scholarly journals Factors associated with carer psychological and physical health during end-of-life caregiving: an observational analysis of a population-based post-bereavement survey of carers of people with cancer

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e047275
Author(s):  
Gunn Grande ◽  
Christine Rowland ◽  
Sarah Cotterill ◽  
Evridiki Batistatou ◽  
Barbara Hanratty
Keyword(s):  
Mental Health ◽  
End Of Life ◽  
General Health ◽  
Psychological Symptoms ◽  
General Health Questionnaire ◽  
Past Research ◽  
Female Gender ◽  
Population Based ◽  
Least Square ◽  
Cross Sectional

ObjectiveFamily caregivers play an essential role in end-of-life care but suffer considerable impact on their own health. A better understanding of main factors related to carers’ health is important to inform interventions. The purpose of the study was to test for the first time the potential impact of a comprehensive set of observable variables on carer health during end-of-life caregiving within a population-based carer sample.DesignNational retrospective, cross-sectional, 4-month post-bereavement postal census survey of family carers of people who died from cancer.Setting and participantsRelatives who registered a death from cancer during a 2-week period in England were identified from death certificates by the Office of National Statistics; response rate was 1504/5271 (28.5%).Outcome measuresCarers’ mental health was measured through General Health Questionnaire (GHQ)-12; general health was measured through EuroQoL EQ-Visual Analogue Scale (EQ-5D VAS).MethodsSurvey questions to measure potential variables associated with carer health were based on past research and covered patients’ symptoms and functioning; caregiving activities and hours; informal and formal help received; work hours, other caregiving, volunteering; changes to work, income and expenditure; sleep and relaxation; and demographic variables. Bivariate analyses and ordinary least square regression were performed to investigate these variables’ relationship with outcomes.ResultsPatients’ psychological symptoms and functioning, caregiving hours, female gender and self-sought formal help related to worse mental health. General practitioner and social care input and relaxation related to better mental health. Patients’ psychological symptoms, caregiving hours and female gender were associated with worse general health, and older age, employment and relaxation were associated with better general health.ConclusionsImprovements in carers’ health overall may be made by focusing on potential impacts of patients’ psychological symptoms on carers, facilitating respite and relaxation, and paying particular attention to factors affecting female carers.

scholarly journals Resiliencia asociada a factores de salud mental y sociodemográficos en enfermeros mexicanos durante COVID-19

2021 ◽  
Vol 20 (3) ◽  
pp. 1-32
Author(s):  
Reyna Jazmín Martínez Arriaga ◽  
Leivy Patricia González Ramírez ◽  
Nancy Evelyn Navarro Ruiz ◽  
José María De la Roca -Chiapas ◽  
Oscar Ulises Reynoso González
Keyword(s):  
Mental Health ◽  
General Health ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Risk Groups ◽  
Sociodemographic Factors ◽  
Health Questionnaire ◽  
Cross Sectional ◽  
Salud Mental ◽  
Low Levels

Introducción: El personal de enfermería es uno de los grupos más afectados por la actual pandemia por COVID-19. Se han reportado problemas de salud mental en esta población, sin embargo, también es importante estudiar la resiliencia, para identificar sus fortalezas. El objetivo de este estudio fue estudiar la resiliencia en enfermeros mexicanos y los factores sociodemográficos y de salud mental asociados a ella. Se llevó a cabo un estudio transversal.Método: Se envió vía online un cuestionario sociodemográfico y relacionado a COVID-19, así como el Inventario de Resiliencia y el Cuestionario General de Salud-28. Se incluyeron 556 enfermeros, la mayoría fueron mujeres (80%), solteras (60.8%) y con edades entre 26-35 años (38.3%).Resultados: Se encontraron niveles bajos de resiliencia en los enfermeros más jóvenes (p<0.001, ɳ2=0.05), solteros (p<0.001, ɳ2=0.02) y con menor nivel educativo (p=0.001, ɳ2=0.02). Los predictores de resiliencia fueron la búsqueda de información sobre salud mental (β =-0.152, p <0.001), nivel educativo más alto (β = 0.142, p<0.001), niveles bajos de depresión (β=-0.307, p<0.001) y bajos niveles de disfunción social (β =-0.261, p<0.001).Conclusión: Estos hallazgos permiten identificar los factores asociados a la resiliencia en los enfermeros y cómo estos juegan un rol muy importante en su salud mental. Asimismo, estos datos permiten la identificación de grupos con mayor riesgo psicosocial, con la finalidad de guiar estrategias en salud mental orientadas a aumentar la resiliencia. Introduction: Nursing personnel are one of the groups which have been most affected by the current COVID-19 pandemic. Although mental health problems have been reported in this population, it is important to study resilience, in order to identify its strengths. The purpose was to study resilience in Mexican nurses and the mental health and sociodemographic factors associated with it. A cross-sectional study was used. Method: A sociodemographic and COVID-19 related questionnaire, the Resilience Inventory and the General Health Questionnaire-28, was sent via online. 556 nurses were included, the majority were women (80%), single (60.8%), aged between 26-35 years (38.3%). Results: Lower resilience was found among nurses who were younger (p<0.001, ɳ2=0.05), single (p<0.001, ɳ2=0.02) and with lower levels of education (p=0.001, ɳ2=0.02). Predictors of resilience included the search for mental health information (β =-0.152, p <0.001), higher education (β = 0.142, p<0.001), low levels of depression (β=-0.307, p<0.001) and low levels of social dysfunction (β =-0.261, p<0.001). Conclusion: This findings allowed to identify the factors which are associated with resilience among nurses and how this plays an important role in their mental. Likewise, this data allows for the identification of high psychosocial risk groups, to better guide mental health strategies aimed at increasing resilience. Resumo:Introdução:O pessoal de enfermagem é um dos grupos mais afetados pela atual pandemia de COVID-19. Problemas de saúde mental têm sido relatados nessa população, porém também é importante estudar a resiliência, para identificar seus pontos fortes. O objetivo deste estudo foi estudar a resiliência em enfermeiras mexicanas e os fatores sociodemográficos e de saúde mental a ela associados. Foi realizado um estudo transversal.Método:Um questionário sociodemográfico relacionado ao COVID-19 foi enviado online, assim como o Resilience Inventory e o General Health Questionnaire-28. Foram incluídos 556 enfermeiros, a maioria mulheres (80%), solteiros (60,8%) e com idade entre 26-35 anos (38,3%).Resultados:Baixos níveis de resiliência foram encontrados nos enfermeiros mais jovens (p <0,001, ɳ2 = 0,05), solteiros (p <0,001, ɳ2 = 0,02) e com menor escolaridade (p = 0,001, ɳ2 = 0,02). Os preditores de resiliência foram a busca por informações sobre saúde mental (β = -0,152, p <0,001), maior escolaridade (β = 0,142, p <0,001), baixos níveis de depressão (β = -0,307, p <0,001 ) e baixos níveis de disfunção social (β = -0,261, p <0,001).Conclusão:Esses achados permitem identificar os fatores associados à resiliência em enfermeiros e como eles desempenham um papel muito importante em sua saúde mental. Da mesma forma, esses dados permitem identificar grupos de maior risco psicossocial, a fim de nortear estratégias de saúde mental que visem aumentar a resiliência.

The impact of wildfires on mental health of residents in a rural area of Greece. A case control population based study

2011 ◽  
Vol 26 (S2) ◽  
pp. 1188-1188 ◽  
Author(s):  
D. Adamis ◽  
V. Papanikolaou ◽  
R.C. Mellon ◽  
G. Prodromitis
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Psychological Symptoms ◽  
Adult Population ◽  
Psychiatric Morbidity ◽  
Population Based ◽  
Case Control ◽  
Cross Sectional ◽  
The Impact ◽  
Of Greece

IntroductionPsychopathological disturbances are common in the aftermaths of a disaster. The consequences of these disorders can be long lasting. In August of 2007 an intense and destructive wildfire broke out in the Peloponnesus peninsula in Greece.ObjectivesTo investigate psychological and psychiatric morbidity in individuals who had experienced severe exposure to a wildfire disaster in a part of Greece and to indentify risk factors for the post disaster psychological problems.AimsTo investigate a broader spectrum of mid-term psychological and psychiatric morbidity in victims, to evaluate the proportion of psychopathology that could be accredited to the disaster, to estimate the association of losses with different psychological symptoms, to indentify risk factors for psychopathology.MethodsA Cross sectional case control study of adult population (18–65 years old). Data collected among others were demographic, Symptom Checklist 90-Revised for assessment of psychological difficulties, type and number of losses.ResultsThose damnified from the disaster scored significantly higher (p < 0.05) in the symptoms of somatisation, depression, anxiety, hostility, phobic anxiety, paranoia, and had significantly more symptoms (PST) and were more distressed by them (GSI) compared to controls. In addition risk factors for someone to be a psychiatric case were to be a victim from the fire, to have finished primary school, to be windowed and to have damages to his property.ConclusionsWildfires can cause considerable psychological symptoms in victims and there are reasons for public health policy makers to create services in order to help and improve the mental health of those affected.

scholarly journals Green tea consumption in everyday life and mental health

2005 ◽  
Vol 8 (8) ◽  
pp. 1300-1306 ◽  
Author(s):  
Mari Shimbo ◽  
Keiko Nakamura ◽  
Hui Jing Shi ◽  
Masashi Kizuki ◽  
Kaoruko Seino ◽  
...  
Keyword(s):  
Mental Health ◽  
Everyday Life ◽  
Green Tea ◽  
General Health Questionnaire ◽  
Black Tea ◽  
Population Based ◽  
Cross Sectional Study ◽  
Caffeine Intake ◽  
Tea Consumption ◽  
Cross Sectional

AbstractObjectiveGreen tea has been widely acknowledged in Japan to induce a pleasurable mental feeling. Recent laboratory studies have suggested positive psychological effects as a result of consuming green tea. The present study examined whether green tea consumption in everyday life in Japan is associated with positive mental health.DesignA cross-sectional study was performed in February–March 2002.Setting and subjectsThe subjects of the study consisted of a general population of 600 Japanese aged 20–69 years. Responses of 380 subjects, obtained by home-visit interview, were analysed. The questionnaire inquired about consumption of brewed green tea and other beverages, perceived mental health status, lifestyle and others. The 12-item General Health Questionnaire (GHQ 12) was used for the assessment of mental ill-health (GHQ score ≥4).ResultsAfter adjustments for age, area, perceived mental stress, lifestyle and daily caffeine intake, the consumption of brewed green tea was not statistically associated with any decrease in risk of mental ill-health among either males or females (odds ratio (OR) = 0.78, 95% confidence interval (CI) = 0.47–1.29 for males; OR = 0.77, 95% CI = 0.51–1.14 for females). Daily caffeine intake (100 mg) inclusive of green tea, black tea, coffee and other caffeine-containing beverages was associated with a higher risk of mental ill-health among females (OR = 1.26, 95% CI = 1.01–1.56).ConclusionsThe results provide population-based evidence on the consumption of brewed green tea in everyday life and mental health, together with information on consumption patterns of various beverages and lifestyles.

scholarly journals Calibrating well-being, quality of life and common mental disorder items: Psychometric epidemiology in public mental health research

2016 ◽  
Vol 209 (2) ◽  
pp. 162-168 ◽  
Author(s):  
Jan R. Böhnke ◽  
Tim J. Croudace
Keyword(s):  
Mental Health ◽  
Health Research ◽  
General Health ◽  
Common Mental Disorder ◽  
General Health Questionnaire ◽  
Public Mental Health ◽  
Well Being ◽  
Population Based ◽  
Mental Health Research ◽  
Health And Well Being

BackgroundThe assessment of ‘general health and well-being’ in public mental health research stimulates debates around relative merits of questionnaire instruments and their items. Little evidence regarding alignment or differential advantages of instruments or items has appeared to date.AimsPopulation-based psychometric study of items employed in public mental health narratives.MethodMultidimensional item response theory was applied to General Health Questionnaire (GHQ-12), Warwick-Edinburgh Mental Well-being Scale (WEMWBS) and EQ-5D items (Health Survey for England, 2010–2012; n = 19 290).ResultsA bifactor model provided the best account of the data and showed that the GHQ-12 and WEMWBS items assess mainly the same construct. Only one item of the EQ-5D showed relevant overlap with this dimension (anxiety/depression). Findings were corroborated by comparisons with alternative models and cross-validation analyses.ConclusionsThe consequences of this lack of differentiation (GHQ-12 v. WEMWBS) for mental health and well-being narratives deserves discussion to enrich debates on priorities in public mental health and its assessment.

scholarly journals Can the 12-item General Health Questionnaire be used to measure positive mental health?

2007 ◽  
Vol 37 (7) ◽  
pp. 1005-1013 ◽  
Author(s):  
YONGJIAN HU ◽  
SARAH STEWART-BROWN ◽  
LIZ TWIGG ◽  
SCOTT WEICH
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Well Being ◽  
Population Based ◽  
Positive Mental Health ◽  
Household Composition ◽  
Health Questionnaire ◽  
Health States

Background. Well-being is an important determinant of health and social outcomes. Measures of positive mental health states are needed for population-based research. The 12-item General Health Questionnaire (GHQ-12) has been widely used in many settings and languages, and includes positively and negatively worded items. Our aim was to test the hypothesis that the GHQ-12 assesses both positive and negative mental health and that these domains are independent of one another.Method. Exploratory (EFA) and confirmatory (CFA) factor analyses were conducted using data from the British Household Panel Survey (BHPS) and the Health Survey for England (HSE). Regression models were used to assess whether associations with individual and household characteristics varied across positive and negative mental health dimensions. We also explored higher-level variance in these measures, between electoral wards.Results. We found a consistent, replicable factor structure in both datasets. EFA results indicated a two-factor solution, and CFA demonstrated that this was superior to a one-factor model. These factors correspond to ‘symptoms of mental disorder’ and ‘positive mental health’. Further analyses demonstrated independence of these factors in associations with age, gender, employment status, poor housing and household composition. Statistically significant ward-level variance was found for symptoms of mental disorder but not positive mental health.Conclusions. The GHQ-12 measures both positive and negative aspects of mental health, and although correlated, these dimensions have some independence. The GHQ-12 could be used to measure positive mental health in population-based research.

scholarly journals THE RELATIONSHIP BETWEEN GENERAL HEALTH, OCCUPATIONAL STRESS AND JOB BURNOUT IN NURSES WORKING SHOHADAYE KARGAR HOSPITAL OF YAZD

2020 ◽  
Vol 20 (3) ◽  
pp. 173-179
Author(s):  
Khabazzadeh Fatemeh ◽  
Nimetcan Mehmet ◽  
Alabed Ali A. Alabed
Keyword(s):  
Mental Health ◽  
Occupational Stress ◽  
General Health ◽  
Mental Health Problems ◽  
Pearson Correlation ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
General Function ◽  
Cross Sectional

Aim of this study is to determine levels of general health, occupational stress and burnout in nurses who are working in Shohadaye Kargar Hospital of Yazd. A cross- sectional study was conducted among nurses who are working in Shohadaye Kargar Hospital of Yazd in 2017-2018 years. The sample was randomly selected and total 200 nurses were enrolled to the study. The study instruments included Occupational stress questionnaire, Maslach Burnout Inventory and General Health Questionnaire. Collected Data were analyzed by using descriptive test and Pearson correlation coefficient and multivariate regression in SPSS. The findings of research indicated that total levels of occupational stress were high among 58.85 % of nurses. Regarding burnout, 35.93% of nurses had reported high levels of burnout. Less than one percent (0.37 %) of nurses have high mental health problems and 0.44 percent reported mid mental health problem. There was a statistically significant correlation between occupational stress with mental health (p<.001) and job burnout with mental health (p<.001). Occupational stress and job burnout may have undesired influences on nursing mental health and general function.

scholarly journals Mental health of UK military personnel while on deployment in Iraq

2010 ◽  
Vol 197 (5) ◽  
pp. 405-410 ◽  
Author(s):  
Kathleen Mulligan ◽  
Norman Jones ◽  
Charlotte Woodhead ◽  
Mark Davies ◽  
Simon Wessely ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Psychological Symptoms ◽  
General Health Questionnaire ◽  
Armed Forces ◽  
Female Gender ◽  
Psychological Problem ◽  
Post Traumatic Stress ◽  
Perceived Leadership ◽  
Unit Cohesion

BackgroundMost research on the mental health of UK armed forces personnel has been conducted either before or after deployment; there is scant evidence concerning personnel while they are on deployment.AimsTo assess the mental health of UK armed forces personnel deployed in Iraq and identify gaps in the provision of support on operations.MethodPersonnel completed a questionnaire about their deployment experiences and health status. Primary outcomes were psychological distress (General Health Questionnaire–12, GHQ–12), symptoms of post-traumatic stress disorder (PTSD) and self-rating of overall health.ResultsOf 611 participants, 20.5% scored above the cut-off on the GHQ–12 and 3.4% scored as having probable PTSD. Higher risk of psychological distress was associated with younger age, female gender, weaker unit cohesion, poorer perceived leadership and non-receipt of a pre-deployment stress brief. Perceived threat to life, poorer perceived leadership and non-receipt of a stress brief were risk factors for symptoms of PTSD. Better self-rated overall health was associated with being a commissioned officer, stronger unit cohesion and having taken a period of rest and recuperation. Personnel who reported sick for any reason during deployment were more likely to report psychological symptoms. Around 11% reported currently being interested in receiving help for a psychological problem.ConclusionsIn an established operational theatre the prevalence of common psychopathology was similar to rates found in non-deployed military samples. However, there remains scope for further improving in-theatre support mechanisms, raising awareness of the link between reporting sick and mental health and ensuring implementation of current policy to deliver pre-deployment stress briefs.

A Cross-Sectional Survey of Age and Sense of Authenticity among Japanese

2009 ◽  
Vol 105 (2) ◽  
pp. 575-581 ◽  
Author(s):  
Masaya Ito ◽  
Masaru Horikoshi ◽  
Masahiro Kodama
Keyword(s):  
Mental Health ◽  
Age Differences ◽  
General Health ◽  
General Health Questionnaire ◽  
Age Groups ◽  
Health Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Age Cohorts

This study examined age differences on the sense of authenticity and its relation with mental health measured on the General Health Questionnaire. Participants were 963 Japanese ( M age = 51.5 yr., SD = 19.5). Scores on the Sense of Authenticity Scale increased across age cohorts. Correlations of –.45 to –.75 were observed between the sense of authenticity and mental health in all age groups.

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