of mood and anxiety disorders among women with breast cancer. A convenience sample of 88 Mizrahi (Jews of Middle Eastern/North African descent, n = 42) and Ashkenazi (Jews of European/American descent, n = 46) women with breast cancer from oncology units in three health centers across Israel participated in the study. Participants were within eight months of diagnosis. Participants completed the Hospital Anxiety and Depression Scale (HADS) and a structured diagnostic interview, the Mini-International Neuropsychiatric Interview (MINI). Approximately one-third (31.8 percent, n = 28) of participants were diagnosed with at least one mood or anxiety disorder based on the MINI. Significantly more Mizrahi participants (42.9 percent) were diagnosed with at least one mood or anxiety disorder, compared with their Ashkenazi counterparts (21.7 percent). Mean score on HADS was below the optimal cutoff score (≥13) among all participants, with no significant difference in mean score for emotional distress based on HADS between the two ethnic groups. The findings highlight the role of measurement variance in assessing mental health distress among women with breast cancer in general and among ethnic and racial minorities in particular.

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