scholarly journals Socioeconomic, religious, spiritual and health factors associated with symptoms of common mental disorders: a cross-sectional secondary analysis of data from Bhutan’s Gross National Happiness Study, 2015

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018202 ◽  
Author(s):  
Gyambo Sithey ◽  
Mu Li ◽  
Li Ming Wen ◽  
Patrick J Kelly ◽  
Kelly Clarke
Keyword(s):  
Risk Factors ◽  
Mental Disorders ◽  
Low Income ◽  
Common Mental Disorders ◽  
General Health Questionnaire ◽  
Cross Sectional ◽  
Gross National Happiness ◽  
Factors Associated ◽  
Health Factors ◽  
National Happiness

ObjectiveCommon mental disorders (CMDs) are a major cause of the global burden of disease. Bhutan was the first country in the world to focus on happiness as a state policy; however, little is known about the prevalence and risk factors of CMDs in this setting. We aim to identify socioeconomic, religious, spiritual and health factors associated with symptoms of CMDs.Design and settingWe used data from Bhutan’s 2015 Gross National Happiness (GNH) Survey, a multistage, cross-sectional nationwide household survey. Data were analysed using a hierarchical analytical framework and generalised estimating equations.ParticipantsThe GNH Survey included 7041 male and female respondents aged 15 years and above.MeasuresThe 12-item General Health Questionnaire was used to measure symptoms of CMDs. We estimated the prevalence of CMDs using a threshold score of ≥12.ResultsThe prevalence of CMDs was 29.3% (95% CI 26.8% to 31.8%). Factors associated with symptoms of CMDs were: older age (65+) (β=1.29, 95% CI 0.57 to 2.00), being female (β=0.70, 95% CI 0.45 to 0.95), being divorced or widowed (β=1.55, 95% CI 1.08 to 2.02), illiteracy (β=0.48, 95% CI 0.21 to 0.74), low income (β=0.37, 95% CI 0.15 to 0.59), being moderately spiritual (β=0.61, 95% CI 0.34 to 0.88) or somewhat or not spiritual (β=0.76, 95% CI 0.28 to 1.23), occasionally considering karma in daily life (β=0.53, 95% CI 0.29 to 0.77) or never considering karma (β=0.80, 95% CI 0.26 to 1.34), having poor self-reported health (β=2.59, 95% CI 2.13 to 3.06) and having a disability (β=1.01, 95% CI 0.63 to 1.40).ConclusionsCMDs affect a substantial proportion of the Bhutanese population. Our findings confirm the importance of established socioeconomic risk factors for CMDs, and suggest a potential link between spiritualism and mental health in this setting.

scholarly journals Prevalence and Associated Factors of Common Mental Disorders in Women: A Systematic Review

2021 ◽  
Vol 42 ◽  
Author(s):  
Héllyda de Souza Bezerra ◽  
Roberta M. Alves ◽  
Aryelly Dayanne d. Nunes ◽  
Isabelle R. Barbosa
Keyword(s):  
Mental Disorders ◽  
Low Income ◽  
Associated Factors ◽  
Web Of Science ◽  
Common Mental Disorders ◽  
Risk Of Bias ◽  
Adult Women ◽  
Cross Sectional ◽  
Factors Associated ◽  
Low Education

Objectives: To identify the prevalence and factors associated with common mental disorders in adult women.Methods: Searches were carried out in the PubMed, Web of Science, Science Direct, Scopus, Cinahl, Google Scholar and Open Gray databases. The study protocol was registered with PROSPERO under number CRD42020168231. Cross-sectional studies showing the prevalence of common mental disorders in women over 18 years were included. Studies with men, children and pregnant women of another age group and with other mental disorders and other types of studies were excluded. The Joanna Briggs Institute checklist was used to assess the risk of bias.Results: Nineteen studies were included in this review. The prevalence of CMD ranged from 9.6% to 69.3%. The main associated factors were unemployment, indebtedness, low income, being a housewife, smoking, low education, poor self-rated health, being single, divorced or widowed. The risk of bias in the studies was classified as low and moderate.Conclusion: This review revealed a variable prevalence rate of CMD in adult women. Public policies are needed to create strategies to prevent the mental illness of these women.

scholarly journals Factors Associated with Anxiety and Depression among African American and White Women

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Kalycia Trishana Watson ◽  
Nehezi M. Roberts ◽  
Milda R. Saunders
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
White Women ◽  
General Health Questionnaire ◽  
Significant Risk ◽  
Depression And Anxiety ◽  
Neighborhood Poverty ◽  
Factors Associated ◽  
Self Rated Health ◽  
Multivariable Analyses

Background. We examined factors associated with depression and anxiety in a cohort of low-income Baltimore women. Methods. We used Pathways to Adulthood data, a cohort of adults aged 27 to 33 who were born in Baltimore between 1960 and 1965. Our outcomes were a score of >4 on the General Health Questionnaire (GHQ-28) across the depression or anxiety domains. Linear regression clustered on census tract was used for multivariate analysis. Results. In multivariable analyses, unmarried women, White women, those with lower self-rated health, and younger mothers had higher depression scores. Only lower self-rated health and White race were associated with a higher anxiety score. Neither neighborhood poverty nor racial composition was a predictor for anxiety or depression; however, the significant risk factors cluster in disadvantaged neighborhoods. Conclusion. Our work highlights the importance of universal screening for depression or anxiety with more in-depth surveillance based on risk factors rather than on race.

scholarly journals Prevalence and risk factors associated with common mental disorders among medical students

2019 ◽  
Vol 14 (41) ◽  
pp. 1911
Author(s):  
Amine Selim de Salles Gonçalves Melado ◽  
Filipe Alvarenga Caetano Vitorino ◽  
Ana Rosa Murad Szpilman ◽  
Wanêssa Lacerda Poton
Keyword(s):  
Risk Factors ◽  
Medical Students ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Preventive Actions ◽  
Self Reporting Questionnaire

Objective: To identify the prevalence of common mental disorders (CMD) in medical students at Vila Velha University (UVV), ES, and its associated factors. Methods: A cross-sectional study was conducted with 360 medical students from February to April 2018. A self-administered, confidential and online questionnaire was used, including sociodemographic, economic data, family support, friends’ network, physical activity and academic performance, as well as Self-Reporting Questionnaire (SRQ-20). Statistical analysis was performed using the STATA program, version 13.0. The Ethics Committee on Research with Humans approved the study, under number 2.108.290. Results: The prevalence of CMD among students was 45.6%. Risk factors were mental disorder in the family (RR 1.24, 95% CI 1.01-1.54), poor sleep quality (RR 1.49, 95% CI 1.17-1.90), fear that impaired the academic result (RR 1.33, 95% CI 1.01-1.77), feeling rejected by friends (RR 1.45, 95% CI 1.07-1.96), thinking about giving up the course (RR 1.67, 95% CI 1.29-2.17) and physical discomfort during the test (RR 1.63, 95% CI, 1.21-2.20). Conclusions: The overall prevalence of CMD among students was high, and the risk factors were significant. It is recommended that educational institutions and responsible government agencies be able to formulate and subsidize preventive actions and care for the mental health of medical students.  

scholarly journals Common mental disorders and perinatal depressive symptoms: an integrative review

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Bruno Pereira da Silva ◽  
Paulo A R Neves ◽  
Maria Cristina Mazzaia ◽  
Maria Cristina Gabrielloni
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Low Socioeconomic Status ◽  
Common Mental Disorders ◽  
Unplanned Pregnancy ◽  
Single Mother ◽  
Cross Sectional ◽  
Perinatal Depressive Symptoms

ABSTRACT Objective: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. Methods: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. Results: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. Conclusion: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.

scholarly journals 1269Mental health among farmers and non-farmers at sugar cane industry: occupational health study in Peru

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Janina Bazalar-Palacios ◽  
Juan Carlos Bazo-Alvarez ◽  
Elaine Flores
Keyword(s):  
Mental Disorders ◽  
Occupational Health ◽  
Sugar Cane ◽  
Negative Binomial ◽  
Common Mental Disorders ◽  
General Health Questionnaire ◽  
Work Conditions ◽  
Health Study ◽  
Cross Sectional ◽  
Occupational Risk Factors

Abstract Background We compare the prevalence rates of common mental disorders symptoms between farmers and non-farmers workers of the sugarcane industry and explore the role of relevant occupational factors. Methods We conducted a cross-sectional study with an occupational health & safety focus, describing the demographic and work characteristics of farmers and non-farmer of the sugar cane industry in San Jacinto, Peru. We identified mental disorders symptoms using a local validated version of the General Health Questionnaire (GHQ-12). We explored the association between symptoms of mental disorders, work conditions and known occupational risk factors. We explored the proposed association using negative binomial regression models to estimate Ratio of means (RM) and 95% confidence intervals (95% CI). Results We assessed 281 workers; 106 (37.7%) of respondents identified themselves as farm workers. The mean GHQ-12 score for farmers and non-farmers was 3.1 and 1.3 respectively. In the adjusted multivariate models mental disorders symptom counts among farmers was more than twice higher than those of non-farmers (RM: 2.11; 95% CI: 1.48-3.01). Also, having a low monthly salary (RM: 1.39; 95% CI: 1.00-1.92), and additional working hours per week (RM: 1.02; 95% CI: 1.00-1.03) were associated with higher counts of mental disorders symptoms. Conclusions Our Findings highlight the importance of including mental health within occupational programs and early interventions tailored to this target group. Key messages Occupational hazard; Mental disorders; Sugarcane work, Farmers.

scholarly journals Evaluation of burnout and other psychological aspects in medical staff working in the Covid-19 ward and comparison with non-Covid-19 wards

2021 ◽  
Keyword(s):  
Risk Factors ◽  
Medical Staff ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Individual Performance ◽  
Psychological Aspects ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Factors Associated

Background: The Covid-19 pandemic has put unprecedented pressure on staff, and many are suffering from mental disorders and burnout. Objectives: The present study aimed to evaluate burnout and other psychological aspects in medical staff working in the Covid-19 ward and comparison with non-Covid-19 wards. Methods: This is a cross-sectional study conducted from 10 December 2020 to 16 April 2021 in the province of Qazvin. A total of 384 respondents (187 people in Covid-19 wards and 197 people in non- Covid-19 wards) were selected to participate in the study using the convenience sample method. The Maslach Burnout Inventory (MBI) and the General Health Questionnaire-28 (GHQ-28) were distributed online to all participants. Moreover, sociodemographic data and occupational conditions were collected and analyzed using appropriate statistical methods. Results: Medical staff working in Covid-19 wards had significantly higher GHQ scores compared to non-Covid-19 wards (29.82 ± 11.07 vs. 25.76 ± 11.83, p <.001, respectively). Risk factors associated with GHQ included jobs of nurses, physicians, and more shifts (p <.05). In terms of burnout subscales, the medical staff working in Covid-19 wards had significantly more depersonalization, emotional exhaustion, and lower individual performance (p <0.05). Risk factors associated with the burnout subscales included the female gender, being a nurse, being a physician, having children, confirming an infection, and changing jobs during the Covid-19 pandemic (p <0.05). Conclusion: The present study demonstrated that individual variables, along with the prevalence of Covid-19, can affect the psychological consequences of the medical staff and be considered as a risk factor for each of them.

scholarly journals Prevalence and gender differences in psychiatric disorders and DSM-IV mental disorders: a population-based study

2018 ◽  
Vol 5 (1) ◽  
pp. 1975-1985 ◽  
Author(s):  
Yousef Veisani ◽  
Ali Delpisheh ◽  
Fathola Mohamadian
Keyword(s):  
Anxiety Disorder ◽  
Mental Disorders ◽  
Psychiatric Disorders ◽  
Roc Analysis ◽  
Common Mental Disorders ◽  
General Health Questionnaire ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
Dsm Iv ◽  
The Common

Background: The early diagnosis of psychiatric disorders is critical as it improves the chance of recovery for patients. The aim of this study was to determine gender disparities in psychiatric and mental disorders in adult persons and to examine the validity of the 28-item General Health Questionnaire (GHQ-28; Persian version) in the diagnosis of patients with suspected psychiatric disorders, along with receiver operating characteristic (ROC) analysis. Materials and Methods: The cross-sectional study was conducted using cluster random sampling method in three steps. Subjects were screened by GHQ-28 and then evaluated by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) for diagnosis/classification of mental disorders. Chi-square test and independent t-test were used for statistical analysis. The ROC curve was used to assess cut-off points. Results: Of the 763 participants (aged 15 and above), 25.8% of responders demonstrated characteristics of psychological distress; the prevalence in males and females were 20.9% and 29.8%, respectively. The common mental disorders in males were anxiety disorder (18.2%), followed by any major depressive disorder (MDD) (17.4. %), and compulsive disorder (10.0%). In females, the common mental disorders were anxiety disorder (23.6%), followed by any MDD (22.7%), compulsive disorder (13.9%), phobia disorder (10.4%) and psychotic disorder (6.1%). ROC analysis showed that 91.7% of suspected persons had a mental disorder as assessed by DSM-IV-TR.  

scholarly journals Prevalence and risk factors for HIV, syphilis, hepatitis B, hepatitis C, and HTLV-I/II infection in low-income postpartum and pregnant women in Greater Metropolitan Vitória, Espírito Santo State, Brazil

2009 ◽  
Vol 25 (3) ◽  
pp. 668-676 ◽  
Author(s):  
Lucia Helena Mello de Lima ◽  
Maria Carmen Viana
Keyword(s):  
Risk Factors ◽  
Hepatitis B ◽  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Serological Tests ◽  
Cross Sectional ◽  
Espírito Santo ◽  
Factors Associated ◽  
Espirito Santo

Sexually transmitted infections during pregnancy pose a major risk to the fetus due to vertical transmission. The study's objective was to determine the prevalence of HIV, syphilis, hepatitis B and C, and HTLV-I/II infection among low-income postpartum and pregnant women treated in Greater Metropolitan Vitória, Espírito Santo State, Brazil, and the risk factors associated with these infections. A cross-sectional study was conducted from February to October 1999 assessing postpartum and pregnant women from the maternity ward of the Vitória Mercy Hospital and the Carapina Outpatient Referral Unit in the Municipality of Serra, respectively. Patients were systematically interviewed and had blood samples drawn for serological tests (HIV 1&2, VDRL, HbsAg, anti-HCV, and HTLV-I/II). A total of 534 patients (332 postpartum and 202 pregnant women) were assessed. Seroprevalence rates for the target infections in postpartum and pregnant women and the overall sample were as follows, respectively: HIV 0.9%, 0%, and 0.6%; syphilis 2.1%, 3.6%, and 2.7%; HBV 1.2%, 1%, and 1.1%; HCV 1.8%, 0.6%, and 1.4%; and HTLV-I/II 1.7%, 0.6%, and 1.3%. Factors associated with the various infections are presented and analyzed in light of other research findings from the literature.

scholarly journals Disability due to maternal common mental disorders (CMDs) as a risk factor for chronic childhood malnutrition: cross-sectional study

2016 ◽  
Vol 134 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Jorge Lopes Cavalcante-Neto ◽  
Cristiane Silvestre de Paula ◽  
Telma Maria de Menezes Toledo Florêncio ◽  
Claudio Torres de Miranda
Keyword(s):  
Mental Disorders ◽  
Low Income ◽  
Common Mental Disorders ◽  
Cross Sectional Study ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Childhood Malnutrition ◽  
Malnourished Children ◽  
Chronic Childhood

ABSTRACT: CONTEXT AND OBJECTIVE: The disability associated with maternal common mental disorders (CMDs) is among the possible explanations for the association between chronic childhood malnutrition and CMDs. CMDs may impair the mother's ability to perform her role, particularly in deprived environments. The present study aimed to evaluate whether disability relating to CMDs could be part of the pathway of the association between childhood malnutrition and maternal CMDs. DESIGN AND SETTING: Cross-sectional study conducted in two institutions: one for malnourished children and another for eutrophic children living in a low-income community in the state of Alagoas, Brazil. METHOD: The cases consisted of 55 malnourished children aged from 12 to 60 months who were attending a nutritional rehabilitation center, with height-for-age z-scores < 2. The controls were 70 eutrophic children of the same age who were attending a day care center in the same area as the cases. The Self-Report Questionnaire made it possible to identify likely cases of maternal CMD. The Sheehan Disability Scale enabled evaluation of the associated disability. RESULTS: Chronic childhood malnutrition was significantly associated with maternal disability relating to CMDs (OR = 2.28; 95% CI: 1.02-5.1). The best logistic regression model using chronic childhood malnutrition as the dependent variable included the following independent variables: higher number of people living in the household; absence of the biological father from the household; and maternal disability relating to CMDs. CONCLUSIONS: If confirmed, the association between chronic childhood malnutrition and maternal disability relating to CMDs may be useful in helping to identify the causal chain between childhood malnutrition and maternal CMDs and to indicate environmental risk factors associated with chronic childhood malnutrition.

scholarly journals Factors associated with the probability of common mental disorders in pregnant women: a cross-sectional study

2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Roselma Lucchese ◽  
Naiane Dias Simões ◽  
Luiz Henrique Batista Monteiro ◽  
Ivânia Vera ◽  
Inaina Lara Fernandes ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Pregnant Women ◽  
Common Mental Disorders ◽  
Unplanned Pregnancy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Descriptive Approach ◽  
Self Reporting Questionnaire

Abstract Objective: To estimate the prevalence of probability of common mental disorders in pregnant women and associated factors. Methods: A cross-sectional study with a quantitative and descriptive approach was performed with 330 pregnant women enrolled in a Women's Health Service located in Mid-West Brazil. Data were obtained through a questionnaire about socio-demographic characteristics and family or personal history. The Self-Reporting Questionnaire and Poisson regression were applied to screen for common mental disorders, aiming to identify factors associated with it. Results: The prevalence of probability of common mental disorders among pregnant women was 57.1% and it was associated with marital status, gestational age, unplanned pregnancy and bleeding. Conclusion: The prevalence of pregnant women likely to have common mental disorders and the average Self-Reporting Questionnaire score estimated in this study were higher than those found in other studies with samples from the general population.

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