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 Self-perceived competencies in the diagnosis and treatment of mental health disorders among general practitioners in Lima, Peru

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jessica Hanae Zafra-Tanaka ◽  
Kevin Pacheco-Barrios ◽  
Fiorella Inga-Berrospi ◽  
Alvaro Taype-Rondan
Keyword(s):  
Mental Health ◽  
Alcohol Dependence ◽  
General Practitioners ◽  
Pharmacological Treatment ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Social ◽  
Health Disorders

Abstract Aim To assess the self-perceived competencies in diagnosing and treating patients with mental health disorders, among recently graduated general practitioners (GPs) from Lima, Peru. Methods A cross-sectional study was performed in April 2017 at a General Practitioner’s meeting held for those who were going to perform the social service, by the Peruvian College of Physicians in Lima. Attendees were invited to answer a questionnaire that evaluated their self-perception of competence in diagnosing and treating four different mental health disorders; major depression, anxiety disorder, alcohol dependence, and schizophrenia. Results Out of 434 evaluated GPs, the following percentages were self-perceived as competent in their adequate diagnosis of depression (70.5%), anxiety (73.3%), alcohol dependence (67.6%), and schizophrenia (62.0%). Concerning pharmacological treatment, these percentages were 46.6, 47.5, 39.0 and 37.6%, respectively. Referring to all the studied mental disorders, 41.6% of participants self-perceived competence in providing an adequate diagnosis, 36.1% in providing non-pharmacological treatment, and 20.1% in providing pharmacological treatment. Conclusion The rate of adequate self-perceived competences was higher for diagnosis than for treatment of patients with mental health disorders. These results highlight the importance of designing and implementing interventions to improve medical education so as to develop the skills necessary to confront mental health disorders.

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 STIGMA AND ATTITUDES TOWARDS MENTAL HEALTH DISORDERS: A CROSS SECTIONAL STUDY AT A PRIVATE UNIVERSITY IN MALAYSIA

2020 ◽  
Vol 20 (1) ◽  
pp. 40-47
Author(s):  
Sangeeta Roop Kaur Despande ◽  
Irma Wati binti Ngadimon ◽  
Nor Liana Che Yaacob
Keyword(s):  
Mental Health ◽  
University Students ◽  
Age Groups ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Education Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Health Disorders

The number of mental health problems among the young people in Malaysia is increasing, and this is worrying. Prompt action is needed as the young generation especially university students are the future leaders of the country. This study aimed to evaluate the level of stigma and attitudes of university students towards mental health disorders since limited study regarding this issue conducted in Malaysia. This is a cross-sectional study design whereby 496 students from MAHSA University were asked to complete a pre-validated questionnaire. The questionnaire consisted of three main sections which were demographic, measures of knowledge and attitudes of respondents towards mental health disorders. The findings showed that there was a significant difference between knowledge score of the different age groups, ethnicity, faculty and current education level of respondents. Besides that, significant differences were reported between attitude score of the different age groups, faculty and current education level of the respondents. It was also found that there was a statistically significant positive correlation between mental health knowledge and attitudes towards mental health disorders. Overall, the respondents displayed good knowledge and attitude towards mental health disorders.

scholarly journals Changes in pediatric emergency department visits for mental health during the COVID-19 pandemic: A cross-sectional study

2020 ◽  
pp. 135910452097245
Author(s):  
Rebecca A Leff ◽  
Erika Setzer ◽  
Mark X Cicero ◽  
Marc Auerbach
Keyword(s):  
Mental Health ◽  
Children And Adolescents ◽  
Mental Health Disorders ◽  
Pediatric Emergency ◽  
Cross Sectional Study ◽  
Emergency Department Visits ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient Demographics ◽  
Health Disorders

Background: Limited early results indicate that the COVID-19 outbreak has had a significant impact on the mental health of children and adolescents. Pediatric emergency departments (PED) play a pivotal role in the identification, treatment, and coordination of care for children with mental health disorders, however, there is a dearth of literature evaluating the effects of the COVID-19 pandemic on mental health care provision in the PED. Objectives: We sought to evaluate whether changes in frequency or patient demographics among children and adolescents presenting to the PED has occurred. Methods: This is a cross-sectional study conducted at the Yale New Haven Children’s Hospital (YNHCH) PED. Data representing the early COVID-19 pandemic period was abstracted from the electronic medical record and compared using descriptive statistics to the same time period the year prior. Patient demographics including patient gender, ED disposition, mode of arrival, race-ethnicity, and insurance status were assessed. Results: During the pandemic period, 148 patients presented to the YNHCH PED with mental health-related diagnoses, compared to 378 in the pre-pandemic period, a reduction of 60.84%. Compared to white children, black children were 0.55 less likely to present with a mental health condition as compared to the pre-pandemic study period ( p = 0.002; 95% CI 0.36–0.85). Conclusions: Children with mental and behavioral health disorders who seek care in PEDs may be at risk for delayed presentations of mental health disorders. African American children may be a particularly vulnerable population to screen for mental health disorders as reopening procedures are initiated and warrants further study.

scholarly journals CULTURAL INFLUENCE AND SOCIAL SUPPORT TOWARDS THE DEPRESSION, ANXIETY, AND STRESS LEVELS (CASE STUDY)

2020 ◽  
Vol 4 (1) ◽  
pp. 14-20
Author(s):  
Khalifatul Azwin ◽  
Muhamad Fathul Muin
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Negative Impact ◽  
Culture Shock ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Health Disorders

The student’s mental health has been a global issue. Students from various regions in Indonesia are more likely to be affected by mental health disorders caused by encountering an unfamiliar environment. Therefore, this study aims to determine the effect of culture shock and social support on depression, anxiety, and stress that is experienced. This research is a cross-sectional study using primary data taken from Polytechnic of Statistics students in the academic year of 2018/2019. The questionnaire refers to DASS-21, MOS Social Support, and 12 cultural concussion items formed by Taft and Mumford. The data obtained were analyzed by the PLS-SEM method. The results found that the prevalence of depression, anxiety, and stress experienced by students are 25.36%, 58.41%, and 17.20%, respectively. In addition, the high occurence of culture shock makes the depression, anxiety and stress experienced increased. Conversely, there was no significant effect between social support and culture shock, depression, anxiety, and stress. The high prevalence of depression, anxiety, and stress experienced by students have a negative impact. All related parties are expected to help overcome students' mental health disorders.

scholarly journals Mental Health Disorders During COVID-19 Pandemic Among Southwest Ethiopia University Students: An Institutional-Based Cross-Sectional Study

2021 ◽  
Vol 7 ◽  
pp. 237796082110643
Author(s):  
Zebene M. Assefa ◽  
Tariku G. Haile ◽  
Deribachew H. Wazema ◽  
Wubishet T. Tafese ◽  
Fantahun W. Berrie ◽  
...  
Keyword(s):  
Mental Health ◽  
University Students ◽  
Well Being ◽  
Mental Health Disorders ◽  
Cross Sectional Study ◽  
Easy Access ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Health Disorders

Introduction Coronavirus disease 2019 (COVID-19) outbreak originated in Wuhan, Hubei Province, China, at the end of 2019. The COVID-19 incidence of new cases and fatality has continued to fast-track. The mental state and well-being of entire societies are severely suffering from this crisis and are a precedence to be immediately addressed. Objective To assess mental health disorders during the COVID-19 pandemic among university students, Southwest, Ethiopia, 2020/2021. Method Institutional-based cross-sectional study was conducted. Pretested self-administered a structured questionnaire was used. Depression, anxiety, and stress were measured by depression, anxiety, stress Scale-21 (DASS-21). Data were arrived by Epi Data version 3.1 and exported to SPSS version 25 for analysis. Bivariate and multivariate analyses were applied. In multivariate logistic regression; p-value < .05 at 95% CI was declared as significant. Results Seven hundred ten university students with 95.6% of the response rate participated in the study. Of the participants, 91.3% were between the ages of 18 and 24 years, and 57.2% were male. The magnitude of anxiety, depression, and stress was 35.1%, 30.0%, and 38.2%, respectively. In this study, age [Formula: see text] 25years, easy access to handwashing facilities, relative death due to COVID-19, wearing a face mask, a program of education, marital status, worried about academic activities, and family psychiatric history were predictors for mental health disorders and insomnia was a predictor of both anxiety and depression during COVID-19 pandemic. Conclusion In this study, the prevalence of depression, anxiety, and stress was above one-third, which was higher than the previous studies done in the country. Therefore, the continuing increase in new cases of disease infectivity and fatality throughout the country, providing psychological counseling, and developing coping strategies to predictors are important to prevent mental health impacts of the COVID-19 pandemic.

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